Platerus GOLDEN Practice of Physick: Fully and Plainly Discovering,

  • I. All the Kinds. of every Disease.
  • II. The several Causes of every Disease.
  • III. Their most proper Cures, in respect to the Kinds, and several Causes, from whence they Come.

After a New, Easie, and Plain Method; of Knowing, Foretelling, Preventing, and Curing, all Diseases Incident to the Body of Man.

Full of Proper Observations and Remedies: Both of Ancient and Modern Physitians. In Three Books, and Five Tomes, or Parts.

Being the Fruits of one and thirty years Travel: And fifty years Practice of Physick.

By

  • Felix Plater, Chief Physitian and Professor in Ordinary at Basil.
  • Abdiah Cole, Doctor of Physick, and the Li­beral Arts.
  • Nich. Culpeper, Gent. Student in Physick, and Astrology.

LONDON; Printed by Peter Cole, Printer and Book-seller, at the Sign of the Printing-press in Cornhill, near the Royal Exchange. 1664.

Books Printed by Peter Cole, at the Exchange London. Viz.
  • 1. A GOLDEN Practice of Phy­sick; plainly discovering the Kinds, with the several Causes of every Dis­ease. And their most proper Cures, in respect to the Causes from whence they come: after a new, easie and plain Method of Knowing, Foretel­ling, Preventing, and Curing all dis­eases Incident to the Body of Man. Full of proper Observations and Re­medies, both of Ancient and Mo­dern Physitians. Being the Fruit of One and Thirty years Travel, and fifty years Practice of Physick. By Dr. Plater, Dr. Cole, and Nich. Cul­peper.
  • 2. Sennertus Practical Physick; the first Book in three Parts. 1. Of the Head. 2. Of the Hurt of the internal Senses. 3. Of the external Senses, in five Sections.
  • 3. Sennertus Practical Physick; the second Book, in four Parts. 1. Of the Jaws and Mouth. 2. Of the Breast. 3. Of the Lungs. 4. Of the Heart.
  • 4. Sennertus Third Book of Pra­ctical Physick in fourteen Parts, treating. 1. Of the Stomach and Gullet. 2. Of the Guts. 3. Of the Mesentery, Sweetbread and Omentum. 4. Of the Spleen. 5. Of the Sides. 6. Of the Scurvey. 7. and 8. Of the Liver. 9. Of the Ureters. 10. Of the Kidnies. 11. and 12. Of the Blad­der. 13. and 14. Of the Privities and Generation in men.
  • 5. Sennertus fourth Book of Pra­ctical Physick in three Parts. Part 1. Of the Diseases in the Privities of Women. The first Section. Of Diseases of the Privie Part, and the Neck of the Womb. The second Se­ction. Of the Diseases of the Womb. Part 2. Of the Symptoms in the Womb, and from the Womb. The second Section. Of the Symptoms in the Terms and other Fluxes of the Womb. The third Section. Of the Symptoms that befal al Virgins and Women in their Wombs, after they are ripe of Age. The fourth Section. Of the Symptoms which are in con­ception. The fifth Section. Of the Government of Women with Child, and preternatural distempers in wo­men with Child. The sixth Section. Of Symptoms that happen in Child­bearing. The seventh Section. Of the Government of Women in Child­bed, and of the Diseases that come after Travel.
  • The first Section. Of Diseases of the Breasts. The second Section. Of the Symptoms of the Breasts.
  • To which is added a Tractate of the Cure of Infants. Part 1. Of the Diet and Government of Infants. The second Section. Of Diseases and Symptoms in Children.
  • 6. Sennertus fifth Book of Practi­cal Physick, Or the Art of Chi­rurgery in six Parts. 1. Of Tumors. 2. Of Ulcers. 3. Of the Skin, Hair and Nails. 4. Of Wounds, with an excellent Treatise of the Weapon Salve. 5. Of Fractures. 6. Of Lu­xations.
  • 7. Sennertus sixth and last Book of Practical Physick in nine Parts. 1. Of Diseases from occult Quali­ties in general. 2. Of occult, ma­lignant, and venemous Diseases ari­sing from the internal fault of the humors. 3. Of occult Diseases from water, Air, and Infections, and of infectious Diseases. 4. Of the Vene­real Pox. 5. Of outward Poysons in general. 6. Of Poysons from Minerals and Metals. 7. Of Poy­sons from Plants. 8. Of Poysons that come from Living Creatures. 9. Of Diseases by Witchcraft, Incantation, and Charms.
  • 8. Sennertus Treatise of Chymi­stry, shewing the Agreement and Disagreement of Chymists and Ga­lenists.
  • 9. Sennertus two Treatises. 1. Of the Pox. 2. Of the Gout.
  • 10. Sennertus thirteen Books of Na­tural Philosophy: Or the Nature of all things in the World.
  • 11. Twenty four Books of the Practice of Physick, being the Works of that Learned and Renowned Do­ctor Lazarus Riverius, Physitian and Counsellor to the late King, &c.
  • 12. Idea of Practical Physick in twelve Books.
  • 13. Bartholinus Anatomy, with very many larger Brass Figures, than any other Anatomy in English.
  • 14. Veslingus Anatomy of the Bo­dy of Man.
  • 15. Riolanus Anatomy.
  • 16. A Translation of the new Dis­pensatory, made by the Colledg of Physitians of London, in Folio and in Octavo. Whereunto is added, The Key of Galen's Method of Phy­sick.
  • 17. A Directory for Midwives, or a guide for Women. The First and Second Part.
  • 18. Galens Art of Physick.
  • 19. A new Method both of study­ing and practising Physick.
  • 20. A Treatise of the Rickets.
  • 21. Medicaments for the Poor: Or, Physick for the Common Peo­ple.
  • 22. Health for the Rich and Poor by Diet without Physick
  • 23. One thousand New, Famous and Rare Cures, in Folio and O­ctavo.
  • 24. A Treatise of Pulses and Urins.
  • 25. A Treatise of Blood-letting, and Cures performed thereby.
  • 26. A Treatise of Scarification, and Cures performed thereby.
  • 27. The English Physitian En­larged.
  • The London Dispensatory in Folio, of a great Character in Latin.
  • 28. The London Dispensatory in Latin, a small Book in Twelves.
  • 29. A New Art of Physick by Weight, or five hundred Aphorisms of Insensible Transpiration. Breath­ing or vapor coming forth of the Bo­dy. By Dr. Cole, &c.
Physick Books Newly Printed.
  • Zacutus Lusitanus his wonderful Practice, Or admirable CASES in Physick, And CURES.
  • Platerus Observations with Histo­ries of his Famous CURES accord­ing to the Method of his Golden Practice, now also printed.

Divinity Books Printed by Peter Cole, &c.

Eighteen Several Books of Mr. Bur­roughs's viz. on Matth. 11.
  • 1 Christs Cal to all those that are weary and heavy laden, to come to him for rest.
  • 2 Christ the great Teacher of Souls that come to him.
  • 3 Christ the Humble Teacher of those that come to him.
  • 4 The only easie way to Heaven.
  • 5 The Excellency of Holy Cou­rage in Evil times.
  • 6 Gospel Reconciliation.
  • 7 The Rare Jewel of Christian Contentment.
  • 8 Gospel-Worship.
  • 9 Gospel-Conversation.
  • 10 A Treatise of Earthly Minded­ness, and of Heavenly Mindedness, and Walking with God.
  • 11 An Exposition of the Prophe­sie of Hoseah.
  • 12 The Evil of Evils, or the ex­ceeding sinfulness of Sin.
  • 13 Of Precious Faith.
  • 14 Of Hope.
  • 15 Of Walking by Faith, and not by Sight.
  • 16 The Christians living to Christ upon 2 Cor. 5.15.
  • 17 A Catechism.
  • 18 Moses Choice, &c.

Dr. Hills WORKS.

Mr. Stephen Marshals New WORKS. Viz.
  • 1 Of Christs Intercession, or of sins of Infirmity.
  • 2 The high Priviledg of Belie­vers, That they are the Sons of God.
  • 3 Faith the means to feed on Christ.
  • 4 Of Self-denial.
  • 5 The Saints Duty to keep their Hearts, &c.
  • 6 The Mystery of Spiritual Life.
Twenty one several Books of Mr. William Bridge, collected into two Volumes, Viz.
  • 1 Scripture Light, the most sure Light.
  • 2 Christ in Travel.
  • 3 A lifting up for the cast down.
  • 4 Of the Sin against the Holy Ghost.
  • 5 Of Sins of Infirmity.
  • 6 The false Apostle tried and dis­covered.
  • 7 The good and means of Esta­blishment.

THE CONTENTS Of all the Five Books in the Three Tomes.

The CONTENTS of the First Book of the first Tome Page 1.
  • CHap. 1. Of a Weakness of the Mind Page 1
  • Chap. 2. Of a Consternati­on of the mind Page 4
  • Chap. 3. Of an Alienation of the Mind Page 26
  • Chap. 4. Of a Defatigation of the Mind Page 47
  • Chap. 5. Of the the hurt of Feeling Page 50
  • Chap. 6. Of the hurt of Tasting. Page 52
  • Chap. 7 Of the hurt of Seeing Page 56
  • Chap. 8 Of the hurts of Hearing Page 80
  • Chap. 9 Of the hurt of smelling Page 87
The CONTENTS of the Second Book of the First Tome. Page 92
  • CHap. 1 Of the Weakness of Mo­tion Page 92
  • Chap. 2 Of Impotency of Motion Page 93
  • Chap. 3. Concerning Depraved Mo­tion Page 115
  • Chap. 4 Of the Defect of Breath­ing Page 119
  • Chap. 5 Of Breathing Depraved Page 131
  • Chap. 6 Of the Defect of Swallow­ing or passage by the Throat Page 138
  • Chap. 7 Of the Defect of Dejection, or going to Stool Page 140
  • Chap. 8 Of the Defect of Pissing Page 141
  • Chap. 9 Of the Defect of Bringing forth Children, or other things Page 144
  • Chap. 10 Of the Defect of Vital Mo­tion Page 148
  • Chap. 11 Of the Depravation of Vi­tal Motion Page 152
  • Chap. 12 Of want of Appetite Page 155
  • Chap. 13 Of Depraved Appetite Page 158
  • Chap. 14. Of Defect of Bleeding Page 160
  • Chap. 15 Of Want of Sweating Page 166
  • Chap. 16 Of want of Milk Page 167
  • Chap. 17 Of the Defect and Want of Copulation Page 168
  • Chap. 18 Of Lust, or Lechery. Page 172
  • Chap. 19 Of want of Conception Page 173
The CONTENTS of the Second Tome; in one Book, being the third of the whole Work.
  • [Page]CHap 1 Of the Greifs of the Sight, Hearing, Smelling and Tasting Page 187
  • Chap. 2 Of Feavers Page 187
  • Chap. 3 Of Head-Ach Page 235
  • Chap. 4 Of Pain in the Eyes Page 241
  • Chap. 5 Of the pain of the Ears Page 251
  • Chap. 6 Of the Diseases or Greifs of the Nostrils Page 253
  • Chap. 7 Of Greifs or pain of the Mouth Page 255
  • Chap. 8 Of Tooth-Ach Page 258
  • Chap. 9 Of Pain in the Jaws Page 263
  • Chap. 10 Of the Griefs or Pain of the Breast. Page 269
  • Chap. 11 Of Pain of the Heart Page 277
  • Chap. 12 Of the pain of Hypochon­dria, or Sides under the Ribs Page 294
  • Chap. 13 Of pain of the Belly Page 305
  • Chap. 14 Of pain of the Privities Page 391
  • Chap. 15 Of Diseases in the Fun­dament Page 393
  • Chap. 16 Of pain in the Habit of the Body Page 396
  • Chap. 17 Of pains in the Superfi­cies of the Body Page 408
The CONTENTS of the third Tome, in two Books: Being the fourth and fifth of the whole Work. The FIRST BOOK.
  • CHap. 1 Of Deformity Page 501
  • Chap. 2 Of Discoloration Page 513
  • Chap. 3 Of Extuberances or Swel­lings Page 540
  • Chap. 4 Of Defoedation or Defile­ment Page 580
  • Chap. 5 Of Consumption of the Bo­dy Page 598
The Second Book of the third Tome.
  • CHap. 1 Of the Voiding or Ex­cretion of parts Page 607
  • Chap. 2 Of the Falling and Sticking forth of parts Page 610
  • Chap 3 Of Efflation or Sending forth of Wind Page 620
  • Chap 4 Of the Voiding of Seed Page 623
  • Chap 5 Of Voiding of Blood Page 626
  • Chap. 6 Of Excretion, or Voiding of Matter Page 635
  • Chap. 7 Of Excretion, or Voiding of Water Page 637
  • Chap 8 Of Spetting Page 643
  • Chap 9 Of Vomiting Page 647
  • Chap 10 Of Pissing Page 652
  • Chap 11 Of Dejection, or going to Stool Page 660
  • Chap 12 Of filthy Excretions Page 674
  • Chap 13 Of the Voiding of Living Creatures Page 676
  • Chap 14 Of the Voiding of Living Creatures or Animata Page 681
  • Chap 15 Of the Voiding of earthy Bodies Page 683
  • Chap 16 The Voiding of things that get into the Body Page 686

THE FIRST BOOK OF THE Hurts of the Functions.
Containing the Hurt of the SENSES.

THe Senses are Internal or External, we shall speak first of the Internal, for they being hurt, the Ex­ternal Senses and motions are somtimes offended, the Internal Senses are three. Imagination, Reason, and Memory, which we call all together by the name of the Mind, when these are hurt they either suffer all together or particularly.

The Functions of the mind are defective, when they are Diminished or Abolished. For by accident when the vital motion is hurt, these Functions may cease as well as the rest in the whole Body, but then they are refer'd to the hurts of vital motion, and there explained.

The Functions of the Mind are dimini­shed, when they do not sufficiently act, in their divers kinds, as when there is dulness of Mind, slow Wit, Imprudence, forgetful­ness of which we shall speak in Imbecility of Mind, the first Chapter, Page 1.

The Functions are abolished when they are not, as in divers kinds of Sleep and Astonishments as when there is immoder­ate Sleep, or profound Sleep, Carus, Le­thargy, Typhomania, Devilish Sleep, Sleep with astonishment, Ecplixis, Apoplexy, Epilepsie, Convulsion, Catalepsis or Conge­lation, Extasie. Of which we shall speak under the title Consternation of Mind, Chapter the second, Page 4.

The actions of the Mind are depraved when they are, but not decently; as they should be; or more then they ought to be.

The internal Senses are preposterous in divers kinds, as when there is Foolishness, Drunkenness, commotion of Mind, Love, Melancholy, Hypochondriack Melancholly, Madness, devilish Possession, fear of water, Phrensie, Paraphrenitis, Saltus vitae, of which under Alienation of Mind, Chapter the third, Page 26.

The Functions are more then ordinary in Watchings and Dreams, of which we shall speak in Defatigation of Mind, Chapter the fourth, Page 47.

The external Senses are five: Touching, Tasting, Sight, Hearing, Smelling, these are either Defective or Depraved, when out of order.

The kinds of Defect and Depravation of Touching are Numness or Stupor, Formi­cation, false Sense of heat or cold H [...]modia of which in Hurt of Touching, Chapter the fifth, Page 50.

The Tast is abolished, Diminished and Depraved in the defect of Tasting and in a Depraved or half Tast, of which in Hurt of Tast, Chapter the sixth, Page 52.

The sight suffers many inconveniences when either it is not, or is diminished, or is Evil, as in divers kinds, especially in Blindness, Anaurosis, Scoloma or Mist, [Page]Amblyopia, Catigo, Evil sight in young or old, Myopia, Nyctalopia, Vespertina, Acies or Owle sight, Hallucination, Ima­gination, Nubecula or Cloud, Colours, false Splendors, Megrim, Scotodinos, of these in Hurt of Sight, Chapter the se­venth, Page 56.

The hearing also suffers, in Surdity or Deafness, thick Hearing, Obaudition, tinck­ling, and hissing in the Ears: as in Hurt of Hearing, Chapter the eight, Page 80.

The Smelling is also Abolished, Dimini­shed or Depraved, as in defect of Scent and Depravation of scent, of these in Hurt of Smelling, Chapter the ninth, Page 87.

CHAP. I. Of a Weakness of the Minde.

The Kinds of it.

A Weakness of the Minde may be said to be, whenas any one is less able in Apprehension or Wit, in Judgment or Reason and Memory, then an ingenious and industrious Man. Which somtimes happens in Diseases, at other times befals those that are not Sick, but otherwise Well, of which we will here Treat. But somtimes these internal senses are all of them together dulled, Dulness of the Minde. and both Wit, Judgment and Memory fail, and then it may be called a dulness of the Minde. Otherwise some want Wit, when they scarcely learn to speak, Of slowness of Wit. and they appre­hend Learning, and other Arts with diffi­culty; and it may be called a slowness of Wit.

Somtimes they are void of Judgment, Imprudence, a defect of judgment. in judging of those things which they have apprehended, and this may be cal­led Imprudence.

For the most part the Memory is weakned when they hardly retain those things which they have apprehended and learned; and its called Oblivion, of which fault many do complaine, Oblivion especially the Aged, and therefore Physitians have made mention of that only almost in their Cures, The Memo­ry impaired under their Titles of the Memory im­paired: whereas the defects of the other in­ternal senses also have the same Causes, and the same Cure; which we shall at once apply to them all.

The Causes.

But the Brain which is the organ of these senses, The Part affected. is here affected; the which notwith­standing is not so vehemently hurt, that these internal senses are wholly abolisht or together with them, the external senses also and motion; as it doth happen in grievous hurts of the Brain. But that more or fewer senses are weakned, and those more or less, that happens according as the whol substance of the Brain is affected, or only part of it: not as the formost, middle, or hindermost ventricles are affected, as some would have it; furthermore these things vary according to the Nature of the Disease, with which the Brain is afflicted, as shall be said.

Some have contracted and derived this weakness Haereditary from their Parents by inbred Causes; Weakness, a Cause of the Mindes weakness. whence it often comes to pass that as the ingenious and industrious do beget their like, so drones beget drones which is easily collected by their Signs, that they were such from their Infancy, and had such Parents. This happens to some by reason of Age, whence old folks become for the most part forgetful and somtimes dul, by reason of the defect of native heat, unless it happen from some distemper of the Brain as shall be said by and by.

A Concussion or blow of the Head, leaving behind it some weakness in the Brain, may also be the cause of it.

Also too great a shedding of Blood from what part of the Body soever, or some other too great evacuation exhau­sting the Spirits: on which score also too much Venery doth very much impare the senses, especially the Memory.

Also a Disease of long continuance destroving the native heat, especially of the Head, as after a Carus; also af­ter Melancholy, and Convulsion; we have seen men be­come very forgetful. Or a Malignant Disease, or pro­ceeding from some Poyson, of which nature perhaps that was, which given to Ulysses companions by Circe, took away the remembrance of all things past, the which also somtimes Love Potions have done; and the unhappy use of Narcoticks may do the like.

One writes that by reason of a Wound struck deep into the seat of the Eye, one did so far loose his Memory, that he was fain to learn a new the grounds of learning whenas before he was skilled, both in Greek and Latin.

Also when the Functions of the Minde are more remisly imployed, then the native heat growing dul with idleness, and not brought into act, they proceed but sing­gishly,

Which also may happen upon the contrary reason, to wit, if the Minde be disquieted with too much study, thoughts, watchings, cares. Yet when the Memory for the most part is first hurt, especially in the aged; their judgment notwithstanding continues acute. That it doth not happen to them only by reason of weakness, though by this means also it may happen, may be elegantly col­lected thus, because their Minde, which through the whol space of their life hath received so many Species, Images, and Conceptions of things, is so overwhelm'd with them, that it cannot long retain those new ones which it receiveth, as if there were no more place left for them; whence also it comes to pass that old men do firmly retain to the last, those things which they appre­hended, when young; but those things which they treat and think of now strucken in Age, they indeed do easily conceive, and they judg right and well; but they pre­sently forget them again: in like manner after some sort as we see most old men, to see and judg of things far distant, more rightly then of those neer hand; the which notwithstanding doth proceed from another cause, as we shall explaine in the weakness of the Sight.

Furthermore, and if the Minde be distracted with divers Studies and be overwhelm'd at once with many things, it comes to pass that the sense being Intent on many things is not only less fit for each particular, but also that while these things do confound one another, and one is hindred and obscured by another (as when two griefs molest one part, the more vehement is wont to obscure the other) the Memory of that which is weakest, doth presently also vanish.

[Page 2] The imperfection of the instrument also doth make the internal senses more languid. The fault of the instrument is a Cause of the weakness of the Minde. In tender Infants, whose Brain is yet more soft and fluid, and not yet perfected by grouth it per­forms but dul operations. In those of riper age also, if the Brain hath not obtained its just bulk, and then for the most part they have a smal Head.

An uncomely Figure of the Brain, and a perversion of its Scituation, caused either by Nature or by Violence doth cause the same; which is hardly known unless the Head answer to the form of the Brain.

The Temperament of the Brain changed from its Natural state, The temper of the Brain changed doth cause a weakness of Minde. as yet not producing more grievous Diseases of the Brain, doth also cause that sluggishness of the internal Senses.

And that especially when it is more moist then it ought to be by Nature, which Physitians hold to be the chief cause of the Memory impaired, and that because in a more moist Brain, and therefore softer, the Images of things imprinted can less remain. But we believe that comes to pass, because it becomes more languid to exercise its Operations. But the cause of this Moisture somtimes depends on some cold and moist Disease of the Brain foregoing, from which, though for the most part it be taken away, yet this moist constitution imprinted on it doth remain; which also may be from external causes of the Air and Medicines. But this defect is known to proceed from Moisture, because then they are sleepy, and by other signs of a moist Brain. Also a more dry constitu­tion of the Brain is held to be the Cause, because they hardly apprehend things, and because in a dry Body, things are more difficultly imprinted; and many also do teach that this Driness may be the cause of Oblivion, and declare the Cure of the Memory impaired by Dryness, whenas after burning Feavers, after too much watching and study, the memory becomes treacherous, which we have taught formerly to happen rather from a weakness con­tracted thence.

The Cure.

The defect of the internal senses is in­curable if it happen from a weakness contracted from the Parents, A Praediction. or by reason of Age, or from some eminent hurt of the Brain: or if it arise from a perverse conformation of the Brain. Also that prae­ternatural constitution imprinted on the Brain, whether it be moist or dry, is hardly corrected: yet for the correct­ing of that, to which Physitians do chiefly apply their Cures, in treating of the Memory hurt: we also shall shew the manner of operation, how those faults may at least be corrected, if not wholly taken away.

Exercise, As it doth set an edge on all dul functions, The Cure of the weak­ness of Minde, from weakness, and a too moist temper of the Brain. and as it were bring them into Act, may also do good here in the o­perations of the Minde if they be dulled by reason of the sluggish and remiss use of them. Also in a weakness, although it can scarce be mended; since that the native heat is renewed by exercise, and custome is a second Nature, the exercise of the Minde may do somwhat at least in this. But in a moist temper of it, when as the agitations of the Minde doth consume Ex­crements, it will do good.

This may be done by often exercising these Functi­ons of the Minde, those especially which are done with pleasure (since nothing is to be done against Nature) and those either all together; or singly the Wit, if they learn to speak, learning languages and arts, by which the apprehension and Wit is made acute, which otherwise growes dul by idleness. The judgment, if they discerue and judg of things especially things scrupulous, and that often; as we see many ignorant of law by use to have acquired a natural knowledg and prudence in the laws. They may whet the Memory by studying to remember and retain, and committing other arts to Memory; in which this is particularly to be observed, that those things which are conceived and repeated in the evening after supper before sleep do remain more firmly im­printed in the morning.

Also a rest of the Functions of the minde, being wea­ried with too much use and watchings, and so at length weakned, doth much refresh them.

Which is done if they moderat themselves from the too much study of knowing or handling of things, and from the immoderate affections of the Minde; if they sleep at due times, and as much as is needful, whenas sleep is the rest of the Minde, and by it the internal actions of sense are respited, unless in some sort they do a little exercise themselves in dreams.

As concerning Evacuations, if the sluggishness arise from a too moist constitution of the Brain, and there be plenty of Excrements in the Brain, they must be emptied successively, as is wont to be done in Diseases of the Brain, arising from flegmatick and serous Humors; which may be done by this Method.

The common Excrements must first be washed away, with this fallowing Clyster or the like; as, Take of the Herbs Mallows, Marsh-mallows, Pellitory of the Wall, Beets, Mercury, Betony, Sage, Hysop, of each one handful; the flowers of Chamomel, Melilote, Elder, Lavender, of each one pugil; Bran one pugil; Fennel and Caraway seed, of each three drams; make a Decoction: Dissolve in it, of the juyce of Mercury, one ounce; of Honey, one ounce and an half: Oyl of Rue, two ounces; of Benedicta Laxativa, or some strong Hiera, half an ounce; of Salt, one dram. Make a Clyster.

Then the humors must be prepared with this De­coction, Take of the Roots of Orrice, the true Acorus, Elecampane, of each half an ounce; Pellitory of Spain (it helps the Memory much) Galangal, Ginger, of each two drams; the Herbs Betony, Marjoram, Time, of each half an ounce; Balm, two drams? the flowers of Lavender or Spike, Sage, French Lavender, of each two drams; Rose­mary flowers, three drams; Liquorish, six drams; Annis and Fennel seed, of each one dram and an half; Caraways, one dram; Cubebs, half a dram: Make a Decoction in Wine and Water; And in a pound and an half of that strained, Dissolve of Honey or Sugar as much as is sufficient, Aroma­tize it with Cinnamon and Nutmeg. For five or six mor­nings.

A Wine may be made with the infusion of these, with the Honey and Sugar if they like sweet things, if not, you may substitute Wormwood in their room, with whose smel they are much delighted, and abhor not the bitter­ness of it.

The same may be done with Syrups, if less pains, and more gratefulness be required: Take of the Syrups of Betony and French Lavender, Honey of Roses, of each half an ounce; of the Water of Betony and Marjoram a double quan­tity, Aromatize it with Cinnamon; Let him drink as often of it, as was said of the Decoction.

This being done, Purge the Body with these Pills: Take of Cochiae Pills, two scruples; of Castor (tis pecu­liarly good) half a scruple; with sweet Wine; Make up Pills.

[Page 3]Or with this potion, Take of the electuary Diacartha­mum, two drams; or one Dose of any other Phlegmagoge, of Agarick infused in Oxymel, one dram; Syrup of Liquorish, one ounce; the Waters of Balm and Betony as much as is suf­cient: And make a Potion.

This being done, and the Brain strengthned, as it ought to be after purging, if the Head be stil excremen­titious, these things may be repeated presently, or at fit time, or by interuals.

Which may be done by a Syrup which may be prepa­red out of the precedent Decoction; adding, Senna, wild Saffron, Agarick, Turbith, to which we may add, Sea Fennel, since that if it be new, it doth purge Flegm, and with an addition of Sugar and Honey: Boyl them to a consistence.

Also the usual Pills that purge Flegm, may be made use of.

Wines are less proper if they ought to be kept long, when as they do easily corrupt; but if purging be to be used for five or six daies together, they may be made of the same things, as the Decoction was, infused in Wine.

Also if a waterish humor abound, the Head must be purged by times; by particular Evacuations, called Head purges, as Masticatories, Gargarismes, Errhines, as it hath been said in its proper place.

As concerning things Alterative, all those things which strengthen the Head, and stir up its innate heat, being applied inwardly and outwardly may do good; a­mongst which, those that act potentially, ought to be most hot in this moist constitution of the Brain, whereas this is so imprinted, and the temperament of the Brain so changed, are hardly reduced, and therefore require stronger means, that so their operation may better reach to the Brain; neither can things taken inwardly too much inflame the Brain being a part far distant, nor things outwardly applied, by reason of the thickness of the Head. The rest found out by experience, are thought to restore the Memory by a certain pro­priety.

Those things therefore which are taken chiefly to re­store the Memory in a moist cause as was said, are as follow.

In the form of a Pouder this is cried up to be excellent to preserve the Memory: Take of Male Frankincense or Olibanum, half a scruple: Make a Pouder; Let him take it often by it self or with Wine or some convenient Water.

If both round and long Pepper be added, tis a most commendable remedy thus prepared: Take Male Fran­kincense, fifteen drams; Pepper, five drams: Make a Pouder; give one dram every morning for forty daies.

Ginger condite in Syrup or dry, as tis wont to be pre­pared, taken in the morning is approved of; also the conditure of the true Acorus, that is, the Aromatick Cane.

Also the Root of Pellitory of Spain, whiles it is new candid eaten like Ginger is highly esteemed, whose Decoction Paracelsus approves of against forgetfulness.

The Confection Anacardine was chiefly invented to re­pair the Memory, especially if it be prepared without Castor by reason of its ungratefulness, as Gordonius teach­eth, of which half an ounce or an ounce or more may be given according to Gordonius with some convenient wa­ter as of Fennel or Smallage, which if it heat the body too much may be prepared thus:

Take of Confection Anacardine one dram, Conserve of Marjoram, Rosemary, of each half an ounce: Let him take once or twice a week a dram for a dose.

Compounds of the aforementioned and other things convenient for the Head and appropriate to the me­mory impaired as Myrobolans, Cyperus root, the Skul of a Man and the like, are thus made for the strengthning of the Brain.

Take of confection anacardine one dram, Frankincense two drams, Pepper, Ginger, each half a dram; Sugar dissolved in Cinnamon and Marjoram water twelve ounces: make Ta­bles give one every morning, or every other morning.

Others more efficacious are prepared thus. Take of male Frankincense three drams, Pepper, Ginger each half a dram, Cinnamon two scruples Corall one dram, the shavings of Mans Skull two drams, Harts-horn, Ivory, each half a dram, ad of Sugar six ounces or the double quantity and make a pou­der; or dissolving the Sugar in Marjoram water make Ta­bles; or abate of the quantity of Sugar, and with the In­fusion of Gum Tragacanth in Rose-water make Lozenges, and use them.

Electuaries also may be made for the same Use of things for the head after this manner. Take of the conditures of Ginger, the true Acorus, Pellitory of Spain, as was said each half an ounce, of Chebul and Emblick Myrobalans each two; of Marjoram, Rosemary-fllowers, Lavender or French Laven­der, Sage each six drams, conserve of Roses, Bugloss each three drams, the Roots of Cyprus, Galangall, Cloves each half a dram, Pepper two scruples, Cubebs one scruple, Olibanum one dram and an half, pouder of Diamber and Diamoschum each half a dram, (Musk or Amber we may add) of a Mans Skul if you please, two drams, of Honey anarcadine as much as is sufficient: make an Electuary. Let him take from one dram and an half to two drams going to Bed.

They commend also Treacle and Methridate, which we would rather omit by reason of the Opium which makes al the senses more stupid or languid although the Composition be old; whenas other things are not wan­ting, and no pain here or Necessity requires it, neither is there any malignity of the Humor.

If we must needs use things unpleasing it is best to give them in form of Pills. Take of Frankincense two dram, Pepper, Ginger, Cubebs each one dram, Castor half a dram, Musk, Amber each six grains, with the Confection or Honey anacardine make Pills, give going to Bed two of them for many daies.

A Wine convenient for this may be made thus, Take of the Roots of true Acorus, Galangall, each half an ounce; Ginger a dram and an half, the herbs Marjoram, Sage, the flowers of Lavender, French Lavender, Rosemary, Roses, each three drams; Pepper, Cloves, Cubebs, of each half a dram; Infuse them bruised in Wine, let him drink somtimes a draught in a morning when he takes broath.

Distilled Waters are approved, the simple of Rosemary flowers, or the like, or compounded of divers, pouring to them the Water of Wine which they call Aqua Vitae which they write (also alone) wil do good, if in the morn the quantity of one spoonful be taken.

A Compound one may be made thus. Take of the Ma­terials above mentioned for the Wine, bruised, and pour to them Spirits of Wine, or Malago wine that it may be above it one fingers breadth, Confection Anacardine six drams: Let them be distilled in Balneo Mariae and let him use it.

At meals, many of this sort may be given, especially the more grateful for Sauces, as the Spices forementio­ned, Pepper, Ginger, for stuffings, Marjoram, Sage, and the like.

Also Mustard seed is a Junket with Honey, as 'tis wont to be presented to Tables; or the same covered over with Sugar, because this seed doth by a propriety whet the memory.

In Wine also the like Herbs may be infused and steep­ed.

[Page 4]The like External Remedies may be used, which may stir up the heat and consume moistures; as these are.

To rub the head in the morning with a Comb, and u­sually with cloaths after sleep: Somtimes to wash the head with a Lie, but presently again to dry it with warm cloaths smoaked with Frankincense seeing Frankincense as 'tis said, by a peculiar vertue helps the memory, but the Lye may be thus made. Take of Agarick two drams, the herbs Sage, Betony, Marjoram, Celtick Spike, Pennyroyal, Bayes, Rosemary flowers, Spike, Lavender, Red Roses, Cha­momel, of each one handful; Bay and Juniper berries, of each an ounce; Pepper one dram: Let them be bruised and boyled in a Barbers Lye, made with water wherein Iron hath been quencht.

Not only the hinder region of the Brain is anointed in the memory hurt, but also the whol Superficies of the head for the same, as take of the Oyl of Mustard by expres­sion, anoint it.

It will be more effectual thus, Take, of the Oyl of Bean, Elders, of each one ounce, Mustard seed, long Pepper, each one dram, Euphorbium, Castor, each one scruple, wax a little: Make a Liniment.

There are some who anoint the head, with Confection Anacardine, dissolved in spirits of wine.

Quilts and Caps, also are worne night and day, of things that strengthen the head: of which in their place.

Amulets also do help, if not by their own virtue, at least waies by imagination, as the tongue of a Lapwing hanged about one, is thought by Rhases to take away forgetfulness: The Amethist stone worne about one, doth quicken all the senses, as one writes; and also that the Be­rill stone worne doth cause a good understanding.

In a dry constitution of the brain, The Cure of Memoryim­paired by the driness of the Brain. whence they say the memory is impaired, if the body be foul, it must be purged, as was said of Melancholy, whenas in pure bodies medicines applyed do more rightly ope­rate.

Let it be moistned with meats of good-juyce such as are described in the Hectick and Melancholical.

Let him abstain from all drying things, and immode­rate evacuations, especially Venery, then which nothing is more hurtful.

He may use this Electuary at times. Take of the Conserves of the flowers or Roots of Succory, Bugloss, Borrage, Violets, Maidenhair, Betony, each one ounce and an half; Of the pouder of Diatragacantum frigidum and Triasanta­lum each half a dram; with syrup of Violets make an Electuary: Let him take the quantity of a Chesnut or one dram and an half: Or let him use these kind of Tables. Take of the Flowers of Bugloss, Burrage, Violets of each one scruple, the leaves of Marjoram half a dram, male frankincense one dram, the Skul of a man burnt half a dram; with Sugar dissolved in Violet and Rose Water, make Tablets.

The Topicks mentioned in melancholly must be applied to the head, especially this Lotion of the head and feet is very profitable. Take of the Decoction of the Head and Feet of a Weather as much as is sufficient, adding the herbs Bugloss, Burrage, Violets with their flowers (if they may be had) flowers of Roses, Betony, (for hot things must be mixt with cold: when we moisten, as was said in melan­choly) each one handful: Boyl them.

This following also is good. Take of the roots of Marshmallows half a pound, the herbs Betony Marjoram each one handful; flowers of Violets, Roses, Chamomel, Melilot, Lavender, each one pugil: Boyl them in milk, to wash the Head.

Also such an Unction is commended, especially after the Lotion. Take Oyl of sweet Almonds, Roses, each one ounce; the fat of a Drake half an ounce, one white of an Eg, Milk half an ounce; stir them together for a Liniment.

Chap. 2. Of a Consternation of the mind.

The Kinds.

VVE cal that a Consternation of the mind when the Senses either only opprest or almost wholly taken away, either they sleep after a non-natural manner, or are Stupid; and that either with a languishing and resolution of the body, or with an Agitation or Convul­sion of it, or with a Rigidity or Stiffness; which four are the chief and highest Kinds of Consternation of mind, particularly here to be explained.

That is a preternatural sleep which lasts longer then a natural, and then 'tis called immoderate, and which doth more lull the Senses, and therefore 'tis called profound; somtimes too great a propension to sleep, or a very pro­profound sleep happens to them that are well; at other times it befals them in Diseases, and somtimes without, somtimes with a Fever, somtimes also it invadeth with Ravings or with Stupidity.

Too great a propension to sleep in those other­wise well, is a frequent fault in some men; Immode­rate sleep. not when this befals certain natures by rea­son of their Age, as in Infants and old folks, 'tis accustomary and good; or by reason of the Country▪ (in which 'tis natural for some to sleep night and day) but when it proceeds from a cause that ought not to be, whence not onely too long indulging to sleep by night, they rise late in the morning; but also by day time, especially presently after taking of meat, and chiefly in a hot place or season, they are so forced to sleep, that it is altogether necessary for them to sleep, to which some are so prone, that though they do no waies at all compose themselves to it, but do som­what to shake it off, Profound sleep. yet notwithstanding they fall asleep in that very work, and I have seen one of them, even when he drank at Ta­ble, and moved the cup to his mouth, in that posture fallen asleep; or doing somwhat else, he was wont to sleep in that form of body.

Profound sleep somtimes doth steal upon sound men after drinking of Wine in Drunkards, or some other Narcotick taken; which is not lasting if the use of them hath been gentle; but if more vehement, 'tis turned in­to a Stupidity, as shal be said there.

In a Disease heavy sleep is called, Caros, Coma, Cata­phora, Lethargus, Veternus, Subeth, in which as in that na­turall, they sleep with their Eyes shut, and Body pro­strate: but in that that the internall Sences, and by con­sequence the externall do not only rest, as in a naturall sleep, but are as it were overwhelm'd, they are more or less dulled, so that they can scarce or never be roused up, and being wakned, they complain of no Pain, onely that they feel their Head heavy and weighty, and so fall a­sleep again. The motion also of the body is more lan­guid, yet not abolisht as in the Apoplecticall with a reso­lution of the Limbs, neither is their breathing hindred as in them, but free and easie, unless in some it be depra­ved with yawning and noise, their pulse also although it be weaker, yet it doth not cease as in a Syncope.

Sometimes a Fever is joyned with Sleep which if it begin together with this, Sleepiness with a Fe­ver is a Le­thargie. it hath obtained the name of a Lethargie, which notwithstanding is common to the rest al­so, in which besides the signs of sleep, a pre­ternatural heat of the body, a quick pulse, a [Page 5]deep dyed Urin, declare a Fever present: but also a Caros somtimes following a Fever, and is its Symptome.

Besides these Species of Sleep, there is one also found in which though there be the greatest pro­pension to sleep, Sleep with Deliration. and they express the same by lying down with their Eyes shut, not­withstanding they watch, and divers shapes and apparitions are presented to them; or if they do sleep, they are troubled with divers horrible dreams, which afterwards when they awake they de­clare; who being forced do hardly lift up their Eyes, and look upon him that toucheth them, but know him not, and though they do feel and are moved, yet they cannot rise out of the bed, and do the work of one a­wake; this they call a Cataphora or a sleepless Coma; Some cal it a Typhomania, as it were an astonisht madness; neither may it unfitly be called a Raving sleep and be re­fer'd to Delirations, or a heavy sleep with terrible dreams: another Species of it is described; the common people call them Exstatical, as if they were taken with an Ex­tasie.

Hither also may be refer'd the Daemonia­cal sleep of Witches, Diaboli­cal sleep. in which they think that they are carried through the Air, feed de­liciously, dance and lie with the Devil, and waking they continue in the same error.

I have seen another kind somwhat like to these, in a certain Baron who for a long time asto­nisht and sleepy, Sleep with Stupidity. did nothing according to reason, he would ask for no meat, nor take it unless thrust in by force,; neither would he go to bed unless compel'd, but all day long leaning with his Arm on the Table, and with his eyes shut, he sate as one asleep; neither would he answer any thing unless asked and often admonisht, and then that which was little to the purpose.

A Stupidity with a Languidness or Resolution of the body is called Obstupescentia, Ecplexis, or an Apoplexy; and tis an affect in which they do not sleep, Stupidity with a resolution is an Apoplexy. but astonisht they lie stupid like stocks, all the Sences alike, and motion also being abolisht together: which ac­cidents are somtimes more mild, at o­ther times more grievous, in which both the internal and external senses are taken away together, whence they have understanding of nothing; neither do they see, though some of them do seem to look upon a man with fixt eyes, neither do they hear a noise, neither do they show any sign of sence, though you prick them or burn them: Also being deprived of all motion of the body in a moment, they fall down, and all their mem­bers being resolved do languish: they neither speak nor swallow, breathing only remaining, and that very ob­scurely, the blowing forth of which from the mouth or nostrils can somtimes hardly be discern'd, by the moti­on of a piece of Cotton applied to them, or the motion of the breast to detect that, by the motion of a cup of water placed on the breast; or the breath is drawn with a great deal of difficulty and noise, as in dying people; the pulse being in the interim full and strong in this dif­ficulty of breathing, but discovering it self to be very un­equal; and that so long, till their Senses returning tthey come to themselves again, which happens in a gentler species of it; or if it be more grievous, they continue resolved; or if it be worst of all, their breath being wholly taken away they are by and by choaked, froth then flowing out of their mouth.

A Stupidity with a Convulsion or vehement agitation of body is called an Epilepsie and 'tis an A Stupidity with Con­vulsion is an Epilepsie. disease in which all the Senses are suddenly taken away, and the whol body for a time is shaken and pulled with an inordniate motion, assailing a man by turns or fits, which because it doth suddenly apprehend one, hath the name of Epilepsie; because it puls him, the name of Convulsion, of which we meet with chiefly two different kinds, in as much as one is of Continuance, another Short.

The Diuturnall is that which lasts long, and whether it happen before the age of youth, and doth not leave them when that comes; or whether it begins first after that age, for the most part it assails the sick for the whole life time, somtimes at certain times, hours, daies, months, years, or changes of the Moon (whence 'tis also called the Lunatick Disease) whose Functions be­cause it doth not suddenly destroy them, but only weak­ens them by degrees, therefore it comes to pass that when they are free from the fit, they can nevertheless go about their business, and because they fall, if they be ta­ken with this evil, whiles they are about their business, hence also it is called the Falling sickness, and whenas their sudden fall, and horrid symptoms, are wont to strike a great terror, so that some from the apprehension of it only, have presently fallen into the same affect, and upon that account most men do fly the sight of them; and if it happen in a Congregation of people (as in our age in assembles) the company is dissolved, amongst the Ancients their meetings upon the same cause were dissolved, whence called by them the Comiti­al Disease which name it retains; which also by reason of its pertinacy, was called the Great, Sontick, and Her­culean Disease, and 'tis to this kind to which they have applied the name of Epilepsie rather than to the rest, when notwithstanding it agrees with them all.

The Short and not so continued Cinvulsion is which either presently ceases, or at leastwise is not protracted so long as the former, which again as 'tis either Gentler or Worse is divided into two Species

The Gentler though it be not free from danger, is ac­counted that, whose cause is neither great not perseve­ring; as that which happens to Infants, when their Teeth first break forth, or Worms disturb them, and by amd by ceaseth: and that which befalls Virgins before their Courses flow, but they coming it remits: and that which betides great-bellied Women chiefly at the first month; but at the middle time of their going, or after the birth presently ends: This, that they might not bring fear by the dreadful name of the Falling-sickness, because it often happens in Child-hood, they call the Childrens Disease, mitigating the cruelty of the Disease by the smoothness of the name.

The Worse and highly dangerous Species is, which following grievous diseases, as Wounds, Fevers, pains of the Collick, and others, at any age, somtimes with one or two fits, somtimes with more, and that continu­al, or somtimes with intermitting accessions, doth per­plex the Patient with a terrible aspect, and for the most part kil him; or if he be helped, yet somtimes it leaves behind it the worst of symptoms, as Contraction of the Limbs, hurts the Voice and Senses, or other discommo­dities; which Species they call a Convulsion or Spasm only, not an Epilepsie, when notwithstanding those affe­cted with this Species, are no less suddenly taken in this case than the Epileptical, and cal that general to difference it from a particular Convulsion or Spasm: of which kind also there may be found, in the Senses being unhurt on­ly some parts are convelled, we shall shew in the hurts of motion: But this Species if it happen to Children, as it is wont often to kill them, both Infants, and of ri­per years: they call it also the Childrens Disease.

[Page 6]The accidents in all the Species of an Epilepsie both continued and short do almost concur the same; and they may as well vary in all, as well those which are ob­served in the hurts of the senses as of motion.

For all the Internal senses and by consequence the Ex­ternal too, are abolisht in all, the whol time they are possest with the fit, they understanding, judging or feeling nothing at all: wherefore they refrain not from violent motions though thereby they hurt themselves; and after they come to themselves, they remember none of those things they have sufferd, neither do they know that they have sufferd this evil, unless they be told of it, or suspect it, by taking some signal, from the marke of some hurt left behind, as a Wound or Contu­sion.

All Motion also both voluntary which wholly de­pends on our power, and that which is performed by help of Nature, as breathing and evacuating; and that of the Pulses which Nature alone performs, continuing in all these Species distinguisheth the Epileptical from the Apoplectick, and Syncopal in whom these motions do fail (the Pulse only remaining in the Apoplectick.) The which notwithstanding being deprived in the Convul­sive, doth cause that they fal, and use inordinate moti­ons.

But they fall, not by reason of a privation of the senses, but because their whol Body at once and of a suddain is convelled; so that unless they be forewarned by a Vertigo which is wont somtimes to go before it, or being taught by Custome of the fit at a day or hour, if it be wont to come at set times, they have a care of them­selves, being seazed with it whiles they are upright, they presently fall down like to the Apoplectick and those that fall into Swonings and as tis commonly said are free neither from Water nor fire, but are in the greatest jeo­pardy by danger of the fall: and if upon this account tis less danger for those, who lying in their Bed by rea­son of some sickness, cannot fall when the Convulsions come upon them, yet they are more hazarded by the cruelty of the Disease: So that every Epilepsie is horri­ble and abominable, which the ancients therefore called the sacred Disease as sent by the Gods by way of punish­ment, and others have Superstitiously imposed the Names of the Gods on it.

They also so stir their Body with inordinate motions. That oftentimes tis all of a fire, and the pulse becomes more swift, and somtimes sweats break forth. Wrea­thing and distorting their Back, Neck, Head Arms, Feet, into divers Figures, and with them beating and shaking every thing in the way as the Bed, Walls, Ground, bruising and wounding their own Limbs, gnashing with their Teeth set, and bitterly biting their Tongues if they be out, rowling their Eyes about, which being opened and very much drawn asunder, as also the bending of the Face towards the hinder parts, do usually give the first sign of the fit assailing; which at length in the end of the fit, lying as men wearied and astonisht, they keep fixt and sterne, til they come to themselves again.

Their breathing also is very unequal, whenas som­times they hold it for a while so that from the stopping of their breath, and vehement striving, they somtimes cast forth their ordure and Urine, and seed to, especi­if it abound. But at other times they fetch their Breath with difficulty and noise, both when an Epilepsie of the Womb hath the said strangulation its companion and cause, and when Flegm falling upon the Jawes and Nostrils hinders it; and they bring forth a froth at the Mouth and Nose, arising from Flegm, confused and stirred there with the Air (which happens not to the Apolectick and Strangulated unless they die, saith Hippo­crates;) and oftentimes they make a noise with crying out.

But these accidents which we have related, as they come on a suddain, so the fit ceasing they presently re­mit: Yet somtimes certain relicks of them do remaine, and the senses being yet weakned, they cannot rightly understand Reason, or remember any thing; or an alienation of Minde coming upon it, they do all things amiss and blaspheme, or they break forth into a great Laughter, perhaps that which Cicero calls Sardonian; and that till a new fit return, which is wont to attend these foretelling signs: but before and after these fits, some particular convulsions somtimes either went before or remain, as a distortion of the Mouth, a difficulty of swallowing or a spasme of some other parts as shall be explai­ned in its place; or that Spasme which they call Flatulent which somtimes also threatens Convulsions if it be by rea­son of the Nerves as shall be said; as also that convul­sive Palpitation which also caused from an affect of the Nerves doth oftentimes along while forego an Epilepsie and remain still in the Members after it, and exercise it self: or other Symptomes of motions do somtimes trouble them, as with Gesticulations, somtimes Dan­cings or some other disturbance of the Limbs, and tremblings of them.

A Stupidity with Rigidness of Body, is a rare and wonderful affect, A Stupidity with rigid­ness is a Ca­talepsis. which is called a Catoche or Catalepsis, that is, a laying hold off, which they cal also a Congelation whenas they are as stiff as if they were frozen: in which all the internal senses and external are suddainly abolisht; but only the motion of the Bo­dy is depraved, whenas they keep that form which the Body had before it was seazed on with this evil, whe­ther Lying, Sitting, or Going, and being taken like a statue they cannot change it, neither of their own ac­cord nor by compulsion; and with their Eyes open, whence they have called it the watchful Stupidity, yet bl [...]hd and altogether speechless, breathing in the interim not taken away, or very much hindred nor the Pulse. But it happens also in some, A Stupidity with hearing remaining. that though they lie rigid like a stock without motion and speech, yet nevertheless they perceive those things, which the standers by do speak off, and can afterwards relate them, which they have called Ecstatick. But others remaining in the same state like to dead Men, although they heard nothing, A Stupidity with motion remaining. nor saw not, now being prickt fet no­thing, yet if any thing were put into their Mourh, they swallowed it, and being lift up do stand, being forced do walk, and keep their Members fixt in that posture as they are bent for them. In a certain Woman thus taken, only the Belly and Breast were very much moved, all the rest of the Body being stupid.

The Causes.

In all the foremention'd kinds of Sleep and Stupidity with Languishing, Convulsion or Rigor it must needs be that the Brain is affected whenas all motion and sense proceed from that. Neither here as they would have it, are the Functions diversely weakend, as the former, middle or hinder Ventricles of the Brain are hurt; nor as the Brain is affected before or behind, whenas the substance of the Brain doth on every part perform its Functions, but as it is more or less hurt, it looseth more or fewer Functions. For if the hurt be great so affecting [Page 7]the Brain that all the senses be abolisht, then it must needs be that motion also doth cease; other Functions in the interim remaining, which the Brain is not the cause of, as the Pulse which the Heart yeids; and when­as the motion of breathing is partly Natural, partly Voluntary, and therefore doth proceed from the Or-Organs of both motions, both the Midrif and Lungs, tis no wonder, that that also, if the Brain be very much hurt, so that all Voluntary motion do cease as it comes to pass in the Apoplectical the Midrif or Muscles of the Breast then contributing nothing to Motion, but the Lungs only after a sort moving themselves stil, and whils they are dilated and filled with Air, which they do by their prover Natural motion, a little lifting up the Breast) do a little while Persevere, but very much hinderd and difficult, so that unless that hurt of the Brain do speedily cease, the Patient must needs be choaked breathing being wholly taken away; but when volun­tary motion is not wholly taken away with the senses, that then respiration doth remain still more free. But if the Brain be affected with a less affect compared to the former, by which the senses are only opprest as in a sleepiness or gentle Stupidity, then motion, though it do rest a little by reason of Sleep and Consternation, yet ne­vertheless it doth persevere; or if this come to pass only by reason of the spirits of the Brain only extravagant, as shall be said in a Convulsion and Catalepsis that motion doth also continue, and they sooner return to them­selves; as shall be explained how this comes to pass, in the Particular causes from which these proceed. But the causes of all Consternation of Minde that happen are, either some offect so hurting the Brain (which gives Sense and Motion) by it self or by consent that these its Functions do more or less fail; as are Distemper, Repletion from a fleg­matick or sanguine Humor: some eminent hurt; a Tumor, a distemper of the Brain proceeding from a Vapor or Malignant quality; or a defect of the Animal spirits of the Brain; of all which causes and their effects we will now treat in Par­ticular.

A cold Distemper only without mat­ter altering the Brain, A cold Distemper, the Cause of Stupi­dity; a Moist; of immoderate Sleep. because it is wont to hurt the Functions, may make it Stupid. And if it be Moist too, which is seldom without mat­ter, it may also cause Immoderate Sleep; as somtimes by Reason of Age or the continuance of a Disease, a distemper left in the Brain, doth make men perpetually Prone to Sleep or as it was said in the Weakness of the Minde more dul; which we have taught doth happen rather by reason of Weakness then Cold­ness.

Or induced by other causes, especially from the cold external Air, the North Wind blowing, outwardly cooling the Head, or by the Pores percing to the Brain, it may cause a great Stupidity.

They write also that a watchful Stupidity or Catalepsis may arise from a Cold and dry distemper congealing the Spi­rits: but whenas the Spirits cannot be congealed, or if they could be, then a greater Stupidity would follow, we cannot at all allow of this.

That Convulsions are somtimes caused from Dryness which they call Inanition is a common opinion, which doth not happen in this Convulsion, but in a Particular one as we shall there explaine.

Flegm is very often the cause of Sleep and Supidity (un­der which Name we comprehend all the Watery, Cold and Moist Excrements of the Brain) which immode­rately heaped up within the Skul (as the Brain doth ever and a non heap up such things, from Flegmatick blood varried up to it. and the weakness of the part) if it be supprest and flow not forth through the passages ap­pointed for it, then if it perfuse the substance of the Brain with a large humor, and cool it, it causeth a Carus. Or if by its long impulse it so moisten the same, that that great bulk of the Brain becoming more soft and lax, do suddainly flow abroad and sink and press the original of the Nerves at the basis of the Skul procee­ding from the Brain, and stop the passage of the Animal spirit, it procures a grievous Apoplexy. As when Flegm doth suddainly fill the Ventricles or Cavities of the Brain, not by obstructing, whenas the Animal Spirit is not seated in them but every where in the substance of the Brain and Nerves, neither doth it pass through the Ventricles but after the same manner by oppressing the basis of the Brain, it may also induce an Apoplexy; the which notwithstanding, if the humor descending from them, do follow the course of the Nerves, may end in a Palsie. That all these things are thus in a Carus and Apoplexy we have learnt from the dead, because this humor hath somtimes flown from their mouths in a plentiful manner. And we have observed also by dili­gent dissection, that the thick Membrane of the Brain open'd, in some abundance of Humor hath presently lept forth, by the Region of the Head, and descended even to the Breast: and the very substance of the Brain in a certain old Woman which died of an Apoplexy dissol­ved like to Cream, after the same manner hath run all over her Face. But we know that these affects procee­ded from the Cause, by the precedent constitution of the Body, especially in old Age, which is Obnoxious to this evil; and from a cold constitution of the season and Air; and because they have first complained of a heaviness in the Head and a weight with slaggishness, darkness of the sight, and also of a want of that accusto­mary voiding of Flegm by the Nose and Mouth: and because in the dead, of an Apoplexy especially, oft times a great quantity of Flegm flows forth by the said pas­sages.

From the same Flegmatick Humor obstructing the pas­sages of the Brain; many have written that as an Apoplexy so also an Epilepsie may be caused; and therefore as in that so in this, that all the senses are abolisht, but do presently return again, because the Brain by concussion, doth speedily shake it of; and then that motion with the senses doth no way cease here, as is an Apoplexy be­cause the Ventricles are not altogether, but only in part, obstructed, or as others will have it, the former only are obstructed, the hindermost being unhurt, so that a portion of the Spirits may nevertheless pass by to the Nerves. Which though it may be condemned for many things, yet let it suffice to have brought this espe­cially to destroy this opinion; viz. that if a sufficient quantity of the Animal Spirits did not descend, the Functions of the Brain would rather follow to be im­pared in sense and motion, then partly abolisht, partly depraved; and that if Flegm were the cause, and that suddainly shaken of from the Brain did flow down, it would induce that Palsie which is wont to follow an Apoplexy for the same Reason.

They teach that Flegm putrifying in the Brain, doth Cause a Lethargie, and a Feaver its companion is kindled from thence: but whenas we have shewed in Feavers that from the Putrefaction of Flegm especially in the Head, that a Feaver can in no wise be kindled; and we find no reason, how the same Flegmatick Humor being putrified, by its coldness can cause a Carus, and by its heat a Feaver, and one and the same thing can be cold and hot, when as contraries are inconsistent in the same subject; we shall assign a far different cause of a Le­thargie by and by when we treat of a Carus caused by [Page 8]consent, and that not much different, from the Carus which follows Fevers.

They teach also that flegm not simply but mixt with cho­ler, doth cause a watchful stupidity or Catalepsis for this reason, Fleam causeth Sleep, Choler, Watchings, and so from the mixture of contrary causes are produced con­trary effects; which indeed might be, if they were in divers places, but two contraries mixt and confounded in the same subject, do produce a certain middle effect, or rather one compounded of them both, than contra­ry: for which reason, these causes were found out rather from the effect, than their certain signs, that they might shew by what means at the same time, a man might be stupid and watchful (not sleeep, since tis impossi­ble to sleep and watch at the same time) and attribute to each its proper humors.

Blood also continued as yet in the ven­tricles of the brain, Blood the cause of a Carus and Apoplexy. as there is at other times a great quantity of it there, so it abounding more yet, if it be more crude, serous, cold, by oppressing the brain may make it more stupid, or by cooling it, may make it sleepy; The which doubless a pain of the head praeceded, and somtimes doth still remain its companion, and this is known by a fulness of blood and redness of the face.

Aetius tels us that from much blood abundantly and sud­denly overwhelming the substance of the Brain, that Species of a Catalepsis is generated, from which a yong man was freed by a flux of blood from his nose; which flux of blood being often accustomary in solution of Diseases by natures motion, cannot therefore argue this Disease proceeding from blood, for which we shal propound a­nother cause; as we can neither grant that lighter speci­es of it, called an Aphony when the voice only is inter­cepted, to proceed from a fulness of blood inter­cepting the passage of the animal spirit, as Hollerius writes, for which we shal by and by alleadg another cause. Neither can we allow that an Epilepsie which some also have delivered from plenty of blood possessing the Ventricles of the Brain, and obstructing the passages of the spi­rits, doth arise from this humor and after this manner. As neither from Blood or a melancholly or Cholerick juyce from which some teach, that species of a Catalepsis is ge­nerated, which is wont to happen to persons melancho­lical: and by reason of the coldness and driness of that hu­mor the spirits to be so congealed, as was said in the like distemper, which we have denied to be for that reason, and from Melancholly we have thought to proceed me­lancholly accidents rather than those of a Catalepsis un­less some other cause be joyned, as shall be said; nei­ther can we by any means admit an Fpilepsie also to arise from the same obstructing the Ventricles as some have spred abroad these opinions: when as the aforementio­ned affects as lasting no longer, but seazing and ceasing by course have no fixt cause in the Brain, but happen, that being affected only by consent, as shal afterwards be declared.

The Blood carried out of the Vessels, if infused into the sub­stance of the Brain, it breeds not an Inflammation, and then a Phrensie would follow, but it obstruct the Windings and Ventricles by suddenly filling of them, and it oppress the be­ginning of the Nerves then it causeth a Stupidity and Apo­ple y [...] as it often happens a Vein being broke, and that somtimes by reason of a fulness of the Vessels, especially in those in whom some accustomary Haemorrhages of the Courses, Haemrods or Nose are stopt: in whom yet living, and after their death, I have observed that a great quanttity of blood hath broken forth from their mouth and nose, that somtimes I have perswaded my self, that this was the chief cause of an Apoplexy. The same may happen from an external violent cause, as a Con­tusion of the Brain from a Blow or Fall although the sub­stance of the Brain be no waies wounded that the blood also may fil up the Cavities of the Brain, and its substance, in those places especially where it is contused; as Wo­men do daily see comes to pass in the Brain of Buls kil­led with a Hatchet, whenas they first purge the Brain from the clotted blood, before they boyl it; fromwhence it must needs be that an Apoplexy doth suddenly arise unless the blood presently break forth by the Nostrils, Ears, and other parts or adjoyning passages, as some­times also it doth; or if the fall be lighter, there follows rather a lighter obstupulesency: though oftentimes also the flux of blood turned into clots and retained a long time if it putrifie it causeth a Phrenzy, Convulsions which before death do follow Lethargies and Apoplexies and kill the Patient.

But also from the same violent external cause, if the substance of the Brain be hurt, by Contusion, or by cutting or pricking, seeing it is a principal part, whose action is then destroyed, it must needs be that an Apoplexy doth suddenly follow. A hurt of the Brain is the cause of a Stupidity & Apoplexy. Or if the Skull be only broken thereby or deprest so that it press the Brain lying under it, it hap­pens also that a Stupidity doth follow. Or if from some stronger force the bulk of Brain rush together and press the begin­ning of the Nerves, an Apoplexy likewise follows; all which are made manifest from the causes forego­ing.

A hard preternatural Tumor, A Tumor of the Brain is the cause of a Stupidity and Apoplexy.affect­ing rather by its weight, than distem­per causeth a Stupidity by degrees in­gendred with the Tumor, but of long continuance: which is hardly disco­vered till after death the Skull being opened, as was found in Noble Bonecourtius who for some years like to one astonisht as was said before, lay Stupid; viz. a great hard Glandule being generated over a callous bo­dy with plenty of humor, which watring the Brain, did cause a sleepiness joyned with a Stupidity, as we have formerly expounded this kind. The cause of which might be a blow with which he was struck on the head, although it were done a long time before he fel into the disease; but they being ignorant also of the true causes of a Catalepsis, phancying many other besides those a­bove mentioned, they have thought also that it might proceed from a Tumor of the Brain. And some also have writ that a Lethargie doth proced from a flegmatick Imposthumation; the which whenas we have formerly shewed, that a Fever could not be caused from any cause lying in the brain, the same we assert cannot happen here: and some also have held that an Abcess may be the cause of it, the which notwithstanding generated in the brain from hot stumors, doth cause rather a Phrensie and Convulsions than a Lethargy A Vapor carried up to the Brain, A Vapor the cause of fleep.or heaped up there, may be the cause of immoderate sleep caused by consent if it be carried thi­ther plentiful and steeming do oppress the spirits, or being crude it do so moisten the brasn, that it becomes languid to perform its actions.

Such a one is raised from plenty of Meat or drink, or from that which is vaporous or more moist; which if they be more moderate, procure that sleep which is wont [...]o molest men after dinner or supper, especially if they drink Wine as 'tis usually the custom, which we shal by and by shew hath certain narcotick vertue, and the constitution of the brain be moist, as it is in old folks which propension to sleep is customary after meat, the [Page 9]rest of the body also doth very much further, which af­ter labour whiles they take their repast, is compleated by sitting stil, and so much the more also inviting the mind to rest by sleep by how much they are longer at dinner or supper, and if the heat of a South Sun be joyned, or of the Country or place as of a hot-house, it helps som­what, both because heat cals the vapors upwards, and because recreating the wearied bodies, and more aptly disposing them to quiet, it causeth that the mind also is inclined to rest. But immoderate Sleep also may be caus­ed from the immoderate use of meat and drink or certain nourishments not dulling the brain by a stupefactive quality, but filling of it with many vapors: which is known by this, if after carrousing though not to drunkenness, of which hereafter, or after the use of certain meats, they suffer thus, and afterwards come to them­selves.

Vapors raised up and and down the body from humors and vaporus and moist excre­ments are somtimes wont to beget sleep. A Vapor the cause of deep sleep. If they be gathered together in the Sto­mach or Womb, whence many other dis­eases of the brain caused by consent do proceed, and somtimes also they induce immoderate sleep, if the brain be troubled with those vapors which is easily known by the affects of those parts, that it proceeds from thence, from Worms putrifying in the Guts, such evaporations sent to the head do often cause sleep especially in Infants: and by the signs of Worms 'tis shewn from whence it proceeds although this sleep is commonly promoted by reason of a Fever accompanying.

The matter intermitting Feavers putrify­fying in the mesaraick Veins as the most ca­pacious receptacle of humors corrupting for a light cause by reason of the neerness of the Guts, A Vapor the cause of a Carus and Lethargie in Fevers. and the most dangerous fuel of many diseases, being attenuated by heat and carried plentifully up to the head cespe­cially at the first invasion, breeds this Sleep hapning in some Tertians and Quartans at the beginning of the fit, while coldness yet possesseth them, and the body is not yet through hot, and somtimes it lasteth to the end of the fit. And also in continual Fevers I have often observed that the Brain weaken'd with a long continued and grievous pain foregoing in the vigor or after it, being struck with a Carus following, hath brought the Patient into a great deal of danger. The which also if it happen in the be­ginning of continual Fevers and by and by, by reason of too much evaporation, this principal part the brain, e­specially by some means disposed to a Carus, be so wea­kened, that a heavy sleep do follow, it wil be that Lethar­gie which is coupled with a continual Fever and presently after invades with it, no otherwise differing from that other Carus which happens in the declination of Fevers, which is also dangerous, but in this that it presently be­gins with the Fever.

Many assert that from evaporations from the Stomach, Womb, and the rest of the body assailing the brain, an Epi­lepsy by consent is caused: as also some have written that some species of a Catalepsis doth proceed from Melan­cholly vapors, and how it is done they variously assign, whenas some of them think it is done by filling up the Ventricles of the brain, or affecting it some other way, or by irritation; the which notwithstanding how it comes to pass by reason of the nervous kind affected, we shal by and by explain.

Somtimes an occult quality by an unknown propriety is wont to be the cause of Sleep and Stupidity of which kind is the narcotick vertue, which acts not by coldness as hath hitherto been beleeved, but by that propriety by which it lulls asleep the senses; and by such medicines taken and entring into the body (although by their smell also they may offend somwhat, A Narcotick ver­tue is the cause of sleep and stupidity but being only applied they scarce work so far as to induce a Stupidity) if they be gentler they cause a sleep not natural but as it were artificial [...] but if it work more powerfully stronger things being given, it makes them so stupid, that like to the Apoplectical they lie without sense and motion, and unless they come to themselves they are choaked for want of breath; as we have often found hath hapen'd from the juyce of Poppy and other things, upon which account their use is very dangerous; and also from the immoderate use of Wine; not by reason of the evaporations as some have thought, but by reason of its narcotick vertue, immederate sleep and stupi­dity also do follow in Drunkards, which makes them no less astonisht, than if they had taken Opium and often kils them: as it happens also from the Liquor extracted from Wine which they call the Spirit of Wine, and by so much the more powerful, as its force is redu­ced and collected into a narrower compass, by the drinking of which we have seen killed some Infants that drink of it by chance, and some of riper age lying asto­nisht.

Some venemous things do cause the same effects by a hidden vertue, A poysenous quality is the cause of sleep and stupiditybeing outwardly infer'd, by a stroke of certain Beasts, as from the biting of the Asp a deadly sleep fol­lows, as Plutarch writes in the death of Cleopatra which kind of malignant vertue may be raised also in the body from the humors degenerating into a poyso­nous quality: in malignant and pestilent Fevers, by whose evaporations the brain infected, may be opprest with a hea­vy sleep and Lethargie which happens also in an Epilepsie proceeding from thence, towards the end of the fit, that they are longer opprest than with sleep or stupidness; not so much by reason of the brain tired by too much stir­ring, as because these malignant vapors which before did cause those Epileptical motions by affecting the ner­vous parts, as shal be said by and by, afterwards weak­ning the brain do induce a sleep or stupidness for a while, til these vapors are discust, and the fit be ended: which also may happen in a Catalepsis for the like reason, since that it is a certain species of Convulsion.

If the cause of that doting sleep proceed from the Devil with which he deludes Witches 'tis not our task to search out those hidden causes, The Devil the cause of Daemonical sleep. which the Witches attribute to the oyntments with which they anoint things, by the Devils command, or to Decoctions with which they dream they can cause Hail, and draw Clouds from Heaven: such as Eotis in Apuleins and Homers Circe did prepare by bruising together Garlick Wild Time and stinking Plants which we renounce.

By reason of a defect of animal spirits in the brain, it must needs be also that a stupidity follow, the functions of the brain being taken away; which may happen upon a dou­ble account, they being either wasted or at leastwise pou­red forth and extravagant.

The Animal spirits being wasted in the brain, The Consumption of the animal spi­rit is cause of an Apoplexy▪ if they were only impaired or too few whence follows a weak­ness of the brain, its functions also must be weakned, as hath been said in the Weakness of the mind: but if they be altogether, or so far consumed as that not only a weakness of the functions do follow, but a total Oblition of them, there wil be a grievous Apoplexy and suddenly killing the Patient, of which we have oftentimes seen old men die of, and the com­mon [Page 10]People still hath believed it caused from a Flegma­tick Humor; as we see the vital Spirit being impared there follows a want of strength, but being wholly consumed Death.

The Animal Spirits being shed or poured forth from the Brain into the Nerves continuous with the Brain (for they can be extravagant no where else, Too great a pouring forth of the Animal Spirit from the Brain into the Nerves is the cause of a Stupidity of divers kinds of a Catalepsis and Epi­lepsie. whenas they can con­sist no where but in the Brain and Nerves) then it happens that the Internal sense, either all or some do cease, according as a greater or less quantity of them leaves the Brain; but the motive power is no waies abolisht, since as those Spirits do yet persist in the Nerves, neither are the Nerves left destitute of them, as it comes to pass in a resolution, their passage from the Brain to the Nerves being then hinderd: furthermore since that the Animal spirit is contained also in the Nerves, as well as in the Brain, of which they are portions, though the the Functions of the Brain may cease for a while, yet they nevertheless may still for a time exercise the power of moving, which they contain in themselves: the which also we may very well guess doth proceed rather from the Nerves, then the Brain in some creatures, who excel more in motion then in the senses, because they have none or a very little Brain, but a marrow of the Back, large and plentiful, part of which also cut off from the rest, yet nevertheless moves for a while: and this is the true and Legitimate cause, why the senses being abolisht, yet motion nevertheless may persist for a time: in sinding out of which both the ancient and moderne Physitians have so much tormented themselves, and delivered their far different opinions, viz. This effusion of the Spirits into the Nerves: which proceeding chiefly from two causes produceth accidents somwhat diverse, as shall presently be explained.

The first of which is the too much, Vehement, and Perse­vering operation of the internal Senses by which, as in great passions of the Heart, we see the vital Spirits so carried forth, that thence follows a Fainting away: and so if there be a dissipation of the Animal Spirits into the Or­gans of the external senses by a more vehement Cogita­tion and intention upon some thing, it may come to pass that as men astonisht they may be lightly stupid, and either by and by, they returning again they may come to themselves, or if they continue longer, those diverse Species of a Catalepsis may proceed, which we have demonstrated in the explication of the former kinds, to have somtimes happen'd from too much Study, or Love, or some other great affects of the Minde, especially Melancholly (whence it came to pass that many have put a Melancholly juyce as the Cause of a Catalepsis) In which if the Spirits being not wholly poured forth, some por­tions of them remain in the Brain, some Sences also wil remain, the other ceasing, and as they are poured forth into the Nerves, Motion may also either at least remain, or exercise it self with a rigidness without concussion, if there be no contraction of the nerves as shal be said in an Epilepsie and this seems very likely to be the cause of the diversity of Species of a Catalepsis as we have shewed formerly in diverse Histories of it, yet as also if the spi­rits be so carried forth, by a violent affect of the Minde, that for awhile they cannot recollect themselves, we have seen them fal down like to the Epileptical their pulse remaining, by which they were distinguisht from those that faint away and some when they made a speech or despute at great meetings, by reason of the too great contention of the Minde and Senses, fear somtimes or shame coming upon them, the Spirits being troubled, have sufferd the like; from whence perhaps because the same was wont to happen for this reason at some mee­tings, an Epilepsie was called the Comitial Disease. In which vehement motions of the Minde as it may come to pass, so it is commonly believed also that from Anger Convulsions may easily proceed; which opinion happily had its rise, because in those disposed, the fit is by this means promoted: unless perhaps this may happen by the stirring of Choller through Anger, as we shal declare by and by.

But the other and more frequent Cause of pouring out the Spirit into the Nerves, from whence follow the more grievous Symptoms of an Epilepsie and Catalepsis is an irrita­tion of the Brain: such a one by which its expulsive fa­culty stirred up, rising to cast of that which is trouble­some to it, doth together drive forth the Spirits: as Nature every where feeling pain and trouble is wont to thrust Spirits thither, and together with them blood also, oftentimes so powerfully that there follows an in­flamation of that part which receives them.

Which trouble or irritation of the Brain indeed, they demonstrate to happen rather by consent, and compassion with some part then from its proper effect; because we see Convulsions happen rather from an affect and Disease of another part. Somtimes also far distant from the Brain, then of the Brain it self, as from a Nerve Prickt, or some violent Medicine taken: where as if it did happen from some grievous Disease of the Brain (as indeed it must needs be a grievous Disease, which must induce so vehement a Symptone) the acci­dents of Convulsions which it causeth, would not so soon remit; as also in other hurts of this principal part, we see there succeeds long continued and lasting symptoms as you see in an Apoplexy: and those affects which hap­ning to the Nerves do cause Convulsions as a Puncture Inflamation if they were in the Brain would not cause them, but an Apoplexy and Phrensie; although the Brain thus molested by consent also, if the cause of­fending be great, and follow continually, not only irritating the Brain it self, but also by its vehemency and frequency so hurting it, that it contract also its pro­per disease, then the contention of Convulsions lasts almost continually, neither do the sick exactly come any more to themselves, or the fit wholly cease, till the Patient be quite dead. Yet it may be also that from the same Cause as we shall by and by speak of that which is Poy­senous, both the Nervous kind and the Brain hurt together, Convulsions may happen coupled together with other hurts of the Minde,

But that we may find out this part which is first af­fected, and with which the Brain condoles, if we con­sider the Symptoms, viz. the inordinate motion and privation of senses, that must be it which hath so great consent with the Muscles exercising voluntary motion, and with the Brain communicating senses, that that being hurt, the Muscles are forced and the Brain ceaseth a while from its Function which we say is that Nervous kind because it proceeds from the Brain and ends in the Mus­cles, under which Name we understand all the Nerves of the whol Body both within and without the Skul, especially those endued with the sense of feeling and the Nervous parts which are compounded of them, which are of most exquisite sense: the which being so hurt, that the Functions of the Brain are abolisht by sympathy and those of the Muscles augmented, it must needs be that Convulsions follow; which how it comes to pass we will Explain.

The offence of the Nervous kind, not that which weakens its Functions, but that which by bringing trou­ble to it doth rather stir up its faculty, if it be caused either in one place or more, a Nerve or Nervous part [Page 11]is affected; and if the offense be great, then the whol nervous kind rising up, whiles it endeavors to shake off that with which tis offended, doth together exagitate the Brain from whence it proceeds, and draws it into con­sent, so that that also feeling these affects of the Nerves whiles it endeavors to help them to expell the trouble, driving the animall Spirits from it self into the begin­ning of the Nerves, tis a while left destitute of its Fun­ctions: no otherwise then we observe somtimes in a Syncope that the Heart without any proper affect of its own, the Spirits wandring for some other cause, doth cease from its Function til they return again. In which effusion of the Spirits into the Nerves, it happens that the motive Power doth continue in them, not only as was declared formerly, by also by reason of the plenty of Spirits of the Nerves, the Muscles also are stirred up to exercise Motion; but cheifly that inordinate and vio­lent Motion in the beginning of Epileptical Fits is per­formed for this cause, that whiles the nervous kind doth endeavour to expell this Offense, it is contracted into it self, and then again dilated, and it forceth the Muscles of the whol Body, into whose beginnings the Nerves are inserted, by consecution to commit those inordinate Motions, by pulling or drawing, and then remitting them; and that so long till the hurtfull Matter is ex­pel'd from them, or by reason of dejection of strength and as it were weariness, when they can no longer ex­ercise Motion, yet notwithstanding they retain their Limbes convulsed or artracted, stiff and fixt for a while, till at last they come wholly to themselves. The which happens in a Catalepsie presently at the beginning, no a­gitation of the Body foregoing, perhaps because in that there is not so great an effusion of spirits into the nerves, whenas in that somtimes some senses do yet remain, and there is a less irritation of the Nerves, whence it may be accounted a certain lighter sort of Epilepsie, yet very sel­dom happning, otherwise proceeding from the same cause which breeds an Epilepsie, but which either doth less affect the nervous kind by irritation or else hath that propriety, that it produces that stupidity or rigidness of the Members rather then Convulsions.

But that these causes of offense to the Nervous kind, from whence an Epilepsie often proceds, a Catalepsis more seldom, are diverse and frequent it is no wonder, when­as the Nerves by reason of their most exquisite sense, are not only unable to endure great troubles or pains, but also are so easily offended by the slightest, that they cannot suffer the touch of a Body, (on which account, whiles they are carried in the body, Nature hath provi­ded for them that they touch not the bones, neither are they joyned to any other parts, besides those into which they are inserted) from which notwithstanding they are not exasperated by divers incursions; unless they be great and violent, so that they be convulsed; of which sort are those which may happen to them from a wound, irritation or infection either acting singly, or more of them together.

That a Convulsion may be caused from a Wound made either in a Nerve, or nervous part such cases frequently hapning, do sufficiently declare; yet not from every wound of a Nerve, but only from that almost, by which a Nerve is hurt by pricking, Convulsions are wont to follow its function, being there stirred up by reason of the of­fence, which if the Nerve be wholly cut in two, is ra­ther abolisht; for which reason also, if we cut off a Nerve convulsed, we cure the Convulsion caused in it; but this molestation of the Nerve, proceeding from the so­lution of its continuity, is yet more increased by an In­flammation, or putrefaction from the corruption retained in the narrow hole of the Puncture of the Nerve, and by the great pain from thence, which for the most part do attend this affect: or if the Wound happen from Iron of its own Nature an enemy to the Nerves, commonly by reason of its Rust, or because tis infected; or a bite or blow of a poysenous Beast.

But also a nervous part being wounded especially in that place, where the Nerves go under it, and constitute the great­er part of it; as the Bladder being hurt at the Neck, the Muscles about their beginnings either by chance or whiles the Chirurgion and lithotomist attempt a Section of the Body, most commonly dangerous Convulsions succeed; which a difficulty of swallowing going before (which the Chirur­gions so greatly fear, calling of it as was said before, a spasme of the Stomach) is wont most commonly to fore­tell.

An irritation of the nervous Kind, if it be vehement, may also cause Convulsions; the which proceeds either from the cause which because it torments the Nerves with grie­vous pain, maketh Convulsions by accident, or the which by it self stimulating the Nerves by a manifest Quality, and causing Pain or none together with it, doth convell them: which cause proceeds either from Medicines or in­ternall Humors as Blood, Choler and Flegm molesting the Nerves by their proper substance, or by a Vapor only.

But Convulsions are chiefly caused by occasion of pain, either if the Torments be unreasonable and of long continuace such as in Cholicks do often cause Convulsions, or if they trouble Bodies endued with most exquisite sense and which by reason of their Tenderness, do hardly under­go such torments: on which account also Infants, not only in diverse sorts of sicknesses, but when they begin to breed Teeth, being exasperated with pains, are often times convulsive: and also immoderate Tickling made in the like Bodies, because that also gives trouble and a sad sence, experience doth testisie hath caused Convulsions in some; nay tis confest by all that even a light Tickling caused by Wormes creeping up and down the Gutts and Stomach, and sucking them with their Mouths, doth move in Infants not only horrors, and scratching of the Nose, but also light epilepticall Convulsions.

Medicines taken which stimulates the expulsive Facul­ty of the stomach and Guts, if they excite those parts too much, as they cause a convulsive Motion which is by Hic­coping; so if they be very biting and burning, as those things put up into the Nose, they move Sneezing; and so a purging Faculty especially joyned to them, by which they sollicite Nature at once very much both by Vomit and stool, by reason of their eminent efficacy they often produce Convulsions, such as happen from Hellebore and the use of other things; and those deadly too if by too much insinuating themselves into thee parts, they cease not to exagitate them: but not yet deadly if when they first begin to sollicite Nature, being repulsed by her, they be cast forth upwards and downwards; as I have observed from the use of Antimony and Asarabacca some feeling only forerunings of a Spasme in their Thighes but others also convulsive, to have returned to them­selves.

Corrupt and putrifying Blood if it be carried into the nervous kind by affecting of them, may also cause Convul­sions. As it sometimes happens from a blow of the Head penetrating the Skull, yet not deviding the substance of the Brain (whence rather an Apoplexy would follow) but only wounding the Membranes of the Brain; the Blood then being poured forth, and retained under the Skull, which putrefying infects the Membranes of the Brain with a maligne quality, by consent of which and also that sinking, and possessing and affecting the begin­ning of the Nerves produced from the Basis of the Brain, it breeds Convulsions which follow Wounds of the [Page 12]Head: which sort of Convulsions also in Imposthumati­ons, are somtimes wont to follow a Phrenzie that went before.

Choler of all humors is wont to be the chief, both the Yellow, and the Green and Black, which by its acrimony is wont to stimulate and irritate the Nerves and nervous parts the which also by its thinness it easily enters: which in Pains of the Colick doth cause those Convulsions, not only because it breeds these Torments, but also because insinu­ating it self into the Stomach and Guts, it doth too much sollicit them with a kind of caustick vertue, which Con­vulsions last, as long as this acrid humor ceases not to irritate; that there is no need to fancy any other reason that it is far fetcht to the Nerves, if it ought to cause Convulsions: and also if a Convulsion proceed from an­ger, they think it may happen by reason of the boyling and effusion of Choler, although that rather proceed, from this too much motion of the mind, stirring up the spirits as was said before.

Also from thin salt and acrid flegm falling down from the brain into the spaces through which the Nerves are carried and pulling of them, an Epilepsie may be caused; as in a Palsie somtimes bedewing the Nerves, it first causeth Resolutions, afterwards by its acrimony, which it either had before, or by putrafaction hath newly acquired, soliciting the Nerves, it raiseth those Convulsions which sometimes follow Palsies; which, sneezing arising, from the same flegm, distilled also from the Brain into the Nose, is wont to go before and foretell; whence perhaps the custom of praying after sneezing took its first rise, when­as they had somtimes observed that sneezing was a fore­runner of an Epilepsie.

Also filthy and acrid vapors especially if some malignity be joyned, as shal be said, being raised in the body and e­specially pulling the beginning of the Nerves or else where solliciting, especially the greater, do beget an Epilepsie which they say is caused by consent such as are from viti­ous, corrupt and putrid meats, humors, excrements, worms, collected in the stomach, guts, womb, veins, in divers diseases of those parts, or of the whol body as those raised from Fevers which do produce Convulsions which are wont to follow these diseases.

But those things which cause Convulsions by a poysonous and pernicious quality are various; which according to the divers nature of the poysons, and as they are either ini­micous only to the nervous kind, they do infect that only, or also the brain together with that, do produce either Convulsions or the brain being hurt also other acci­dents, which somtimes also after the Epilepticall fit is over do continue in the hurts of the senses, especially in an alie­nation of mind and depraved motion, as hath been said. Amongst which poysonous causes that somtimes also offers it self, which by its propriety and private hurt brings forth the accidents of a Catalepsis rather than of a true Convulsion; yet because 'tis a disease very rare, it evidently shews, that seldom such a venenate quality, is raised in our body, which may produce such an effect in the body, as also that which causeth true Convulsions is most often: but of what kind soever that be, its Foun­tain and Original somtimes lurks intrinsecally in the brain, or bowels, or in the veins or babit of the body and sometimes extrinsecally to the body.

Fernelius witnesseth that he hath found by disection, an Epilepsie of long continuance caused in the Brain from the corruption or imposthumation of the membranes of the brain and by reason that a filthy vapor raised from them, at set times entring the ventricles did cause the fits; but that these things do cause rather short and deadly than long continued Epilepsies and not because they send a filthy vapor to the Ventricles, but for another rea­son, hath been demonstrated formerly, whenas if they did possess the substance of the brain or its Ventricles and so much hurt them, they would induce rather an A­poplexy than Convulsions. In the interim notwithstanding we do no waies deny the cause of an Epilepsie oftentimes to lie in the head; and we confess we meet with many faults within the Skul, both in the membranes of the brain, and in its substance also, or in its humors, which raging with their poysonous and adverse quality at set times as the nature of the poyson is, by soliciting the membranes and nervous kind, do cause that long conti­nued Epilepsie and almost incurable. Yet the nature of which cause as also of other poysons, we can no other­wise know, then as by dissection made, somtimes a Speck is discovered, somtimes some humor black or froathy in some inward part of the Skul or bone or membrane or brain, but somtimes nothing at all; but that 'tis a poysenous faculty we collect from this, because it is not with a ma­nifest cause, or of such moment, nevertheless produces such horrid symptomes, and yet in the interim doth not kil the man, nor yeilds to no Remedies.

And also this poysonous cause lying in the bowels pro­duceth the like long continued and pe [...]inacious Epilepsies; as poysons taken in the Stomach and Guts which have some propriety of begetting an Epilepsie: or meat changed in­to the nature of poyson or excrements putting on a venenate quality conteined in those places, or also in the Womb as they would have it. Of all which that these are the causes and do lie in the veins is judged and known from the affects concurring with them, as hath been said, or from others offering themselves about the heart strings and the veins, and from the faults of the womb and sto­mach.

The Veins also if they be filled with malignant and ve­nenate humors of this kind, as it often happens in pernici­ous diseases especially in the pestiferous, epidemical, and contagious, and that malignant vertue do besiege not on­ly the heart but especially the nervous kind, then deadly Convulsions do follow, such as are wont to happen in Fevers, not by reason of too much extinction of the Nerves from vehement heat, but by reason of the ma­lignant nature of the humor: or also if without these diseases a humor heaped up in the veins changed into a ma­lignant quality do put on that nature inimicous to the brain and Nerves, that induceth rather epileptical acci­dents than others (as in melancholy that such a poysonous quality is there also wont to cause the true melancho­ly and madness we shal shew in the alienation of the mind) then I suppose that long continued and incurable Epilepsie doth chiefly proceed from this cause: as also a poyso­nous cause raised from the same place, doth cause that madness that lasts so long; the which also for the like rea­son 'tis probable doth happen in the mesaraick veins such matter being collected there, which do produce rather an Epilepsie than hypochondriack melancholly: where also many do write that a Catalepsis is conteined, to wit a melancholly humor which we moreover hold to be ma­lignant, from whence vapors raised up do cause it. And the manner of curing a Catalepsis they apply to this place and humor, as we shall by and by shew.

And also in Women such matter is wont more com­monly to be heaped up about the veins of the Womb; where also the blood reteined and corrupted rather than the seed (which we think can scarce come to that maligni­ty) doth cause Convulsion, such as are often wont to happen in Virgins and Women that are hysterical their cour­ses being stopt before and after their childing, and it may also give an occasion for a Catalepsis.

That the like quality may arise in the habit of the body and cause an Epilepsie experience witnesseth; with which Galen and Fernelius being instructed they write that they have observed, the one that an Air in an Epileptick Child ascending from his Foot, the other that a Vapor [Page 13]running from the Crown through the outward parts of the head, did give occasion of the Epileptical fits as often as they came; and we also have somtimes observed that an Air running from the hand where afterwards an Imposthume hath bred as also from the feet other or places hath done the like.

That the like poyson entring the body from without doth occasion Epilepsies for the like reason, as in other Countries the bitings of virulent Beasts especially of the Viper and stinging of the Scorpion do shew; so in our Countries 'tis manifest that it doth happen from the biting of a mad Dog and besides the symptomes of madness and other cruel ones, they are endangered by Convulsions and at length by many fits the Patients are carried a­way.

'Tis not yet sufficiently manifest, whether there be any things found out, which can produce an Epilepsie a­new only by their malignant smel yet that epileptical fits are furthered by the smel of some things is certain, which do it either by a certain propriety, of which are reckoned, the ashes of an Asses hoof, Goats horn, Weathers feet burnt, also the smel of Bitumen, Myrrhe, Smallage, and also the breathings of the Goats flesh, or the Liver of the Hee-Goat and so much the more if they be eaten: or because by a vehement and subtile vapor they assail the head and the nerves, made weak by the continuance of this disease (as also Wine which besides this, doth easily al­of its own nature trouble the Nerves) they occasion Epileptical fits.

The Cure.

In these kind of cases proceeding from the brain, all the operation of the Physitian which consists in predi­ction and Cure, must be applied to the Cause, nor neg­lecting in the mean time that symptome which is most urgent.

If therfore from a simple distemper cold and moist imprinted on the brain as we have said in old folks might hap­pen by reason of their age, The Cure of sleep and stupididity from a cold di­stemper. or from a disease of long continuance, they be­come sleepy or stupid yet are not alto­gether sick, as that is hardly corrected, so this fault is hardly taken away; yet this distemper may be some­what mended, as was said in a weakness of the mind gene­rated from the like causes, by the same altering medicines and nourishments, both taken and applied.

As also if the stupidity happen from a cold and dry di­stemper those things wil serve which are spoken of there in mending of the same distemper; but if a stupidity fol­low the brain actually cooled by the external air or wind, it wil be amended by applying of skins and feathers and other things actually hot, also by suffumigations, which because they serve also in a flegmatick cause they shall there be explained more fully.

But if a heavy sleep be from flegm or an afflux of a cold humor or from the excre­ments of the brain as was said, The Cure of a Carus and A­poplexy from flegm. although the common people despair of them, which they judg not opprest with sleep but toucht with an appoplexy and indeed they are not free from danger, yet the hopes of Cure is not to be cast off, whenas many of them are cured, unless some grie­vous accident supervene, as a Convulsion and the humor putrefying an accute Feaver as shal be said, do accompa­ny it, as in a Lethargie which in old folks is deadly; though I have seen also after some fits of Convulsions they have nevertheless recovered of a Carus, yet there was left in the sight and memory some error which afterwards by reason of old age could no waies be amended.

But if flegm cause an Appoplexy then unless that falling downwards into the beginng of the spinal marrow do cause a Palsie as was said, the breath being taken away it presently kils the Patient.

Whether flegm cause a sleepiness or stupidity the Cure is almost the same, but that stronger things must be used in an Apoplexy whenas its cause is greater, and there is more hast to be made in the Cure by the reason of the danger; that which ends in a Palsie must be cured as a Palsie: and they apply also to a Lethargie no other Cure than to a Carus only a few things changed as shall be said, by rea­son of the Fever.

In all these therefore we will revell the flegm from the head by general and particular evacuations; and we will derive it also by neighboring places destined for the eva­cuation of flegm, as the Mouth, Nose: and we will en­deavor to resolve it with things that draw it to the Super­ficies of the head: and with things altering inwardly and outwardly applied we wil endeavor to dissolve and wast it, to heat and strengthen the Head by proceeding as followeth.

In sleepiness if there be a great fulness they perswade drawing of blood by opening that Vein of the Arm which is called Cephalick, and in an Apoplexy the same signs appea­ring they grant it also somtimes for Revulsion, but done sparingly, and if it seem to have done any good they rei­terate it: somtimes also they open the vein of the Fore­head, others in these diseases would rather open a Vein in the Foot, all which must be done considerately especially in the Apoplectical left we may seem thus to have hastned death.

The belly must be provoked in both species, and be stimu­lated that they may stool, both for Revulsion and to stir up the faculties laid asleep, and that by casting in sharp Clysters and Suppositories, whenas otherwise they scarce go stool.

Suppositories seeing they do egregiously irritate, and may quickly be prepared and by reason of their dulness they cannot keep Clysters, are very convenient and of­tentimes to be repeated, especially in the Apoplexy, in which also those things that burn, whenas the sick are without sense, can no waies do any harm.

Therefore the gentler being first tried, if they do no good, the following stronger things shall be used: Take of Honey two ounces, juyce of Mercury, half an ounce; Bulls Gall half an ounce: boyl them, add towards the end of the root of white Hellebore and Pellitory of Spain of each half a dram; Coloquintida half a scruple, Salt Gem half a dram: make a Suppository, or that it may be prepared soo­ner let these pouders be mixt with raw Honey and make Suppositories.

Clysters are good not only before opening a vein if that be done, to wash the Guts, but also after it, made first of things emollient and hot stimulaters proper for the head, by and by also of strong irritaters, which also whenas they do not keep them long must be repeated, and by so much the oftner as the disease is more urgent, as in the apoplectical.

At first therefore let such a Gentle one be given. Take of Mallows, Mercury or Beets, Sage, Rue, Pennyroyal of each one handful; fresh Orrice roots three ounces, Bran, Chamo­mel flowers, Rosemary flowers of each one pugil; Carraway seed two drams; make a Decotion, dissolve in a fit quantity of it, of Honey one ounce, Benedicta Laxativa two drams, Oyl of Bayes and Rue of each one ounce, Salt one dram, make a Clyster.

A stronger may be made thus, which may be given af­ter the first, presently at the beginning, if the evil be urgent. Take of the Roots of fresh Orris, Solomons [Page 14]seal, Sows bread, of each one ounce; Master wort, six drams; the Herbs Rue, Time, Sago, Bayes, Penny-royal, Organy, Calamint, Hyssop, of each one handful; French Lavender, Rosemary flowers, of each one pugil; Caraway, Cummin seeds, of each two drams; Bastard Saffron seed, Bay, juniper Berries of each half an ounce; Agarick tied in a Rag, two drams; Make a Decoction: Dissolve in a sufficient quan­tity Hiera of Coloquintida, three drams; Honey of Rosemary flowers, one ounce; the juyce of Mercury, or Beets, one ounce; of Oxe Gaule, half an ounce; Oyl of Rue, two ounces; of Castor, half an ounce; of Fossile salt, one dram; Make a Clyster.

The strongest of all highly irritating in an Apoplexy: Take of the Roots of Orice, Pellitory of Spain, of each one ounce; of Cuckow-pintle or grass Plantane, half an ounce; Hellebore Roots, one dram; the Herbs Rue, Sage, Time, the tops of Centory, Water-cresses, of each one handful; Cara­way seed, half an ounce; Nettles and Rue, of each one dram; Mustard seed, two drams; the Pulp of Coloquintida tied up in a Rag, half a dram; Rosemary flowers, two pugils; Make a Decoction; Dissolve of Hiera of Coloquintida, half an ounce; Honey, one ounce and an half; Oyl of Rue, three ounces; Castor, Euphorbium, of each one scruple; Fossile salt, one dram: Make a Clyster,

Although it were good to move Vomiting both because that straining doth rouse them up, and also revel, yet in the Apoplectical tis not to be attempted, for fear of suffo­cation, whenas if an endeavoring to Vomit do urge them of their own accord; or a Cough, they are sooner strangled being forced by that violent motion, as I have seen it: Yet, in a Sleepiness if their strength be firm, a vomiting caused, for the same reason doth very much help; which may be actually done by irritating the Throat, or by giving of a Vomit destined also to Eva­cuate Flegm.

Purgers given to the Apoplectick by the Mouth, when as they swallow nothing, either flow forth again with­out any benefit, or if, as it often comes to pass, they fal into their rough Artery, they induce a danger of suffocation, but when they are come to themselves, then they are to be purged as those palsied as shall be faid in a Palsie. But in a Carus or lighter Stupidity when as they can take somewhat; at first present Purging Medi­cines must be administred to them, but such as in a small quantity may quick be swallowed by them, whiles they are roused up, as at one draught, with little pains, when­as they are scarce obedient.

And therefore if we would give Pills whenas tis hard to take them, we rather dissolve them nothing fearing here their ingratefulness, whenas they being a little stu­pid, do little observe that, as Take of Cochiae, foetidae Pils half a dram, Castor half a scruple, dissolve them with Sage or Rosemary or Cinnamon Water, and give to drink.

But we shall more rightly give Lozenges dissolved as of Diacarthamum, Diaturbith, of the Citron solutive or the like Electuaries as Diaphaenicon, Indum majus, and other purgers of Flegm; the Heirae of Coloquintida we may in­fuse, unless their extraordinary bitterness do hinder.

In the progress also purgers must be repeated, the hu­mor being first prepared, especially if it be thick, and they must be reiterated again, if the evil yeelds not to the former and that the Patient recover.

It shall be prepared therefore after this manner. Take of the Syrup of Bettony, of Hysop each two ounces, Oxymel of Squills one ounce Syrup of french Lavender half an ounce Rosemary, Sage, Bawmwater each two ounces, make a Julep for four doses, aromatize it with Cinnamon or somwhat else.

Or take of the opening Roots steeped in Wine each one ounce, of Orice half an ounce Angelica two drams, Lyquoris six drams, the herbs Sage, Marjoram, Time, ground Pine, Bet­tony each half an ounce, Anise, Fennel seed each one dram, Gith, Parsley each half a dram, the flowers of Rosemary, La­vender, or french Lavender, Elder, Primrose each two drams, make a Decoction and to a pint and half add Sugar or Ho­ney, or some of the foresaid Syrups to sweeten it, clarifie it and aromatize it with Cinnamon for four doses.

Or let these simples be infused in white Wine adding the Topps of the lesser Centory two drams, because it doth very much devide Flegm, Wormwood three drams to give it a good smell, and let him use it.

If you will make the Syrup for your use add to the fore­mentioned Decoction of bastard Saffron, Sena each an ounce and an half, Agarick three drams, Turbith two drams, Gin­ger one dram, and with Honey or Sugar let it boil, let him take one ounce at a [...]ime.

After the same Rule you may make a purging Wine by mixing these Purgers with other things according to art.

A purging Potion also may be made thus, Take of Aga­rick infused in Oxymel and Sage and Rosemary Waters one dram and an half, of Ginger likewise infused one scruple; strain it, dissolve afterwards of Diaphaenicon and Diacarthanum each two drams and an half, make a Po­tion.

By the passages destined to purge Flegm as the Mouth, Nose, and Eyes, we must derive the Flegm from the Head, with those Medicines which do this by irritating the coat of the Mouth and Nose which is very sensible, that the expulsive faculty being stirred up by these may drive forth the Flegm and Tears by these parts and the Eyes adjoyning; but when as they are not able to Gargle or Masticate we do not use this form of Head Purgers till they come to themselves.

But we rub the Palate with those things that draw forth Flegm, yet in that quantity and form, that if they do fal into the rough Artery of the Apoplectical they may not suffocate them.

Mustard seed which is very powerful; doth so pro­voke Flegm, that it presently moves teares. Tis boyled in Aqua vita or strong Wine and the Palate is rubbed with that Decoction; or reduced into a Pouder and mixt with Honey, tis anointed: instead of which the common Com­position will serve, which being made of Mustard seed is used at meals for savce, which we may have quickly ready at hand.

The Root of Pellitory of Spain boyled in Oxymel doth the same, used after the same manner.

Euphorbium also dissolved in Aqua vita, and other things that fire the Jaws,

As also Castor mixed after the like manner and given.

Some rub the Hierae and other Purging Electuaries on the Palate, but without any fruit or benefit, instead of which tis better to use the Confection Anacardine which doth somwhat inflame.

Or make such a Composition; Take of Mustard seed, long Pepper, the root of Pellitory of Spain, Pouder them and mix them with Honey and the juyce of Rue, Horse-Radish. Make an Oyntment. we omit the Vinegar which they add, because it duls the vertue of those acrid things, as we see itcomes to pass in Onions and Radishes if they be eaten with Vinegar.

A vellication of the coat of the Nostrils which is very sensible, doth Egregiously draw forth Flegm, either dropping from the Nose without violence and flowing forth by Tares from the Eyes, or with a certain violence by sneezing; which if it happen to the Apoplectical, is a good sign. Yet this violent rousing up is not to be attemp­ted in a Sleepiness before the matter be a little emptied, least the humor yet filling the Brain being moved do [Page 15]oppress it, or suddainly falling into the beginning of the Nerves, do breed a convulsion or resolution the which is scarce to be feared in the Apoplexy when as they are no o­therwise cured, unless a Palsie follow it; but these things may be done divers waies, amongst which Errhines are less proper, when as the sick do not attract them, there fore this may be performed after another manner. Thus,

Let the Nostrils be anointed with the same Oyntment which we said ought to be rubbed on the Palate, or least that thicker things should stop up the Nostrils, which ought to be free for respiration sake in the Apoplectical, we must use these that are more thin; Take of the juyces of Radish, Onions, Orrice, of each equal parts; Let a Feather dipt in these be often put up into the Nose.

Let the Pouders of Hellebore, Pellitory of Spain, Pepper, Euphorbium be blowed up, but in a smal quantity.

The actual Irritation of the Nostrils with a Fibre of Hel­lebor, or a Hogs brissel, or some thicker Hair, doth po­werfully worke and draw forth Flegm.

The smel of Onions doth wonderfully provoke Tears upon which account if the thin outward Rinde be taken off and they applied to the Nose it doth much good: the smel of Mustard seed also and Radish do the same, and the Leaves of Spear wort bruised and smelt to do it most po­werfully.

These being done, if so they come to themselves that they can use Errhines, Masticatories, Gargarismes, then these must not be neglected, as shall be explained in their place.

We will endeavor also to revel the Humor from the part affected by those things that draw to the superficies of the Body whether they do it by heat or pain, the which also will work more powerfully, if together by dissol­ving the continuity they open a passage for the Humor attracted by which it may be emptied.

Upon this account strong Frictions must be made with the Hands or with a rough Cloth, beginning with the Head and going downwards by the Back: Also of the Arms, Thighs, and those places which are most cold, which we ought to rub til they grow hot and red, adding som­time also hot Oyl or Salt.

For which cause also Ligatures must be made in the extream parts which may cause pain which must be somtimes loosed and tied again.

Lotions also of the Feet will do good, of the Decoction of Sage, Rue, Bettony, Penny-royal, Calamint, Dill, Cha­momel, Roses.

Cupping-glasses also with a great deal of Fire, must first be applied to the hinder part of the Head, if perhaps the Humor may be derived through its great mouth, for which cause they must by and by be applied to the hinder part of the Neck; then to the Shoulder blade and Shoul­ders.

And somtimes also Scarification must be made in those places before the Cupping-glasses be applied, and the Wounds made must be rubbed with Pickle.

Pulling of the Hairs about the Privities, from under the the Armpits, also vellications of the Beard and Hairs made up and down the Body, and Prickings and Burnings will profit much.

A frying Pan or Shovell, or some other Iron plate red hot, so long applied to the Region of the Head till it heat it ve­ry much, and as it were curle the Hair yet doth not burn the Head, by egregiously drawing outwards, hath often­times caused the Apoplecticall to come to themselves; the use of which the Arabians brought up.

A Dropax also or Pication applied to the Region of the Head being first shaved and being often taken off whiles tis yet hot and renew'd, doth help also by calling forth the Humors to the superficies; both if it be simple, and if it be Compounded, the which also may be thus made more effectual, by the addition of most hot things and it will raise blisters; Take of Pitch, half a pound; Oyl of Rue, as much as will suffice that it may melt, perhaps to one ounce and an half; add of the Root of Pellitory of Spain, M [...]stard seed, Pepper, of each one dram, Euphorbium, half a dram. Mix them.

Sinapismes will do the same applied upon the Head and those both simple, or thus Compounded; Take of the Pulp of Figs extracted from a light Decoction of them, Mustard seed, of each one ounce and an half; Pigeons or Swallows Dung (which is found every where in their houses) three drams; Pepper, Euphorbium, of each half a dram; Castor, one dram; Oyl of Spike, six drops; Mix them with the sharpest Vinegar.

The leaves of Nettles, do as it were actually raise bli­sters, which are rubbed on the Nape of the Neck, and for revulsion on the Thighs.

Also Spearewort bruised doth do it most powerfully, if it be laid to the hinder part of the Neck.

Also a Potential cautery applied to the Region of the Head, or to the said part of the Neck, although when ne­cessity doth require as in an Apoplexy an actual one is more rightly applied, whenas it works sooner, and they do not feel it, by which the Hairs of the Head may be burnt, and the Skin also a little.

Things altering which ought to dissolve and discuss the Humor and strengthen the Brain, are given by the Mouth rather in those that are sleepy, then Apoplectical who swallow nothing almost, the which notwithstanding if they be prepared in a very little quantity and yet eflct­ual, may be by drops also poured into the Mouth of the Apoplectical, when as being contained in the Mouth they exert their vertues; the which notwithstanding fal­ling into the rough Artery, that they may not move coughing or suffocate them, ought rather to be Li­quid.

So stilled Waters are chiefly commended such as are especially that of Rose-mary, Sage, Rue, Lavender, which being dried and infused in Wine, if they be distilled, do yeild a more efficacious Water: the distilled Water of cin­namon as it is pleasant and Odorous so tis highly effect­ual, the water extracted from the flowers of the Lilly of the Vallies and of the Linden Tree whiles they are yet fresh in this case is highly esteemed amongst the vulgar: Some also commended the water of Ma [...]igold flowers and the wa­ter of the Herbs Celandine and Balm.

Those Compound are more effectual, of which sort there are described innumerable we from the more choice and appropriate may prepare such a one, As, Take of Sage, Rosemary, Time, Marjoram, of each half an ounce; Rue, two drams; Lavender flowers, three drams; French Lavender, one dram; Rocket seed, one dram; Cin­namon, half an ounce; Nutmegs, two drams; Cloves, one dram and an half; Cubebs, one dram: Pouder them, infuse them in the most excellent Wine that it may be above them the space of two inches, then distil them; give one spoonful, two, or three, according as he can swallow: Castor may be mixed with the same Water being somtimes strained and so given; neither is it to be mixt with the whol conposition as they are wont to do; for it is better to reserve that which is grateful still for your use, and when there is need, to mix these un­gateful things with some part of that and so give it: they think that Mastick mixt with these stilled waters or infuston doth very much increase their vertue.

Also if you infuse the above mentioned Herbs in the spirit or most excellent stilled liquor of Wine; and ma­cerate them a long time in the Sun or some other heat or make it stronger by reiterated infusions you shall make a [Page 16]most excellent liquor for these uses, or if out of every herb a part, you make such an infusion every one shall be effectual for the same; as also if you mix many of them so together then also you may so give a strong compound water; amongst which the water which is made of the infusion or distillation of Rosemary is extold above the rest; but though the spirit of Wine have some stupe­fying vertue, yet because by the extream subtilty and heat with which it is endued, it carries the vertue of o­ther things strongly to the brain, and casts forth flegm and stirs up the native heat and drowzied faculties, by reason of these commodities, the aforesaid simples com­modiously infused in it, do lay down their vertues in it & dulling its narcotick vertue do make it a fit medicine for the cure of the foresaid affects: the which spirit of Wine yet to give alone, as some do advise we think is not good by reason of its stupefactive power; as neither can we allow Treacle waters or others made of Opiates, as neither the Electuaries themselves by any means, by reason of the Opium which they contain, which though they be old, yet do in no wise leave their narcotick vertue which in a stupidity and sleepiness we ought by all means to shun.

Oyls extracted by the art of chymistry from the aforementi­oned things above all the rest do exert the greatest power, given in the least drop, and therefore in all those that are stupid are most profitable, if one or two drops be powred into the mouth or dissolved in a convenient liquor be gi­ven to those that can swallow, of which sort is the Oyl of of Marjoram, Sage, Lavender and that sweet Oyl of Cinna­mon and of Cloves. Hollerius extols the Spirit of Vitriol rather than which they call the Oyl which because it is sharp may cause watchings; they attribute much also to the Oyl of Amber.

More solid Medicines may be given after the like man­ner infused and diluted as long as they hardly admit of medicaments, and when they are to come to themselves that they can also take grosser things, then, as also in the whol process of the disease afterwards these may be given also in other forms.

The Confection Anacardine as 'tis approved of in all cold diseases of the brain, so here also chiefly, which we wil use rather than Treacle or other Opiates giving it by it self or dissolving with Aqua Vitae in which the afore­mentioned are first infused. Galen gives Castor four or five grains weight with Oxymel in a Lethargie the which we may use also in the other species, to which we may add some grains of Euphorbium the which also may be gi­ven with spirits of Wine made by infusion.

Mustard seed bruised and given in like manner half a dram weight is wonderfully convenient, because its ver­tue is carried upwards to the head, or give the condite of it, and add it to the meats by way of Sawce.

The juyce of Onions may be given with Rue or Sage wa­ter or with the said infusion to two drams or with Wine that it may be more grateful.

The cating of Woter-cresses also is approved, whose sharp juyce for the quantity of one spoonful may be given af­ter the like manner as the rest.

The following Electuary is very convenient, the which we may use in the progress of the Disease. Take of the Conserve of Orrice, the true Acorus that is the Calamus in shops of each one ounce; of Sage. Rosemary, Marjoram, French Lavender or Lavender each half an ounce; Confecti­on Anacardine two drams, the pouder of Diambra Diimos­cum each half a dram; the seeds of Rocket, Rue, of each one dram: with Oxymel of Squils or Honey Anacardine make an Electuary, let him take the quantity of a Chesnut eve­ry other day.

One dram of this Confection may be taken, and some grains of Castor or Euphorbium may be mixt with it, when necessity urgeth, and so drank off.

The Chymists give the Extract of Sage in an Apoplexy for a great secret.

Of those things which are applied outwardly for alte­ration sake, those things also which are moved to the Nose do it most effectually, seeing their vertue pe­netrates in a strait way to the brain, wherefore the nostrils must be anointed with these juyces. Take of the juyces of Rue, Marjoram, the strongest Vinegar (which is chiefly used in a Sleepiness that it may cause watchings) of each alike quantity, and with a Pencil or Feather dipt in them anoint the nostrils within,

Or thus, Take of Castor, Assa Faetida each some quan­tity which dissolved in the strongest Vinegar apply it after the same mannerr

Also take of Oyl of Rue two drams, Vinegar of Squils one dram, the juyce of sea Onions half a dram, Castor one scruple, mix them for an oyntment for the nostrils.

Oyls extracted by the art of Chymistry are most power­ful, if one drop be put into the Nose such as we have for­merly said might be exhibited; especially Oyl of Spike which by its subtile evaporation doth wonderfully hear, and by mordication of the Eyes, doth also draw forth Tears.

Odors also by penetrating to the upper parts do very much help, such as is the most strong smel of Vinegar recei­ved at the Nostrils which by drying doth cause Watch­ings.

A Suffumigation also from that if it be poured upon a red hot plate, and received by the Nose is convenient.

Grosser Fumes, so that they choak not, admitted at the Nose wil do good, as the fume which is raised from mans hair burnt, especially if before they be burnt, they be first moistned with Vinegar; and that which is caused from feathers burnt whose matter is the same with that of hairs, amongst which the common people judg the feathers of Partridges and Peacocks to be best.

And being made thus also it will very much help. Take of the hairs of a man cut smal and moistned with the strongest Vinsgar half an ounce, the shavings of Harts horn half a dram, Gum. Galbanum, Amoniack, Opopanax, the Agat each one dram; Castor half a dram, Gith seed one dram; mix them: let some of it be cast upon the coals, and let him receive the fume.

The smoak of Brimstone fired is wonderful effectual, which is sufficiently apparent by this that makes red Ro­ses white.

Also things put into the ears if they be very effectual, may do some good, as if Oyl of Spike be dropt into them, or spirit of Wine with the infusions as was said formerly; also the Oyl of Rue, but that which is extracted by distilla­tion rather than by maceration.

Also the following things are applied to the superficies of the Head first shaved for alteration sake, as fomentations or embrocations as followeth, Take of the roots of Orrice, Cyperus, the true Acorus of each one ounce; the herbs Marjo­ram, Bayes, Sage, Wild Time, Penny royal, Savory, Balm, of each one handful; flowers of Lavender, French Lavender, Chamomel, of each one pugil; seeds of chaste tree one dram; boyl them in a Lye adding a little Wine, foment or irri­gate the Head.

Or thus. Take of the Oyl of Nuts two pound, Aqua vi­tae one ounce and an half, juyce of Rue one ounce, Pennyroyal, Wild Time, Sage, of each two drams; cut them and boyl them for a fomentation of the Head.

Afterwards anoint the Head with these things follow­ing. Take of the Oyls of Rue, Bayes, of each two ounces; the juyce of Rue one ounce, Vinegar one ounce, Aqua vitae one ounce: boyl them to a consistence adding Castor one dram, Euphorbium half a dram, anoint the head.

[Page 17]It wil be more effectual thus. Take of the Oyls of Rue two ounces, of Pepper, Mustard seed of each one ounce; the distilled Oyl of Spike, Oyl of Rosemary or Time made by di­stillation of each half a scruple; the Gums of Opopanax, Bdel­lium dissolved in Aqua vitae of each half an ounce; the seeds of Rue, Mustard each one dram; Castor, Euphorbium, of each half a dram; the Hairs of a man burnt half a dram, Wax as much as is sufficient, make a Liniment.

A Plaister, may be prepared of the same adding Pitch or Rozin, or a Cerote the quantity of the Wax being in­creased, in the preparing of which the weight of the Gums is augmented, adding also Ammoniacum and Assa­foetida, which being thus prepared, they are applied to the head like a Cap.

Cataplasms of herbs and roots bruised may be made after the like manner. As, Take of the Leaves of Rue, Penny­royal, Sage, of each one handful; fresh Orrice roots two oun­ces; boyl them in strong Wine, to which you shal mix of Vinegar, Aqua vitae each one ounce, adding afterwards of Sea Onion roasted under the ashes one ounce, rotten Apples one ounce and an half, bruise them and afterwards add Oyl of Orrice, Rue, of each one ounce, Oyl of Spike half a dram, the root of Pellitory of Spain one dram, Pigeons or Swallows dung, two drams, Castor, Euphorbium, of each half a dram: mix them and make a Cataplasm.

Some apply the Lights of a Hog in a Lethargie.

Others anoint the Head with the blood of a Batt.

Besides these Remedies which are applied to the Head, there are Remedies also applied to the Back-bone in the A­poplexy that the matter may be carried downwards, to the beginning of which this attractive Plaister is applied. Take of Gum Opopanax, Sagapen, of each one ounce; dis­solve them in Aqua vitae, afterwards mix of Mustard seed two drams, Castor, Euphorbium, of each one dram; make a Plaster, apply it to the nape of the neck, and afterwards a­noint the whol Back-bone with hot oyls such as is Oyl of Rue drawing your hands downwards.

It wil not be unprofitable also to rub the palms of the hands of Persons apoplectical with Sulphur and Vitriol dissol­ved in hot Oyl and mixt together.

Amongst Amulets they affirm that the Emrold hanged about the neck doth very much good if it touch the bare flesh: a Nightingale laid under the Pillow, the head of a Bat laid between the Tiles of the house, are thought by a propriety to rouze up from sleep.

If the sleepiness be from blood, The cure of a Carus and Apoplexy from Blood. because the blood is then remaining in the vessels 'tis easily cured, unless some more grie­vous disease lie hid: but if a vein being broke the blood poured forth into the brain do cause an Apoplexy, whether this happen from a plenitude, or a violent cause, unless it presently break forth out of the Skul by the Nostrils or Ears, as it of­ten comes to pass, being presently turned into clots it bringeth death, and so much the sooner if the substance of the brain be also hurt; a Convulsion then going be­fore, if the blood first putrefie, before the Patient die.

But we ought presently in cases of this nature, and that very speedily whiles the matter is yet flowing, to revel, derive, and drive forth the blood in the order follow­ing,

First of all a vein is to be opened if nothing hinder, to wit the shoulder vein in the Arm and if the plenitude be great in both Arms; then also in the Leg the vein of the Ham or Ankle must be opened, which some do before that of the shoulder that there may be the greater revulsion the which notwithstanding is more rightly performed in the Arm, and then the vein of the Forehead and Nose may be opened, which Rondoletius doth by pricking with bristles, or under the Tongue for derivation sake Revulsions being premised, the which wil suffice if the ple­nitude be not very great for it is dangerous to open the jugular vein, as some teach: and thus sleepiness proceed­ing from plenty of blood is easily remedied; and in a con­tusion of the Head it brings great help.

Scarrification with Cupping-glasses applied there espe­cially where the jugulars run up by the neck, doth very much derive, the which also they approve done upon the chin: the which also may be continued by Leeches if time give leave, especially if they be applied to the fun­dament the Haemroides being supprest, the which if they were accustomary before, and now are stopt, or other­wise swel, we ought to open.

Cupping-glasses alone also applied to those places, and to the shoulders and shoulder-blades when the plenitude is not so great may suffice.

The which also Ligatures and Frictions of the extream parts may perform.

Moving of the Belly in this cause, doth equally revell, as if it were from flegm; and that by Suppositories or cly­sters highly stimulating, yet less inflaming than in ano­ther cause, and that presenly after a vein opened which here ought to go first as the better.

Such wil be this following Clyster which that it may be presently at hand is thus easie to be made. Take of herb Mercury or Beets in the winter time two handfuls, Of Violet Leavs one handful, pour to them of Lye as much as is sufficient, make a Decoction, and in one pound of it dis­solve of Honey two ounces, Fossile Salt one dram, Butter or Oyl one ounce (least the too great quantity may infringe the vertue of the others) make a Clyster.

'Tis good to cause sneezing in the Apoplectical after some Clysters administred yet not too violently.

We must repel with Oxyrrhodines if it appear that the head be very hot, but with such as are astringent rather by drying than cooling, yet by warily using of them, least we drive the matter inward if it be in the superfi­cies; and therefore Rondoletius doth use only a drying Oyntment and Sinapism in a Carus yet when necessity re­quires such a one made, Take of Rosewater three ounces, juyce of Plantane one ounce, or the water of it two ounces, be­cause the vertue of this inhibiting the influx of blood is wonderful, of Rose Vinegar one ounce, the Whites of Eggs beaten two, mix them. Oyls are omitted by reason of their laxness.

A yong Pidgeon Chicken or Puppy dog cut in the middle and applied to the head, have a wonderful vertue in discus­sing the blood, as also other things exprest in a Phrensie, Rondolenius writes that Water-cresses eaten in Broth or Sal­lets do heal a Carus proceeding from blood.

If a Contusion appear in the head and there is suspicion of clotted blood in the brain those things which shal be spo­ken of in Contusions, must be outwardly applied.

Of which sort is this Cataplasm. Take of Wormwood one handful, Flowers of Red Roses and Chamomel of each one pugil; make a pouder, boyl it in Oyl of Roses, beat it ad­ding of Bean flower one ounce, Sanguis Draconis two drams, Mummy three drams, and apply it.

When they can take any thing by the mouth upon the same account things dissolving clots of blood are given, of which we shall treat in their place.

But if that the substance of the brain being hurt doth cause an Apoplexy, whenas it is deadly, both because the conti­nuity of a principal part is dissolved, The Cure of an Apoplexy from the hurt of the brain. and because by the injury offered from with­out, it must needs be that the bosomes of the membranes are hurt too from whence comes a great flux of blood, they are to be left to Prognosticks, yet [Page 18]in the interim as long as they live, the Wound neverthe­less whether cut, prickt or coneused, so it ought to be hand­led.

But if a deprest part of the Skul broken do cause a Stupi­dity by pressing the Brain it must be lifted up and drawn forth by an Instrument and other Arts, if there be any smal Bones the which also do often prick they must be taken out: the Blood must be washt out, and as Fractures and Wounds ought to be healed, must here also be proceeded, for so if the subject part be no waies hurt, they come to themselves and are restored to health.

If a Tumor in the Brain cause a Stupidity or as some have thought a Lethargie, The Cure of a sleepy Stupi­dity from a Tumor of the Brain. be­cause it can hardly be known the man living, there is scarce any other Cure applyable to it, then that which is due to cold Humors, when as this Humor must be cold, which can cause that, for a hot one would rather cause a Phrensie; but the Stupi­dity, will then be of long continuance, and Mortal when this Tumor hid in the Brain, cannot be mollified nor resolved.

Vapors alone, unless there be some occult quality, as shall be said, scarce breed a Stupidity, though some write that an Apoplexy may be caused thence, which by the tossing and concussing of the Body only, the vapors being discussed, is healed: but they often cause a steedi­ness in which we ought to have respect unto the part that sends them, or the Stomach, Womb, Guts and the Veins in Feavers, and the part receiving them, viz. the Head.

If by default of the stomach after eating and drinking that inclination to sleep do happen, which is wont to trouble many after Dinner and Supper, in those accustomed and some Natures, it doth good rather then harm by refreshing the wearied Body and therefore they become afterwards more chearful to undergo their Duties; but if so be that it oppress the Head and cause plenty of Excre­ments in it, it will be prevented by parsimony and temper­ance in means by the moderate use of Wine and that smal, if also they protract not their Dinner too long nor sit too long at Table but after a short Dinner, presently rise, Walk, and do things sportful, which by inviting the minde another way, do no waies suffer it to be at rest: the which in some is done by Musick in others by Play or some other actions agreeable to every ones Genius; and when heat causeth sleep, if at that time they take their Victuals in a temperate or rather somwhat cold place, and and be conversant there, and studdy to correct this ill custome by degrees leaving it off,

But if a deep sleep be caused by reason of the plenty of Meat and Drink taken that is too much Vaporous, The Cure of a deep sleep from a Vapor.a Vomit will help, being repeated if it do no good at the first time; and emptying the stomach by Pills will be profitable.

But if Vapors raised up from Humors existent in the stomach induce a Carus they must be emptied, and the stomach strengthened, as also if they proceed by reason of the Womb, the remedies must chiefly be applied to that; and if from Worms the scope of curing must be directed to the killing and voiding of them.

But if that a Vapor elevated in Feavers from the Veins, The Cure of Carus or Le­thargie in Fea­vers. do cause a sleepiness, the companion of the Feavers, in the Cure of that we must also have respect unto the Feaver, which if it begin presently in the said Lethargie, finceu it is very dangerous, and for the most part kills old folks, and upon that account doth draw the Cure rather to it self then to the Feaver it must be thus ordered, that when as hot remedies do agree with that also as in another Carus; by reason of the Feaver accompanying, In other Feavers if a Carus supervene in the declination, because the Fea­vers is now ceased, the whol Cure must be directed to the turning away of this grievous Symptom. In inter­mitting Feavers sleep invading at the beginning of the Fits when as it is not very dangerous, it requires no other private Cure then what is agreeable to the Feaver only as shall be said by the way, respect must be had unto the Head.

But for the Brains sake which receives those Vapors which produce sleep, those things must be administred, which may hinder the ascent of them.

By giving those things which do as it were depress and beat back those Vapors raised in a part; which may be done if they rise from the stomach by astringent remedies and those which discuss them and also Wind: and in Feavers if altering things be given which repress their E­vaporation, as was said in those places.

Then we must draw back those Vapors already carried to the Brain by things that revel and derive them from the part affected, especially if that grievous Lethargie invade and a Feaver after the same manner as in a simple Carus with the same things which we said did revel Flegm from the Head, and by so much the more here, because Vapors do assail the Head, therefore in a Lethargie also this must be attempted by Bleeding, Scarifications, Cup­ping Glasses, Clysters and other things: the which also take place when a Carus follows a Feaver.

Outwardly those things must he applied to the Head which do repress Vapors in all the Species caused by consent especially in Feavers and a Lethargie also at the begin­ning.

Of which sort are these following Oxyrrhodines: Take of Rose water, three ounces; Vinegar of Roses, three ounces; Oyl of Roses, one ounce: Mix them, apply it to the Head as it ought to be, or anoint the Head with it.

In the progress make it thus if the Disease continue: Take of Vinegar of Roses, two ounces; Oyl of Roses, one ounce; of Camomel, half an ounce; Oxymel of Squils, one ounce and an half: Make an Oxyrrhodine according to Rondeletius.

Afterwards we must proceed to stronger and hotter things by degrees, if the Lethargie do not yet cease, such as already are explained in a Carus when as in the pro­gress of the Disease, the cure of a Lethargie ought little or nothing to differ from that of a Carus and therefore for the most part they are described by Practitioners in the same Chapter.

If a certain hidden quality cause a heavy sleepy and Stu­pidity the Cure must first be distinguished, whether they come from a Narcotick or Malignant quality or whether they proceed from the Devil.

If the said Narcoticks being taken do induce sleep or Stupidity then Vomiting must be procured speedily, The Cure of sleep and Stu­pidity from a Narcotick quality. by actually irritating the Throat, or giving of Vomits if they can swallow.

Also those things must be given to drink which can abate the vertue of the Narcoticks of which sort hitherto hath been beleeved hot thing are, which by abating the coldness of the Narcoticks do so do good, and therefore they give the hottest things, such as are juyce of Onions, Garlick, Pepper, Castor, Euphorbium. But we who have elsewhere sufficiently declared that Nar­coticks also are hot, do think, if these do any good they do it rather because they stir up the benumed faculty and the native heat then that they abate the strength of the Narcoticks, but Treacle which many approve of in [Page 19]this case, we do no waies allow, by reason the Opium which is in it, wherefore it rather encreaseth than im­paireth the strength of the Narcoticks, whence neither do we give the strongest wine as they teach also much less its spirit upon this account, since that these also are Narcoticks; whence Dioscorides writes truly that Hem­lock if it be given with Wine doth kil the sooner, al­though here they feign another cause why it doth i [...]; viz. because it carries the vertue of the medicine sooner to the brain.

But those things which indeed do debilitate the strength of Narcoticks are those which by leanifying by a certain temper do correct their heat rather than cold­ness, the which we then chiefly use when the body is ve­hemently inflamed by a Narcotick as we have said by Spirits of Wine a deadly Stupidity and also an excessive heat is raised in which case as also in others raised from the like cause, we give Natural Milk and Factitious made of Almonds and Guord Seeds also Butter, com­mon Oyl and Oyl of Almonds and other Fat and mu­cilaginous things the which also we said were proper in corroding poysons.

Also Acid things given, as they do quel the heat of Acrid humors and Choler, so also the efficacy of Nar­coricks which I am wont rather to give, as Acid juyces or syrups or Vinegar it self which therefore we have said elsewhere is the most certain Remedy for Drunken­ness, the other things which do it by a certain propriety shal be explained in the Remedies.

If a malignant quality, The Cure of a sleepiness & stu­pidity from a malignant qua­lity. which we can­not rightly explain, come from with­out from the Stroke of a Beast from whence a Sleepiness or stupidity en­sues, then things antipharmacal resist­ing these Poysons must be given, such as are described in their place, but if that such a Malignity be raised up in the body as in Ma­lignant Feavers we have said that then also a Sleepiness and Stupidity doth happen, and then applying those things which the malignity of the same method of cure­ing is to be observed which was mentioned in a Le­thargy.

If a Daemonical Sleep delude Wit­ches as we have said, The Cure of Dae­monical sleep from an evil Spirit. seeing the cause is preternatural, it will not be cured by natural Remedies but by prayers and amendment of life, but if they refuse to do that they are worthy to be purged by sire.

The animal spirits being spent in the Brain, The Cure of an Apo­plexy from the wasting of the animal Spirits. if a man become Apo­plectical death it self prevents al manner of cure, which we ought to foretel to be ready at hand.

But the Spirits being spent in the Brain by great meditations if sometime they become stupid they easily come to themselves again upon the return of the spirits, The Cure of an Epilepsie Catalepsie and Stupidity from the too much pro­fusion of the animal spi­rit out of the Brain. but if that by some vehement affection of the mind the spirits be so carried forth, that being taken with a grievous stupidity, with Rigor they become Cataleptical; then the evil is very pertinacious and that especially if this disease have its original from Melancholly for those thus affected are hardly cured, and though they be freed from it, yet they continue Stupid and Melancholly. And if from Anger also they fall into an Epilepsie they are not free from danger, in which species whiles they are in the Fit, the same Re­medies are likewise applied, which are used in the rest of the Epilepical to the quickly taking off of their fits, the which ceasing, the cause must be turn'd away, this being done if the evil do stil return, whenas by that we know that the internal cause is yet present, which the external did first move, then the care must be fitted to the taking away of that, which in a Catalepsis they ap­ply to Melancholly, in an Epilepsie to the purging of Flegm, as shal be said.

But if that a Convulsion, or which seldomer comes to pass, a Catalepsis do follow from a Disease of the Nerves drawing the Brain into consent and somtimes affecting of it too, the Cause it self must be diligently considered, and according to that we must foretell and order the cure; which we have said was in that continued Epi­lepsie as also somtimes in a Catalepsis, but seldom hap­ning, a certain malignant, melancholly, and poysonous humor, consisting in the hidden parts of the body, of the Veins, about the inward parts of the body, or also the outward parts, and otherwise lurking in the habit of the body or also within the Skul arising from some fault that doth not yet destroy the brain, but by course affect­ing the Nerves, but of a milder and Shorter Epi­lepsie, certain evaporations proceeding here and there from the inward bowels from a Causeless persevering and sometimes also Pains or only Troubles, when though they have no such great cause, in weak Children, yet they may produce Epileptical fits, but of the rest of Convulsions which are Short we said the internal causes were a poysonous humor, also in the Veins in Feavers, which these Convulsions do follow; or otherwise A­crid, Pernicious cholerick or serous humor, or blood corrupted, or it depends on the taking of things de­structive or poysonous, or proceeds from grievous pain, either from a Wound, or the biting of Beasts.

In all which species since they are all difficult, we must not rashly foretel any thing of good, although a fit cure and benefit of nature doth somtimes mitigate the Prognostick: to wit, The long continued Epilepsie so called, if it begin before the time of youth, and cease not when that time comes, viz. when men can eject seed, or when women have their courses, as also that which first begins after youth is Incurable and desperate which will afflict them to the last day of their lives for a long time, unless the cruelty of the symptomes doth make death more speedy; but from the Shorter Epi­lepsie that Convulsion which is called the Worse is deadly, and that also which is called the Milder species, wants not its danger.

Which things since that they are thus, these Progno­sticks being premised, the Cure must nevertheless be at­tempted, which we shal not first of al divide according to the Causes seeing they are so various and abstruse, but proceeding by the manner of operation we shal ex­plain how by medicines emptying and altering found out partly by Use and partly appropriated to the Cause for some Reason, we ought to heal Epilepsies and Con­vulsions or at leastwise to keep off or mitigate their fits.

Evacuating Remedies are those which do carry ano­ther way the Causes procreating or Fomenting Con­vulsions, whether they be vapors or humors, either by revelling and deriving from the part affected, or by Re­pelling and hindring them to come to the part, and that either by opening made by Cutting, Sucking, Burning, or by Purgations ordered by divers passages of the bo­dy, or by other operations outwardly applied.

Amongst the kinds of Cutting, Phlebotomy presents it self for the lessuing of the blood, which in a long continued Epilepsie wil take place, if the Patient be Plethorick or the Hemthoids which before were accu­stomary, be supprest, some general eminent and appea­ring Vein being made choyce of for this purpose; yet [Page 20]many do advise to open the Shoulder-vein called the Cephalick for the heads sake, also blood taken from the Veins of the Ham and Ankles is very convenient, and so much the more if the Courses be stopt in Women: the which also some commend if taken from the Veins of the Forehead and Tongue, and if we do conjecture its cause to depend upon malignant blood, these detra­ctions of blood must be often repeated, whenas we have shewed that in Madness, in a Cause not very much unlike, this is the Principal Remedy; whence here al­so, if it proceed from corrupt blood this kind of Reme­dy often used wil profit very much, as also in a Cata­lepsis if it arise from the like reason, whenas 'tis some­times cured by a Haemorhage flowing voluntarily from the Nose: But in other causes placed out of blood espe­ally in bodies wasted with a long Epilepsie, and also in Convulsions following Diseases in which the strength of the Patient suffering the Convulsion is impaired by the cruelty of the Disease, it is no waies to be advised to draw blood, but Scarification is not unprofitably orde­red instead of bleeding in Children and Aged, whenas we would rather turn the blood another way, then let it out, making it at those places where our intent is to draw the blood: and also a Paracenthesis, and Open­ing made by Setons and Trepanning by taking out part of the Skul-bone may be made tryal of in these despe­rate Diseases.

Sucking drawing forth blood is done by help of Lee­ches which being applid to the Forehead and the rest of the compass of the Head they write doth good in Cu­ring of an Epilepsie, but especially when the Hemroids are supprest being fastned to the Fundament by sucking out this blood, which we can otherwise hardly provoke by any other Art, in this case they are very conveni­ent.

Burning made both by an actual and potential caute­ry as in desperate Diseases it is the last Remedy, so here also the evil preserving, especially if the cause be in the Head it may at length not irrationally be applied, if by chance by this means the cause may be derived from the Nerves to the more ignoble parts; by which means 'tis reported that at Florence they are wont to burn the the Head of new born Infants to avert the Epilepsie which in those places is accostomary to Infants; for which causes and being moved by experience we think it not unadvised to attempt burning with a red hot Iron (the which whiles they are possest with the Fit, and are stupid we may act in them without any sense of pain) or by applying a Caustick to experiment the same, in a long continued Epilepsie if it reject all other Reme­dies; which some also do apply not only in that part of the Head, where the Sutures meet but also in the Neck and Feet: or if in some certain place an Air ele­vated doth cause an Epilepsie a Caustick applied to this part doth very much revel it.

Purgations by the appointed places of the body the Belly, Mouth, Nose, and Womb in Women are orde­red divers waies; amongst which that dejection which is made by the belly carrying forth divers excrements, which is wont to be caused by the use of Purgers is di­versly accomplisht according to the divers kinds of Convulsions.

For in a long continued and falling Epilepsie whenas in all long continued diseases there is plenty of excre­ments, that the body may be made pure it must be pur­ged again and again by course, and as often as they are heaped up anew, at convenient times; first by washing the Belly, afterwards by preparing and bringing forth humors which give occasion of this affect. In which whenas Authors as it was said do so much vary, 'tis no wonder that also divers purging medicines are ordered by them, for many use above the rest Phlegmagoges and those which draw Flegm from the head, who are per­swaded that an Epilepsie is bred from that humor; o­thers who hold that Yellow or black choller is the cause contend that amongst Purging medicine, Cholagoges ra­ther, or Melanagoges, are more prevalent than the rest; but we as we find the body either stuft or polluted with humors do fit our Remedies to the drawing forth of this or that humor, making our choice of them from this e­specially, whether there be need of Gentler or Stronger Catharticks to expell the humor (ommitting that too scrupilous and obscure propriety and similitude of Ca­tharticks with the humors) we choose those which are either more mild or more efficacious as the nature of the humor, and the strength and constitution of the bo­dy do require, and those which are approved of by the ancient and modern, especially in this case commended by the authority of Dioscorides of which sort for the Gentler we allow of Whey, Agarick, Seny, and for the Stronger Hellebore, and being according to the afore­said intention, we think them conducible in an Epilep­sie; but chiefly having a care, that when an acrid or malignant matter doth cause an Epilepsie we do not stir the body beyond measure, with too Hot or Acrid or too strong Purgers, and if the cause be doubtful or ab­struse, that by too solicitously relying on the emptying of one humor according to the common opinion, we do not more weaken the bodies than help them, and also to the like fit Cathartick medicines those things must be mixed which by a peculiar vertue visit resist an Epilepsie, are proper to the Nerves, amongst which the juyce of Peony taken plentifully doth also loosen the Belly, and those things which do pre­pare to, if it have need of preparation) all which shall be explained in things that alter) and also those things which do open the Courses and Hemorrhoids if they be stopt, being mixt with them do procure that they are easier provoked, because the expulsive faculty is then forced divers waies.

But that we may demonstrate these thinge also by ex­amples, observing this method in a long continued Epi­lepsie as also in a Catalepsis, we must thus proceed.

First of all the Belly must be moved, that the excre­ments and the filth mixt with them may be brought forth from the first passages, and that both before the use of Purgers and also sometimes in the Fit that they may fooner come to themselves, or by course also if the bel­ly do not sufficiently answer your desire.

Which may be done by any Suppositories or by put­ting up these following. Take of Honey, the juyce of Rue of each alike quantity; boyl them and add towards the end as much Salt as is sufficient, and a little pouder of Peony root.

Or cast in Clysters, First Laxative, then Stimulating, at last Stronger, appropriate both to the Brain and Nerves.

Of which sort this may be the chief for the Flegma­tick. Take of the roots of Lillies, fresh Peony, of each one ounce and an half; of round or common Birthwort, half an ounce, the herbs Mallows, Beets, Sage, Rue, the lesser Century of each one handful; the flowers of Lavender or french La­vender, Rosemary, Primrose, Chamomel, of each one pugil; Bran one pugil, Seed of Peony one dram and half, Carawaies one dram. make a decoction, dissolve of juyce of Mercury or Beetss Honey or Red Sugar of each one ounce; Hiera Piera and Logadij of each two drams; Oyl of Rue one dram and an half, a little Salt make a Clyster.

The humor abounding is prepared before Purging as it is either Flegmatick or Cholerick, or Melancolick, giving what follows for three or four daeis.

[Page 21] The Flegmatick after this manner. Take of Syrup of Hysop two ounces ('tis very much commended in this case) of french Lavender, Oxymel of Squils, of each one ounce, the waters of Betony, Piony, Hyssop, Balm, of each two ounces; mix them, aromatize it, or let him take a conve­nient Lozenge, by and by after the taking of it.

Or make a Melicrate. Take of Hysop, Calamint of each one handful; french Lavender flowers, red Cicers of each one pugil; adding Honey boyl it a little.

Or a Decoction. Take of the Roots of Peony, thick Ga­langal of each one ounce, Missleto of the Oak, Elecampane roots, round Birthwort, of each half an ounce, the roots of Grass, Asparagus, Liquorish of each one ounce; the herbs Hy­sop, Betony, Balm, Calamint, of each one handful; flowers of french Lavender, Rosemary, Sage, of each one pugil; Anise, Fen­nel seed, of each two drams; seed of Basil, Peony, of each one dram; Raisons two ounces, make a decoction, dissolve in one pound of the streined Syrup, of Hyssop, of Vinegar, of each two ounces, mix it, make an Apozem.

Or a Wine. Take of the herbs Wormwood, Groundpine, Germander, Calamint, Hysop, the flowers of french Lavender of each alike, infuse them in Wine.

Amelancholly humor wil be prepared thus. Take of syrup of Fumitory two ounces, of french Lavender, of Hysop each one ounce; with the waters of Betony, Bugloss, Fumitory, Hysop as much as is sufficient.

Or this Decoction which will be proper also in a Catalep­sis. Take of the opening Roots steept in Wine of each half an ounce; the roots of fresh Bugloss one ounce, Peony half an ounce; the bark of Tamarisk six drams, the herbs Balm, Fumitory, Hysop, the tops of Tune of each one handful; of the Cordial flowers of each one pugil, the seeds of Parsly, Fen­nel, Carawaies, of each one dram; and in one pound dissolve of Sugar as much as is sufficient make a Julep clarified and aromatized with Cinnaraon.

If a Cholerick humor abound make it thus. Take of syrup of Endive, of Vinegar simple of each three ounces, the wa­ter of Endive, Sorrel, Peony, of each as much as is sufficient.

Or make this Decoction. Take of the roots of Grass, Asparagus, Succory, of each one ounce, the roots of Piony, mis­sleto, of each half an ounce; the herbs Endive, all the Capil­lary, both Buglosses root and all, of each one handful; Betony, half a handful, Violet flowers one pugil, Anise seed one dram and an half, Peony seed one dram, Raisons one ounce, Prunes in number six, make a Decoction, dissolve Syrup of Violets and Endive of each two ounces, mix them.

The humor being prepared such like Purgers may be ad­ministred, first of all in a flegmatick body.

The following Potion made of usual Electuaries is effe­ctual but bitter. Take of the Electuary of Diaphaenicon three drams, Hiera of Coloquiutida and Rufus one dram and an half, Syrup of Fumitory compound one dram, the waters of Hysop and Piony as much as is sufficient make a Potion, in stronger bodies also the shops Hiera Logadij may be given.

Another with a convenient decoction. Take of the roots of the Acorus, Peony, of each half an ounce, Liquorish six drams, Missleto of the Oak two drams, the herbs Hysop, Balm Betony, of each two drams; the flowers of french Lavender one dram and an half, the flowers of both Buglosses of each one dram; Peony seeds two drams, Fennel seed one dram, Polipo­dy, Senna of each six drams, Dodder of Time two drams, Raisons one ounce, make a Decoction, infuse Agararick one dram and an half, Ginger half a dram, and strein it, dissolve of the Electuary Hiera of Coloquintida one dram, or if they refuse bitter things, of Diaphaenicon two drams, syrup of Roses solutive one ounce, make a Potion.

Or in the form of Pills after this manner; Take of pills Cochiae half a dram; Sine Quibus of Sarcocal, of each one scruple; with syrup of French Lavender, or Hysop water: Make Pills.

In the Cholerick and Melancholy the things following are more convenient; Take of Polypody six drams; Senna half an ounce; Dodder of Time two drams; Fennel seed one dram; Piony Roots half an ounce: Infuse them in Goats Whey, Boyl them; Dissolve of Catholicon half an ounce; Confectio bamech two drams; Syrup of Fumi­tory, one ounce: Make a Potion.

Or thus, Take of french Piony Roots one ounce; the Herbs of Betony, Clary, Succory, Endive, Hops, of each half a handful; the Cordial flowers, Broom flowers, of each one pugil; Annis, Fennel seeds, of each one dram; Raisons twenty, Prunes, Sebestens, of each ten; Polipody, six drams; Senna half an ounce; Tamarinds, half an ounce; Citren, Myrobalanes rubbed, with the juyce of Roses, one dram and an half: Make a Decoction, infuse choice Rubarb one dram; Spicknard one scruple; Strain it, dissolve syrup of Roses solutive, or of Fumitory, or of sweet smelling Apples half an ounce: Make a potion.

Those things which are used many times either conti­nually or by intermissions are prescribed in these forms.

Such a Syrup may be made; Take of the fresh Roots of Piony two ounces; the true Acorus Roots, Misleto of the Oak. of each one ounce; round Birthwort half an ounce; Squil prepared, Pellitory of Spain Root, of each two drams; Fennel, Liquorish Roots, of each one ounce; the Herbs Hysop, Betony, Sage, Marjoram, Balm, of each one handful; Rue, Time, Prim-rose, Ground-pine, Endive, Hops, Fumitory, of each half a handful; the flowers of French Lavender, Rose­mary, Burrage, Bugloss, Broom, of each one pugil; Piony seeds two drams; Seeds of Rue, Fennel, Annis, Mountain Hartwort, of each one dram; Raisons forty; Figs, Prunes, of each ten; Polipody, four ounces; Dodder of Time six drams; Senna, wild Saffron, of each three ounces; Agarick five drams; Rhubarb three drams or half an ounce; Tur­bith three drams; black Hellebore, thick Galangal, Nut­meg, of each two drams; Gingar, Spik, Cardamom, of each one dram: Make a Decoction according to art in water and a third part of Wine, and add to that strained of the juyce of Piony Roots, and sweet smelling Apples, of each two ounces; the juyce of Mercury one ounce; the juyce of Hysop half an ounce; Sugar half a pound. Boyl it to a consi­stence, of which let him take from one ounce to two ounces with Pionywater.

A Wine to be taken for some daies, may be made of the same things or fewer, Thus; Take of Senna, one ounce and an half; Agarick trochiscate, half an ounce; Turbith two drams; Pulp of Coloquintida half a dram; Tartar three drams; the Roots of Piony, Acorus, of each half an ounce; the herbs Wormwood, Hysop, Bettony, of each three drams; the leaves of Rue one dram; flowers of French La­vender or Lavender two drams; Fennel seed one dram and an half; thick Galangal two drams; Ginger one dram; Car­damome half a dram: Bruise them, add Wine that they may be well steeped; let him try the quantity of one draught, and drink it for some daies after.

A usual Electuary may be made, thus: Take Hiera of Coloquintida one ounce; Diaphaenicon half an ounce; Dia­carthamum, Diasena, of each two drams with Syrup of French Lavender and Hysop: Make an Electuary for your use, be­ginning from two drams.

Or in form of Pils. Take the speacies of simple Hiera half an ounce; Agarick two drams; Rhubarb one dram and an half; black Hellebore one dram; Trochisks of Alhandal two scruples; Lazulus stone prepared one dram; the pulp of Piony seeds, Arabian Saechas, of each one dram; Castor six grains; Salt Gem one scruple with syrup of Hysop; Make a Mass: Let him begin with half a dram.

In the Gentler called the Childrens Epilepsie we must use Purgers also, but the gentlest, because it is not safe to purge Infants or great bellied Women, with stronger, which see­ing [Page 22]they are vehemently hot, in those they would too much inflame the body and in these they would expell the Child:

Therefore the Gentler of the aforementioned may be made use of, or if they be Infants stil, because they refuse ingrateful and bitter things, we may give sweet things as Manna, or Cassia with Sugar; or give Milk in which Ro­ses, Violets, Senna, and the like have been boyled; but if they suck stil, let the Nurse also be gently purged, that the Milk which they Suck may be less excrementiti­ous.

To others give of this Confection of Raisons, which is thus prepared convenient for this case. Take of the Leaves of Senna one ounce, Agarick, Peony roots of each half an ounce; Hysop leaves two drams, infuse them in water and boyl them a little, strain it, then put to it one quar­ter and an half of Raisons boyl them again and strain it, and boyl it to the consistence of Honey, give first one drammaking tryal according to the age.

A Pouder also may be given which is thus. Take of Tartar two drams, Diagridium half a scruple, Anise one scru­ple, of Peony root half a dram, Sugar six drams; give half a dram.

But especially if the Epilepsie do arise from Worms those things must be made choice of, which besides that they do purge, may also kil VVorms of which sort are A­loe, Rhubarb; and we must mix with them, those things which resist putrefaction as are the juyces and seed of Citrons, Lemmons, Harts-horn and Corals, and those things which resist an Epilepsie, as the root and seed of Peony, Missleto of the Oak and the like, and they are given in the form of Pils, or Pouders, or Lozenges.

Pills are very convenient by reason of the Aloes if they can swallow them, such as these are, Take of A­loes, Rhubarb, each one dram; Wormseed, Coralline, the pulp Peony seed, of each half a dram; Diagridium six grains, mix them up with Syrup of Lemmons, make little Pils, let him swallow them.

For the most part they are more pleased with Lozen­ges which may be made thus, Take of Rhubarb one dram and an half, VVormseed half a dram, the pulp of Citron and Peony seed, the shavings of Har [...] horn, Ivory of each one scru­ple; Coral two scruples, Missleto of the Oak one scruple, Di­agridium half a scruple, Sugar dissolved in Purslane water, adding the juyce of Lemmons or a little Vinegar to one ounce and an half make Lozenges, let him take for one dose one dram.

But in the worser Convulsion which casts down the strength already weakned by the cruelty of the Disease which it follows, or whose cause hath a sudden progress from things external; to enervate the body with Pur­gers is either superfluous or dangerous; yet if it hap­pen after pains of the Collick from the same humor not yet, or not sufficiently purged forth, then with one and the same labor, by purging we shal provide against the Colick pains and Convulsions arising from thence; amongst which Clysters for the most part performing both, are commended above the rest (although the common people do evilly think that by use of them the Convulsions and Palsies do happen which are wont to follow those Colick passions) the which also being used in other evil Convulsions in which otherwise we ought not to use Purgers, they are to be preferd before all other forms of Purging, because they revell, and in the interim do not too much offend nature.

Amongst the kinds of Evacuations which are made by the Mouth, and Nose a Vomit wil help them, when the Epilepsie hath its rise or increase from things taken, or other repletions of the Stomach; which also in the Fit it self being caused by thrusting down a Feather into the Throat, or by other means, doth make the Fit shor­ter if Vomiting do follow.

The which also may be done by Sneezing caused at the same time (the which as it doth somtimes go be­fore the falling in an Epilepsie so somtimes it ends it) the which is commodiously moved in this case, by blo­wing up of Pellitory of Spain into the Nostrils or with this following pouder, Take of the roots of white Holle­bore half a scruple, Pellitory of Spain, Pepper, of each one scru­ple, Peony root, Freneh Lavender flowers of each half a scru­ple; make a sneezing pouder.

Errhines put up into the Nose wil do the same, such a one as this may be, Take of the juyces of Rue, Sows­bread of each two drams, the juyce of Peony one dram, Castor, Gall, of each half a dram; Honey one dram, make it like a Liniment for the Nostrils: Errhines also when the Pa­tient is out of his Fit being used by course, will yeild some benefit if the head be stuft with flegm.

As also Spitting upon the same account caused much in a morning is convenient, which as Dioscorides teach­eth is here profitably moved, by chawing of Pepper or by other Apophlegmatisms as masticating the follow­ing forms. Take of Mastick half an ounce, Roots of Pel­litory of Spain three drams, Cubebs, Mustard seed of each one dram; Root of Peony, Nutmeg, of each half a dram; Make a Pouder, mix them with Wax and make Masticatories. They very much commend the root of Acorus candied and chawed a good while.

The Courses promoted through the Womb in the Faeminine sex, both by those things which are given by the mouth and those that are put up into the orifice of the Womb and applied to the Region of that, if the cause of the evil do lie in the blood retained there, they do oftentimes cure an Epilepsie.

Amongst those things which do it these Pills are very profitable, Take of Agarick trochiscate, Aloes of each one dram; Rhubarb one dram and an half, Myrrh half a dram, Castor one scruple, the pulp of Peony seed half a scruple with the juyce of a Leek make Pills; let him take from half a dram to a dram at midnight.

Also such a Pessary put up doth powerfully move the Courses, Take of the root of Orice, the seed of Gith, of each one dram; Electuarium half a scruple or Coloquintida one s [...]uple, Castor half a scruple, mix them with Honey, the which let them be boyled to a convenient thickness with some part of juyce of Sows-bread or Mercury, and make Pessaries.

To move the Haemorrhoids by things given and ap­plied, is a singular Remedy, if the cause of the Epilepsie lie chiefly in the mesaraick Veins as was said; the which also may be done by Leeches, and other Remedies ex­prest in their place.

Amongst the other operations which are outwardly performed for Evacuation sake, both in the Fit and out of it, the application of Cupping-Glasses is numbred, which somtimes are applied to the hinder part of the Head, somtimes to the Shoulders, somtimes to the Hy­pochondries, somtimes to the Groyns for diversion; as also frictions of the extream parts, by all which re­velling vapors and humors from the nerves we make the Fits both fewer and shorter; and also Galen on his Epileptical Child hath committed to memory upon experience, that a certain Air giving cause to an Epi­lepsie from some part which may be bound, if ligature be made above the Rise of it, it may be hindred that it shall not run forth to cause an Epileptical Fit: as also some do testitifie, that by Repellers outwardly applied to the Head the same success hath somtimes been.

Tht altering Remedies which are applied in the Cure of Convulsions, are fetcht from things which do resist the malignity [Page 23]of their Cause by a certain Propriety, and that ra­ther by an occult then manifest Propriety viz. by which they are adverse to an Epilepsie in generall, from what cause soever it is raised; or they are alexiterial the which whether an Epilepsie or Catalepsis proceed from some ve­nenate quality, are contrary to such kind of Poysons, or the which helping the Nervee do effect, that it is not so readily afiected by the Cause, and that because they render it firm by strengthing it, or smooth it by lenifying or make it impatible by stupefying it; or which altering the whol Body do change its Constitution which was pron [...] to an Epilepsie.

Use hath found out and approved of many Remed [...] that do drive away an Epilepsie by a certain Propriety, as are Piony, Misleto of the Oak, the Skulls of a Man, an Asse hoof, a Swallow, and many other such like helps explained in the Remedies; which though they may be used in all Causes of it, yet whenas besides this Vertue they are al­so either hot or cold or temperate, although they use them confusedly without respect to these we think it more advised, that they ought to be selected according to the Nature of the Constitution of the Patient or the Disease and this or that to be preferred before the rest; what things do return the venenate quality inducing an Epilep­sie or Catalepsis, besides those which we have said alrea­dy do by a propriety resist an Epilepsie, and what Anti­dotes are privately adverse to this Poyson, (as in other Poysons there are found those things which do resist them,) hitherto no Experience hath found them out which can readily and quickly do it: wherefore if the Epilepsie be from a poysonous Humor or Vapor, those com­mon Remedies Alexipharmacall which in generall are ad­verse to all poysons, as Treacle and the like Compositions as they are used in all venenate and pestiferous Diseases, so al­so in these cases being mixed with those things which by a propriety resist the Epilepsie, they are given to de­stroy and correct the cause thereof; and if Poyson from without by the blow of a Beast, or the biting of a mad Dog en­tring into the Body hath caused an Epilepsie, we cure the same with things alexiterial, as the rest of the Symptoms arising thence.

Those things which add strength to the Nerves are ap­ppropriate Remedies, which being repared of capital and arthritical Simples, Sage, Rosemary, Marjoram, Bettony, French Lavender, Primrose and Ivy, are good in the Palsie and other cold and moist Diseases of the Brain, which soe­ng they furnish the Nerves as it were with new for­ces, that it may the stronger resist those things which do molest it, they are wont not unprofitably to be ad­ded to the rest of the Medicines which we use in an E­pilepsie, but not for that end or intention, but because they beleeved that an Epilepsie was caused by Flegm ob­structing the Brain, they have applyed not only these hot things appropriate to the Nerves, but those things which are moist, hot that the thick Flegm might be cut and atte­nuated, Castor, Euphorbium, Pellitory of Spain, Squills and divers Spices, for the most part Remedies in the Cure of an Epilepsie; the which notwithstanding we, if an Epi­lepsie be from an irritation of the Nerves, because they do more inflame the Body, as we do no wayes see it is cu­red by these things, so we have known by Experience that they do irritate more, promote and exasperate its fits; and therefore whenas we have either found or re­ceived from apvroved Authors and worthy of Belief that they do more hurt by their heat then they can do good, unless in a cold and moist Constitution of Body or when they are furnisht with another Propriety above, by which they resist Poyson or this Disease we think them o­therwise not rashly to be administred.

Of which sort for Examples sake we will describe the more choice Remedies from the Observations of the An­cients and modern, and our own, as well those endued with an occult contrariety as those appropriate to the Nerves or those compounded of them both together in their dif­ferent formes in which are either given or proposed for smell or are otherwise applied to the Body.

Amongst those things which are taken many of those appropriated many be used amongst Nourishments as the brain of Swallows, Kites, Dawes, Cuckows, Chickens, Hare eaten. The rest which Nature abhors and which are not accustomary we omit, as Blood drunken up hot from a man killed, which the Common people so much approve of; dry Figgs also are commended Plantane with Lentil, the Topps of the black Vine as Dioscorides teacheth the which may be taken with Vinegar and Oyl, as also Capers which Fontanous so much commends; and if the Meats be sau­ced with Hysop, Sage, Marjoram and other simples appropri­ate to the Nerves.

Amongst things medicinal this Drink may be given. Take of the Roots of Piony one ounce, of Misletoe of the Oak half an ounce, the Roots of Asarabacca, Birthwort each two drams, Piony seeds one dram, Anise half a dram, Chamels hey one scruple: make a Decoction in Broth, or Wine and Water or an appropriate Water, dissolving Honey of Squills half an ounce, make a Draught, give it when the Fit is feared.

In plethorick Bodies this Decoction may be prepared; Take of the shavings of Guaicum half a pound, Misletoe of the Oak a quarter of a pound, Piony root one ounce: boyl them in twelve pound of Water to the consumption of a third part, let him drink it instead of wine or allay wine with it.

They put into the Mouth in the fit, the juyce of the grea­ter Housleek or Rue presently prest forth, sometimes ad­ding a little Castor.

Or such like Medicines may be thus prepared, that they may be alwaies ready for use. Take of the juyces of Mis­letoe, Rue the greater, Housleek, blessed Thistle each two oun­ces, of Sage, Marigolds each one ounce, Sugar four ounces: boyl them to the consistance of a Syrup, let him take often one or two spoonfulls.

A Syrup of Piony may be made for use after this man­ner, of the juyce of Piony six ounces, Honey of Squills an ounce and an half, Vinegar of Squills half an ounce, Sugar two oun­ces: boyl them to the consistance of a Syrup, tis laxative, and because somwhat sharpe, by so much the more plea­sing: Syrup of Succory is much commended for Chil­dren.

A Compound one may be made thus; Take of the roots of Piony one ounce and an half, the Roots of Eringoes, Drop­wort, white Dittander, Birthwort each one ounce, the Roots of Masterwort, Pellitory of Spain, Squills prepared each half an ounce, Misletoe of the Oak six drams, the herbs Hysop, Sage, Marjoram, Rue, Bettony, blessed Thistle, Ground pine, Ger­mander, Milfoil, Cinquefoil, St. Johns-wort, Plantane, white Vine each one handful, Flowers of French Lavender, Laven­der, Violets, Clove Gilliflowers each one pugil, Piony seed three drams, of Rue, Trifoyl each one dram and an half, Anise, Fennel seed each two drams: make a Decoction and to that strained ad of the juyce of the Roots of Piony and of Hysop each two oun­ces, Honey of Squills three ounces, Sugar five ounces, aroma­tize it with Cinnamon two drams, and make a Syrup boiled decently that it may keep, of which let him take often from half an ounce to one ounce by it self or dissolving it with some convenient Liquor.

A Wine may be prepared in a Vessel from the same things and infused in four or six measures of Wine or the same may be done with fewer of them, either if you put in Wine, Guaicum shaved, Misletoe of the Oak, adding Pi­ony root, as was said formerly of the Decoction, or if you give the Wine of Squills as Dioscorides teacheth.

There are usual Waters prepared for these Uses, and [Page 24]reserved, which either a part or mixt may be made after this manner. Take of the waters of Piony flowers, Lilly of the Vallies, Linden-tree, black Cherries ripe each half an ounce, give it from half an ounce to one ounce in two ounces of which Water if you infuse one scruple of Castor it will be more effectuall, and much more if you add so much of Assa foetida, the which notwithstanding by reason of its stinkingness is scarcely admitted by the Patient unless in the fit being then stupid.

A most effectual Water made up of divers things may be pre­pared thus; Take of young Swallows fifteen, the Daws, Cuc­kows young ones four or if they cannot be had, Swallows twenty five, of Mans or Goats Blood three ounces, the skull of a Man one ounce, Castor half an ounce, Piony Roots one quar­ter of an ounce and of the seed one ounce, Squills prepared two drams, Misletoe of the Oak, half an ounce, the herbs Rue, Hy­sop each two handfuls, Bettony, Marjoram, Sage, Rose-flo­wers, Lavender one handful, Cinnamon two drams, Cloves, Cubebs, Pepper each one dram, the most excellent Wine or Malligo three pound, the water of Lilly of the Vallies, and the flowers of Linden-tree each two ounces, Aqua vitae one ounce, let them steep only a few hours that they be not corrup­ted, then distil them; it is given from half an ounce to one ounce for prevention, the which Water also given in the fit doth rouze them up, and the sooner if you infuse Assa foetida in part of it, as was said before.

Another may be prepared out of Blood after this man­nir. Take of the Blood of a Man newly killed, or gathered from a Vein opened in a sound Man half a pound, fresh Piony Roots sliced two ounces, Piony seeds half an ounce, Hysop, Rue each one handful, the Skull of a Man one ounce, draw forth a Water presently whiles it is hot, of which give one ounce for prevention.

Pouders are made thus; Take of the Root and seed of Pi­ony, Misletoe of the Oak each one dram, Marjoram, Nutmeg, Anise seed each half a dram: make a Pouder. You may add of the Skull of a Man poudered one dram, and if there be worms in Children, Dittander root, shavings of Harts Horn each half a dram, Wormwood and Purslane seed each one scru­ple, Coral half a scruple: make a Pouder, give it by it self or adding of Sugar make a Tragem, or Lozenges, the Sugar be­ing dissolved in Piony water or other.

Or thus, Take of a Mans skull one dram, an Asses hoof, Swallows ashes each half one dram, shavings of Ivory one scru­ple, red Coral one dram, Pearl prepared half a dram, filings of Gold one scruple, Piony seed half a dram, Diamoscum one scruple, (which Pouder is thought appropriate for curing an Epilepsie) make a Pouder, there may be added as much Sugar as is sufficient and the Pouder remain, or it may be reduced into Lozenges with some convenient water.

Electuaries and Conserves are made thus; Take of the Conserve of the flouers of Peony, and french Lavender, Rose­mary, Sage, Betony each one ounce; Conserve of the flowers of Succory and Violets each half an ounce; of the roots of Peony and its seed one dram and an half, Roots of Pellitory of Spain, Leaves of Hysop, each one dram; seeds of Basil half a dram, a mans Skul one dram, with Honey of Squils as much as is sufficient, make an Electuary.

Or thus, Take of the roots of Peony, Pellitory of Spain, each one dram an half; Hysop, seeds of Peony each two drams; Honey of Squils as much as is sufficient, make an Electu­ary.

Galen doth very much comend a Remedy made of Squils which wil be more proper made thus, Take of fresh Squils sliced, the choicest Honey each half a pound; add to it of the pouder of Peony root one ounce, and of the seed half an ounce, the root of Pellitory of Spain one dram, Missleto of the Oak, Leaves of Hysop, Rue, Agarick, each two drams; [...] of a man three drams: let these be receiv'd in a [...] shut up and suffered to steep in the heat of dung or of Sand in the Sun for fifteen daies daies, afterwards give the Juyce prest forth by it self, or let it be first gent­ly boyled, that it may be kept for use, let the Patient take one or two full spoonfuls twice or thrice in a week.

Or thus make a Remedy composed of divers things, and as it were an Antidote against the Epilepsie, Take of the roots of Peony, Missleto of the Oak of each two drams; Roots of Tormentil, Round Birthwort, Dropwort, Cinquefoil, Dittander, of each one dram; Squils prepared one dram and an half, Agarick, the Leaves of Hysop, Marjoram, of each two drams, flowers of french Lavender, and Lavender of each one dram; Peony seeds one dram and an half, seeds of Clary one dram, seeds of Hartwort of Candy, Basil, Cresses of each half a dram, Cinnamon, Cubebs, Cardamom, Nutmeg, of each one dram; Long Pepper, Ginger, of each half a dram, Pou­der of sweet Diamoscum, two scruples; Pleres Archonticon, cold Diamargaritum of each one scruple, the Skul of a man pou­dered half an ounce, Asses hoof two drams, Swallows and Cuc­kows ashes of each one dram and an half; the shavings of Ivo­ry and Harts-horn, of each half a dram, a Hares Runnet two drams, Benjamin, Mastick, Ammoniacum dissolved in Vi­negar of Squils of each one dram; with Hony of Squils make an Electuary.

Or those things which resist Poyson in general, and privately the Epilepsie, and do somwhat dull the Sense, make an Opiate thus. Take of old Treacle three drams, the root and seed of Peony Missleto of the Oak each one dram; seed of Clary, Basil, of each half a dram; the Skul of a man twodrams, with Honey of Squils or Syrup of Poppy if you would stupefie more, make an Opiate, give one dram at night to him going to bed.

In form of Pils ingrateful things are given for pre­vention after this manner. Take of Castor, Assa foetida of each half a dram; Gum Ammoniacum, Sagapen dissol­ved in Vinegar of Squils of each half a scruple; the Gall of a Bear half a scruple; Oyl of Amber (which is highly com­mended of the Chymists) four drops, with the juyce of the root of Peony, make a Mass: give him half a scruple go­ing to bed.

The same things dissolved in the juyce of Rue put into the mouth whiles they are possest with the fit, do shorten it, as also Castor alone mixt with Oxymel, anointing the inner parts of the mouth with it; the which also done with Gall doth very much help, whenas these in­grateful things by powerfully moving the sense of tast­ing do cause that they come sooner to themselves.

Upon the same account Odors and Suffumigations are applied to the Patient to smel to, which though they do oftentimes further and discover Epileptical Fits, yet by discussing them, as they say, especially put into the Nostrils in the Fit, they make them shorter, and rouze up the Patient.

This is chiefly performed by Castor, Assa foetida, Galbanum, Rue applied to the Nostrils which are en­dued with a stinking and strong smel.

Or make a Suffumigation of these things following, Take of Ladanum two drams, Benjamin, Styrax Calamite, Mummy (by reason of the Bitumen) Mastick of each one dram; seeds of Gith, Peony of each half a dram; make a pouder, burn it upon the Coals.

And also out of the Fit the Chamber may be fumed, yet with things not too much stinking.

And carry a Pomander, and smel to it often, which is made thus, Take of the roots and seeds of Peony each three drams; Leaves of Hysop, Rue, seeds of Gith, Coriander each one dram; Ladanum half an ounce, Styrax Calamite two drams, Gum Ammoniacum as is sufficient make a Poman­der.

Of things applied to the Head, Pouders may be sew­ed in a Cap which they may wear a nights, or be appli­ed [Page 25]in Bags or put into Pillows used to lie under their head, or the hairs of their head being first anointed they strewed on them.

Such a one as this is, Take of the roots of Peony two scruples, Cyperus, Orrice, Missleto of the Oak each one dram and an half; Rue, Hysop, Marjoram, Coriander seed prepa­red, Peony seed each one dram; seeds of Basil, Gith, each two scruples; Cloves, Red Roses, Lavender flowers, each half a scruple; Gallia Moschata one dram, make a Pouder.

Or thus, Take of the roots of Orrice two drams, Galan­gal, Cyperus, each one dram; Nutmeg, Cloves, each half a dram; Leaves of Marjoram, Balm, each one dram; flowers of Lavender, Rosemary, Roses, each one dram; Dying berries half a dram; make a Pouder.

The Head being first shaved is anointed with these things following, Take of the Oyls of Chamomel, Lillies, Elders, each one ounce; Aqua vitae one ounce, mix them to­gether.

The Head also must be somented with things mode­rately hot, as with this Fomentation, Take of the roots of Marsh-mallows, white Lillies, each one ounce; herb Mal­lows two handfuls, Betony, Sage, Marjoram, Balm, each one handful; flowers of Chamomel, Elder, Rosemary, each one pugil; seeds of Flax, Foenugreek, each half an ounce; Cara­way seed; one dram, make a Decoction in Water and Wine or in a weak Lye, for a Fomentation or Lotion of the Head.

Repelling Oxyrhodines are applied to the Head if it be from Vapors, Or this most fine Pouder is strewed on the Hairs, Take Coriander seed prepared two drams, Myrtle berries, flowers of red Roses, Mastick, red Saunders, the root, of Cyperus, and Peony each one dram, of Cloves, Rose­mary, flowers each half a dram; make a Pouder.

If the Back-bone be anointed with Oyl of Lizards 'tis good, or with other things strengthning the Nerves, as was said in the Remedies.

Also the following Plaster may be applied to the Re­gion of the heart and to the Pulses, Take of Treacle or Mithridate half an ounce, the Roots of Peony, the Leaves of Rue bruised each two drams, mix them with Vinegar into a body.

Add this applied at the same time to the Region of the Neck wil do good.

Lotions of the extream parts or Baths made of Plants appropriate for an Epilepsie, and for the Head and Nerves, as of Peony, Rue, Hysop and and other things as was said in the Remedies wil benefit much.

The usual Amulets that we hang and bear about, for the most part are, Peony, Missleto of the Oak, Elks hoof, the rest have been explained in the Remedies.

But those Remedies which by Lenifying do asswage the Nerves as they are profitably applied in all kinds of Convulsions so especially when there is great danger imminent from the Nerves so much affected, by reason of the vehemency of the Cause, to wit, in those which are called The worser Species of Convulsions, which by their moderate heat, humor and temper by Moistening and Mollifying may Relax and Refresh the contracted and convulsed Nerves, many of which sort are explain­ed in a particular Convulsion in which the Muscles with the Nerves are truly bound up.

Which for the most part are applied outwardly to the Back-bone where is plenty of Nerves and their origi­nal, by anointing Oyl of sweet Almonds, of Violets, Butter, Mucilages and the like; and by application of Cataplasms such as are prepared of Mallows, Marsh­mallows, Oyl of Violets, and the flower of Flax­seed.

Or they are administred in form of a Bath, moist, Fat, and Warm, in which let him stay a while, in which Mallows, Peony, Chamomel, and other things may be boyled.

Or they apply them to the Head also, embrocating them with Milk, especially in Infants, for which Cause their Mothers do milk out the warm Milk from their Breasts upon their Heads; or by anointing it with Oyl of Violets.

The same also is done by benefit of emollient and moistning Glysters.

And by giving fat things with the meat or Medicines, as fresh butter, and Oyl of sweet Almonds drank plen­tifully, which is counted a singular Remedy for Con­vulsions; upon which acount Dioscorides commends the drinking of Whey and the Decoction of Violets, the Syrup also is approved of in Children, and Almond Milk is profitably given to drink, to which may be commodiously mixed an Emulsion of Peony seeds, of which a Lambitive being made by adding of Sugar, and given to the Child before it be suckled, is made a a profitable Preservative against the Epilepfie as some write.

Things that stupefie the Nerves, because by dulling their sense, they cause them to be less affected with their trouble when they are irritated, and for that reason are not so easily convulsed; if the Gentler of them be given in Grievous and Dangerous Convulsions which pro­ceed from an acrid and malignant matter, I have often found by experience they have done very much good; upon which account I think Treacle and other Opiates to be convenient in Convulsions (which in this case practitioners allow of to strengthen and heat the Nerves) not only because they do infringe the pov­sonous cause of an Epilepsie, but because also they do in a manner lay asleep the Exquisite sense of the Nerves.

Experience hath proved that those things which do change and alter the constitution of the whol body, and make as it were its Temperament new as in many long continued desperate Diseases, so also in a long continu­ed Epilepsie and otherwise incurable they may som­times do somwhat singular: which are perfected by great changes and new evacuations, made in the body.

By change of Age it sometimes happens, whenas the temperament of the body either is changed too, as that which invaded in Child-hood is cured when Youth comes; and that which first happens to those of ripe age, if it cease not in old age, yet it undergoes some change; so also the change of the Country, especially if it be from a place where this disease is Popular, or otherwise from an unhealthful to a healthful place, it brings much help for the cure of this evil; and a change of the sex as it were, which by eunuchism makes the body which was virile and masculine to be effeminate, done by the anci­ents by Gelding, hath been commended as the last Re­medy in an Epilepsie.

New and not yet accustomary evacuations especially those natural ones of seed and blood coming at their due time, whenas they do also very much alter the bo­dy, 'tis no wonder that if the years of youth beginning, the Epilepsie doth then cease, not only by reason of the change of age, but also because that then they begin to eject seed, and Maids have their menstruous blood flow; and the Haemorrhoides breaking forth in some natures, the same sometimes ceases; and the Epilepsie forsakes Great-bellied Women after they are delivered and wel purged: the which whenas Physitians see suc­ceeds well by these like Purgations which nature at­tempts, they also in a desperate Epilepsie make triall of divers evacuations, ordered oftner by chance than method.

By reason of the Symptomes of which sort we meet [Page 26]with divers in the sundry kinds of consternation of minde, besides the lawful cure which is due to removing the cause, the which being taken away they also cease, presently when they are urgent, we must administer some things; the chief of which to which we ought to have respect, are Suffocation, Falling, Violent motion, Sleep and Stupidity, Dotage, Weakness.

From a suddain and unexpected fall the Apoplectick and Epileptick are in very great danger, by which of­tentimes dashing their head they are killed; or other­wise grievously hurt, unless by custome, or a Vertigo going before, the Epileptical be forewarned of the time, and then by sitting or lying do prevent their fall.

Danger of suffocation hangs over those that are sick of a grievous Apoplexy because they are not troubled only by reason of breathing hindred, but also by an impediment that their Teeth being fast set, and their mouth shut, the free passage of the Air is intercepted. Therefore their Teeth must be presently opened and if they yeeld not easily they must be puld a sunder by an instrument thrust in by force, and keeping that between them we must have a care that they be not shut again, and it must be hard, that they do not bite it off, for which purpose either a bone or hard piece of wood will serve' whatso­ever we light on first (as spoones for the most part are most readily found for this use. whose handle may be interposed) the which if they cannot be thrust in betwixt the Teeth already closed, they must be parted by a divi­ding Instrument made for that purpose, and by inter­position of that as was even now said they must be kept that they be not joyned, or if they cannot be disjoyned thus neither, then a Tooth or two must be pulled out; then the Body must be so placed that the Breast being less prest may be moved more freely, yet we must not stir it too violently whiles we move it whence follows quick breathing, the which whenas they cannot so spee­dily perform, they are suffocated, as it often happens for want of care.

We shall prevent the Epileptical from wounding themselves, or otherwise hurting by that vehement com­motion and Agitation of the Body, if by interposing soft Cushions, Clothes, we take care they hit not their limbs against hard things; for it is no waies safe either to hold them or to bind them, seeing the matter of the Epilepsie is shaken of and discust by motion; and because in such like Convulsions of the Body they bite also, and somtimes vehemently wound their Tongue, we must put presently between their Teeth before they be shut, not our finger, which standers by offentimes rashly do with danger, but an instrument; as this in the Apoplectical ought to be done for fear of Suffoca­tion, so in the Epileptical to relieve the Tongue when as they are no waies endangered of suffocation; and if the Tongue be already laid hold on by the Teeth, we must succour it with a dividing Instrument.

Sleep and Stupidity in these affects; if they continue long, or returne often do oppress the Native heat, therefore the Apoplectical also being taken with to much or profound Sleep and a vehement Stupidity they must be roused now and then, and hinder'd that they relapse not, which may be done by moving the outward senses with strong objects that they may force and pro­voke the internal ones into act: thus the hearing is mo­ved with crying in the Fares making a high sound and noise; the sight with much shining of light and fire; the tast with bitter and sharp things the smel with stin­king things mentioned before, but especially the feeling seeing it doth very much move the sence, if it be done with pain in parts endued with exquisite sense, as in the Skin by pulling the hairs, Burning, Pricking, doth very much rouse them up which also may be done by irrita­ting the Nostrils, which have an excellent sense, with ordors and other things which move sneezing too, by which the Body shaken is more roused up; as also if we stir up the Eyes with a suddain light, and prick them with other things that move Tears; also we may solli­cite the belly with suppositories to excretion, the throat with our finger, a feather to vomiting: of all which whenas they do at once revel and derive the cause we have already spoken formerly.

The weakness is not so urgent, that there is due to this any other restauration of strength then to other Diseases, by course of Diet or Cordial Medicines amongst which notwithstanding External things which are wont to be applied to the Region of the Heart and Pulses challenge the first place, when as before they come to themselves, they scarcely take any thing, and if the Disease be of long continuance, they must be restored with an efficacious course of Diet, and other means.

Chap. 3. Of an Alienation of the Mind.

The Kinds.

AN Alienation or error of the Minde is called a Paraphrosyne when they feigne judg and remember those things which are not, as if they were, or those things which are unlikly and besides reason, and that either together or a part, whether this be done only by Cogitation, or they express the same by words and deeds.

This for the most part coming from inbred Causes is a certain innate foolishness otherwise proceeding from external causes if from things taken tis called Temulency, if it arise from some vehement affect it shall be called a commotion of the Mind; but somtimes depending upon internal causes it is desipiency, which happening either without a Feaver accompanying it, is Melancholly, or with fury is Mania or Madness, or coupled with a Fea­ver, tis called a Phrensie, all whose accidents we shall explain singly.

Foolishness although it be not ascribed to children only when they are yet destitute of Judgment, Foolishness and old Folks who are said to be twice Chil­dren (the which notwithstanding is rather a weakness of Minde in them, then a depravation) but also to every Age and all men upon that account, that all their hu­mane actions seem to be foolish as Erasmus in his Moria Brandus in navi Stultorum have elegantly shewed it in all states of men; yet tis properly said of them who being borne truly Fools and Silly do presently even in their very infancy give signs of folly by gesticulations besides the custome of other Infants, and do not easily obey, are blockish, so that oftentimes they learne not to speak, much less to performe other Duties, in which any indu­stry is required; which in some Countries is a common evil as they write of Egypt, and at Bremis a Village off Valesia as I my self have seen, and in the Valley of Car­inthia, it is wont to befal many Infants, which besides an inbred foolishness, somtimes with an unshapen head, a great and swel'd. Tongue, being dumb oftentimes with a strumous Throat, do shew a deformed sight, and set­ting in the waies and looking upon the Sun, and putting little sticks between the spaces of their Fingers, and variously wreathing their Bodies, with an open Mouth, [Page 27]they move Laughter and admiration to those that pass by.

But others on whom some mark of folly was first imprinted from their birth or afterwards, although they rightly per­form all other actions of their life, and in some things are able to do singularly well beyond others, and are strong in wit and excel in some Art, as of Painting, En­graving, Building, Musick, and others, yet betray their Folly by these things, that they willingly hear them­selves praised that they tell and act ridiculous things, for which thing great men are delighted with their compa­ny, whom also by reason of the divers Phantasms that present themselves to them, they call Phantastical.

But others yet more fools with divers Trifles, gestures and jests, as 'tis said, do thrust forth their Asses Ears, some of which have in them vices not acceptable to all and those oftentimes grievous ones, which according to the vari­ety of their natures they bring forth somtimes in Anger, somtimes in Fury, somtimes in Sadness, somtimes in other things, all which it were superfluous to express.

Temulenlency or Drunkenness proceeding from Wine and certain other things, Temulency as shall be said in the Causes, and not yet going so far, as to cause sleepiness and stupidity of which we have already spoken, but going beyond the bounds of Mirth, in which Wine moderately doth cheer the heart of man, making them mad, according to the diversity of natures as afore was said also of fools, doth discover divers ef­fects of Temulency and Drunkenness; whenas some Drun­kards are rather like to fools in their profuse and immo­derate laughter, laying open their folly by their laugh­ing and cackling (whence is the Proverb, By much laugh­ing you may know a Fool) also by prating, Singing, laugh­ing, kissing, loving: but others do rather express the man­ners of mad folks by Clamors, Anger, Blows, Biting. Others are sad like melancholly men, Weep, talk much of Religion and Death, which desipiency of theirs for the most part sleep or stupidity following, as was explained there, it doth so far alay it, til rouzed up they return to themselves again being oftentimes forgetful of the mad­ness that went before, and some time after being trou­bled with a pain and heaviness in the Head they do pen­nance for their Folly.

A vehement or lasting commotion of the mind, The Com­motion of the mind. arising from som affect of it as shal be said in the Causes, is likewise a species of a­lination of mind so much depraving it, that that it either acts or thinks many things e­stranged from reason; as is that foolish too much Joy with which being puft up they speak many and strange things childishly, and undertake them vaporing, and in laughing do cry for joy as the Comaedian saith. Also that short madness in which the Anger-strucken do swear and are carried headlong, fearing no dangers that they may be able to revenge themselves, and then that melan­choly conceived out of sadness and fear, which oftentimes is wont to degenerate into a true and lasting one, as shal appear in the Causes; and hitherto also ought to be re­fer'd the pertinacious Phansio of them who are opprest with great Love springing from a cor­rupt judgment & imagination, Love is a Species of commotion of mind. which doth so change men, that as he saith, you cannot know them to be the same; which doth not only make men mad but women also young men and old folks, which sort of madness they call by the name of Heroical because 'tis wont to happen to Heroes or rich men but very inconsiderately, whenas the poorest cannot scape Cupids darts; this conturbation of the mind is a certatn affection compounded of all the other passions of the mind, whenas somtimes the effects of joy shine forth in it, somtimes of Sadness, somtimes of An­ger, and nothing is more unconstant than Lovers, who that they may enjoy their love, become so thoughtfull, that they neglect things necessary for the body, as to take meat, to sleep, or other duties, who omitting weighty and serious businesses, or following them slow­ly, spend their time rather in Neatness, Musick, and o­ther things which may please their Mistress: and when they perswade themselves that they can obtain somwhat of their love, breaking forth into profuse joy, they often speak many foolish and obscaene things, and act them too, and laying aside all shame somtimes com­mit filthy wickednesses, and fear not to expose them­selves to grievous dangers; or if they despair of mutual love and good wil, they continually afflict themselves with mourning and lamenting, and by no means admit of comfort, they refuse good counsels, and express their grief by shedding of tears, often sighs, paleness (for e­very Lover is pallid) and pain of the heart with which they chiefly complain they are troubled; whose pulse also is instable according as their mind is raised or de­prest, and by beholding or remembring their Mistress 'tis raised & stird up (by which sign Erisistratus discover­ed love) or by despair it becomes languid and calmed: with which accidents being opprest, at last they fall in­to grievous Diseases and hasten their own death, or of­tentimes in despair lay violent hands on themselves.

Melancholly denominated from black Choler, Melanchollyis a species of alienation of the mind in which the imagination and judgment are so perver­ted, that without any cause they are very sad and fearful, and they can alleadg no certain cause of their sadness and fear, but that which is of no moment, or that false opinion which they have conceived from depraved ap­prehhension.

As when they perswade themselves that they are dam­ned, that God takes no care of them, that they are not predesti­nated, although in the interim they be godly and religi­ous, and they fear the last judgment, and eternal punish­ment, which horrible melancholly (and oft times driving men to despair) is the most frequent species, in the cu­ring of which I have oftentimes been much hindered, with which those that have been taken have oftentimes confessed to me with many tears, deep sighs, great an­guish of heart and trembling of the whole body, that they have been stirred up to Blasphemy against God, to commit horrible things, to lay violent hands on them­selves, to kil Husband, Wife, Children, Neighbours, their Prince, being moved with no jealousie, no envy to­wards them whom they intimately love, but are com­pel'd as it were against their will, and such thoughts do steal upon them whether they will or no, when in the mean time they cease not instantly to begg of God, that he would vouchsafe to free them from those wicked thoughts.

But others are very much troubled with the terrors of death and the fears thereof, whiles they falsly imagine with themselves, that they are out of favor with the Princes and Magistrates, and that they have committed some­what, and are drawn to punishment; or who otherwise do highly fear death, which they fancy is even now hanging over their heads.

Others by other triffling falshoods conceived and imprinted in their mind, do deceive themselves, as he who thinking himself to be made an Earthen vessel gave way to every one he met, least they should break him with a touch: as some have beleeved themselves turned into brute beasts: and another who thinking he had a very large Nose, would not change this Opinion, til the Chirurgeon deceived him by a Counterfeit stroke, and shewing him [Page 28]a piece of flesh, that he had cut a part of it. And as that Woman who was wonderfully grieved that shee was for­ced every day to put on her cloaths and put them off again: and another woman who as often as she though that when she was dead, her Husband would marry another Wife, she was transported to these accidents: some think they have swallowed Serpents and Frogs and that they carry them stil alive in their body, or by other tricks are deluded; and they dream of many and wonderful things of this nature, which somtimes relating with a great deal of affection and grief, I have heard somtimes with laughter, somtimes with great admiration and Pitty: in all which cases they shew marks of sadness and fear, whiles they complain, cry, with many and continual tears, and do wonderfully exagitate both body and mind.

Otherwise they are idle and silent, being asked answer not, being driven scarce go forward, they love solitudes and shun the company of men which species for that reason is called Misanthropia from the hatred of men; and if hating the light, they covet darkness repair to woods, and hide themselves in lurking places and caves as the holy writ testifieth of Nabuchadnaesor then they call it Lycanthropia from the custom of Wolves, others the wolfish melancholy.

With which perverse imaginations, pains and cruel tor­tures of mind, those afflicted oftentimes not only many months, but years also, and at last overcome, unless they return to themselves and be helped by Counsel and Art, either they die wasting, or that death which before they feared they hasten to themselves by hanging or drown­ing, or by some other violence, as we have known ma­ny sad examples of this nature.

Which forementioned passions of Sadness and Fear as they do not produce equal effects in all, but do pervert the mind in some more in some less, so they do con­tinually possess those which they have once inva­ded. Yet they have by courses their exacerbations and remis­sions, as we have, shewed also they did otherwise hap­pen in continal Feavers for a cause contained in the Veins after the like manner; yet we have observed some to be thus troubled only at certain times, as some sea­son of the year or change of the Moon, and especially Wo­men while they are with Child, or have brought forth, or have their Courses.

There is also another species of it which they denominate from the place affected Hypochondriacal Melancholy, Melancholy Hypochondria­cal a Species. in which the forementioned accidents do often intermit and again return upon the same day, and those who are sick of it, as oft as they come to themselves, otherwise then the rest (who unless some other thing be joyned, do only complain of a pain of the Head, or somtimes of a Heaviness) do acknowledg that they are truly sick, and though they scarce or seld­ome lie by it, and notwithstanding are able to undergo other duties, yet they complain perpetually of a pain of the Hypochondries especially in the left side (which they call a pain at the Heart) a Heat, Pulse, Murmur, Belchings, Vomiting, Spitting, pain of the Head, Vertigo, a ringing in the Ears, beating of the Arteries, and innumerable other af­fects which they feel, and sometimes Phansie to them­selves; and they trie Physitians, desire Cure, and trie di­vers Remedies, and unless they be eased presently, they change Physitians and Medicines.

Mania or Madness is so great a depra­vation of all the the Functions of the Mind, Madness. that they feign judge and remem­ber most things falsly, acting not only as the mourn­full an fearful Melancholick, but all things besides rea­son, and somtimes without fury they commit more mo­destly those things which they speak and do, but most commonly being turned to Madness, by their stern as­pect and by their words and deeds they express the vio­lence of their Minds, whenas they tell false, obscoene and horrid things, cry out, swear, and with a certain bru­tish Appetite they go about diverse things like beasts, and some of them otherwise unusual even to men; and especially some of them desire Venery very much; as I have seen it befal a noble Matron otherwise most ho­nest, who did invite both men and dogs to Copulation by most filthy words and gestures. Moreover they strive to offer violence both to themselves and others, where­fore they pull out their hairs, tear their cloaths and som­times hurt their own Body, by biting, and other waies, and unless they be diligently restrained with Bonds and Chains, the which they study to break with all endea­vor, and be kept close in custody, where they try to break open the gates, and oftentimes by a certain indu­stry digging their Pryson to make a passage for them­selves, falling violently on the standers by, like Beasts they endeavor to scratch them, bite, strangle, kill.

But some amongst these maniacal or Melancholick som times shewing forth these accidents more vehement, Possession by the Devil a sort of Madness. somtimes more mild, and also acting and speaking things preternatural and monstrous, do manifestly declare that they are possessed by the Devil, which for that reason they call men possest and Dae­moniacal; who besides the depraved actions of the Mind, as was said, are wont diversly as the Divel doth to impose marvellously upon Men, and to bewitch them, oftentimes they continue dumb for a long while; som­times also they abstain longer from meat, then Nature otherwise could bear, yet without any hurt: and some­times they so wreath their Body, bend and winde it, that as I have seen with my own Eyes, it could by no meanes be done Naturally without Luxations of the Joynts; or by guessing, prophesying, they divine and foretel things otherwise obstruse, or they speak with Tongues which they learnt not, neither understood when they were well, the Divel as it were speaking thorough their Mouth, the divers stories of which we could bring, we purposely omit.

There is also a certain sort of Mad­ness, Hydrophobie a Species of Madness. in which those bitten by a mad Creature are converted into the same mad­ness with which the Creature was trou­bled; as if this be done by a Dog they bark like Dogs, or if it happen from a Wolfe, they howl and set upon those they meet to bite them, shunning the light and those things which are clear and bright, when as in them doth appear the Image of the Dog, by which they were hurt, instead of the proper figure of a man, as some would have it, and especially fearing water, and trembling at the sight of it, whence this Species of Mad­ness is peculiarly named Hydrophibia, long exercising the man with a distension of the Nerves, and a Redness of the whole Body especially of the face, and with sweat, and at length killing him unless releived.

Hither also is to be refer'd that horrid and wonderful but rare affect in which being struck with a certain mad fury of skipping, Vitus dance. they continually desire to dances, which Disease they therefore cal Vitus dance from a Saint by invocati­on of whom they beleeve they are freed from it; which though some counterfeit that they may extort the greater Almes, or are therefore suborned that they may imprint the false opinion of the common people the more in the minds of men; yet there are some found of both Sexes, which indeed being possest with this evil are [Page 29]carried with an inordinate desire to dancing, as that no time interposed that desire to dance with others without any rest night and day not only for some daies but weeks also, and in the interim are scarce yet tired, but are wonderfully recreated and refresht, and unless they do so they are very much hurt; whence when they take meat by compulsion, or being opprest with sleep they are forced a little while to cease from dancing, yet they do no waies obstain from the Agitation of their Body, and presently again laying hold on any body they sol­licite them to dance; and that so long till at last their strength being wholly overthrown and feet bruised, comming to themselves again they feel an exceeding weakness, from which they can hardly be restored and made up again; an example of which I when I was a young man saw in a Woman here at Basil dancing thus a whol months space in a publique place for whom the Magistrate suborned certain persons, strong men, that should dance with her by turnes, seeing one was no waies able; and many writers do testefie, that it hath somtimes happen'd, and the common people also is wont to imprecate this as a known evil: and some Arabians have called it the dancing disposition of the Limbs, and would have it to be a Species of Convulsi­on when yet here is no Convulsion of the Limbs, but the Mind Alienated is carried and forced into this mad­ness and perverse appetite, as also in other Species of Melancholly and Madness they are possest with a desire of other things. which after another manner appear also too horrible; as even now we said those who are bitten by a mad Dog are rather tormented with the fear of water, as according to the nature of the venenate cause these different accidents proceeds, as we shall say in the Causes: if so be that this inordinate dancing also do not proceed from the Devil, and befall men by way of punishment by Gods permission, because they have offended by dancing.

A Phrensie is a Dotage, Dotage. in which equally as in Madness, the Mind is wholly Alienated, yet more or less as the affect is great, the which also they make known after the same manner by words and deeds, now sporting it more pleasingly with Laughter, Jests and Trifles, now raving Angrily with Scoldings, Clamors, Blasphemies and desiring also to do hurt as the Maniacal: to whom this happens pecu­liarly, that because they think, that Flies, Locks of Wooll. Straws are before their Eyes, and divers appa­ritions do appear from their false Imagination, they endeavor to hunt them, pull them, gather them, drive them away.

But besides these like faults of the Mind which are common to them with the Maniacal there is a compa­nion another grievous hot Disease, A Phrensie is a Species of Dotage. especially a Feaver to which if a Dotage be presently coupled at the first invasion, A bastard Phren­sie is another Spe­cies of Dotage. this affect is called a Phrensie; if that come after the Fea­ver hath lasted a little while, and a pain of the Head also went before, about the state especially if the Feaver be continual; or if it come first at the beginning of the fit, or in the vigor, if the Feaver be intermitting then it is designed by the name of a Bastard Phrensie.

Therefore together with a Dotage which is somtimes very grievous somtimes more milde, as was said, the Symptoms also of a continual Feaver do concur, more vehement or gentler also as the feaverish heat offers it self greater or more pleasing, as are by Reason of the heat of the heart a swift pulse quick breathing and somtimes drawn with sighs by long intervals, faintings away, and by reason of the Natural parts enflamed, thirst, driness of the Tongue but especially by reason of the Brain over heated besides a Delirium, Watchings, Dreams, Suffusions, Vertigoes, which if the Brain be more vehemently inflamed, do present themselves more and more grievous, as shall be said in the Causes.

The Causes.

The Cause of every Alienation of Mind, is one Pre­ternatural proceeding from an evil Spirit, the other Natural, a certain affect so affecting the Brain the seat of Reason, by it self if the Cause lie hid in that, or by consent if it be else where that the Functions of the Mind are rather depraved then impaired; but there is somtimes aquality working by an occult propriety, which doth it, the which seeing we are not able to ex­plain, from the effect we will call one the drunken ver­tue, the other the poysonous: but otherwise it will be some Disease to wit a certain distemper of the Brain, of which sort is that abstruse and unknown one, whose high efficacy is sufficiently known by this, that it vehe­mently disturbs the Mind, but seeing that makes an evil of long continuance, and yet in the interim the sick do no waies lie by it, when nevertheless other manifest distempers of the Brain if they continue long, are very dangerous for hurting the Brain; certainly it is very difficult to be explained which we do certainly find that this comes to pass by reason of the Spirits of the Bain which are every where implanted in it, and connate and bound up to the substance of it, do call a to great Agitation and Confusion of the Spirits of the Brain and the other Species we would rather call a per­turbation of them, or a mixture of them with a strange matter, then feigne such a distemper, which cannot cause that, as they write of the cold one: but a manifest distemper of the Brain, also inducing a dangerous Dis­ease, may likewise cause it; of which sort is a vehe­ment hot one, especially if it be joyned with a Tumor: and also a fault in conformation; also some speck or putrefaction found in the Brain, all which how they do Alienate the Mind, we shall express in order.

An Evil Spirit the Devil, because he is the enemy of mankind, An Evil Spirit the Cause of those possessed. doth not only continually infest the Mind, the most ezcellent and as it were the divine Function of Man, and so trouble them, that acting many things evilly against the divine Law he leads them into sin; but also exagi­tating, bewitching with his Arts doth oftentimes induce a grievous Melancholy, or a Diabolical. Madness, or altogether entring the Body, makes them called the possessed and Daemeniacal the which to dispute or enquire how it is done, is not our intent, (although Matthiolus that he might refer all these kind of Madnesses to black Choler, affirms that the Cacodaemons do this by Media­tion of that Humor, in which he saith they have their residence) this surely is certain, that there were such also in old time, as divers Histories Sacred and Pro­phane do testifie, as also we can no waies deny but that they may be found in our Age too.

The Drunken Disposition so called be­cause it assailes the Head, The Temulent quality caused by Drunkenness. arising from the propriety of certain things, pro­duceth an Alienation of the Mind, which they call Drunkenness or Te­mulency, this proceeds from those things, which accor­ding to the diversity of Natures, and as they are used [Page 30]can induce Sleep and Stupidity and for that reason also are called Narcoticks.

Some of which taken inward do it, as Wine more commonly then the rest, because it is ordinary Drink, which causeth this species of Temulency called Drunken­ness if it be drank too immoderate or strongly, yet not so far as to cause a perfect stupidity; and that for this cause, because by its propriety it lightly obscuring the Senses (whence is the beginning of Stupidity) amongst which the memory for the most part is wont first to fail, by producing a certain oblivion of griefes and labours, it brings a foolish joy and that effusion which happens with reason from Wine yet moderately taken; its heat moreover helping, by which at once heating and infla­ming the spirits it doth to much exagitate the actions; which happens more powerfully from distilled Wine, because its concenterd Vertue, and heat is greater, upon which account Country Fellows are wont to drink it in the morning, that afterwards they may be more chearful to perform their services. This also the Juyces of some other Plants will do, if those Plants be eaten, or their Juyce prest forth be given or extracted by Decoction; as are Hops from which Beer takes its Vertue of foxing, and flies if they drink of it do dye taken with stupidity, Hemp also, whose Pou­der if it be given with Wine, doth fox the sooner; the seed of Darnel and Gith perhaps the false Nigella in Bread, which faults of Corn if they abound, the Bread made of these makes Men sleepy, and by continual use hurts ma­ny every where, the which notwithstanding they do not observe: and such is that Plant, or rather the seed of it, a sort of Millet called Avate of which the Indians make an intoxicating Drink called Caou-in; but also other Narcoticks may do it, especially if they be used mixt with things very hot, both Vertues then acting, as was said even now of Wine as if Henbane seed be boiled in Beer as some are wont to do, it foxeth sooner and vehe­mently; if the Bark of Mandrake be boiled in Wine till it look red; if Opium be drank with the strongest wine; as Bellonius relates Turks do drink without any harm O­pium half a dram with Wine when they go forth to bat­tel, that being more bold and furious they may less fear danger; as also Dioscorides writes that Hemlock taken with Wine doth work more effectual and kill the sooner; yet all which as we have said formerly of wine do more or less make mad, according to the variety of Tempera­ments: as also I have observed, that a weakness of the Brain may be the cause that they are sooner affected, in him who by reason of a fall had a peice of his Skull ta­ken out, and therefore was quickly drunk.

Some things applied to the Head can do the same as Rondeletius witnesseth bringing an Example of him, who whenas he had applied Henbane leaves to his Head to procure sleep, became mad.

By Inspiration also drawing in the fume of Henbane of Peru, which they cal Petum or Tobacco, sucking it through their mouthand Nose, or as the English call it drinking it who for the voiding of Flegm, and also to induce Mirth do highly esteem the accustomary use of it, that men are made like to Drunkards, and loose all Appetite of eating and drinking and so can suffer Hunger a long time, those that have writ of it, and tried the same, do witness. The which also happens as Matthiolus shews if the root of the greater Nightshade, which they cal deadly be infused in wine, & the Infusion given that hunger & thirst do cease; til by taking of Vinegar that fault is corrected but Sleep coming doth cure them both, as also in others.

A poysonous Quality entring the Body from without, A poysonous Qua­lity the cause of Madness. or proceeding from things taken in (for concerning that which is raised intrinsecally in the humors, shall be spoke off in a Melancholly humor) from some poysons which hurt rather by Alienating the Minde then any other way, as the effects and hurts of Poysons are Various, may also disturbe the Mind; of which sort Dioscorides proposeth many things which can do it ra­ther by a poysenous then narcotick quality and we pur­posely omit them when as they are rare with us: a­mongst which also Pliny thought, that menstruous blood devoured, was able to make Mad both Men and Dogs.

As also we oftentimes find by experience that from biting of Creatures turned Mad, the Poyson entring mans Body by the Spittle, the like Madness doth befal them, especially from Dogs, which do easier become Mad then other Creatures, to wit, about the heat of the Dog daies, so called for this Reason; or also about the grea­test cold as Dioscorides will have it; and they are known by this, that they loath meat, send forth a foam, hang down their tail, and fly upon those also which before they loved, and bite them: whose biting though at first it bring no greater discommodity then the wound and pain, yet if it be neglected, somtimes the first fortieth day, somtimes sooner, somtimes after six months or a year, it induceth that Hydrophobite and Madness won­derfully changing the Mind of a man, as was said for­merly, and converting it into doggish manners. In which there is so great vertue of Poyson, that some amongst whom Avicen is one, have dared to testifie for truth, that some have pist forth Whelps or some flesh like to them: and Dioscorides proves by the Testimony of one that this evil hath layen hid for seven years, and then first of all broke forth; and Matthiolus writes that the touching of certain woods especially the Dog-tree and the Bloody-rod, will occasion that this Madness do sooner appear: and Dioscorides also hath delivered, that by the Conversation only with one infected, a certain man contracted the like affect; and Galen teacheth that the spittle of Mad Dogs, if it touch the naked parts of the Body, is able to make Men Mad, all one as if they were bitten.

Which things as they do more commonly happen from Mad Dogs because they live with men in great plenty and more familiarly then other Creatures, so al­so they witness that they happen from Wolfes run Mad and I have twice observed a dreadful and deadly Mad­ness proceeding thence, and doubtless as Aristotle hath write the same from the bitings of other Mad Creatures as of the Camel and Horse, and Avicen of the Mule so also the same may happen from the bitings of a Fox, a Weasil, a Poulecat, a Ferret whose bitings at other times have somwhat of Poyson in them, Nay of an Ape also, and even of a Man himself now sick of this Mad­ness whose spittle hath put on the Nature of Poy­son.

As it is very likely also that Madness may be raised from the Blood of some Poysenous Beasts as other acci­dents from other Poysons, of which seeing we are destitute in our Countries, and therefore no danger hangs over us from them, tis needless here to speak more.

The too great Agitation or Confusion of the Spirit of the Brain, The Agitation of Spirits the cause of commo­tion of Mind. inducing not only a light or short affection which presently ceaseth, but somtimes an imprinted and permanent affect, is the cause of a commotion of the Mind in those especially which are disposed to it, or who by reason of their cowardize, or weakness of reason, cannot resist affects; but that is done by that Commotion which is done sud­dainly with a certain violence as by Joy, Anger, Fear, [Page 31]or by that which is wont to happen vehement and of long continuance as in Grief, or that which happens long conti­nued and depraved in counterfeit Folly.

Great joy for some thing obtained, especially if it hap­pen unexpectedly, and that to the weaker sort as old Men and Women it begets that foolish species of pertur­bation of the Mind with foolish joy as was said, the spirits being so poured forth with the Blood, that the Face is not only over spread with red, but tears drop forth of their Eyes and all their Members being heated are un­quiet.

Anger for some offence raiseth that furious species of commotion of the Mind the spirits and blood being vehe­mently inflamed, and cast forth with desire of revenge, yet by and by returning again by reason of grief of mind, whence they look so red at first, by and by wax pale and yellow; the which happens more easily to hot­ter and cholerick Natures, and to those who are first heated with Wine, and made sottish, hence then many Causes concurring together, they are as it were mad.

A Fright or grievous Fear especially happning of a sud­dain doth not only astonish the Mind, but if it be so im­printed in the mind, and move, change and confound the whole Body and Spirits, especially in those dispo­sed, that it can either never, or very difficultly be got out of it, it oftentimes induceth a true Melancholy and that most grievous and worst almost then that which hap­pens from an internal Cause, as shall be said by and by, the impression being so made upon the Spirits and Hu­mors, and the Brain it self, that it can hardly be drawn forth, unless the whole Mass of Blood be exhausted, as shall be explained; and this is that species of Melancholy in which as it hath been shewed, they are vext with hor­rid and wicked Temptations, the which species I have often met withal, possessing both Women and Men, not sparing even the younger sort.

But this proceeds either from some horrid Vision ap­pearing either by Dreams or in deed as of some Ghost, or the Carkass of a Man hanged, as in that Maid who behol­ding one hanging upon a Cross without the citty, fell into such a Mnlancholy which ending in Convulsions cau­sed her Death; and a Woman who passing by a Gibbet late, and fearing least being shut out of the, City she should be forced to lie there all Night fell into a long continued Melancholy; another also who by chance be holding the Carkass of a Theefe, who hanged himself in the Prison, whiles he was put into a Barrel to be cast into the River, being astonish't in Mind, miserably re­maining many years Melancholick could scarce any more come to her self: the which also oftentimes pro­ceed from the Imagination only and fear of some Dan­ger of Theeves when they converse alone in Woods, or at night in the dark, in which all things become more dreadful; or they proceed from fear of eternal Judge­ment for some grievous sin committed, as that Concu­bine of the Priests pretended in her grievous Melancholy, because she had brought forth so many Children from an unlawful Bed; which imagination and perswasion conceived from that, even those that do now suffer this affect do retain, and do express by words and very deed such like things which gave them the occasion, as was said in the accidents of Melancholy.

Sadness or vehement Grief lasting long doth also beget a Melancholick Perturbation of the Mind, which also may degenerate into the true one if it take deeper roote and disturb the Spirits, and change the Temperament of the Body; or it induceth a certain Phansie sometimes foo­lish, sometimes maddish, and sometimes desperation as we have described in explaining the kinds.

But this Sadness of Mind proceeds from grief or mour­ning most commonly for some things lost of Money, Honour, or any other thing, as the Death of Children, Parents, Friends, with which the Mind oftentimes is wonderfully tormented and afflicted for a long time; or from Shame and Bashfulness, with which generous minds especially are so troubled for some error commi­ted, that it is plain some have thereby been driven to despair; as they write it happened to Homer, because he could not resolve the Fisher-men their Riddle. Envy also doth so afflict a man, and as they are wont to say gnaw the Heart, that these also become wholly Melan­cholick and by their Face and Gestures express envy all manner of waies, as Ovid sets it forth. Also divers af­fects of the Mind proceeds chiefly from the too great Ap­petite or Concupiscence of some thing honest or dishonest which they perswade themselves will be profitable or honest; as seeing by the immoderate study or Science men oftentimes being too intent, do procure to them­selves a certain Phansie, and those whom ambition and vain glory torments, and who are taken with the love of themselves (Philauty) boastingly, they talk and do many foolish and ridiculous things, which the Comaedi­ans have elegantly shown in the vain glorious Souldier under the persons of Thraso and Pyr, Gopolynices in their Comaedies, or when the desire of revenge not ceasing af­ter anger, being carried into a permanent Hatred, and Enmity, which can scarce any more be blotted out, con­tinually thirsting Revenge, and intent on that, they do nothing rightly, but most things unhappily, being trou­bled in Mind; or carried on the Coveteousness, the love of Riches; they are so madded, that they run headlong in­to many Vices, Sins and enormous Deeds; whether. also that Dotage of the Alchymists ought to be referred­who seeking the Phylosophers stone with so great heat, all though they see they loose their Labour and Cost, and can do nothing, nor know nothing done by others yet they bate not of their unwearied Labour, and led on by continual Hope, no waies ceasing from their Labour, they wast their whole substance; last of all and chiefly that vehement Heat and Concupiscence proceeding from love in both sexes, when they cannot alwaies enjoy it, or not all, 'tis a Cause of that Grief (for every Lover mourns) with which being overcome at last, they are vext and tormented with so many different Passions of the mind, that despairing they think attempt and perform, things ridiculous or weighty and dangerous, as was said in the accidents to which love, sometimes and elegant beauty, sometimes lovely conditions, every one according to his Phansie, for the most part with a blind judgment, sometimes a certain Sympathy and confirmity of man­ners, gave the beginning, occasion, and fomented it.

Counterfeit Folly and long continued, constantly exagitate­ing the spirits depravedly doth cause that by this custom changing Nature, some Fools who for their gullet Belly and profit sake, exercise their Folly before great Men, who delight in the Conversation of Fools, seeing they have fitted and accustomed themselves to this from their Youth, they acquire that Habit in it, which after­wards seeing it can no waies be blotted out, they con­tinue Fools indeed.

A perturbation of the Spirits of the Brain not that which raised from the Affections of the Mind doth too much exagitate and confound them, A perturbation of the Spirits the cause of Melan­choly and Mad­ness, or aflects them with an occult qua­lity of which we have spoken alrea­dy, but that which being raised intrin­secally from some matter mixt with the Spirits doth cloud obscure, darken the animal Spirits which ought to be bright clear lucid and most pure; may induce the said [Page 32] Melancholly and Madness also, if it Act more vehe­mently:

Which matter they cal Melancholick because they think it is black, and they contend that it doth alter the Mind not only by troubling the Spirits, but also by cooling the Brain; seeing they hold this humor is cold and dry, but seeing we have shewed in Sleepiness and Supidtiy that from the coldness of the Brain, whether joyned with moisture or driness its Functions would rather be impaired or abolisht, then intended; this Melancholick matter which we also call Turbulent impure and filthy doth not by cooling, but because tis mixt with the spirits disturbs them, and the Brain in whose substance the Spirits are every where connate, we have proved in Anatomy; and by a certain Malignity which it hath also attained it doth at last imprint that hurt from which follow such enormous, accidents, the which notwithstanding cannot therefore suddainly bring Death, because it is an evil of long continuance. The which matter is either a Melancholick vapor or humor.

A Melancholick filthy Vapor troub­ling the Spirits and affecting the Head breeds that Species of Melancholy which they call Hypochondriacal, A Vapor the Cause of the perterbation of Spirits in Hypo­chondriacal Melan­choly. because they chiefly complain of that place affected; for the cause of this evil lurkes in the parts of the Belly under the Ribes or Hypochondries, which the Arabians call Mirach and from thence denominate this Species mirachal melancholly, and from that part a vapor raised upwards to the Head at a certain time, then when it assails it, it makes this melancholly exert it self. Most men write that the fewel of this is the Spleen because it is the natural seat of melancholly and be­cause they are most troubled in the left side, but others affirm that this matter is contained in the stomach also which doth most possess the left hypochondria, and in its neighboring part: others also place in the Liver and Mesentary and the Veins of that called mesaraicks: which we also affirm is heaped and lies hid in the mesarick Veins not only those that through the mesentery and call, but also the other natural bowels, especially in those places where these branches of the Vena porta being more and greater do tend towards the Spleen and Stomach in the left side, although this mat­ter may be heaped up also in other places, upon which account they feel their pain most commonly in the left side, yet somtimes in the right part of the hypochon­dries and back, where the Spleen and chief bowels lie hid.

But most do give out that the matter lying there, from which this evaporation rising doth affect the mind, to be melancholly blood, which we also can no waies deny, but we deny it to be cold, seeing that burning which the Patient feels in that place where the humor lurks doth sufficiently declare the acrimony and heat of the hu­mor: for as it was said in Feavers that the blood in the Vena cava did cause continual Feavers, but that in the branches of the Vena porta, being more cholerick and excrementitious which is continually heaped up from the meat and drink lately changed into chyle, when it putrifies it doth by its evaporation cause intermitting Feavers; so also it happens in this case, as we shall by and by shew, that as from melancholly blood contained in the branches of the Vena cava the true melancholly is cau­sed, so from that which is accumulated in the branches of the Vena porta and there fils up the Veins in certain places, yet doth not putrefie, but is adust, faeculent, and hath also some malignity; if the vapors of that raised up, keeping the condition of the humor from whence they proceed, do assail the brain they wil cause a melan­cholly returning by course which lasts so long, til they be­ing discust again do grant some ease to the Patient, so long til new vapors arise, which for the most part is e­very day.

And hence it comes to pass that this melancholly other­wise than the true, hath its intermissions, then especially when some excretion of wind chiefly, with which this e­vaporation doth fil the Stomach and Guts, is made by belching; which carries with it a heat by reason of the humor from whence it proceeds, and an acidity by rea­son of the Stomach, in which that a certain acidity is alwaies contained we shal declare in its proper place, or when these vapors which tend upwards are partly emptied by vomiting or partly reveld by Farts and Stools, or when by cold meat yet moderately taken, those heats being mitigated and vapors represt they do a lit­tle ease the evil, as by taking that which is hot and plentiful, that affect by reason of the boyling of those parts and plenty of wind, is exasperated: because the stomach is comprest with these and pained puft up, and together with the Guts makes a murmuring, rumbling and waving the aforesaid windes are so frequent in this affect, that it is called also the windy melancholly and di­vers Excrements thrust thither from the mesaraick Veins are the Causes, by reason of which also they then feel hears in those places where this matter princi­pally lurks, as hath been said: but also these filthy va­pors ascending upwards, because the heart also by the way is oftentimes grieviously affected they complain of a palpitation of the heart, and beating of the Arteries and the Midriff being somwhat hindred of some suffocation: so that scarce any other evil doth so long torment a man as this affect doth, if he lie not down by the Disease, with so many accidents in the hurts of the natural, vital, animal parts infinite of which they continually com­plain.

But the cause and original of this melancholly blood col­lected in the mesaraick veins proceeds from an ill course of Diet long continued, begetting the melancholly juyce, or thick cholerick, whence by degrees a great filth of it is heaped up at length: as in intermitting Fe­vers for the like reason we said that cholerick blood was produced; which may come to pass from all meats of evil juyce, hard concoction, being corrupted, and from those that are hot, rather than from the cold and dry (unless in as much as these being hardly disgested do corrupt also) in which we offend chiefly for gluttony and pleasures sake, whenas they are sweet, salt Fat, Acrid: although most men believe the flesh which is taken from wild Beasts and from solitary or melancholly creatures, as that of Hares, Venison, to be more apt to produce a me­lancholly juyce, as amongst Plants, Colewares, and Lentils; and it gives a great and principal occasion of this evil, if the excretions went to be made at some certaintimes, by which nature was wont to evacuate these things at first collected in the stomach or guts, as loosnesses of the belly or Vomiting be no more; or if this filth being col­lected in the mesaraick Veins, the Hemorrhoids be sup­prest, especially if they did once flow, which somtimes is the chief original of this evil.

The humor producing true melancholly and oftentimes madness is called a me­lanchollick blood such as they think to be either black choler it self, A melancholly humor is the cause of the perturbation of the spirits in melancho­ly and Mad­ness. or that which is faeculent, but we have already said formerly that this matter doth no waies want some malignity and we may by right also call it poysonous seeing it can­not [Page 33]otherwise be rightly explained, as Galen shews l. 6. de loc. affect. that a poysonous matter is generated from seed and blood corrupted; the which its enormous ac­cidents do sufficiently declare, which show themselves in them as if they were struck with poyson especially madness; when notwithstanding there is no other hurt, no manifest disease nor danger of death, and see­ing they suffer these things for many years, oftentimes without any other damage; which certainly can no waies be caused from a cold humor, such as they think the dregs of blood to be, nor from black choler which if it be confounded with the blood is wont to bring the black jaundies and other grievous diseases of the Skin; therefore we should rather recur to a malignant poysonous and occult quality such as we shal often declare is found in many the like pertinacious and horrid diseases, which they thought did spring from black Cho­ler, as hath been said, and in which by reason of their malignity Mathiolus asserted the Cacodaemons had their residence; then teach and allow of those things for true, which are thus believed out of a certain custom and thought it to be seen in that blood let which is black, when notwithstanding congealed blood of its own nature even in the sound is wont to look blackish, and bein kept long, to appear black like pitch and we wil embrace truth rather than Opinions, or we will o­penly confess that we are not able rightly to explain the true cause.

But the blood now mentioned is contained in the branches of the Vena Cava as that which caused a hypo­chondriacal melancholly is in the branches of the Vena por­ta and therefore it raiseth a melancholly or madness perse­vering not invading by courses as the hypochondriacal doth, unless as it hath its exacerbations and remissions, as we said also it came to pass in continual Fevers for the same cause; as hath been explained that by reason of the difference of these Veins, in which the matter of Fevers is contained, for the same reason they become continual or intermitting.

But it is certain that the matter is contained somtimes in the veins of the head only, & other times in the veins of the whol body, especially in the greater, and upon that account doth cause more grievoius or more mild accidents; for as it was declared in continual Fe­vers if the matter putrifie about the heart there is caused a most burning Fever called a Causus, so it fals out here, to wit, that if such matter be contained in the ventricles of the brain, where otherwise the blood of the Veins and Ar­teries confounded together is very hot, a madness or grievous melancholly is raised or if about a more noble part as the Womb the Blood which is wont to abound there and the seed also being retained be corrupted and chan­ged into that poysonous matter as was alleadged formerly by the testimony of Galen; it causeth that madness of the Womb in which they so much desire enormous and bru­tish copulation, as hath been demonstrated by the ex­ample of a Woman who by reason of a long continued sickness of her Husband, by reteining her seed fell into this disease, and coveted copulation with dogs: and by how much the further scituation it hath from a principal part in the lower parts, by so much the more mild melan­cholly ariseth.

All which things must be judged how they are, by the nature of the accidents, and from this that no other external causes went before, as was said of a fright from which a grievous melancholly is commonly caused; ra­ther then by the constitution, which they set forth to be melancholly from the hairs of the body, the color of the Skin, and the habit also from the excrements, seeing these disea­ses may happen not only to people swarthy, lean, and sad by nature, but to all Na [...]tres, all Ages, as I have often ob­served.

But that the cause of it may depend upon a melanchol­ly constitution, which they have contracted to them­selves by nature or by an ill course of living, as was shew­ed in the hypochondriacal, we do no waies deny, seeing melancholly blood being turbid and impure doth the easier acquire malignity; as also we have somtimes found that hypochondriacal melancholly hath passed into the true one, the blood in the Veins being at last infected by the long continued evaporation of heat: and also that me­lancholly which proceeds from the affection of the mind if it fall upon a fit constitution, called the melanchollick it wil have a double cause concurring to excite a true melan­cholly; lastly from the suppression of such excrements which easily pass into this poysonous matter, as from the re­tention especially of the menstruous bleod or seed, as som­times a Suffocation of the Womb doth proceed, so at o­ther times a madness of the Womb as hath been explain­ed.

A hot distemper affecting the brain and its membranes, A hot distemper the cause of dotage, a hot vapor the cause a hot distemper and dotage in a bastard phrensie. for the most part cause that first a pain of the Head and if it be more intense, a dotage, by too much exagitating the functions of the mind; but it grows hot somtimes from a hot vapor which is raised up either from hot meat and drink but unless then there be joyned a Narcotick or madding faculty as was said of Wine, heat alone wil scarce bring a deliration but only a pain of the head: but this is soon­er done from hot humors, blood too much evaporating, especially if it contract some malignity also which is wont presently to make the brain mad, as hath been shewed in the causes of melancholly, which easily happens in blood altered or putrified whether in the Veins or out of them that by corruption it acquires some malignity, from that therefore the like vapor being carried up to the brain it breeds a bastard phrensie so called, in many dis­eases generated from such like humors, whose symptom it is.

So somtimes a dotage is wont to follow, a hot expira­tion raised foom blood in diseases generated from inflam­ed blood, as in diary Feavers, a sinochis and internal in­flammations, which is known to proced from thence by the disease accompanying it: also from humors putrify­ing and so getting a preternatural heat a dotage doth somtimes invade all putrid Feavers at what time chiefly the hot expiration doth very much assail the head, as in intermitting Feavers oftentimes at the beginning, otherwise about the State, and then also chiefly in con­tinual Feavers; the heat of the brain helping, which by reason of the Fever together with all the parts of the body is heated also; for the same reason also Children do oftentimes Rave, by reason of Worms when they putrifie a Fever for the most part coming upon it. Chol­ler poured forth into the Stomach sending also a hot evapo­ration to the brain, because it is acrid and subtile, doth rather cause a pain and a Vertigo than a dotage as shall be said in its place.

Also Blood made too hot and especi­ally too thin contained in the ventricles and Vessels of the Brain, An hot Humor it the Cause of a hot Distemper and D [...]tage in a bastard Phren­sit. inflaming the brain not only by a vapor but also by its proper substance induceth a bastard Phrensie; as it somtimes comes to pass, when by a blow, or Fall, or in Fea­vers it flows thither.

[Page 35]But if that it be carried out of the Vessels and poured upon the brain and its membranes, An Inflammation is the cause of a hot di­stemper or Dotage in a Phrensie, it breeds an Inflammation or Erysipelas ac­cording as the Blood is, then it causeth a true Phrensie which also is called a Syriasis especially if it befal Children whose ex­ternal and violent Cause may be that which shatters or hurts the Head, or the internal, a Fulness of Blood and in­flammation of it whence a synochus Feaver arising, pour­ing forth a portion of its hotter blood into this princi­pal patr, which before did very much abound with blood it makes this grievous Disease, whose Companion is a continual Feaver as hath been declared in Feavers: differ­ing therefore from a bastard Phrensie, because the feaver in that goes before the Dotage but in a Phrensie they both in­vade together; by which signe also tis chiefly known.

An evil Conformation of the Brain, as if it be too big, or little, or otherwise be not rightly formed for the most part creates the said Foolishness bred in some from their Birth, whenas this proceeds from implanted Causes, as from the seed of the Parents, who either were Fools themselves, or their seed had contracted some fault; and tis easily known by this that they were Fools from their Birth, because the Head answers the unshapen Brain in Greatness or Smaleness or Deformity; An evil Conforma­tion, the Cause of Folly. which fault if it reach to the Nerves also and other parts tis no wonder that these are somtimes born as we have described, either deaf or dum or crooked, or or otherwise faulty; the which certainly is the chief Cause of Original Folly, as somtimes this appa­rent Deformity of theirs doth shew, somtimes tis not discovered but by opening after Death.

So also we do not deny that this may happen from an evil Distem­per of the Brain, Distemper the cause of Foolishness. the which notwith­standing seeing it cannot be righ­tly explained, nor corrected, is no further to be enqui­red into.

It hath been somtimes found out, that a certain black speck in the brain or mem­branes discovered by Dissection, A speck in the brain the cause of Madness. hath been the Cause of Madness, as some­times also Putrefaction bred in some part of the Membranes of the brain, Putrefaction in the Brain the Cause of Madness. from which tis likely that filthy Va­pors being continually raised did trouble the Spirits, which some also have delivered may happen from Worms generated in the Brain; Worms in the Brain the Cause of Mad­ness. which hidden faults seeing they are first manifested after Death by opening the Skull, we can hardly conjecture what they are while the Man lives, unless in General, from this, because o­ther signs are wanting here which should demonstrate other Causes.

The Cure.

In the Cure the Causes must be distinguisht, and the Remedies fitted to them; which we said were either a malignant Spirit, or a drunken or poysonous Quality; an a­gitation or perturbation of the Spirits, a bot Distemper and some faults of the Brain.

The preternatural Cause proceeding from the Divel as it doth no waies be­long to the Physitian, The Cure of those possest with the Divel. so neither the Cure; for the Divel is forcibly ex­pel'd by the Prayers of Divines and godly people in the Name of Jesus; as Christ cast forth Divels and gave his Disciples that Power; but also the Divel somtimes feining himself of his own accord to be put to flight by certain Words and Ceremonies of men, doth delude Mortals.

If Drunkenness arise from Wine and other inebriating things as hath been said, The Cure of Drun­kenness from a te­mulent quality. after some hours the Vapors being discust, especially by the in­tervention of sleep, they come to themselves of their own accord; and if Vomiting follow it, it is good, up­on which account Avicen thought it good to be drunk once a month.

But if they continue this Course of life, the Nerves being weakned by reason of their frequent stupidity, which is discovered by this even then to come to pass, if presently after that they have not yet drank immodera­tely, they begin to stutter and stumble; they become Tremulous, Paralytical, Gouty, Hydropical, as shall be said in those places.

Therefore that they may have a Care of themselves they are to be admonisht from Drunkenuess and to be frighted by declaring the Danger of it; and if they can­not refrain some have delivered that this may be effect­ed, that they shall wholly loath Wine, by strangling an Eele in Wine, or a Frog or the barbel Fish, or the Rot­chet Fish being putrefied in it, or the Sea Grape, and that Wine afterwards being drunk off.

But if sometimes a Necessity of drinking and con­tending in Cups do urge, as this is brought into use as a Civil thing at Banquets to the great hurt of mankind, for prevention it hath been observed that these things following being taken before do prevent Drunkenness or at least wise make it more gentle.

Five or fix bitter Almonds eaten before meat.

Wormwood also, whose Wine notwithstanding the Swil­lers do use rather the day after a Fox, that they may cor­rect their Stomach offended with Choller, (whenas to contemperate that they fil themselves with drink again) from whence these Verses.

If thou be hurt by drinking over night
Rise early to't this Medicine is full right.

Rue because it makes the Cup safe, as the Verse sounds, is commended for this use, which I think is rather said so, because it preserves from Poyson.

Coleworts taken at meat hinder Drunkenness, and so doth its Seed.

If one drink Milk fasting, he shall be safe that day.

Pliny teacheth that the Lungs of Creatures roasted eaten and do keep of Drunkenness other express by Name the Lungs of Sheep.

One writes that the pouder of Swallows burnt being ta­ken, will not suffer one to be drunk to Aeternity.

A pouder hindring Drunkenness may be made thus, of which give one spoonful with Austere Wine. Take of the seeds of Coleworts one dram, Coriander half a dram, Camphire two grains: make a pouder.

A more Compounded one may be made thus, of which give one spoonful or two drams with Wine of Pomegra­nates, or with some other acid, stiptick, or with cold Water, or with Sugar let it be reduced into the form of Lozenges, Take of the seeds of coleworts one dram, of Plantane, Purslane, Bar-berries each half a dram, Coriander prepared two drams, flowers of red roses, water-lillies, red Sanders each half a dram, Mastich, Amber each one scruple, burnt Ivory one scruple, salt half a scruple, Camphire six grains: make a pouder.

This may be used in the form of an Electuary, and gi­ven before drinking, Take of conserve of Roses, the Rob, of Currance and Barberries each half an ounce, bitter Al­monds branched and bruised twelve seeds, of Coleworts one [Page 34]dram, red Roses one dram, Syrup of Slots as much as is suf­ficient make an Electuary.

An elegant Syrup of which one ounce ought to be taken before they drink Wine, Take of the juyce of white Cole­worts, sour Pomegranates, Currance each two ounces, Vinegar one ounce; boilthem together for your use.

They are less foxed who drink larest not till their sto­mach is well filled with Victuals; but they quickly who hasten to drink Wine fasting, or presently at the begin­ning of a Meal.

Outwardly Ivy applied to the Head like a Garland or the Juyce of it moved to the Head keeps off Drunken­ness.

Also the wearing of an Amethyst ston [...] is beleeved can do the like.

But to cure those that are already drunk, that the wine may do them the less hurt, Vomiting doth very much help; or if you give them acid things presently at the end of the Meal, or the sooner the better, and let them be taken plentifully, because as it was said in Narcoticks they weaken the efficacy of the Wine, of which sort are these following.

Frumenty of Milk and Barley flower with Vinegar also sour Milk as it is wont to concrete.

Sour Apples eaten, also acid Peaches and their juyce as also Quinces.

The Heads of Coleworts condite, and Rapes till they grow acid, as our Country men are wont to prepare them, do very much help.

Vinegar drank diluted with water, or taken by it self in a good quantity, is an Antidote against Drunkenness, with which a certain eminent Foxer, for a long time being dayly drunk, was wont to guard himself, that he might take no hurt by it.

Besides these, Lettice, Mint, Wormwood, Myrtle-berries being eaten, or the Juyce [...] of them taken do keep off Drunkenness.

The distilled water of Saffron flowers being drunk doth the same.

The smell of Camphyre and Saunders likewise do good,

Also Oxyrrhodines applied to the Head.

And if the Cods be moistned with Vinegar or cold water.

All which doubtless will do good not only in that te­mulency which is contracted by Wine, but also in that which proceeds from the like inebriating things, as hath been said, as also we have said that Narcoticks for the same reason are corrected by acid things; and for the taking of mad Nightshade we have shewed that Vinegar is a Re­medy,

But what things besides these mentioned, do by a cer­tain propriety resist some as wel Narcoticks as others, shall be explained in their place.

Melancholly or Madness arising from Poyson either taken in, The Cure of Hy­drophoby from the biting of a mad dog. or by a bite or blow entring the Body, that Madness only which is caused by the biting of a mad Dog is here pro­pounded, whenas the other species are rarely existent because the Cause is rare, neither is there any other cure applied to them, then what is due also to other Poy­son.

In the biting therefore of a mad Dog or Wolf (for they differ not in the Cure) although it be a very dangerous affect, yet Remedies being suddainly applied very ma­ny are healed; but after the evil hath so far gathered strength, that they now are afraid of the Water, they are very hardly restored, as Dioscorides mentions and most of them die; in which notwithstanding some hopes of recovery is conceived by this signe, if looking upon a looking Glass or the Water, in which the image of a Dog is represented to them, as hath been said, they take notice that it is an error, and that they are deceived, or that not appearing they acknowledg their own figure offering it self.

Presently therefore the wound made by a bite must be di­lated and the Lips of the wound must be scarified that the Blood may flow very well, and with Cupping glasses ap­plied with much fire or with Leeches if they be at hand, the strength of the Poyson must be drawn forth, because though the wound be great and large, which by reason of the plenty of blood flowing forth, with which part of the virulent spittle is exhausted, is better then if it were small and narrow, nevertheless it must be done, and the flesh torn and cut round about with a Pen-knife must be cut off.

Burning also made with an actual Cautery seeing the fire doth tame Poyson and suffer it not to go further, is a most ready Remedy: and we must have a Care that the escar falling off, the wound be not cicatrized, before the fortieth day or till after that time, and that either by a septick or corroding Medicine such as is precipitate the which also we may use at first if he will not endure bur­ning instead of that, or else burning must be repeated; and we must take Care that the wound be rather sordid and ill disposed, then clean, and that it be not closed up, by applying those things, which besides that they do at­tract Poyson, may also suppurate the flesh.

Which may be done, if grains of Whea [...] chewed or ba­ked be applied to the wound, because they suppurate and dilate the wound, and when they are chewed by rea­son of the spittle they help also by a propriety.

An Onion, wild Garlick and Rue bruised together, and made up with Honey and Salt do egregiously attract Poyson, and the more if Treacle also be mixt with them to which Dioscorides adds the Cyrenaick juyce.

If a fourth part of Opoponax and a sixth of Vinegar be ad­ded to Brutian pitch, or instead of it you may take the common, it will make an attractive Plaister most effectual for these things as Galen teacheth.

The salted flesh of the Fish Smaris and Omotaricbus ap­plied and other salt things do good; also the sauce of all salt Fish applied for Fomentation.

Sour Docks, pounded, stinking Horehound, Fennel Roots, Rue, Angelica Roots, Laser, Herculean Panax, bruised with Honey and Salt do the same.

Such Remedies also must be given presently to drink as may by a propriety overcome the force of this poy­son, such as are made of the true River Crab called Car­cinus, which Diascorides and Galen have much approved; instead of which Rondeletius takes the sea Crab, and that found in the standing Pool by the Sea of Monspessulus; and we perhaps may take with equal success our River Crab since that also resists poysons.

But these Antidotes must be prepared after this man­ner, Take of the ashes of the true River Crab burnt in the prunings of the white Vine and poudered two parts, the roots of Gentian most finely poudered, one part, mix them, give two spoonefuls with clear wine for four daies after which give the trebble weight, Diosco [...]ide [...] doth witness that this one thing hath benefited many, and Damocrates be­fore Dioscorides described this Antidote in Verse, and Ga­len so commends it, that he testifies no man died that used it.

Galen also prepares and gives the pouder of the simple ashes the Crabs being burnt alive in a copper Dish.

Or he gives it Compounded thus, which he relates he had from his Master Aeschion the Emp [...]rick, and he highly commends it, Take of the ashes of tiver Crabs burnt ten parts, the Roots of Gentian five parts, Frankincense one part, instead of which the Ancients added Rosin of the Turpen­tine [Page 36]tree, make a pouder, give every day the measure of a great spoonful sprinkled in water for forty daies, or if the Physitian come late let him give two spoonfuls at a time.

There are who prepare this Medicine thus. Take of the ashes of Crabs parts two, Gentian roots part one and an half, Myrrh part one, make a pouder.

Besides these Antidotes Dioscorides and Galen do mag­nifie the Liver of a mad Dog roasted and given.

Also the blood and urine of a Dog, as also the Runnet of a Hare, Fox, or Goat.

Galen's Dry Alysson given forty daies together in Hydromel, he testifies is Archigenes Effectual Reme­dy.

Aetius teacheth that Iudiack Bitumen one dram, drank with Water doth cure this affect.

The roots of Swallow-wort drank one dram and an half weight, with the Water of Blessed Thistle for forty daies, is Mathiolus Remedy. Star-vervain also is good, and the bark of Wild fig tree, drank with water, also the root of Vipers grass or the juyce of it, as also the root of Angelico with Niter.

Also Honey of Roses drank saith Dioscorides,

Mithridate and Treacle, as they are adverse to all poy­sons, so to this also.

But those things which profit both taken and applied, are as follow.

The Sea-horse wrought with Honey and Vinegar.

Balm, Mugwort, Wormwood, Centory, round Birthwort, Germander, Pennyroyal, the root of roundish leav'd Dock, shard Dock and Bryony.

For matter of Diet, 'tis good if they eat Garlick, Leeks Onions, also the true River Crabs, season their meat with Spices, drink pure and sweet Wine. Avicen commands to drink Irond, or steeled water, also Milk Curds which moves to stool, and tames poyson,

In the first place drinking of water which they so much fear, doth cure the Hydrcphobous, wherefore they must be deceived by al means that they may drink it through a long pipe, or by some other sleight and not behold it, for which cause they advised to boyl back Vetches in it which also resist poyson, that so the water being made more darkish to him to behold it, it may repre­sent no Image which may strike fear into them, and al­so that they may be made very thirsty a young Dogs runnet is given to drink with Vinegar for then Aetius writes that they are taken with a desire of water, and he highly commends it.

Avicen teacheth that the provocation of urin, so far and with such strong medicines that they piss blood too, doth very much help, who as it hath been said, thought that puppy Dogs or somwhat like them hath been voi­ded by urine.

And for this cause commends the use of Cantharides, which may more rightly be given thus, Take of Can­tharides breaking off their tender wings one dram, Lentiles clensed half a dram, Spike, Cloves, Saffron, of each half a dram; give halfia scruple with Wine to them fast­ing for three or fou [...]daies til they void blood.

Sharp Dock if it be given to drink causeth a plentifull and turbulent pissing with which plant alone given, if also the wound be fomented with the Decoction of it and be anointed with the juyce of it, a certain man did perfectly cure those bitten with a mad Dog, as Avicen tea­ches.

Dioscorides teacheth that the provoking of sweat before and after meat doth good.

The same writes that Evacuations by the Belly do also bring great help, if it be caused by Hiera of Coloquintida or by Hellebore whose quality he thinks is so great that it will cure almost the desperate, the which also may be done by other purgers chiefly destined to melancholick Hu­mors.

Dioscorides also useth Dropacismes, Sinapismes over the whole Body as some also do allow of Cauteries applied to the hinder part of the Head and behind the Ears.

Amongst Amulets a Tooth drawn from the Dog that bit and tied to the Arm also Hares pul'd from the same Dog and laid on the wound are thought to do much.

They write that in some places the Priests do cure this evil with exorcismes which seeing they are things preternatural, we leave them.

A perturbation or commotion of the Mind conceived from a vehement or long continued affect of the Mind somtimes ceason of its own accord, somtimes hardly gives way, oftentimes can never be corrected: for profuse joy easily vanisheth, The Cure of com­motion of Mind from agitation of the Spirits. anger also is a short Madness especially in those, who presently grow hot and look red but suddainly again abate, who then are wont almost to be sor­ry that they were angry; Sadness from grief of Mind ceaseth with time, seeing there is no grief as Cicero saith, which the length of time doth not either change or di­minish, envy conceived is hardly blotted out; ambition in some, and coveteousness especially in the aged once imprinted in their Minds, can scarce be rooted out; all which notwithstanding do not so much make men mad as Love doth in which although there seem to be onely a light Alienation of the mind at first, yet if it take deeper Root, it doth so disturb it that somtimes it drives men to true madness and dispair: a true and persevering melan­choly arising from fright is more pertinacious then al the rest, and hard to be cured, oftimes tormenting and con­suming a man for many years and at length making them desperate; and also we cannot correct that Folly contracted by custom,

Yet the Cure must not be neglected, if the evil perse­vere, and there be hurt or Danger, which may be done,

First of all by taking away the Cause and the occasions from which these proceed, if they being still present do foment or increase the affect; as in anger by turning a­way that which offends, in sadness that which troubles, and so of the rest; but chiefly the principal Remedy of Love is to remove the object and sting of it, speedily a far off and a long time which the vulgar intimate by this Proverb, out of sight, out of mind; and what is wont to be said is good in the Plague quickly, a far off, slowly, here also is the principal Rule of Cure.

Oftentimes the affections of the mind are mitigated or driven away by Counsel, Admonition, Perswasion, by pro­pounding according as the mind is affected that it is nothing or of no moment, then by explaining the Dis­comodities that follow from thence, somtimes the of­fence to God, and comforting them with the hopes of changing the present life for a future that is better and not far off: the which if they avail not, by severely threatning also Gods displeasure and the punishment of Hell, by reproving them, and chastising them also with stripes if they obey not, til those things which they love be loathsome to them, as Gordonius writes.

But principally in some passions of the mind it brings a great deal of help, to move the affections of the Mind which are contrary to this affect that troubles, and so to bring them into a contrary passion, seeing they do bring them to a mean, as contraries are wont to be cu­red by contraries, and so those things are taken away which otherwise would not give place; thus those lif­ted up with too much joy, if they hear ill News, do presen­tly abate; and those that are sad are refreshed with unex­pected [Page 37]and vehement gladness; so the angry are mitigated if they be frighted, if those frighted be stirred up to anger they are freed; those that hate vehemently are reconci­led being moved with mercy; and those that are opprest with grievous Love if they can be driven to hate the per­son which they Love, they are most certainly freed, whether they may somtimes be brought, if they hear dishonest and filthy things of her, which are either in­vented or true, but blind Lovers see them not, but espe­cially in generous minds, if they think themselves de­spised by their Love and suffer a repulse (for nothing fosters love equally as reciprocal love, and nothing is more deer than to be beloved again) presently in­dignation follows which persevering, unless it be ex­tinguisht by some false and extorted tear, breeds ha­tred: hither also is referd the vehement intention of the mind upon some other things which is wont to put out that conceived before, or at least waies to diminsh it, whence the Poet saith, Shun Idleness and Cupids darts are lost, and if the apprehension be divided into two or three affects though the same, it comes to pass that being divided or dispersed 'tis less strong than if it were united; for the sense intent on many things is less able for each particular whence Ovid reckon'd it amongst the Remedies of love for one man to have two Mistresses.

But what chiefly concerns the operation of the Phy­sitian, in sudden and vehement passions of the mind, he must diligently observe the commotion of the spirits and humors, which in some affects are moved from the Center to the su­perficies, in others on the contrary, and must reduce them by a contrary motion to the seat destined for them; but we call forth those which do as it were oppress the heart in frights and sadness with frictions and pleasant exercises and especi­ally with those that are proper, & with a bath; and again those which are poured forth with Anger, Joy, we repell again to the inward parts, not only by a contrary affect of mind as hath been said, but also by sprinkling of cold water and bleeding, the which notwithstanding ought not to be done in the very madness, but a little after.

But in persevering passions of the mind and those that al­ready change the body according to the constitution of the body, and redundancy of the humors viz. of a ple­nitude or Cacochymie, we wil order the evacuations and alterations both for the cure and preservation if they be dis­posed to these or those affects; and if a true Melancholly or maddess do follow thence, as hath been said doth chiefly happen from a fright, the cure must be perfected after the same manner as shall be explained there.

If a melanchollick, thick, burning and malignant blood contained in the mesaraick veins as hath been said, by its vapor do produce the said hypochondriacal melancholly, al­though it be milder because 'tis somtimes mitigated or ceaseth, than the true one seems to be, yet it is also very grievous, both because it doth not only dlsturb the mind but also induceth so many other affects offering them­selves especially about the natural parts, as hath been ex­pounded; and because tis an evil so pertinacious & last­ing, and so hardly admitting of cure, and that therefore, because the matter of it lying hid in the mesaraick veins and being ever and anon new, increased from the ex­crements of things taken continually heaped up, and cannot be drawn forth by drawing of blood unless this be done by the hemoroidal veins, nor doth easily give way to purgers, as also we have demonstrated in Feavers that the cause of continuance of a quartan Ague doth happen by occasion of this place, & almost the like matter, into which also this affect is often changed, if putrifaction invade the blood, or otherwise it breeds obstructions and tumors of the neighboring bowels, the Spleen, Li­ver, and of their veins, and sometimes by its vapor in­fecting the mass of blood in the rest of the body, it is converted into the true and persevering melancholly.

The scope of curing consists in this, that that melanchol­lick matter contained in the mesaraick veins, be emptied either by bleeding, or by calling it forth to the stomach and Guts, by vomit, and stool, with those things which o­pen obstructions and solicit nature to excretion, than by preventing that new matter be not generated again, by ordering a good concoction; and by diverting the vapors that they be not carried upwards, and disturb the head especially, and create trouble also to the heart; and by strengthening these principal parts, and providing for the sto­mach, Liver, Spleen, that they be not hurt.

Taking away of blood would be very convenient, if it could be done from the branches of the Vena porta, which seeing they can be opened no where unless about the Arse, or the mouths belonging to the Stomach and Guts, and this unless nature do it of her own accord, 'tis dangerous to attempt otherwise with medicines which must be highly acrid, as Coloquintida (unless things ve­hemently bitter could do it as Aloes which is wont to open the veins, and is convenient here also as shall be said) nothing wil be more excellent than to open the Hemorrhoids, unless they flow of their own accord, by applying of Leeches or by other applications, and if they swell, and appear, by Section: the which flowing ei­ther of themselves or being opened by force this affect hath been often cured, which before could not be cu­red; also by the courses Women will find very much help, seeing it is a natural evacuation, if being supprest they be provoked, because by these also perhaps the mesaraick veins may exonerate themselves; but to o­pen the other cutaneous veins which are branches of the Vena Cava unless a plenitude perswade it, or that blood al­so be already infected is, otherwise supervacaneous.

A Vomit, especially in those used to it, and the evil be­ing now very far protracted, is very convenient, be­cause the excrements which in those places are conti­nually almost collected at the first concoction, are sud­denly cast forth, and somtimes the matter retained in the mesaraick veins also, by this passage, as was said in intermitting Feavers, or some part of it, especially the chollerick, the which notwithstanding may be ordered with gentler things at first, afterwards if they help not, with stronger in strong bodies.

An irritation and laxation of the belly do revell the va­pors flying upwards, and makes a way for the wind ge­nerated of them, as also from crudities to break forth and it wil do so much the more good, if the belly be bound. This is done by Supositories, and to more be­nefit with Clysters, which seeing they do wholly enter the Guts, they do empty part of the filth from the me­saraick veins also; which if they be cast in every other day or daily, it wil be far safer than to give things too much purging, which they loath at last, and by reason of the long continuance of the disease do scarce endure, and so to draw down the mat [...]er successively from the neighboring parts to the Guts, wherefore they must be often repeated, which are prepared after this manner, of things moist, lenitive, discussing, wind-stimulating, and purging. Take of the leaves of Mallows, Coleworts, Mer­cury or Beets, of each one handful; roots of Oak fern one ounce, Dodder of Time or Vetches, Time, of each two drams; Flowers of Chamomel, Feverfew, Dill, Violets (by reason of the heat) of each one pugil; of Bran one pugil, make a Decoction, and in a decent quantity of that strained, dissolve Honey of Roses one ounce, red Sugar half an ounce, Hiera Picra, two drams, Oyl of Lillies, Chamomel one ounce and an half; a little Salt, make a Clyster; if you would evacuate stronger, in the Decoction add Fumitory and Senna (we omit Hops be­cause [Page 38]they assail the Head) and dissolve Confection of Hamech, or the juyce of Mercury, &c. as shall be explai­ned in the Clysters in Melancholy.

Purging must be used which may drive forth the matter from the Mesaraick Veins and often reiterated by course, the passages being first opened which are wont to be obstructed, and the humor prepared for Evacuation, yet we must have a care of things strongly Heating, Drying, because they increase the Disease, administring them almost after the same manner, as they ought to be used in Quartane Feavers.

It shall be prepared therefore with this Julep taking it for some daies before Purging: Take of Syrup Bizan­tine simple, Endive, of each two ounces; sweet smelling Apples, Dodder of Time, of each half an ounce; the waters of Bugloss, Succory, Fumitory, of each three ounces: Make a Julep, Aromatise it with Pouder of Diarrhodon, or let him take a Lozenge of it afterwards.

Such a Decoction may be given instead of that after the same manner. Take of the Roots of Grass, Aspara­gus, Borrage, of each one ounce; Liquorish half an ounce; Endive, Succory, Maiden-hare, Ceterach, Betony, of each one handful; Flowers of Borrage, Bugloss, Scabious, Ta­marisk, of each one pugil: Rosemary flowers, half a pugil; the four greater cold Seeds, Annis seed of each two drams; Fennel seed one dram: Make a Decoction, and in one pound of it add, of the juyce of Apples boyled away to a third, three ounces: Aromatise it with a little Cinnamon.

Or, Let them use it with Wine if they would open more vehemently, after this manner, with better suc­cess for the most part, because our Wine doth not heat so much, as hath been said elsewhere: Take of the roots of Succory, Grass, of each one ounce; Elecampane (because it makes merry) two drams; Miltwaste, Aspa­ragus, Germander, Fumatory, of each two drams; of the Cordial flowers, of each one dram and an half; Fennel seed one dram: Being bruised, infuse them in common white Wine, or if it be stronge dilute it, let him use it four or five daies in the morne.

Let him be Purged then with a gentle Decoction, for the evil is exasperated by strong Medicines, of which sort this of many is convenient. Take of Senna clensed, Oak ferne, wild Saffron, of each half an ounce; Dodder of Time two drams, Raisons twenty, Prunes ten, fresh Borrage Roots one ounce, Liquorish one ounce, of the Cordial flowers, of each one pugil; Ann is seed half an ounce. Make a Decoction in Water and white Wine; in four ounces of that strained, Dissolve of Catholicon half an ounce, or syrup of Roses solutive one ounce.

Or let him use this following: Take of Catholicon one ounce, Confection Hamech one dram and an half, Syrup of Roses solutive with Rhubarb, infused one ounce with the waters of Bugloss, Fumitory as much as is sufficient, and a little Cinnamon, to Aromatise it.

Purgers must be repeated by course in a long continued Disease, especially if he will not use Clysters, or they must be used successively, that the obstructions being taken away, and Nature constantly solicited may the rather cast off the Excrements to the Guts from the Mesaraick Veins; and that in divers formes of Syrups, Wine, Pills so prepared that they may be kept long for use: before which preparatives ought alwaies to be premised for some daies, or must be mixt together with them in the Compositions of which we will bring these few examples.

A thickned Syrup therefore may be made thus, which he may use every other day or three daies together; and after some few daies repeat it: Take of the Roots of Grass, Succory, of each one ounce; Fennel, Parsly, of each half an ounce; Orrice two drams, fresh Borrage one ounce and an half, Asarabacca two drams, the bark of Capers, Tamarisk, of each half an ounce: the berbs of Fumitory, Hops, Germander, Ground-pine, Milt-wast, Betony, of each one handful; the four Cordial flowers, and of Tama­risk, of each one pugil; Annis seed half an ounce, Fennel seed two drams, Raisons one ounce, Senna two ounces and an half, Oak Fern, wild Saffron, of each one ounce and an half; Dodder of Time half an ounce: Make a Decoction, and in that Strained, infuse Rhubarb two drams, Agarick three drams, Cinnamon one dram, Ginger half a dram; the juyce of Appels thickned three ounces, of Borrage one ounce, Sugar three ounces: Make a Decoction to the thickness of a Syrup: give two ounces, more or less as it shall work, dissolve it in Water, Broth, or Wine.

Matthiolus doth very much commend Syrup of Oak Fern against this affect.

A Wine may be prepared of the same thing dryed and infused, adding Wormwood three drams, Marjoram one dram: But because it corrupts being long kept, let only one half of it be infused, and let him take it for two daies, afterwards when there shall be need again, make a new infusion of the other part.

Pills in this case as in all the like obstructions are most profitable, the which provoke both the Hemrods and Courses: Take of Aloes two drams, Myrrh half a dram (against putrid Humors) Dodder of Time one dram, Roots of Gentian, Asarabacca, of each half a dram; Gum Amo­niack dissolved in Vinegar one scruple (if there be a hardness about the Glandules of the caule and Mesentery, as often­times there is) Parsly seed half a dram, Choice Rhubarb one dram and an half, Spike one scruple. With joyce of Wormwood, Make a Mass, let him take two scruples every other or third day, Mesues Tryphera of Dodder of Time if it be given every other day is a singular remedy in Hypochondriacal Melancholly.

After the use of Purgers let the Patient be strengthened the next day, by using Conserves of the roots of Bugloss, or some such like.

In the interim that the obstructions may be dissol­ved, and the matter be called forth from the Mesaraick Veins to the Guts, remedies must be applied to the whol Belly, because through that, the Mesaraick Veins do enter into the caul and Mesentery

And first make a Fomentation after this manner, with which the Belly may be fomented warm with a Spunge, once a day before taking of meat, or twice in the mor­ning and evening at the first: Take of the Herbs Worm­wood, Southernwood, Feverfew, Time, of each one handful; Flowers of Chamomel, Melilot, Elder, Broom, of each one pugil; Bay berries one ounce and an half, Annis seed two drams, the Bark of Danewort, Roots of Oak ferne, Senna, Dodder of Time, of each three drams; Make a Decoction in equal parts of Water and Wine, adding a little white Wine Vinegar or of Squils, for a Fomeutation.

Instead of a Fomentation, a Bath of sweet water, and other temperate and moisting things is convenient.

After the Fomentation or Bath let the Region of the Sto­mach, Hypochondries and Belly be anointed with such an Oyntment: Take of Oyl of sweet Almonds, Chamomel, Dill, of each one ounce; of bitter Almonds, Elder, Capers, of each six drams; of Orrice, Spik, of each half an ounce; juyce of wormwood one ounce, white Wine Vinegar of Squils one ounce; Boyl them to a Consumption of the juyces, add Gum Ammoniack dissolved in Vinegar one ounce, Asarabacca root one dram, seeds of Gith, Coleworts of each half a dram, Saffron one scruple, Wax as much as is sufficient: Make a Liniment.

Cupping Glasses somtimes applied on the Belly without Scarification, with much flame, do egregiously discuss wind, and call forth the matter.

Rnbefiers also upon that accompt are somtimes ap­plied, [Page 39]amongst which the Plaister of Mustard seed is ve­ry much commended, there are also who do apply Vesicatories. Pication made on the Belly being first anoin­ted with Oyl, is very much approved off in some.

But that matter may not be continually heaped up a new, we must take care by a good Course of Dyet of good juyce, temperate, and no waies windy. Upon which account those things which discuss wind, as Annis seed, Fennel seed, Carawaies, Pepper, Ginger are added to the Meats, yet in that quantity that they do not to much inflame which we must chiefly have a care on for which cause also if they can intermit the use of Wine, Rhazis saith they need no other Medicine, he understanding strong wine, because that which is thin and gentle can no waies hurt especial­ly those that are accustomed to it.

Last of all the Vapors and Wine may be discust by giving a Pouder every other day after Meat or before, the weight of one spoonful, which may be prepared thus, Take of the seeds of Annis half an ounce, Fennel two drams, Carawaies one dram, the Cordial flowers, of each half a dram: Make a Pouder, add of the Tables of Sugar Rosate two ounces.

We must divert the ascent of Vapors with Frictions, Ligatures, and Lotions of the extream Parts rightly applied to their due time.

We must also have a care of the principal parts; the Head, Heart, Stomach, Spleen, Liver, which are at last hurt by the long continuance and Malice of the Disease; by watring, Anointing the Head which is chiefly affected, as shall be said in the true Melancholly; by strengthing also the Heart with Epithems, Bags, which is hurt and palpitates by reason of these Vapors: by comforting the Stomach which belches being troubled with wind, with external and internal Confections that further Concoction, yet not too hot: and by taking care that the Liver and Spleen be not hardend, by external and internal means, as shall be propounded in their faults of this Nature.

A Melancholly blood in the Vena Cava, The Cure of Melan­cholly and Madness, from a Melancholly a Humor troubling the Spirits. such as we have described to be Malignant, abounding ei­ther in the Head or about the greater Veins of the trunk of the Body, or about the Womb in the Blood there, which is the matter of the menstruous Blood and Seed, producing a Me­lancholy or Madness, if it be worse, because it can hardly all be drawn forth as long as there yet remaines some portion of that blood, so long that pertinatious and long continued evil lasts; with which oftentimes they are miserably afflicted, not only for some months but years also somtimes to the end of their life; and if they be Mad, they are kept inclosed in Prisons, never­theless performing the other Vital and Natural acti­ons; unless these be weakend, because when they are troubled in Minde they offend in many things, and because they waist themselves with grief if they have yet any Reason left: therefore we ought not rashly to promise any hopes of recovery, although we have known many Cured as shall be said especially by large Bleeding, and some Mad and Raging from their youth until extream old age, in which they have so come to themselves, that afterwards going about free from their Prison and Bands, they would no more hurt any Body, or provoke them with words; and then also there is better hopes, if they yet act all things moderately, and do things rather laughing then with a sterne look, and are somtimes obedient to those that admonish them, and do admit of Medicines.

The Method and Indication for Cure will be such; that we Evacuate that matter out of the Veins and di­vert it from the more Noble Parts that are hurt by it, from the Brain chiefly and the Heart; for as experi­ence hath taught that other Diseases also generated from a certain Malignant matter are somtimes cured by many Evacuations (as is apparent in the French Pox) so we have seen oftentimes both in Melancholly and Madness proceeding from this Malignant matter that Empericks by many and frequent Evacuations have cured many left off by other Physitians, who were a­fraid to use them, and we our selves have often tried it with happy success, which may be done by divers forms and manners as by drawing blood from the body, or deriving it to other places by Purgations made by stool and by vomiting; then we will correct with things al­tering or changing that distemper or Melancholick constitution in the Blood almost of the whol Body, and in the ptincipal body, and in the principal bowls especially the Brain and Heart, by giving of Medicines and applying outward helps to the Head, Heart, Liver, Spleen, and certain other parts of the Body; also with actual operation by gelding, and hanging on Amulets, in the interim providing for the strength also by a fit course of living which also may correct these faults. Last of all we must have respect unto some other Symptoms which somtimes are supervenient to them, all which how they must be prepared and administred we shall explain in order.

Letting of blood therefore in some great and appar­ent Cutaneous Vein when as it may not only Evacuate the Blood but together with that the matter of this Dis­ease lurking in the Veins, it will be the prime and prin­cipal remedy for the Cure of these affects, if they pro­ceed from this cause; which though very many I know have not taught it, and some also have disallowed it, yet I have known by long observation that innumer­able have been cured by this means, by certain Chy­rurgeons or others who did professedly labor in curing these Diseases, who by opening of a Vein twenty nay fixty times have so restored the perfectly Mad or Me­lancholick, that afterwards they have yet lived in health a long life; who were not Scrupulous in choo­sing some certain Vein but somtimes opend a Vein of the Arm, by and by this or that in the Foot, anon in an­other place without any difference, which kind of re­medy therefore we also ought to use and no waies neg­lect, but with greater care and providence then they who undertake to cure only those who are as it were given over, Methodically premising alwaies washings of the Belly, and Purgations intermixt, as shall be said.

Therfore some Vein of the Arm which is most apparent must be first opened and reiterated; next must be ope­ned a Vein in the Hand especially the Salvatella of the left Hand, privatly for the Spleens sake, with which it is thought to have consent; and also in the Feet the Vein of the Ankle called the Saphaena and the sooner if the Cour­ses flow not right; or that which runs to the great Toe which Empericks do open chiefly in this case, because it is thought to communicate with the Head. Also the Vein of the Forehead, if the Evil do continue, and the Cause be discovered to lie chiefly about the Head, must be opened, and Blood must be provoked from the Nostrils, by thrusting of Bristles, applying of Leeches, and putting up other rough things, also knotted Veins appear in the Thighs or else where seeing they contain a great quantity of this like Melancholick matter thrust thither by nature and there heaped up, they must be opened and the filth must be let out this way, which cannot but profit very much; a Provocation of the Courses if they be not decently purged, or be stopt, wil help much, seeing they may be the cause of this evil [Page 40]as hath been said; also the opening of the Hemor­rhoids, although they be branches of the Vena porta in those that are accustomed to them wil help very much: Hither also may be refer'd Scarifications, made especi­ally in those places where otherwise we ought to open a Vein, as in the Arms and Feet, or somtimes where we are not wont to open a Vein as in the Shoulders, which certainly do not only evacuate the blood, but if Cup­ping-Glasses be applied, they do also egregiously re­vell the matter from the Head, and as I have observed do oftentimes profit much.

Upon which account also are applied, Frictions, Dropaxes, Vesicatories, Cauteries and Cuttings made in the Head, and Trepanning in those that are despe­rate, part of the bone being taken away, and the hole left open for a month.

It is conveninent to Clense the Guts often from their excrements with Suppositories and more rightly with Clysters, which although they do not so much empty the Melancholly matter lurking in the more di­stant veins, as they do in the Hypochondriacal, in which it is neer to the Guts, yet before Bleeding and other Purgations, that they may succeed the better, 'tis safer first of all to bring forth the thicker excrements by Clysters, to which sometimes we must mix those things which are good to evacuate Melancholly, which being continued will effect something also in a cause more difficult.

A more simple one therefore which is most excellent Egregiously stimulating may be made thus, Take of juyces of Mercury or Beets two ounces, Mallows one ounce, common Honey two ounces, let them be dissolved with the fat and salt broth of flesh, and let it be given.

A more Compound one may be made thus which he may use by course, which is Emollient purging and stimulating, Take of the herbs Mallows, Orach, Bleets, Beets or Mercury, both Buglosses, Fumitory, of each one handful; flowers of Chamomel, Melilot, Elder, of each one pugil; Figs twelve, Bran one pugil, Flax seed half an ounce, Mallows, Fennel, of each two drams; make a Decoction, dissolve Honey of Violets or Roses two ounces, juyce of Mer­cury or Beets one ounce, Benedicta Laxativa two drams, Oyl of Chamomel, Butter, of each one ounce and an half; a little Salt, make a Clyster.

In Mad Folks especially, it shal be prepared of stron­ger Purgers, thus, Take of the roots of Marsh-mallows one ounce, the herbs Mallows, both Buglosses, Mercury, Hops, Fumitory, Time, of each one handful; flowers of Chamomel, Elder, both Bugloss, Violets, of each one pugil; Flax seed, Guords, of each half an ounce; seeds of Mallows, Fennel, of each two drams; seeds of Rue, Chast tree, of each one dram; Figs twelve, Tamarinds half an ounce, Bran, Barley, of each one pugil; Oakfern, Senna, wild Saffron, of each six drams; white Hellebore half a dram, or black one dram, make a De­coction, dissolve Honey of Violets, red Sugar, of each one ounce; Hiera of Coloquintida, Diasena solutive, Confection Hamech, of each two drams; juyce of Mercury one ounce and an half, Oyl of Violets, Chamomel, Lillies, of each one ounce; Salt as much as is sufficient, make a Clyster.

'Tis convenient to Purge this Matter out of the Veins beginning with the Gentler and going to Stron­ger, and continuing them for a long time, for they can endure it for the most part easily, and though they be somwhat weakned, nevertheless it doth good, seeing upon that account they become more calmed and qui­et, neither can it hurt them much, seeing they may also be continually refreshed: therefore the humor being first prepared, Evacuation ought presently to follow, being administred once, twice, or thrice together, and this must weekly be repeated once or twice, intermix­ing letting of blood, as hath been said; and once in a month also as Avicen teacheth, we must give a very strong Purger, for the chief nature of the Cure consists in those great Evacuations of the blood and Excre­ments, whence successively the matter of the disease is taken away as hath been said.

The Humor is prepared before Purging, by obser­ving whether they be very Cholerick that are affected with this evil, for then we must use things more Cold and Acrid, after this mauner. Take of Syrup of Violets, Borrage, of each two ounces, of Vinegar simple one ounce, the waters of both Buglosses, Lettice, Water-lillies, of each as much as is sufficient, make a Julep for four or five times aromatizing it with the pouder of the three Sanders, or gi­ving a Lozenge of it after every dose.

Or make one thus of Juyces, Take of the juyces of both Buglosses, of sweet smelling apples of each two ounces and an half, the waters of both Bugloss, Fumitory, of each three ounces; Sugar two ounces, boyl them, and clarifie them, and aromatize it with Cinnamon, for some doses.

By a Decoction or Infusion let it be prepared thus, Take of the Roots of both Buglosses, Liquorish of each one ounce; the bark of Tamariisk half an ounce, Fumitory one handful, Miltwast half a handful, the Cordial flowers, of each one pugil; Water-lilly flowers half a pugil, Time one pugil, boyl them in common water and a Cup of Wine, add of Sugar and the juyce of Apples each two ounces, aromatize it for some doses.

Or let them be infused in thin Wine adding for the scents sake a little Wormwood, and let him drink it.

Then let the Humor be purged as hath been said by giving of divers forms dedicated to the Melanchollick humor, which if the Patients wil not obey, may be pre­pared thus, that under the form of Wine or of some o­ther Medicine that is most familiar to them, we may be able to deceive them, many of which have been spo­ken of the in Melanagoge purging Remedies, here we wil propound certain choyce ones.

At the beginning therefore, the Humor being prepa­red let this presently be given, Take of Catholicon one ounce, Confection Hamech two drams, Syrup of Roses solutive one ounce, dissolve them in Whey or Bugloss water, and give it.

Or, Take of Senna Oak-fern, of each half an ounce; Dodder of Time two drams, infuse them in Goats Whey add of fresh Mercury one ounce, Anise seed two drams, Syrup of Fumitory compound, or of sweet smelling Apples half an ounce, make a Potion.

Or, Take of the Pills of the five kinds of the Indian Myrobolans, of Lazulus Stones, each one scruple; with white Wine make Pils.

That the body may be purged successively and at many times, the following things are convenient.

First a Compound Apozem which may be made thus, Take of the roots of Polipody three ounces, the Leaves of Senna two ounces, wild Saffron seed one ounce, Dodder of Time half an ounce, Turbith three drams, Mirobalans, In­dian, Citrine, Chebuline, rubbed with Oyl of sweet Almonds of each one dram; black Hellebore one dram, White half a dram,) if you would purge Gentler we omit Hellebore if sironger, we increase it) the roots of Grass, Cinquefoyl, Li­quorish, of each one ounce, Elecampane half an ounce, the barks of Ash, Tamarisk, Danewort, of each half an ounce; the herbs Mercury, Fumitory, Hops, Harts-tongue, both Bugloss with their roots, Miltwast, Maidenhair, Time, Balm, of each one handful; the cordial flowers, of Tamarisk, Sca­bious, Broom, of each one pugil, seeds of Anise, Melons, of each half an ounce; Guord seeds six drams, Purslane seed two drams, seed of Basil, Chast tree, of each one dram; Ta­marinds, Raisons, of each one ounce and an half; Prunes [Page 41]twelve, Jujubes, Sebestens, of each ten; make a Decoction according to art, in two pound of that strained, infuse of choice Rhubarb half an ounce, Cinnamon two drams, Spike one scruple, strain it, add the juyce of sweet Apples one pound, boyl them again a little, let him use this Syrup for four or five daies early in the morning.

A Syrup also may be made of the same Decoction to be kept for use, with all things doubled, if a just quan­tity of Sugar be added to the Decoction or instead of it the Decoction of Apples, and it be boyled to a thick­ness: of which when you have a mind to purge you may give two or three spoonfuls according as it works.

Another Gentler may be prepared thus of the Juyces, Take of the roots of Polipody two ounces, Senna clensed four ounces, Dodder of Time half an ounce, flowers of Borrage, Violets of each one pugil; Anise seed half an ounce, Cin­namon two drams, bruise them a little, pour to them the juyce of Sweet Apples three pound, the juyce of Borrage clarified three ounces, let them stand in a hot Infusion twen­ty four hours, then let them boyl a little, strain them, boyl them again to half the thickness of Wine boyled away, or of a Syrup, let him take two ounces more or less by it self or with Wine.

Being Infused also in Goats Whey, they will do good, or in Broth of an old Cock, and give the De­coction.

A Wine very profitable for this use, may be prepared thus, which must be given at three or four times, see­ing it cannot be kept longer, unless it be prepared in a Barrel in a greater quantity, all things being doubled or trebled, according as the quantity of Wine or Must shall be greater or less, and those things which are put in be first very wel dried. Take of S [...]nna two ounces, Turbith three drams, Agarick two drams, Mirobalans Indi­an citrine, chebulane of each one dram; Dodder of Time, Time, of each three drams; the Cordial flowers of each two pugils; the herbs Wormwood, Fumitory, of each three drams; Fennel seed three drams, Ginger half a dram, let them be bruised and infused in four pound of white Wine boyl them a little in a double vessel let him drink it three or four times.

And because the Remedies ought to be changed, o­ther forms also may be thought upon, as of the follow­ing Electuary, for tryal of which he may take at the first time three ounces, by it self or dissolved, and ac­cording to the success, increase or diminish the dose. Take of the pulp of Tamarinds and Cassia extracted with white Wine (for gratefulness) each one ounce, choyce Manna, six drams, of Catholicon or Mesues Triphera, of Dodder of Time, or the Perfian, or the great, two ounces, the bark of Myrobalans Indian, chebuline, rubbed with Oyl of Sweet Almonds of each one dram, Rhubarb a little Molle­fied in wine one dram and an half, Senna first washt in wine, Dodder of Time, of each two drams; Annis seed two drams, Cinnamon three drams: Make a most fine Pouder, and with Syrup of Roses solutive, Make an Electuary; If you would have it work more powerfully in a less quan­tity, Take two drams, and add Confection Hamech one dram, and give it.

Such a Pouder may be prepared to deceive the sick, which shal be given at once by it self or with Wine, broth Milk, Hydromel: Take of Lazulus stone washt oftentimes in Hydromel two scruples, Dodder of Time one scruple, Sugar one dram; Pouder them. Or thus: Take of Lazulus stone prepared one scruple, Digredium half a scruple, Turbith one dram, Sugar one dram and an half; give it: Or a usual Compound one, may be made thus, of which give at first Time one d [...]am and an half, by way of tryal, afterwards proceeding with that quantity which shall be found rightest: Take of Lazulus stone often washt in wine and water two drams, Diagridium half a dram, Tur­bith one dram and an half, Senna half an ounce, Dodder of Time two drams, Tartar one dram, Annis, Cinnamon, of each two drams; Saffron half a scruple, Sugar-candy, the weight of them all, pouder them.

Lozenges may be made of them, or others may be given such as are, the Tablets of the Electuary of Ci­tron &c.

Vomiting caused somtimes doth very much good, seeing it doth egregiously solicite nature to excretion, especially if it be provoked by giving of those things which do at once empty upwards, whenas they being more robust do easily endure these also, as hath been said in Purgers, but amongst the rest Hellebore especially is so much commended in Madness that it is become a Proverb, Those who are Mad have need of Hellebore, but it is given divers waies, as when we would purge more by the lower parts we rather choose the Black as hath been said in Purgers, but if we would chiefly cause Vomiting we take the white, the Pouder of which or rather the Infusion in Wine is most conveniently gi­ven, when they have eaten much and drunk Broth, that they may be hurt the less: or the slips or fibres of it thrust through thin slices of Radish and left all night, and afterwards diligently taken out again and the slices steeped in Oxymel, and so give one of them to drink.

This following Helleborism is very much commen­ded by many, if one spoonful of it be given with fat Broth, Take of the shavings of Hellebore one ounce, infuse them three daies in Rain-water four ounces, boyl them with a gentle fire to a third, to that strained add of Honey wel Skimmed two ounces, keep it for your use.

But if we be minded to empty downwords also, give one spoon ful of this following, Take of the pouder of Hiera of Coloquintida four scruples, Dodder of Time, Senna each two drams, make a pouder, mix it in Honey of Hel­lebore.

Now they often give for this use, the Pouder of Sti­bium burnt til it looks cleer or only lightly calcined, as I have tried it, in a few grains, or the Infusion of it in Wine, from whence they are wont plentifully to Vomit, and send downwards Cholerick, Yellowish or Green matter, the which also Mathiolus commends and I have often tried it in strong bodies without any hurt.

The Medicines which they ought to take for altera­tion sake, are prepared of those things which by a tem­perate Moisture do correct the force of this filthy and acrid humor, and by a propriety its Malignity; and amend the distemper of the brain which is chiefly affe­cted, and the heart whose complexion in these cases Avicen thinks is chiesly corrupted, having respect also unto the Spleen where they think the seat of Melan­cholly, and the Liver which they Suppose also to be af­fected by reason of that, of which these Medicines are made up, which if we consider the accustomary Com­positions, they are almost wholly Cordial, the which seeing they do not only refresh, but also do resist the malignant and venenate matter, of which sort this is, we also do allow them, but shunning things too hot and dry, and do prescribe them as followeth.

For an Infusion in Wine or Decoction the which ei­ther we use simple, adding Sugar Spices, or to make a Syrup these things may be taken, to be used by course, Take of the flowers of both Buglosses (which are appro­priated to the heart and Spleen) as much as is suffici­ent, let them steep in ordinary Wine, or let them be boyled in Broths.

For the same reason also other things may be infused [Page 40] [...] [Page 41] [...] [Page 42]in Wine as the Leaves of Harts-Tongue, which the com­mon people is wont to do in this case.

A more Compound infusion or Decoction may be made thus: Take of the flowers of Roses, Violets, both Buglosses, Scabious, Tamarisk, of each one pugil; the Leaves of Betony, Balm, Harts-tongue or Milt-waist, of each one handful; the Root of Elecampane two drams, the seed of Basil one dram: Bruise them for your use.

A Syrup may be made of this Decoction as hath been said; or the following be prepared of Juyces: Take of the Juyces of sweet Apples one pound, of Borrage three ounces, of Mallows (which is thought very profit­able) two, clarifie them and adding, Sugar half a pound: Boyl them to a consistence.

We use also Juleps rather, then those Compound Cor­dial waters which some prescribe, because they too much inflame the Body: Take of Rose water three ounces, Bug­loss two ounces, Balm one ounce, Cinnamon half an ounce, Orange flower water (which they cal water of naffe) two drams, whitt wine one ounce, the whitest Sugar as much as is sufficient, Make a Julep.

Electuaries to be taken by course every other day, drin­king after a little of the said Julep, or its water with a little wine are made thus, of fewer or more things. Take of the conserves of Roses, Violets, the flowers of both Buglosses, Water Lillies, the Roots of Bugloss and Citron Pill candied, of each half an ounce, the Root of Elecampane one dram, seed of Basil one dram, Pouder of Diamargaritum Frigidum one dram, with Syrup of sweet Apples: Mix them.

Another made of many rare and pretious things, is thus prepared: Take of the Conserves of the four Cordial flowers, of each one ounce, Conserve of water Lillies, Sca­bious, Clove-gilli-flowers, Tamarisk, Succory, Lange-de­beef, Eringoes, Satyrion, Rose-mary, Betony flowers, of each half an ounce; the Roots of Bugloss, Lettice, Coleworts, Guords, and flesh of Citrons, Citron pill condited of each one ounce, Emblick Myrobalanes two, the seeds of Guord and Melons clensed, of each half an ounce, Citron seed clensed one dram, seed of Basil one dram and an half, seed of Let­tice one dram, kermes Berries two drams, sweet Sanders half a dram, Cinnamon one dram, shaving of Harts-horn, Ivory, of each one dram; Vnicorns horn (for Rich men) one scruple, Red Coral one dram, the Pouder of Diamarga­ritum frigidum or the Electuary of Gems half a dram, Ro­sata Novella, Diasmoschum, Diarrhodon, Aromaticum Rosatum, Trionsantalon, of each one scruple, Trochisks of Camphire two scruples, Confection of Alkermes and Hya­cinth of each one dram, Rhases Laetificans two drams, with Syrup of sweet Apples boyled thick, that the Confection which ought to be kept a long time be not corrupted, Make an Electuary.

Theophrastus commends Southern-wood taken with Honey and Vinegar.

We may also use Pouders, and adding Sugar one ounce and an half, to one dram of them, Make Comfits, or dissolve the Sugar in the Waters and Julep exprest, to make Lozenges.

The first shall be such; Take of the Roots of Swallow­wort one dram, Citron pill, seeds of Basil, of each half a dram; Pearl half a scruple: Make a Pouder for use as hath been said,

Or thus, Take of the Cordial flowers, the Leaves of Balm, Marjoram, of each one scruple, Citron pill, Basil seed, of each half a dram; sweet Saunders one scruple, sha­ving of Ivory one scruple, Coral half a dram, Pearl half a scruple, Cinnamon half a dram: Make a Pouder.

Or out of the usuall Pouders, as Diamargariton, or the Electuary of Gems and other things in the said Elect­uaries both Pouders and Lozenges may be made.

Lozenges made after this manner are very Cordial and appropriate to the Head: Take of Confection Al­kermes or of Hyacinth one dram, Pouder of Diamdrgaritum Frigidum, Electuary of Gems, of each half a dram, Dia­moschum, Aromaticum Rosatum, of each half a dram; seed of Basil one scruple, Sugar dissolved in the Juyce of sweet Apples as much as is sufficient; Make Lozenges.

Remedies are outwardly applied to the Head in which the Brain residing is alwaies affected in these Diseases, either by it self or by consent, and where som­times the cause of the evil lies hid.

And first of all at the beginning use only Repellers if it be Hypochondriacal Melancholy from a Vapor lifted up, or a great fury in Madness: then in the beginning we use an Oxyrrhodine to which notwithstanding we add Oyl of Violets and Chamomel that it dry not too much.

Or we anoynt the Head with Oyl of Roses, Myrtles, Quinces, Violets and Chamomel. But afterwards we must use things very moistning which may also disolve a lit­tle, and strengthen the Head, and also cause sleep, be­cause they are much troubled with watching. Let Irrigations or Embrocations be made which are more ac­customary to our people, or washing and wetting of the Head, and that once a day, or twice, Morning and Evening for many daies, according as we conjecture there is more or less need by their watchings and rest­lesness; the which also if we use with a Bath before and after the use of it, as shall be said we must irrigate the Head with the same Bath.

But here we do no waies use Lyes, because they dry too much, but the following Decoctions; Take of the Roots of Marsh-mallows one ounce, the Herbs of Violets, Let­tice and Mallows, of each one handful; Flowers of Violets, water Lillies, Burrage, Chamomel, Melilot, Barley, of each one pugil; Flax seed one ounce, (Faenygreek by reason of its strong smel we omit) Poppy half an ounce: Make a Decoction in the Broth of a Calves Head and Gethers, add a little Wine for an Irrigation.

Another when we would also procure sleep, which for the most part is necessary; Take of the Leaves of Willow, Lettice, Violets, tender Rushes, flowers of Violets, water Lillies, Chamomel, Feaverfew, Time, (especially towards the end) of each one pugil, Guord seeds bruised one ounce, Coriandar two drams, seeds of Lettice, Marsh­mallows, Dill, of each one dram, of the bark or Heads of Poppy or Roots of Mandracke one ounce, the Leaves of Hen­bane one handful: Make a Decoction in the Broth of the Head and Feet of a Weather, or a Calf, or of Chickens, or Swallows, or of a Rams Lungs, adding a little Wine,

Or thus, Take of the Emulsion of the seeds of white Pop­py and Guord seeds made in Violet water three ounces, Milk two ounces, the Mucilage of the Seeds of Fleawort one ounce, stir them together and apply them.

A ptofitable washing or Embrocation may be thus pre­pared out of Vnctuous things: Take of Oyl of Violets, Lettice, of each two ounces; Chamomel one ounce, the whites of Egs well benten two, Womens Milk or other Milk four ounces or more; Mix them deligently.

An Unctuous anointing or application to the Head may be made about the Temples, Forehead, and if it be shaved, also on the Hairy part, for the same intention, afterirrigation when it is dry again, or else without it, oftentimes by it self, after this manner: Take of Oyl of Violets, Water Lillies, sweet Almonds, of each one ounce; Chamomel half an ounce, fresh Hogs grease one ounce, the Mucilage of Flax seed one ounce, white Wax as much as is sufficient: Make a Liniment.

A more simple one but nevertheless effectual, may be made thus: Take of the Mucilage of the seed of Flax, Fenugreek, Mallows, Butter, of each two ounces: Hogs-grease four ounces, the Marrow of an Ox or Hog one ounce; apply it.

[Page 43]But a Compound one and more effectual, will be this: Take of Oyl of Violets, Guord seeds, of each two onuces; of Poppy seed half an ounce, the Mucilage of the seeds of Fleawort one ounce, of the seeds of Lettice, Henbane, of each one dram; Coriander, Myrtles, of each half a dram, Saffron one scruple: Mix them:

Or if they be very much troubled with Watchings: Take of the seeds of Henbane, white Poppy, of each two drams; Mandrake Root one dram, Opium half a scruple, Saffron six grains: Mix them with Oyl of Violets one ounce Chamomel half an ounce: Apply them to the Region of the Head.

About the declination hotter things must be added, in Irringations and Oyntments, made of Time, flowers of Rosemary, French Lavender, Lavender.

And to strengthen the Head, we must strow the fol­lowing Pouders on the Hair at night, and in the mor­ning by gentle combeing clense them again: Take of the seeds of Coriander half an ounce, Myrtles two drams, of Lettice, white Poppy, of each one dram; Alkermes berries two drams, flowers of Violets. Roses, each one dram and an half; flowers of Rosemary, Chamomel, of each one dram; Citron pill one dram, Mace, Cloves, of each one scruple: Make a Pouder.

It will be very convenient in a high Fury and Mad­ness, if we apply to the Crown of the Head, the Lights of a Ram newly taken out, whiles they are yet hot, or if they be cold, heat them again, or apply a Lamb so cut open through the back and Emboweld, or we may lay on the Head a young Pegion cut in the middle and sprinkled with the Pouder of Henbane, and other things which shall by and by be spoken of in a Phrensie we may use for the like reason.

The heart also which we have taught is affected and troubled in these affects, as it hath been demonstrated that it ought to be strengthned by things taken, so it must be furnished with External things endued with the same vertues, that it may be able to resist this vene­mous humor.

Epithems received as they ought to be in fine linnen must be applied to the Region of the Heart, whiles they are yet fasting, or to the Pulses. such as these are: Take of Rose water three ounces, of Violets, water Lillies, Bugloss, of each two ounces; Balm one ounce, the juyce of sweet Apples, Odoriferous wine, of each one ounce; Vine­gar of Roses of each half an ounce, Seeds of Basil two drams, of Sorrel one dram, Wood of Aloes and Musk, Sanders, of each half a dram, Trochisks of Camphyre, Pouder Dia­margaritum Frigidum, of each half a dram: Make an Epi­them, Saffron should be added; if its yellowness, with which it stains things did not hinder, and Ambergrease, also if it were not too dear.

Two Cordial bags may be prepared of a square figure, guilted as they ought to be, one of which ought to be sprinkled with Wine and Rose water, and if it be too moist, to be squeesed and so applied dayly, and when tis removed, the other dry one must be laid on and worn continually.

Which may be made thus: Take of the four Cordial flowers, water Lillies of each one dram; Rosemary flowers one dran, the Leaves of Balm, Marjoram, Coastmary of each one dram and an half; seeds of Basil, Citrons, of each two drams, Sorrel, Lettice, Purslane, of each one dram; Alkermes berries one dram, Musk Sanders one dram, Wood of Aloes half a dram, Cloves one dram, white and red Ben, of each half a dram; Pouder them for your use, also the usual Cordial Pouders, Diamargdritum, de Gemmis, and others may be added.

The Liver and Spleen must not be neglected, as be­ing principal parts also if they suffer a preternatural heat, or any hurt from this filthy humor, but they must be refresht also with Epithems and Oyntments.

Also remedies applied to certain other parts of the Body may correct its perverse distemper, and refresh it, as if the chief part of it be plunged in a Bath the Feet be washt, the Back bone and Breast be anointed.

A Bath of River water will do good in young and strong bodies being somtimes repeated, by swimming in it for a while when it is fitting by reason of summer or by setting in it at home being made warm; or if by the addition, of moistning things, it be made Artificial, let the patient set in it warm a little while before meat, and afterwards let him rest in his bed, and without using any force, let him sweat of his own accord.

As this is, Take of the Herbs Mallows, both Buglosses, Sallow, the Vine, Lettice, water Lillies, Violets of each one handful: flowers of Chamomel, Melilot, of each one pugil, Marsh-mallow roots two ounces, Flax seed one ounce: Let them be boyled in River or Rose Water, to which may be added some fat or glutinous Decoction, made with the parts of living Creatures, or Milk for Rich Folks.

With the same Bath the Head may be irrigated, and the Feet washed.

The length of the Back bone under which lie the Trunks of the Vena Cava and the great Artery, in which the principal cause of the Disease is, after bathing is anointed,

After this manner: Take Oyl of sweet Almonds two ounces, Violets one ounce, Hens grease one ounce and an half, white Wax a little; Mix them.

The Breast being anointed with the same, it will be­nefit those parts.

Gelding was wont to be used by the Antients in certain desperate Diseases as was said in an Epilepsie, because it changes the temperament of a man, quels his virility and vehemency, and renders the Body more lax and moist, in mad Men especially that have been long im­prisoned and are disperate, being otherwise unservice­able, it is good to see what benefit can be reaped by it, the which all circumstances being diligently examined tis lawful to make tryal of, if other things help not.

Amulets must not be neglected, amongst which they write thus of one; that Stone found in the Mawe of a Swallow which is red, tied to the right Arm, is good against the Phantastical Illusions of Melancholy, cures the Lunatick and Mad, and makes them lovely and pleasant.

The Course of Living or Diet, must be so ordered, that both laudable hnmors may be generated, and the Malignant distemper of others and evil constitution of the Body may be amended and contemperated, and the strength refreshed, which may be done thus.

An aire and place temperate and pure are conve­nient; and also the changing of these do very much good, especially if certain places be suspected, or be contrary to them, or do afford some occasion of sadness by which alone Diseases otherwise of long continuance and very grievous, are oftentimes cured.

Nourishing Meat that is by its Nature of a tempe­rate moisture is good, which ought to be of a good juyce easie of disgestion and somwhat moist, such as is the flesh both of Animals and Fishes, not that which is old, and hard, and kept a long time, or smoak-dryed, or too salt, or very much seasoned with Spices or other hot things, but that which is young, fresh, and simply boyled or roast, amongst which the flesh of a young Hauk and Night-Owl being eaten, it is thought to be of force by a propriety, as on the contrary the flesh of Goats, wild Beasts, Hares, are thought to be hurtful for [Page 44]the causes foremention'd; Milk, good Chees, not too much salted, nor rotten, Butter, common Oyl, and Oyl of Almonds may be granted to those that are ac­customed to them.

Eggs also are convenient unless they do corrupt, as it most easily comes to pass in cholerick Stomachs, Bread made of pure flower, not tainted with the faults of grain, whence by reason of Darnel many have been brought to a Stupidity or Madness, Levend a little, sal­ted and rightly baked, is good: and of Grains and Pulse, Barley and all kinds of Pears, so boyled and prepared that they may easily be disgested, and do not puff up, but Lentils and Beans are disallowed because they are thought to beget a Melancholy juyce. Of Fruits Apples especially are convenient as Appropriate all manner of waies, and other fleeting Fruits, and those which are kept hanged up or dryed, as Prunes, Raisons, Cherries and the like, and of harder things Fresh Nuts, and Almonds; of Plants those that are temperate are allowed, as Spinage, Lettice, Endive, Beets, both Buglesses are extold in the first place as appropriate, onely Cole­worts is condemned, because it is beleeved to produce Melancholy; the which notwithstanding I judgeing by its tast, do think if it be rightly prepared that it doth ra­ther cause good Blood then other Plants, seeing it is tender and sweet.

There must be special care had of the Drink, and we must allow somwhat to custom, in those that drink Wa­ter or Wine, seeing Weak-wine can no waies hurt, nor Strong if it be diluted and moderately taken, but seeing it makes merry it doth rather profit them, but if that we see that they become more sad or more fierce by the use of it, we must temper it yet more, or wholly with­draw it; the same judgment must be of drink: and al­so the drinking of Whey is very much commended in these diseases, because it is laxative, as also Almond milk, which can no waies so much assail the Head as some have thought.

Sleep is very much commended, not so much be­cause it moistens, as they would have it, but because it refresheth the body and mind, and therefore if it do not invite them, it must be procured by giving Soporife­rous things or application of Externals as shall be ex­plained.

The Inordinate motions espacially of Mad Folks must be quelled with the same Soporiferous things, and they must be restrained with Chidings, Blows, Bonds, Guards, Prisons, for this also as experience teacheth, makes for the Cure of Mad Folks, whom Empericks beat with Rods and Scourges.

We must procure that natural Excretions be done decently, and if Nuns or Virgins do rage with a turgid matter by reason of the retention of their Seed, if they marry they are cured.

Affections of the mind in the first place must be re­moved from them by Arguments especially when they proceed from no manifest cause, as hath been said in the preturbation of Mind; and if they pretend false causes, as one the Greatness of his Nose, or another Plenty of of Setpents in his body, that by satisfying of them this Opinion conceaved may be taken away, they must in­geniously be deceived and made believe that these are cut off or purged away, by shewing some such like thing privately conveighed, or by some other art: they must be recreated also with pleasant things which must be offered to their Senses, and with those things which we see them chiefly delighted with, with which notwith­standing for the most part they are not moved; or if they be altogether made they no waies understanding nor apprehending them, do neglect and sleight them and are the rather more offended by them.

The other Symptoms which betide the Melanchol­lick and Mad if they be too urgent they must be cor­rected as shall be explained in their particular chapters, amongst which Watchings also are corrected with those things which we have said must be applied to the Head and by Lotions of the Feet, and if they be very troublesome by giving things that cause rest exprest in Watchings, and every where in this Book, a Pain of the Stomach, Belly, Womb, a distention of the Hypo­chondries are corrected by Unctions, Fomentations of the Belly, and other things as shal be taught in their places, and if any thing be given by the mouth upon that account, must alwaies mix with them, those things which do resist melancholly.

As if in plenty of Winds and bad digestion such a pouder be prescribed to be used after meat. Take of the pouder Diacydonides sine speciebus two drams, Anise seeds three drams, Coriander prepared two drams, Cinnamon three drams, Squinanth half a dram, Indian Leaf, Marjo­ram of each one scruple; flowers of Roses, Bugloss each half a dram; Pearl one dram, make a pouder, add Sugar the weight of them all.

A Hot Distemper of the Brain if it cause a Raving and it be a true Phrensie which ariseth from an In­flammation and its membranes, The Cure of a Phrensie and ba­stard Phrensie from a hot distem­per & Inflamma­tion of the brain. and presently invades with a Feaver it is a most dangerous and most a­cute Disease, which somtimes is ter­minated on the third day; but if they be less fierce, and Rave with Laughter, these things afford us great hopes of recovery; but if it be a bastard Phrensie and the brain be not yet inflamed, but is only heated by a hu­mor or vapor, as it commonly comes to pass, and it follow a hot Disease, chiefly a Feaver, we must foretel according to the condition of the Disease; for if this be in the fits of Intermitting Feavers either in the be­ginning or state, as this is wont to be common with Children the Fever remits again together with the Fit; but if this happen in continual Feavers about the state, it can in no wise be free from danger, the brain con­senting then with the heart that is opprest, where yet if nature overcome the Disease, the Feaver declining, the Raving also ceaseth; also in Pestilential Feavers ac­cording to the nature of the Disease which is Curable or Killing, the Raving becomes Deadly or no waies such yet it denotes no good if it supervene, and then if the pulse also remit, and spots break forth, Death is at hand; in the Worms of Children also it is judged ac­cording to the nature of the Feaver and oftentimes foretels Convulsions to come upon it, otherwise with­out any hurt 'tis taken away with the Feaver.

The intention of Curing in a true Phrensie is this, that first of all with things evacuating we revell and de­rive from the Head, the bloody humor heating or in­flaming the Brain, and that chiefly by taking away of Blood and also by Medicines that loosen the Belly, next that by things altering used inwardly and out­wardly, and by a course of diet we correct the heat chiefly in the Head, also in the Liver, Heart, which also as the whol body have grown hot by reason of the Feaver and towards the end discuss the remaining mat­ter, in the interim also having respect unto the Symp­toms, if there be any besides these; the which also are administred in a bastard Phrensie but guided by the na­ture of the Disease accompanying, from whence it pro­ceeds, in which also let it be your intention to hinder by this means the ascent of Vapors, and to revell those already carried up.

Drawing of Blood for Revulsion sake ought to be [Page 45]suddenly done in a true Phrensie, & that largely or often repeared in a Vein of the Arme most apparent, especial­ry the Shoulder Vein. But the Vein must not be open­led with too large an orifice as the French are wont to cut with their Lancets; lest whiles they are nnruly the flux of Blood cannot wel be stopt. In a bastard Phrensie likewise if we see a great afflux of humors carried to the Head, by the greatness of the Raving and the Veins of the Eyes swelling, unless by reason of the Feaver be­cause it is in its state, or because lasting long, or by its malignity it hath overthrown the strength, we be com­peld to forbear it, and nothing else hinder. A vein also must be opened, although it hath been alreaddy open'd in respect of the Feaver.

Also for Derivation in a Phrensie alwaies, and som­times in a bastard Phrensie, if the Raving be vehement whence we suspect the vehement heat doth raise an af­flux of humors, even at that time when we are forbid to open some general vein, somtimes being forced, we ought to open a particular one, by which there may not be so great an effusion of Blood, although it be in the state, for fear lest the false Phrensie should be chan­ged into a true one: of which kind chiefly is the Vein under the Tongue, which being opened doth often­times very much help in Ravings: upon which ac­count it is convenient also to open a Vein in the Fore­head, when great necessity urgeth, and we are not com­peld to dilate it, by girting the Neck with a Swath, by which the blood is too much forced upwards; and to open the Veins of the Nostrils with Bristles or other rough things by pricking and rubbing them; or to suck out the Blood applying Leeches behind the Ears, to the Forehead, Nostrils, Fundament.

Scarification also doth good with Cupping-Glasses applied for Revulsion in both Species of Raving; and when it is not fit to open a Vein in a Bastard Phrensie, then also instead of that it shall be applied for revulsion sake to the Shoulder-blades, Shoulders, Arms; which I am wont to do with good success in­stead of Derivation on the sides of the Neck about the jugular Veins, others also approve of it done on the grisly part of the Ears; for which Scarification if they will not endure it, Cupping-Glasses only may be used.

We ought also by Frictions of the extream parts to revel, and by making Ligatures also in those places, to restrain the too much motion to the upper parts, the which also may be performed by Lotions of the Feet which we shall by and by prescribe, for the causing of sleep.

If they admit not of Clysters they must be cast in by force, and that they may keep them, their Fundament must be stopt with a Cloth, for they revel much by stimulating, and correct the heat of the Body by alte­ring, and evacuating the Cholerick Excrements, upon which account, both by reason of the Raving, and the Feavers accompanying it, they are convenient in both Species of a Phrensie: the which ought to be cast in before bleeding, and afterwards must oftentimes be repeated, many of which have been prescribed in Feavers.

For example sake we propose these only: Take of Cassia newly drawn six drams, Red or course Sugar one ounce, Oyl of Violets three ounces, juyce of Beets or Mercury one ounce, Salt one dram, with the Decoction of the four Emollient herbs, Make a Clyster.

A more Compound one is made thus: Take of the Herb Mallows, Marsh-mallows with the Roorts, Pellitory of the Wall, Beets, Mercury, Lettice, Violets of each one handful. Whol Barley one pugil, Guord seeds half an ounce, Prunes six: Make a Decoction. In a fit quantity dissolve Honey of Violets, Red Sugar, of each one ounce. Catholicon, Cassia, of each half an ounce; juyce of Beets or Mercury, of each one ounce; Oyl of violets three ounces, a little Salt; Make a Clyster. Laxatives and somwhat Stimulating may be given, especially in those that are bound to loosen the Belly, chiefly when they will not admit of Clysters or do not keep them. But we must have a care of purgers that heat the Body, in which thing Empiricks knowing nothing else but to purge, are oftentimes grievously faulty.

Therefore a day after a Vein hath been open'd such a solutive Medicine may be given: Take of the simple Syrup of Roses solutive two ounces, water of Violets, Lettice, Bugloss as much as is sufficient, to dilute it, and give it.

Or this, Take of the juce of Roses one ounce and an half, Sugar six drams, dissolved in Rose water; Boyl it gently, strain it and give it.

Otherwise after this manner: Take of Syrup of Roses solutive, Violets, of each one ounce, with Mesues Decocti­on of Fruits, give it.

If at any time we must pass to stronger Medicines, it may be done thus: Take of Rhubarb four scruples, in­fuse it in Water of Roses and Violets, strain it, add Syrup of Roses solutive one ounce or more, give it.

Or, Take of Sena (whose juyce is not unlike the juyce of Rhubarb) two drams or three, Polypody half an ounce, somwhat sharp Prunes six: Boyl them, to the strained Liquor add, Syrup of Roses solutive, Violets, of each half an ounce: Make a Potion.

Things altering are given both by reason of the Fea­ver accompanying, and because of the hot distemper of the head, in a form chiefly acceptable to them, espe­cially of drink, because they are very thirsty, for they do not willingly take things Medicinal, with which also we ought to prepare the Cholerick Humor, if there be any, before we purge it, you meet with vari­ous compositions of these in Feavers therefore here only a few examples are proposed.

In their Broths are boyled, Sorrel, Lettice, Bugloss, and their Waters are mixed with them, as also the juyce of Citron and Rose Vinegar.

Instead of Beer, we must mix with the boyled water which he drinks, Syrup of Currans, Pomegranates, Lem­mons, Wine of Pomegranates or other Acid juyces.

Or you may give by course, Juleps in a fit quan­tity by themselves, or mixt with Beer after this manner: Take of Syrup or Wine of Pomegranates, of Barberries, of each two ounces, Violets one ounce, of Poppy (by reason of watchings) half an ounce, water of Lettice, Sorrel, Roses, Bugloss, of each four times the quantity, let him drink it. In place of Syrups, Juyces may be used.

A Conserve made for the same use to be often taken, As, Take of the Conserve of the four Cordial flowers of each one ounce; Coleworts, Lettice, flesh of Citrons condite of each six drams; seeds of Sorrel, Endive, Purslane, of each half a dram; Pouderof Diamargaritum frigidum one scruple, Syrup of Pomegranates or Curians: Make an Elect­uary.

Things cold and somwhat astringent must be applied to the Head at the beginning presently, whiles the Humor flows, or Vapors ascend, the which do repel them

Oxyrrhodines are fit for this use, prepared thus: Take of water of Roses, Plantane, of each two ounces; Oyl of Roses two ounces, Vinegar of Roses one ounce. Mix them.

[Page 46]Or thus, Take of the Oyl of Roses Omphacine one ounce and an half, Unguentum Populeum, Vinegar, of each half an ounce, the white of an Egg, beat them together and ap­ply them to the Forehead.

But a repelling Decoction may be made thus, Take of the Leaves of Sallow, Lettice, Plantane, of each one hand­ful; Flowers of Roses two pugils, Violets one pugil, seeds of Plantane, Myrtle, of each two drams; boyl them in iron'd water.

Afterwards Coolers and Moistners are applied, with which we mix things causing rest

In this form, Take of the juyces of Lettice, Night­shade, of each two ounces; Plantane one ounce, let cloaths dipt in them be applied.

In Summet time we prepare them of Waters, Take of the waters of Roses, Nightshade, Lettice, Water-lillies of each two ounces; Plantane one ounce, let cloaths dipt in them be applied.

A Decoction for Irrigation may be made thus, Take of the Leaves of Violets, Lettice, Nightshade, Water­lilles, Housleek, Purslane of each one handful; flowers of Vi­olets, Water-lillies, Borrage, of each one pugil; seeds of Let­tice, Poppy of each two drams; of Henbane one dram; make a Decoction for an Irrigation.

Afterwards let the Head be anointed with the follow­ing Unguent, Take Oyl of Violets Water-lillies, of each one ounce; of Roses six drams, of Poppy, Mandrake, each half an ounce; Unguentum Populeum one ounce, (we add no Camphire, because it causeth watchings) mix them with a little white Wax, for an Oyntment.

Then we may strew Pouders on the place anointed, after this manner, Take of the flowers of Roses, Violets, Water-lillies, Lettice seed, of each two drams; of white and black Poppy of each one dram; red Saunders, Coriander, of each half a dram: mix them.

When the raving begins to abate, we add certain dis­cussive things to the forementioned forms, such as have been prescribed in a Melancholly humor, causing Me­lancholly and Madness, but somwhat more temperate: and then especially we are content with Anointings ad­ding Oyl in which Mother of Time and Chamomel have been boyled: and afterwards Sinapizing the head as they cal it.

As with the following Pouder which also strengthens the Brain. Take of Coriander seeds two drams, flowers of Roses, Chamomel, Lavender, Rosemary of each one dram; Orrice root half a dram, of all the Saunders one dram; make a Pouder.

Besides these things, when the raving is at the highest, there is a singular and approved Remedy, made of the Flesh and Blood of Animals, being applied to the Crown of the Head whiles they are yet hot, which be­ing roasted as it were with excessive heat of the Head, when they are laid aside, do seem to send forth a cer­tain vapor, and I have often observed that they alone almost have helped: which whether they do it by dis­cussing as some would have it, or by stopping the force of the blood, I wil not here any longer dispute, this I know, as shal be said in the Haemorrhages that these do wonderfully stop the blood flowing out of a wound, but for this use the following things are for the most part made choice.

Certain whol Animals cut through the back, and presently unboweld, as a Lamb, a Puppy-dog, a young Pigeon or Chicken, or the bloudy parts of them, as the Lungs of a Ram Gelt, of a Lamb, or the Livers, or al­so other fleshy parts, hot from the Creature new killed, as also other things must be applied, or if they be cool­ed, they must be heated again.

For the hearts sake, strengthening Epithems are ap plied to the region of it, by reason of its double disease, both of a Fever and because of its Weakness, which al­so may be bound to the Pulses in a cloth, such as have been proposed in Feavers and formerly in Melan­cholly.

And a more simple one may be made thus. Take of Rose water four ounces, of Violets, Bugloss, of each two ounces; Vinegar half an ounce, of all the Saunders each one dram; Saffron half a scruple, Camphire five grains; mix them.

For the same cause also regard is had to the Liver, and Epithems are applied to that.

The Breast also is anointed with cold relaxing Oyls as Oyls of Violets.

And the Cods are cooled with things working actu­ally and potentially.

The Thighes and Arms of the whol body are washed for coolness sake, and that they may the easier sleep, with the Decoction of the Plants of the Vine, Violets, Lettice, Poppy and the like.

A Course of diet is to be ordered, not so much to preserve Strength, as to help somwhat by Alteration.

Let the Air incline to cold, but whether they ought to be kept in Darkness or Light, that they may rave the less, some do very much trouble themselves, seeing false apparitions do appear to them, as wel in the light as darkness, but it is better that they be kept in a place somwhat obscure.

Their meat ought to be cooling and moistning, such as is convenient for the Feverish, season'd with herbs and other cool things, as Lettice, Endive and the like, also with the juyce of unripe Grapes, and Vinegar, and other cold juyces, and seeing these Delirous know not what they do, and oftentimes do not devour their meat only, but also other abominable things, we must not humor them, but when the Diet ought to be Slender we must withdraw it, and they must be fed with Barley, Prunes, and other lighter things.

Let their Drink whiles they rage be Water, taken of it self, or first prepared with boyling, to which we may mix Syrups, as was said before, for preparation and alteration sake.

Those things which concern sleep, motion, and the af­fects of the mind, shall be explained now in the Symp­toms.

For the symptoms which happens besides Raving are others also supervenient to them, both by reason of the disease of the head and of the Fever accompanying, to which we ought to have respect.

Watchings by reason of the excessive heat of the brain, are common and hurtful to them, which in general are corrected with the same Remedies that resist the disease, as hath been said, seeing they cool and moisten, especi­ally the external ones, to which upon that account are added things soporiferous, and privately for their sake so­poriferous medicines are given mix with Cordials as shal be said in its place.

Inordinate motions do so disturb them by reason of their depraved imagination that they endeavor by all force to rise out of the bed, and to cloath themselves, and if they be not restrained, to make an escape, whence oftentimes being void of reason, they fall from a high place, and kil themselves; which unquietness is likewise amended by things given to cause sleep seeing the mind being at rest the body must needs rest also: and that they may be restrained, which is very hard, seeing mad­ness makes them strong, they are oftentimes bound in bonds, the which notwithstanding somtimes when they are angry upon that account, and more fierce, we ought to loose them, and give them way a little, yet using [Page 47]great caution that they hurt not themselves nor o­thers.

A Suppression of the Urin is a Symptom peculiar to them, whenas being so intent upon their imaginations, they feel not the provocation of the Urin, and therefore care not to make it, by the retaining of which the Bladder be­ing too much filled and distended afterwards voids the water with a great deal of difficulty; the which we must cure, by seasonably admonishing them, and shewing the Cham­ber-pot and by applying external Remedies, of which we wil treat of in the retention of Urine.

The driness, blackness of the Tongue which denote the highest burning of a Feaver is corrected, as shal be ex­plained in its place.

Thirst doth very much torment them by reason of their heat, it is corrected by altering things cold and moist, especially given in their Drink, as hath been already said, and shall be said in thirst in general.

Their weakness and overthrow of strength known by the Pulse, seeing their unquietness otherwise stirring them up, doth seem to add strength to them, as hath been said, is repaired by a course of Diet and cordiall medicines, used inwardly and outwardly, as also with them already mentioned.

To undertake to Cure Folly bred in a man from his birth by an evil conformation, The Cure of Folly from an evil con­formation and distem­per. seeing it is impossible to fashion other­wise the parts once formed, were to at­tempt to wash and make a Blackmore white; as also it is impossible to change any thing, if this happen from a perverse temperament the which notwithstanding is somtimes amended, by the change of age, by Gelding, as hath been said in madness, where also custom may do much, by which it came to pass that Cimon for love of Iphigenia, when he knew his foolish behaviour did displease her, by little and little changing of them, from a Fool became a wise man, as this whether true or fabu­lous is agreeable to reason.

If madness be sprung from Putrefacti­on, The Cure of madness from putifaction, a speck, Worms in the brain. or a Speck, or Worms as they would have it, by reason of vapors sent from thence to the brain, we can scarcely fit a Cure for these, which are almost hid from us, yet if that Cure which was de­scribed in madness arising from a melancholly humor be al­so applied here, it wil be no fault; but if the malady be grievous 'tis incurable.

CHAP. IV. Of a Defatigation of the mind.

The Kinds.

VVE call that a Defatigation of the mind when the internal senses are exercised more, or longer than 'tis convenient; or when they rest not at the time prescribed them, by sleep, which is the rest of the mind, or not sufficiently as it comes to pass when they sleep not, in too much Watchings, or when they sleep but unquietly, by reason of grievous dreams: the which both in the sound and sick do somtimes cause weakness, create trouble, and in­crease diseases.

Too much and preternatural Watchings are, Watchings. when they sleep not at all for some daies, months, or not sufficiently fill up the term of seven or eight hours or more according to the custom of natures, seeing Children sleep more than they wake. These whether they be symptoms of Diseases or happen without them, do at last bring hurt, seeing they heat the spirits by their too much use and exagitation, whence it happens that the humors also are set on fire, especially the hot ones, and the same are at length con­sumed.

And hence must needs follow at last, a weakness of some functions of the body, as the animal spirits being wasted, there is some defect of the internal senses, and by conse­quence of the external also, chiefly of the sight, seeing for the exercise of that there is need of so great a quantity of spirits; and then by a certain consecution there be­ing a dissipation made of the vital spirits also, there fol­lows a languishing of the whol body, and the natural spi­rits being offended too, the natural actions are hurt, and chiefly concoction, not because sleep as they think doth digest, but because concoction that it may be rightly per­formed, wanting more plentiful spirits and heat, for want of them is for the most part offended sooner then the other actions.

And also immoderate watchings do bring troubles and pains to certain parts; and that because not only [...]he spirits are heated, but the humors also by infection from them, whence the spirits and blood by too much watching grow­ing hot first of all in the Head, a pain of the Head, redness of the Eyes, and hot tears flowing thither, an itching doth befall the watchful that they are often forced to rub their Eyes; and if they last long and the mass of blood be in­flamed, diary Feavers are caused; and if this Symptom urge in other Feavers the heat being increased, the symp­toms of the Feavers grow stronger Choler. Also in the cholerick growing hot for this reason through too much watching and poured into the Stomach and boyling there, breeds gnawings of the Stomach, and other accidents of it, and by consent with that, pains of the Head, and Me­grims.

Preternatural Dreams are, Dreams. when in sleep the external senses only do seem to rest, but the internal do not only lightly exercise themselves, as is in natural Dreams, but immoderatly and with vehemency and labor as if they were waking, although exercise themselves depravedly, and do also exagitate and diffi­pate the spirits, that being rouzed up they seem to be ra­ther wearied than refreshed.

Immoderate Dreams that make the body weary and weak, are those which besides the custom do last longer, al­most all night; but this happens to some naturally that Dreams do then begin first, when the vapors which caused a sound sleep, are now discust, after the first sleep as they call it, but on others as labouring men tired with labor, and sleping presently after meat, sleep so steals on them by reason of the plenty of vapors that they have no dreams at all, or if they have some wandring, they no waies remember them; the which also though it be natural too, yet that Country fellow not thinking it con­venient, that he could rehearse no Dreams to his Com­panions amidst their Cups, for this reason takes coun­sel of the Physitian, and receiving from him a strong purging medicine sleeping upon it dreamt that he shit a bed, afterwards awaking he found in very deed, that he had dreamed, and that a true and fatal one.

Grievous dreams are which do not only lightly ex­ercise the mind, as natural ones (which therefore see­ing they are not very much imprinted on the Brain) they do easily slip out of the memory either wholly or [Page 48]in part, that being wakend they can recite little of them) but do very much exagitate it, and do no less affect the senses then if those things did truely fal out, which ap­pear to them in their sleep, in so much that oftentimes being strucken with fear they suddainly start up, or if nevertheless they continve in their sleep, they are alto­gether unquiet, and toss their Body variously in their sleep, Sweat, and somtimes Talk, Prate much, Cry, Laugh, call out, Nay and sleeping still, nevertheless rise out of their Bed, and as Galen writes it hath befallen himself, they walk and survey many places, concer­ning which the common people perswade themselves many superstitious and old wives tales, how they can climbe without danger, if they be not hindred, nor wakend being called by their own name, those difficult places, otherwise impossible for the wakening to do: many grievous dreams of which nature, tis well known to all, are dayly objected, both to the sick and other­wise sound.

But they are such, if horrible things are presented to their minds whiles they are a sleep, with which they are either vehemently frighted, as when they dream that they are in danger by some violence offered, a fal from on high, of Fire, Water, or by reason of some great offence, or for the loss of some grateful thing represented to them, they are Angry, Sad, and Greive.

Also Portentous Prognosticating Dreams, especially those that portend any evil do very much astonish, and though they presage some good, nevertheless they move a little, the which so many sacred and prophane Histories do testefie, are sent to men, from a good and evil Spirit,

The Causes.

The Cause both of watchings and dreams, one is supernatural depending on God or the Devil, another natural, from custome, which is a second nature, or it lies in the Head and it is a too great Commotion or Perturbation of the Animal Spirits, or a hot distemper of the Brain.

The great and good God as he makes known his wil to us watching, and puts it into our minds, so also he will somtimes admonish us by Dreams of things to come or things present or past; somtimes by sending of visions unknown by themselves. The preter­natural cause of Dreams. Yet the interpretation of which he graunted to some, as to Joseph, Daniel: but at o­ther times he hath set before our Eyes as it were in Dreams the thing it self as it is, as to Pharaoh the Dearness of provision to come, to Daniel the Monarchies to come, Julius Caesars present danger to his Wife, the past Death of Ceyres the Husband, to his Wife Alcyone.

And the Devil also by Gods permission as he doth often didude the sleeping with false Images and Apparitions of things, so also he troubles men in their Dreams with true ones sometimes, that signifies some­thing certain, if he can hurt them, seeing otherwise he is a lyar.

Custome oftentimes makes men to be raised at a certain hour of the Night and to watch a long while, Custome is the cause of wat­chings and Dreams. as we have oftentimes already taught that Nature being accustomed, doth observe her times in excretions also, and others of her Natural Operations; which is very familiar with old folks in watchings, who though they be Prone to Sleep, and presently betake themselves to Bed; yet being roused either about midnight or sooner or later, can Sleep no more. And after this is wont to be accu­stomary to them, care and thought in the interim joy­ning themselves, by which whiles they search into, and dispose of divers things, they are awakend more. Also some dreams come to a habit from a certain Custome that afterwards for a long time they dream dreams of the same kind, and do not only conceive them in their minde, but by words and deeds express them in their sleep.

The too much commotion or pertur­bation of the Animal Spirits,A commotion of the Animal Spirits is the cause of wat­chings.are the cause of preternatural watchings and dreams, which come to pass the in­ternal senses being too much affect­ed, for then the Spirits being stirred, because they can not rest, they can no waies sleep but watch, or if they do sleep, either they are vexed neverthelels with too much Dreams or those more grievous; which impul­sion of the internal senses either befals them by acci­dent by reason of the external senses, or by it self. For the external senses being very much moved by their proper objects, do move also the internal and suffer them not to be quiet, or if they be quiet, nevertheless they disturb and force them: as the sight moved by too much light, the hearing by a great noise turnes a­way sleep, and makes the sleepers unquiet, or rouzeth them up, because silence and darkness are rather requi­red to sleep: the touch especially affected with pain and trouble doth cause watchings. Upon which account in Diseases that torment with pain they are also troub­led with watchings, and in dreams they represent the pain to them asleep; and those that are troubled with a pain at the Heart the stomach being to ful, they sleep unquietly; the which happens also to them who suffer any other trouble in Diseases, as to those that are very thirsty, who watch by reason of the thirst, or if these kind of people do sleep, they are tormented also in their dreams with a desire to drink; as it betides them also who are vext with a difficulty of breathing, in di­vers Diseases of the Breast, and in a Dropsie, that they cannot sleep, or if they do sleep being straitend with danger of suffocation, they have also such Dreams.

The senses also being too much moved by them­selves, by a vehement intention of the minde upon some things, the spirits being stirred, at it comes to pass in vehement and lasting passions of the Minde, viz. in Joy, Anger, Fear, Sadness, Love, they are afflicted with too much watchings, or if they do sleep, never­theless they are exagitated in Dreams with their affecti­ons; and also so many Species and Images of things, arising from the studies of divers Sciences, Arts, and human actions, being apprehended and imprinted on the Brain, do not only exercise the Memory of the wa­king so that they sleep less, but being obsersant to them sleeping and moving the Spirits, they spring forth a­gain in their dreams. And those things which we met withal either the same day, or the precedent daies or a long while before, do represent themselves either in the same form that they were in or from a mixture of them diverse forms springing up wonderful apparitions ofter themselves to us, which either have not happend, or are not to be found in Nature. And hence it comes to pass that oftentimes such Dreams by reason of their enormity, are thought portentous, the Cause of which notwithstanding is Natural, viz, this commixture of formes (as if one hath seen in the day time a fine Horse, and a Man, he may Dream that he fees a Centaure) and the common People by Reason of the diversity of dreams, which tis no wonder that they vary so accor­ding [Page 49]to so many conceptions of the Mind, do perswade themselves by a great error that every one doth por­tend somthing.

Also the manner of lying by which the Animal spirits being moved, are less quiet in their seats, but do easier change their place, make much for the causing of more Turbulent Dreams, (as we see this may be done in Members retained a long while in a non natural Scitu­ation, that suffer a numness by reason of the Spirits hindred, and in a Vertigo from a wheeling of the Body by reason of the Spirits running up and down,) as we see it happens by lying one the Back especially the Head bending downwards, the Spirits then from the Head penetrating more the Spinal Marrow, and so causing motion and sense, that though they be not wakend, yet nevertheless they are more exagitated in their Dreams.

Also a Perturbation of the Spirits of the Brain, A Perturbation of the Animal Spirits, a Cause of Dreams. from Impure, Filthy, Melancho­lick Vapors or Humors, causeth Grievous and Turbulent Dreams, and the like appa­ritions appearing in Sleep; and as pleasant and merry Dreams do shew forth a health­ful Constitution, so these sad and borrid Dreams for the most part shew a Melancholick Constitution and often­times Diseases to come; and in Diseases of this Nature, generated of Melancholly, and a Malignat matter, to­gether with other accidents of the Brain and Dotages they do vehemently Exagitate a man, and also cause watchings, but Dioscorides also writes that terrible Dreams are caused from certain things taken, as if Beans, Lentils, Fitches be eaten, and also if the seeds of Bind weed, and Venemous Tree Trefoile be taken, doubtless the Spirits being wont to be troubled by their strength, they are cause Dreams.

A hot Distemper of the Brain, A hot Distemper of the Brain is the cause of watchings and Dreams. also heating the Spirits because it makes them unquiet, may be the Cause both of Watchings and Preternatural Dreams, which somtimes happens from hot Vapors proceeding from things taken, as hot Meats and especially Wine which though it cause sleep by its Narcotickness, yet it breeds unquiet Dreams; a hot Evaporation from Humors or Excrements, or the Bloody Humor it self inflaming the Brain as they do produce a pain of the Head, so also Raving, Watchings, and Grievous Turbulent Dreams, and such as resemble the Nature of the Humor, oftentimes in Feavers, in a Phrensie, and other hot Diseases.

The Cure.

In the Cure we must respect the Cause and the Symptome, The Cure of Dreams from a preterna­tural Cause. but we have said the Cause of watchings and Dreams was from God, the Devil, Custome, an Agitation and Perturbation of the Spirits and heat of the Brain.

The Dreams sent by God because they are good, and nothing proceeds from God but what is good, or tends to a good end, we cannot, nor onght not to change; the tricks of the Devil are turnd away by Pra­yers, Fasting, amendment of life and a stedfast Faith. Custome as a second Nature is not easily changed, The Cure of wat­chings and Dreams from Custome. but by a contrary Custome; wherefore they that are wont to be raised at a certain hour of night; let them go to bed later or some other way let them change this Custome, and in time of sleep, as much as they can let them abstain from deep thoughts, also if Dreams do so accustomarily vex men, that they are unquiet, Skip, Talk, Walk, then they are somtimes to be wakened by frighting, for hence it comes to pass, that that fear repeated, at length of­fering it self to them in their Dreams, doth rouse them up of their own accord, and by degrees turnes them from this evil Custome. As one that was wont to walk in the night, being somtimes beaten with rods at length left off this Custome; and that Cobler who be­cause he thought in his Dreams that he was sowing, and with opening his Arms, as they are wont to do drawing their thred, he smote his companion by him, being oftentimes soundly kickt again by the same man feigning himself to Dream that he was riding, at last he was freed from this Error.

But if they be compeld to watch, or grieved with Dreams from the too great plenty of Spirits, the Causes which exagitate them, must first be turned away as if sleep be hindered by too much light or noise, or they sleep unquietly, these things must be declined, by in­ducing of darkness and rest: if affects of the Minde do cause it, as hath been said in that Species of Alienation of Minde, they must be corrected, and those things be given, which can bring gladness, and also procure rest, as Wine; but especially if too great an intention upon some thing and Ratiocination made on it, do hinder sleep, and the minde cannot be drawn from it to take rest, sleep is the easier procured after this man­ner. The minde being called away from the former by the Meditation of another thing, as we do observe those that watch a nights, if they be devoutly very in­tent on their Prayers to God, forgetting other cares, they do sooner fall a sleep: but if some trouble make men watchful or disturbe them in their sleep, as thirst, then salt things which do cause that, must be omitted especially at Supper, and Sleep must be expected, which supervenient is wont to quench thirst, if it per­severe, it must be amended as shall be said in its place so also if they sleep unquietly by reason of fulness, a spa­ring and sober Supper is wont to correct this fault, and that chiefly if they sleep not presently after the taking of meat; if a difficulty of breathing contracted by their lying down do so vex them that they cannot sleep, they must be so placed upright that they may breath free. And yet the Body may rest, at shall be ex­plained in a Dyspnaea as also if by lying on the Back they are troubled with grievous Dreams if they sleep on their side with their Head more lift up, they shall be less oppressed. If also a great pain in some Disease do hinder sleep, as this is most frequent, and that cannot be mitigated by any other means, by soporiferous me­dicines we shall with the same labor procure sleep and mitigate pain, because they induce a Stupidity: rather giving them inwardly, if great necessity do urge, be­cause so they do work more powerfully; as with Wine, or if we must use stronger, Syrup of Poppy and other Opi­ates, or we must use Vnguents applied to the Temples and Forehead such as Populeum, and Lotions of the Feet which for the procuring of sleep also can do much, as in Hypnoticks divers of that sort shall be explained. If watchings or Dreams proceed from a perturbation of the Spirits, The Cure of Dreams from a Perturboti­on of the Spi­rits. the Cause also must be taken away, which if it pro­ceed from Meat or Medicine, we must have a care of making use of any Pulse, and other things that Evaporate up­wards; if this happen from Vapors or Humors by diligently searching out, what Excrement [Page 48] [...] [Page 49] [...] [Page 50]sends forth its vapors upwards, what humor offends, and being intent upon the emptying of these, if there be a plenitude, by Bleeding, if a Cacochymie Purging, by giving those things also which do repress vapors, espe­cially after supper, and chiefly by the Diet at Supper being moderate, taking care that the like be not ingen­dred, nor ascend, we shall compleat the scope of Cu­ring.

If a distemper of the brain cause Watchings and Dreams, and there is a certain hot evaporation from meat or chief­ly from Wine as we have said, cold things being taken at the end of meals as was said of Vinegar and other things which do actually refrigerate, will correct it, upon which account, some if they drink cold Water when they go to sleep, their rest is the sweeter: but if this happen in diseases, then those things which are convenient for cu­ring the disease, seeing they are cold wil also do good here, especially if soporiferous and narcotick be mixt with those things which are applied inwardly and out­wardly as hath been explained in Ravings and hot Head­aches.

CHAP. V. Of the hurt of Feeling.

The Kinds,

THe Sense of Feeling is first hurt, Stupidity. when it it is abolisht, and it is called a Stupidity or Narce, not for that reason, as when the functions of the mind are abolisht, we call it a Stupidity or stupidness of mind; or when from the immoderate passion of the mind we say they are astonisht, so that oftentimes though they be wounded yet they feel it not, till they come to themselves again, but here it is properly called Stupidity, when a part is so deprived of the sense of feeling, with which it was endued, that it can no longer perceive the qualities of the thing objected, and that either altogether not perceiving as if it were dead, or o­therwise very impairedly as if, as it is commonly said, it were asleep.

Otherwise a stupidity is general, at once happenning to many parts of the body, which most commonly happens in a Palsey motion being abolisht together with sense, in which the palsied member, either is wholly stupid or only in part; somtimes a stupidity seizeth first be­fore motion is abolisht, and goes before a Palsey and at last ends it; that general sttpidity is seldom found alone yet Fernelius testisies that he saw the like happen from Drunkenness, in which the body was all over stupid.

A particular stupidity happens only to certain parts, not only to those affected with a particular Palsey but that somtimes is wont to happen to parts that are not pal­sied, sometimes in the Hands, Feet, Face, as I had after an Epidemical disease a stupidity left me in part of my Hip for many years; and perhaps that may happen intrin­secally in the Bladder and Fundament not only when they are palsied, but also only the sense of feeling being abolisht, they lose their goad, and are not solicited to excretion to perform it rightly, and it may be the cause why some are sometimes so slow to stool and piss, as shal be said there: but also in those parts endued with sense of feeling, which are no waies moved with voluntary mo­tion, and therefore cannot be palsied, as the Skin, Mem­branes, inward bowels, Stomach, Guts, this solitary Stupi­dity may happen, as wel as in others which are mo­ved.

The sense of Feeling is depraved, not when it is so affect­ed by its object, that there is a sad sensation, which they call pain and refer it to the sense of feeling depraved, but we because it then percieves its object such as it is, and as it offers it self, do think that pain is not to be refer'd to the depraved sense, but rather to the simple accidents amongst the symptoms, as we shal say in its place; but when it perceives falsly, and errs as it were, as the other senses do, when they think they See, Hear, Tast, those things which are no waies such as are represented; the feeling we say if it be thus affected, doth perceive de­pravedly.

Such is that sense which from the touch of any thing feels it not rightly but the patt feels in it self somwhat else, A Fornication. as when they feel a certain running up and done through a part as it were of Ants whence the Modern have called this affect a Formication.

Also that other sence when a mem­ber touched with Air or Water they depravedly feel it to be affected and perfused, A false sense of heat & cold with­out and within. as if they were excessively cold or bnrning hot.

To which also is added a new Species more rare, first of all somtimes observed by me that is a troublesome sense of the Air or Water, Hot or Cold, about the Gul­let and Stomach chiefly manifesting it self in swallow­ing; a symptom somtimes befalling the Paralitical or Convulsed with difficulty of Swallowing, Speaking, Laughing, Coughing, as shall be shewed in them; or also without the resolution of those parts very much tormenting men, only with this troublesom sense.

Hither also is refer'd the Sense of vehement and in­tollerable heat, with which we have seen a Man trou­bled in his Jawes and Cheeks, and a Woman also on the sides of her Tongue, without any appearance, even to the last, very long for many years.

Which Sensation we may refer to the depraved sense of Feeling, or if this happen the member being half stupid, and nevertheless perceiving this trouble (whence Ar­chigenes called it a stupid pain not so unhansomly, as he is reprehended for it by Galen) we may at least refer it to the sense of Feeling impaired, or hold it an Affect com­pounded of these.

Whither also we refer that troublesome sense which somtimes is wont to besall the Teeth in chewing, which they call Haemodia, Haemodia. and count it a stupidity of the Teeth.

To which also seems due to be ascribed that sense of the highest pain, which the Fingers being cooled even to a stupidity, and suddenly again Heated, reaching even to the roots of the Nails, by reason of the praece­ding stupidity, yet because here happens a high and last­ing Pain by reason of the sudden change and alteration we shal refer it to pains and there explain it.

The Causes.

The Cause almost of every true Stupidity lies in a Nerve, which may be in every Nerve, seeing every Nerve is endued with the sense of feeling, and doth communicate the same to the part into which it is in­serted, with an influx of the animal spirit and commu­nication of its own substance, as we have taught in our Anatomical work; the which being thus affected, that communication is intercepted, or wholly, or in part, [Page 51]impeded, if this come to pass in a Nerve, which be­ing inserted into a Muscle, together with the sense of feeling doth give it motion too, it must needs be that both a Resolution and Stupidity do happen together, as shall be said in a Palsey; which when it comes to pass in a general Nerve affected and communicated to many parts, there must needs follow also a more general hurt common to many Muscles, An affect of the mo­tary Nerve is the Cause of a stupidty hapning with a Palsie Resolution or without it. and yet not only to them, but also to the Skin and Membranes, seeing from the Nerves of the Muscles, branches carried to these parts also do bestow on them the sense of feeling; but if it happen in some private Nerve carri­ed to one part only, then it must needs be that that only is hurt; as this shal be more fully explained, in the Re­solution of Voluntary motion or a Palsey, seeing this Function which is abolisht, is the more excellent.

But from the forementioned affect of the same Nerve, whether it be a general or particular one it may come to pass, that Motion may languish or cease, the sense of feeling remaining nevertheless, either entire, or at least­wise obtusely, seeing for the exercise of motion, there is, required a greater firength of spirits, than to feeling, as also shal be explained in a Palsey.

Yet it may also come to pass, that a Nerve being affected, An affect of the sensitive Nerve is the Cause of stupidity with­out a resesoluti­on. there may on­ly be a Stupidity, motion still remain­ing in the part, viz. if only a sensitive Nerve be affected, which ends not in the Muscles, but in the Skin or a Mem­brane, or only in their other immo­vable bowels; which eminent cuta­neous Nerves, we have shewed in the divisions of the great Nerves, are only implicated in the Skin and Membranes, and carried to the natural parts, Nerves of the fixth and seventh conjugation do only commu­nicate the sense of feeling to many of those parts which are not moved; and other sensitive Nerves are carried from the motary Nerves inserted in the Muscles, to those parts also which are not moved, which sensitive Nerves or motary Nerves also being hurt, but carried out of the Muscle, then it happens that that part on­ly becomes stupid into which they are inserted, either altogether, or in part, according to the greatness of the hurt; yet the cause of all which may be the same as that of a Resolution, only differing in the diverse seat.

Also that Depraved sense of For­mication so called, The affects both of the motary and sensitive Nerves cause Formication with trouble in the parts may happen by reason of any Nerve whatsoever, both Sensi­tive and Motary, to wit then, when the Animal spirit being retained a while in the stupid or palsied Member doth run back again into it, with a certain force and violence, the impediment being taken away, for then about the ex­tremity of the Member especially, as about the Fin­gers whether the spirit is carried at the first violence, or elsewhere also where it reacheth, an itching and sense of pricking doth trouble them up and down, the spirit every where pricking as it were and tickling the mem­ber, so long, til they being sufficiently flowed to it, the part return to its ancient absolute sense of feeling; the which also somtimes happens upon the strong percussi­on or smting of some sensible Nerve, as on that which wound about the gibbous part of the elbow runs forth to the little and ring-finger, which being violent­ly forced by a fall, these two fingers, suffer that sense of Formication for a while til the Nerve which was com­prest by the blow be dilated again, and the spirit being sufficiently transmitted, the which also may happen in other places in cutaneous Nerves.

As also a Nerve being filled with the Afflux of a cold humor, The affect of a Nerve both motary and sensi­tive induceth a depra­ved sense of heat or cold. the members which are affected do perceive a Sense of that Air, or of Cold Water (as we find with our Tongue, the like cold air comes forth out of a hollow Tooth that is troubled with a cold defluxion) The which hot Air or Water from the plenty and violence of a hot spirit, which cannot pass a Nerve obstructed, being there plentifully gather­ed together, by its heat giving such a sense, in like man­ner as was said of the Cold, molests the member which it affects; which as it may happen in all the Nerves that bring resolution also or stupidity so also it happens in them which, from the sixth and seventh con­jugation give motion and sense to the vital and natural parts, it produceth about the Stomach and Gullet that heat we meet with as hath been said: the Causes of which we shal more rightly explain in a Palsey, seeing that doth either go before, or accompany, or follow these affects.

That the Cause of Stupidity may be in the Instrument of the sense of feeling, An affect of the mem­branes & skin produ­cing stupidity without palsying. to wit in the skin and Membranes, seems ve­ry likely, seeing their substance is made up of a Nerve dilated, not when the native heat being wholly extinguished, these parts die by a Gangrene, but when they are stupid only, so that these instruments of sense either feel nothing or obtusely; the which Fernelius hath writ hath somtimes hapned in the skin of the whol body, as hath bin already said, from Drunkenness; in which case if Wine did not do this by its Narcotick vertue, because it caused a general stupidi­ty as hath been said in a Consternation of mind, certain­ly its Narctick faculty did manifest it self only in abolish­ing the sense of the Skin; the which notwithstanding could scarce be done by Wine or other Narcoticks, but also the vertue of the brain and Nerves must be dulied too; and therefore after the Drunkenness was over, perhaps by reason of the external coldness of the Air, in which Drunkards oftentimes lie astonisht, it might befall this Drunkard also his skin being thus stupified: seeing the cold from without being a long while recei­ved perhaps may sometimes cause such a stupidity in some part of the skin which endured this cold: for o­therwise this can scarce happen from an internal cause; bur how it hath hitherto been beleeved that the insensi­ble and stupid skin of the Elephantiacal is rendred so from some internal cause and Disease of the skin, that being prickt it feels not, and upon what account that is true, we shal declare in the Elephantiasis.

Neither could I ever find, that by an external Nar­cotick applied to the skin, that could be rendred stupid or free from pain, that I might know somwhat certain, I have applied a Mass of Opium mollified to a Gouty part full of pain, but without any profit; but what they write for truth that this may be done from the touch of a Torpedo not only taken in the hand, but also if it be toucht with a Fishers Rod, it wil stupifie his hand; I seeing I observed no such thing at Mo [...]tpelior where they handle and eat Torpedoes dare not affirm it for truth; wherefore we say this disease is rare, and which can scarce happen, that the skin only became insensible, the member which it covers not being stupid too by reason of the Nerve affected; unless perhaps occasion [Page 52]be given, when by reason of an impediment, that the Skin being more thick and hard, then that it can per­ceive the true feeling of any thing exactly, we would call it the cause of that Stupidity the which notwith­standing is no waies a true Stupidity.

The Membranes also being Intrinsecally affected, and Nerves not hurt too, a Stupidity can scarce hap­pen for their sake only.

And neither is that Stupidity which befals the Teeth or rather that trouble when the teeth are an edge from the Teeth alone, An affect of the Nerves about the Teeth, causeth a Haemodia. because they are distitute of the sense of feeling as other Bones, but that the Teeth are too much exas­perated and refrigerated by the eating of acid and cold things, which both by their thinness and coldness are e­nemies to the Teeth and Nerves, that happens from the continuation of the Nerves and the sensible Membrane with their roots, by which it comes to pass that the Tooth it self seems to feel. The like Distemper may be imprest by contact on that part where the Teeth touch, and so their feeling being changed, as when the Teeth being prest in chewing, they press them as swel­ling up, thence ariseth that trouble some sense which they call the Teeth an edge.

The Cure.

The Cure of a Stupidity because it hath joyned with it other, The Cure of a Stupidity from what cause so­ever. and for the most part grievous Symptomes, which proceed from the same cause, it shall rather be explained in them, that we need not repeat the same cure twice: as if it be by fault of the Nerves as we have said that all Stupidity happens by reason of them, and there be a resolution also, the same cure is due to them both, as shall be explained in a Palsie, or though that be not yet present, but only a Stupidity possesseth the part, yet because it proceeds from the same cause as a Palsie doth, whence they call Stupidity, a Diminute or imperfect Palsey with the same labor, the Cure of it also will be described there.

The sum of which Cure is this, That if it be from a Humor it be emptied, if from blood by the taking away of Blood by Revulsion and Derivation, if from flegm or other Excrementitious Hnmors, by purging it out with general and particular Purgers, if from any other external cause by remo­ving of that in the first place, also by refreshing and strength­ning the Nerves with things that alter. Then that we Allure and Attract the Animal Spirit to the stupid part which is destitute of it, by things that do it actual­ly and potentially, the which shall be explained in a Palsie and Atrophy, because they attract the blood also, amongst which these are chiesly used in the Cure of a Stupid Member.

By Friction of the Stupid part with the Hand, apply­ing also warm clothes, by Application of Cupping-glasses with much Flame, by Pication also often repea­ted, and by other things that cause pain, we allure the Spirits.

Also rubefying Sinapismes are used, applyed to the [...]ffected part, anointings with divers hot Oyls, amongst which that is chiefly commended, in which Nettle-seed hath been boyled; also Time, Rue, and other things appro­priate to the Nerves are commended, and other Oynt­ments which we are wont to use in an Atrophy, we use here also.

Fomentations and Baths of warm water, first a little warm, by and by hotter are convenient, increasing the heat by degrees, to which we add somtimes Wine and Lie, and oftentimes we boyle in it, Time, Rue, Sage, Chamomel, and hot Seeds.

A Cataplasm of Pigeons dung, Goose dung, adding Bay­berries, is approved of, also with Oyls and Fats and hot Herbs,

The treading of Grapes, if the Feet be stupid, or if the stupid Member be thrust into a heap of fresh Grapes whiles they are hot, or be dipt in new Wine are accoun­ted for singular remedies in turning away the Stupi­dity.

Also the which forementioned Topick Remedies appli­ed to the whol Body may do good, if the Stupidity come from a too great refrigeration of the Skin and the Nerves lying under it.

And if a depraved or impaired sense of feeling arise in the said For­mication or with a sense of that Air or Water, The Cure of For­mication and the false sense of heat and cold. because here also is some Stupidity, it shall be cured after the same manner.

But if in the same sense depraved the pain doth exceed the Stupidity as in the Stupidity of the Teeth, The Cure of a Haemodia Tobe explained in the pain of the Teeth, as also of the pain about the Nailes. which they call Haemodia, or in the pain of the fingers reaching unto the Nailes as hath been said, the Cure shall be more rightly explained in the pains of those parts which are afflicted.

CHAP. VI. Of the hurt of Tasting.

The Kinds.

THe Tasting faileth, because the Gustatory instrument doth not perceive at all or impairedly, The defect of Tasting. the savours of things; the which because it is endued also with the sense of Feeling, either it looses the same also with the Taste, or the Taste only is weakend, he sense of Feeling remaning.

A Depravation of the sense of Tasting, is when it perceives the savors of things not such as they are, A Depraved or false Tasting. but conceives them as if they were of another rellish, then indeed they are, as when those things which it tasteth, whether they be Infipid, Alimental or Medi­camental, it thinks them to be dry, Sweet, Salt, Bitter, Sharp, Sour, when yet their rellish indeed is nothing such.

The Causes.

The Cause of the hurt of Tasting seldom lies in a Nerve, unless the Brain being hurt too as was said in an Apoplexy doth produce an Abolition of all the sen­ses, of which we have already treated; but more com­monly in the Instrument of the sense of Tasting, viz. in the common coat encompassing the mouth. chiefly there where it invests the Tongue and Gits the Palate, if it be either too much dryed, or covered with filth, or besmeared with a strange Humor or Vapo [...]r.

[Page 53]If it be too much dried and hard­ned in that called a Roughness and Ruggedness, The driness of the coat compassing the Mouth, is the cause of the defect of Ta­sting. then the tast is hin­dered, or lost, or impaired so that all things seem unto them to be tastless and woodden, as they are wont to complain, because for the sense to perceive aright, a decent softness and moisture are required.

But this proceeds from the Inspiration or drawing in of the Air not by the Nostrils (because so the Air naturally passing through the largness of the Nostrils presently into the rough Artery, and not touching the inward parts of the Mouth, it can no waies dry them) but when tis drawn with an open Mouth, then sucking up the moisture of the Tongue and Jawes, and by so much the more, if it be both hot and dry, it dries up those parts, and makes them hard and rough, and unfed and useless to tast aright, the which as it is wont to happen to the waking, so especially to those that sleep with their Mouth open, both sound and sick, either from an evil custome or because the Nostrils being ob­structed when the Natural way of respiration is stopt up, either wholly or in part, they are compeld to draw in the Aire through the Mouth either all of it or the greatest part, if it come not sufficiently through the Nose.

The which also comes to pass, if the Body being too much heated they have need of a greater inspirati­on of the Air, The driness of the Coate compassing the Mouth with blackness is the cause of the want of Tasting. then the Nostrils al­one can admit, that then they draw it both with ful Nostrils, which upon that account are at that time wont to spred themselves for drawing in of Breath. and with an open and dilated mouth, as it be­fals them in their sleep who have filled themselves with hot Meats; and in hot Diseases, internal Inflamma­tions and Feavers the driness of the Tongue is a fre­quent Symptome, in which the necessity of Inspirati­on doth not so vehemently dry those parts, as the hot Expiration kindled from those hot Diseases not only passing through the Nostrils but the Jawes also and dies them with a Black, or Green, or Yellow col­lour.

Which driness of the Tongue, Jawes and Nostrils is felt by the Patients themselves, because they very much complain of them, and the Chyrurgeon may easily know it, by the touch, and sight; the which also oftentimes grows so strong, that the Tongue appears cleft, not only long waies, but cut crosse waies also, and when for these causes they utter their words ill, the Patients oftentimes stutter, whence the Physitian somtimes guesseth at these affects of the Tongue, be­fore he looks upon it.

If the Tongue or Jawes be covered with that called Slime that they can­not by contact exactly perceive the savors of things, The slime of the Coat compas­sing the Mouth, the cause of the defect of Ta­sting. they are so hindered byinterposition of this infensible mat­ter, that those things which they tast seem to have no rellish. But this Slime is generated of the Spittle; o­therwise naturally moisting the Jawes, but then espe­cially in those places where it adheres to the Jawes, either by reason of its driness obtaining a Tenacity, or by the mixture of some other humor, having gotten a thickness. For it is dried for the same cause, from which we have said the Succingent Coate was arefied, whence a dryness of the Jawes and plenty of this slime, especially on the Tongue do often concure in the same causes and Diseases, and then also they do more pre­judice the Tast the Cause being doubled; but the spit­tle grows thick there by mixture, by reason of a Vapor continually evaporating upwards from the first conco­ction, cleaving to the Tongue, Jawes and Teeth (to which thisslimy matter grows, and at length is turned into that which is Tophous) and mixt with the spittle somtimes with various colors and stinkingness fouling those parts: the which also is wont to happen in sound Bodies, especially if they sleep at night with their mouth wholly shut, so that the Vapor ascending can­not evaporate, and they do not wash their mouth in the morning; whence the forementioned parts for the most part are successively infected with this white slime, and in sick people resembling the condition of the putrid and malignant humors, being somtimes white like pulse, somtimes yellowish, somtimes black it affects and bespots the Tongue, Jawes and Teeth, but the spittle being made more Tenatious by the mix­ture of Flegm, sticks to these parts, as if it were glewed; the which also oftentimes befals the sound from de­fluxions, or the sick, and somtimes for that reason acquires so great a Viscosity, that it can scarce be wa­shed or scraped off: and also it takes from Tenacious Viscous Nourishments, a certain viscosity, by which it grows to the said parts.

And this slime is easily known by its color and sub­stance, and by this the affect, whence it pro­ceeds.

The Coate also encompassing the mouth destined for tasting is season­ed with a Humor and Vapor endued with a strange savor, A seasoning of the Tongue the cause of a de­praved taste. the which as long as it perceives, it cannot rightly ap­prehend other things offered to the tast, and judg what they are, but thinks them also to be of the same savor, with that which it is already affe­cted with.

This somtimes comes to pass from some things taken whose savor is so imprinted on the tast, that it cannot so quickly yeild and give place to other savors, or be­ing mixt with them, it doth also present a false savor of the thing unto the tast; the which ingrateful things do, if they be taken often, or those things which do very much affect the tast with a strong savor. As when meats endued with an Alimental savor are offered to the sick, which for the most part, they are wont to loath, and are thrust in as it were by force, then what­soever they take afterwards though of another savor they perswade themselves, hath the same Alimental rellish, or smels of it: and when sweet things are given to those that are feaverish, being for the most part in­grateful to them, they judg all things afterwards to be sweet; and also in the sound, things being tasted that are very Bitter, Salt, Austere, and adhearing long, they do chang the rellish of those things that follow; and hence it comes to pass that after taking of rotten cheese after Vinegar in sauces, if they drink Wine, it appears not such as it is, but either bitter, or to others more sweet, according to the diversity of Natures.

A strange savor proceeding from an internal Cause doth also deprave the Taste if such a Vapor or Humor do infinuate it self into the Coat which perceives the the Taste. And hence it comes to pass, that sometimes they think all things which they tast to be sweet, if sweet Flegm, or a sweet and alimental Vapor ascending from the Nourishment out of the Stomach, doth season the said Coat.

Or if an acid Vapor belcht up from the Chyle which [Page 54]we have elsewhere shewn is alwaies acid, or from meat half digested, or four Wine taken, or by vomit­ing raised up even to the mouth, they do infect the mouth with an acid savor. Or a salt savor also may be imprinted on the said parts from the Serum or salt Flegm falling thither; or when the Mouth is so bitter that it judgeth all things which it tasteth to be bitter too, which oftentimes happens by reason of Choler if it be collected in the Stomach, by a certain communi­on with the Coat incompassing the mouth, which doth also invest the Stomach; and also in cholerick sound bodies if by long fasting it be carried thither, or being moved with Anger it be poured thither; or in other cholerick Diseases and Feavers, either abounding in quantity, or boyling with heat it empty it self into the Stomach, or be generated there from things taken that produce Choller, or that do end in Choler by Corrup­tion.

The Cure.

This disease if it proceed by consent from the Nerves or the Brain, its Cure wil be common with that of an Apoplexy and other resolutions of the Nerves which then are also present: but if the gustatory instrument the Coat of the Tongue and Jaws be affected by Idio­pathie, and that either grow dry or be coverd with slime, or be seasoned with a strange savor, to these the Indication of Cure shal be applied.

In a Driness the Cause must first be turned away, which if it arise from an evil custom that they sleep with their Mouth open, it must be changed by forbear­ing to use it; The Cure of the want of Tasting from the driness of the coat of the mouth. especially if they are compel'd to breath so, their Nostrils being obstructed, then if they sleep with their head placed higher, and the pillow under it be raised up, experience teacheth that they may thus attract the Air more freely, because the largeness of the Nostrils is then the more dilated; and if snivel or flegm obstruct the Nostrils, they must be purged by Errhines and if a hotter course of living doth bring this driness, let them abstain from hot and salt meats, let them dilute their Wine wel, let them use Sallets at Supper especially, of Lettice, Succory, and the like, and let them not heat their body too much no other waies; then that the Air may not often enter the mouth and dry it, they ought to speak little, and spit seldom, seeing the spittle retain­ed a long time, because it is glutinous, doth chiefly moisten the Tongue, and if it be dried, doth lenifie it again.

If this happen in some Internal hot disease especially as in burning and Continual Feavers the Cure must chiefly be directed, to extinguish the heat of the Feaver, & chiefly then, cold Epithems must often be applied, to the Heart, Liver, and parts from whence the heat chief­ly ariseth. Afterwards Remedies shall be fitted to the coat of the mouth by lenifying and moistning this roughness with things soft, glutinous, and fat, which either they may keep in their mouth, chew, lick, or wash the mouth with them, or if they cannot, let their Tongue be anointed with the Finger or a Stick appli­ed to them.

Prunes, Tamarinds, Sebestens, such as are kept dried, if being mollified again, with a gentle heat, they be kept in the mouth, lenifying with their grateful relish, they correct this fault.

Fresh Apples sliced, chewed and held a little in the mouth, de perform the same, as also the flesh and juyce of Melons, Guords and especially of Citruls, fresh Purslane as being eaten it doth presently correct the roughness of the Teeth, so also it doth very much lenifie the jaws, the which also Lettice held in the Mouth and chewed, doth.

If those things be conteined in the Mouth, which do actually Refrigerate, by extinguishing the heat they correct the driness, as Cold water, and Stones amongst which the Chrystal is beleeved to bring somewhat pe­culiar.

The following Remedies also must be licked, or put into their Mouth which do correct the driness of the Tongue and Jaws, by their mucilaginiousness.

As, Take the white of one Egg, beat it wel with Sugar til it grow white, use it.

Or thus, Take of the Mucilage of the seeds of Quinces and Fleawort extracted with Rose-water, of each half an ounce; Syrup of Violets one ounce, mix them wel.

Or, Take of the aforesaid Composition one ounce, to which also you may add of the Mucilage of Apple kernels and seeds of Mallows half an ounce, the Infusion of Gum Tragacanth in Rose-water half an ounce, Sugar candy (espo­cially if the Tongue be foul too) Honey of Roses of each two drams, mix them.

These Compositions made a little thicker being re­ceived in broad baggs, and often moistned with Rose­water, he may lay on his Tongue, and so keep them a while; or let Cloaths be moistened in these Liquors and be applied in like manner.

Which also may be done in this Decoction. Take of Sweet Prunes six, Violet flowers one pugil (because they have a glutinousness) Barley clensed one ounce, Quince seeds two drams, Fleawort one dram, Gum Tragacanth half a dram, boyl them in Water for the said use, adding a lit­tle Honey or Sugar.

Things somwhat Unctuous, but made of those which are most pleasing, being administred after the same manner, do egregiously contemperate this driness.

Of which sort this is, Take of Fresh Butter, or instead of that, Oyl of sweet Almonds newly drawn, as much as is sufficient, White Sugar, or Candy, or Sugar of Roses, beat them together, and let him lick it.

Or thus, Take the white of one Egg, Starch Corn one dram, Milk as much as wil suffice, beat them wel, boyl them a little till it becomes a Frumenty, add of fresh Butter the like quantity, the whitest Sugar as much as is suffi­cient, make a Hasty pudding, which let him use.

The Fat of a Hen or Capon boyled a little that it may be the more grateful, may perform the same.

Syrups of Violets, Jujubes, or others, may be lick­ed so, or held in the Mouth.

Lotions for the Mouth may be made of the same things, dissolved for this use.

Or after this manner, Take of Syrup of Violets, Juju­bes, of each one ounce and an half; the Decoction of Barley clensed four ounces, let him use it.

Or thus, Take of the fresh Leaves of Purslane and Let­tice of each one handful; the flowers of Autumn Mallows, Dogshhead, Barley clensed, of each one pugil; the Roots of Liquorish one ounce, the seeds of Fleawort two drams, the seeds of Poppy one dram, boyl them in Water, and in one pound dissolve the white of one Egg beaten, Honey of Roses clensed, Syrup of Violets, of each one ounce; let him use it.

It is very convenient to wash the Mouth often with cold Milk, especially with Butter-milk.

But if that Blackness, Greenness, The Cure of the want of Tasting from a driness of the Tongue with blackness joyned to it. Yellowness, joyned with the Dri­ness, doth signifie that the Tongue also is infected by Malignant vapors it is an ill sign, and so much the [Page 55]worse, if heat be added to it. [...] then those things being first administred which are due to a burning, malignant or pestilent Feaver, we must use things more cold and repressing malignity, especially acid things, adding al­waies some things Lenitive, that they do not too much exasperate, of which also we wil treat in the Inflamma­tions of the Jaws, to which also we add these follow­ing.

Let them keep in their mouth sharp Fruits and chew them, as of Physick fruits, Orenges, Lemmons, Citrons or Pomegranats, or other Apples, Prunes, Cherries, Currans, and bunches of Barberries, and of herbs, Sorrel, Lettice, Purslane, but first steeped in Vinegar or acid juyces; or in Sallets, as flowers of Succory, Violets, with Vinegar, and the like.

Then let them wash their Mouth often with Rose­vinegar diluted with Water; or with Sorrel-water.

Or with the Acid Broth of that seasoning of Cole­worts and Rapes, and use that Acid Liquor either crude, or distilled first, which is Chirurgeons most ex­cellent Remedy for these things approved on by expe­rience.

If a little Camphire be added to pure Water 'tis also a fit Remedy.

Or let it be made after this manner, Take of Rose­water three ounces, Nightshade water two ounces, the white of one Eg beaten, Camphire dissolved in Vinegar half a scruple, mix them.

Or such a Julep, Take of simple Syrup of Vinegar two ounces, of simple Oxymel one ounce, the waters of Roses, Vio­lets, Water-lillies, of each three ounces; mix them.

Some commend this very much, Take of the Water of the greater Housleek, to which add a little Salt Ammoniack.

Yet after the use use of these, we must alwaies come to those things which Lenifie also, the which have been already spoken of.

Amongst which this also is commended above the rest. Take of the pulp of Gueard seeds, choice Manna, Su­gar candy, of each one dram; with simple Oxymel make Forms, which he may keep in his mouth.

The other Remedies, especially if there be a great heat joyned and as it were an Inflammation, are ex­plained in the Inflammations of the Jawes.

If slime growing to the Tongue and Jaws, do preju­dice the Tast, and do also bring trouble, by its tenaci­ty and stinking, the cause must first be removed.

Which if it proceed only from the taking glutinous things 'tis easily pre­vented by washing the mouth alwaies after meat taken, The Cure of the want of Tasting from slime of the coat com­passing the mouth. till the reliques of these meats, or thick juyce, which do adhere, be washt of.

The same must be done also in the morning alwaies after they are up, if such filth be collected, either by reason of this Cause or from Vapors raised from the Meats at night, and the Teeth must be diligently clensed and rubbed, as al­so shal be explained in their faults.

And that Fewer and less thick Vapors may arise, we must take Care the Supper be sober.

And lest that these exhalations being retained in the mouth, in progress of time may grow to the said parts, they must accustome to sleep with the mouth a little o­pen, which when some are not used to do, by interpo­sing a cloath, or holding a little cane in their mouth, they ought to make a way for the vapor.

If flegm breed this Tenacity in the Spittle, the afflux of that must be diverted, and that must be forced and spit forth by hawking, premising if it come hard, the Lo­tions that shall presently be named, to cut and clense it.

But if the Cause or a hot Disease, an acute, malig­nant Feaver, by drying or sending up filthy vapors and so incrassating the Spittle, do produce this thick filthy slime; first having respect to the Disease and the Cause as hath already been said formerly, Topick means as well in this as in another persevering cause, must be ap­dlied to the part affected as followeth.

We take then out of the Mouth chiefly from the Tongue, Teeth, Gums and Jaws, this slime if it abound very much, with those things which have [...]n absterfive power, and if it be very tenacious, incisive also, with which are mixed things lenitive, that they may not ex­asperate the Tongue, especially if that be dry too, ap­plying also things that work [...]actually, in the interim e­ver and anon washing it, and if it yeild not easily, sera­ping it.

The mouth is washt with things abstersive, as with the Decoction of whol Barley. Also with Whey, with Milk and Sugar.

Or with this following, Take of whol Barley, Red Pease or Vetches of each one pugil; roots of Liquorish one ounce, Figs twenty, flowers of Autumn Mallows one pugil, make a Decoction and in one pound dissolve of Honey or Sugar two ounces.

After washing let him hold Sugar candy in his mouth, or Lozenges of Sugar, Roses, or Manus Christi, or let him lick a little Honey of Roses.

If there be need of a greater Abstersion and Cutting, cerrain hotter things and acid things are added too, if the flegm be very tenacious.

As, Take of Barley, Vetches, of each one pugil; Liquo­rish one ounce and an half, Leaves of Sage, Marjoram, Hy­sop, of each two drams; Quince seed one dram, make a De­coction in Water and white Wine, add Honey of Roses two ounces, Sugar Candy one ounce, wine of Pomegranates or Vi­negar a litttle, mix them, make a Lotion for the Mouth; if you add as much Allum or a good quantity of it, when it is very tough, it is most powerfully abstersive.

Or, Take of the waters of Roses, Plantans, Nightshade, of each two ounces; the waters of Sage, Marjoram, of e [...]ch one ounce; simple Oxymel two ounces, white Wine Vinegar a little.

Let him take often one spoonful of Oxysaccharum, or Hydromel, or of simple Oxymel, or of Squils, if it be very tenacious, and after some time let him wash his mouth, and again repeat the Syrups, to which if it give not way, some portion of Allum must be mixed with them.

Or Vinegar of Squils diluted must be held in the mouth, with which I have somtimes observed, that the most tenacious matter, which formely could be taken away by no means, hath at length departed from the mouth.

This matter also must be scraped off, if it stick perti­naciously, yet so that we do not too much exasperate the Tongue, and so give occasion to a greater Inflam­mation, especially if it be very dry and cleft, in which thing Chirurgeons offend often.

But this is done by rubbing the Tongue, as also the Teeth, Palate, with the finger or an Instrument fitted for it, coverred with a Linnen cloth, and dipt in the Lotions above-mentioned; which also is commodi­ously done with the Leaves of Sage, Mint, moistened after the like manner: also that filthiness is scruped off with a round usual Instrument made of Sallow or silver, such as Chirurgeons have, drawing it leasurely over the Tongue, in the interim oftentimes washing the mouth and by & by again lenifying the Toung with an Oynt­ment; but oftentimes the flegm is so tenacious and the slime thick like Frumenty it may be laid hold on by the [Page 56]hands and so taken forth, or drawn, and by that means forced to yeild.

If a Vapor or Humor season and fill up the Tongue with a strange savour, The Cure of a depra­ved tast from the sea­soning of the Tongue. that it perceives not other things at all, or amiss, the cause also must first of all be declined.

Which if it proceed from things taken, seeing it doth no waies induce a long lasting affect, and ceaseth of its own accord, 'tis neglected; or will easily be amended with the contraries, as shall be said by and by.

But if this arise from an internal disease, a filthy vapor or a cholerick alimentary humor heaped up there, the intention of curing is directed, to the evacuation of these humors, and healing the Diseases.

But if that adverse savor doth no waies cease the cause being taken away, but persevering a long time, be trou­blesom to those otherwise sound and to the sick, the contrary savor being procured by things given, we ei­ther take away or amend the former which did trou­ble.

So the Sweet savor as wel the Alimental as that which is sweet indeed being very adverse for the most part to the Feaverish & other sick folks, the which notwithstan­ding was otherwise most grateful to them in health, is corrected chiefly with acid or tart things, which do not only mend that, but also bring an appetite too, which sweet things take away, and asswage the thirst, which sweet things increase; which acid things let them keep in their mouth, and lick, amongst which acid Cherries such as are wont to be kept dried and softened again, and many others of that nature, which shal be explain­ed in thirst do very much and this nauseous unsweetness of the mouth.

The which bitter things also do likewise correct, be­ing more acceptable to some natures, especially if they confist of a sweet smel as principally Wormwood in Wine which adds a greater gratfulness to it.

As the bitter savour again too long sticking on the Tast is corrected with Sweet or Acid things, and with those that are insipid, which also do dull the vertues of them which otherwise would inflame the Jaws.

With which also the salt savor is contemperated, as again the salt savor is dulled with things insipid.

CHAP. VII. Of the hurt of Seeing.

The Kinds.

THe Sight is wholly abolisht in some, Blindness. that at all times and alwaies they see nothing, and it is called Blindness; in which Species if no fault appear in the Eyes which may hinder seeing, & they are blind with open and cleer Eyes, it is called Amaurosis; Amaurosis a kind of blindness. for if either a Speck or a Coat, or a Humor appearing about the black of the Eye, makes them Blind it obtains a private name from the Cause as shall be said in the Cause.

But otherwise they lose their sight only, at a certain time, the which nevertheless by and by returns again, no impediment then also being conspicuous in the Eyes; as when from an external cause by reason of brightness or darkness, objected too much or too suddenly to the Eyes. Scotoma an Obtenebration a kind of blind­ness. Tthey are so darkened, that the seeing being hin­dred first as it were with a Cloud or Fume impeding, through which there seem to run, certain smal bodies som­times dyed with a red' yellow, or black color, by and by is for a while wholly taken away, in the affect which is called Scotoma.

Somtimes the Sight is only impai­red in some, Amblyopia a weakness of the Sight. when those species of things which the sight otherwise ought naturally to attain to, whereso­ever and whensoever, they behold not wel, or obscure­ly; and that for the most part, no cause also shewing it self in the Eyes and they call it Amblyopia that is an obscurity, dulness or darkness of the sight. Darkness a kind of weakness of Sight. Although some think if the Eyes by some manifest fault do see impairedly as with a mist before them, it might more properly be called a dulness, and in old folks they call this fault a darkness.

Hither also is refer'd that weak­ness of sight, The sight percei­ving things dist­ant more right­ly than neer. when the sight perceives things neer no better than those re­mote as naturally it ought to do, but those neer the Eyes it apprehends less than things distant, and therefore when they would see small things, or read them, they are forced to remove them far from their Eyes; a fault familiar to those that grow old, which when it may be amended by a fit pair of Spectacles, let them continually use them in appre­hending of smaller things, for which cause I am wont to call it The old folks sight.

But it happens also on the contrary manner that some can no waies judg rightly of things remote, Sight not rightly dis­cerning things a little di­stant. yet not so re­mote that sound men also cannot suffici­ently see them by reason of the too great distance, but only removed for a little space, although they be very great; whence oftentimes not knowing their Neighbours, they pass them by unsaluted; Pictures, Writings, unless they draw neer with their Eyes, they can neither see nor read handsomly, unless they use spectacles appropri­ate to correct this fault, imbred for the most part with yong folks from their birth and remaining even unto extream old age, which approaching, sometimes it comes to pass, that then they see better those things di­stant which they saw less in youth, and how much the elder they grow, so much the farther sighted, which species therefore I am wont to call, The young mans sight.

But of those also who do less be­hold things somewhat remote, Sight not right­ly judging of things unless close to the Eyes is Myopia. there are some who unless they apply close to their Eyes things somewhat smal or writings as it is commonly said, touch them with their Nose, they cannot rightly discern or read them, beholding them with askew and closed eyes who from their cradle even unto old age for the most part, seeing after this manner are called Myopes, some of which are helped by the benefit of Spectacles, others not.

We meet also with another weakness of Seeing, Nyctalopes. when at night by the light of a Candle, they see little or nothing almost, but in day time by day-light they perceive no impediment in [Page 57]their sight which they call Nyctalopes, the Latines call Lusciosi.

But it happens also in some, that they see in the Night in the dark without light more acutely than in the day time, The Evening Eye-sight. as Owls, a rare disposition which they call the Evening Eye-sight, for we would rather retain those names which are usual and rightly design the things, then confound them amongst themselves as commonly they do, signifying many things by one name.

The Seeing is depraved first of all when things are represented unto it otherwise than they are indeed, Hallucina­tion. as if they see those things which are single for double, as somtimes it fares with Drunkards, who behold streight things for crooked, or some other way things under a false shape, which fault is called Hallucination.

Secondly if they think and Imagine with themselves that they see things that are not whence they call this affect Ima­gination; Imagination as it happens when in an Alienation of mind and Ravings, as hath been said there, they think that they see divers apparitions whiles they are waking, such as otherwise they are wont to meet with in Dreams, or that Flies, or Gnats, fly up and down, Nubecula a species of Ra­ving. Straws, Locks of Wool ad­here to things, the which also some­times is wont to happen to those no waies besides themselves nor otherwise sick; that the same insects or locks of Wool, and fila­ments, Spiders webs and the like small things and A­tomes, seem to appear to one Eye or to both toge­ther, in which because for the most part they think that they see also a little Cloud, this fault is called Nube­cula.

Thirdly hither belongs that false vi­sion when also without any hurt of the mind other colors then are, Colors a Species of Imagination are offerd to the sight, now red, then yel­low, Brightness a kind of Imagi­nation. or green or some other way re­presenting themselves with a ful light; the same appear coloured like a Rain­bow in the compass and as it were the circle of the flame of a Candle, or of some other thing lighted: or Brightness like lightning, or other shining bodies obscure the sight.

Fourthly to the depravation of sight these also must be referd, when the things which they behold, although they be firm and stable yet they think that they are car­ried about, driven round, and wheeled about, so that though they know this is a false imagination, yet when from that turning round of things, the sight doth no more perceive a firm seat where the body may subsist, that also stumbles & staggers; somtimes also if the pave­ment on which he stands seems to him to be inverted, as if he also were inverted with it, unless he be sustained or kept up, he falls and suddenly rusheth down, and beats the Earth with his Feet, whiles he endeavors to stay himself, all the other senses being nevertheless entire, by which sign this fault called Dinos, or Vertigo, is easily di­stinguished, from an Epilepsie. Apoplexy, Syncope, with which those that are strucken, do presently also fall on the ground.

But besides this unquiet Vision those troubled with a Vertigo there comes also sometimes another depravation of it, A Vertigo with Imin­ginations. which we have called Imagination and a little Cloud (and upon this account, they have named these imaginations, A beginning or smal Vertigo) a Cloud or other bodies, or Colours also with them offering themselves to the sight; the which notwithstanding if it doth happen, for the most part it is wont to go before a Vertigo.

Somtimes also a darkness of the sight which we have formerly called Scotoma doth accompany a Vertigo, A Vertigo with dark­ness in Sco­todinos. when also the Eyes being shut nevertheless al things are objected to the Internal sense as if they were turned round, and then the Disease com­pounded of them both is called Scotodinos.

All which Depravations of the sight for the most part happen, no fault being conspicuous in the Eyes (unless it be offerred in that, when a strange color doth somtimes appear with which the Eye is indeed extrin­secally coloured) whether this be in the Sound or Sick.

The Causes.

The Cause of all the declared Accidents of the Sight is either in the part communi­cating the visive power, viz. the Brain, The part affected. or consists in the Instrument receiving that power and al­so the species of external things, to wit the Eye; which when as it consists of many more parts, then the other Organs of the senses, and humors also, in every one of them some causes prejudicing the fight may arise.

First of all in the visory or net-like Nerve implant­ed into the Eye, and the principal Instrument of See­ing; then in the three humors that fil up the Eye and serve the visory Nerve, last of all in the Membranes themselves that constitute the Globe of the Eye and in­trinsecally distinguish the humors. If the Cause lie in those places where they are pervious to the sight as a­bout the Black of the Eye, and where only if the impe­diment of seeing do consist, it may be seen and known, for if it be elsewhere it is so hidden that it doth no waies appear to those that behold the Eye.

As all Senses may be hurt by reason of the Brain so also Seeing is weakned; The Cause of the Hurt of seeing in the Brain. both if it suffer a Disease General or Special and especially in that part where the optick Nerves come forth, or those Nerves themselves produced from the Brain and car­ried unto the Eyes, are affected; which affects may be various.

A Cold Distemper sometimes breeds Blindness the other senses be­ing somtimes unhurt; A cold Distemper of the Brain, is the Cause of Blindness, or weakness of sight. if the Fore­head and Eyes being much and a long time refrigerated by cold wind, which being less cover'd, are the more exposed to the injuries, and the cold penetrating even to that part, where the optick Nerves have their original, the said parts are so hurt, that they become Blind; or there remains afterwards a certain weakness of sight, which I have seen befall a noble Matron in the Head-ach from the too much application of Oxyrrho­dines actually most cold, who all her life time could no waies recover her sight any more; that this also doth happen, if the whol brain be hurt by the same distem­per hath been shewed in a stupidity, but then the rest of the senses are abolisht too, and its easily known by that, whence the cause proceeds, as if it be from exter­nals 'tis plain of it self.

That a Hot Distemper of the Brain doth bring together with a Depravation of the Mind also A hot distemper of the brain is the cause of error of the sight and of Imagination. [Page 58]a Hallucination of the sight, and the said Imagination in which various false Images of things are offerred to the sight, hath been said in a Phrensie.

As also it hath been explain­ed there, A malignant distemper in the brain is the cause of error in the sight. that that distemper which ariseth from the Pertur­bation of the spirits in the Brain from Malignant hu­mors, together with Madness and Melancholly, doth likewise represent false Apparitions to the sight.

Too much Driness of the Optick Nerve induced by burning Feavers the easier into that Nerve, A dry distemper of the Brain is the cause of blindness. seeing it is thick, doth produce a Blindness remaining after these Feavers.

The beginning of the Nerves be­ing comprest or bedewed as we have shewed that an A­poplexy is caused, in which all the Senses are taken a­way at once, so also if this be only about the rise or meeting of the Optick Nerves, or in the other car­riage of them out of the Eye, which then must needs be from an afflux either of a bloody or flegmatick humor, it is somtimes wont to happen, that a Blindness doth suddenly follow, if the humor presently fall down thi­ther.

But more commonly the Optick Nerves being irri­gated or too much moistened by the watry flegmatick excrements of the Brain, which in this middle seat of the Basis of the Brain, where the optick Nerves break forth, alwaies flow down to the Infundibulum which is next to these Nerves; and together with the Nerves, and neer them break forth into the Chamber of the Eye and amplitude of the Nostrils, a darkness of sight is wont to happen in old folks and flegmatick; or if they be refrigerated by the same humor or be comprest in those streights rather then obstructed as they would have it, a blindness also is wont to follow; which abo­lition or weakness of the sight, together with the hurt of the rest of the senses happens, if this fault be extended to their rise or progress in the Basis of the Brain, or the sight only is abolisht, if that seat chiefly be affected, and that commonly in both Eyes by reason of the meeting of the Optick Nerves and their short passage to the Eye, that is rare that one Nerve only can be so affected; the which doth proceed from flegm or a wate­rish humor as is sufficiently manifest, by the signs of that humor abounding in the brain; and it is easily known also that a Nerve is affected, when nothing appears in the Eye, which can bring such loss or Obscurity of the sight, neither have we found this sign to be true, which they have thought most certain, to wit, if the unsound Eye being comprest the Apple is not dilated, this comes to pass by default of the Nerve, because the influx of the Spirit into the same is impeded, seeing the animal spirit doth not distend the Eye like wind, neither fils it up but persists in the netlike Nerve.

Hither also shal be referred that not unusual Cause, The Contusion of the visory Nerve in the brain is the cause of blind­ness. but by no man as I know rightly described, of that blind­ness which is somtimes left, after grie­vous and frequent Convulsions; the which is not from an afflux of humor as they would have it, but because in those great Convulsions by the Convulsion fits of all the parts and the Eyes also, in which they also oftentimes appear convulsive and very much stretcht out and bowed down, the Optick Nerve growing to them being thus attracted and too much distended, and that being wreathed too, and hurt, and the passage or visory spirit being hindred it happens that the Eyes are deprived of Seeing, and that it proceeds herefrom we have found out by diligent examination, and conside­ration.

The Substance of the Brain being hurt as by an Apoplexy there is a pri­vation of all the senses, The solution of continuity in the visory Nerve of the Brain is the cause of Blind­ness. so a Nerve be­ing contused or wounded there which some do testifie hath somtimes happe­ned from a puncture made by the Forehead a manifest Blindness by rea­son of the Solution of Continuity or a Callus left hath suddenly happened, and so from a blow.

A Weak Constitution of the Brain, the spirits being dissipated and wasted by reason of old Age, or by some grievous and long continued disease, too much eva­cuations, especially of Blood and Seed whence is a great effusion of spirits and immoderate Venery for that reason doth very much prejudice the sight; A Weakness of the Brain the Cause of weak Sight. al­so by reason of too much Watchings as hath been said there, it induceth an Am­blyopy or weakeness of sight and also of the other sen­senses especialy of those that have a more subtile object as of Hearing, often familiar to old folk, as appears in these external causes of them, remaining in those that are recovering, and accustomary to those that live in­temperately.

Besides this cause which proceeds from a defect of spirits which there can be no doubt, we can by no means be induced, to feign another here in the thickness or thinness or subtilty of the Spirits as many indeed do propose these things with more subtilty than truth, out we are moved by many things to dissent from them; seeing the animal spirit being wel nigh aethereal, doth no waies suffer such changes, but is most easily dissipat­ed, as no man neither hath ever dared so much as to fan­sie the Vital Spirits to grow thick or be attenuated; as also wesee, unless now the defect of seeing happen from the Spirits its other discommodities, whence things far distant or neer, are less truly discerned, do happen ra­ther from the fault of the Instrument as by and by shall be explained, not by reason of a certain thickness or subtilty of the spirits, as they have thought, seeing they are so subtile, that they cannot be more subtile.

Divers sorts of hurt of the sight are wont to pro­ceed, by reason of the perturbation or agitation of the spirits of the Brain and the brain, also being affected by consent with them; as if being mixt with a hot, subtile vapor, A preturbation of the spirits of the brain by vapors is the cause of error and Imagination with an alienati­on of mind. either tur­bid, or malignant, they do not only pervert the mind, but corrupt also the sight so that they think they see many things which are not; as if from the like vapors the spirits and brain grow hot, then together with the Raving, false Apparitions also are objected to the Eyes, as hath been said in a bastard Phrensie, and as if a certain Narcotick vertue be joyn­ed with the heat, as hath been shewed to be from the e­vaporation of Wine then together with the Drunken­ness of the mind, that there is also an error in the sight in which they think they see divers things which are not, or those things which are they judg of falsly, hath been declared in Drunkenness (as the story of him who being drunk alwaies thought things to be double, being decived by his Wife, burned his hands, gives cre­dit to this business) furthermore when other filthy and malignant vapors from the Region of the Hypochon­dries do assail the Brain & disturb it and its spirits they [Page 59]do not only pervert the Mind but also sometimes pro­pose the sight being caused by consent seeing they trou­ble the Mind too they belong to the Alienation of the mind where it hath been largely treated of them.

But also it oftentimes comes to pass that the seeing is hurt by the too much agitation of the spirits, The too much agi­tation of the spirits of the Brain the cause of a Vertigo. not by that which in the affects of the mind, the spirits being not only agitated, but rather confounded to­gether with the humors conteined in the Head, Heart, and whol body, doth only disturb the mind, and scarce hurts the sight: but by that in which the spirits in the Brain being moved either themselves or with the mix­ture of a vapor, without any perturbation of the mind, those called a Vertigo, Imagination and Scotomie are wont to be raised.

For the spirit contained in the Brain and its Arteries and Ventricles, being moved and stirred more vehe­mently, even without the mixture of a vapor, represen­ting to the Imagination the like commotion in things without it breeds the said Vertigo of which commoti­on there may be divers causes; for a vehement moving of the head after the same manner continued long doth cause that the spirits for the same reason being stirred and following the Head afterwards resting, yet never­theless they stil for a while run up and down after the same manner as the motion of the head was made, till they rest again; as it comes to pases if the Head toge­ther with the body be turned long Round, for then a Vertigo follows, so that if this be done longer a strong one comes, that they cannot stand on their Feet, but somtimes necessarily stagger and fall, as it oft happens we see these things both in men and beasts; so the head being bowed a long while downwards, the spirits then tending from that upwards to the beginning of the Nerves, when that it is erected again, the same spirits with violence going back again to their proper seat, from that motion somtimes a Vertigo is perceived.

But if it happens not from this motion of the body only, but also from a persevering or vehement com­motion of the mind the spirits being often and strong­ly exagitated, in profound and dayly cogitations, and other passions of the mind, as also in Watchings, that those thus accustomed, moved from some light internal cause, fall into a Vertigo; as we do observe Vertigoes do somtimes trouble them that do very much labor at their Studies when they are fasting, for the causes by and by to be mentioned.

But from the long beholding of a thing whirled round or otherwise moved swiftly whether this be so, or seem to be so, as the Earth seems to be moved and run, to them that sail, which happens to some from their Imagination when their Eyes are shut, some are seazed with a Vertigo, the spirits also by that agitation of the sight which follows at the sudden commotion of the object, being stirred after the same manner, and as it were following the swiftness of the sight; which as it happens to those whose spirits are easily stirred, so in those disposed to the Vertigo it gives occasion for the fit to seaze, although the cause be but light. Also look­ing downwards from a high, steep, and dangerous place breeds a Vertigo in those that are not used to it, the spirits being too much diffused, and drawn back again with fear, and so moved unequally; and there­fore this no waies happens to those that are not afraid, unless they be otherwise disposed or some other cause joyned, as if from such a high place they behold things which are wheeled about, or Whitle-pools of Wa­ters.

But as this Vertigo doth happen from external cau­ses by reason of the too great impulse of the spirits, so also the spirits of themselves collected in the Arteries of the Brain, especially being more hot and plentifull because they are unquiet do cause a Vertigo and are ea­sily agitated of themselves, or from a light occasion joyning; the which doth long and much torment men from a light cause either alone or also with a pain accompanying it, whose Arteries do beat vehemently in their Head and Ears, with a tingling of them some­times and often in the rest of the body, and they are scarcely cured unless by opening of them, as shall be said; but this may come to pass by it self, the blood being so heated and attenuated in the Arteries, or by the mixture of a thin Vapor, as shal be said by and by.

But we have found our another cause of a Vertigo proceeding from the spirits in the Arteries and Vessels of the Head, by dissecting a certain Merchant our Country-man, who many yeers being sick of a Verti­go was neither able to walk nor to rise out of the bed, but he fel down, to wit, the veins of the Brain and all its Arteries from their rise and ingress within the Skul, in their whol passage through the Brain, grown together, and hard, and distinguisht with little Glandules in their whol progress; from which obstruction of them, the spirits being impeded and retained in the Brain, being wheeled about by a light motion, bred an incurable Vertigo.

But by reason of vapors mixt with the now declared spirits of the Brain, there are wont to be produced not only a Vertigo, but also the said Imagination and Sco­tomie, either seazing at once, or apart; and they ac­cording to the diversity of the nature of the Vapors and place from which they arise, and to which they are carried in the Brain; for if they being plentifully con­founded with the spirits of the brain in its Vessels, fil­ling up those places and seeking passage out, together with them they be brought to the sides, by offering to the sight, such a sense and motion in things externall they breed a Vertigo as hath been said formerly; ligh­ter or more grievous according as their agitation is greater or less

The which also doth affect a man alone, if the Vapor be subtile and no otherwise polluted, or if it be too hot there is joyned also a pain of the Head; if it be tur­bid or some other way polluted, coloured, shining, as it may diversly exhale from divers humors and Choler as shal be said by and by, then there are caused Imagi­nations also with a Vertigo by which there falsly repre­sented to the sight divers small bodies, Insects, Atoms, Colours, Shinings; or if by their obscurity rather than thickness, as they would have it, they darken the sight, they cast Clouds, Fumes, or Darkness before the Eyes together with the Vertigo in the said Scotodinos affect for though they see nothing, (as formerly hath been said of their Eyes closed) yet they may feel a Ver­tigo.

The which Imaginations notwithstanding and Ob­tenebrations or Darknesses do oftentimes also happen apart without a Vertigo, if that Circumaction of the spirits in the Head be not made, but only a mixture of the Vapors with them; the which for what reason it can befall the sight, in so great a variety of Opinions concerning this thing, we must a little more diligently search out.

Many have beleeved these Vapors ascending and breaking forth of the Chamber of the Eyes which are before the Eyes like a Fume, do either deceive, or hin­der the sight being moved with this reason, because they saw tears provoked, and the Eyes look red from [Page 60]Vapors which in like manner did penetrate to the Eyes and prick them; yet this seeing it rather comes to pass, from the pricking of the sensible coat of the No­strils, by reason of its communication with the adnate coat of the Eyes, this comparison will no waies take place; and seeing the vapor, if it did so come under the orbite of the Eyes, and creep about them, it would presently fly forth before it could touch them, we re­ject this Opinion as weak.

But others have thought that these Vapors do wholly go under the Eyes and penetrate even to their inner­most parts so that intrinsecally they are seen by the Eyes, but whenas after this manner there is no passage to the Globe of the Eye, and that is so thick by reason of the horny coat on every side whol, that the Vapors can no waies pass through it, into which a Needle can hardly be thrust, when a Suffusion is to be taken off, this Opi­nion of some is vain, and by so much the more foolish, because they would palliate and cover their errors with the perspirability of our body.

But others that they might explain after what man­ner these vapors might enter into the Eye, seeing they knew that there was no other entrance into the cham­ber of the Eye, then of the Optick Nerve, Vein and Artery; they have writ that these Vapors indeed did first assault the Brain, but from thence descended by the Veins and Arteries to the Eye; not understanding what we have deliverd in our Anatomy, that these ves­sels only run through the adnate coat of the Eye and do no where come neither into the horny coat of the Eye, nor the inner part of the Eye, seeing if blood should en­ter the Eye, by its colour it would represent all things red unto the sight (as it comes to pass when being poured out of the Vessels it falls upon the Horny coat) for this reason it hath been proved by this de­monstration that the Vapors are not carried neither af­this manner to the Eyes.

Others more considerately teach that it comes to pass, by reason of the optick Nerve, which they hold to be the chief instrument of sight, the which we also do admit of, yet we grant not that this is done for that rea­son, as they who have thought that the vapors can en­ter the optick Nerve and through that as through a pipe are carried from within the Scul even to the Eye; seeing turbid vapors can no waies be carried through the Nerves ful of animal spirit, and seeing this is against the nature of vapors to be carried downwards unless they be driven by some violence (which here is not at all.)

But we rather probably think that it happens thus, to wit, that these vapors assaulting the fore parts of the Brain especially, and being confounded with the ani­mal spirits, there with the brightness of the Images which are offered to the Brain by the optick Nerve, where all sensation and distinction is made, by the mix­ture of some sparks, by which their light is rendred un­equall, or darkned in certain places, they represent to the Brain these like false apparitions confounded with the true Images, in this hurt of Seeing which is called a little Cloud; for that this is done in the Brain and not in the Eyes, the Vertigo which for the most part doth accompany these imaginations as hath been formerly demonstrated, doth sufficiently shew, the spirits then in the Brain being affected and agitated too, whence they that then labor of a Vertigo have not these imaginati­ons, but seem to themselves wholly to be turned about, and a Scotomie or Obtenebration of the sight, that they become almost blind sometimes following these little Clouds, the spirits being then wholly obscured by a multitude of vapors, doth evidently declare it; all which hath been sufficiently demonstrated to happen in that part of the Brain which gives the Original to the optick Nerves, and is higher than the rest, and therfore seems chiefly to prejudice Seeing, but not in the Eyes if it proceed from vapors.

As in an internal fault of the Eyes arising from a Coat growing there, we shal by and by shew, that that these Clouds also, and the other aforesaid may be offered to the sight, and the sight also be wholly obscu­red, in that called A Suffusion of the Black of the Eye; wherefore these little Clouds generated from vapors they have falsly called by the name of a Suffusion be­cause they thought that then also vapors were spred o­ver the Eyes, and did there generate a little skin, which we have more rightly indigitated to be little Clouds, & Imaginations; which also are distinguisht from a true Suffusion by these signs, because in a Cloud & imagina­tion there is no Speck in the Eyes of the affected, these accidents of the sight being objected to both Eyes at once, which do somtimes abate and cease and return a­gain at a certain time, seeing in a true suffusion the fault appearing in one Eye, but scarce perfectly in both at once, it hinders the sight without intermission, as shal be said there.

But the Cause of these Evaporations whence a Verti­go imagination and Scotomie proceed, may consist in divers parts of the body, seeing somtimes vapors raised from the lower parts are sent into the Head, most com­monly they proceed from the Stomach, in which a cholerick humor especially, bringing a hot subtile eva­poration, and sending it not only into the Nose (as the vapor rising from Onions Radishes, Mustard, is wont only to vellicate the Nostrils and presently again is dissipated) but also into the head it self, sometimes causeth a Vertigo, somtimes Imaginations: which for the most part imitating the nature of Choler, somtimes are yellowish, somtimes green, or blackish: and seeing Choler in the Stomach is most fierce and boyling hot whiles it is empty, and the vapors then being hindred, are the more freely carried upwards, it happens that the said accidents are troublesome to the cholerick whiles they are yer fasting, and that upon the taking of meat, because the vehemency of Choler is abated and the vapors represt, they grow milder, and at last cease; the which happens also the vapors in the head being discust of their own accord, and so much the sooner by how much they are more subtile, till new evaporations being made, these evils do return; but it is known that this proceeds from Choler, by the bitterness of the mouth and gnawing at the mouth of the stomach, which they call the heart, and by other signs of this hu­mor; which also somtimes brings with the same labor a pain of the Head too, with a Vertigo.

The same vapors proceeding from the Mesaraick Veins in which the cholerick juyces are wont often­times to abound, as hath been shewed elsewhere (as by those vapors raised from the same place, and carried upwards by the Veins and Arteries, intermitting Fea­vers, hypochondriacal Melanchollies do invade a man by intervals) so also they oftentimes raise the said symp­toms, which is done the vapors being carried upwards from thence through the Veins, and somtimes through the Arteries which are annext to the Mesaraick Veins; then especially when those vapors are subtile, that they induce rather these accidents than Perturbations of the mind which hath been shewed do rather proceed from their malignity the which therefore do somtimes pro­duce Vertigoes only or as they are qualified, Images and Scotomies together with them, or without them; which we had rather alleadg as the truer cause than [Page 61]Pretend Crudities, from which Wind rather than these like Vapors are generated.

But also from some other seat of the body these like vapors raised from a thinner blood through the Veins and Arteries may cause the same: as from that part which is about the Womb, as the Courses being stopt this symptom also doth happen; as other also often­times upon this account: and from some part of the Foot or of another member a vapor proceeding like to some Air being carried upwards, as we have observed it hath been the Cause of an Epilepsie, so also of a Ver­tigo, whence somtimes Vertigoes go before an Epilep­sie and presage that wil presently follow, when from the like vapors vellicating the Brain, Epilepsies also may be caused, as shal be said in its place.

But the cause of these diseases sometimes consists in the Head it self, in which not only spirituous, hot and plentiful blood collected, may cause the same (as hath been said formerly) but also from humors contained there, the like Vapors raised and mixt with the spirits may produce these accidents; which we do beleeve doth arise rather from the Blood of the Vessels and Ventricles of the Brain, and the humors mixt with it than from flegm, the which also we do not deny to be a cause of the Vertigo, but not because it sends forth vapors, but after this manner now to be explained.

'Tis certain that a Repletion of the Brain caused by a watry humor, The Fluctuation of a watry flegma­tick humor in the Brain is the cause of a Vertigo. as well that Serous as Flegmatick doth cause that Vertigo which is wont to precede and threaten an A­poplexy or Carus; which being frequent and of long continuance unless it be prevented, is wont to terminate in these Diseases with great danger of life; but it doth not this by cooling and moistning the brain, seeing this agitati­on of the spirits which is in a Vertigo would so rather be hindred than promoted; but this comes to pass, when filling up the windings and spaces of the Brain by its great plenty filling the Skul, and also generating plenty of Wind (which are oftener ingendred from waterish humors than Vapors) it waves in it; for then as in the cover of the heart, water abounding doth cause a Palpitation of the heart, when it is stirred; so here also, it every where filling the Brain when the Head is moved, the humor being stirred and following the mo­tion of the Head, as we have said of the spirits, it gives such a sense to the head; which doth sufficiently ap­pear by their relation, who complain of such a fluctua­tion, and the Skul being opened, we have often found an immense plenty of this humor, as hath been said in an Apoplexy, and in him in whom even now we said that the Arteries too were grown hard, we have found so great plenty of it, that the Skul being opened it hath come forth by floods, the which together with that ob­struction of the Arteries, producing a double cause of the Vertigo, made it so lasting and incurable, in which that humor for continuance watring the Brain, had bred that Carus of which he died. But it is known that this is the cause of a Vertigo not only from that sense of fluctuation, but also from other signs of flegm abound­ing, explained in a Carus and Apoplexy, to which those that are prone become at once sleepy and more stupid, and at last fall into these Diseases unless pre­vented.

By occasion of the Visory Nerve implanted into the Eye and dilated like the form of a Net, The Visory or Net-like Nerve in the Eye is the cause of the hurt of see­ing. most discommodities of the fight do happen, seeing that is the principal Organ of seeing; and that for the most part by consent of other parts, when by reason of them it is disappointed of those things which are re­quired to Seeing, viz. the spirit and the proper object, or else it cannot rightly enjoy them, for otherwise be­ing immersed in the Eye 'tis so grounded, that 'tis scarcely troubled with any disease, unless by consent of the Brain.

It is disappointed of the Animal spirit either altogether in blind­ness, A Privation of the animal spirit in the Net-like. Nerve is cause of Blindness or darkness of sight. or in part in a weakness of the sight, by reason of the Optick Nerve, such as are Distemper, Compression, Hurts, and Weak­ness proceeding rather from the defect of spirits, than that fansied thickness and subtlty of them.

The same happens also, the spirits flying from the visory Nerve towards their beginning: in the Eye prest a long time, and by consequence the Net-like Nerve by reason of humors filling up the Eye, it some­times happens that they are afterwards so long blind til the spirits return again.

And also the spirits being too much idle in the viso­ry Nerve and as it were laid asleep, or being retreated when there is no use of them, the Nerve it self being made dull, in those who being kept in darkness for a long time, as in Prison or other dark places, have seen nothing for a long time, when they return into the light, they scarce recover their fight, or slowly, or never any more.

And seeing the Animal spirit hath a constant need of the vital, this by swooning being for a while dissipated, and the Animal spirit being hindred by consent, a­mongst the cessations of functions, the Seeing first of all is darkned in those that swound, and by and by it is taken away with all the rest so long till they come to themselves.

By reason of the proper Object, A Privation of the Object in the Net­like Nerve is the cause blindness or dark sight. viz. the Images of things entring the Eye by light and brightness; the Net-like Nerve suffers a hurt of seeing if it be offered to it too violently and it be so affected with it, that afterwards it perceives no more, or nor rightly.

As when one very much strucken with the brightness of the Sun, Lightening, Fire, afterwards thinks that he sees sparks for a while, and either their Eyes are altoge­ther blinded for some time, or as it often happens, they afterwards continue blind.

Or if the Eye be destitute of light by which the things ought extrinsecally to be illuminated, and the Eye in­trinsecally that it may see; by reason of the external darkness, it cannot know the species of things.

Which also how they happen by reason of the stop­page of the black of the Eye, we shall explain in the faults of the Membranes of the Eye, as also when it happens by reason of humors, it shall be said there.

Likewise an Impediment in the sight may happen, The humors of the Eye the cause of hurt of sight. by reason of hu­mors contained in the Eye, especial­ly of the Chrystalline, through which as through a Spectacle, the Net-like Nerve doth first collect the Images of external things, and again receives in its cavity, those dispersed, dilated, & made bigger, to which Chrystalline humor the other humors are servants only, and this comes to pass, when either they fail because either they have flown forth, or are wasted; or when they change their natural scituati­on, [Page 62]or their substance is changed, or they are infected with a strange color, which how it may be done we shal explain in the particulars.

And somtimes the humors flow forth of the Eyes more commonly the watry one seeing it is placed in the fore part, A flowing forth of the humors of the Eye, is the cause of blind­ness. and is more fluid, the others seldom unless the cause be great, and then Blindess is caused; for the watry humor being flowed forth, the Globe of the Eye is somwhat fallen together and wrinkled; whence the hole of the black which ought to let in the light, is shut up; and the rest of the humors falling forwards out of the cavity of the Net­like Nerve, do cause that that doth somwhat fall toge­ther, whence it must needs be that seeing doth cease; and by much the more if the Chrystalline humor doth fall forth with the glassie, in which it inheres, seeing that (as hath been said) is altogether requisite to seeing and then the Net-like Nerve being wholly fallen together, can no longer comprehend the species of things in its cavities.

Of all which the apparent Cause is wont to be a Wound or Ulcer of the Eye; if a large wound being made 'tis open'd through the horny coat so thick and hard; for by a light puncture with which they are wont to perforate the Globe of the Eye in takeing off a Cata­ract, the watry humor which hath its tenacity also, cannot flow forth,: and I have somtimes seen that an abscess of the Eye hath been generated from an Inflam­mation also, in which part of the horny coat is conver­ted into matter, which being broke, it somtimes pours forth the humors of the Eyes with the matter; and I have observed in a pestilent Feaver that it hath hapend in both Eyes, the Crystalline humor slowing down to the Beard, and sticking there.

The Humors of the Eye also are wasted especially the glassie seeing it is thinner; A Consumption of the watry hu­mor is the cause of Blindness or Darkness. and then the Eye not be­ing sufficiently distended (which is required that the black may remain exactly open) but somewhat fallen together, the hole of the apple of the Eye although not wholly shut up, yet loosing its large­ness or roundness, and the situation of the rest of the humors being troubled by the way there follows a weakness of the sight, or if the confusion be greater, Blindness: as in long acute Diseases wasting the body with a high and long continued pining it happens to some more rarely, but more frequently in extream old age, in which both the glassie and crystalline humor may be dried up, as shall be said by and by; whose Eyes appear somwhat wrinkled, which the vulgar ther­fore are wont to call Crackt, especially when in the A­gony of Death being now destitute of heat and spirits they flag.

A Perverting of the natural situation of humors, the Chrystalline and glassie (which seeing they are more solid, being restrained by their proper membranes they ought to stick fixt in their proper place) doth also bring hurt to the sight whose places being changed, the watry humor filling up the space left by them easily gives place.

The which somtimes happens in the glassie humor (to which the crystalline humor is set over, The perversion of the situation of the glassie humor is the cause of error. and a little way im­merst in its former part) if the same part of it carried forward be set before the crystalline humor; where also be­ing oftentimes contained, it may be seen lie a white Speck under the apple of the Eye, for then it is not necessary that blindness do yet happen, seeing the humor is bright as Glass, but some Error; see­ing it is thicker than the watry humor, as it is wont to come to pass in a Suffusion beginning, as shall be said: unless perhaps so great a quantity of it be fallen thither, that it wholly obliterates the crystalline humor, and presses it backwards, or very much inverts it, for then both humors being troubled, more grievous accidents of the sight are wont to follow, as shal be said in the crystalline humor; but the cause of this may be a blow, or Contusion, or more frequently a puncture in couch­ing a Catarract, being forced too deep to these humors, and breaking their thin membranes to which they co­here: for otherwise scarce as they would have it, can a great straining by holding of the breath in going to stool, in Labor, or Convulsions in which the Eyes ap­pear as if they were thrust forth, cause that intrinsecally in the Eye.

The Crystalline humor being especially hanged like a Sun in the middle of the Cavity of the glassie humor, somwhat distant from the hole of the apple of the Eye looking directly on that with its bulk, and receiving the light through that equally disperst into it, and dif­fusing it to the cavity of the visory Nerve, or the Net­like semiglobular, placed in the hinder part of it, so that it fils it every where with its brightness, if it doth very much change this natural situation, it cannot be done without hurt of the sight; which faults of it, seeing the humor it self cannot be seen in the Eye, are no waies conspicuous in it, unless it wholly fall into the apple of the Eye, as hath been said of the glassie humor.

But this comes to pass, The situation of the crystalline humor in­verted or departing from the middle to the sides is the cause of error and strabism. if being in some manner inverted by its broader part which is flat like a great Lentil, it is not rightly op­posed to the hole of the apple but declining a little to the side it looks on it obliquely or trans­versly; or when being carried upwards or downwards or to the sides from the middle seat of the Eye, it doth somwhat decline from the aspect of the hole of the Apple; the which happening either from the birth in some, in others from some violent cause, as was said even now in the glassie humor, it hap­pens that either blindness is caused, if the recess be great from the natural situation, or if it be less an obscurity of the sight or rather some Error in which things seem to be either double, or crooked, or bent: moreover some light declination only of the crystalline humor from the center of the apple although yet it doth little hurt the Sight may be the cause of Squinting; for as in Seeing if the crystalline humor be rightly opposite to the hole of the Apple, the Apple also doth directly look upon the external things which it beholdeth, so if the crystalline humor be a little turned from the center of it, that they see with the apple not rightly but obliquely opposite to the things, those troubled with a Squinting do so invert the Eye, that they are judged to look upon somwhat else, than the thing objected; the which not­withstanding may happen also by reason of the con­torted situation of the apple as shal be said by and by, which things do thus befall men for the most part from their birth.

But especially if the crystalline humor have its seat a little in the hin­der part of the Eye to­wards the Netlike nerve it is the cause of this The situation of the crystalline humor drawn backwards or for­wards is the cause of that sight, in which they see not things unless very neer or things di­stant better than neer. [Page 63]sight in which they cannot rightly discern things more distant, the which happens to many from their Birth, that the Crystalline Humor doth not reside more towards the fore parts at the Apple, as it is naturally wont to do, but hath its Scituation exactly in the middle of the Eye, and it is so common, that Anatomists for the most part have described its Natural Scituation in the midst of the Center of the Eye; whence it is no wonder that this sight which we have called the youthful, doth befal many from their Birth, that they can discern things neere righ­tly and acutely, but not things distant, and that when the Spectacle is too much inclined backwards from the things which we behold, which therefore will be suffici­ently illustrated only with those neerer, but from those Images objected at a distance, unless being collected by the Mediation of a thick Spectacle made of Crystal they be so offered to the Eye more effectually, they cannot suf­ficiently illustrate that: And hence it happens that see­ing the Scituation of it doth so continue, this seeing is no waies altered the whol course of life, unless this be from some other Causes.

And also if it be yet more removed from the middle of the Eye towards the hinder parts, they are forced yet to apply far neerer to their Eyes, the things which they would see, and use a thicker Spectacle: the which yet is not very common, and happens only in them, which we have said are cal­led Myopes or Purblind.

Which truer Causes, which happen by reason of the In­strument vitiated, and therefore may be corrected by a­nother Instrument to wit a Spectacle, he had rather alledg then to refer them to the Spirits, which in those young Folkes, with whom this fault is familiar, and who see most acutely things neer, are neither defective nor chan­ged, because they may be mended by a Spectacle.

And also for the contrary Cause, after a different manner, there ariseth an Impediment of the sight, to wit when the crystalline Humor from the said Natural Seat doth more in­cline forwards, towards the Apple, for then with a greater dis­commodity they less see things neer but the same removed far from the Eye, they behold more rightly, unless they correct this defect, by applying a thin Glass Spectacle, which as it performing the place of the Crystalline Humor and re­ceaving and differing the Images of things, and through the Crystalline representing them greater to the Eye, and therefore they have alwaies need of a Spectacle to read and see acutely; the which happens to most people growing old, to some sooner, to others later, not by reason of the defect of Spirits as they have thought, seeing so there would follow rather a weakness of the sight, as also of the other Senses, which a Spectacle could no waies mend, nor suggest new Spirits; but because by that bow­ing down of the Head which the whol time of our age we must needs cast down our Eyes, in reading, and in what Business soever proposed to our Eyes, and acted by our Hands, the Crystal Humor by process of age together with the glassy is carried by degrees to the fore parts, and at length subsisting there, brings this defect to the sight, especially if in them also, the watry Humor being somwhat wasted no­thing do resist it, and the glassy Humor lying upon it, do more strongly depress it; which defect and a far more grievous, Blindness or Weakness of the sight do follow, if the crystalline Humor wholly falling down to the Apple, be manifestly seen to stick there, and to stop up the Eye: which is wont to be more frequently the Cause of the hurt of seeing, in Horses and other Creatures, which go with their faces downwards: the which as it happens by degrees by reason of age, so somtimes suddenly after a Blow.

The substance of the Humors of the Eye changed doth also bring a fault in the sight, The hardning of the chystalline Humor is the cause of defect of sight. as it comes to pass, if the Crystalline Humor be too much har­dened, as it may happen either by reason of age or other Causes, but with which, not unless the Body be vehemently & a long time dryed; and then be­cause it looseth its Transparentness either in part or wholly (as it appears being boyled) it is the Cause of Blindness or Dulness of sight, which as in that so also it may happen af­ter the same manner in the glassy Humor.

But if yet by its Natural Conflitution or progress of age, The Obscurity of the crystalline hu­mor is the cause of a Nyctalopy. it become more solid or obscure, because then it hath need of a greater light that it may be illu­minated, it comes to pass that they cannot see perfectly but by a ful light, and when that fails, though it doth a little clear, with the splendor of light, yet they see not rightly, and thence follows the said Nyctalopy.

But that is the watrish Humor whose substance is more easily changed, A Tenacity of the watry humor is the cause of want of sight in a suffusion seeing it is wont oftentimes to ac­quire a Tenacity by which by degrees growing to the hole of the Apple, and at length drawn out and turned into a skin by breeding Clouds first, and aferwards a Suffusion, it makes blind: which fault being very common, and to be seen outwards also, shall be explained in the grapy Coat.

The Humors are scarce infected with a strange Colour, A discolouring of the crystalline Hu­mor breeding error. seeing no veins or other vessels carrying the humors do enter into the inward parts of the Eye, or touch its Humors: the which notwithstan­ding they have delivered doth sometimes come to pass from the moistures of the Eye, in the Crystalline Humor, and that as also the glassie humor is dyed with a grayish co­lour, and therefore they have called it Glaucoma, and they have writ that the sight is then vitiated as if they saw thorough a Cloud; when notwithstanding the Ancients made a Glaucoma the same disease with a Suffusion, then especially calling that so, when the Skin being not yet well confirmed, it appeared to the Beholders like a thick Glass, of a greenish, or azure Colour, and was not yet white.

The sight is hurt by reason of the Membranes constituting the Globe of the Eye, The Membranes or Globe of the eye are the cause of the hurt of sight. if that do consist in that part which appears darkish or black by reason of the Apple or Hole opening the inward Chamber of the Eye which is black and opa­cous, which Hole seeing it doth transmit the outward light into the inward part of the Eye thorough a trans­parent Horn spread over it, if it be so obliterated in any part that the Passage of the light into the Eye is hindered, it must needs hinder the sight; the which happens either by reason of the outward thick Membrane, bestowing a Horn on the Eye, or of the grapy Coat under it, that makes the Hole, those giving occasion for this thing either severally or joyntly.

This happens by reason of both Membranes, The shutting the eye is the cause of the sight taken away. if an Impediment be ob­jected out of the Eye, which may in­terrupt the light, that it cannot come to the seat of the Eye to which it ought, as it is wont to come to pass the Eye-brows being shut, with the Hands and other things.

But from this following fault also that may happen, A Perversion of the Apple or black ap­pearing in the Eye is the Cause of squinting. if the seat of the Eye which is pervious and transparent is hindered by the Neighbouring parts that seeing cannot rightly be perfor­med; as it comes to pass if the Ap­ple be not placed in every fore part of the Globe of the Eye, bare and in that middle, but declining from it, is more to the sides of the Eye, which befalls some from their Birth in a squinting in one side of those Eyes, for that rea­son [Page 64]there appears more white; so that every one by that may know that they look a squint; and because when they would look upon things, wreathing the Eye that they may oppose the apple right to the things, they make such a stern aspect.

Although this may happen also, the apple consisting in its natural place, by Convulsion of the Muscles of the Eye, the Eye drawn somwhat to one side and so in­verted that the apple do rather look that way; whence it comes to pass, that when they would look upon any thing would direct the apple to it, either they bend their head aside, or draw back their Eyes by the oppo­site sound Muscles, that the apple may be redu­ced again some way to the fore parts: as they also whose eyes have a natural situation after this manner drawing them aside purposely, can express the eyes and looks of Squinting, which Convulsion unless it befalls the eyes in a true Convulsion of the whole body, to wit, an Epilepsie, in which they shew the like aspect, for the most part it befalls the Squinters from their birth; the Muscles being somewhat contracted rather, then convelled, and continuing in that situation. And that hath been explained by others to be the only cause of Squinting, when notwithstanding that very thing as hath been said may come to pass, the apple being im­prest on one side and the crystalline humor being re­moved out of its natural place that they behold things by distorting their eyes after the like manner: all which notwithstanding do hurt the sight only on this account, that the Eye being left in its seat, they see those things rather which they meet with sidewaies, then those which are placed before their face, til the Eye being re­duced so far, that 'tis opposed to the things placed right before the eyes, they behold them [...] also.

But this rare and memorable thing befell one from a wound made neer the inner Angle of the Eye by which the Globe of the eye was so inverted, A perversion of the apple, the cause of a won­derful affect in the sight. that the apple being brought even to the great corner, and covered with the Skin of the wound healed, he was forced to see through the cavity of his Nose, and he could see, nothing any more, unless through the hollow of his Nose as through a pipe, whence he must needs direct his Nose to that, which he would see, which by the relation of men worthy to be beleeved, is apparent was done in our time.

The private faults of the horny coat, do then preju­dice the sight, when they possess that part of it which is set over the apple like glass or a transparent horn and either only stick there or are dispersed further through the white of the eye; which then may be ma­nifestly seen and known when it is spotted or covered.

This diaphanous seat of the horny coat being steined with a strange color, so that it is not any more bright and cleer, but obscure and colored, it either stops the brightness which in seeing ought to enter into the Eye, like a foul glass which lets in the light, or offers some­thing false to the sight.

And this chiefly comes to pass, An obscurity of that transparent seat of thehorny coat, arising from an obscure co­lor or white Speck of it in darkness, Albu­go, a Skar, is the cause of want of sight. if it be infected with an obscure or white color with which somtimes the whol seat of the horny coat appears changed, and brings the said darkness especially in old men, to whom this chiefly hap­pens; but if that only in some part of it such a white speck do grow it is called Albugo; in which fault if the speck be perfectly white and spred over the whole region of the apple, there ariseth blindness; but if it first begin to grow white, it darkens the sight as if it were hindred with a Cloud drawn over it, or if it comprehend a little space of the apple, or from that incline more to the Circle, it breeds a certain error in the sight.

But such an Obfuscation or whiteness of the horny coat ariseth either from the driness and hardness of the whol horny coat: or if there be only a speck from the driness and and in duration of that part only which is seen white. For as we see other things which are trans­parent as the white of an Egg and the crystalline humor in the Eyes of creatures being dried by boyling do be­come white and lose their transparency, so it happens here to the horney coat that by old age in which the membranes are wont to be dried, or by a disease of the eyes after Ophthalmies, Epiphories either it being wholly dried up, or driness being left only in certain places of it, it doth allor in part become white; the which also we may see somtimes come to pass from the thicker part of the nourishment with which it is nourished, being carried thither, and remaining there, and leaving a white Speck, as in the Nails, which in the like manner are marked with white specks som­times are superficial, and other times being more deeply imperinted they penetare the whol horny coat.

And also from a Wound or Ulcers of the eyes espe­cially after the smal pox in Infants, a Skar or Callus being left, higher somtimes deeper and thick for the most part causeth such a white Speck in the white of the Eye, sometimes large somtimes oblong which is cal­led a Skar, which doth obliterate the fight either whol­ly or in part, or if it be long and narrow, it cuts it in two as it were and divides it.

Besides these discoloring of the hor­ny coat we meet with red specks or somtimes yellow, A red or yellow discoloring of the bright part of the horny coat is the cause of error. from blood rushing from a blow of the Eye, or from an infusion of choler in those troubled with the Jaundise, but for the most part appearing only in the white part of this coat, which the adnate coat carrying the vessels doth only invest, and then they do not prejudice the fight. But if they reach so far as to the bright part of the horny coat (where oftentimes a red speck is con­spicuous a long while, the blood persisting in the sub­stance of the horny coat without corrupting, as it were an insect in Amber) they represent to the sight the same color, either red, or yellow in all the Images the Eye seeth.

The same transparent part of the horny coat is extrinsecally invested with a new coat growing to it; The horny coat being coverd by a little Skin or Ungula is the cause of blind­ness. which somtimes wholly growing to it grows in one, or adheres to it without any connexion, unless where it ariseth, and in the compass, on the other part 'tis only spred over; somtimes proceeding from the greater corner of the Eye, and somtimes from the less, and being first spread over the white of the Eye by and by it covers the black of it, either in part or all: and it is at first thinner then growing thicker it becomes fleshy interweaved with many bloody veins and 'tis called a Pannicle. And oftentimes it is so augmented that it may be laid hold on by the fingers, and a little way be elevated from the Eye; and somtimes a part of it hath been cut off, that hath weighed two ounces. But at o­ther times being hardened it grows white and then it is called Ungula, Unguis, Pterygium, Zebel, putting out the [Page 65]sight wholy or in part, as it occupies the Black of it more or less.

The which growing out either from a Spontaneous afflux of Blood, or after Exulcerations tis called a Hy­persarcosis or Chymosis: otherwise from a private fault offensive especially to the Membranes, it very often befals the Elephantiacal as shall be explained there, o­therwise seldom betiding man: as I have often seen it befal Fishes if they be kept a long time in Fish ponds in foul water, the mud growing to them and blinding them. Somtimes the said Unguis grows from the Su­perficies of the horny coat corroded, when part of that nourishment then breathing forth, doth concrete into a matter like unto that which resembles a Horne or Nail, only tis not transparent; as the Periostia of the Bones being corroded we have said elsewhere that Knobs are generated, and from the Skin wounded, Skars, from the Juyce that was wont to nourish them.

The faults of the grapy Membrane hurt the sight, when its hole, which they call the Apple, being pervious in that part of the Grapy coat which lies under the hor­ny coate, yet no waies grows to it, and letting in that light into the Eye, is either stopt up with some humor, or filth, or is Contracted, or Dilated; all which may be seen and known, Extrinsecally also in the Back of the Eye and its compass, whenas the horny coat which is seated over it, is transparent, although the hurt lie un­der it.

Somtimes this hole is stopt by a Humor and the Passage for the sight is intercepted; An obstruction of the hole of the Grapy coat or the Apple from the proper Humors of the Eye is the cause of Er­ror in sight. and this come to pass somtimes from the proper humors of the Eye the Crystalline and glassy falling in­to it; as from the change of the Scituation of the Humors as hath been said, and from the too great largness of the Apple as shall be said, it may come to pass, and the sight may be so hindred; which is seen then also when it appears lik an Albugo, in that seat of the Eye.

The same may come to pass from blood infused by a blow not only into the horny coat as hath been said before, An obstruction of the Apple from Blood and matter in a Hypospha­gma and Hypopion is the Cause of Error or defect in the sight. but also penetrating even unto this emp­ty space, between the Horny and Grapy coat, and filling up that either wholy or in part, and stop­ping up the Apple, which being red at the first, but then growing livid, by and by blackish, it appears that it lies there (because blood infused into the spaces of the Body is presently corrupted, otherwise then when the horny coat drinks it up, where without any change it persists red oftentimes for a long while, as hath been said) and then it either depraves or darkens the sight: more or less, as it Possesses a little or the whol space and tis properly called Hyposphagma, a sugillation of the Eye.

The sight also may be hindered by matter collected in that seat, and then that Disease is called Pyosis, in which if the matter collected plentifully do seem to possess all the black of the Eye, or to fill up the whole space of the Circle, and to shine thorough the Horny Coat, it is called Hypopios; but if a small portion of that said seat do seem onely to shine through like the pairing of a Nail, it is called Onyx or Unguis, the Nail.

The Cause of the collection of which Matter for the most part is wont to be, Blood fallen into the Eye, as hath been said, and at length converted into Matter; or an Inflammation of the Eye going before, and leaving an abscess behind it, not that, in which the horny Coat is corrupted too, and being broke it pours forth the hu­mors of the Eyes, as hath been said formerly, but in which the Blood being discust after an Inflamation, or External cause: this collection of matter also is som­times caused after pains of the Head; which when it comes to pass, tis probable this was done, by the wa­try humor so suppurated and ripend, as we have else where shown, that matter may be generated by the like humors; because the Blood otherwise can scarce be brought hither, unless the horny coat be contused by violence, the Veins as hath been said, no waies rea­ching thither.

A Tenacious snivel sticking in the compass of this hole, An obstruction of the Apple by snivel at length concre­ting into a Skin, called a suffusion is the cause of want of Sight.or on the brink of the Apple, and spred over it, and by degrees thickening, for the most part only in one Eye although the other somtimes also doth presently begin to be affected in like manner, the seeing doth most commonly suffer a Blemish; and, because it is suffused or poured out on the Apple, it is called Suffusion, Hypochyma: which at the beginning seeing it is yet a transparent snivel and doth transmit the Light, yet by reason of its thickness it breeds an Impediment and Error in the Sight, as if it were darkned with a Cloud spread over it, and things were seen with many Atomes slying as hath been said, whence then it is called Imagination and a little Cloud, as hath been shewn: and this is not yet wel con­spicuous in the Eye, but that the black of it, which they cal the Star, doth not appear exactly black as it ought to be wholly black, but somwhat troubled; by which also, if this be seen only in the Eye, the other being yet pure, it is distinguished from that Imagination and Clouds which by reason of Vapors offer themselves to the Eye almost in the like manner, except that they do affect both Eyes equally.

But at last that Snivel by degrees being more and more thickned and loosing its perspicuity, is easier known by the sight, and doth commonly manifest it self, by a grey or ash Colour, as the Oculists call it, and somwhat blotting out the black of the Eye, then also it doth more offend the sight: because when it is yet more soft and watrish, it cannot yet be deprest with a Needle, as shall be said; which the ancients have named Glau­coma, from the grey colour which is a fault of the Cry­stalline Humor, and because the Crystalline Humor being dyed with this Color doth carry before it a shew of an immature Suffusion, some not knowing that, have made a Glaucoma properly called, the same with a Sussusion.

But last of all, the forementioned Snivel, being whol­ly incrassated and made white as we have formerly said that bright things by drying do becom white, and loose all their perspecuity, so it happens here also, and then the sight being wholly taken away, a perfect Blindness follows: unless by chance as I have often seen, a very little of the black do still appear pointing or circularly in some part of it, or in its Compass, thorough which the Sparks of a little Light, do still illustrate the Eye with an obscure Light, by which notwithstanding they can judg rightly of nothing; and this is called a confir­med Suffusion, which they are wont to call ripe, if so be it can be exactly seen, because then first of all the Chyrurgion may take it in hand; and they common­ly call it a small Skin and Web, because being spread before the Apple like a Coat it intercepts the Light: not unlike in Colour and Tenacity to the skin grow­ing [Page 66]to the white of an Egg that is boyled; and though of it self it seems to be of no moment, yet it is wont to bring so great calamity to many men in the loss of their fight.

They refer the cause of this snivel growing to the ap­ple to the rising of a Vapor, or influxion of a humor, but it hath been shewed formerly that from a Vapor this Suffusion is not caused, but those simply called Imagi­nations, and how that comes to pass, and truly it were the work of a man too much at leisure, to confute with many words so vain an opinion.

But all the rest do think that it is caused by an influx of humor, and do vainly apply all their care to turn away this, as shal be explained, and therefore they foolishly call this affect a Catarhact, others a discent of waters into the Eyes; the which notwithstanding can be pro­ved by no reason, nor shown by demonstration. For first of all if it were caused from an afflux of water or humor into the globe of the Eye, not only this small matter would grow, and scarce as big as a Lentil, but the whol Globe of the Eye would be distended, and swell as it were Hydropical; besides that there is found no empty space in the Eye which can admit this water, seeing it is all every where so filled and distended with its proper humors bred there from the birth, that there is not room for one strange drop, or can the horny coat by any means be distended or dilated more: and then by what way I pray, shal this water flow into the Eye, when that cannot be through Veins and Arteries which as hath been declared formerly, do no waies en­ter the inward parts of the Eye: but they say this comes to pass through the Optick Nerve, an excellent shift indeed, to hold so noble a part fit to conveigh these excrements, through which nothing can pass be­sides the aethereal animal spirit. But grant that humor doth descend through this Nerve, How I pray can it be the hole of the Apple? when neither the Net-like Nerve can come to admit it into its cavity, which is wholly filled with the glassie humor, neither can it pass through the Grapy Coat which every where about grows transversly to the horny Coat with browy pro­cesses: the which certainly, they who do patronize such like opinions, contesting with sense and reason, if that the fabrick of the Eye were throughly known and perceived by them, with that dilgence as is meet, they ought first to consider and rather to search out the true waies through which the humors may be carried, than being ignorant of the proper causes of Diseases al­waies to fly to that common refuge of Ignorance, De­fluxions, and I know not what transpirability of the body.

But we having throughly searcht into these things a long time and much, and by long observation having more neerly contemplated innumerable suffusions and their beginning, encrease, and pricking, we have found that the cause of this snivel doth proceed, from the wa­try humor acquiring some tenacity: for that as hath been said formerly in the explication of that and other humors) seeing from the birth it is more tenacious (for we have seen also oftentimes that those new born have brought this fault with them into the world, or it hath presently followed upon them) either being dri­ed by process of age, in old age, in which it often hap­pens; or arising from very hot Diseases after Burning Feavers or Inflammations of the Eyes or from a vehe­ment external heat in those who perform most business sitting by the fire and looking upon it; or the watry hu­mor being thickened by the use of Collyries too hot & drying, and being made more viscous as hath been said, by degrees it grows to the brink of the membrane of this hole which it continually washes, and by little and little thickening in that part where it stops up the hole, as we see the said Skin grows on Frumenty, for that reason as it hath been shewed being hardened it looseth its brightness, and successively but in a long time being converted into a Skin it takes away the sight: which if it be deprest, as shal be afterwards explained, the remain­ing portion of the warry humor, on whose superficies it grew, being yet transparent, the Sight presently returns, but if that also by much drying hath already lost its brightness, as most commonly it happens, although the superficies of it be taken off, nevertheless they re­main blind, and by reason of that the Oculists labor wil be in vain.

The too much narrowing or Immi­nution, as they call it, The narrowness of the Apple is the cause of a Nyctalopy. of that hole in the Grapy Coat wich is called the Ap­ple, doth scarce take away the Sight, when even thorough the narrowest hole the light may enter the Eye, and illuminate it, as much as is sufficient for seeing; whence we have observed that those, who from their birth have happened to have a very small Apple, nevertheless do see as acutely, as those that have it large, may sometimes more acutely, and things more distant: and as we can behold the Sun through a little hole with less offence to the Eye, so they are less offended than others, by an external brightness and great light; of which seeing they have a more abundant need to see wel, beyond others; it comes to pass that a little before night, or darkness som­what growing on, they see less, than by a ful light, & this is the chief cause of that Nyctalopie in which they see not sufficiently, by a sleight brightness of the Moon, Stars, or light set up: although this also as hath been formerly explained, may happen by reason of an ob­scuration of the horny coat or humors, because then al­so they have need of a greater light, that they may be illuminated, neither is a smal Apple observed in all those that are Nyctalopous or cannot see in the Night.

Which as it is born with some, so it can scarce come to pass, as some teach, that by reason of the spirits di­stending the Eye, or so great driness of the Globe of the Eye, that by that means the Apple may wholly fall together; as somtimes it happens from a wound of the Eye, the humors flowing forth, and the coats falling together, they become wholly blind, as hath been de­clared formerly.

A Dilatation of the Apple called Mydriasis by shedding plenty of light into the Eye, A Dilatation of the Apple or a Mydriasis is the cause of an evening sight. hinders the cleerness of the sight, darkening it with too much brightness; and if the enlarging of it be great, in a light somwhat more ob­scure and darkish they see more rightly than in that too much shining, and that by reason of the internal brightness of the Eye, sufficiently illuminating the Air for seeing: as we have had an example of this rare dis­ease, in a certain Foundling living in our Hospital the year 1625. who by day time, and in presence of light was blind, but by night and in the dark, did see the smallest things; hence we have observed that amongst Birds, the Owls; and amongst Animals the Cat which also do see by night, can by twinckling contract the hole of the Apple, and of their own accord dilate it a­gain, and so streighten it at the brightness of the Light, or a Candle, that only an oblong black cleft doth ap­pear, but by night and in the dark, dilate it so, that the whol former region of the Circle seems black, and for that cause Owls also receive obscure Images, with a very [Page 67]open Eye, and in the day time, that they may not be hurt by them too much appearing, they joyn them a­gain, and covet darkness. For otherwise this largeness or narrowness of the Apple, makes little for the seeing things distant, better, or less, as some have thought; seeing these defects of seeing which we have called the yong & old mens Sights, may happen as we have often observed, both to those endued with a long and a nar­row Apple, and what I have observed in many, and in my self, that though the Apple of one Eye be far lar­ger in the same man, than that of the other Eye, yet the seeing is alike in both Eyes; neither could we observe yet, that though such a dilatation of the Apple do hap­pen, the things which are seen should be represented less than they are, as some have been opinionated.

But for the most part this dilatation of the Apple be­falls certain living Creatures from the birth, as those for which it was convenient to see by night; and unless it altogether exceed a mean, otherwise than hath been said, it doth no waies prejudice the seeing, but rather seems to bring some benefit, as one hath declared unto me; who seeing he had a most large Eye-ball, he could comprehend and know by his sight without moving his head, not only those things which were before his face, but those things vhich were far apart on one side, which could not be seen by others, unless by bending the head that waies; the which I did so much the easi­er beleeve him telling me, seeing this hath happened to me my self in my youth, and at one look at the Ta­ble I was able to see at once many sitting round about, and to take notice of their gestures; but if that by a wound or some other hurt, the apple of the eye be ra­ther dilacerated than dilated, than upon that account, because the humors are too much carried to the fore­parts, as hath been formerly expounded, it sooner of­fends the sight than it can bring a change after that manner as hath been said; from influx of humors as they have thought, it hath already been declared that it cannot come to pass; but from a vehement impulse of of the spirits by straining, if the eye being dilated, the apple also were inlarged, yet the same ceasing it would by and by return to its natural largeness.

The Cure.

The Cure of all these hurts of sight, viz. of Blindness, an Amblyopy, of that which we have called the old and young mans sight of a Myopie, Nyctalopie, evening sight, of Error, Images, a Scotoma, Vertigo and the rest, is ordered in relation to the cause, which is, as hath been said either in the Brain, the affects of that bring­ing hurt not only to the sight, but also to other Senses; or privately and chiefly prejudicing the sight, to wit, a Hurt, Contusion, Driness, Refrigeration, Agitation and trouble of the spirits, or a repletion from a watery humor; or it is an affect of the Net-like Nerve caused by consent; or Diseases especially organical in the humors & membranes of the eye, to wit, a defect of the humors of the Eye, the situation of the hole of the Grapy Coat or Apple, or a perversion of the humors of the Eye, and a change of their substance, the smalness or too great largeness of the Apple: a white speck appearing from a Suffusion, Albugo or Skar, and a pannicle spred over the Eye, or a humor as Choler, Blood, matter collected in the Eye, concerning which we shal explain in order what is to be done and foretold in every one of them.

If the hurt of Seeing be by fault of the Brain, The Cure of the burts of the sight with the ober senses if they be by fault of the Brain. and that be general not on­ly viriaring the sight, but also taking away, impairing, or depraving the o­ther senses also, both internal and ex­ternal and by consequence prejudi­cing also the sight, the Cure, as also the whole handling of them hath been explained in these general hurts. As in an Apoplexy, Blindness hapen­ing together with the other abolitions of the senses; in a madness and Raving, Aparitions, Images, and Ver­tigoes which are supervenient to them also with other accidents; and in a weakness of the mind, the weakness of sight which accompanies the defect of the internal senses.

But if these diseases consisting yet out of the Eye in the Brain or Optick Nerve do chiefly hurt the sight, The Cure of the proper defects of the sight if they be by reason of the optick Nerve yet lying in the Brain. they shal be han­dled here, and according to the nature of the Cause the Cure or prediction must be ordered.

If therefore the sight be taken away, by some emi­nent hurt, or by a Wound about the Eye, forced even to the Optick Nerve as we have said hath sometimes hapned no other hurt following it, that Blindness wil be incurable.

And if also blindness be induced, the Optick Nerve being contorted by Convulsions as hath been said, un­less the sight return of its own accord within some few daies as I have seen it come to pass, the Recovery is desperate; as afterwards I have observed them to re­main Blind the whole time of their life.

Neither wil there be any hopes of Cure if Blindness be left by too much driness of the Optick Nerve after most Burning Feavers, seeing those things which we have said ought to be applied outwardly to the Fore­head and Head for to moisten, in the weakness of the memory contracted by driness, although they be con­venient here also, yet for the most part they profit little, and can hardly put forth their strength unto the Nerve.

And also if Blindness be caused by external cold from Wind, or by the application of cold Oxyrrho­dines, seeing cold is wholly an enemy to the Nerves, that hurt is almost incurable, yet the Forehead and Head must be fomented and anointed with things actually and potentially hot; and chiefly sweer things must be ayplied to the Nostrils which are hot, and do reach neerer even to the Nerve, the forms of which Remedies we have already explained, in a Stupidity caused by cold.

Neither is there any health to be hoped for if that long continu­ed Vertigo be caused by fault of the Arteries hardned, The Cure of a rare Vertigo happenning from the Arteries of the Brain being hardned. as we have said hath somtimes been found; the which notwithstanding seeing it can scarcely be guest at while the man liveth, to fore­tel any thing certainly of it, were rashness, till after death dissection being made, the cause of the evil being discovered, may excuse the Physitian.

But if a Vertigo be caused by an Agi­tation of the spirits in the brain only, The Cure of a Vertigo caused by an agitation of the spirits of the Brain. from an external cause by reason of a motion of the Body or only of the Mind, no other cause intrinsecally concurring, the cause ceasing, that also ceaseth of its own accord, and the sooner if by a contrary motion made, the spirits be reduced and stopt; as if a Vertigo be caused by turning round of the body to the right or [Page 68]left side, by an opposite motion to the left or right side, it ceaseth the sooner. In whom also lying on the Back doth good, the which notwithstanding, if the Vertigo proceed from an internal cause or from drunkenness, it doth rather provoke it; if it cease not so, Frictions of the extream parts do help, and Sleep comming upon it, takes it away.

But if this Agitation and Perturba­tion of the Spirits arise from Vapors carried upwards, The cure of a Vertigo, Scoto­ma and Imagi­nation caused by Vapors. whence are caused Vertigoes, and Scotomies and Ima­ginations, either severally or together; then the Humors which are contained either in the Stomach, or the Mesa­raick Veins about the Womb, or else where in the Ha­bit of the Body, and somtimes in the Head it self, from which these Vapors rise, which we have said were cho­lerick, sanguine, impure rather then flegmatick (seeing we have shewed that Flegm doth cause a Vertigo and Amblyopy for another reason) must be purged forth, and diverted together with the Vapors, by letting of Blood, Scarifications, Frictions, Cauteries, Vomits, and Purges; and that with things given inwardly and ap­plied outwardly; and by Course of life these Vapors must be inhibited, as followeth.

Letting of Blood by opening the Shoulder-vein of the Arm is good in the Plethorick not only if the few­el of the evil lie else where in the Blood, but also if ei­ther plenty or spirituous Blood abound in the head and be a Cause of the Vertigo; for seeing in the Cavities of the Brain, both the blood of the Arteries and Veins is confounded, by opening a Vein the spirituous blood also may be drawn forth, in which if the whol evil al­most do lie, the principal scope of the Cure is in blee­ding; and for that cause they commend also to open the jugulars in the Neck: The which notwithstanding cannot be done without danger, and fear of a great flux of Blood and Barrenness, if we beleeve Hippocrates; Nay, spirituous blood causing a Vertigo; most men do teach, that it cannot be cured, unless the Arteries behind the Eares be opened, and tis proved by experience, that after divers remedies a long time tryed in Vain, this kind of remedy hath helped at last, the which never­theless ought not to be done, unless all things else have been first tried, and when we are certain of the cause, and we know that it doth proceed from that spirituous blood by the continual beating of the Arteries, as hath been said, yet using the greatest diligence, because the Wound doth hardly grow together, the Arteries being first laid bare, that afterwards it may be tryed. Also a Vein may be opend in the Fore-head in a Vertigo ari­sing from this cause, and in the Foot, if Vapors ascend from thence; and if the Courses were supprest, the Ankle Vein, especially if the cause sending up the Vapors lurke about the Veins of the Womb; upon which account the Haemrhoids also are most profitablly provoked if the Fewel of the Evil be contained in the Mesaraicks. Scarifications for the same reason do good, being made instead of bleeding and after it, for Derivation, on the sides of the Neck, Shoulders, Cupping-glasses being applied to, although the cause be in the Head, or from elsewhere be carried upwards by Vapors and Scarifica­tion in the Region of the Wrist, or that outward part of the Hand which is betwixt the Thumb and the fore Finger is thought a peculiar remedy in the Vertigo the which also made in the extream parts is good, if an Air be felt to ascend from thence, in that place from whence it is known first of all to arise.

Frictions ought to be made from the Neck by the Back-bone to the lower parts by degrees comming to the extream parts and rubbing them. For so the Vapors and Spirits are recalled; after which, that that collected in the Head may be discust, let the Head be rubbed with a new cloth (not heating it, as otherwise they are wont to do, that there be no attraction of Vapors to the Head.)

And also if a Vapor proceed from some part, binding it with Ligatures, the Vapor may be hindered that it ascend not.

A Cautery in a persevering evil, or a Vesicatory which empties more humor, must be applied for geater diversion sake, upon the same account in the middle of the conuext part of the Head or behind the Eares, whe­ther it be Actual or Potential; and somtimes also in the Feet or other places, if a Vapor be felt to rise from thence.

A Vomit will help very much, if the matter in the Stomach or Mesaraick Veins especially the Cholerick as hath been said, doth produce Vapors; in imagina­tions, Scotomies and Vertigoes proceeding thence; which must be caused first with the gentler, by and by with stronger, if the matter lurke in the Mesaraick Veins, many times repeated, if they are able to bear it.

Purges must be used in all those Species, if the mat­ter sending forth Vapors consist in the same first passa­ges, or else where in some other seat of the body, and if such an Evaporation arise in the Head from impure blood, that filth must be purged forth, fitting them ra­ther for the drawing forth, of Cholerick, And impure humors from which these Vapors rather, which are subtile, are elevated, then for the purging of Flegm: of the Evacuation of which, if it be the cause of a Vertigo or weakness of sight, we shall treat hereafter, having respect also in the interim to the constitution of the the Body, in the choice of them. But this will be per­formed by giving first of all some gentle Stomach Pills made of Aloes and the Hierae, or a Bole.

Then we must first prepare the matter if it want pre­paration, and chiefly open Obstructions, after this manner.

If the matter lie in the Stomach, and Choler, or cru­dity be the cause there, Take of simple Oxymel, Honey of Roses, of each one ounce; Syrup of wormwood Wine, Po­megranates, of each half an ounce; the waters of Wormwood, Marjoram, as much as is sufficient. Make a Julep.

Or if it lurke chiefly in the Mesaraick Veins, Take of the Syrup of Snccory, of the juyce of Endive, of each one ounce; of the two opening Roots half an ounce; the waters of Wormwood, Succory, as much as is sufficient. Make a Ju­lep.

Or, give Wormwood Wine which especially in those, Species of a Vertigo is very much commended; and that either simple or in which the opening Roots and Marjoram and other opening things have been first infused.

Then he shall be purged with a stronger Medicine. As, Take of Pills of Hiera or Mastick half a dram, Cochiae half a scruple, Oyl of Fennel, or Anise, or Carawaies (by reason of the Vapors) one grain, Piony seeds four grains with white Wine. Make Pills.

Or usual ones may be made thus, of which let him take somtimes two scruples: Take of Pills of Hierae Com­pound, Aggregative, of each two drams, Agarick Trochis­cate, Rhubarb, of each one dram; seeds of Cummin, Piony, of each one scruple, with Syrup of Roses solutive. Make a Mass for your use.

Or let him take this Bole; Take of Cassia three drams, the Hiera of Hermes two drams. Mix them.

Or make a good quantity, of which let him take by intervals a Bole of half an ounce: Take of Cassia one ounce [Page 69]and an half, the Hiera of Hermes one ounce, of the five kinds of Myrobolans of each two drams; Dodder of Time one dram, pouder of Peony root half a dram, Cummin seed one scruple, Syrup of Roses solutive as much as sufficient: make an Ele­ctuary.

Or give this Potion or Infusion. Take of Rhubarb one dram, Agarick two scruples, Citrine Myrobolans two drams, Wormwood one dram, Cinnamon half a dram, Gin­ger one scruple, infuse them in thin white Wine, strain them and dissolve Syrup of Roses solutive one ounce, Give it.

Or thus, Take of Agarick trochiscate infused in Oxy­mel and strained one dram, of Rhubarb infused in wine dilu­ted with Wormwood and Bettony water, two drams; Cinna­mon infused with Rhubarb half a dram, Syrup of Roses solu­tive two ounces: make a Potion.

In the Interim the Vapors must alwaies be represt, which in the Vertigo, Scotoma, and Imaginations do assail the Head, the place in the mean while being con­sidered from whence they arise.

For if this be from the Stomach and Mesaraick Veins the following Electuary is convenient, which shal be given after Dinner and Supper, and sometimes in the morning the quantity of a Chesnut, as, Take Conserve of Roses two ounces, Marjoram one ounce, Flowers of Peony half an ounce, Quinces candid one ounce, Citron pil half an ounce, one Emblick Myrobolan, the Rob of Currans (in Cholerick bodies) half an ounce, the pouder of Dia­citonites without the species one dram, Coriander seed prepa­red one dram, Fennel, Peony root of each half a dram; Coral one dram, Mastick half a scruple, with the Syrup of the Con­serve of Citron pill make an Electuary.

Or let him use one spoonful of this pouder called Post pastum, Take of Coriander seed half covered with Su­gar one ounce, Anise seed condite in like manner half an ounce, the pouder of Diacytonites without the species one dram, Di­arrhodon Abbatis, Red Saunders, dry Citron pil, of each half a dram; Leaves of the greater Eyebright one scruple, Mastich half a scruple, Lozenges of Sugar of Roses two ounces, make Pouder.

Lozenges may be made of the pouder of Diacytonites without the species one dram, Red Coral half a dram, Sha­vings of Ivory one scruple, with Sugar dissolved in Rose water to two ounces: make Lozenges.

A most excellent Remedy also to hinder Vapors is, if the Paroxysm befall them fasting as it is wont to be, to give them meat, the which being taken it presently grows mild, or the Vertigo, Imagination, Scotoma cea­seth, and by this only some have been restored, shun­ning Fasting.

Sleep because it discusseth Vapors doth help very much in these cases,

Plaisters, Cerecloaths are applied outwardly to the Region of the Stomach if the Vapors proceed from thence and the Mesaraick Veins, that they may hinder them; which they wear in the night.

As a Plaster of Mastick or some other made for the Stomach, malaxed with some astringent Oyl, or Galens Cerecloath for the Stomach.

Or such a one, Take of red Roses, Leaves of Worm­wood of each two drams; dried Citron pil, Labdanum of each half an ounce; Mastich two drams, Pouder them and with Oyl of Quinces or Mastich, adding Wax, make a Cerecloath.

If these Vapors rise from about the region of the Womb, let the same Plasters of Mastich or pro matrice be applied to that part, and let the Woman wear it for some time, unless the stoppage of the Courses forbid it, for when they flow, they must be omitted.

If a Vapor ascend like an Air from some other part of the Body as the Feet, or others, doth create a Verti­go, as hath been said; then the washing of those parts doth very much divert it, as also if it be done in other causes.

The which may be done thus, Take of the Leaves of Sage, Rosemary, Celtick Spike, Groundpine, St. Johns wort, flowers of Chamomel, Roses, Lavender, as much as wil suffice, boyl them in Wine and Lye.

Afterwards let him anoint his Feet with the follow­ing Oyntment, Take Oyl of Bays, Worms, Wall-flower, of each one ounce; Aqua Vitae half an ounce, a little Salt: boyl them for your use.

If necessity urge very much, Oxyrrhodines must be applied to the Head which may repel vapors, and if it continue, we must add things more strongly astringent, as Juyce of Plantane,

And successively such a Cap may be worn, as, Take of the roots of Galangal, the true Acorus, Citron pill, of each one dram; Coriander seed, two drams, Myrtles one dram, flowers of Roses, Rosemary, of each half a dram; Cloves half a dram, make a Pouder for a Cap.

Some have put Remedies upon the Eyes in Imagi­nations and Scotomaes, which we think superfluous, seeing the Vapor doth no waies reach unto the Eyes.

In course of Diet let all things be moderate, the meat simple, not too much; also let them drink Wine spa­ringly or diluted; let too much motion of the body be avoided and chiefly too much agitation or bowing down of the Head, and let them beware of looking on things wheeling about, or very bright; and let them abstain from too much agitation of the mind by study and watching.

They think that Crystal worn is of very great force in a Vertigo, and for the same benefits sake they drink out of a Cup made of it, or they put crystal into their Cups.

It hath been said that a Reple­tion of the Brain from a watry, The Cure of a weak­ness of the sight and Verigo proceeding from a watry and flegmatick humor of the Brain. serous, and flegmatick humor doth cause a Vertigo by its flu­ctuation and wind, and by an af­flux of the same humor to the op­tick Nerve, Blindness doth some­times arise, or by an irrigation of it an Amblyopie, and besides these hurts of the sight which are by reason of the Brain, it hath been demonstrated, that no other faults of the Eye prejudicing the sight can be caused from flegm or any afflux of such a humor which can neither enter the Net-like Nerve nor the Eye; and therefore we apply this Method of Cure only to these Diseases which is due only to this cause, neither do we refer it as others have done, to Suffusions or other affects of the Eye which also they beleeved did proceed from an in­flux of flegm.

But here although such a Cure be convenient, as is due to a Carus, Apoplexy, and other flegmatick Disea­ses of the Brain, and therefore perhaps ought not any more to be repeated in this place, yet that we may un­derstand after what manner they are to be applied to the sight in these Diseases, we wil here explain.

But a Vertigo springing from thence is dangerous, if there be a great Repletion of the Head, such as hath been demonstrated, we have often found, which seeing it can hardly be taken away, somtimes it ends in a Ca­rus and Apoplexy, the which it presageth: as also an Amblyopie, if it happen from thence in space of time is converted into blindness which sometimes is wont to be at the first presently from the beginning, the humor flowing abundantly: the prevention of which therefore in a Vertigo and Amblyopie springing from thence we shal study to Remedy this following man­ner.

[Page 70]First we wil endeavor to take away those excremen­titious, serous and flegmatick humors of the Head, by Emptying, Revelling, and driving them from the brain; then by heating the brain which doth generate them, and again is moistned and cooled by them, and by strengthening it, by those things which are appro­priate to it, the Nerves, and the Eyes; and also the hindring that the cause be not generated anew, or fo­mented: which shal be performed by Remedies ap­plied inwardly and outwardly, by Purging by the stool by the Mouth, and Nose, or by drawing away of Blood: Or by things applied to the Head, or other parts consenting with it; or by giving things that alter, and by course of diet, not neglecting Amulets.

Purgations by the stool for drawing away of flegm from the Head, and for hindering that the cause be not generated anew, are thus methodically ordered.

A Goading and sharp Clyster is premised, the which also is profitably injected by intervals or weekly.

And in these hurts of the sight it wil be thus more ap­plicable. Take of the fresh roots of Orrice, Peony, each two ounces; the herbs Centory the less, Betony, Rue, Eyebright, Fennel, of each one handful; flowers of Camomel, Lavonder or french Lavender of each one pugil; Fennel seed two drams, Carawaies one dram, Senna (which by a propriety is good for the Eyes) half an ounce, Agarick tied in a rag three drams, Bran one pugil, make a Decoction, dissolve of common Honey or Honey of Rosemary flowers one ounce, Hiera of Logadius or Hermes half an ounce, Oyl of Rue, Lillies, of each one ounce, Niter a little; make a Clyster.

The humor is prepared before Purging for some daies, by a Julep, or Decoction, or Wine.

A Julep shal be made thus, Take of Honey of Rose­mary flowers (instead of Honey of Roses or Oxymel, which by reason of the Vinegar, wil not be so profitable for the Nerves) Syrup of French Lavender, of Betony, each one ounce and an half; the waters of Eyebright, Peony flowers, Fennel, Marjoram, each three ounces; mix them, aroma­tize it with Nutmeg and Cinnamon.

Thus may be the Decoction for some Doses, Take of the roots of Orrice, Peony, each one ounce; the herbs Speed­wel, Eyebright, Fennel, Rosemary, Mint, each one handful; flowers of Rosemary, French Lavender, Peony, each one pu­gil; seed of Fennel, Anise, each two drams; Carawaies one dram, Damask Prunes ten, Raisons twenty, boyl them and in one pound and an half infuse of the pouder of Galangal, Ginger, each one dram; Cinnamon two drams, afterwards strain them, adding of the best Honey or Sugar as much as is sufficient, or of the forementioned Syrups, till it grow sweet.

Or make a Wine when bitter things are added as Centory which here is very profitable, Take of the Leaves of Eyebright, Speedwel, Centory, all dried, Fennel seed each half an ounce; Carawaies two drams, Nutmeg one dram, bruise them, for one measure of white Wine for your use.

Afterwards Catharticks that purge flegm must be gi­ven, but such as are appropriate to the sight, as those which have in them Senna and Fumitory, and of com­pounded ones those which admit the juyce of Fen­nel.

Such as are the greater and lesser Pilulae lucis, so called beause they bring light to the Eyes, and those also called Arabicae and sine quibus; and of Electuaries the greater and lesser Indum, we may use these that fol­low.

First of all Pils which he ought to take at midnight, if he be not unfit for swallowing of them, Take of pils sine quibus half a dram, Lucis the greater, the Arabick pils, pouder of Hiera of Coloquintida, each half a scruple; with Water of Eyebright, or juyce of Fennel, make Pills.

Or let him take this Bole, Take of Electuary Indum, the Hiera of Hermes, each two drams and an half, with Sugar make a Bole.

Or Decoction, Take of Fumitory, Eyebright each one handful; Senna half an ounce, make a Decoction in Water and Wine and Honey (instead of Hydromel or Oxymel) infuse Agarick, Turbith, each one dram; Ginger one scru­ple, Sal-Gem half a scruple, strain it and dissolve Syrup of Fumitory compound one ounce, make a Potion.

Or we may take one dose of the following composi­tions and give it instead of these, for seeing in these dis­eases of long continuance, we ought to use once in a month or week by course, Phlegmagoges, and in the in­terim Purgers appropriate to the sight, sometimes the Preparatives being repeated again, the following forms may be prepared for this use.

The Form of Pils is wont commonly to be more fit and usual than the rest, by which they may more com­modiously swallow things that are ingrateful, which here are very necessary; by making a mass for your use, the quantity of whose dose shal be from two scru­ples to a dram, Take of Aloes two drams, Turbith, Aga­rick, Rhubarb, Senna, each one dram; Myrrh, Mastich, each half a scruple; Tartar, Salt Gem, each half a scruple; Ginger one scruple, seeds of Fennel, Rue, each one scruple; Castor six grains, with the juyce of Fennel and Rue, make a mass and if you add Hiera of Coloquintida and a little Scammony they wil work more strongly.

Or make them thus of the usual ones, Take of the Pills sine quibus, Aureae, each one dram; Lucis the greater, Arabicarum, each half a dram; Pouder of Hiera of Colo­quintida one scruple, Oyl of Fennel two drops, juyce of Fennel as much as is sufficient, make a mass.

If he had rather have an Electuary make such a one, of which let him take from three drams to half an ounce, at once by it self or dissolving it with Eyebright and Fennel water. Take of Electuary Indum the greater, Diaphoenicon each half an ounce; Hiera of Hermes five drams, Fennel seed one dram, Cinnamon, Cloves, each half a dram; with french Lavendar, make an Electuary.

If he delight more in a Pouder, let the third part of this following be given with a Julep made of Syrup of French Lavender, and Eyebright water, Take of Tur­bith, two drams, Senna half an ounce, Tartar two drams, Ginger half a dram, Fennel seed one dram, Scammony one scruple, Sugar one ounce, mix them, make a Pouder.

A usual Syrup wil do it, prepared after the following manner, from which first of all a Decoction being made may be given for three daies together, and after­wards out of all the same in double quantity a Syrup may be boyled to be kept for use, Take of the roots of Fennel one ounce, Orrice half an ounce, Acorus, Galangal, Elecampane each two drams; Liquorish six drams, the herbs Fennel, Vervain, Eyebright, Betony Fumitory, each one hand­ful; Time, Hysop, each one handful and an half; flowers of French Lavender, Rosemary, Borrage, each one pugil; seeds of Fennel two drams, Carawaies, Anise, Hartwort, Mountain Seseli of Marselles, Rue, each one dram; Raisons twenty, Senna two ounces, Oak-fern, wild Saffron, each one ounce and an half; Agarick trochiscate half an ounce, Tur­birth two drams (for the rich you may add Rhubarb) Ginger one dram, Cinnamon two drams, make a Decocti­on, add Sugar two ounces, for three doses, or all things be­ing doubled as hath been said, let it be reduced into the form of a Syrup.

A purging Wine is more pleasing to some, and more effectual, seeing it is made only by maceration, or with a light boyling, and bitter things given after this manner, are not so ungrateful, which after the same [Page 71]manner as the Syrup may be drunk three daies toge­ther, and afterwards the Pouder being divided into three parts, and one alwaies being infused in the Wine for one dose may so be given by course without corrup­tion.

Which Pouder for to steep may be made thus: Take of Wormwood two drams, Centory one dram, Eybright, Ver­veine, Rue, of each three drams; Seeds of Fennel two drams, of Rue one dram, Senna one ounce, Turbith two drams, Aga­rick half an ounce, Barke of black Hellebore two drams, Tar­tar two drams, Ginger one dram: Make a Pouder for the Wine.

After the Body hath been purged, we must derive it from the Brain, by the Mouth and Nostrils as through a way destained for the purging forth of Flegm; which purging is so much the more convenient because it pre­sently purgeth from the very seat affected it self, those Excrements of the Brain collected there, to which seat this way leads strait; and this is done by Head purgers or those called Apophlegmatismes used in the morning fasting, in the form of an Errhine, Masticatory or Gargil; of which the following may be here used.

Errhines which are attracted with the Nostrils, shall be made thus: Take of the iuyces of red Pimpernel, of the roots of Beets or Mercury, Marioram, of each one ounce; Fennel, Rue, of cach one ounce; white Wine half an ounce, Mix them: if the juyce of Sowbread can be had, and be added it would be more effectual, as also Gauls, but if they be attracted into the Jaws they offend them with too great bitterness.

When they do not willingly use Errhines, anointing of the Nostrils is good, by daubbing them even to the very bottom, with some of the stronger forementiond juyces especially of Sowbread.

Or with this Liniment: Take of the juyces of Marjo­ram, Sowbread, the roots of Beets or Mercury, of each two drams; Elaterium six grains, Oyl of Orrice three drams, Honey and Tupentine a little, that you may make it like Nutritum.

Let him chew the following Masticatory spitting of­ten; Take of the Roots of Pellitory of Spain, the seeds of Staves-acre, of each one dram, Cubebs, Pepper, Fennel seed, of each half a dram; Marjoram one scruple, Mastick two drams, receive them in the Pulp of Raysons adding a little Wax [...]f they stick not, to make smal Bals.

Such a Gargle will be convenient, with which he may wash his mouth and Gargle his Throat, Take of the Roots of Pellitory of Spain, Orrice, Angelico or Master­wort, of each half an ounce; the Herbs Marjoram, Sage, Hyssop, Rue, Ey-bright, of each one handful; flowers of Lavender, Rosemary, of each one pugil; seeds of Fennel, Rue, of each two drams; Nutmegs two dram; Let them boyl in Wind and Water, adding Honey as much as is suf­ficient: And make a Gargel.

By drawing of blood by a Vein opend we cannot turne forth the Flegm from the Head, unless it be Fleg­matick in the Brain, and so by drawing it out we do by this means in some manner substract the matter that did generate these Flegmatick Excrements, which not­withstanding is not to be done except in the Plethorick and to whom it is accustomary and whose blood ap­pears very impure, unless some other Disease joyned with it as a pain of the Head, do perswade it.

And also that revulsion of the blood to another part, which is done by Scarification will do good upon no other account, but as by the attraction of Cupping-glasses applied, the serous humors also are emptied too, as shall by and by be explained.

Remedies are applied to the Head that these Excre­mentitious humors, which are the conjunct or Antece­dent cause of the Disease, may be altered, discust and called forth, and the part it self may be strengthend too, and that after divers manners.

Lotions of the Head being somtimes made, are thus convenient, which being very appropriate do consume the Humor. Take of the root of Orrice, Bay or Galangal, of each one ounce; the leaves of Marjoram, Rue, Sage, the tops of Fennel, and Rosemary, Verveine, Celandine, Eybright, Betony, Ground-pine, of each one handful; Flowers of Chamomel, Lavender, French Lavender, of each one pugil; Berries of Bayes, Juniper, of each one pugil; Fennel seed half an ounce, Rue one dram, Senna one ounce, Agarick three drams: Make a Decoction in a Lye, made of the Ashes of Juniper, Roses, Bayes, adding a fourth patt of white Wine for a Lye.

A Cap performeth the same but successively, being worn, especially by night, stuffed with these things fol­lowing, which also breaths forth a pleasant smel: Take of the Roots of Orrice, Angelica, of each two drams, the true Acorus, Galangal, of each one dram; the Leaves of Marjo­ram, Rosemary, flowers of Roses, Lavender, of each half a dram; Nutmeg, Cloves, of each one dram; Coriander seed prepared one dram and an half, Gith half a dram. Make a Pouder for a Cap, the which also if it be strained on the Hairs somtimes doth work more powerfully.

Suffumigations do the same, whose vertue enters the Head and dries the better, whose clausets, and Caps tis better to suffumigate, then their Nostrils, for thus they would move a Vertigo and hurt the sight.

Which prepared after divers manners, and being made of Juniper berries, they are also appropriate to the sight. Dioscorides writes that smelling to Galbanum doth take away the fits of the Vertiginous.

Lotions of the Feet being somtimes used, by a cer­tain communion with the Head, do very much divert the Excrements from it, and strengthen the Head; which may be prepared of the same things, with which we have said the Head ought to be washt, or also with other lyes hot, sweet, especially Cephalick things being first first boyled in them.

Vesicatories and Cauteries do more strongly call forth serous Humors, and the Excrements of the Brain, applied to the upper part of the Head, or behind the Ears or in the Neck.

A Puncture made in the Skin of the Neck and a string run through it, which they call a seton or Setaceum doth the same.

And Hollerius writes that Scarification made in the hinder part of the Head with Cupping-glasses applied, hath somtimes suddainly restored the sight lost by rea­son of the Optick Nerve, even whiles the Cupping­glass hath yet stuck on.

The same things given inwardly in a Vertigo and weakness of sight proceeding from flegm, do agree with both, the which ought to be appropriate to the Head and Eyes, and to heat and strengthen them and to hinder the production of flegm by helping the first and third Concoction, and especially to repress Va­pors which by oppressing the head do hinder the fit and hurt the sight and to discuss those as also wind; which are used in divers forms and manners.

Some things given in Bread do good, as if seeds of Carawaies, Fennel and Mace be mixt with it in wor­king, or if Ginger, Cloves bruised, with Aqua vitae poured to it, be added to it in like manner, which Pa­racelsus did very much approve off.

And also the other meats may be season'd with these, or such a Pouder be prepared for the Meat: Take of Annis, Fennel seed, of each two drams, Carawaies, Mace, of each one dram; Cinnamon three drams, Sugar two [Page 72]ounces, make a Pouder, to be strewed on Rice or other Meats.

But such a one may be made, which is used with Meats, or with a potched Egg. Take of Salt one ounce, Nutmeg, Mace, Caraway seed, Leaves of Eyebright, Marjo­ram, each half a dram; mix them.

Other most effectual Pouders are divers waies made thus, to be given themselves in the morning, or with some particular water as of Eyebright mixt with Wine (seeing Waters given alone, are not so grateful or fit for the Stomach) of which this singular one hath of­tentimes been happily used, as Take of Mace two drams, Cinnamon one dram, Leaves of Eyebright one ounce, Sugar the weight of them all, give two drams.

Another very profitable if the Vertigo doth threaten an Epilepsie, Take of the ashes of Swallows, a Mans Skul each two drams; Viper half a dram, Fennel seed two drams, Carawaies one dram, Peony, Mace, each half a dram, Cu­bebs one scruple, Leaves of Eyebright, Marjoram, each two scruples; Lozenges or Sugar of Roses the weight of them all, make a Pouder.

Of those mentioned Lozenges, may be made, as al­so of the usual species, especially of Diatrion Piperion, Diacuminum, Dianisum, Arromaticum Rosatum, Di­agalanga, Rosata Novella, Diambra, Diamoschum, adding of those that are more temperate, Diarrhodon, Trionsantalon, the Cordial species and of Gems.

After meals Pouders are used especially to drive a­way Vapors and to order a good concoction, after this manner, Take of the following seeds half coverd with Su­gar, Coriander one ounce, Anise half an ounce, Fennel two drams, Carawaies, Cubebs condited also each one dram and an half; Leaves of Eybright, Marjoram, red Roses each one dram and an half; Cinnamon three drams; Mace half a dram, the species Diacitonites cum specibus one dram, Sugar the weight of them all, make a Pouder, let him take one spoonful.

Some add to the pouders after Meals, Senna two scruples, and so they think the Vapors are more strong­ly represt.

Others prepare them thus of Rhubarb in manner fol­lowing, to repress Vapors yet more powerfully, Take of Rhubarb two drams, Cammels hey, Origany each one dram; Tables of Sugar of Roses two ounces with syrup of Mint make a mixture, let him take one spoonful one hour before Dinner.

If he going to bed doth swallow two or three grains of Mastich, the Vapors are very much repressed.

In like manner dry Sugard Confections are taken after meat, made of seeds of Coriander, Senna, Anise, Carawaies, Cummin and Cubebs covered with Sugar, Citron pil and others.

But also the bare seed of Fennel or Carawaies, or Juniper berries eaten in the morning do good in a Ver­tigo and weakness of the sight, especially if afterwards they so receive their breath with their hands before their mouth, that thence it ascend upwards to the Eyes.

The usual Electuaries are approved of to be taken in the morning, as Treacle, Mithridate, Asyncritum, if they be very old. Also the Tryphera of King Sabor, and Hollerius his Electuarium Regium, by themselves or mixt and taken with other things.

Of the other Conserves and Conditures that are kept and are convenient here, we may make such an Electu­ary, Take of the Conserves of Sage, of Rosemary flowers, Marjoram, French Lavender, Lavender, Betony, flowers of Clove Gilly-flowers, Groundpine, each half an ounce; of Ro­ses, Borrage, Diacorus, each one ounce; Emblick Myribolans condited one, Citron pill one ounce, Leaves of Eybright, Orga­ne, each one dram; Fennel seed one dram and an half, with the Syrup of Green Ginger make an Electuary, let him take in the morning the quantity of a Chesnut.

Or the following Confection which is most effectu­al may be made thus. Take of the roots of Peony Missleto of the Oak, each one dram; the leaves of Eyebright, three drams, Marjoram, Rosemary flowers, each two drams; Organy one dram, Fennel seed two drams, Anise, Carawaies, each one dram; Cummin, Hartwort, Basil, Peony, each half a dram, Cubebs, Mace, Cloves, Cinnamon each half a dram; Corral two scruples, Pearl half a scruple, the Skul of a Man one dram, Ivory half a dram, make a Pouder, mix it with Honey of Rosemary flowers or with the juyce boyled, let him take in the morning, the quantity of a Nutmeg.

Stilled Waters are commended which maybe taken by themselves or after other things, as Cinnamon Wa­ter somtimes taken.

And such a one may be provided, Take of Vervain, Eyebright, Rue, Marjoram, Groundpine, each half an ounce; seeds of Fennel two drams, Cinnamon half an ounce, steep them in Mallago Wine and distil them, let him take som­times one spoonful, to which you may add Sugar, that it may be the more grateful; the rest you shal find in the cold Diseases of the Head.

The Chymists magnifie the Salts, Essences, and Oyls of the forementioned things.

As concerning the Course of life that is necessary to the conservation of life, it shal be so ordered, that the cause of these affects be not augmented by it, but rather di­minished, and the symptoms themselves be mitigated, which wil be done by temperance and mediocrity in all things, of which we have spoken already, as also of the Amulets which are agreeable to the Sight also, in the former Cure, of the Cause of a Vertigo the other Remedies of it we shal describe by and by in explain­ing the Oxydorcical or sight-cleering Medicaments.

The Net-like Nerve being affected by consent, The Cure of the want of sight by reason of the Net-like Nerve in the Eye affe­cted by consent. which is made for the spi­rits sake with which it ought to a­bound; if this come to pass by reason of the influx of the spirit hindred, by occasion of the Brain and the Optick Nerve growing to it, what must be foretold and acted, hath been already explained in their diseases.

And if Blindness be caused by pressing of the Eye the spirits flying back and staying for a while, by and by that ceaseth of its own accord, the spirits returning back again, unless there have been some eminent hurt caused.

But if they being laid asleep in the Nerve by reason of long continued darkness cannot for a while enjoy the light which is at length offerd to them, and they are Blind or dark-sighted, then the spirits must be raised again and brought into act with Light, by degrees not by too bright an one at first, by and by offering a grea­ter light, that so by little and little they may accustome to endure, until they come again unto the perfect cu­stome of seeing.

But the contrary must be done in those whose sight is darkned by too much brightness, that they may the sooner and truer receive the use of it, to wit, by offer­ing them Darkness by degrees, first placing them in the shade then in a more obscure place, at last for a while in the dark it self.

Which custom of Light and darkness in them both being reduced by degrees, unless it do good, there is danger of a persevering blindness or dulness of sight the which we ought to foretel, not neglecting in the mean time sight-clearing Remedies.

[Page 73]But if the Net-like Nerve be affected by consent, be­cause it is destitute of the external light, and that ceaseth by reason of darkness induced in the air, by and by, by the brightness of the Sun or fire (besides which nothing hitherto hath been found out, which can sufficiently do it) that being illuminated again, the light returns, and the Eye sees again.

But if the light be withdrawn from it, by the impedi­ment of the humors or Membranes of the Eye, the Cure shal be declared in their faults.

If a defect of humors of the Eye cause Blindness, The Cure of Blind­ness from a defect of the humors of the Eye. all the humors falling forth together, through a Wound or Ulcer, nothing must be attempted here besides the Cure of the Wound and Ulcer, which shal be explained in the pains of the Eyes, and the evil must be foretold to be incurable.

The which also is to be done and said, if only the watry humor be poured forth, seeing it cannot be repai­red; unless by chance, if a narrow puncture being made in the eye, either by chance or purposely, by reason of taking away a Suffusion, the watry humor threaten a flowing forth (the which notwithstanding scarce comes to pass, if the Needle be thin and drawn forth gently) then shutting close the Eye-lids and afterwards press­ing the Eye and laying astringent things upon it, and a Roul applying (as we shal declare by and by in prick­ing a Suffusion) we repress the flowing forth of the hu­mor, til the hole grow together again.

But some part only of the watry humor being pour­ed forth out of a Wound, or being wasted by Diseases or Age, so that it hurt the sight if it be little, and there is yet no other fault in the Eye adjoyned. In young folks in whom that humor may be repaired by the nourish­ment of the Eye, we may yet Hope wel, and commit it to nature, but in other there is no Good to be judged.

If the Perversion of the natu­ral situation of the structure of the Eye do hurt the sight, The Cure of some impediments of the sight and of squinting by reason of the situa­tion of the Apple con­torted. and the whol Eye be so contorted, that the apple stand not forth in the middle seat of the forepart of the Eye, but be hidden in either side, as we have said hath some­times come to pass by a Wound, that being thrust to the inner part of the Nose, it could not see but through it; or otherwise from the Birth, the Eye being invert­ed it is so coverd with the Eye-brows that the Sight is hindered, these faults can by no means be amended; as neither that, if from the first Nativity the Apple be­ing not altogether hid, but yet enclining too much to one side, the Eye being as it were neer Convulsed, or o­therwise drawn thither doth give occasion for a squint­ing as hath been said; the which also are let alone see­ing they little or nothing prejudice the sight.

But if that the Crystalline hu­mor by some means bowed or a little way drawn from the Cir­cumference of it, The Cure of some hurts of the sight & of squinting from the bowing of the crystalline humor or motion of it to the side. doth breed a weakness or Error of the sight, or be one of the causes of a Squint­ing; then if this were suddenly done by some violent cause, unless by and by of its own accord it re­cover its natural situation, it is now impossible to effect by art; and by so much the less, if this fault be contra­cted from the Birth.

But if that the same crystalline humor otherwise pla­ced right, except that a little going backwards from the forepart which it ought naturally to occupy, The Cure of those sights by which they see not things unless very neer; or by which they see things di­stant better than those neer, by the carrying of the cry­stalline humor for­wards or backwards. possessing the exact middle or more hinder region of the Eye, doth induce that sight in which they do not rightly see things a little more distant, and for that cause they are compelled to apply things neerer or close to their Eyes; seeing this for the most part happens from the birth, and we cannot reduce the humor into its natural state, it is impossible to alter this seeing, unless it be changed by course of Age, by that long con­tinued bowing down of the head towards the fore parts the whol life time, the crystalline humor alwaies bear­ing forwards and by degrees being brought thither: as I have often found by experience, both in others and my self, that this seeing, is changed when they grow old, so that then they can see things better at a distance, than when they are yonger; and then this benefit accrews in the correction of this fault (if so be it be a fault, see­ing what is lost in the sight for knowing of things more distant, is gained by it in more rightly discerning of things neer) that when necessity requires to know things far distant, we can by applying a most bright prospective made of a thicker Crystal Glass which re­presents things to the Eye lesser than they are, correct this defect of the inner prospective, to wit, the crystal­line humor, because it is too neer to the net-like Nerve and so obtain in Seeing that which we desire: the which Prospective notwithstanding, it is not requisite should be alwaies of one kind, but as the crystalline humor is more or less gone backwards, it ought to be applied more or less neer to the Eye, and to be less, or much more thick; as we see in those that are called Myopes some are convenient for some, not others, and yet not much different, as experience shews us this, that what Glass ought to be chosen, is rather to be done by trying it by the Eye than by any explicable descrip­tion, unless they that make them, know how to do it.

But as this sight springing from the Birth can no waies be changed, but only be corrected by another Instrument applied, that more grievous impediment of the sight by process of again which they cannot rightly see things neer hand, but better if they be far re­moved from the Eye, which we have said doth come to pass by the crystalline humor carried too much for­ward, cannot be amended any other way than by a thin Glass spectacle representing things to the Eye greater than they are; the which they having continu­al use of, that they may see handle and read the lesser things, they alwaies carry about them; and two Glas­ses are so formed in a frame, that fastniug such an In­strument to the ridg of the Nose, by the great mercy of God they can use it to the right discerning of things.

The Crystalline humor being made more solid or obscure if it induce that weakness of sight in which, The Cure of Ny­ctalopy proceeding from an obscure cry­stalline humor. darkness growing a little on they see obscurely or nothing, or somtimes that being wholly hardned they become blind it cannot be corrected by Remedies nor Specta­cles seeing they cannot bring brightness unto it.

A too small and narrow hole of the Grapy Coat called the Pu­pilla if a too large hole effect that the sight be easily darkened with too much light, The Cure of a Ny­ctalopy from the narrownesi of the Apple. and it discern [Page 74]more rightly in a darker place; because this fault is Original also it cannot be mended neither by Medi­cines nor Spectacles; because the cause is in the Mem­brane and not the humor unless in as much as they whose sight is offended with brigh­ness, The Cure of the evening sight from the largness of the Apple, may be prevented from too much light by partly shutting up their dwellings places, or from the brightness of a candle by interposing some glassy Obstacle, at night while they read, or earnestly behold some other thing, that they may not molest the sight.

Although many do attempt to Cure these and other faults formerly mention'd, no waies appearing in the Eye (being ignorant of the true cause of them, and re­ferring all things to the thickness of the Spirits and De­fluxions) and for gains sake, do rashly promise that they will do it; in Vain tormenting the sick with purges and other things and applying Eye clearers: Oxydorcical reme­dies which are con­venient to restore the sight in its va­rious hurts are here explained in general The which notwithstan­ding we may use, if we are min­ded to try, let the event be what it will: those things which can no waies hurt, but may be used with­out trouble: of which sort you will find many in the remedies which are proposed almost the same, both in a weak­ness of the sight and Nyctalopy and evening sight and Myopsie; of which we will add these few examples of our own.

If at any time it be needful to administer purges either because the Body otherwise hath need of Eva­cuation or by reason of the Stomach from whence Va­pors carried upwards do also prejudice the Sight or for some other causes rather then by reason of the Disease in the Eye which of it self doth no waies require Pugers; they must be made according to the Caco­chymy abounding in the Body.

Yet they are chiefly to be made choice off, which amongst Purgers are appropriate to the Eye, as Senna, which we have formerly said both taken and applied, doth by its whol property refresh the sight; Fumitory also, which as is reported doth clarifie the sight.

Of which we may prepare such a Composition, as this following; adding also other things appropriate to the sight: Take of the leaves of Senna one ounce, dried Fumitory half an ounce, Dodder of Time two drams, Ey­bright, Germander, of each one dram and an half; Fennel seed two drams, Mountain Heartwort one dram, flowers of Rosemary, French Lavender, of each one dram and an half: Make a Decoction in Goats Whey, infuse Rhubarb two drams, Cinnamon, Spike, long Pepper, of each half a dram; Or for the Flegmatiek, Agarick, Turbith, of each one dram and an half; Ginger half a dram, Salt Ammoniack half a scruple, strain it; add Syrup of Fumitory and Roses solutive, of each one ounce and an half: Make a Potion for two Doses.

Let the younger sort drink for some daies only Senna and fresh Fumitory with Fennel seed diluted in Goats Whey.

They use also stonger Compositions, and those flegm purgers for the most part, because they thought all those affects did proceed from a defluxion of flegm, the which may be used if otherwise it abound in the Head, and also prejudice the Nerves, as we have said formerly in a Weakness of the Sight and Vertigo, from Flegm of the Brain.

We must make choice off, Pilulae Lucis, Arabicae, Ele­ctuary Indum, and others especially fitted for the Sight.

Of things taken inwardly which are appropriate to the sight and do help the Head and Stomach, we may make forms thus.

The which if we would use amongst nourishments let the Meats be often season'd with the following Pou­ders and Salts.

A profitable Aromatick Pouder with which the meats are season'd instead of other Spices: fitted for the sight: Take of Cinnamon three drams, Cloves one dram, Nutmeg or Mace half a dram, long and black Pepper, Ginger, of each one scruple; Salt one ounce and an half: Mix them.

Neither are Radish or Mustard so to be feared a­mongst Junkets; because as hath been shewed in the Remedies they help the Sight by a propriety, and be­ing taken upon that account, they do good rather then harm.

The use of rapes boyled, especially with Caraway seed, as our Country men are wont to prepare them, is very convenient, because they are appropriate.

Eybright Wine, is wonderfully commended by all; which either is made simple by infusing the dried leaves of it in Wine or new Wine whiles it is hot; or that it may be more effectual and pleasing by mixing Worm­wood and Fennel roots, because our Country men are rather delighted with Wormwood Wine, and Diosco­rides reckons up Wormwood amongst the Sight­quickners.

Distilled waters must somtimes be taken, which may be prepared thus, profitable for that purpose: Take of the waters of Rosemary flowers, the Herbs Fennel, Eybright, of each two drams; Cinnamon water half an ounce, Aqua vitae two ounces, Lozenges of Sugar, of Roses as much as you please, if you will; Mix them: let him take from half an ounce to one ounce.

More Compound waters: Take of the fresh roots of Radish one ounce and an half, of Fennel one ounce, of Celan­dine, Avens of each half an ounce, the Herbs Eybright, Ver­vain, Rue, Celandine, Germander, Fennel, of each three drams; Time, Sage, Marjoram, Savory, of each two drams; Rosemary flowers three drams, of French Lavender, St. Johns­wort, of each one dram; Fennel seed three drams, Moun­tain Hart-wort two drams, Carawaies one dram, the Liver of a Goat sliced with the filth and Gall sticking to it half a pound, Cinnamon half an ounce, Cloves two drams, Nut­meg one dram, long Pepper one dram: Bruise those things that are to be bruised and sprinkle them with white Wine, distil them, and let him take part of it by it self or diluted with other Water, if it inslame too much.

The Pouders which are taken in the morning by themselves or with a crust of bread dipe in Wine, or going to bed also, are made thus: Take of Leaves of Eybright two drams, of Marjoram one dram, Rue half a dram, Rosemary flowers one dram, the seed of Fennel two drams, of Rapes one dram and an half, mountain Hart­wart one dram, Carawaies, Bay-berries, of each half a dram, Cinnamon one dram and an half, Nutmeg, Cloves, of each half a dram, long and black Pepper, Ginger, of each one scruple, Curral one dram, the Ashes of the Heads of Swallowes or Serpents half a dram, Sugar the double weight of them all: Make a Pouder.

Lozenges may be made of this Pouder if you form one dram of that, with one ounce of Sugar, Dissolved in Fennel Water, adding some drops of Oyl of Fennel.

Which also being made only with Oyl of Fennel mixt with Sugar, are convenient here.

An Electuary shall be made of the same Pouder if you receive it in Skim'd Honey; Boyled with Wine or conveni­ent waters, or Sugar into the form of a Syrup, with the same Waters in the same measure or more plentiful (if any one desire to have it so more grateful to the Palate.)

[Page 75]Or after this manner prepared of the Juyces, which are more effectual then the Leaves of the Plants: Take of the clarified juyces of Fennel, Eybright, Vervain, of each one ounce and an half; Marjoram, Rue, of each one ounce; Honey boyled off with Wine six ounces, or so much Sugar: Boyl them with the Juyces to a consistence; adding, of the Conserve of flowers of Rosemary, Eybright, of each half an ounce; the flowers of Sage, and French Lavender, of each two drams; Nutmegs condite two, Cinamon three drams, Cloves, Nutmeg, Mace, of each one dram; long Pepper, Cubebs, of each half a dram; seeds of Fennel one dram and an half; Mountain Hart-wort one dram, the dried root of Celandine or its Leaves one dram, Species Diambrae, Ro­satae Novellae, of each half a dram: Mix them, make an Electuary.

Pouders or Confections to be taken after feeding or meat are allowed off, especially if Vapors also be troublesome; As, Take the sugar'd confections of Fennel seed one ounce, Coriander, Annu, Carawaies, the seeds of Rapes or Turneps cover'd with Sugar, of each half an ounce; Rocket seed two drams: Mix them, let him take one spoonful after meals.

Or, Let there be added of Liquorish roots scraped half an ounce, Galangal sliced and Citron pill alsomost thinly sli­oed, of each one dram; Cinnamon one dram and an half, leaves of Eybright one dram, red Roses, Marjoram, of each half a dram; Curral one dram, shavings of Ivory half a dram, Species Diacytontes sine speciebus one dram, Sugar the equal weight with those things are not cover'd with Sugar: Make a dry Confection.

The Remedies to be applied to the Eyes, if they do not too much affect them, are put into them, but if they be very strong especially when they are used upon a hazard, without any respect to the cause, they are more rightly applied outwardly to the Eylids least some new affect may be caused by them; and if they strain them, wash them again in the morning with Fennel and Eybright waters, which are made as follow­eth.

Of the Waters alone after this manner: Take of the Waters of Eybright, Vervain, Celandine, Fennel, Rue, Mix together, or Dilstlled together, equal parts, let him put it often into the Eyes, or let him wash them in the mor­ning with these waters, adding somtimes a little Rose-Water,

If a darkness be from the thickness of the Coats the water of Honey is very convenient.

Or thus: Take of the fresh Herbs of Fennel, Ruc, Ey­bright, Vervain, Celandine, wild Lettice, of each one hand­ful; flowers of Rosemary, Sage, Roses, of each one pugil; Fennel seed two drams, Mountain Hart-wort one dram, Ju­niper berries two drams, Cloves, long Pepper, of each half a dram; Sarcocol, Aloes Socotorine, of each two drams; Cam­phyre, white Vitriol, of each half a dram; Bruise them and sprinkle them with a Boys Urine and white Wine; Till they are reduced into the form of a past; adding, (espe­cially for a Nyctilopy) the Liver of a He or She Goat sliced half a pound, leaving out the Gall, Hens Galls one dram, Honey of Rosemary flowers one dram: Mix them and distil them for your use.

Waters or Liquors are made thus by long infusion without distillation: Take of the juyces of Fennel, Rue, Vervain, Celandine, sour Pomgranates, wild Lettice, of each one ounce; of the filth which flowes from the Liver of a she Goat, while it is roasted with the Gall half an ounce, the Gall of Hens or Partridg one dram, Sarcocol steeped in the juyce of Fennel, Socotorine Aloes, of each one dram; Honey, Sugar­candy, of each half an ounce; Camphyre half a scruple, white Vitriol one scruple, Tutty one dram and an half, Pearl half a dram, Golden ducats two, long Pepper, Cloves, Lig­num Aloes, of each one dram; add, of a Boys Urine and white Wine, of each three drams: Let them steep a long time in a glazed Vessel stopped, either in the Sun, or in a furnace, afterwads set them a part for your use.

Somtimes we anoynt the Eylids with juyces, or we drop them into the Eyes, after this manner: Take of the juyces of Fennel, wilde Lettice, sour Pomgranates a lit­tle thickend, and afterwards wrought with Honey, adding somtimes a little of the Gall of Fishes or Birds.

Or which is good in a Nyctalopy: Take of the filth which flowes from the Liver of a she Goat two drams, the blood of a Partridg one dram, a little Honey: Mix them.

We use other liquors as followeth, let him chew Fen­nel seed and Juniper berries and afterward anoynt his Eylids with his spittle, and carry his breath upwards to his Eyes by holding his Hands before it.

Divers mixtures which they call Collyries are prepared thus: Take of Tutty prepared two drams; Antimony often washt with Fennel water one dram, Curral one dram, Pearl half a dram, the Cacochymy of Gold half a dram, Sarcocol steept in Fennel water one dram, Mirrh, Socotorine Aloes, of each half a dram, the apples of the Eyes of Fishes hardend by boyling one scruple, Swallows heads burnt half a dram, Li­zards dung one scruple, Salt Ammoniack, white Vitriol, of each one scruple, Camphyre half a scruple, long Pepper half a dram, Saffron half a scruple, Sugar Candy two drams: Make a Pouder like an Alcohol, receive it in the mu­cilage of Fenugreek seed, made with Rose Water: Make a Trochiske for your use; Dissolve one when we would use it, in the Waters of Fennel, Rue, adding the juyces, and somtimes the Gaules.

An Oyntment for the Eylids may be made after this manner: Take of a Serpents fat, which is collected while it boyles, or of the Fish Thymallus, or of them both, the juyce of Germander, Honey, of each equal parts; for an Oynt­ment; and there may be some of the aforemention'd Trochisks be mixed with it.

The Pouders which are strewed on the Eyes are used rather in specks of the Eyes, then here; yet they may be made of the Trochiskes described.

Or after this manner: Take of the leaves of German­der, Eybright, of each one dram; Pearl, Tutty, of each half a dram; leaves of Gold three, Sugar-candy half a dram: Make a most fine Pouder.

Somtimes the Eyes are somented that the Oxydorci­cal, or Sight-quickning Medicines applied, may work the better: after the same manner as shall be said in the Specks.

Or after this manner: Take of Fenugreek seeds half an ounce, Fennel two drams, mountain Hart-wort one dram, leaves of Eybright, Celandine, of each three drams; Radish roots half an ounce, Oate chaff one ounce: Boyl them in Wine and Water, for a Fomentation in a Spunge, or in Bags.

Also the Vapor of this Decoction receive'd into the Eyes do prepare the Eye, or others also do good to the Eyes, as the steem of a Goats Liver boyled received by the Eyes in a Nyctalopy.

Barly Bread baked with Fennel and Caraway seed and cut in two while it is hot, and the Exhalation from it received by the Eyes.

Looking upon green things doth refresh the Eyes, and things polisht, as a bright Glass of Steel, upon which account the beholding of Jewels and Gold, ra­ther then the Application of them, doth recreate the sight, and strengthen the vital spirit.

They cry up many Amulets that do good being hung about the Neck and worn in Rings which we pur­posely omit.

Mathiolus doth very much commend a stone of the Gaul put into the Nostrils.

[Page 76] Rhazes writes that burnt Ivory the quantity of a Len­til put into the Nostrils with Oyl of Violets, doth quickly cure Nyctalopies.

A white speck appearing more or less in the Eye, if springing from the fall of the Glassy Humor or Crystal­line in to the hole of the apple, The Cure of the defect of Seeing caused by the ob­scurity of the horny coate by white specks and by the obstructi­on of the Grapy coate by white specks. it doth put out the sight; which we have said was somtimes wont to happen from a contusion of that Eye, the hole of the apple being cleft, or the Coats containing these Humors in their place, being broken, or by too deep forcing the needle in curing a suffusi­on, then all hopes of recovering the sight being taken away, we will only fit the Cure to the external hurt if there be any. But if this white speck presenting it self about the Region of the apple, be a suffusion from the watry Humor by degrees and in a long time, converted into a snivel and at length into the said Skin bringing first of all an error of the sight but afterwards when it is hardned, a perfect blindness: or if from too much dri­ness of the Horny coat, and induration of it, an Albugo doth proceed, or from a Wound or Puncture closed up there be a Skar left, which two last, as they are broad or narrow, they do more or less hurt the sight, then what must be foretold and done in them all three, be­cause they do not much differ amongst themselves, we will explain altogether.

But seeing a Suffusion, Albugo, and Skar, are diffi­cultly cured, we must not rashly promise any thing, see­ing if the Skar be superficial only; possessing the thin lap of the horny coat, it may perhaps be taken off in the younger sort, and yet scarcely then, but if it be a lit­tle deeper it cannot be taken away, unless that being shaven, we would make a new solution of continuity, which were to make a Wound afresh.

The same also we may affirm of an Albugo if it hath taken deep root; especially if the horny coat being wholly hardened hath bred the said darkness in old folks, or being dryed in some bright part of it only it doth cause an Albugo; the which how difficult it is to correct, we may see in the thin lap of some horn, Pecten, or Nail, affected in like manner, how it can hardly be wiped off: Yet if some portion of the groser nourishment being left under the Horny coat do cause this, because that doth somtimes change its place, and is carried from the region of the apple into the white of the Eye, then it no longer hurts the sight, which for the most part happens rather of its own accord, then by the use of Medicines.

A Suffusion also is a Pertinatious disease, which when it is confirmed and harden'd, makes blind, and can be taken away by no further Remedies, unless by a needle the which notwithstanding when it is done, doth not help or succeed in all, but only in certain suffusions as shall be said by and by, and is often attempted with ill success: that beginning which doth only cast clouds before the sight, can scarely be prevented, but that it wil increase in time.

Nevertheless in these cases Remedies must not be neglected, and in a Skar, Albugo, and Suffusion, the Cure must be order'd thus, to wit that we dispose the Body in general that we may rightly make the better Cure, and that we apply Topick means to the Eye, which may waist the Suffusion by discussing it, the which also are convenient in an Albugo, the which not­withstanding that we may be able to wipe away also from the thin lap of the horny coate, we must try to take away with stronger Detersiues, and the more still, if there be a Skar in which the Detersives wont to be applied in a confirmed Suffusion must be used mixt with discuffives; so that the same Remedies almost are convenient for them all, yet so distributed, that we use the thinner Remedies in a Suffusion beginning, the thicker and stronger in an Albugo, Skar, and confir­med suffusion, as you shall hear by and by, the exter­nal Pannicle doth require stronger yet, the which not­withstanding must be so temper'd, that the Eye be not wholly dried up, or inflamed by the use of them, if all these things help not, we must come to cut­ting.

That the Body be clean and free from Excrements, we must procure by ordering a good course of Diet, and Emptiers, according to the Nature of a Plenitude or Cacochymy if there be any, for so the whol cure proceeds the righter: and though here many Practi­tioners do wonderfully macerate the Body with many Evacuations, in a Suffusion especially, which they thought was a descent of water into the Eyes, and there­fore was to be called by the name of a Catharrhact, by making Purgations was well by the Stool as by sweats and by the Mouth and Nostrils, also making Revul­sions and Derivations, by Scarifications, Application of Cupping-glasses, and by Frictions, and then by Cauteries, Setons, as we have taught in a Flegmatick Vertigo, how these things onght to be done, yet we who have demonstrated that the cause of these doth consist in the Eye, and that a Defluxion of water can no waies be carried into the Capacity of the Eye, have many times seen and found by experience that these are administred to Bodies without any benefit, unless in as much as they may keep the Body pure, as we have said; let therefore this preparation of the Body by a fit Diet and decent Evacuations suffice, being made of the same Remedies which have been explained in a Flegmatick Vertigo, choosing the gentler or stronger as there is need, and fitting them to the constitution of the Body.

But neither can the Oxydorcial Remedies which are so much commended in this case being taken by the Mouth, or hung about the Neck, or otherwise applied do any thing singular here, unless they have that ver­tue of clensing away and discussing the speck, as many of them are endued with it, because the sight is here no other waies hurt, then that the Eye by reason of an Impediment spred over it, is deprived of the external light; that if we would mend the sight with sharpning Remedies; they ought to bring to the Eyes the bright­ness rushing from without, which certainly no man is able to do, or to take away the vail drawn over the Eyes.

We will propound therefore the more choice Topick Remedies that are convenient in these cases, in this or­der, that the gentlest be first described, then stronger, at last the strongest of all which also are convenient in a Pannicle; the which are either put into the Eyes, if they can endure them, or are applied to the Eylids, where they retain them longer with less hindrance and hurt, especially in the night whiles they keep them shut, and though their vertue doth not so quickly exert it self, as when they are put into the Eye, yet by conti­nual use, because their faculty doth easily penetrate through the thin Eylid, they do work at length being thus applied, because those things which are put into the Eye, do by and by flow forth again with the Tears, or do irritate the Eyes, and create some trouble.

The Distilled water of Honey, is very profitable and accustomary, which is oftentimes dropt into the Eye.

[Page 77]Also that called the Water of Wine, or Aqua vitae, doth discuss Egregiously, but it must be tempered with Water of Honey and Fennel, added to it in equal portions.

A more effectual one will be made thus: Take of a Boyes Urin four ounces, white Wine one ounce, Honey one ounce, Gaul half an ounce: Extract a Water.

Or yet a stronger: Take of a Boyes Urin four ounces, the juyces of Fennel, Celandine, of each two ounces, white Wine one ounce, the Gaul of Fishes (as Salmon or Carpe) or of Birds or of other creatures two drams, Honey two ounces, Turpentine half an ounce, live Sulphur two drams: Distill them, if the Urin before it be added to this composi­tion, stand for some daies in a brass Vessel, afterwards washing the Vessel soundly with it, the preparation wil be yet more effectual, which if it bite, being temper'd and thicken'd with the white of an Egg, anoint the Ey­lids with it. Somtimes such a Pouder is blowed in, but it ought to be very fine as an Alcohol, that it do not exasperate the Eye: Take of the Bone of the Fish Sepia of the Fungous matter of a Pummystone, of each two drams; white Pompholix, (which is the soot from Brass) half a dram, Sugar candy two drams, Bean flower half a dram: Make a Pouder.

The juyce sweating forth from Willows, being dropt in the Eye, is very much commended.

Of Acid juyces these are very convenient: Take of the thick juyces of unripe Grapes, also of the juyce of sour Pomgranates thicken'd, receive them in the Mucilage of Fenugreek seed, apply them to the Eylids.

Or thus, one more disgesting: Take of the juyces of the lesser centory, Fennel, Celandine, of each two drams; the Gaul of Fishes one dram, Aloes, Sarcocol, Mirrh, of each half a dram; Sugar candy one dram, Honey as much as is sufficient: Make an Oyntment.

Or thus, one Egregiously abstersive: Take of Li­zards dung one dram, the bone of the Fish Sepia burnt, Hart-horn, Massacumia, of each half a dram; Honey as much as is sufficient: Make an Oyntment.

Or without Pouders but very effectual: Take of the juyces of Fennel, Celandine, soure Pomegranates, of each half an ounce, of Onions, Radish of each two drams, Gaul one dram and an half; Lizards dunge half a dram, Honey as much as is sussicient: Mix them.

Or make such an Unctuous Oyntment: Take of the fat of the Fish Thymallus two drams, of Gaul one dram, Li­zards dung one scruple, Gum Ammoniack dissolved in Aqua vitae one dram, Sarcocol half a dram: Make an Unction.

Acrid Liquors that work vehemently are made thus, which if the Eye cannot endure, they are temper'd with Milk or Waters til they can bear them, or being mixed with the Mucilage of Fenugreek seed or the white of an Egg they are applied to the Eylids: Take of Antimony one dram, Marchasite half a dram: Pouder and infuse them in Rose and Fennel Water, of each four ounces; often passing it through a Filter; for your use.

Out of Urin thus: Take a Boyes Urin, let it stand in a Brass Vessel, for some daies; scraping or rubbing the Vessel often, for your use.

Or a linnen cloath is set one fire in a dish or on a Tin or Iron plate, and the juyce which sticks to the dish is taken for use; this juyce will be more effectual, or ra­ther that Oyly substance sweating forth, if the cloth be first wet with the spirit of Wine and be dried again, but afterwards be lighted and burnt on a Plate of Steel.

Of those stronger yet tis made thus: Take of white vitriol one dram, rust of Brass six grains, being pouder'd; Mix them with the white of one Egg, beat them well, and pouring them upon a Paper, the greenish water collected by inclination is taken for your use so far as it can be endured, it is temper'd with Rose water or Milk.

A most effectual Oyntment is made thus: Take of white Vitriol one scruple, rust of Brass half a scruple, Anti­mony half a dram, Marchasite half a scruple, Lizards dung half a scruple, the Bone of the Fish Sepia half a dram, Cam­phire two grains, Fish Gauls half a dram, Honey two drams, Sugar one dram, with the mucilage of Fenugreek seed: Make an injection.

Somtimes a Fomentation of the Eye being made, before the use of these, it causeth that they work more rightly, and doth the better dispose the Eye to receive them, and it discusseth also by it self.

Which may simply be made thus: Take of the seeds of Fenugreek one ounce, of Fennel two drams, Chamomel flo­wers, Oate chaff, of each one handful; Marsh-mallow roots one ounce: Boyl them in Water and Wine for a Fo­mentation.

A Suffumigation from this Decoction if it be recei­ved in the Eyes, will be instead of a Fomentation.

To breath into the Eyes after the chawing of Fennel seed doth the same; and in Infants if the Nurse do that it wipes away their Suffusions if they first chew Gum Ammoniack and the like.

Amongst Amulets the roots of Garlick, and Snake­weed, hung about the Neck, is in high esteem with Chy­rurgions.

By Manual operation or Chyrurgery, in a Suffusion when it is grown to a Skin or Web as they call it, to free and divide it from the compass of the apple, to which it is grown, by putting in a Needle through the horny Coate, and by degrees forcing it to this part, is the last remedy: which if it succeed, and the sight as yet be in the Eye, as the Chyrurgeons speak, that is, if by reason of that long continued blindness which hath lasted so many years, the Visory spirits as hath been said formerly being idle, be not extinguisht, or the Optick Nerves become sluggish: then this way being open'd, and its obstacle taken away, the light again entring and Illuminating the Eye, it causeth that in that very moment, in which the Web is taken off, they recover their sight again.

But before the operation be began, these things must first be consider'd, first of all that if both Eyes being cover'd with a Web they are render'd wholly blinde, by so much the rather let it be attempted, because worse cannot befal them, although the operation do not suc­ceed they then remaining blind as they were before; but if that one Eye only be affected, the other being sound, because that is sufficient for seeing, and no grea­ter necessety urgeth, the business is not to be attempted with such rashness.

Next of all that we do not attempt it before the Skin be wholly concrete and perfect, and as they call, it be ripe. Which somtimes is scarce compleated in the space of three years, somtimes five, or more, and it is known by the color of it, which then is exactly white like to the thin Skin compassing the white of a boyled Egg, although somtimes it represent somwhat an ash color, and then because it doth somwhat deceive the judg­ment, it makes us more uncertain as concerning its Maturity, the which notwithstanding is known by this to be now perfect, because it is not changed, but per­sists so for a long time. And although many do not re­quire its absolute, but moderate concretion, yet we have found by experience, that there is less error, and tis more easily handled when it is perfectly concreted: for that which is unripe, because it is yet soft and snivel­ly, it doth not resist the point of the Needle, and there­fore cannot wholly be removed, but being cut and di­vided grows together again, and then being made thic­ker and more Callous and Sprinkled over the watry [Page 78]humor, it causeth that then they do not only see no­thing, but all hope of Cure by a new operation is taken away, because if it be done twice, for the most part it is done in vaine,

The which happens also, if the Needle being forced too deep, the Crystalline or Glassie Humor be hurt, or their Coats, or also the Grapy Coate it self be toren in the compass of the hole, for then the humors being confounded, they remain blind and a whiteness with a Tumor appears in the black of the Eye.

Therefore it is a very doubtful kind of Remedy in doing of which they easily err, or if it succeed rightly, yet by reason of a long continued blindness, as hath been already said, somtimes the sight doth not return, wherefore we must promise nothing rashly as Mounte­bank Oculists do, who are nothing moved with shame, although they perform not their promises, if there be any hopes of gain.

Yet necessity urging, if they be altogether blind, im­ploring Gods aide, and applying all diligence rather then promising safety, the operation shall be thus per­fected as I have oftentimes seen it, and in part have my self put a hand unto it, seeing the thing otherwise hard, if you consider the Industry and Art, is not so very dif­ficult as they make it.

Let therefore the Patient sit in a feat, and over against his Face, the Chyrurgion so neer that he may receive the Patient with his seat between his Thighs spred a­broad, and let him bear up his hands leaning on both his Thighs, but let a Servant stand at the back of the Pati­ent and hold his head raised up, fast with both his hands and if one Eye be sound and see, let him binde it with aswath, that he see not.

Which being done, first of all let the unsound Eye be rubbed, the Eylids being stretcht above the Eye, the Chyrurgion for a while drawing it up and down with his Thumb.

And let him often breath into the Eye being open'd, having first chewed Fennel seed.

Then take the Needle which they will have of Silver for brightness sake more then for profit, and so much the more if the point of it be guilt, the which ought to be long and with a wreathed handle that it may be held the faster, and towards the point, sharp and thinner by degrees: But also a common Iron Needle of a mean size fasten'd in a handle that it may be held fast, is as commodious for doing this, neither is there any rust to be feared in this short stay as they imagine.

This therefore being taken in the right hand if the left Eye be affected, or in the left hand if the right Eye and leaning the hand by the seat of the Eye, in the out­ward side of the Eye, looking towards the middle seat of the Apple, in the white of the Eye somwhat distant from the circle, it ought to be imprest into the Horny Coat, and not violently thrust in, but wreathing it by degrees, til it penetrate that coat. The which because it is done without any pain, they easily suffer and remain quiet, and because the Eye is fastend to the Needle it is kept firme by it, and it is prevented from rowling.

The Needle being thrust in, by and by is directed to­wards the Apple, and is forced so far, that comming forth in the brink where the Skin grew to it, tis set be­fore the fore part in the mid'st of the Skin, the which is done by so much the more commodiously, because the Needle may be seen there, through the horny Coate, and thefore may be directed right. Being carried thi­ther; 'tis so ofttimes prest gently backwards, that it may break off the Skin from the compass of the hole of the Grapy Coate, if it succeed not at the first time, and if it be any where freed, 'tis wholly seperated by the Needle from the hole where it yet sticks, and is deprest downwards from the Region of the Apple, into the lo­west obscure part of the Eye. But others endeavoring to free it with the Needle, first of all from its upper part, and by degrees proceeding downwards, do after this manner force it to the lower parts. Which both waies may be rightly done, and as the Skin follows they must be order'd, or as they are easier done after this or that manner. Taking care chiefly that the Web peirced through be not cut in many parts, for so those portions of it, though prest down being easily again carried up­wards before the Apple, by floating there would darken the sight; the which if the whol Skin thrust down doth do it, it must be deprest again, least if that should come to pass when the Needle is drawn forth, the Puncture must be repeated again, which would be incon­veniently done, and for the most part with out suc­cess.

Which being rightly performed if it succeed well, the Apple appears black again, and they see presently, but otherwise there will be little hope, but howsoever it be, the Needle must by degrees be drawn forth again, the Eylid being first deprest and the Eye shut. Neither is there any fear of the watry Humor flowing forth, be­cause the hole in this thick Coate doth by and by close again, after the drawing forth of the Needle.

Then those things which do repress an Inflammati­on of the Eye must be applied with a four doubled cloth dipt in the white of an Egg, being first beaten with Rose water, and other things to be mention'd in an Inflammation; and they must alwaies be renewed three times a day for the space of five or six daies, and the first Application if it stick fast, when it hath been first mollefied in the same humor, it must be taken off, and a new one applied, to which if you add milk it will stick the less.

At which time, that the Eye not yet accustomed be not overwhelmed with suddain and much light, they ought to stay in darkness, and by degrees to accustome the light. And least that the spirits may be forced to the Eyes by violence, they ought to have a care off all ve­hement motion of the Body, as Coughing, Sneezing, Crying out, and off vehement straining in casting forth their Excrements and the like other things.

A Pannicle beginning, The Cure of the defect of sight from the horny Coate co­ver'd with a Pan­nicle and Ungula. somtimes may be hinder'd that it increase not being increased it scarce yeilds to Medicines though most strong; it may be cut off if it grow not to the horny Coate; if it be harden'd like to a Nail, it yeilds to no Remedies. In the Elephantiacal, as neither the Disease, so neither can this part of that Disease residing in the Membranes of their Eyes be taken away. Yet somtimes it may be hinder'd that they be not wholly made blinde, which of all things which otherwise they suffer is to them most miserable.

The Cause which is an afflux of blood we will en­deavor presently at the beginning to draw forth, Revel, Derive, by Bleeding, Scarification, Setons, Causticks, that the evil do not encrease, also by a slender course of Diet, and many Sweats and Purges, fit for a foul bo­dy.

The Topick Remedies ought to be vehemently dry­ing, and unless they help, they must at last be corrode­ing.

We must make choice of the strongest of them which we said did clense away white specks, and those which we commanded to be applied to the Eyelids here must be laid on the pannicle it self, and Pouders seeing they [Page 79]dry more strongly, must be laid on the Pannicle it self, not neglecting the more liquid mixtures which we drop into the Eyes; in the interim applying certain things to the Eyelids that they may do good by turns, and somtimes also applying a Fomentation to prepare the Eye, as hath been said there.

We may use at the beginning the pouder above men­tioned in the white Specks, then we must proceed to a stronger; the which yet must dry without biting, and therefore it ought often to be repeated; which shal be made thus, Take of Curall, Tutty, each one dram; Pummy stone, Egg-shels, each half a dram; the stone of Dates and Myrobolans, each two scruples; make a most fine Pouder if it be sprinkled with Vinegar, or Urine, and dried, it will be more effectual.

Or thus a stronger, Take of the pouder of Diarrhodon Abbatis one dram, the bone of the Fish Sepia burnt, Lizards dung, each half a dram; the Bloodstone two scruples, Sugar Candy make a Pouder.

A stronger yet, Take of burnt Lead, Antimony, the stone Calaminaris, each two drams; Tutty, white Lead, each one dram and an half; the ashes of Horstail, the bone of the Fish Sepia burnt, each one dram; make a pouder wash it with Smiths astringent water, and dry it for your use.

Mixtures are made thus, Take of the compound wa­ter described in the white Specks distilled with Urin steep­ed in a Brass vessel, and to six ounces add the pouder of Na­bath Lizards dung, the bone of the fish Sepia, each half a dram; being poudered mix them first in Mucilage of Fenugreek seed made in the foresaid water and use it.

Or a thicker after this manner, Take of the juyce of nuripe Grapes, and Lees of Oyl, and of sowr Pomegranates dried each two drams; add of the pouder of the bone of the fish Sepia, and Lizards dung, each half a dram; mix them.

Or thus, Take of the pouder of Nabath two drams, Tutty prepared, White Lead washed, each one dram; the bone of the fish Sepia burnt and washt half a dram, Sarcocol, Myrrh, Aloes, Lycium, each one scruple; the Gaul of Birds or fishes two scruples, mix it with Honey and the white of an Egg, for an Oyntment.

Of corroding Compositions, that is convenient which in the white Specks is prepared of Vitriol, the rust of Brass, Antimony, the Marchasite.

Or a Colliry of Coppras, but applied warily, because it is strongest of all, and 'tis made thus. Take of burnt Brass, Coppras, each half a dram; Rust of Brass two drams, Salt Ammoniack, Niter, Arsnick, Sublimate, each one dram; make a most fine pouder poudring it much and long; mix it in the mucilage of Gum Tragacanth make Trochisks, one of which dissovle with the Mucilage, and apply it warily.

Rondoletius commends the pouder of Precipitate, I have often used my Caustick which at first time burns, but presently abates.

Manual operation is made two waies, by Ligature, and by Cutting.

If the Veins which nourish the Panuicle be bound a­bout the root, then the growth of that flesh must needs be hindred, or if it be already grown, it must needs wi­ther, which may be done with a crooked Needle thrust under the Vein drawing the thred under it and tying it; this if it be made of Silk, or of a Bristle, or of a Womans hair wil be more commodious, because then it scarce putrifies.

Also if those veins be opened that the blood flow forth, and it be often repeated, the same will be ef­fected.

The Pannicle is cut off after this manner, as I have seen it done, the Patient is placed in a chaire, and the Eye is first prepared, as hath been said in the cutting a suffusion, then a Needle containing a strong thrid is thrust through under the Panicle, yet so that it hurt not the Horny Coate, and laying hold on both the ends of the thrid drawn under it, drawing it a little way up­wards, tis raised from the horny Coate and afterwards is cut from it with a sharp Razor, or Knife, by degrees and warily, that the horny Coate be not hurt; the which being done if the black of the Eye appear clear, the sight returnes: But if otherwise, or that the Pan­nicle hath so grown to the horny Coat, that it cannot wholly be taken from it, the operation wil be in vain.

Section being made, the pain will be allaid in the same manner, as hath been said, in the cutting of a Suf­fusion, and that it be not generated again anew, it will be prevented by cutting of the Veins of the adnate coat if they swel again, and laying on drying things, and lest the Eye, if by chance it were ulcerated should grow to the Eye-lid we ought to hinder it by often moving the eye.

If the bright part of the horny coat be possest with a strange humor so that either a depravation or darkness of the sight doth follow, than if choller which in those troubled with the Jaundies is wont to dye the white of the Eye, and what is more rare doth make a yellow a­spect of all things be carried thither; that vanishing of its own accord this fault ceaseth, or it is taken away by some abstersive Lotion, as shal be said in the Jaundies.

But Blood being poured forth into the Diaphanous part of the horny coat if that Depravation of the sight doth happen, The Cure of the darkness or de­pravation of the sight from Cho­ler, Blood, or matter, in a hy­posphagma and hypopyon. in which all things ap­pear Red, or Livid in the said Hypo­phagma, or if it penetrate the horny coat also, and under that concrete by the hole of the Apple, or being con­verted into matter in the said Hypo­pyon it darkens the sight, then the cure must be ordered thus.

If there be Pain and an Inflammation be feared by reason of a blow from which commonly these pro­ceed, then presently at the beginning we must use, blee­ding, and Repellers, and things that allay pain; and if that it being long retained do suppurate, and whiles the matter is generated there arise pain, the horny coat be­ing affected, and then also the adnate coat by consent, the same must be done for fear of an Inflammation, o­therwise if there be no pain we must abstein from Re­pellers seeing they condense the blood more; and by and by we ought to apply our care to digest and dis­solve that blood, which although it be converted into matter must be done nevertheless, if part of it can be consumed, seeing the greater part of the matter be­ing resolved, that which remains sinking downwards from the hole of the Apple can then no longer preju­dice the sight, and at length 'tis wasted either of its own accord, or by use of Medicines.

But 'tis discust after this manner, you must take the blood of Pidgeons, Turtles or other Birds, and that while it is yet hot must be cast into the Eye, or if a young Pidgeon be at hand, we must pul a feather out of his wing whose swelling root because it is newly grown is filled with blood which is contained there in its proper Vein as in an Intestine, and the blood must be prest out of that, and dropt into the Eye, for how much power blood hath in discussing of Blood we have taught elsewhere, in Haemorrhages that are to be stopt by blood of this nature.

Stronger discussives may be put into the Eye if it yeild not to these, such as are explained in discussing a [Page 80]Sussusion, made of Waters, Juyces, Gums, Gauls.

To whice also we add these approved by their ef­fects. Take Aqua vitae (which also doth wonderful­ly discuss Black and Blewness elswhere) Rhadish water, each half an ounce; dissolve of Camphire (which doth the same in discussing as Aqua vitae) five grains, drop it in.

Or thus, Take of Radish water one ounce, steep in it Saffron half a scruple, til it looks yellow, strain it and dissolve in it Frankincense one scruple, Fish gaule half a dram, use it by it self or apply it with a Mucilage.

Or a thicker to anoint the Eyelids may be made thus, the which also may be put into the Eyes, Take of the juyce of Radish two drams, Fish gaule half a dram, Myrrh, Frankincense, each one dram; Saffron half a scru­ple, mix them with a sufficient quantity of Honey.

Or thus, chiefly in the declination, Take of sour Grapes, Lees of Oyl, each two drams; Myrrh half a dram, Saffron half a scruple, mix them with Honey.

Or wholly to discuss it, the Compound waters ex­plained in Suffusions are convenient, by themselves, or applied with a Mucilage.

Fomentations also shal be applied which do very much discuss, such as we have prescribed in Suffufi­ons.

Or this which is very powerful, Take of Radish roots half an ounce, Fenugreek seed one ounce, Fennel, Hart­wort, each two drams; the herbs Fennel, Celondine, Eye­bright, each one handful; Flowers of Chamomel, Melilot, Elder, Lillies, Oat chaff cut, each one pugil; make a De­coction in Wine and Water for a Fomentation.

Plasters laid upon the Eye to discuss are of force, a­mongst which this is the best; If the Lungs or Liver of a Pidgeon being yet bloody and warm be placed and bound on the Eye, which if Pain and Inflammation also were present, upon that account also they would do very much good, as shal be said in an Opthalmy.

A Plaster also is made of a Rotten Apple profitable for discussion.

Or Compounded after this manner, Take of Ra­dish sliced one ounce, the pulp of a rotten Apple half an ounce, Pulp of Raisons one ounce, Pidgeons Dung half a dram, bruise them with the Mucilage of Fenugreek seed, mix them with Milk, and apply them.

A Suffumigation from the Decoction of the Fomen­tation prescribed, wil also discuss very much.

Manual Operation also takes place here, if the mat­ter that is generated do not yeild to Discussives, and there be great plenty of it, which blots out the Apple, which may be attempted by Puncture as hath been said in a Suffusion, but with a greater Needle seeing other­wise nothing would flow forth; and if it succeed not, by thrusting in a bigger yet, but in the same hole of the Puncture, or by putting in a hollow pipe so sharp that it may enter the same hole and so by suck­ing out the matter, so long til the Apple be in some sort freed from it, for if we would draw forth all the matter 'tis to be feared that the watry humor may fol­low. For that sucking, the Instrument or Pipe must consist of a large Belly that the matter suckt up may be carried into that and not into the mouth of him that sucks, such as Chvmists are wont to use, for the suck­ing of Waters or Oyls in seperating them one from a­nother.

CHAP. VIII. Of the hurts of Hearing.

The Kinds,

Deafness. SOmtimes the Hearing is wholly abolisht, so that either they hear not outward sound at all, or if they receive any sound at their Ears, yet they cannot discern the differences of it, and therefore can­not judg what it signifies and this is called Deafness, Cophosis; and these are oftentimes Dumb, if they be born Deaf, and then it is an Original Deafness. Yet of Deaf folks, some of them can after a sort, hear them­selves speaking, but others not all: and there have been also found, those who otherwise being Deaf pressing a Musical Instrument while it soundeth with their Teeth, and biting some part of it, or only some other part contiguous to it, could apprehend that sound. Which may happen not only to those that hold a Pipe in their Mouth, and Piping, but to those also who hold fast with their Teeth, part of another Instrument which consists of strings, whiles it is plaid upon. And in like manner it happens also to those that are sound, if stop­ping their Ears diligently, that they can hear nothing that way, they do the same thing, as every one may make tryal of it.

But it is impaired only when they can hardly perceive or discern a sound, Thick hearing Barycoia. in thick hearing called Barycoia, because they do not hear or understand a sound unless it be very high and lofty, whence they that talke with them, are forced to lift up their voice, and som­times call aloud, but others cannot thus perceive their voice, unless those that talke with them, speak and cry aloud into their Eares.

A Depraved hearing, or Obauditi­on, Obaudition, that is, a sound in the Ears. is when it perceives the external sound falsely, and that by reason of an internal sound preternaturally raised in the Ears, outnoising this ex­ternal sound, or mixing it self with it, and confounding it, and that either continually, or only by fits, besides which Impediment it breeds no smal trouble to a man, and makes him unquiet.

But this sound raised in the hollow of the Ears varies very much, and as the outward sound is various, so is this also, the diverfities of which, as of that cannot o­therwise be rightly explained, unless by comparison, and names are given to them almost by an Onoma­topaeia.

And one Species of it, is more fre­quent, A tinkling of the Ears is a species of Obaudition. which is called a tinkling of the Ears, when that sound doth express in the Ears the noise of a little Bell, for the most part gives a shril sound when it is struck upon, and as the Names sounds, it tinkleth.

Another is a Hissing of the Ears, a sound which is heard, Hissing a sort of Obauditi­on. and yet not right­ly resounding, as (si) the first syllable of the word sounds, and as wind when it passeth forcedly through a narrow hole.

A third Species is a Pulse, A Pulsation in the Ears is a sort of Obaudition. or Pulsa­tion in the Ears, a sound such as offers it self, whiles a thing is lightly beaten upon by a blow or sall of a drop of [Page 81]water by course, and the first syllable of the Name (Pul) doth seem also somwhat to signifie it.

A fourth is a Wave, or Fluctuation in the Ears, A Fluctuation in the Ears is a sort of Obau­dition. a sound not unlike to that which is from Waves striking one a­gainst another, or against other things, caused by intermitting courses, which also the beginning of that word (Fluc.) doth Elegantly express.

Besids these sounds, those which offer themselves af­ter another manner, or are made by a mixture of these, they are called by a general name, a noise in the Eare.

The Causes.

Every cause of the defect and deprava­tion of hearing is either in the part sending as the Brain, The part affected. or in the Instrument receiving as the hollow of the Eare.

A general fault of the Brain as it brings hurt to the rest of the senses, The hurt of hearing, from a fault of the Brain. so also to the hearing, and if it arise in particular, about the beginning of the Auditory Nerve or its progress into the Chamber of hea­ring it doth prejudice the hearing rather then the rest: and this befals it either by proper fault, some Disease, or weakness of it, or by consent, by rea­son of Vapors, or its proper object.

A grievous and vehement Disease of the Brain, pro­ceeding from a cold Distemper, Repletion, Eminent hurt, as it doth either abolish or debilitate the rest of the senses, so also the hearing. The which also often­times happens from a weakness of the Brain, the spirits being wasted and dissipated by reason of old age, or of a great Evacuation, or some grievous and long conti­nued Disease, that even as the sight is hurt upon this occasion, so also the Hearing is weaken'd. All which how they come to pass, hath been said in a Weakness and Consternation of Minde; also a hot distemper of it as it is wont to deprave the Minde and the Sight, so also in raving it doth not only offer various apparitions to the Eyes; but also it represents sounds to the hea­ring which they think they do hear; especially as shall be said by and by, the Arteries then beating vehement­ly in the Ears.

From a Vapor, not yet breaking into the Chamber of the hearing (as shall be significd by and by) But affecting the Brain, as the Minde is depraved. and false imaginations are offer'd to the sight, so also if it trouble that part where the Auditory Nerve comes forth, it may represent false sounds to the hearing for the same reason as hath been said in the error of Sight.

As we have said the sight is affected with its proper object, so also the Nerve being offended and the spirits dissipated by a violent and too great sound, penetra­ting suddainly and abundantly through the Eare, even to the Brain, somtimes Deafness hath ensued, or the Spirits returning, but not sufficiently, a tinkling in the Ears hath been left: which sound also if it be caused with a greater violence, may bring dammage also by hurting the Organ of hearing as shall be said by and by.

By default of the Auditory Instru­ment, The hurt of Hea­ring, from default of the Eare. that receiveth that outward sound, the Hearing is hurt divers waies, because this Organ also which we cal by the Name of the Eare, is composed of many parts, as Membranes, little bones and the Auditory Nerve, all whose several faults may prejudice the Hearing. Which we will explain, not as we have done in the Eye, beginning with Particular parts and a scribing their faults to them, but disting­uishing the whol passage of the Eare into two Cavities, viz. the outward and the inward, we will set forth what Diseases occurring in them both, do hurt the Hea­ring.

The outward Cavity of the Eare, which they call the Auditory passage, being Extrinsecally open wide and Conspicuous, ending even at the Membrane of the drum, with which it is stopt, containing nothing otherwise in it self besides Aire, and admitting the out­ward sound, if it be stopt up or obstructed by divers external Causes occurring, or by internal Humors, or Tumors, whether wholly or only in part, or it be o­therwise hurt, then it happens that the Hearing is hurt; which causes also occurring here, can only be percei­ved by our senses, or if they lurke more inwardly, they may be searcht out by putting in a Probe, and if any thing come forth from thence, they may be known by that voided forth.

If the outward Cavity of the Eare be wholly shut up by external Causes (which otherwise naturally can no waies be shut as the Eye) as it comes to pass the hindermost Cartilage of the Eare being prest, A stopping of the Eare, is the Cause of the hurt of Hea­ring. either by Application of the Hands, or of other Bodies, or by the water whiles in swimming the Head is cover'd in it; or the Eares being obstructed by some gross matter thrust in, or fallen in, as by a Kernel, or by some living creature which do wholly stop up their Cavities; or by water which fallen in, doth wholly fil them up; the Hearing is so hinder'd, that they do not perceive the outward sounds either at all, or not right­ly, as one Eare or both, are more or less stopt. Unless perhaps that sound be somwhat perceived another way, and by another Artifice, as by the Mouth, we have said may be done, holding an Instrument in their Teeth, that gives a sound. Which we think happens upon a double account, both by reason of the Similitude and Consent of the substance of the Teeth, in hardness, which is almost stony, and in smoothness, with the Bones of the Chamber of Hearing (which bones are very like to the substance of the Teeth, and that the sound might be the better caused in them they are most hard and stony) and so with the little bones of the Hea­ring it self, endued with the same substance; and by Reason of the Nerves lying under the Teeth, which are carried thither from the Nerves of the Tongue, and the Nerves of the Tongue are mutually conjoyned with the Auditory Nerve in their branches (as we shall explain hereafter for what reason the Deaf are also born Dum) by which consent it comes to pass, that because the sound through the Aire doth beat upon the Teeth by contract, this continuation being made through the inner parts, it is perceived by the Ears: as also the Mouth being exactly shut, and the Teeth set one a­gainst another, or the Tongue forced to some part of the Mouth, although the Eare hear not extrinsecally, yet we perceive the sound through the inner parts; and al­so by reason of that consent of the Teeth with the sub­stance of the Organ of Hearing, we see that by a harsh noise, made by the rubbing together of rough things the Teeth are offended even without contact. Hither perhaps it makes somwhat, that as the strings of one Instrument being play'd upon, we see the strings scre­wed up to the same tune in another Instrument, are moved though it be far distant, so that if any thing be [Page 82]laid upon them, either it trembles, or if it be light, as Chaff, it fals off, so also the Drum being retcht to re­ceive all impulses of sounds, being struck by a continu­ation made through the intermediate teeth and Nerves doth represent the sound to the hearing; of which ma­ny things might be disputed, but to our business.

But though the Ear being wholly stopt, the outward sound be no waies perceived, yet some sound neverthe­less is somtimes felt in the Ear; which first of all is wont to happen by reason of the Air which hath re­mained in this Cavity of the Ear and doth more or less force and beat upon the Drum; and it is by so much the greater, by how much the Ear, though it be stopt, yet being less filled with strange matter, doth contain in it self more plenty of Air, whence is perceived a waving sound, the air rouling it self and as it were fluctuating in the Ear, hence we see, that if that which is hollow be applied to the ear and therefore contains Air in it, this sound in the ear is felt more vehement, which we experience by applying the hollow part of the hand to the ear, whence Children are wont to relate that pres­sing a Sea shel to their ears they hear in it the waves of the Sea, the air then making a greater noise by reason of the winding in the Skul: the which also happens the head being plunged in the water, so that the ears be wholly stopt up by it, the air then temaining, which offers a sense of fluctuation; and I have oftentimes observed, when being a Boy I was delighted with swimming, that if a noise were made under the water by moving of the Stones, that that also was perceived like the tinkling of a Bel, although the greatest sound made out of the water even from a Gun shot off, could by no means be heard; and also by reason of the Pulsation of the Arteries in the ears, a beating sound is somwhat felt in them when the ear is stopt, which is not taken notice of when the ear is open, by reason of the outward sound, seeing it is greater, and doth obscure and drown this lesser, the which also many relate that they hear in the night, if they bind their ears too streight with a Cap and wrap them up in a pillow, especially if their head being somwhat hot, doth cause a vehement pulse, and that in Diseases it doth preternaturally cause trouble, we shal by and by explain.

But if the Cavity of the Ear be not wholly shut up, Ill hearing from things fallen into the Ears. by the forementioned external Canses so that the outward sound entring them nevertheless be heard, and yet there is a hurt of the hear­ing not only because it is impaired but depraved, seeing the Ear doth hear that sound made in the Ear keeping a Noise, from every Inward Con­tact, not only of the Drum, but also of the rest of its Cavity, which according as the Contact is becomes various; for that which is the passage of the drum, re­sembles a certain waving or Noise: but if some Insect creeping in, as a Flea or others, be carried to the Drum and touch that, whiles it moveth, there is heard a sound in the Ear making a Noise like the flying of a Butter­fly, very troublesome: also if one drop of Water or more flow so far, 'tis perceived as if the head were hol­low, and such a sound ariseth in it, as also these or other sounds are perceived if a Worm with many legs or some other thing, that doth not wholly stop up the Ear, but nevertheless is troublesom to be contained in it.

If the Ear be filled up with in­ternal humors the same comes to pass, A Repletion of the out­ward Cavity of the Ear with internal humors is the cause of hurting the hearing. that the Hearing is ei­ther taken away or impeded, or depraved; as if the Ear be obstructed with the cholerick filth of the Ears, which they call Cerumen, being long retained, grown thick and hard, especially if they be forced even to the Drum with an Ear-picker which somtimes happens by neglect, whiles they en­deavor to take them forth, which afterwards sticking there, seeing they do not afterwards easily give way, they bring a great impediment to the Hearing; the which also may happen from blood congealed after a hurt of the Ear, and from matter after an Imposthuma­tion being some time retained, the which notwithstand­ing seeing they do not stick long, but flow forth of their own accord, they do not so much hurt the Hear­ing, as they prejudice the Ears upon another account as we shal shew in pains of the Ears.

The Hearing may be hurt by a Preternatural Tumor obstructing the Ears rather than by a distem­per hurting them, A Tumor in the in­ner cavity of the Ear is the cause of the Hearing burt. and that lasting­ly if a piece of Flesh or Callus be left after some exulceration of the Ear, which is very rare.

A hurt of this outward passage unless it hurt the Drum (as shal be said) can scarce prejudice the hearing, unless it leave an excrescency behind it, as hath been said, and Fernelius writes that somtimes a Pulse doth re­main in the Ears from an Ulcer not wel consolidated, the which because the Artery is no more well covered with the Skin, but bare, and for that reason doth more strongly beat upon the neighboring parts, must needs happen in the cutaneous Artery of this outer chamber, which is carried thither, as shal be explained in the Ul­cers of the Ears.

The inward Cavity of the Ear di­stinguisht from that called the Out­ward, by intervention of the Drum, A spirit, vapor, wind, in the in­ner chamber of the Ear are the cause of the sounding in the Ears. be­ing ful of winding, containing small Bones, and a Nerve and Artery, being affected by a spirit, Vapor, Wind, or humor contained there, or if that and its parts be ill conformed or labour of a Distemper, they may also dammfie the Hearing; which faults because they are hidden we cannot attain to them by our senses, but know them only by their signs.

If the Artery which goes under this part be filled with a plentifull or hot spirit, or it be too much agitated in it, then a strong pulse being made in the Ears, there is a beating sound in the Ears, the which notwithstanding is more manifestly felt when the Ear is shut, as hath been said formerly, and if it be more vehement when it is open, it also depraves that sound which comes from without; the which as it comes to pass that the pulse is more intense by the vehement heat of the body in the rest of the Arteries, so here also in the Artery of the Ear; as it is felt after strong exercise sometimes in Baths; and also in acute Diseases, pains of the Head, this pulsation creates trouble in the Ears: the same al­so happens by motion and violent agitation of the spi­rits, as we see in a swooning beginning, the spirits flying away, and the same ending, those returning again, there is felt a pulse and tingling in the Ears, by which from the relation of the Patient, we know that swooning is at hand, the which also happens in many affections of the mind, by reason of the same commo­tion of the spirits.

A thin and subtil vapor, as it can enter the smallest passages, so doubtless it doth sometimes penetrate hi­ther through the narrow holes (of which sort we have shewed in our Anatomical work that there are six that do end in this inner chamber of hearing and transmit their vessels) and so they may not only deprave the [Page 83]Brain by affecting it, as hath been said formerly (as also we have shewed formerly that the sight is de­praved by Vapors only assaulting the Brain, and not entring the Eye, seeing there is no way for them) but also by reason of the said holes, some of which end hi­ther from the inward parts of the Skul, others meeting without the Skul do not reach hither also, seeing there are many waies, 'tis certain they may come even to the Organ of Hearing, which when it comes to pass, it must needs be that a Hissing, Tingling, and noise is of­fered to the Hearing: and this is more commonly the cause of preternatural Sound than an influx of humor, as shal be said by and by, seeing it is often wont to come to pass in Drunkards or others, and in many Dis­eases from Vapors somtimes thinner and cholerick as they call them, and somtimes thicker, that their Ears for that cause do tingle and make some other noise, which doth last long, the vapors persisting for a time, or they being presently dissipated, it doth vanish: And this is the chief cause why after a Crisis in acute Disea­ses which accompanied with a pain in the head a­mongst other symptomes, the Hearing in those that re­cover health doth suffer some hurt oftentimes of long continuance; the matter, which was then the conjunct cause of the Disease of being resolved out of the Veins into Vapors, and emptied by sweats and insensible transpirations, and part of it breaking out of the head through the aforesaid waies into the capacity of the Hearing and staying there awhile.

Wind or Air may cause the same, which if it break into this inner chamber of the Hearing and be carried through a narrow way, as it were by force, it makes a hissing: if through another hole so framed as it is wont to be fashioned in a pipe it causeth a tingling; but if it run through larger passages and through the windings of that place, it makes some other noise, this often hap­pens, if it be driven thither by force, as when the No­strils being prest, and the Spirit or the Air being vehe­mently impulsed, we would blow our Nose. Somtimes it comes to pass that part of it doth break through the hole from the largeness of the Nostrils, to the double channel of the Organ of Hearing (as we have shewed in our Anatomical work) and doth raise a Hissing or Tinglingt that oftentimes lasts long. Somtimes the Air breaking forth again the same way presently, it ceaseth, which comes to pass the sooner by swallowing often, as I my self have often experienced; this Wind also in the chamber of Hearing may be raised from an inter­nal cause, if from excrementitious moistures collected about the Periostia of the Skul, and converted into Wind, they be heaped there, whence in ancient Head­akes and Pains of the Head and about the Bones in the French Pox, a Tingling of the Ears is very trouble­some.

A humor falling down or pur­ged from the Head into this in­ner Cavity of the Ear through the hole which admits the Auditory Nerve; A humor in the in­ner chamber of hear­ing is the cause of the defect of hearing. as if it be plentiful it caus­eth Deafness or thick hearing, so if it be subtile and little it depraves the Hearing; and if this happen from a desluxion of it, it comes suddenly if it be heaped up there by degrees, this hurt also grows by degrees, all which for the most part do beget a Dis­ease of long continuance and persevering, seeing the humor is hardly discust here; but this proceeds from a Catarrh which falls down also to other parts, and som­times from the head to this part; and it is known by the signs of that, not only in that hurt, but also by other appearances; the which is familiar to the aged, by rea­son of their plenty of excrements and accustomary to some natures from their Infancy that it molest the Or­gan of Hearing, as it may come to pass by reason of the Country, as in the Alpine Regions we see that many for this reason have difficult hearing from their Birth, or presently in process of their age, together with the Kings-evil familiar with them for the like cause: and also in acute Diseases by a Crisis chiefly, as hath been said formerly, not only the cause of the Disease con­verted into a Vapor doth enter this chamber, but also oftentimes part of the excrementitious or cholerick humor doth fall into it, somtimes pure, somtimes mixt with Blood stil as some would have it, and breeds a more pertinacious hurt, than if it were caused by a Vapor.

Default of the Confomation and structure of the Organ of Hearing is also hurt which see­ing in this inner chamber 'tis made up of the auditory nerve, The fault of conforma­tion in the inner cham­ber of Hearing and its parts is the cause of the defect of Hearing. the Drum and three Bones, and Labyrinths of this chamber, in which soever that hap­pens, it may hurt the hearing.

By reason of the Auditory Nerve not rightly form­ed, or carried from the Birth, it somtimes falls out that they are born deaf; and we know that it happens by reason of the Nerve, because most of them are also dumb, seeing the Tongue which wanted many Nerves for the sense of Tasting, Touching, and the exercise of vehement motion, hath obtained not only its proper Nerves, but also hath received another from the audi­tory Nerve, for that cause breaking forth of the cham­ber of hearing, by whose means the Tongue is conti­nuous with that, the which being hurt, it comes to pass that the Tongue, although the senses remain, yet is not sufficiently moved to utter speech, seeing a greater force is required for motion, than to perfect the sense; nei­ther doth it hinder, that that is only a sensory Nerve of which the Tongue is here deprived, seeing we have of­ten proved already, that every Nerve hath in it a power of moving and Feeling, the which it doth also exercise, being carried to a convenient Instrument.

By reason of the Drum the Hearing is more com­monly weakned, if as we see in a Souldiers Drum co­vered with skin, if it be not whole, or not sufficiently retcht, or too much.

The Drum wounded, seeing it can no more resound, breeds Deafness, the which seeing it lies hid, it seldom comes to pass, unless an Ear-picker be thrust in per­force; the vulgar think it may happen from the Insect Scolopendra (which they cal in the German language Orenmettel, as it were the Worm of the Ear, which may easily creep in in Gardens) but seeing if either that, or a­ny thing else which may hurt should creep in, it is easi­ly remedied, this can scarce yet be done; as neither from matter retained, seeing that is wont presently to flow forth, and I have often seen very much flow forth without any hurt, unless by chance the Ulcer of the Ears be so deep that an abscess being made, the Drum also is hurt.

If the Drum be slackly and conveniently retcht, it can no more give a Sound, which as it somtimes hap­pens by force from a violent sound, a Clamor made in the Ears, or from the blow of a Gun shot off by the Ear, so also by continuance of time, long use and much hearing, especially of great sounds, being so often beat­en upon, and rendred slacker it makes difficult hearing in old folks (which seems to be the frequent cause of their thick hearing) The which also may happen from much moisture or Unctuosity of Oyl or other Liquors [Page 84]be often poured into the Ears, the which is wont to be done, somtimes for a long while, to restore the Hearing lost for fome other Cause.

Also being too much retcht, and so tied up that being beaten upon by the external Aire it cannot yeild at all, it becomes unprofitable. And this happens, when either by reason of Age, or after acute Diseases it is too much dryed and harden'd. The which as it may befal all other Membranes, so this also, and by so much the easier and more frequently; becauss it hath no moist Bodies neer it, nor is not anointed with fat, as many other Membranes are, but is free, unless in its compass where it grows to them. And perhaps this is not the least cause, of difficult Hearing, which oftentimes is wont to grow upon the aged, and is left in people recovering after Diseases. Which Exiccation of the Drum, Rhazes writes may happen after watchings and fastings.

The mutual Construction and Coarticulation or Conformation of the three smal Bones being Vitiated, brings hurt to the Hearing: which may happen from the Birth, from implanted Causes; or from violent Adventitious Causes, as a blow, fall, and vehement sound, the Drum to which they adhere, being most commonly affected too.

In the divers Passages, Cavities, and Meanders mee­ting there, if any thing be not right from the Birth, doubtless it also offendeth the Hearing.

A cold Destemper, as it is an ene­my to the Nerves, A cold Distemper is the Cause of the defect of Hearing. Membranes, and Bones, so it is very hurtful to the structure of the Organ of Hearing, which is composed of them, and so much the more, because the Eares alwaies lye naked and open to the external cold Aire, and so are the easier hurt by external things, as the cold winde; especially penetrating through the Auditory passage, even to the Drum, and there cooling the hidden parts, and the Nerve it self. Whence somtimes Deafness, and fre­quently an impediment in the Hearing, have followed; the which also is one of the principal causes, why in cold places, as the Alps, and windy places, they com­monly are sooner sensible of a defect of Hearing, the which also may happen from most cold water falling into the Eares by chance, or in swimming.

And the too much use of Narco­ticks, The use of Narcoticks, the cause of the de­fect of Hea­ring. somtimes to the Eares doth so affect the Nerve not by cooling, but by too much stupefying it, that it can no more return to it self; which last cause is to be refer'd to weakness.

The Cure.

The Cure of all the hurts of Hearing, which are, as Deafness, thick Hearing, Tingling, Hissing, Pulsa­tion, Fluctuation, Noise; is first to be fitted to the Cause. Which we have said, was either in the Brain affected, either by it self or by consent from a Vapor, or the object, or in the outward Cavity of the Eare, a Stoppage, obstructions from external Causes, or things fallen in, or internal Humors, Tumors; or in the in­ner Chamber of the Hearing repletion or trouble from a Spirit, Vapor, Winde, Humor; or a fault of Con­formation, or Construction, or a Distemper; of all which we shall speak, what is to be hoped and what to be done.

By reason of an affect of the Brain, if the Hearing be hurt together with other senses, and the cause lye there and not yet in the Instrument, we must proceed after the same manner, as hath been said in the hurts of the sight from the like cause: as if this come to pass from a Vapor affecting the Brain by consent, no other Remedies must be applied then those in a Vertigo which we said were convenient in a Depravation of the sight.

If the Hearing suffer a defect from some Impetuous external sound, The Cure of the hurt of Hearing from a violent sound. som­times they return to themselves of their own accord, otherwise hardly or never, viz. when the Spirits are so dissipated, that they can no more re­turn back, or not sufficiently. Whence there is left a Perpectual tingling. Or if the drum impulsed by the force of the Aire, be too much hurt and laxt, a Deafness or thick Hearing, is ever after troublesome to the man.

Yet nevertheless by applying Cupping-glasses about the Ears, and by Frictions and other hot things out­wardly and inwardly appropriate to the Ears; we must endeavor to draw back the spirit, having respect to the constitution of the Body, of which we will treat by and by.

If the Hearing be intercepted by the stopping of the Ears extrinsccally, The Cure of the defect of Hea­ring, from the stoppage of the Eares. it is easily corrected by removing those things which hinder it, whether they be only applied extrinsecally, or they be thrust in a little way.

But Bodies fallen in, or thrust in, The Cure for things fallen into the Ears. that do wholly enter into the Cavity; or if living creatures have crept in, they do not so easily yeild, therefore there is need of greater art to take them away, either by washing them out, or shaking them out, or drawing them out, or enticeing them out, or killing them.

Somtimes they give way by washing, if they stick not very fast. Which is done by pouring in those things which make this way flippery, and moisten and dilate it, as the common Oyl of sweet Almonds, Butter, Milk; or some relaxing and smoothing Decocti­on.

We shake them out by a certain violence, causing Sneezing. For so those parts being shaken with the im­pulse of Spirit, that which is fallen in, ofttimes leaps forth, or at least is forced forward, which will the soo­ner be done, if the way be first dilated, as hath been said, by Dancing and beating the Foot of that side, as the Eare affected is, against the ground, in the interim holding the Head with the Hands, and bending it to­wards that part. Things are also shaked out of the Ears; which way Water and other Liquid things that are flown into the Ears are commodiously cast forth, as Boyes are wont to shake it out after bathing in the Ri­ver, if any thing hath flowed into their Ears,

If these succeed not we draw it out with an Instru­ment fit for for this purpose. Yet we must Studiously take Care, that whiles we put it in, that which sticks be not forced in farther, whence afterwards it is taken forth with greater difficulty. This is done with an Ear­picker, with which the filth is wont to be taken out, whose hollow part must be very thin, that being there put behinde the things contained, they may the more commodiously be drawn forth. Or they must be laid hold on and puld out with a pair of Tongs fitted for that purpose, sharp on both sides and rough, or if this succed not neither, laying hold of them with another Instrument, if they be hard Bodies, as a Kernel or Stone, we break them, and then as hath been said, with liquor poured in, we wash them forth.

[Page 85]Somtimes we Allure living Creatures, with certain things which are pleasing to them, that they may creep outward, and so then they may be laid hold on; as if we apply Milk with Sugar in a Spunge to the Eare, or thrust it in gently, or the inside of a Fig, or a crust of Bread, or an Apple, or the like, or Bacon Grease, with which Worms are sooner enticed, and that especially, if whiles they hold these things in their Ears, they turn them up to the Sun. By pouring Blood into the Ears, Leeches that are got in by chance are drawn forth.

We kill living Creatures, if they stick in the Ears, and give no way, and then being dead they do no more outnoise the Hearing, and they are the easier washt out, or shaked out; and that is done by choaking of them, if Liquors be poured in, so they are wont, taking on their Finger spittle, which is ready at hand in the night, to drop it into the Ears, if Fleas have crept into them, which by its Tenaciousness doth presently stop up their Pores, the same is done by pouring in their own water. If those things poured in be bitter, they sooner kill in­sects, as the Juyce, or the Decoction, or the Wine of Centory, Wormwood, the juyce of Rue, also kill­eth insects; Also Gauls and Aloes, Acrid things do the same; Vinegar, the juyce of an Apple, and of Oni­ons; And the rest which shall be explained in the Woms of the Ears.

If the Ears be stopt by filth or choler, clotted blood, The Cure of the Hearing, from a Repletion of the Eares. Matter, they must be extracted with an Ear-picker, or by some other Art, as hath been said. And if they be so thick, or Tenacious that they do not easily give way, then they must be clensed, dissolved, and washt out, by casting in liquors often, and flowing forth again, such as in clen­sing of matter shall be exprest in the Ulcers of the Ears. And Honey and Water, or Hydromel is chiefly good; or if we must clense more powerfully, that must be done with the Decoction, or bitter juyce a fore mention'd, of Wormwood, Centaury, Lupines, adding Honey or Gall which above all other things, as hath been often said, doth make fluid those things which are viscous, and hath great strength in dissolving Eare Wax, into which it doth egregiously insinuate it self, by reason of a simi­litude of Nature with it.

If a fleshy Tumor stop up the Ears, it is scarce taken away, seeing it cannot be cut, and Causticks or Sep­ticks are put in with danger to the Drum, the Callus left is hardly mollefied, Yet Emollient remedies may be tryed.

If a Pulsation be left in the Ears after an Ulcer. Fer­nelius writes that it is perpetual, which Impediment nevertheless, is diminisht or ceaseth, perhaps the Skin being drawn over the Wound, and in space of time growing thicker.

If a sound be felt in the Ears by reason of the more vehement Pulsation of the Arteries in the Ears, The Cure of a Pulsation in the Eares, by reason of the Arteries. that remitting, as it is not wont to be of long continuance that sound also ceases; if that come to pass from too exquisite a sence, then it feels it either alwaies, or from a light intension of the Pulse, and in proceess of age, the sen­ses remitting, it is mitigated, or it is corrected by put­ting in Narcoticks if it be very troublesome, as if the juyce of Henbane be dropt in with Oyl or Vinegar.

If the Hearing be hurt by a Hu­mor, The Cure of the hurt of Hearing, from the repletion of the inner Cavity of hearing. or Winde, or also a Vapor contained in the Cavity of hea­ring; then if the matter be very thin and Vaporous, tis at length dissipated of its own accord. Or if it be thicker and stick there, it often produceth an evil of long continuance.

In the Cure of which, whether Deafness, or thick Hearing, or mishearing be caused from thence; Emp­tiers are chiefly used after the same manner, as they are described in a Vertigo, and weakness of the sight, cau­sed by watrish Serous, and flegmatick Humor, and the altering means, which are described in the Oxydorcical, or Eye-clearers are convenient for them also. And To­pick remedies must be applied too, and into the Eares, which may waste, Dissipate, and Discuss the matter contained there, and which by a propriety do restore the Hearing, all which shall be Methodically appoin­ted in the following order.

The filth of the Guts must first of all be washt out, by Suppositories, or Grysters, or giving a Minorative purge; as hath been said in the places foremention'd, and shall be said in the Excrementitious Diseases of the Brain.

Bleeding if there be a Plenitude, or if Cholerick matter together with blood flowing to the Ears, hath caused Deafness in the crifes of Diseases, will be conve­nient as hath been said.

The Humors are prepared, if Flegm abound in the Brain, after the same manner: or thus, giving the things following for some mornings, and at night when he is going to bed, if there be need of great preparation; as, Take of the syrups of Betony, French Lavender, of each half an ounce; Oxymel of Squils two drams, the waters of Sage, Rosemary, Marjoram, of each one ounce: Make a Julep for once, Aromatize it; or let him take Lozenges after, it must be repeated as hath been said.

Or let this Decoction be prepared, which is more effectual: Take of the roots of the true Acorus, Orrice, of each half an ounce; Elecampane two drams, Liquorish one ounce, the Herbs Sage, Rosemary, Marjoram, of each one handful; Time, Rue, Balm, of each half a handful; flowers of Betony, Lavender, French Lavender, of each one pugil; Fennel seeds two drams, seeds of Caraway, Rue, of each one dram; Bay-berries, two drams: Make a Decoction, and and in one pound and an half of that strained, Dissolve of the best Honey eight ounces: Boyl them to half the consi­stence of a Syrup, and hang in it a rag tied up with Cinnamon two drams, Cubebs, Spicknard, of each two scru­ples; long Pepper, Ginger, of each one scruple: Let him take four ounces at a time.

An infusion made in Wine of the same things, and Plants and Spices may be used; adding, if he be deligh­ted with bitter things, Wormwood, Ground-pine, and Hore-hound, that it may be drank like wormwood Wine.

If a Cholerick humor abound in the Body, that is rather to be prepared, as it ought.

Then let him be purged after the same manner as hath been said in the hurt of the sight from Flegm of the Brain, chiefly with Cochiae pills, sine Quibus, Lucis, or with Electuaries, as Indum or others, or if the mat­ter be Cholerick, with things appropriate to Purge that Humor.

And taking by course gentler Pills, and somtimes stronger, or in other forms, as these things have been explained in the Remedies.

Sweats are very convenient here, because they call forth the thinner Excrements from all parts, even those that are hid, and do discuss Wind and Vapors; where­fore they are to be procured, the Body being first pur­ged, by the heat of a dry Bath, or moist. Artificial, or Natural, amongst which it is vulgarly beleeved, that Baths do good to the Hearing, and some chiefly com­mend the Suphur Baths, and think them so effectual in curing of Deafness, that if the Patient while he sets [Page 86]in the Bath, receive the hot water flowing through the Conduit cock, in a large spunge which doth compass the who Head, and that twice a day, it is the most ex­cellent Remedy for it, and also they may be somtimes moved, by giving of Sweaters and applying if need be, the said Diet in ful bodies, which in Deafness is often­times the last Remedy, viz. by making a Diet as they are wont to cal it.

The Excrements of the brain must be called forth by the Nostrils and mouth, and enticed thither, whence oftentimes there is great Revulfion from the Ears, and somtimes some purgation: for by Masticatories, whiles the excrements of the Brain are drawn forth, they are not only revel'd, that they flow not so to the Ears, but also by frequent spitting, an expurgation by this impulse, both of humors and wind being somtimes made through the said holes that in the basis of the Skul do enter the Organ of Hearing, it frees this part from Obstruction; as experience shews, that by strong swal­lowing often repeated sometimes the Vapors and Air which hath broke into the Cavity of Hearing when the Nose was blowed with violence, there causing a Sound, is as it were drawn forth again, the same way it entred, and as it was suddenly caused, so that sound of the Ears doth suddenly cease; wherefore swallowing also, in the interim pressing the Eears outwardly, is a Remedy for bringing forh of the Wind, not to be de­spised.

Errhines also may do the same, and a strong excussi­on of the Air by blowing of the Nose, where never­theless, if the Nose whiles it is blowed, be so prest, that the Air cannot conveniently go forth, but oftentimes recurring breaks into the chamber of the Ears through the said holes as hath been shewed, and so depraves the hearing; for which cause it must be so blowed, whe­ther with the hands or with a handkerchief, that there may be free passage for the Air through the No­strils.

Sneezing doth this far more vehemently which of­ten shakes forth of the Ears Wind or Humor speedily by the same way; but being so caused, that the force of the Air be not stopt, with the same caution as we de­clared even now in blowing of the Nose.

Scarification made in the Wrist is beleeved to derive much from the Ears: but it wil do more good, if it be done in the Neck about the Jugular Veins, whence they have present case. Cupping-glasses also applied to these places, or to the shoulders are profitable. And last of all a Caustick.

The Remedies formerly mentioned are applied to the Head, whether outwardly administred or received by the Nostrils in a suffumigation, amongst which Re­medies that are various, this is a singular help, which is done by Embrocation of Sulphureous water, as hath been said formerly.

The same Remedies taken inwardly which have been explained in the said places, and strengthen the Head, Alter, wast, and discuss humors, Wind, Vapors, are convenient here also both in a decent course of diet, in which old strong Wine is commended by Rhazes, and in other Medicines and Confections, to be taken fasting and after meat.

The Remedies which are put into the Ears in the said causes, Topick Remedies for the hearing. called Aco­istica, are various; the more select and corrected forms of which, we wil here explain.

Simple Aqua vitae so called is good.

A more appropriate one made thus. Take of the wa­ter of Organy stilled from the dry herb steeped in white Wine, let him use it.

A more Compound Water. Take of the roots of Ra­dish, Leeks, Onions, each one ounce; Sowbread half an ounce, white Hellebore one dram, the dried herbs of Organy, three drams, Rue, Marjoram, each two drams; Lavender flowers one dram, Fennel, Cummin seeds, each one dram; Bayberries fifteen, bruise them all, and add of a Cows gaul one dram, White Wine as much as is sufflcient, that they may be reduced as it were into a Pultise, and distil them.

Another easie to be prepared, used a long time with no smal success. Take of an Oxgaul two pound, fresh O­nions sliced, fresh Radish sliced, each four ounces; fresh Ca­stor sliced one dram, let them stand all night, then distil them, let that Water be kept for use.

A Decoction may be made thus. Take of the roots of white Hellebore, Sowsbread, each one dram; the herb Or­gany two drams, Cummin seeds one dram, boyl them in white Wine, strein them for your use: if you take Vinegar of Squils, it wil be more effectual.

Another Decoction yet more excellent and very much commended. Take of the roots of White Hellebore half a dram, Saffron, Castor, Niter, each one scruple; bruise them together, let them boyl in Vinegar half an ounce, Aqua vitae two ounces, strein them for your use.

Many Juyces are used, as of Onions, Leeks, Radish, Rue, also the Tears of Ash and Vines when they are pruned, especially in a hot cause.

Oyls are often used for the Ears otherwise then for the Eyes, the more common are Oyl of Bitter Al­monds and Spike.

Oyls drawn by distillation are most effectual above all other Remedies, extracted from hot odorous Plants and Seeds chiefly, as of Rosemary, Marjoram, Sage, Rue, of the Seed of Cummin, Carawaies, Fen­nel, and Bay berries, and what is every where to be had, Oyl of Spike, or Oyls of Spices, chiefly of Cloves, all which are scarce given alone, by reason of their too great vehemency, but dissolved in some Li­quor, or mixt with other things, they are most happily dropt in, as shal be said.

Compound Oyls are thus made, amongst which this is excellent. Take Oyl of Bitter Almends half an ounce, the juyce of Organy purified one ounce, White Wine Vinegar two drams, let them boyl til they are wasted fit for use.

Or thus, Take Oyl of Bitter Almonds, Spike each half an ounce, the juyces of Leeks, Radish, Vinegar, each two drams; boyl them to the consumption of the juyces, and let him use it, if you add Castor one scruple, Euphorbium half a scruple, it wil be more effectual.

Or many things added it wil be most effectual after this manner. Take Oyl of Spike, Bitter Almonds, each one ounce & an half; the juyces of Radish, Leeks, Onions, and Rue, Vinegar, each half an ounce; Aqua vitae two drams, add of the pouders of the roots of white Hellebore, Sowsbread, each one dram; the pulp of Coloquintida one scruple, the Leaves of Organy Cummin seeds, each one dram; Long Pepper half a dram, Castor one dram, Euphorbium one scruple, Niter two scruples, boyl them to a fit consumption for your use.

Or make a hole in a great Onion or a Squil, or great Radish, and fil it it with one or more of the aforesaid Oyls, adding allso other things and boyl it under the Ashes and use it; the which done in an Apple of Colo­quintida, wil be more powerful.

Mixtures are made of the aforementioned, such as this is very proper. Take of Aqua vitae two drams, in which dissolve Camphire two grains, Oyl of Spike one or two grains, or so many drops of other Chymical Oyls, and if it be too strong, dilute it a little with Water of Organy.

Another mixture of Oyls and Juyces, Take of the mixture of the Oyls of Spike and Organy made after the same manner each half a dram; Oyl of Lavender two grains, a lit­tle [Page 87]of the white of an Egg, beat them very wel, that they may be all mixt, and it become like Milk, and when you would use them beat them again.

Or thus, that it may be made like an Oyntment. Take of Oyl of Castor, Goose-fat, each one dram; Cows gaul half a dram, Castor half a scruple, Rozin of the Larix tree a little, mix them, anoynt a Tent and put it in, some drops of Chymical Oyls may also be mixed with it, as of Cloves or Cumminseed, and it will be more effe­ctual.

Trochisks to be kept for use may be made thus. Take of the roots of Hellebore one dram, Sowsbread half a dram, the pulp of Coloquintida one scruple, Saffron a dram and an half, Niter two scruples, Labdannm one scruple, Euphorbium half a scruple, Musk six grains, pouder them and make them up of the juyce of a Leek, dry them; let one of them be dissolved for your use in Vinegar or some juyce, of a Leek or a Radish.

Suffumigations admitted into the Ears before the use of these, and afterwards also, do very much good, and penetrate to the innermost parts.

Such as this may be. Take of the roots of Hellebore one dram, the Plants Laurel, Marjoram, wild Time, Penny-roy­al, Calamint, Rue, Balm, Hysop, Southernwood, each half a handful; Organy one handful, flowers of Lavender, Rose­mary, each one pugil; Juniper and Bay berries, each half an ounce; seeds of Cummin, Carawaies, Fennel, each two drams; bruise them and add pulp of Coloquintida half a dram, Niter one dram, make a Decoction in Wine and Vinegar, let him receive the Vapor or Fume, caused by quench­ing Stones in the Decoction, into his Ears by a Syringe.

Or which is more effectual. Take Oyl of Nuts two ounces, Vinegar one ounce, Aqua vitae half an ounce, Sulphur one dram, boyl them and while it boyls, let him receive the Smoak.

The Ear also may be fomented with the forementi­oned Decoction described for a Suffumigation, or a Spunge dipt in it, may be applyed to the Ears whiles it is hot.

Bread made of Bran or Flour, and wrought with Ca­raway seed before it is baked, then after a little baking, being broken in two and applied to the Ear affected, whiles it is hot, doth help wonderfully in sounds of the Ears.

A Bag of the same things applied to the Ears for the same uses, and a pillow in the night is laid under the Ear affected, and such things may be sowed into a Cap in that part where it touches the Ear.

Which may be done thus. Take of the roots of Sows­bread, Orrice, Asarabacca, each two drams; the herbs Ca­lamint, Basil, Pennyroyal, each one dram; Organy two drams, French Lavender, Rosemary each one dram; Cara­way seeds two drams, Grummel seed a little bruised three drams, Spikenard half a dram, Lignum Aloes one scruple, Storax two drams, Salt three drams, mix them, fil a Bag or Pillow.

A Board of Cypress or Juniper, heated and applied doth good, especially if first of all it be strewed with pouder of Organy, and it is a secret Remedy for many things.

If the hurt of hearing hath procee­ded from the fault of conformation from the Birth, The Cure of the hurt of hearing from the fault of conformation. whether it be in the Nerve whence for the most part they are born Deaf and Dumb, or in the Drum or small bone placed there, or in the Cavities and Maeanders there variously carried, being ill formed or built, then all Cure being in vain, though divers acouistical Remedies be tried.

An eminent hurt of the Drum from an external cause, as a Wound, is incurable, and if by reason of the same cause it be too slack or retcht, 'tis hardly reduced to its natural state; yet when it is too much laxed, those Remedies which restore the hearing are convenient al­so, but when it is retcht by reason of old age or after a Disease' then things laxative; upon which account, as we do otherwise command a Restorative and Moi­stening course of Diet in old folks and those recover­ing, so even upon this account it is profitable, and we infuse warm into the Ears things lenitive and moisten­ing such as are warm Milk, especially a Womans, and temperate Oyls, of sweet Almonds, Butter and the like.

If there be a weakness of the Hear­ing from a cold distemper extrinse­cially, The Cure of de­fect of Hearing from a cold Di­stemper. the Air or Water bringing hurt to the Ears, the Remedies which we said were convenient in a cold internal cause, here also either laid on the Ears, or let in by Suffumigation, wil do good.

The which also wil take places, The Cure from the cause of Narcoticks. if this happen from the use of Narcoticks put into the Ears, making choice chief­ly of those which have Vinegar in them, which we have often said doth above other things infringe the force of Narcoticks.

CHAP. IX. Of the hurt of Smelling.

The Kinds,

THe Smelling is wholly abolisht, The defect of Smelling. when it perceives no Scent at all not only of things distant, but of those applied to the Nose and taken inwardly.

But it is impaired only seeing the Smelling percei­veth not things unless very neer to the Nose, and those which breath forth a strong smel, whether also may be referd that case, when they smel not things unless they be thrust into their mouth, which one writes hath som­times happened, when notwithstanding otherwise the Scent of things put into the mouth, is in no wise natu­rally perceived this way.

The Smelling is depraved seeing it judgeth the Scents of things not such as indeed they are, but falsly, A Depravation of the Smelling. to be o­therwise Scented, as when it perceives those things which are otherwise indued with a grateful smel to send forth an ingrateful Scent, or when it thinks those that smel wel, do stink, which for the most part happens the Tast being depraved too, seeing the Judgment of things taken inwardly, doth partly belong to the Smelling, or when Nourishments of themselves grateful both in Sent and Tast, are often judged in Diseases, to Savour and Smell ingratefully, but either we do in no wise re­fer those things which are truely stinking, though they offend the Smell, as neither do we refer Grief to the de­praved Touch, seeing it doth rightly perceive that which indeed is so.

The Causes.

In the part sending, Defect of Smel­ling by fault of the Brain. viz. the Brain the same which the Senses of Tasting and Feeling, may be the cause of this hurt, [Page 88]as hath been explained there, the which also is known by this, because these senses are hurt too.

If the cause of the hurt of Smelling consist in the part receiving the sent; because it consists of many that is either out of the Skul in the Cavity of the Nose, toge­ther with the prominency and patency of the Nose, or tis profound and hidden, or within the the Skul, in the holes of smelling and its Organ.

Unless the two prominent Cha­nels, A stoppage of the Nostrils, is the Cause of the de­fect of smelling. which they call the Nostrils, Extrinsecally drawing in the sent, by pressing on both side the Pins of the Nostrils, or by applying other things be stopt, and for a while do take a­away the sense of smelling, which how it comes to pass by chance: because the hurt, which then it brings to breathing is greater then that which takes away the smelling, it shall be explained there, and when this is done on purpose and voluntarily; and that, that we may not smel external stinks: Because it is then no waies counted a fault, we need explain it: As also if against ourwill they be stuft with Snivel, or Tumor, unless this be at once in both Nostrils, and they be wholly stopt, whence the smelling would be hindred, (the which yet can scarce be done, that so great quanti­ty of Snivel should long stick there, and a Polypus is wont to possess one Nostril only) becaus that doth ra­ther prejudice the drawing in of the breath the smelling this cause also must be refered thither.

In the profound largeness of the Nostrils, An obstruction of the deeper Cavity of the Nostrils, is the Cause of the defect of smelling. not that which is carried transversly from the Nostrils to the palate (because through that only the scent, which we meet with out­wardly doth no way ascend, but that also which breaths from those things, which are put into the Mouth, as hath been said, is kept off by reason of this transverse Scituation, and is not perceived, unless some other cause be joy­ned) but that which is next to the Skul, the sive like Bone, and the spung Bones of the Nose. If there be so great a Repletion, or such an obstruction, about the holes of the said sivelike Bone, which may hinder the sent of things that it cannot Penetrate, a defect of smel­ling oftimes happens.

Which oftentimes happens from thick Flegm distil­ling thither from the Brain, and being long retained, and somtimes becomming mucous, and highly viscid, and upon that occount the smelling is hindred, and when putrifying it begins to stink, or strainge matter endued with a strong sent is mixt with it, it is depra­ved, till that matter being cast off, which is done by vehement blowing of the Nose, or by Sneezing, they are freed from that Disease.

That this hath somtimes happen'd from a Gypseous and Tophaceous matter, or from a Stone bred in those narrow passages, the voiding of these things hath at last made manifest.

And what is rare, that a Worm bred there and a long time retained, and after many years voided all hairy, from a Woman of Berna, hath given occasion of this fault, the Physitian of that place hath signified to me, and sent me the draught of that Worm.

They teach also that it may be done by matter retai­ned, but unless somwhat else be joyned, as a Callus from an Ulcer, or an Excrescency, matter cannot be so long retained, not in no wise grow so thick.

And also this defect somtimes betides those whose bones of the Nose are fallen down in that place, either by a Disease the bones being eaten, as in the Elephan­tiacal, or those troubled with an Ozena, or by a fall, or blow made upon that part, and the bones being broken which also happens to some from their Birth, that their Nose being deprest about the root, they do not smel well.

The smal holes of smelling in part of the thick Membrane of the Brain, A stoppage of the holes of the Organ of smelling, is the cause of the defect of smelling. which is spred over the sivelike Bone perforated in like manner, if they be filled with any Humor, because no­thing ought to be carried through them naturally, but the sent, do cause a defect in the Smelling.

As it comes to pass, when a thin Rheum, or the se­rous Excrements of the Brain falling down to this higher part within the Skul, and passing through the narrow holes, and distilling from the Nostrils do pro­duce the said Coryza. Then some portion of this matter remaining in the said holes, and obstructing them, it brings a desect of smelling, which is wont to accom­pany, or follow a Coryza, the which also may happen from other matter heaped there.

And also it happens by fault of conformation from the Birth, that these holes being absent, both in the Membrane and the bone, and omitted by the desect of Nature, or being but blind ones, this becomes an original fault with man, that he smels nothing, as on the contrary it is credible, those who have these holes larger, as they seem to to be in Dogs which are quick of sent, that they smel more acutely, and truely.

That also may happen by default of the Organ of Smelling or Nerve, A Repletion of the Organ of smelling with Flegm, is the Cause of the defect of smelling. if it be too much moisten'd, as hath been already said, by a thin Humor flowing down to these holes, on on which the Organ of Smelling lies; or be prest with an afflux of of another Humor, as hath been said of the rest of the Sensory Organs, or Nerves, which also may befal them from the Birth, by the fault of Conformation, if either they be wanting, or if they offend in Scituation and Figure.

The Cure.

The Cure must be prepared accor­ding to the Diversity of the place, The Cure of the defect of Smel­ling by fault of the Brain. chiefly where the Disease, or its cause lies, which we have taught doth con­sist in the Brain, or the Cavities of the Nose, or in the holes of Smelling, or in the Instru­ment.

If it be by reason of the Brain, then we must oppose it here, as hath been explained in the rest of the senses, in like manner hurt together with the Smelling.

If the Patent, or hidden Cavity of the Nostrils be stopt, The Cure of the defect of Smel­ling, from ob­struction of the Nostrils. or obstructed with Snivel, or thick Viscous Flegm, then we must try by purging it, if it can be so removed, or by blowing it to take it away by degrees. And we must endeavor to shake it off by Snee­zing, chiefly by irritating the expulsive faculty, if it be already prepared for excretion.

Putting into the Nostrils, if they yeild not easily, or lie deep, those things which may mollefie them if they be hard, or attenuate them if they be thick, or clense them if they stick Pertinatiously, and may stimulate also the expulsive faculty, whence they may afterwards [Page 89]more easily, as hath been said, either be taken out, or blowed out, or forced out by Sneezing, which we shall most commodiously do, by drawing up of Errhines or pouring them into the Nostrils.

Emollient Errines and abstersive are made of Whey, Hydromel, and the like.

Incisive and clensing are made of Wine, Vinegar, a Lie, and such like.

Abstersive and Stimulating, are made of Niterous Herbs, and acrid things, and others, amongst which Gaul doth chiesly dissipate things viscous, several forms of all which are every where exprest.

By receiving in at the Nostrils the Vapors of some hot Decoction that doth cut and prepare Flegm; we prepare it for an easier expulsion. Such as we have for­merly taught, were admitted into the Ears in the de­fect of Hearing, are here also convenient, and their like.

That matter is in some sort attenuated, and stirred up to excretion, only by the smel of Acrid things; as of Mustard, Radish, and if we advise them often to smel to those things endued with a strong sent; either grateful, as Musk, Amber, or stinking as Castor, Assa­faetida; we shall not only devide and provoke Flegm, but also we shall stir up, and recal into act again the the faculty of Smelling, which was laid a sleep by the intermission of Smelling.

And if some other Tophaceous Body, or Stony, or living Creature, as hath been said of a Worm lurke in those Caveties, which is very rare, then because we can scarce guess at it, we can scarce apply remedies for it; and if they be there, and can give place, by the same means, as we have said a thick Humor was provoked, these also are somtimes cast forth by Sneezing with admiration.

But we may guess that a Worm is there, by this: Be­cause there hath been one cast forth before, and now the same Symptoms appear again, which were then be­fore it came forth; and we must mix bitter things, Gauls, the juyces of Wormwood, and Aloes, with the Errhines and Vinegar also, that we may kill it.

If the holes and Organ of Smelling being mollested with thin flegm, The Cure of the defect of Smel­ling, from flegm in the Organ of Hearing. do produce a Coryza with defect of Seml­ling, the Cure shall be explained in that Symptom which is most grie­vous, viz. how the body is to be pur­ged, and respect is to be had to the Head, and those Fluxes are to be stopt, or to be deri­ved another way.

But if the evil be organical from the birth, then it can no waies be mended, The Cure of the defect of Smel­ling, from the fault of Confor­mation. and it must be wholly committed to nature, which somtimes of it self in its great changes doth somwhat, as also if it be by reason of the Nose deprest from the Birth, or from Diseases or a blow, this Figure being vitiated, can never be corrected.

The End of the first Book.

THE SECOND BOOK OF THE Hurts of Functions. HANDLING the HURTS of MOTION.

THe Motions whose Operations are dis­covered by our sences (for we do not treat only of those Functions) are some of them voluntary which are done, or re­gulated by our will, others involuntary which are perfected of their own accord by strength of Nature, not by our Will.

All voluntary Motions fall under the senses, some of which are performed, while a part is moved from a place into a place, the which do depend soly on our wil, which we call simply Voluntary, others are made by drawing in, and sending forth the Air, and that partly by a Voluntary, partly by an involuntary Motion, and it is called the Motion of Brea­thing; but others are perfected by taking to them some matter, but chiefly by voiding it, and some both waies, which we cal Motions of Excretions, from whence there will arise three chief kinds of the hurts of Motions, of the Voluntary, of Brea­things, and Excretions. Which hurts of them somtimes come to pass by accident, and that either by reasan of that hurt of the internal senses, by which these motions are also offended, of which we have already spoke in the hurts of the internal senses, or by reason of a Cessation of the vital Motion, whence it must needs be that these do rest, or are weakend when they are impaired, the which we will handle in the defect of vital Motion; but otherwise these Motions are hurt not by reason of the said hurts, but by themselves, as now we shall shew in these three kinds.

The Motions called simply Voluntary, are of the external Members of the Body, and those either most stronge in those parts, which being strengthned with Bones, are most able to endure them, such as are, to bend or raise up the Body, and with that the Head, by benefit of the Back, to lay hold on and handle things with the Arms, Hands and Fingers, to stand or go with the Thighs and Legs, with the mandible (which alone of all the Bones in the Head is firm to exercise most stronge Motions) firmly to take things and devide them with the Teeth; the Motions weaker then these are, those which are perfected only in the fleshy and menbranous Mem­bers placed in the Face. As to open and shut the Mouth and Lips, the Ey-brows, or Eyes, also to move the Eyes, the hurts of which Motions have two differences chiefly, that either they are defective or depraved.

Voluntary Motions are defective, because they are weakend by themselves or Abolisht, for by accident also when by reason of pain in a part, its Motion is omitted, because it would increase the pain; yet, it is improperly said that it cannot be moved, which case is to be referd to pains, where also it shal be explai­ned.

But Voluntary Motions are debilitated, A Weakness of Motion.especially the stronger, when they are done with a certain weakness in its divers Kinds, which are Sluggishness, Weariness after labor, a Spon­tanious Weariness, which we will explain together in the first Chapter of the Weakness of Motion.

Voluntary Motions are abolisht, Impotency of Motion.both the strong and the weaker, when they are not per­fected at all, or at least wise not so much as was needful, as it is wont to come to pass in its diverse kinds, the chief of which are, a Palsy, Spasme, Contraction, and their diverse Species, as a Flatulent Spasme, a Trisme, a wreathing of the Mouth, a Doglike Spasme, a Gib­bus, Strabisme, &c. of which we will treat together under the title of Impotency of Motion, in the second Chap­ter.

Voluntary Motions are depraved, The Deprava­tion of Mori­on.chiefly the strong, but with them the weaker also, when they proceed not rightly, or more then was fitting, as it happens in some of its kinds which are chiefly, Restlesness, Trembling, Pal­pitation, Rigor, Horror, Retching, Gaping, Tinckling of the Eyes, which shall be handled in Depraved Moti­on, Chap. III.

All motions of Breathing, also are apparent to the senses, and are perfected by divers Organs of the Breast, Neck and Jawes, and that two waies by drawing in and breathing out the Air, which Motion we cannot intermit at our will, when nature doth attempt it; whence it shall be called Natural Respiration, the other is performed only by breathing out the Air with a sound, which with our will we can omit: and it may be called a Voluntary Expiration, or because it vtters a Voice, Vocal expiration, which also is twofold, as it brings forth a Voice simply, tis called a Voice; but as it makes an Articulate voice, tis called Speech; the which three, Respi­ration, Voice, and Speech do vary in that, that either they are Defective, or Depraved.

They are defective, The defect of Respiration.when they are not done or not sufficiently in many kinds of it, which are, Strangling, Suffocation, difficulty of breathing, Asthma, Suffocation of the Womb, Night-Mare, defect of Voice and Speech, Stammering, which we will describe together, in the Defect of Respiration, Chap. IV.

They are Depraved, when they are done, Evil Respi­ration.either not Naturally, or Violently, in divers kinds; as are, quick Breathing, Sighing, [Page 91]Yawning, Hiccups, Sneezing Cough, Hoarsness, which shal be explained in Evil Respiration, Chap. V.

The motions of Excretions (under which we may compre­hend not only those, when some things is cast forth of the body) which are naturally perfected by the passages of the body desti­ned for it, that fall under the sense, and are done by our Will, or at leastwise are regulated by it, are the passage through the Gullet, going to stool, Pissing, Bringing forth, which moti­ons in as much as they are functions of the body, are somtimes defective, when they are not done, or not as much as was con­venient, somtimes they are depraved, when they are not retai­ned to the destined time, which come to pass, when the excre­tion is unseasonable, or too much; but because somthing is rejected in all of them, we wil describe in the Rejections all such like natural excretions with those Preternatural, but here we wil handle them, in as much as these functions are Defective or are not performed.

One passage through the Gullet or Aesophagus is, The defect of pas­sage through the Gullet.which is naturally in­wards, in swallowing; but the other by compulsion outwards by vomiting, of the kinds of both defects, viz. the difficulty of Swallowing and Vomiting, we wil treat in the Defect of passage through the Gullet, Chap. VI.

The one kind of defect of dejections, which is performed partly by nature, The defect of Stools.partly by the wil, viz. Costiveness of the Body shall be explained in Defect of Stools, Chap. VII.

The Defects of Pissing, The defect of Pissing.which the Will ef­fecteth partly and chiefly, yet Nature helping, which are an Ischury, Dvsury are descri­bed in the Defect of Pissing, Chap. VIII.

The two kinds of Defect of bringing forth, which motion is made by the force of Nature, our Will assisting which are a Difficulty of bringing forth, and an Imperfect Birth shal be explained in the Defect of bringing forth, Chap. IX.

Involuntary motions are not all of them, but some only are conspicuous to the senses; which Nature alone doth attempt, either for preservation of life, called Vital Motions, or for Nourishment and are called Nutritive Motions, or for Pro­pagation of the kind, and and they are named Motions of Generation, from whence also proceed three kinds of hurts of Involuntary motions, viz. of the Vital, of Nutrition, and Generation.

The Vital motions do manifest themselves in our strength and in the motion of the Heart and Pulse of the Arteries, which are hurt in this, that either they are Defective or De­praved.

They are defective when they are abolisht or impaired, The defect of vital motion.in the following kinds, a failing of the strength, a defect of Courage, in the Agony of Death, which we shal explain together in The Defect of Vital motion, Chap. X.

They are depraved when the motion of the Heart and Pulses are too much or amiss, Vital mo­tion de­praved.in these two kinds, the Motion and Pulse of the Heart Depraved, the Palpitation of the Heart, of which we shal treat in the defect of Vital Motion Depraved, Chap. XI.

The Motions of Nutrition or which are made for Nourish­ments sake being four, to wit, Attractive, Retentive, Con­coctive, and Expulsive, cannot all of them be perceived by the Senses, neither do we perceive how the Retentive or Concoctive works, or when they are hurt, by the proper hurt of that mo­tion, but we know it by other things which follow from thence. But in Attraction we manifestly find that Motion when Na­ture desires Meat and Drink; and in Excretion when Nature expels somwhat out of the Body by its proper force, we plainly observe its motion, as in other Excretions in which our Will is Auxilary to it; whence we meet with only two kinds of the Hurts of the Motions of Nutrion that fall under the Sense, of Apetency, and Excretions.

The Motions of Apetency are hurt in the desire of Meat and Drink when they are defective or depraved.

The Appetency is Defective when there is lic­tle or no Appetite to them, of which faults,Defect of Appetite.which are chiefly, an Anorexy, Want of Sto­mach, or Nauseousness, Apositia Want of thirst, or a loa­thing of certain meats, we will treat in the Defect of Appe­tite, Chap. XII.

The Appetite is depraved when it desires either too much, The Appetite Depraved.or that which is not con­venient, of whose kinds which are, a Bou­limy, Dog-like Appetite, immoderate Thirst, a Pica, we wil treat in The Appetite Depraved, Chap. XIII.

Of the manifest Motions of Excretions which Nature a­lone doth perfect, as necessary, serving to Nutrition, one is of the Blood, another of the Serum, another of Milk, the hurt of which three Humors Kinds of Excretions do consist in this, sufficiently, or they are Deprvved when they are made immo­that either they are Defective when they are not made or not derately or out of season, in which two seeing alwaies somwhat flowes forth, in that voided, we wil explain such like depra­ved Excretions together with all the rest, as wel natural as pre­ternatural things, which do not offend in defect, but because they are made, what way soever that comes to pass, in the hurts of Excretions, but here we wil treat of them, in as much as these Functions are defective.

The Cessation and Diminution of a na­tural afflux of Blood, whose kinds are,The Defect of natural Haemorrage.a Suppression of the Courses, aand Hae­morrhoids, a Defect of Purgation af­ter bringing forth, as also of other Haemorrages, shal be handled in the Defect of a natural Haemorrhage, Chap. XIV.

One Kind of defect of Sweating out the Se­rum shal be explained in the Defect of Sweat­ing, Want of Sweat. Chap. XV.

One kind of Deficiency of Milkshal explain­ed in the Defect of giving Milk, Chap. Want of Milk. XVI.

The Involuntary motions which are made for Generation or Procreation sake, whose hurts are conspicuous, are conver­sant only about the act of Venery and Conception. For of Bringing forth we have formerly spoken, because the Will doth help that.

The act of Venery which is perfected by the appetive moti­on of Nature, rendring the Members fit to exercise that Act, and by voiding of Seed in both as wel the Male as Female, somtimes is Defective, somtimes Depraved.

Somtimes it is so Defective that it cannot be performed, in an Impotency, Defect of the act of Venery. Languidness Imperfect Venery, or Hindred, or Extinct' of which we wil treat in the Defect of the Act of Venery, Chap. XVII.

It is Depraved when they Covet it too much in, Lasciviousness, Salaciousness. Venereal mad­ness, a Priapism, of which we wil handle in Salacious­ness, Chap. XVIII.

Conception which is performed by the mo­tion of Nature, Attracting, Retaining,Defect of Conception.and Forming the Seed in a Woman only is De­ficient or Depraved.

It is Defective when it is not, as in Barreness, or not as we we would have it, in Defect of Procreating Males or Fe­males, of which we wil treat in Defect of Conception, Chap. XIX.

It is Depraved when it is done ill, which Disease seeing it [Page 92]can scarce be known, and fals not under the Senses, til that which was ill conceived, be cast forth; we shall rather treat of that in things rejected together with Abortion and the rest of Excretions.

CHAP. I. Of the Weakness of Motion.

The Kinds.

VVE call that a Weakness of Motion, when they exercise sluggishly, or slowly, or hard­and with some trouble, the Voluntary motions of the body, and amongst these especially the stronger which have need of strength that they may be accomplished, for if upon another account a defect befall them that they are not sufficiently performed, seeing they happen from the same cause also, from whence we shal shew an Immobility doth proceed, they shall be explained there. But this of which we here treat, either is an ac­customary Sloath, or a Weariness supervenient after la­bour, or a Spontaneous Weariness foregoing Dis­eases.

Sluggishness, Sloath, Slowness, Idle­ness, Sluggishness. loathness to do any thing, is accu­stomary to the weaker sort either by Na­ture all their life time; or to Infants, and old Folks by reason of their age, or those recovering after a Disease, for some time or alwaies after, and other while it is fa­miliar to the stronger sort also by reason of Laziness with which they are more delighted, and do accustome themselves to Sloath, all which can hardly endure hea­vy labour, nor persevere long in undertaking it, being rather intent on Rest and Sleep.

A Weariness or Defatigation after Labour, makes that they are not only unfit for the same labours which they have formerly undergone, and for undertaking of others, but they feel also a troublesomness stil remain­ing for a while, not only when they do somwhat, but when they rest also, to wit, that sense of stupidity in their Limbs too much agitated, which they call Formi­cation, Tingling, and a certain Distension as if they were dry or bound up, and therefore they are hardly and with trouble, bent or extended, whence Galen hath elsewere called it, a Squallid Weariness. Or if they be Cacochymical they perceive that painful sense of which we shal speak by and by in a Spontaneous Wea­riness; this doth more or less show it self, according as the whol body or its parts have been strongly exer­cised, seeing the whol body is somtimes so cast down by weariness, that even in rest or lying down the wea­riness doth not wholly cease, seeing in that too there is some attraction or extension of the Members by the Muscles; whence they are forced by night variously to toss their body, that they may find a fit situation for their body, in which they may commodiously rest and sleep: but sometimes certain parts which endure the labour do only feel it, as the Feet after a long Journey, the Arms after long continued blows, the Hands not only after Stronger motions, but also as I have often experienced, by long and much writing, as also I have observed that the Mandible may be wearied by much speaking; and that the weaker motions also, of the Eyelids, Lips, Eyes may be tired, even this doth ma­nifest, because those that are Weary can scarce lift up their Eyelids, a sure sign of Sleepiness and Weariness.

A Spontaneous Weariness, that is, not proceeding from Labor, but hapning of its own accord, such as Hippocrates teacheth doth threaten or forego Diseases, doth manifect it self in the Limbs, with a certain sense of pain, which either offering it self in the superficies of the Skin, and the Flesh under it grows worse by tou­ching, expressing some sense in the parts, and that is, either of an Ulcer, and it is called an Ulcerous, Elcodis weariness, or of an Inflammation, and it is called an Inflamatory Phlegmonodis weariness; others feel that pain­ful sense deeper, and that either about the Joynts as if they were retcht, because they are hardly moved, and it is called a Tensive, Tonodis weariness. Or about the bones themselves, as if they were bruised, and tis a contunding weariness which Galen hath named Ostocopum. And also more Species of these troublesome senses meeting toge­ther, are joyned with this weariness.

The Causes.

The Cause of every weakness of Moving is, either feebleness of Strength, or too much intermission of Motion or Exercise, or Idleness; or exercise or La­bour, or plenty of Humors.

In Feebleness, Feebleness, the Cause of weak­ness of Motion as all Functions are weakend, so especially voluntary Mo­tion, because a greater strength is re­quired to exercise that; but this hap­pens by reason of the defect of Native heat, either suc­ceeding in old folkes by reason of Age, who are there­fore sluggish and presently tired, or proceeding from a Morbifick cause, as after too great Evacuations; or issuing from the Disease by reason of the continuance of it, or Acuteness, or Malignity, overthrowing the strength, that weakness still remaining for some time even in those recover'd of the Disease, or alwaies, when they have contracted, as they call it, old Age by the Disease.

Those that Indulge too much to Idleness, Idleness, the Cause of Slug­gishness. either from a perverse Cu­stome, or being hindred by the bulk or fulness of Body, are less exercised, are Sluggish to undergo even the lightest labors and are quickly wearied.

By Labor or exercise both of longer continuance, Labor, the Cause of wea­ness. and stronger then is con­convenient for every Nature, the Body becomes Sluggish and Weary. For, be­cause nothing can last long that wants its rest by course, it comes to pass, that those who are exercised longer then tis fitting, or who take a long journey, and Labor all day, become wearied: so also they are tired, if they be long about a strong and vehement work in doing of which, there is need of strength or quickness. And that because the Muscles Nerves and Tendons are retcht when the Limbs are bent, the joynts extended and brought about, and then also when they rest, the like sense and disposition remaines, as was wont to be in the Motion, and there is felt a Tensve or Stretching wea­riness. And then because the Members grow hot by Motion, they become weary, for so there is a certain Consumption of the viscid Humor, with which the Joynts are besmeared to exercise their Motion the ea­sier, not a Colliquation of fat, as some would have it, (of which the joynts are wholly destitute) which Hu­mor being wasted, the Members as being made dry do bend more hardly, and they seem as it were to be retcht. Also by reason of that heat raised in the Mem­bers by Motion, the blood provoked to the outward [Page 93]Flesh and Skin, doth cause there a sense of Inflamation, or if it be acrid and thin it shews some sense of an Ulcer, or if it be Cruder, it only oppresseth and distendeth.

If the body be loaden with plenty of Humors, A Plenitude and Cachochymy, are the Cause of Spon­tanious weariness. tis presently wearied, not only when it Labors, but also with­out exercise tis troubled with the said Spontaneous weariness, which also doth foretel that Diseases, by and by will follow, from that Redundancy of Humors; thus in a Plenitude of blood, there is felt a Tensive and In­flamamtory weariness; and in a Cacochymy of Cho­lerick, Sharp, Salt Humors, an Ulcerous weariness, in that of crude cold Humors, a contunding and grava­tive weariness.

The Cure.

In the Cure of Defatigation, The Cure of Sloath and Weariness, cau­sed after labor; and of that Spontaneous, from what cause so­ever. caused after Labors; we need not take much pains, seeing they re­turn to themselves of their own accord; but in that which comes of it self: because it is a foreteller of Diseases, we ought to provide, not so much to cor­rect the Weariness, as that Diseases do not follow. Sluggishness, because it doth weaken the body, and makes it languid, is not to be suffered; that which aris­eth from the want of native heat, is scarce or never taken away; yet for the mending of all which, we do use, either Restauration of strength, by Rest, Exercises, course of Diet, Baths, or other Applications, or Evacua­tions.

Rest Cures Weariness after labors, the labor then ceasing, but chiefly being caused by sleep; because in that the Members do rest better and that especially if they be placed in that Scituation and form, which is called a Meane, all the Muscles being relaxt, so that they suffer no violence whether crooked or straight, yet let every Member have its competent Figure, and also because by Sleep, the Humors too much provoked by Motion, are discust, therefore weary Bodies are better refresht by this means.

Exercise, doth correct Sluggishness, sprung from Idleness; if they accustom to exercise their Body with that, which is most delightful to them, or is necessary for the sustaining of life, the weaker sort, or those who by reason of a greater bulk of Body, cannot undergo buisness or exercise; by gentle means which they may perform themselves, or with which they may be exer­cised by others, as by Frictions, become fitter to un­dergo labors; it corrects also weariness contracted by vehement labor, if it be more gentle then the former, for so it doth better reduce weary bodies to rest, then altogether rest, seeing every suddain change is hurtful, as it is done by going, walking, after running, and o­ther stronger works, rather then by setting still. And thus Galen saith one weariness takes away another, if to that of yesterday, the like be applied the next day; also a motion contrary to the former Motion, doth refresh wearied Bodies, as if one be wearied with climbing up a hil, by going down again, he will sooner be eased: and again because gentler exercise doth discuss the Hu­mors called forth by that which was more vehement, upon that account, also it cureth painful weariness; for which reason the Ancients did not only dispose their Bodies by Friction before Labors, which for the most part they underwent for healths sake, to relax the parts, and make the Excrements fluid, which they called Praeparatory, but also after Labors they applied it at last, to relax the parts more, and to purge away the Excre­mants attracted, and they called it Apotherapia. And they made a gentle Friction by which the Body was lightly heated, to loosen and relax, which they called soft and little, or a stronger Friction in which the part was more heated and dilated, which they called, hard and much; and they maintained that this did diminish, that did bind: or a mean Friction which in quality and quantity and strength, was the middle between these: to which operation of the Hands, they applied also anointing with common Oyl, or Oyl of Savin, that it might be the better accomplisht instead of which we may take Oyl of Chamomel or sweet Almonds.

A moist and hot Bath may make good the use of Fri­ction, and in our Age tis more usual, whether the grea­ter part of the Body, or only the wearied parts be dipt in it, as the Feet after running, which doth wonderful­ly refresh weary Bodies, resolving as Friction doth, by an actual moderate heat, either more or less increased, and provoking the humors, and relaxing the bound parts: which is prepared of simple water in which som­times are boyled Mallows, Chamomel, Betony, Hys­sope, Organy, Pennyroyal, Sage, Ground-pine, Mug­wort, and other things to encrease strength, after the use of which, anointing is convenient, as in Fricti­on.

Other applications, as anointing of it self, administ­red without a Bath made especially along the Back­bone or the wearied parts may alone mitigate weari­ness as also Friction, and a Bath, yet more lightly, when the lesser Friction is made with anointing, and the actual heat in the Unguent is less: Dioscorides teach­eth that Mugwort applied to the Feet with grease, doth take away weariness after a journey, and if a Traveller carry Mugwort with him, some teach he shall not be wearied in his journey; some relate for certain, that the same comes to pass if the Feet be anointed with Goose Grease.

Restaurative meat and drink doth Egregiously refresh weary Bodies, and that especially by giving of Wine, which recreates the weary and makes them active, and the weaket sort also that are more sluggish to all opera­tions by these things do assume some strength.

Evacuation in a Spontaneous weariness proceeding from plenty of Humors, doth take it away, by carry­ing the Humors away; and doth prevent, that the Bo­dies fall not into Diseases, which shall be done by dra­wing of blood in a Plenitude, and in Cachochymical Bodies, by Purges appropriate to the Redundancy of Excrements.

CHAP. I. Of the Impotency of Motion.

The Kinds.

VVE call that an Impotency of Motion, which also we may call an immobility, when either we cannot at all, or not sufficiently perform those motions which are made by our will only, the which seeing they are many and various in the Body, so many & divers kinds also of Immobility do offer themselves; of which sort are, in the defect of stronger Motions, not to be able, or hardly able, to raise one self up, or [Page 94]bend; to stand or go, to lay hold on, and handle things, to take things firmly and break them with the Teeth; but in the defect of weaker motions, not to be able to open or shut the mouth or the Lips, the Eyes or Eyelids, or cast about the Eyes.

Which first of all do chiefly differ in this, that in such like Immobilities, sometimes the member which ought to be moved, is Relaxed and Languid, and it is called a Palsie, a Resolution, which is as it were a parti­cular Apoplexy, when that is done without an apparent hurt, but if it be with a hurt it is called according as that is, somtimes a Fracture, sometimes a Luxation, somtimes a Wound: but at other times the member is attracted or for a time Convulsed and then it is called either a Spasm, or particular Convulsion to distinguish it from a general Convulsion which we have called an Epilepsie and Catalepsie, of which the Spasm here pro­perly called is a part, seeing it is improperly also called a Spasm which the Germans call Krampf, the Arabians Alcuzez, of which notwithstanding the cause is far o­therwise, than of a true Spasm, whence this also is cal­led Flatulent; but at other times, when the member is attracted 'tis only named a Contraction, a certain per­severing stiffness of some member, which particularly if it be in the back is called a Gibbus; which names af­terwards we shal use in this signification; but in these kinds of Immobility somtimes more motions together do fail, somtimes particularly only some.

Somtime more of the foremen­tioned Motions are taken away together, The immobility of many parts together, or a general Palsie or resolution is a spe­cies of general im­mobility. in a Palsie therefore cal­led General, the Members which ought to exercise motions, being Palsied, Languid, and impotent, without pain, as how this comes to pass in every motion, we shall shew in particular Palsies: which sometimes happens in the Members of both sides, and in their motions, which Species of a Palsie is called Paraplegia; but somtimes this happens in one side only the right or the left, which Species they cal Hemiphlegia, in which never­theless this most commonly falls out, that either side of the trunk of the body being palsied, and its motions a­bolisht, the motions of the rest of the parts placed in the Face, remain sound and whol, somtimes some only receive dammage, as the motion of the Lips, but also to the forementioned Immobilities of voluntary mo­tions somtimes are joyned some other Defects of the motions of Respiration and Excretions, as shal be ex­plained in their places: amongst which Speech of­ten faileth. And it happens also that both the Voice and Breathing do suffer hurt together that when they would speak out any thing clearly, or fetch breath strongly, they are vehemently troubled with cry­ing out, Laughing, Weeping, Coughing, and in dan­ger of Suffocation. To these somtimes is added, that they cannot retain their water, and they cast forth other Excrements.

But also besides these Defects of Motions, the sense of Feeling is abolisht in the palsied Members; yet somtimes that also remains, seeing a Palsie is a symp­tom of Motion rather than of Sense.

But in others there is discovered rather a Stupidity with sense of Formication or of Heat or Cold, as hath been said in a Stupidity. In a peculiar Palsie but very frequent in our times which follows the Collick pains, besides a resolution of certain parts, which oftentimes is wont to begin and continue with a trembling of the Member, a grievous and cruel pain doth moreo­ver possess the plasied Members: which Palsie is wont for the most part to turn to Convulsions, and kill the Patient.

Some would have it, that all the Voluntary Motions may be abolisht together, A Spasm or particu­lar Convulsion is a Species of general immobility. and all the Members may be convelled, or rather be rigid, and as it were congealed, in the said Spasm, as it is in an Epilepsie and Catalepsie, so that it shal differ from them, especially from a Catalepsie, no otherwise, than that here, because the senses remain otherwise than in them, they feel cruel pains in their Members; which Disease Celsus hath called a Tetanos or Rigor, A Tetanus or Rigor is a species of Spasm and Galen hath reckoned it amongst the peracute Diseases, because it kils a man in four daies space, and he hath declared that it is very rare, seeing the cause which causeth it must needs be great as he saith, which can breed such grievous pains, that it doth rather cause a true Epilepsie, or Cata­lepsie.

Yet it comes to pass more frequently that a Spasm doth not invade at once all parts, but only some, which otherwise as shal be said, it is wont to possess singly, and it is perceived in the Back and Joynts, and some parts of the Face, somtimes also for the same reason as a Pal­sie, doth by slackning, so this by contraction, doth pre­judice, the Speech, and Voice; which particular Con­vulsion, certainly manifesting themselves in many pla­ces, are the Foretellers, and as it were the Preface, and somtimes the beginnings of a general Convulsion or Epilepsie by and by to follow, but sometimes are the relicks remaining after a Paroxysm of an Epilepsie that went before, which is now cast off, as hath been said in an Epilepsie. And we have seen also in a certain man a certain Spasm of the Members that hath lasted twenty yeers, somtimes abating a little, somtimes contracting the Back, Feet, Arms, and moreover with a pain run­ning up and down, wonderfully afflicting him; so that at the least touch of any thing he would cry out, and the pain beginning in that place, & discovering it self by a yellow speck which presently grew, now it runs like an Air into the ends of his fingers, by and by into the tip of his Nose, and other outward parts, at the touch of the which he cryed out: and also that Spasm which they call Flatulent is oftentimes wont to molest many parts at once, A flatulent Spasm. and to be troublesom to certain men by Fits, which doth not so much differ from a true Spasm, both in the cause, and danger.

Somtimes also Voluntary mo­tions may fail apart, An immobility of private parts or a particular Palsie, Spasm, Contracti­on, is an impotency to exert or bend the body. their parts being slackned, or convulsed, or contracted, or otherwise hurt, as being now about to explain these in particulars: by what means it may come to pass, we shal reckon up divers particular kinds of im­potency of motion.

Somtimes a Raising up or Bending of the body can­not be performed, the back being palsied which scarce happens to these motions of the back apart, but also with other motions taken away too, as hath been said in a general Palfie: from this Spasm in the back it som­times happens that tis convulsed, as the senses being en­tire, we have sometimes seen that by this means it hath a long time bent one upwards from the bed, and again relaxing him smite the bed: the which also may happen from a Contraction without a Spasm, first of all in ge­neral, that it cannot be bent, and the body remain ri­gid [Page 95]& stretched in that called a Teta­nus or Rigor (which name although they apply it only to the Back Con­vulsed, A Tetanus Epi­stotonos Opi­stothonos are a species of contra­ction. yet we also may apply it to that, if it proceed from a Contra­ction) or that it cannot be erected, and they go with a crooked body, and it inclines either to the foreparts in that called an Epistotonos or to the hinder parts in an Opisthotonos, or to either side. Also some part only of the Back being contracted its motion is somwhere stopt, either some part of the Back bunching forth back­wards in that called a Gibbus, A Gibbus is a Species of Contra­ction. or towards the sides, or which seldomer happens it being bent forwards, and that in every one more or less, and a greater or lesser porti­on of it being carried thither; whence they cannot erect the Body and they shew it short, crooked, with an uncomly figure of the breast, the breast especially hanging out very much, and the Back prest in, and the Head inclining backwards if the Back be crookt to the foreparts, but the Back ap­pears immoveable also by another means, it loosing its motion by a Contusion or Wound.

Going and Standing, Holding things, and Handling them, somtimes cannot be deformed; and that of­tentimes, the Thighes, Arms being palsied, but chiefly the Hands, Feet, and their Fingers and Toes their mo­tions being taken away apart, or many together, as hath been shewed in a general Palsie; and then one part, or more so affected do languish, and hang, and cannot be moved but by the benefit of a sound part, and because they are idle, they are found cold and moist by the touch; and somtimes are insen­sible or stupid, after divers manners as hath been said formerly; also some motions of them are sometimes hindred by a Spasm and certain parts causing them, ei­ther more or fewer are troubled with it, not only with that which is called Flatulent which doth so often cramp with the highest torment the Toes of the Feet and somtimes also other parts, but also certain rudi­ments of a true Spasm do create trouble in these pla­ces, for the same reason as a Flatulent one doth, such a one as we have said in the causes of an Epilepfie hath sometimes manifested it self upon the taking of a vio­lent Medicine; and also the motions that are perform­by the Joynts do cease, if these parts are contracted, which if it be done singly is wont to happen to some one only: whence they appear Crooked, Bowed, or Stiff; which is a permanent and frequent evil in the Feet and Hands and their Fingers and Toes, in those whom the common people call cramped, The Contraction of those which the Ger­mans call Contrakt is a Species of impo­tency to go or lay hold of a thing. although when these parts are palsied and pendulous about the Wrist, they are bound up and contracted in the Fingers, and Atrophy moreover of the Hands supervening especially betwixt the Thumb and Fore­finger, the flesh being wasted there, and a conspicuous hollowness appearing, an evil most commonly remai­ning after Collick pains: this happens also with ano­ther fault of the forementioned parts in form and situa­tion, that they cannot be moved, when either being a­breviated, or otherwise crooked, bent or hurt in their length, or about the Joynts, they are found to have changed their scituation, and that with pain of the place especially whiles they endeavour to move their Limbs, there being joyned somtimes a heat with a tu­mor and somtimes a hollowness appearing in one part, especially about the Joynts, they and a certain protur­berancy in the opposite place to it, as we shal shew in the causes doth befall broken and luxated bones, where also we shal explain how an Immobility of these parts doth happen with a Wound and other manifest Hurts.

Somtimes they cannot take things firmly and divide them with their Teeth when the inward Cavity of the mouth can no waies be shut, An Impotency to Bite and Eat. but remains open with the Teeth drawn asunder and the Mandible hanging down; and that comes to pass without pain that being palsied which seldom happens particularly to that, much less in a general Palsie; or with pain and trouble that being palsied, the mouth standing right or crooked if this come to pass only in one side, somtimes there is some other eminent hurt, or a solution of Continuity. But at other times the Mandible cannot be opend, and 'tis exactly bound up, or only in one side, with the Teeth joynd together, neither doth it suffer them to take in meat, or any thing else, and it is either a Spasm called by a peculiar name Trismos if it befal this part, Trismos a Spe­cies of Spasm. or some other Con­traction: somtimes the Teeth be­ing set on edg by this trouble, they are hindred in che­wing of meats.

Somtimes they cannot shut or o­pen their Mouth, An Impotency to open and shut the mouth. or decently joyn and disjoyn their Lips, which chief­ly prejudiceth Sucking and Sup­ping; and then the Lips either are wanting or they hang down being palsied chiefly in a general Palsie, seldom in a particular Palsie only of this part, but most commonly it happens in the Palsie only of one side that this motion might not altogether pe­rish, seeing both the right and left part of the mouth joyned together, makes one month, one side of which being hurt, the other remaining moveable doth draw the immoveable side, & then the Lips with the Cheeks hang down on one side only. As also if they be con­velled or contracted on one side, they also are drawn thither upwards. A wreathing of the mouth, is a species of Spasm. And because then in both sorts, one part of the mouth hanging down­wards or drawn upwards, the mouth is rendred Oblique & Wreathed as it is wont to appear in those that cry, whether it be from a Resolution or Convulsion or Contraction, they have called it, a wreathing of the mouth. But if the Lips with the Cheeks are drawn together on both sides in a Spasm, then the Mouth is wont to be seen drawn transverse, as in men Laughing, or in Dogs when they gape being angered, The Dog-like Spasm, a speci­es of Spasm. and they call it a Dog­like Spasm; as indeed Laughing also and Crying are kinds of a certain par­ticular Spasm or Cramp, seeing they do involuntarily so distort the mouth, as by and by shal be said in the Causes.

Somtimes also they cannot cover and hide their Eyes with their Eye­lids, An Impotency to open and shut the Eyes. and the Eye remains bare and open, and is more exposed to exter­nal injuries, which evil some call Gessa and whom this befalls, they rest not commodiously in sleep, which is best acted with the Eyes shut, Seeing being so hindred; which discommodity may also come to pass by a Pal­sie, for although it were palsied, nevertheless it would remain collected in the upper part of the Eye (for so the Eyelid ought naturally to be when it is not drawn, whence also in the dead their Eyes remain open) but [Page 96]this yet scarce happens, unless the Palsie be altogether general, as in the Apoplectical their Eyes continue o­pen: but as this sometimes happens from a Tumor which then also appears too, so frequently that the Eyebrow and Eyelids, when the Cheeks palsied do hang downwards, do somwhat appear depending on the outer side also. But if the Eye cannot at all be opend, then the Eyelids drawn over the Eye and ga­thered together do hinder the sight, but if they be only lightly drawn asunder then they are said to wink with their Eyes, the which notwithstanding in some doth more rightly direct their sight than hinder it; this also scarce happens from a Spasm that the Eye is wholly covered (unless this fall out with an impediment of the motion of the Eye, as shal be said by and by) as it is that the Eyebrow is somwhat drawn down with the Cheeks; yet somtimes that also comes to pass from some private hurt or Tumor of it, which sometimes meeting in the Eyelid, or Eye, bring such an Impedi­ment, as shall be said there: in sleep they wink natu­rally.

The rowling or moving of the Eye is scarce abolished, An Impotency to rowl the Eyes. unless in an Apo­plexy, with which those that are ta­ken have their Eyes fixt, and alwaies with the same a­spect, as hath been said there, and in Convulsions also they appear Convelled, Contorted, and as they call it Broken.

Yet somtimes also a certain short Spasm or Cramp as it doth convell the other Members, so the Eyes also with a certain pain, not suffering them so long to be rowled, as neither the Eyelids to be opened.

The which befals some rouzed out of a deep sleep, that whiles they endeavor to open and move their Eyes, seeing they are bound up as it were with a Spasm, yet they cannot do it last, but with Labour and Pain.

Somtimes also Squinting is caus­ed, Squinting a sort of Contraction. rather by a Contraction from the birth than by a Convulsion, the Eye being somwhat perverted, and the Eye a little turned hither and thither, looking upon one not streight but obliquely, it rather gives a stern Aspect than hinders the Sight, seeing the apple is scarce carried so far as to be hid by the Eyelids.

The Causes.

Every Cause of the kinds of voluntary motions hurt, both of the stronger and weaker (which we call impotencies) is either in the Organ sending, or com­municating the power of moving not in the principal the brain; for then also the internal senses should cease together with motion, as hath been said in their hurts, which comes not to pass here, but 'tis in a Nerve or the Instrument which moveth, a Muscle, or in the part which is moved, as we shal now explain.

The Nerves (under which name we comprehend both the Spinal marrow and Nerves) seeing they are portions of the brain, The cause of a Palsie in the Nerves. every where ful of animal spirit, which by conferring their proper substance on the parts with the spirit, do communicate the power of moving & feeling; if they be so hurt, that they can no more do that, than one or more Muscles into which they are inserted, loosing that power of moving, and no more attracting the member which it ought to move, there follows a resolution of it, or Pal­sie, that is, it becomes languid and unfit for motion, the sound part then, as they say drawing the sick: and if the hurt be vehement the sense of Feeling also is taken away too, not only in the Muscle, but in the Skin drawn over it, which receives sensory Nerves from the same Nerve that is hurt. Or if the hurt be not so great, because greater force is required to exercise Motion, then to confer the sense of Feeling, this sense may sub­sist either whol, or impaired, yet the Motion being taken away: as also if another cause moreover be joy­ned there may also be felt a pain or trouble too, in the part (although it be immoveable or hardly moved) as we shall now describe, both what Nerve, and by what Disease affected, doth produce the diverse Species of Palsies.

This hurt of the spinal marrow often happens, see­ing it is very much exposed to external injuries, and because it lies under the Brain, fit to receive its ex­crements; which if it be affected in the beginning of its passage made by the Brain through the Back-bone, next to the Brain, by depriving all the Nerves, which spring from that, of the Animal spirit, it makes a ge­neral Palsie, in which all Voluntary Motions cease, as well the stronger of the Body, as the weaker of the parts of the Face. And besides these, Breathing, the Voice, and Speech, Swallowing also, and some Mo­tions of Excretions do suffer some hurt, as hath been said, if the hurt be neer to the Brain and great: because the Conjugations of the Nerves do issue forth there from the beginning of the spinal Marrow, and then also are hurt, as shall be said by and by; but if in the rest of the progress of it, there happen any such hurt to the Back, then by taking away that faculty from those Nerves only, which are under it, it makes those Mem­bers Palsied, into which they are inserted; by whose hurts it is easily known, where the cause lurkes in the spinal Marrow; which in what place soever it is, if the hurt be in both sides, the cause is in both, if only in one (as the spinal Marrow is perceived to be truely distin­guisht) the Cause only in that side, makes a Palsie, and by so much the more general, by how much that is af­fected more towards the Original.

If paires of Nerves proceeding from the Spinal mar­row be hurt, then according as a general Nerve com­municating Nerves to many parts, or a special one communicating to some only, is seazed with the Dis­ease, more, or one part suffers a resolution; by which also we shall easily find out, what Nerves are affected, if we know which are communicated to every part: and hence many Particular resolutions may be made in the Members, which have received Nerves from the paires of the spinal marrow, yet not in all, because the Mus­cles moving the Breast especially the Midrife, and those of the Belly also being compeld by a necessity of brea­thing, especially seeing breathing is caused also by the help of natural Motion do nevertheless perform their office in the palsied, in respiration and casting forth of Excrements; hither also makes somwhat, that the Midrif doth receive Nerves not only from the spinal marrow, but also from the conjugations of Nerves as shall be said, as we shall declare things further in the defect of Respiration; besides which parts, the rest which are moved by the Muscles, may suffer a resolu­tion.

The Contractions of Nerves derived from the Brain that do communicate Motion, if they suffer a Disease, then that part is hurt, to which the Nerve hurt is pecu­liar, and by the Palsie of the part, the Nerve affected is known; as if that called the second Conjugation of Nerves derived to the Muscles of the Eye be affected, there is a Palsie of the Eye, the which nevertheless can [Page 97]scarce be done in this Nerve unless the neighbouring Brain be hurt, as it comes to pass in an Apoplexy, but as more commonly the Conjugation of Nerves carried to the Face, Lips, Ey-lids and temporal Muscle, being affected, there is a resolution of the Lips and Ey-lids, but seldom of the lower Jaw; seeing the Temporal Muscle doth receive more Nerves: and if the Nerve of the Tongue, called the third Conjugation doth suffer, the Tongue being Palsied, the Speech suffers a blemish and then commonly by reason of its communication with the Auditory Nerve, if the hurt be so great that they become wholly mute, they are Deaf also: The same may happen in that conjugation of Nerves, which they call the sixth and seventh, which falling from the Brain, and joyned into one descending Nerve, and communicating the sense of Feeling to many Interiour parts, and giving also Motion to the Muscles of the Laryux, Tongue, Jaws, Midrife; also to the Muscles of the Bladder, Fundament, if it be hurt about the original or somwhere also in its Progress, it breeds Palsies of the parts into which it is inserted, if they be moveable, in others a certain sense of Stupidity, and hence if the re­current Nerve be affected, there is a defect of the Voice and Speech, if the Nerves which go to the Muscles of the Jaws be hurt, seeing swollowing is caused by them, and not by the Fibres of the Oesophagus, as they have thought, there follows a difficulty of swallowing, and also there comes some Impediment in Breathing, if the Nerves which go to the Midrife be hurt, and that espe­cially in violent sending forth the Breath, when they would utter a great Voice, or are compeld to Cough, for then not being able to express it, they come into some danger of Suffocation; because otherwise for the perfecting of moderate breathing, the Midrife which causes it, seeing it doth receive also from the Spinal marrow, as hath been said, it can nevertheless in some sort perform its office, although these Nerves be hurt; in which hurts of Motions, an offence of the sense of Feeling being joyned, that sense of heat and tingling doth so much molest the sick about the Stomach, espe­cially where the Nerves are greater, and about other internal parts, as hath been said; but if there be a cer­tain general hurt of the same Conjugation; because then both the Sphincters of the bladder and Anus, and the rest of its Muscles are Palsied, an involuntary Pis­sing moreover, and a relaxation of the Fundament, is coupled with the other Species of a Palsie, as we shall explain all these more at large in the defect of brea­thing, and of Excretions, and in the difficulty of swal­lowing.

But the Disease with which the spinal Marrow or Nerve is possest, The Diseases of the Nerves, from whence a Palsie is. is that, which deprives it of the Animal spirit, which it hath need of to exercise its Function; for being so affected, it can neither any more communicate to a Muscle the power of moving, nor to the sensible parts the power of Feeling, if the Nerve be wholly destitute of that, and the remaining part of it from the place af­fected even to the part, into which it is inserted, be­comes unprofitable. As it comes to pass, if its conti­nuity with the part be broken, for then this passage is interrupted: or if the Nerves be so straiten'd, that the Animal spirit, which requires a free passage through them, can no longer pass through them, or fil them up, or not sufficiently; seeing, though it be most thin and subtile, and doth Illustrate the Nerves like the rayes of the Sun, yet nevertheless it may be hinderd, as the Sun Beams also may: as this happens if it be so prest in any part of it, that its substance doth wholly sink down, or if its substance be so condensed that also by this means the passage for the spirit is intercepted. And also the same may fal out, if some part of the Nerve do so labor of a distemper, that it can no waies perform its Functi­on; as how these Diseases, viz. A Solution of Conti­nuity, a Straitness of the Nerves, a Condensation and simple distemper, or with an Afflux of Humor, and Repletion, or with a preternatural Tumor, or some fault of the Organ do proceed from Internal or Exter­nal Causes, to wit a Flegmatick humor, or Bloody. or from a distemper, or some hurt by Compression, Ligatures, of from a wound, or some other blow, we will now expain.

As it hath been explained in the Causes of an Apo­plexy, that an Apoplexy which is a Palsie of the whol Body, is generated from Flegm or a Watery, Serous, Cold, moist Excrement of the Brain, bedewing the brain or pressing the original of all the Nerves, so if this happen in the Nerves a Palsie is generated; for such a humor, heaped up plentifully in the Head, for the causes there assigned, and cast off from the Brain in an Apo­plexy which it hath first produced, or without that, fal­ling down from the Head, not though the substance of the Spinal Marrow, or Nerves, but either discending through the Cavity of the Vertebraes of the Back, which doth contain the Spinal Marrow, and there stopping about the beginning or progress of it, or sliding down further through the passages, which the paires of Nerves proceeding from the Spinal Marrow do every where run through in the Body without any Connexion, or falling from the Head and following the like passages of the Conjugations or pares of Nerves and somwhere sticking about the Nerves, in what place soever this happen, whether about the Spinal Marrow, or about the paires or Conjugations of Nerves, by compressing or bedewing them, as if this come to pass in the Brain it procreates an Apoplexy, so if it happen in the foresaid places it produceth a Palsie, of more or fewer parts, according as a general or particular Nerve is affected: whenas if plenty of Humor flow thither, in those nar­row places compressing the Nerves with its weight, it may also intercept the passage of the Animal spirit, as hath been said formerly, and by so much the longer, if being detained there by a long stop, it become thicker and Mucous; but principally because by its moisture it continually bedewing, filling, and cooling the sub­stance of the Nerves, it destroies their proper temper in that place, and hinders that they cannot be filled with the Animal spirit, nor enjoy it: whence also by reason of the interposition of this unprofitable part of the Nerve affected, the other part of the Nerve which is carried to the parts, being also made unsit to exercise its Function, there must needs follow, if the hurt be great, a perfect resolution of the parts unto which these Nerves are communicated, and that by so much the more lasting and pertinatious, by how much the hurt of the Nerve is greater, which we have found by disse­ction to be the true cause of a Flegmatick Palsie, the spinal Marrow being swelled up with a watry Humor, that there is no need to phansie here any obstruction in the Nerves which are solid, or made up of Filaments; nor any Cavity which may admit that thick humor, as some do write. Or if indeed they do grant this moist­ning of the Nerves: yet to assert that that comes to pass by this means, because the Nerves being made longer an slacker, they become unfit for motion; be­cause as hath been formerly said, the Nerves do no waies attract the part; and far less to contend, that a Palsie is from the same Flegm as obstructing the Nerves, for filling of them, so it must needs be that Convulsions [Page 98]do ensue, which we call Contractions, and for that cause to assign the same Cure to them both.

But also such an excrementiti­ous humor from elsewhere than from the Brain, Other humors pos­sessing the Nerves are the cause of a P [...]lsie and Spasm. being carried to the Nerves of certain parts, or heaped up there, doth induce a Palsie proper to certain parts; which oftentimes also mixt with other acrid and chole­rick humors, or otherwise putrifying, not only by be­dewing but also by irritating the Nerves doth cause pains offering themselves with the resolution of the part and sometimes ending in Convulsions as this hath been said in Convulsions; such a kind of Palsie as hath be en explained in the kinds, as is wont also to happen in Colick pains, with torments of the Limbs, Heat, Tingling, and other troubles.

The same might come to pass from Blood out of the Vessels falling into these Cavities of the Nerves and retained there a long time; but seeing that doth pre­sently putrifie it doth sooner breed an Inflammation, as also if it insinuate it self into the substance of the Nerves, whence other accidents do follow rather than those of a Palsie: but in the Veins if from a fulness, or non-natural situation of a Member (as if the Arm be held a long while lift up on high) the blood be carried into one place more plentifully, because then in some sort it presseth a neighboring Nerve, seeing the Nerves are alwaies wont to follow the course of the Veins, it rather causeth a light Numness or Tingling, than any Disease or long continued Palsie; the blood easily go­ing back again, and not so stopping, but as in the brain it is abundantly powred forth into its ventricles, it may may cause an Apoplexy as hath been said there.

Also a streightening may be caus­ed from a hard Tumor of a Nerve, A Tumor of a Nerve is the cause of a Palsie. as from a Callus or a Skar after a Wound, or bruise growing in the Nerve, or from a bunching out ari­sing from the proper clammy Nutriment of a Nerve which doth stop its animal spirit; but from an Oede­ma, which also they hold to be the cause of it, that can­not be done, unless some one would call it Irrigation and swellings of the Nerves, as hath been formerly said, an Oedema; the same also may happen from the Tumors of other parts pressing a Neighbooring Nerve.

By the fault of conformation or shaping from the birth, The fault of con­formation in a Nerve is the cause of a Palsie. the Nerves being not rightly formed or other­wise carried, the same also may come to pass, which often happens in the Nerve of the Tongue as we shal by and by explain in the defect of Speech, that they are born Dumb and Deaf, as hath been said in the hurt of Hearing.

From a Cold Distemper, or too much cooling (as we shall by and by explain in the Muscles) if not only the Muscles but also the Nerves themselves with the Muscle into which they are inserted, A cold distemper of a Nerve is the cause of a Palsie. or without that, in their course out of the Muscle, seeing Cold is a very great enemy to them, be so affected, that they are either bound up and condensed by Cold, whence the animal spirit hath no longer a free passage, or be so hurt, that their function perisheth, then also there follows a Palsie of those parts whose Nerves are affected.

Trallian teacheth that there is a Palsie caused from driness and heat, The Driness of a Nerve the cause of a Palsie. which certainly must needs sall out so, if it be such as may harden the Nerve that the spirit can pass through it; as the same may come to pass from the Causes to be explained in the exiccation of the Muscles.

A vehement and lasting pressi­on of a Member, The Compression of a Nerve is the cause of a Palsie. caused by a hea­vy burden, or some other force, especially in that place where the Nerves are greater or lie bare un­der the skin, first of all the spirits being repulsed, hin­dred, and running up and down, induceth the sense of Tingling in a stupidity, by and by an abolition of mo­tion, and at length a perfect stupidity in the part, into which the compressed Nerve is inserted; this often comes to pass when at rest, especially in the time of sleep one part lying long upon another, as the body on the Arm, one Foot on the other, and pressing the same it renders the part immoveable and insensible and as they call it asleep: but if that this compression be sud­denly caused with a strong blow of a Nerve, then there is only felt some stupidity yet mixt with pain and a sense of Tingling; as this is often wont to fall out by chance in the stricking of the Elbow there where the Nerve lies almost bare; and in the Ring-finger and little finger.

In vehement Ligatures of the Members, chiefly if a Nerve be contained in the bandage, the motion and sense of Feeling of the part do cease, as also the recur­rent Nerves being bound we shal shew that the Voice doth perish, by and by in the defect of Speech.

The Vertebraes being luxated and the Bones of o­ther Joynts, if the neighboring Nerves be there prest, a Palsie followeth; the which yet can scarce be done, because they easily give way, as also other discommodi­ties do ensue, as in the luxations of the Vertebrae of the Neck, Impediments of Breathing and Swallowing, as we shal explain in their hurts; but in the other Verte­brae of the back, unless there be so great a luxation as doth vehemently press the spinal Marrow, there is no Palsie caused; as we see some Gibbus in whom many Vertebrae luxated do cause a crookedness of the Back, which the marrow that is within it doth follow with­out a compression, that they are yet no waies Palsied; unless by chance one or two Vertebrae being vehe­mently forced forth, making an acute Angle in the Back, do press it, the which scarce can be, by reason of the firmness of the Back.

A Nerve being cut off by a Wound; The hurt of a Nerve is the cause of a Palsie. because then this continuation with the part is wholly taken away, the Member becomes Palsied and Insensible also, unless it receive sense from other Nerves that are yet unhurt; the which also a Contusi­on of it doth often cause, the Nerve being so hurt and filled with blood, that it becomes unprofitable; whence the spinal Marrow being so affected by a fall there of­tentimes follows a general Palsie, but at other times the Nerves being Contused elswhere, a particular Re­solution, oftentimes also after a Contusion, a Callus being left being left behind it, that happens as hath been said.

Also from the Nerves affected, Convulsions, The cause of a particular Spasm is in the Nerves. or particular Cramp­ings of the Members may be caused, not being filled with flegm (as they would have it, and have written that from the same humor sliding into the Nerves divers Diseases may be produced, and that both a Palsie and Spasm may be caused) but being irritated and molest­ed from the same causes as hath been explained in an Epilepsie, yet not being so grievosly hurt, as to draw [Page 99]the Brain into consent, for a general Convulsion or E­pilepsie would be caused, as this somtimes follows this particular Spasm, especially if the greater Nerves be affected, and the hurt be grievous: in which particu­lar Spasm also, as in a Palsie according as more general or private Nerves are affected, as there happens a Palsie so here a Convulsion of more or fewer parts; and the parts of the Back being affected, it manifests its self here in the inordinate Motions of the Back, Arms and Hands; which doth either very much Convel and Attract these Members, in that called a true Spasm of them, or only lightly draweth the Fingers, Hands, Armes, or other Members and relaxeth them again, in a Convulsive Palpitation, therefore so called because it threatens true Convulsions. Also the Conjugations or pares of Nerves being molested, it often causeth that diseased crookedness and distorsion of the Mouth which they call a Dog-like Spasm, or also that light Species of a Spasm, which happens unvoluntarily to those that Cry and Laugh, and that from a too great affection of the Mind, the Spirits being poured forth thither with the Tears and forcing the Nerves; as how this comes to pass, and that from this cause, only more grievous Convulsions do arise, hath been explained in the cau­ses of an Epilepsie, and Catalepsie; although these also generated from other things do produce not only that Spasm raised in the Mouth by the affections of the Mind, and ceasing by and by, as they remit, but also a lasting and dangerous one; such as that Sardonius Laughter was, described by Cicero, that killed folkes; the which also being Supervenient in a general Con­vulsion together with other things, is accounted for the worst sign, and oftentimes when the Paroxysm is off, it remaines stil, by reason of an Alienation of the Mind as was said in an Epilepsie: and also this Particular Convulsion presents it self not only in the foremen­tion'd hurts of Motions, but also in others, and in the Motions of Breathing and Excrements, if the Nerves destined for them, be affected; amongst which that difficulty of swallowing which the Chyrurgions cal the Stomach Spasm, and which they so much fear in woun­ded People, is wont to be very frequent: as these shal be explained more rightly in their proper places.

A Muscle, seeing it is the instru­ment of voluntary Motion, In the Muscles or their Tendons, is the cause of a Palsie, a windy Spasm and other Species of Immo­bility. which moves the Member, if it be so affect­ed, that it can no more attract the Member, then there is a resolution or Palsie or if its Disease be such, that the Member be drawn against our will, then there follows not a Convulsion of it properly called, which we have said was only caused by reason of the Nerves, but ei­ther a Convulsion improperly called, viz. a Flatulent Cramp, or that called by us a lasting and strong con­traction of the Member, which certainly a Nerve, so smal a chord, if it be compared with so heavy a Mem­ber, cannot effect, but so may a Tendon of a Muscle that is so strong. But after this manner the Muscles almost proper to every part are hurt, whence also only Particular resolutions or contractions of those parts do ensue, or of one part only, if its Particular Muscle be hurt, or of more, if one Muscle send Tendons to many parts, yet somtimes also many Muscles being affected together, also these more general hurts of the parts which they move, do follow; the which may come to pass by reason of the neerness of the Muscles, and be­cause many being collected together, in certain places they are as it were included in one Membrane, as shall be said; which hurts, whether of one or more Muscles they depend on these causes; to wit, if they be possest with a Humor or Wind, or suffer a Preternatural Tu­mor, or are wasted being dried up, or suffer a cold distemper, or are hurt some other way, or have con­tracted an Organical fault.

From a Humor filling up the Muscles, or Besmearing them, A Flegmatick hu­mor possessing the Tendons, is the cause of a Palsie. or Insinuating it self into their spaces, a Palsie is seldom ingendred, as it is frequently if it possess the Ner­ves, as hath been said formerly. For if a Flegmatick, serous, or Excrementitious Humor flow down to the Bodies of the Muscles, or be heaped up there, then it breeds pains, and for that causeth that the Member can scearcely be moved, rather then a languishing or insensibility of it, as we shall explain in pains arising from Desluxions; the which also if Blood be there poured out of the Vessels, happens together with an Inflammation of the part; yet somtimes it comes to pass, that a watry humor, a long time washing and bedewing the Tendons of the Muscles, they being too much relaxt, and lengthend, there followes a Palsie of that part, which they ought to attract. Which for the most part happens only in those places, where many Tendons are carried in a fleshless and narrow place, about the bending of the Joynts, being bound and joy­ned together with Ligaments as it were with Rings, as in the Region of the Wrist and instep, where somtimes a Humor retained by reason of the narrowness of the place, and many spaces of many smal bones, combi­ned together in the Wrist and afterwrist, Ankle and In­step, and moisting and relaxing the Tendons it causeth that the Hands or Feet do continue Palsied in some all their life time: and it ceasing in other parts, only a Pal­sie is left in these, even when the Humor is wasted, the Tendons remaining longer then is fit; whence all their life time, they carry their Hands and Feet hanging, and when they endeavour to lift up, or lay holdon any thing because nevertheless they can move their Fingers or go, yet because they cannot do that by benefit of the Muscles, they are wont to cast them up on high, by the inpulse of the Arm or Thigh; in whom also for the most part appears an eminency as it were a certain Tu­mor in the superficies of the Wrist, arising by reason of Extenuation which is wont to be its companion, the bones bunching forth there, or by reason of a Callus or Node, which often grows here, for the causes after­wards to be mentioned; the which our Germans call Contracted, when notwithstanding they are Palsied; and that perhaps because, as hath been said formerly, with a Resolution of them caused about the Wrist, there is somtimes also joyned a Contraction of the Fingers: which comes to pass, because in the Hands laboring also of an Atrophy by reason of the compression of the Veins, which about the streits of the Wrist are prest by a Tumor, and are cooled in those bloodless parts, so that for those causes there is not sufficient passage for the Blood the Ligaments and Tendons also being wasted and dried do cause, that those Joynts of the Fingers be at length stopt, but not the Joynts by which the Hand is moved, which were already Palsied before: and thus in the same seat are found, parts Palsied, Con­tracted, and wasted.

From the same Flegmatick or Watry, or Excremen­titious Humor, so filling up the Body of the Muscle or Tendons, that being distended and made shorter, it attracts the part into which it is inserted, it seems that a Contraction also may be caused. But when an Humor fallen down to the Muscles possesses their spaces, by which they are joyned together; a pain rather doth follow, and upon that account that difficulty of mo­ving [Page 100]the Member than Contraction of the part, and if it bedew the Tendons or Nerves, a Palfie rather en­fues.

After the same manner from Wind breathing in, Wind in the spaces the Muscles is the cause of a flatulent Spasm. not into the bodies of the Muscles, but those Spaces which the Muscles make being joyned together, or knit to­gether by neighboring parts, and by its plenty distending one Muscle or more, so that being made shorter, they attract the part for a while, violently to themselves, doth that Cramp which there­fore they call Flatulent, arise; as many have delivered which most strong extension of the member yet can scarce be caused from Wind only, as we shal shew that called a Flatulent Palpitation doth frequently arise from thence, unless some other cause over and above be joyned, of which we shal speak by and by in the too great attraction of the Muscles which as it happens of­tentimes in divers parts of the body, so most common­ly in the Toes of the Feet, the fleshy Muscles of the Calfe being then affected with the highest pain by reason of their distention, and protuberancy.

But this Flatulent Spasm is caused by plenty of Winds, the Largeness of the passages, or foresaid Spa­ces betwixt the Muscles especially helping, being fit for the receiving of Wind; which happens to some either by Nature, the which also are more obnoxious to this evil. Or if it falls out from a vehement motion of the Muscles, for so, being as it were pulled from one ano­ther and from the neighboring parts, the Spaces which come between them, by degrees become wider, especi­ally if such motions be often repeated, into which af­terwards Wind doth easily slide in and for a light cause, especially whenas the Muscles being very much con­tracted in motion, doth make way for it, as shall be said by and by; as in Hides Excoriated we easily know that such like Wind doth lie betwixt the Mem­branes and the Flesh by the Bubbles appearing there.

A hard preternatural Tumor growing in a Muscle as some­times it causeth that they keep the Members attracted to it, A Tumor in a Muscle or Tendon is the cause of the said contraction of the Member. so sometimes bound up: as a Schirrus or Node gendred from the excrements in the Muscles, and especially about the Tendons where many meet in the Region of the Joynts, as hath been said formerly of the Wrist, and I have seen somtimes come to pass in the Knee, the Foot being then so drawn upwards, that the Heel was next to the Tail. Also a Callus in a Muscle or a Tendon being left after a Wound, by which they were wound­ed yet not wholly cut in two, and contracting the Lips of the Wound, because then it shortens the body or tail of the Muscle, it causeth that part into which it is in­serted, is more or less bound up; the which also I have seen come to pass in a hurt of the temporal Muscle, and the Mouth then was so drawn up, that it would scarce admit the most liquid meats.

The Muscles or their Tendons being dryed, An Exiccation of the Muscles on their Tendons is the cause of the Contraction of the Members. and with them som­times the Nerves inserted into them being so far wrinkled and bound up, they are become as it were Hardned and Callus, that they cannot be extended or bent; then in what situation they remain firm, in the same also they keep the Member which they are implanted, fixt and immoveable, and more or less Contracted; as of­times we see by reason of Old Age or of too much and long continued labour, some parts to become Stiff and diversly crooked, and those especially which have been much and long exercised with too much working: and that they go with a Crooked Back, and cannot raise themselves up streight, who have a long while carried heavy Burdens, and that they have Crooked Fingers and Hands, who have too much used their Help, or that Old Folks do labour of a Tetanus, or other species of Contractions: the which may come to pass not alwaies by reason of the Joynts as shal be said afterwards, but also from the foresaid Exiccation of the Muscles, their Humor being then Wasted by the forementioned causes, so that being consumed by Leanness (the which appears manifestly in the Mus­cles of their Limbs, especially in the greater even out­wardly) their bodies and Tendons seem to consist ra­ther of Fibres than Flesh, and to represent dry Cords, not soft Nerves: which Driness is helpt by the defect of Fat, which is wont first of all to be wasted by the said causes, whenas it growing both Extrinsecally to their Membranes, and being Intrinsecally inbred with the Fibres of certain greater Muscles especially, anoyn­ting them that they may the easier be extended and contracted in motion, but if they be deprived of it rendring them unfit for motion, also the Consumption of the Glue with which the Tendons upon the same account are wont to be smeared, from the same causes, for which the Humor and Fat do fail; which Exicca­tion we have demonstrated doth depend on an Atro­phy, formerly in a pituitous humor possessing the Ten­dons of the Wrist: the which also may happen from a vehement Heat from without, through great Heats if either they persevere long, or are so powerful, that they burn almost, the Tendons and Muscles rather the more membranous than fleshy being then bound up from thence: But there can scarce be such an Exiccation of the Muscles from internal heat even in the most burn­ing Feavers, seeing in Hectick Feavers, the body being otherwise almost reduced to a wasting, the members do not appear contracted by reason of that, unless by chance this happen in the Midriff and in the Tongue, the which being dried, as shal by and by be said, its Function also is weakened, as we shal speak of in the Breathing hurt: for that the Convulsions also which follow these Feavers, which we have said do very much differ from Contraction, do not proceed from the Exiccation of the Nerves as they would have it, but from their Irritation, hath been explained in an E­pilepsie.

The Muscles being very much Cooled by an external cause, A cooling of the Muscles is the cause of Impotency of mo­tion. so that the native heat being laid a­sleep, their Function is weakened, then either they cannot rightly move the member, or scarcely, as it oftentimes hap­pens in the Hands and Feet, parts more exposed to in­juries by reason of the Air, Wind, Water, Cold, that then they cannot rightly lay hold on things with their Fingers, they being either numed together, or affected with a great pain, manifesting it self about the roots of the Nails, as hath been said elsewhere, but also they think that Spasm is caused by cold which is wont to betide those that swim in very cold Water, by binding up the Muscles and Tendons, the causes of which ne­vertheless we have expounded to be other, the which notwithstanding this may help.

The Muscles or their Tendons being Cut, The solution of Con­tinuity in the Mus­cles or Tendons is the cause of a Palsie. or only Wounded a little way transversly there fol­lows a Languishing or Palsie of [Page 101]that Member which they ought to draw, which as it happens in divers places of the body, it doth bre [...]d ma­ny sorts of Palsies; so if it come to pass in the tem­poral Muscle, the lower Jaw is Palsied.

Moreover the Tendons of a Muscle being too much Extended by a violent motion, The too much leng­thening of the Ten­dons is the cause of Impotency of Moti­on. so that being as it were drawn asunder they be­come longer than is meet, it comes to pass that afterwards they cannot sufficiently elevate the Member, and because then they hardly recollect them­selves again, the Evil becomes lasting, which somtimes happens in the Hands by lifting up heavy burdens, in that strong streining: as also I have seen it happen in the Joynt of the Knee, being so forced by violence, that the many Tendons which meet there, being dissevered by that violent and sudden motion, and become long­er, or freed from their connexion with their Liga­ments, they could no more afterwards rightly bend that part, and the Patients have afterwards remained Limping.

And also an Attraction with vi­olence oftentimes befals the Mus­cles and their Tendons, Too great attraction of the Muscles and their Tendons is the cause of a Flatulent Spasm. that they being too much bound up, be­yond their term, or otherwise di­storted or bowed, or somwhat de­clining from their natural situati­on, so that they cannot be relaxt again presently, they draw the Member beyond a mean figure, and that Spasm is caused which so often seazeth on men for a time, when they extend their Members violently or with an inordinate motion: as it more commonly happens in the Feet when they put on their Shoes with pain, or Swimming in the Water, they stir them after an unusual manner, in which Spasm a Prominency of the Muscle appearing, and vehement pain, doth suffi­ciently shew that it is wound up by contraction, and too much streightened in it self, Wind then also break­ing into that Space, which it causeth by its elevation, as hath been said formerly, and helping its distension; and that so long til the Muscle being relaxt again, the Spasm doth cease again: which is the sooner perform­ed by the opposite Muscle drawing the part which the Muscle fastened to it doth follow; the which never­theless, if the part be disposed as hath been said former­ly in Wind, and there is plenty of Wind, it is wont sooner and the easier to return, and somtimes to molest men not only in some one place, but in many places; which every one, if he rightly consider the business, may know to be the true cause of the Cramp that doth so violently and with pain extend the members: see­ing the true Spasm which is caused by reason of the Nerves sometimes in these or other parts, cannot ex­tend the members so violently, or cause so great pain, as when it ariseth by reason of the Muscles.

But also if this Organical Disease from inbred causes be­fall the Muscles or their Ten­dons from the Birth, An Organical fault of the Muscle is the cause of the Impo­tency of motion. that in more or fewer places, they are longer or shorter, there follows ei­ther a Languishing, or Astriction of those Members: as we have seen some Born with a Rigid or Bowed back, or contracted in other parts, or also palsied.

The parts which are moved in voluntary motions, are the external Members strengthened with Bones, which do perform strong motions, as hath been said; in which if the cause of immobility consist, it is for the most part in their Bones or Ligaments and Cartilages, and the parts of the Face that exetcise the weaker mo­tions, as the Lips, Eyelids, the Eye; whose faults which are prjudicial to their motions, now we wil ex­plain in particular.

If the Bones be so affected, The Cause of Impotency of motion in the Bones. that they cannot be moved out of their place, then neither can the part which is composed of them and strengthened by them, fol­low; which comes to pass from an emi­nent hurt of them, they being broken or cut off, or Contused, or otherwise prest by some weight; or if they be dislocated in the Joynts, in which they are joy­ned together for the exercising of motion.

The Bones then of the movea­ble parts being broken or cut off, A Fracture of a bone is the cause of Impo­tency of motion or some other hurt of them. or contused, or prest (for concer­ning other hurts of them we shall treat elswhere) it comes to pass, that first of all if they be broken and wholly broke off, then though part of the broken Bone, into which the Muscles and Tendons are implanted, be attracted (the which can­not be, by reason of the pain which is present, and is encreased by the least motion of it) seeing the part broken off doth not follow, the part can no waies be rightly moved: the which soonest comes to pass in the long and round bones of the parts which are mo­ved, the which are the easier broken, if they consist on­ly of one bone, and then if the Fracture be so great, that the ends of the bones broken off do part from one another, that portion of the Bone which grows to the Tendons, which are alwaies retcht, being drawn up­wards, seeing nothing doth resist, there follows an ab­breviation of the part, as it often comes to pass in the Bones of the Thigh, Arm, and Fingers, but in those parts which are strengthened with two Bones, that this may come to pass, they must both be broken and diffe­vered after this manner, whenas if one only be broke, the other doth yet sustain the part, and therefore there follows no shortness of it, neither would the motion of it then be taken away, unless pain did hinder it; as in the two Bones of the Leg and Elbow this somtimes happens; and in the distinct broad Bones of the lower Jaw, it may fall out on both sides, or only on one side: but if the part be compounded of many long Bones, as in the Instep and Afterwrist, seeing all of them are scarce broken together, pain (as long as it lasts) ra­ther than an Organical fault, wil then hinder the moti­on: also if short and thick bones be broken, then also by reason of pain, the motion is so long hindred; as when the Vertebrae of the Back have been broke off, as I have once observed it, seeing the bodies of them can scarce be throughly broken, as neither no other small Bones. Yet the Ankle being broken (which I have seen by chance wholly pul'd in two in the middle) the motion also is taken away of it self, and not only by reason of the pain: and if this come to pass in the Knee-bone, which in some I have oftentimes noted to be broken into two parts very much separated and distant, then seeing the Knee doth no way constitute the Joynt, but because the Knee-pan only doth retain the wandring Tendons, that they turn not aside, the motion of the Joynt suffers an Imperfection.

All which forementioned Bones both long and short cut asunder in like manner by a Wound do produce the like Impotency in Motion for the same rea­son.

As from a Contusion of them, as long as the Pain molests, the motion is hindred by reason of that rather [Page 102]than any thing else, unless there be a Fracture, the which is wont somtimes to happen in the Vertebrae of the Back, and in the lesser bones of the Wrist and other smal ones of the Feet.

All which, as well Fractures, as Wounds and Con­tusions, do befal them from a violent cause comming from without, as from a blow or fall: also from cor­ruption of the Bones, by a Sphacel, not only of the lesser, but also of the greater. We have seen some parts of them so eaten and corrupted, that the bones have fallen, as if they were broken, and have been rendred unfit for Motion, and that both by reason of the French Pox, and other causes; as also we have observed from the Cancer of the Gums, that part of the lower Jaw toge­ther with the Teeth, hath been taken out on one side, and the Maiden which suffered this, could nevertheless chew her Meat.

And also the bones being burthened by a weight, Flesh, or Fat, they follow more slowly to move.

Two Bones being Dislocated which mutually joyned and bound together with Ligaments, A Dislocation of the Bones of the joynts, is the cause of Immobility. do form a Joynt for Motion: if this happen in the Joynts which are moved by an apparent Motion by a Diarthrosis, then this Immobility will be more manifest, and more prejudicial, especially if the Luxation be great; which comes to pass, if the Head of the Bone do wholly fal, forth of its socket, and then they call it an Exarthrema for jf it be only carried to the Brow of it, then the Lux­tion is lighter, and tis called a Parathrema, which some call only a Separation, both which if they happen in the joynts, joyned by an Enarthrosis as of the Thigh with the Hip, and the Head falling out of its receiver and thrust to the upper parts do stop there, retained by a Lax Ligment, the Thigh also is shorted, and there is an apparent prominency in that part; the which also happens if it be carried to the hinder or utter parts; for if it be led to the inner or fore parts, because it subsists about the brows then the Foot rather becomes longer. And if this come to pass in the Joynt of the Arme with the Shoulder, as it may the sooner be by reason of its plain socket, the Arm for the most part fals down to the lower parts under the Shoulder, and then the eminency of the top of the Shoulder is lost, and in the place of it a hollowness doth manifest it self; and if the Jaw be Luxated after this manner, it makes that mouth open, fixt, and crooked, if the Luxation be only in one side: the same may happen in the Joynts, composed by a Gynglymus, their Heads and Sockets going a part, to to this or that side, as in the Leg with the Thigh and Feet, in the Luxations of the Elbow with the Shoulder and lower part, and of the Joynts of the bones of the Fingers, for which reason also the Knee-bone if it fall out of its Socket, it doth prejudice Motion by diver­ting the Tendons, as hath been said in the Fracture of it, and upon no other account. But in the Trochoidal species of Articulation, by which the Head is moved up­on the Vertebrae, seeing that hinge, which the first Verte­brae makes with the second, can scarce be lift up so high, that it should fal out of its Socket, & tis so firmly bound up with Ligaments it can scarce come to pass, that the Head should loose its Motion, by reason of a Luxation. But if a Luxation happen in the Joynts which are moved by an obscure Motion, by a Synarthrosis, and this be in that Species, which we have called the moveable Joy­ning, or Coalessency, by which the Vertebrae of the Back are joyned together, then the Cartilage which doth also Conglutinate the Verbebrae together being relaxt, it slacking somwhat in many Spaces of them, espacially a­bout the middle part of the Back, and the upper part of the loins, seeing it is found there more plentiful, it comes to pass, that many Vertebrae (because one alone can scearce be carried so outwardly, and the Cartilage with which it is knitted be so Relaxt) more or less parting from one another, do produce a crookedness in the Back, and when it cannot erect it self, also a short­ness of it, and with that of the whol Body, in those cal­led Gibbous, and then the Prominency arising from thence bunches forth to the outer parts, rather then to the inner, because the bones of the Vertebrae do not suffer them to be so wrested thither, and according to the various manner of severing the Vertebrae it causeth somtimes an Acute, somtimes an Obtuse bunch, and greater or less. Somtimes the Vertebrae bowed towards the sides, do fram the Body wreathed and short after another manner: and in all those crookednesses of the Back, because the Ribs annext to the Back do follow, the breast also appears either lift up or deprest, or other­wise deformed; whence follows difficulty of breathing if the structure of the Breast be very much vitiated; or also danger of Suffocation if the Vertebrae of the Neck be Luxated, the which notwithstanding cannot be un­less by great violence, because there intercedes a little Cartilage, but as somtimes the first Vertebra which is loosely joyned by an Arthrody, if it be Luxated, it caus­eth the sixth species of a quinsie so called by Hippocrates.

But in the other Structures of smal bones mutually joyned, as of the bones of the Wrist, Foot, Instep, this seldom comes to pass, because they are strongly bound together; and if it do happen, because all of them are moved very obscurely, they cannot bring any great impediment in Motion.

But this great perversion of the natural Scituation of the Joynts, that the joynts looseth its moveableness, and that hinge, as is said cannot be turned, proceeds from divers causes; somtimes from a violence offered to the bones and deviding these Conjuctions of the bones, as if either bone which frames the joynt, be forced or thrust by a blow, or fal from its Conjunction with the other, which as we see in many joynts, so in that of the Shoulder, otherwise naturally prominent there, it easely and often happens by a fall; the same also may come to pass from the Attraction of a bone made beyond measure, or to a place, whether it ought in no wise to be drawn, as in Yawning the mouth being too much or crookedly distended, a Luxation of the Jaw, or a Contorsion of other bones by Gestures or seriously by a rack. But also this happens by degrees, if a moveable part be often inclined to the same part, and be kept a long while in that Scituation, whence at length by continuall use the joynts being relaxt, they are drawn asunder, and because they cannot be redu­ced to their natural Scituation, they cause an Immo­bility of the Member, whose Figure, also they corrupt, for which reason a bunch is wont to grow in the Verte­bra of the Back of Maides, because by custom they sit crooked a spinning, and of Infants, because they lie in an uncomly posture of Body; by which means also they increase the beginning of the crookedness of the Back, whether caused from the birth or by chance by inclining themselves that way, both in their going and lying down, and not resisting by a contrary Motion. A Luxation also may happen of its own accord, not by the fault of a bone, but of the Ligaments as we shall now explain.

By reason of the Ligaments that do inclose and retain the Joynt, In the Ligaments of the Bones of the joynts, is the cause of the Impotency of Motion. the Joynt may be Luxated, and so its Motion may cease, or otherwise it may be stopt and hindred without a Luxation.

[Page 103]By reason of the continuity of the Ligaments dislolved, The Continuity of the Ligaments dis­solved, is the cause of Immobility. which ought to retain both bones in the Joynt, that they should not be dislocated; a Luxation of them also, or at least wise an Elongation of the Member, so called by some, may be caused, the which yet can scarce happen from the breaking of them, seeing these are most strong bound, unless this befal the round Ligament, which knits the Head of the Thigh to the receiver, being broken off from the bones by violence: But the same may come to pass from a wound penetrating to the Membranous Ligaments which do outwardly compass the joynt, and cutting them in two, but this seldom comes to pass, because these lie in hidden places. The Ligaments also may be eaten through by matter Sup­puration being made there, the which is wont somtimes to fal out in the joynt of the Thigh with the Hip by reason of Sinuous Ulcers, which arising there about the Membranous parts, do continually pour forth a white Viscous matter, by the Buttocks and Hip, and Intrin­secally corrupt these Ligaments; of which sort we have seen many so affected, with a Luxated and shortend Thigh to have remained perpetually lame, or at least­wise that not being Luxated, to have limped with one Foot longer then was meet. Somtimes also the Liga­ments that compass the joynts, being too much drawn asunder and as it were torne in part from the bones, to which they grow, by some violent forcing of the joynt on the rack, or by some chance, the Motion of the Joynt is left somewhat hindred, with a pain at first, of­tentimes a long while troublesome: as I have som­times observed, hath happend in the joynt of the Knee, and Shoulder and in others; and Casparus Wolphius, an eminent Physitian, my true friend, hath told me, that by violent drawing on of Bootes, when they were put on, his Hip joynt hath been thus hurt.

But also by reason of a slackness of these Ligaments, A slackness of the Ligaments, is the cause of the impo­tency of Motion. as in the joynts which are moved by a manifest Mo­tion, this naturally befals them, that they are more Lax, neither do they hinder the joynt, which ought to be moved freely, by strict binding it, it comes to pass that these joynts are more easily dislocated then others, so also if these which are more Lax then others, and others also if they be broad, be yet more amplified, and those which are round, be lengthned, then the Member stands forth, further then is meet, and gives a helping cause, that a Luxation be the easier made, and from a less force. Which things befal some from their birth, whence they can both bend and extend their limbs, somwhat beyond their natural bounds; or they have one limb longer then another, or as some would have it, they presently grow with dislocated Members; or it hap­pens by reason of the Age, because of the softness of the Ligaments, and appendixes of the Bones, that from the joynt which remain for some time Cartilaginous; and most have thought that might come to pass from a watry, Flegmatick, Serous humors so bedewing these parts, the which yet is not very likely, as appers from hence, because in the Leucophlegmatia and other Species of the Gout, the Humor staying there a long time, yet there follows no Luxation of the part.

The Ligaments also being dried, and hardend, A driness of the Ligaments, is the cause of the im­potency of Moti­on. and being bound up and Callous, or hindred with knobs in the Gout, or with Nodes, the Motion of those joynts remains sixt and immoveable, or otherwise they are hardly moved, and somtimes they make a noise and crackling, as if they were broken, if they be urged with geater force. The cause of which sound also is, if it be driven by force further then the joynt ought to be mo­ved by a moderate Motion; but such an Exication of the Ligaments, somtimes proceeds from old age, and a most acute feaver drying up also the Bones and Nails, as hath been said elsewhere: or from some other hurt, whence a Callus or Node grows there, or from a Hu­mor turned into a knob about the joynts, as shall be explained in its place.

The Cartilage, In the Cartilages of the Bones of the joynts, is the cause of immobility. which crusts over the Heads of the moveable bones, if it loose its slipperiness, and clammi­ness, and be dried up, or Exaspera­ted from the said causes; it doth also hinder Motion, as a hinge tainted with rust.

By Reason of an affect of the Lips opening the Mouth it happens, In the Lips, is the cause of their immobi­lity. that their Motion is weakend, and the largeness of the Mouth depraved; if they be so cut off, or dissected, that they cannot follow Motion, or otherwise, as we have seen it fall out in the French Pox, if they be eaten with Ulcers and corrupted; but their other faults do preju­dice rather by pain, as we shall shew in their places.

It scarce happens that by fault of the Ey-lide the Eye cannot be shut, In the Ey-lids, is the cause of their immobi­lity. unless a Tumor or some excrescence growing there do hinder it; but it fals out that the Eye cannot be opend, only the up­per Ey-lide being cut in two, and scarce for any other causes.

By Reason of a Disease of the Eye, its Motion scarce fails, unless this proceed from a Tumor of it, that it cannot be rowled about freely, pain then chiefly hind­ring the Motion; but a squinting though it be from the Birth, doth rather arise by reason of the Muscles of the Eye, as hath been said, and if this comes to pass, the Eye being wounded or digd out, the Eye doth not on­ly loose it Motion; but also becomes unprofitable.

The Cure.

The Cure of all these kinds of Immobility, whe­ther it be a general Palsie of many parts, or proper to particular moveable parts, or a Spasm, or Contracti­on, or Bunch, Luxation, Fracture, Wound, or other hurt, is ordered according to the Nature of the cause; which we have said, was a humor possessing the Nerves or the Tendons of the Muscles, a cold distemper of the Muscles and Nerves, a distension of the Muscles from Wind; a driness or emptiness of the Muscles, Ten­dons, Ligaments; a hard Tumor in the Tendons Li­gaments; the compression of a Nerve, a Wound or Contusion in a Nerve, Muscle or its Tendon, Liga­ment; or Member; a Fracture of the bones, a Luxa­tion of the joynts, and last of all an Organical fault in all the Instruments serving for motion, in every one of which what must be foretold, or done, we will now propound.

If a Palsie be from Watry, The Cure of a Palsi [...] ingendred by Flegm, which they apply also to a perticular Spasm which they say pro­ceeds from the same Humor. Ex­crementitious, or Flegmatick, or serous humors, simple or mixt together, Bedewing or pressing the Nerves, or cooling them, whether it be general to many parts, or only particular to some, the following way of Cure must [Page 104]be ordered; the which also they think likewise conve­nient, and prescribe it for the Cure of a Convulsion or particular Spasm or Cramp, which they have thought was caused from the same Humor: but we who do hold the same to be the Causes of particular Convul­sions which we said were of a General Convulsion; as concerning general Remedies, we think the same also which have been explained in an Epilepsie, are rather to be used. But the Topick which are described here to be convenient in a Flegmatick Palsie applied to the place affected in a Spasm we judg may do good, if so be that a Convulsion caused from thence or Pain do urge it, subscribing to common consent of Physitians, yet the Attraction which is in the Spasm of the Mem­bers for the most part doth not so much require Topick Remdies, as the danger of an Epilepsie by and by to follow, doth admonish us to apply the use of those things which do prevent it, as both those things which are Intrinsecally taken and Extrinsecally applied upon that account, have been explained: as also if a Flegma­matick Humor falling down upon the Muscles, doth breed these distensions with Pain, the Cure shal be ex­plained in Defluxions.

In a Flegmatick Palsie therefore, as they call it, A Prediction in a flegmatick Palsie. whether general to both sides, or only in one side, whe­ther this follow an Apolepsie, or begin of it self, because it is a Cronical Disease, and the sick do scarce continue so long in the use of Medi­cines, and good government, the Cure goes on very hardly, especially if it it befall Old Folks or otherwise those whose Strength is exhausted; or if it cease in some places, it sometimes leaves a lasting fault, in the Speech or Hands or elswhere: nor doth a particular Palsie less require a long Cure, which also sometimes ends in a General one, whose foreteller it often is. Somtimes also a Palsie is Dangerous because it threatens an Apoplexy, in which unless it be cured, it is wont often to terminate and kil the Patient: yet in the Interim if we proceed rightly in the Cure of a Pal­sie and desist not in a Disease of long continuance, and the sick be obedient, and nothing more grievous doth hinder, that somtimes succeeds happily or from a more General one, the humor not subsisting about the Ori­ginal, but in the process it is changed into a Particular one.

Which Cure we wil so order, that in relation to the Cause, The Method of Curing in a fleg­matick Palsie. we wil re­vell another way from them, derive, or purge out of the body the humor that possesses the Nerves, or other­wise discuss or consume it in the part, and prevent that new Excrements be not generated, from which these humors are either increased or fomeneed, but in Re­spect to the Disease we must correct the Cold and Moist distemper in the Nerves. Last of all by occasi­on of the Symptoms we must strengthen the weak parts, and allure the Spirits again and Vertue to the Muscles, and must provide for the strength of the whol body.

Which ought to be done in this order, first of all we turn our selves to those things which purge by the Stool, and before we use the Stronger we wash out the common Excrements of the Guts and their dregs, by things taken and Injected, for so this filth being first cast off, the strength of Purgers being not broken by them, doth the better disperse it self, afterwards we must pre­pare the Flegmatick Humor with hot incisive things that are appropriate; which being done, we must admi­nister Purges which do egregiously solicite nature, for the calling forth of humors from the depth, and for the casting of them forth by this natural way destin'd for the purging of Excrements, and so may revell them from the part affected; all which if they help not presently in this Disease of long continuance, they must be often repeated, that we may continually accustome nature, that she rather empty her self that way; we must also attempt evacuations by other parts, yet that which is made by stool going first: as by the Mouth and No­strils, which are done, either to prevent a new Colecti­on of Excrements, which seeing they are wont to be heaped up in the first concoction not rightly perform­ed, Vomiting upon that account must be caused both by things taken and actually, or chiefly, that excre­ments of the Brain, which the brain is wont naturally to expel by these passages, may be allured hither, and so may be diverted, that they follow not the course of the Nerves. Which is done by putting things into the Mouth and Nostrils; also we draw forth the humors through the habit of the body by insensible transprira­tion, manifest Sweats, by giving those things which can move them, or by outwardly applying them, or by motions of the body; or we assay it with manifest o­penings; also we heat and strengthen the parts, giving and applying divers Remedies, which by drying may wast the humor; in the interim, we must preserve the Strength both by Nourishments taken, and other things rightly administred, by which the body is pre­served.

But these things which are administred both by rea­son of the Cause, the Disease and Accidents, we do perform, either by things taken or swollowed into the stomach, or by thing thrusts up into the Guts, or into the capacity of the Mouth and Nostrils; or by things outwardly applied to the body, the palsied Members, the Back-bone, the Head or by encompssing Air, or Motions of the Body and Mind, or by manifest Open­ings, of which we wil treat in this order.

The Remedies which we give to the Sick to be ta­ken and swallowed, although oftentimes they perform many things together, yet they are chiefly given to cause Expurgations by the stool, by Vomit, by Sweats, or other waies; or they are given for Nourishment for Strength sake, with which also we mix things Medici­nal; or for the preparation of the Humors before Pur­ging, or to Heat and Strengthen the Nerves.

The Remedies given to purge the Humors and Ex­crements by Stool, which with the same labour some­times also do alter too, are some of them Gentler which are used before other Purgers and their Prepara­tions; and are used by course, to keep the belly open, which by long lying and sluggishness is wont easily to be bound, & they are chiefly given in the form of Pills. Of usual Pils Assaireth are convenient, because they have French Lavender in them, Alephanginae, because thep contain many Spices, which adding of Agarick wil be more effectual, and whiles the matter flows Rhu­barb may be added, Mastich, and Castor that they may heat more powerfully.

After this manner. Take of Pills Assaireth two drams, Alpehanginae one dram and an half, Agarick, Rhubarb, each one dram; Mastich half a dram, Salt gem one scruple, Castor half a scruple, with syrup of French Lavender make a Mass, let him take one scruple for a Dose by course.

Or they are prepared of other things. Take of Tur­pentine half an ounce, let him take it by it self or diluted with Honey and water of Ground [...]ine; and 'tis an appro­priate purging and singular Remedy for the Palsie, to which some add the Species of Hiera, and give it of­ten.

[Page 105]Of convenient Liquids taken after the same manner, also a Minoration, as they cal it, or gentle purge, may be made.

Then stronger purgers must be given, yet scarce be­fore the fourteenth day, after the invasion of the Disease, which times is to be spent in the preparation of the Hu­mors, least that as it often comes to pass in Diseases from Defluxions, whiles it yet flows, it be stirred more by the use of these things, especially if Gums which dif­fuse the matter, do enter into these compositions, as it often happens in Pils, which are therefore to be omitted, if we must purge sooner, and certain astringent things are rather to be mixt.

The most convenient form of Pills, will be this. Take of Pills, Faetidae, Cochiae, of each one scruple; Opo­panax half a scruple, with syrup of French Lavender, Make Pills. If they work not enough they may be quickend with five grains of Trochisks of Alhandal.

One dram of Pills of Ground-pine given, will do the same with great success: of which afterwards.

Such a Potion may be taken instead of the Pills. Take of the Electuary, Diaphaenicon, the greater Indum, of each two drams; syrup of Diacnicum six drams, Cinnamon water two drams, Ground-pine water, as much as is suffi­cient; make a Potion.

Or, Take of the tables of Diacarthamum of thy descrip­tion one dram and an half, Lozenges of Citron solutive two drams: Dissolve them with Sage water, for one draught.

A Decoction may be made instead of these. Take of the seeds of wild Saffron, the leaves of Senna, of each three drams, Hermodactils one dram, Liquorish root half an ounce, Raisons forty, Figs twenty, Annis seed two drams, Rosemary flowers one pugil: Make a Decoction. Infuse in it, of Agarick trochiscate one dram and an half, Turbith one dram, Ginger half a dram, Cinnamon one dram: Strain it, Dis­solve in it Honey of Roses laxative half an ounce: Make a Potion.

The Purgers must be repeated by course, if the Dis­ease continue, especially if there be great plenty of the Humor flowed down, as in a more general Palsie, and the Body be full, which shall be done, the Humor be­ing prepared a new, and purged again, or giving for some time, things made of those following, for three daies together, then interposing a day or two and rest­ing the while, or every Month, or at the seasons of Spring and Autum.

The form of Pills is most convenient to receive any thing, and especially those Pills of Ground-pine, or Ivae so called, are commended, which Mathiolus holds for a present remedy, and Bened. Victor cals a glorious help: if one scruple be taken before sleep at night, every day, or at least twice a week, the description of which produced by them both in the same manner, we make thus more commodious: Take of Coloquintida prepared half a dram, Scammony prepared one dram, Turbith one dram and an half, Agarick two drams, Rhubarb one dram and an half, the Pouder of simple Hiera half an ounce, Gin­ger one scruple, Spicknard, Fossil Salt, of each half a scruple; Lavender, French Lavender flowers, of each one dram; Opo­panax half a dram, Mastick one scruple, Castor half a scruple, the Distilled Oyl of Marjoram and Rosemary, of each five grains; the juyces of Ground-pine newly drawn, and boyled like to an extract, as much as is sufficient; Make a Mass.

A usual Syrup shall be prepared thus, with less labor and cost; Take of the roots of the true Acorus half a pound, dry Sage one ounce, Ground-pine, fix drams, flowers of French Lavender and Lavender, of each half an ounce; Ca­raway seed two drams; Make a Decoction, and in that strained infuse, Agarick one ounce and an half, the leaves of Senna four ounces: Let them boyl gently, Aromative it with Cinnamon two drams, Ginger one dram, add of Ho­ney a sufficient quantity: Make a Syrup, boyled to a con­sistence for your use, making trial of at the first, giving of an ounce and an half.

Or one very much compounded, shall be made thus, Take of the roots of the true Acorus, Orrice, of each one ounce, the roots of Angelica or Master-wort, Elecampane, Pellitory of Spain, Hog Fennel, round Birth-wort, of each half an ounce; Galengal, Cyperus, Valerian, Dyers Madder, of each two drams; the Herbs Sage, Marjoram, Betony, Balm, Pen­ny-roval, Poley, Hyssop, Time, wild Time, of each one hand­ful; Ground-pine one handful and an half, flowers of French Lavender, Lavender, Rose-mary, Prim-rose, of each one pu­gil; seeds of Carawaies, Fennel, mountain Hartwart, Piony, of each two drams; Rocket, Rue, Chast Tree, Angelica, of each one dram; Bay and Juniper-berries, of each half an ounce; Liquorish root one ounce, Figs twenty four, Raisons forty, wild Saffron seed two ounces, leaves of Senna three ounces Turbith half an ounce, Agarick six drams, Hermodactils three drams, the roots of Grass Plantane two drams, Mecho­acan three drams: Make a Decoction according to Art, Aromatize that strained, with Cinnamon half an ounce, Ginger one dram and an half, Salt Gem half a dram; add of Sugar half a pound: Boyl them to the consistance of a Syrup, Let him take for one Dose two ounces, or more.

An usual Electuary wil do the same: Take of the Ele­ctuary, Diaphaenicon the greater, Jndum, tables of Citron solutive, of each one ounce; tables of Diacarthamum of thy Description six drams, the Pouder of Hiera of Coloquintida three drams, Mastick, Opopanax, Sagapen, of each half a dram; Nutmeg, Ginger, Cinnamon, Cloves, of each one dram; with syrup of Ground-pine or French Lavender: Make an Electuary, let him take from two drams to sour.

Some also attempt Purgations by Vomit, giving the very strongest, as Stibium, by the use of which I have indeed observed twice or thrice, that they have become presently Palsied, who formerly were not so; there­fore it ought to be moved rather by giving thogentler, (unless it succeed of its own accord, or be actually pro­voked) in those that are sooner accustomed.

By sweats often repeated, by giving of the Decocti­on of Guaicum, China, or others, because it cannot be removed by any other way, this long continued Dis­ease is often cured; which will be made proper, if Sage and Ground-pine be boyled in the same, and it be Aro­matized with Galangal and Nutmeg, as thus: Take of Sarsaparilla two ounces, Guaicum three ounces, Orrice root one ounce, roots of Elecampane half an ounce, Roots of Acorus half an ounce: Make a Decoction in Water, according to Art, for a sweating and ordinary drink.

But also it will be very convenient to move sweat, somtimes by giving of other things, as the Rob or Quiddeny of Dwarf-Elder two drams: Dissolve it with the water of Ground-pine and Sage, and let him drink it.

The Courses, Hemmorrhoids, if they be stopt, are prositably moved, by taking of remedies that provoke them.

Those things which are graunted them to be necessa­rily taken for the nourishment and sustinance of the Bo­dy ought to be administred sparingly and seldom; for to use a sparing Dyet, and sometimes to suffer hunger, doth very much hinder the product of Humors; which will be done, if they take meat moderately only twice a day, or somtimes forbare their Supper. Or their Sweats being continued for some time, and other Eva­cuations, in making of their Dyet, as they call it, they [Page 106]joyn a Detraction of their meat, or if otherwise, meat be administred to them sparingly.

The which also if it be of good juyce it will be suffi­cient, and produce fewer Excrements, as if he eat Egs, and of Birds, Threshes, Mearles, Larks, Chassinches, birds like Nightingales, Sparows, or those which most do write, do by a peculiar vertue resist this Disease, as chiefly wild Pidgeons, Turtles, Swallows, the brain of a Hare, which therefore they put also into Compositi­ons: which are convenient rosted rather then boyled, and moreover they become Medicinal, if they be stuck and stuft, with Sage, Marjoram, Time, wilde Time, and other sweet things, and Spices, especially with Nutmeg.

If the seeds of Carawaies, or Fennel, or Annis, or Gith, be mixt with the bread when it is baked it will be more convenient, and if he somtimes use Aromatical Dyet or ginger bread, Sugar'd, as they are wont neatly to pre­pare it, or honied, which they call the Bread of Life, Pine-nuts, Pistachoes, are very much commended here, and are beleeved to strengthen the Nerves.

Junkets of Mustard seed administered at table instead or sauce are very much approved, as also pickeld Ca­pers.

The Salt with which meats are salted is approved, and that made of Treacle and Vipers, as this follo­wing: Take of Salt one ounce and an half, Nutmegs one dram, the rtots of Pellitory of Spain half a dram, the leaves of Sage, Marjoram, of each one scruple: Mix them.

It will do good if they drink but little, and wholly abstain from the use of Wine, or of clear Wine, and in­stead of that, drink Water and Honey, which shall be prepared of ten parts of Water, and one of Honey, boyled to the Consumption of a third part, and Aro­matized in the end; Or if he drink it more Compoun­ded, as shall be declared by and by.

Those things which are given to prepare the Humors are used before purging Medicines in the beginning of the Disease, and are repeated, when in the progress of the Disease, the purging ought to be reiterated; but also otherwise given they do help, because they at once waste and alter the Humors, as shall besaid.

This is done by Syrups after this manner: Take of the Syrups of French Lavender, Hyssop, of each two ounces; Honey of Rosemary flowers half an ounce, the waters of Sage, Ground-pine, Hyssop, of each one ounce and an half: Make a Julep, Aromatize it with the Pouder of Rosata Novella, for four or five times.

Also Nicolaus his Syrups of Ground-pine, are con­venient, of the Conserve of Acorus Honey of Squils, although they approve of Oxymels, we omit them, the waters of Matjoram, Betony, Prim-rose, Balm, are allowed.

In place of these, Water and Honey, boyled with Acorus, French Lavender, Lavender flowers, or with Sage, is very convenient.

Also the following Decoction may be given to drink instead of these. Take of the roots of the true Acorus, Or­rice, of each six drams; Cyperus, Elecampane, of each three drams; the Herbs, Sage, Marjoram, Ground-pine, the tops of Time, of each one handful; Hyssop, Betony, Penny-royal, Calamint, ef each half a handful; the flowers of Rose-mary, French Lavender, or Lavender, Elder, Prim-roses, of each one pugil; seeds of Annis, Fennel, of each two drams; Rue one dram, Liquorish root one ounce, Raisons three ounces: Make a Decoction, adding Honey or Sugar, as much as is sufficient, Aromatize it with Cinnamon, or with some Aromatical Pouder, let her use it instead of a Julep.

The Remedies which are given to Drink, to heat the sluggish and cold Nerves, and also to waste the Humors ought to heat very much, so that they may kindle a fea­ver, because if that supervene, the whol Body then grows hot, and the moistures of it are Egregiously con­sumed: with which also are mixed those things which are appropriate to the Neres and do resist Disease by a peculiar vertue.

But these are used presently after purging, and in the whol progress of the Disease, being given in the mor­ning to them fasting, or once or twice towards night, in the form either of a Decoction, Infusion, Waters, Pouders, Electuaries, Pills, the choycest of all which we will propound.

Somtimes the more grateful Decoctions are given upon that account, because they loath ingrateful things in that form: of which sort Compound Hydromel or Mead is very effectual, if it be drank somtimes before Meat, or otherwise, which is thus made: Take of Water twenty pound, Honey one pound and an half, the roots of Acorus, dried Sage, of each one ounce; the roots of Orrice half an ounce: Boyl them to the Consumption of a third part, Aromatize it in the end with Cinnamon, Nut-meg, of each two drams; Pepper half a dram: Make a Meli­crate, the which also may be done after the same man­ner with Sugar.

Other Medicinal Decoctions may be reduced into the form of a Svrup and used, which may be boyled, as hath been said there, with the formentioned prepa­ratives and purgers, or taking away those things which purge and so be given.

Or of juyces after this manner: Take of the juyces of Sage, and Ground-pine, of each one ounce and an half; the juyce of Marjoram one ounce, Lavender water two ounces, the most generous Wine two ounces, Sugar or Honey two ounces: Boyl them to the consistence of a Syrup, Aromatize it with Nut-meg, and the roos of Galangal, of each one dram: Let him take often one spoonful.

Infusions, especially those made in Wine do good, for though Wine, especially if it be stronge, is no waies convenient, yet acquiring the strength of other things to it self, and being to them as it were a Vehic [...]e to the Nerves, it becomes profitable, being somtimes taken by way of Medicine, but it is prepared of the simple Infu­sion of Sage, or of some convenient Plant.

Or a Compound one, as followeth: Take of the roots of Acorus two ounces, the leaves of dried Sage one ounce and an half, Ground-pine, Cow-slips, of each one ounce; Wormwood half an ounce, Nutmeg one ounce, Zedoary half an ounce, white Wine, or new Wene, or Wine a little boyled twenty pound: If you add of the shavings of Guajcum one pound, the wine will be more effectual. Distilled waters or those made by infusion, are highly magnified by some, which are given by themselves in the morning, or are mixt with others, as the more simple ones of Rose­mary, Sage, Marjoram, Time, Lavender, especially, if the Liquor be extracted out of them dry, being first steeped in Wine; Cinnamon water, as it is grateful, so also tis effectual, the water of Ground-pine and Prim­roses are chiefly appropriate.

Many Compound ones are made for these uses, such as we have described also in an Apoplexy, this also will be rightly fitted for the work. Take of the roots of the true Acorus, Angelica or Masterwort, Elecampane, of each fix drams; the leaves of Sage, Marjoram, Rose-mary, Ground-pine, Rue, the flowers of Lavender, Prim-roses, of each half an ounce; Galangal, Nutmeg, Zedoary, Cinna­mon, Cloves, of each there ounces; Being thus pouderd steep them in strong-wine, or in that first distilled, till it be thick as Frumenty, afterwards draw forth the Li­quor, give one spoonful often in the morning; it will [Page 107]be more effectual if you infuse a little Castor in part of it and give it, or if you fear the strong seml of that, let a few grains of Musk be added.

Divers commodious pouders are prepared, which are either drank by themselves from one dram to one dram and an half, being dissolved in the waters of Sage, Marjoram, Lavender, Cinnamon, Groundpine, and also with Honey and Rosemary flowers, or Anacar­dine, or of Squils, or with other Syrups. Or eight parts of Sugar being added to one of Pouder, they are so taken, Or the Sugar being first dissolved with the said Waters, Lozenges are made, and then they are gi­ven in greater quantity. Or they are mixt with Con­serves and Electuaries.

Of the usual ones the most excellent are, the Pouder of Diamoschum Dulce, and Amarum, Diathamaron, Pleres with Musk, Rosata Novella; and other Aromatical Pouders, are convenient.

Instead of which these following also may be pre­pared, that called A more simple one of Nutmeg after this manner. Take of Nutmegs three drams, root of Pellitory of Spain two drams, make a Pouder, of which if one dram be given for some mornings with Sage water and Honey of Rosemary flowers, it wil be a singular Remedy.

Another of Nutmeg being more compounded, wil be thus made, Take Nutmegs not rosted, as they would have it, in number three or half an ounce, the root of Pellitory of Spain one dram, the Leaves of Marjoram, Sage, Flowers of Lavender, Rosemary, each half a dram; Gith seed one scruple, Cinnamon one dram and an half, Cloves, Galangal, each half a dram; make a Pouder, of which, if adding nine ounces of Sugar dissolved in Sage water you make Lozenges they wil supply the stead of the Lozenges called de nuce Moschata.

A third called Aromatical wil be made thus. Take of Cinnamon two drams, Nutmeg, Galangal each one dram and an half; Cloves one dram, Pepper, Ginger, Zedoary, seeds of Fennel, Anise, Mountain Hartwort, Peony, Leaves of Marjoram, each half a dram; mix them, and make a Pouder.

The fourth compounded one shall be made thus. Take of the roots of Pellitory of Spain one dram, Asar [...]bacca half a dram, Angelica one dram an half, Seeds of Bishops weed Carawaies, each two drams; Nutmeg, Galangal, Cin­namon, Cloves, each half a dram; the three Peppers, both Cardamons, Cubebs, Ginger, Spikenard, Wood of Aloes, each Mastich half a dram, one scruple, the Ashes of Swallows, and a Mans Skul each half a dram; Coral half a dram, make a pouder.

Of Conserves and Condites, the Conserve of Groundpine made with Sugar, if it be given to the Pa­ralitick at night going to bed, by a continued course it is said to be a certain help. Also the Conserve of Sage prepared with Honey boyled and clarified, brings great benfit. Likewise the Conditure or Conserve of Acorus, is approved by many.

By mixture of many things, such a Conserve shal be prepared. Take of the Conserve of Sage, Groundpine, each two ounces; of the true Acorus and Nutmeg condite, each one ounce and an half; the Conserve of Primrose one ounce, Conserve of Marjoram, Rosemary flowers, French La­vender or Lavender flowers, Ginger condite each half an ounce; mix them, let him take morning and evening one dram and an half.

Adding the pouders the following Electuary wil be convenient. Take this Confection made of Conserves and Conditures, and ad of Confection Anacardine half an ounce, and of the former pouder prescribed, which begins, Take of the roots of Pellitory &c. half an ounce, of Honey Anacar­dine as much as is sufficient, make an Electuary, let him use it by it, self drinking afterwards, the waters of Sage, Marjoram, or Groundpine, or dissolve it with them, and let him drink it.

One dram of the Confection Anacardine being ta­ken doth good, especially if it be taken every day twice, by the use of which if a Feaver be kindled, as hath been said formerly it wil do good upon a double account.

Opiates also are very much commended by Practi­tioners, which though they be old, are suspected by me by reason of the Opium, in a stupidity and weakness of the Nerves.

But they give Treacle, Methridate, Aurea Alexan­drina, to one dram with Sage water.

Or these some are mixt with other Remdies after this manner. Take of Acorus condite one ounce, Conserve of Rosemary flowers, French Lavender, Sage, each half an ounce; Methridate, Aurea Alexandrina, each two drams; Pleres with Musk one dram, syrup of French Lavender as much as is sufficient, mix them.

Pills too prepared of things ungrateful, and which are hardly taken in other forms shall be made thus. Take of the root of Pellitory of Spain, Pepper, each one dram; Mummy or Bitumen half a dram, Euphorbium, Castor, each one scruple; Oyl of Amber and Turpentine, each four grains; receive them in Honey of Rosemary flowers, or of Squils and make a Mass, of half a dram make ten Pils, let him often take five at night going to bed.

The Chymical Oyls of Sage, Marjoram, Cinna­mon, and other Spices being mixt with Sugar, and used, or made into Lozenges are very profitable.

Suppositories are put up, and Clysters injected, both to sollicite and loosen the Belly, and also to heat; the which as the custom is, are used both before the use of other Purgers and in the progress of the Disease, being prepared in like manner, as we have prescribed in an Apoplexy, amongst which the Gentler wil work more than in them, seeing the sense of excretion is not taken away here, as in an Apoplectical, as also the Stronger wil work yet much more.

Such Suppositories may be made. Take of Honey, the juyce of Mercury or Beets, in the winter time each two ounces; boyl them a little, afterwards add of an Ox Gaul two drams, boyl them again sufficiently, and add the root of Pellitory of Spain half a dram, Salt Gem one dram, make Suppositories.

Clysters which provoke excretion, and alter too, are very convenient, bewaring of those too emollient, by which the Back-bone being more relaxt, would rather be hurt, that the Vulgar do not rashly beleeve, that Clysters in those troubled with the Colick have gi­ven an occasion of a Palsie, the which yet rightly pre­pared doth do good, and if the cause lie about the low­er parts of the back, they are as it were Topick Reme­dies.

A less laborious Clyster wil be prepared thus. Take of the roots of Lillies two ounces, Mallows, Beets or Mercury, Sage, Rue, Hyssop, Organy, Groundpine, each one handful; Flowers of Chamomel, Lavender each one pugil; Caraway seed two drams, Bayberries one ounce, Bran one pugil, make a Decoction adding a little Lye, dissolve Honey one ounce and an half, Butter half an ounce, Galens Hiera two drams, Salt a little, make a Clyster.

If it be made of Juyces it wil work more strongly. Take of the juyce of Beets or Mercury two ounces, the juyce of Rue, Hysop, each one ounce, Honey two ounces, Oyl of Nuts or Butter two ounces, dissolve them in salt Broth, or in the Decoction of Sage, or a Boys urin, make a Clyster.

Of those things which are principally convenient in this case, such a one may be composed the which also if you take out some things, wil nevertheless be effectu­al. [Page 108]Take of the root of the true Acorus (for the Marshy one, as Rondoletius wil have it, wil not please) Orrice each one ounce, the herbs Beets or Mercury, Mallows, Sage, Marjoram, Rue, Betony, Groundpine, Cowslip, Hyssop, Or­gany, Penny royal, Calamint, Centory the less each one smal handful; or a greater, if you take fewer herbs, the flowers of Chamomel, French Lavender, Rosemary, Primrose, each one pugil; the seeds of Carawaies, Fennel, Nettle, each two drams; Wild Saffron seed one ounce, Agarick half an ounce, make a Decoction, dissolve in a sufficient quantity, Honey of Rosemary flowers, or common Honey one ounce and an half, the Hiera of Galen, or Hermes, or Logadius, or of Electuary Indum, Benedicta Laxativa, each one dram; or take fewer of them in a greater dofe, Oyl of Rue, Spike, or Costus each one ounce and an half; Fossile Salt one dram, make a Clyster.

Those things which ought to be put into the Mouth are these, either there is made an actual Irritation of the Jaws to procure Vomiting, which proceeds in those accustomed to it, or that have first devoured somwhat, as hath been said in giving of Vomits.

Or they are Masticatories that draw forth the slegm, both drying and altering also, which are very conveni­ent, and in a Palsie they empty from the Head, and revel from the beginning of the Nerves. In a Distortion of the Mouth they derive also, if they be often used in the morning.

Nutmeg often chewed is held by all for an excellent Remedy,

A Junket made of Mustard seed, being held in the Mouth, doth work powerfully.

A profitable Compositiou may be made thus. Take of Nutmegs two drams, the root of Pellitory of Spain, Must­ard seed, each one dram and an half; Cubebs, Pepper, Ga­langal, Angelico root, each half a dram; Mastich one dram, Wax a little, make Masticatories, if a little Castor be ad­ded, and they refuse not the smel of it, it wil be most ef­fectual.

Gargarisms perform the same. Take of the roots of Angelica, Pellitory of Spain, the true Acorus each half a dram; the herbs Sage, Marjoram, Time, Hyssop, Organy, each one handful; Mustard seed two drams, Staves acre, Long Pepper, each one dram; Nutmeg half an ounce, make a Decoction in Water add Honey of Squils or of Rosemary flowers one ounce and an half; mix them, let him wash or gargle his mouth; there may be added of Wild Saffron seed six drams, Turbith half an ounce, or Spurge two drams, but if there be danger that they may swallow them, they must be omitted.

Liquid Errhines drawn up into the Nostrils, or the Sick lying on his back, they being distilled by drops in­to the Nostrils, they do also provoke flegm by their passages. Take of the juyces of Pimpernel with purple flower, of the roots of Beets each one ounce; the juyce of Mar­joram, Rue, each half an ounce: the seeds of Gith, the root of Pellitory of Spain, each half a dram; Castor half a scru­ple, Honey of Squils half an ounce, Wine one ounce, make an Errhine.

Or anoynt the Nostrils with this following. Take of the juyce of Sowsbread, Pimpernel, each two drams; the juyce of Marjoram one dram, Trochisks of Alhandal one scruple, Pellitory of Spain, seeds of Gith, each half a dram; Castor half a scruple, Honey Anacardine as much as is suf­ficient, make a Liniment.

Or somtimes let a pouder be blowed into the No­strils. Take of the root of Pellitory of Spain, the seed of Gith each half a dram; Castor half a scruple, Euphorbium six grains, make a most fine Pouder.

Suffumigations also are received by the Nostrils' as are those Fumes which are prepared in a Dry Bath, of which hereafter, and those things principally applied, which by drying the brain do prevent new Desluxions and strengthen the Nerves.

Outwardly are applied to the Body in the Palsie, both to the parts palfied and to the Back-bone and Head, those things also which can heat very much, that they may recall the Heat of the Nerves and Members, and those things which ought to be exhaust and dry up the humors, and refresh the Nerves and Brain. The which also are convenient for a Humoral Spasm, and these things are then administred by dawbings of Oynt­ments, Waters, or by Plasters, Garments, Caps ap­plied, or by Baths and Fomentations.

But anoynting are chiefly used, which ought to be applied about the Region of the Nerves, there where the Disease lies in them, as in a general Palsie about the hinder Region of the Neck called the Nape, where if the evil do lurk within the Skul, they may also thrust forth their strength so far; or in other particular Palsies of the parts in the seat affected of the Back or of other Members. Somtimes also they are not unprofitably applied to the parts Palsied, because they allure the spirits into them, and send by communication their vertues even to their affected Nerves, upon which ac­count also the Hands and Feet, and their parts if they be Palsied are anointed with them, and the Cheeks in a distortion of the Mouth; the which anoynting of every part or of the Back-bone will work the better, if the anoynting be actually hot, if there be joyned strong Friction with the Hands, and the Hands with which we rub, be first wet with Aqua vitae, or the part which shall be rubbed; here also we must observe that we pro­ceed from gentler to stronger by degrees, in this long continued Disease; but these remedies are administred in the form of an Unguent or Water.

The Unguents are made of divers Oyls, made by Infusion, Expression, Distillation, which are reserved for these uses, chiefly the Oyl of the seed of Asphaltites Trifoil, which is called de Andacoca, is accounted for a singular remedy.

But by the mixture of Oyls such an Oyntment may be made: Take of the Oyls of Rue, Costus, of each one ounce, of Bricks, Foxes, Wormes, of each half an ounce: Mix them, make an Oyntment.

This excellent remedy may be made of Goose grease: Take a Goose Pickt, unboweld, washt with white Wine, And let it be stuck every where with Cloves and Nutmeg, being cut first that they may be thrust in, and let it be stuft with Sage leaves, adding to the same leaves the Fat of a Fox, or wild Cat one ounce, Pouder of Myrrh, Frankin­cense, of each half an ounce, Castor, Euphorbium, of each half a dram, Worms stifled in Vinegar, twenty: Let them be all sowed in, and the Goose rosted on a Spit, white Wine Vineger being put in the pan, into which the juyce and fat sweating forth may distil, and afterwards the liquor being cooled, let the fat that swims a top be gathered, most excellent for these uses.

Another Oyntment, more effectual is made thus: Take Oyl of Bricks, Spicknard, of each one ounce; of Tur­pentine six drams, of Euphorbium half an ounce, Frankin­cense three drams, of the seeds of Gith one dram and an half; of Castor one dram, Saffron half a dram, Wax a little; Make a Liniment.

Or if it ought to work more powerfully: Take Oyl of Baies, Mustard seed by expression, of each one ounce and an­half; of the following Gums dissolved in Aqua vitae, to wit, Opopanax, Galbanum, Ammoniacum, Serapinum, of each half an ounce; Euphorbium two drams; Mix them, add Oyl of Turpentine half an ounce, Oyl of Bay-berries, and Spike, of each one scruple; Oyl of Agath or Amber by distil­lation [Page 109]half a scruple, the roots of white Hellebore, Pellitory of Spain, Mustard seed, Pepper, of each half a dram; Salt Am­moniack two scruples, Castor one scruple, Wax as much as is sufficient: Make an Unguent.

This will be a most excellent Oyl: Take of exprest Oyl, old Oyl of Olives, or Lamp Oyl, or that in which Bricks have been quentcht four ounces, old Oyl of Nuts two ounces, Oyl of Baies, Mustard seed, of each one ounce; Oyl of Juniper-berries half an ounce, Spike one dram, distilled Oyl of Turpentine six drams, of Peeter three drams, the juyces of Sage, Rue, Ground-pine, Orrice, of each one ounce; Aqua vitae two ounces, the fat of a Fox and Goose, of each one ounce and an half: Earth-warms first washt in wine twenty, Gum Opopanax, Galbanum, Ammoniacum, Serapinum, dissolved in Vinegar of Squils, of each six drams; Storax, Myrrh, Mastick, Frankincense, of each half an ounce; Euphorbium, one dram and an half, the roots of Pellitory of Spain, Helle­bor, Costus, Galangal, Nutmeg, Pepper, Mustard seed, the Bituminous Trifoil, Gith, Lavender flowers, Castor, of each one dram; Anacardium, salt Ammoniack, live Sulphur, Bitumen, of each two drams; Saffron half a dram: All be­ing rightly prepared, pouder'd and mixt, let them be boyled by a slow fire to the Consumption of the juy­ces. Let the Oyl be reserved for use, either used by it self or mixt with other things.

The other Oyls distilled out of Plants, besides that already spoken of, of Spike and Juniper, which are extant every where, and are prepared in great quanti­ties, are convenient, as of Sage, Rue, also of Spices, which being added to these Liniments do very much increase their vertues.

The usual Unguents convenient here, are of Bdel­lium, Agrippa, Aregon, Martiatum and the like, used by themselves, or mixt with the rest.

Waters made by a long Infusion in a hot place, or extracted by heat, do Egregiously penetrate, especially if Oyl also doth distil forth more plentifully with them, and being laid on instead of Unguents, they profit very much.

The more Simple are, if Sage, Rose-mary, Time, French Lavender, and other things Appropriate, and sweet smelling, being steeped in Aqua vita, be applied.

Of those Compounded, many called Compound Aqua vitae's are made for these uses, of which this will be very convenient: Take of the roots of Orrice, Hogs-Fennel, Angelica, the true Acorus, both Galangals, Costus, Pellitory of Spain, white Hellebore, of each one ounce; Cype­rus, Zedoary, Ginger, of each half an ounce; the leaves of Sage, Time, Rose-mary, Rue, Marjoram, Ground-pine, of each six drams, the flowers of both Lavenders, French La­vender, St. Johns-wort, Prim-rose, of each half an ounce; the seeds of Mustard, Gith, of each two drams; Juniper and Bay-berries, of each one ounce; Nutmeg half an ounce, Cloves, Mace, of each two drams; long and round Pepper, Cubebs, Spikenard, wood of Aloes, Yellow Saunders, of each one dram; Saffron half a dram, Frankincense, Myrrh, of each half an ounce, Liquid Storax three drams, Euphorbium, Castor, of each two drams; Earth-worms washt in Wine twenty, Salt-Niter half a pound: Being prepared and pouder'd, let them be bedewed with the most generous Wine, till they are made like to Frumenty, then distil them according to art.

Those called Artificial Balsomes which yeild more Oyl, are prepared divers waies.

One more single is thus prepared: Take of Dane­wort, the leaves and root, Sage, Lavender, Rue, all with their leaves and flowers, fresh, bruised, bedewed with Aqua vitae, of each one handful; Castor two drams, Turpentine half an ounce, Salt Ammoniack two drams, Worms washt in white Wine twelve: Draw forth a water with the Fire of ashes, fitted for these uses.

A Compound Balsom, shall be made thus: Take of Frankincense, Mastick, of each one ounce; Storax, Benja­min, Myrrh, Gum Opopanax, Bdellinm, Elemi, Serapinum, Ammoniacum, Sarcocol, of each half an ounce; Euphorbium three drams, Aloes, Ladanum, of each two drams; Castor one dram, the root of Galangal, Costus, Nutmeg, of each half an ounce; the leaves of Sage, flowers of Lavender, Ground­pine, of each three drams; Juniper-berries half an ounce, seeds of Gith one dram, Turpentine or Rosin of the Larix tree the weight of them all, viz. ten ounces: Let them be distil­led according to Art, and there will flow forth a Water and Oyl, the which may be anointed together or a part.

Also if the Back-bone be anointed with Confection Anacardine▪ and Aurea Alexandrina, dissolved in A­qua vitae, in which Sage hath been infused, it will be an effectual Remedy.

Plasters made of the same Unguents, adding Pitch and Rosin, which are good of themselves, or Cere­cloths made by increasing the quantity of Wax, do per­form the same, and because they may stick long, they work powerfully; the which are worn applied to the Back-bone also, or to the part affected.

Of the usual ones are commended, that of Bay-ber­ries, de Betonica, Ceroneam; as, Take of the Plaster Ceroneum, of Bay-berries, of each one ounce; Frankincense half an ounce, Castor, Euphorbium, of each one dram; the seed of Gith, Cresses, Mustard, the root of Pellitory of Spain, Saffron, salt Niter, of each half a dram, with Oyl of Bricks or Turpentine: Make a Plaster.

The Pouder of Worms, applied Plaster wise to the Nape of the Neck, with Pepper and Honey, doth won­derfully profit.

Coverings and Garments of Skins and Feathers, do good not only by retaining and cherishing the heat in the parts, but some of them, also are beleeved to help by a propriety, if the Palsied Member be wrapped, cloathed or coverd with them, as Fox and Hares skins, Goose Feathers, and those of Doves, Cranes, and wild birds; the which also, as other things which ought to come about the Body, if they be smoaked with Fran­kincense, Mastick, Storax, Benjamin, with Spices, and other sweet things cast upon the Coales, they will do it more effectually.

To the Head and Neck these things may be applied in a dry forme: Take of the rootes of Acorus, Galangal, Orrice, the leaves of Sage, Marjoram, Balm, flowers of La­vender, French Lavender, Rosemary, of each one dram; seeds of Coriander, Gith, of each half a dram; Nutmeg two drams, Cubebs half a dram, Frankincense, Mastick, Storax cala­mite, of each one dram and an half: Make a Pouder for a a Pillow, or a Bag which may be laid under the Head and Neck, or for a Cap to be worn.

To Plunge or bury the Members for a while in Sand, or hot Ashes, or boyling Wine presses, or hot Dung, doth very much help.

It is counted a singular Remedy, by some for resol­ved Members to thrust them oftentimes into a Tub in which Aqua vitae, or the Spirit of Wine hath been kept, one end being taken out, and it being heated with lighting of Juniper wood, to provoke sweat out of them.

Sage is thought to do good, being only carried in the Hand, perhaps rather by its sent then touch.

If they Plunge their Body, in a heating and drying Bath, so that it contain the Palsied Members and the greater part of the Back, by altering & calling forth the Humors, somtimes they may help upon that account, the which hotwithstanding ought to be effectual, least that they moisten more by their actual Humidity, then they potentially dry.

[Page 110]For which reason they are sent to Natural Baths, if other Remedies help not, and the Disease be now a long time prolonged, and the Patient otherwise labor of no other fault, and nothing hinders, as to the last re­fuge, the which they are commanded to use for a Month and further, till their Skin be florid, and whol again: but the Alum and Nitrous Baths are chiefly convenient, because they dry, they likewise commend the Sulphureous ones but they mollifie very much; the Atrimental, Acid, cannot do so much good. Be­cause acid things are enemies to the Nerves: the Salt ones Sea-water, or Spring-water heated, because they dry, without doubt wil be profitable.

Artificial Baths wil do the same; if you mix with the Waters Salt, Alum, Tartar of Wine to make them drying, and often quench Iron or Steel in it, such as Smiths-water is, or adding the Ashes of pruning of Vines, of Bones, and Lime. You may make like a Lie and that the Bath may be more appropriate, and heat­ing, you may boyl the Plants by and by to be reckoned up, in a dry Bath, in some Water prepared of those things even now spoken of, adding a Lye or Smiths water. Or if you boyl the same Plants in the Deco­ction of a whol Fox.

But if particular parts palsied be plunged in these, or be fomented, or washed with them, as the Hands or Feet, they wil do good.

For which this is also convenient. Take of Sage, [...] niper berries and Leaves, the greater Spurge, each as much [...] [...]fficient, boyl them in a Lye, with which foment [...] the part.

[...] Palsied parts as the Hands or others may be [...]ged in the like Liquid Oyls or Liniments, it wil be [...]enient to foment them awhile with them, for the [...]formance of which seeing a good estate is required, [...]is ought rather to be done in rich folks.

By the encompassing Air, the strength is not only preserved, but also if it be pure, the body is made less foul, and as the cold Air is chiefly hurtful, seeing the Members of the Paralytical are otherwise cold, & Cold [...]an Enemy to the Nerves, so that which is Hot and Dry doth very much good, because it corrects the Di­stemper; but such is either by reason of the Heavens, and must be let in from thence, whence it may be had, or is made such by Art, by Fires, by Suffumigations; and also if Pidgeons be converfant with the Patient in the same Air of the Chamber, they say that it doth by a propriety resist the Palsie.

If also it be applied so Medicinal, viz. made Hot, Vaporous, or Smoaking, that it draw forth the Hu­mors, by insensible Transpiration, or manifest Sweats, the body being first fitly purged, it is a Remedy which doth wast from the part affected, but the conjunct and Antecedent cause, and oftentimes is the prime Remedy in curing this long continued Disease.

But let the Air be thus heated in his Chamber shut up or under his bed, and that either with Fire alone or also with the Vapor of some Decoction, which exhales of its own accord whiles it is hot, or if red hot flints or mettals be quencht in it, it sends forth a Vapor and Smoak, in which let the Patient fasting, sit Naked, and repeat it often according as he can wel endure.

But the Decoction for this Evaporation, may be prepared of things following which do together pow­erfully heat and strengthen. Take the root of Danewort three ounces, of Acorus, for the rich, one ounce, Hogs Fennel of Dioscorides two ounces, the herb Sage, Groundpine, Primrose, each two handfuls; Organy, Pennyioyal, Wild Time, Calamint, Hyssop, Marjoram, Rosemary, Time, Bays, flowers of Chamomel, Elder, Juniper berries, of every one of them or some of them a greater or less handful, accord­ing as they are taken boyl them in Water, adding a Lye and Wine, for a Stove or Dry Bath as they call it.

In a great and almost desperate Palsie or Rosolution of the Limbs, much may be done if Sweat be provoked oftentimes with intermitting rest, in a Chest made con­venient to lie in, being every where close shut, the Pa­tient being placed with Pillows under him, with his Head out, and the hold of the Chest about the neck of the Patient, being very wel stop, the Vapor entring the Chest through the beak of an Alembick ful of many holes, by another hole in the bottom of the Chest, in the bottom of which Alembick put under, the follow­ing things have boyled by Balneum Mariae.

Take of the Alcohol of spirits of Wine four pound, the Es­sences of Sage, Rosemary, Lavender, Marjoram, Time and Organy each two ounces; let the Vapor be so long admit­ted into the Chest as the Patient can well endure it, but when the Patient is now sufficiently moist, and the heat being too much increased, the beak of the Alembick is drawn forth, let that which drops forth, till the matter conteined in the bottom be cool, be received in a Receiver large enough and well closed up, that it may be kept for further use, which shal be with the same Liquor or Spirit heated to moisten and rub the palsied Member and parts of the Patient, after that being taken out of the Chest and the Sweat wiped off, being placed in his bed he hath sweat again; but first wiping off the Sweat.

If the Palsied Member be suffumingated before the fire, with Frankincense, Mastich, and other sweet things, it wil very much strengthen and stir up the heat in it.

We shal help by motions of the body by decent ex­ercise which doth egregiously wast the humors and stirs up the parts laid asleep, and recals the animal spirit in­to them, heats the Cold and stregthens the Soft.

The which if they cannot eerform of their own ac­cord that onght to be accomplisht in them by the help of Servants, by raising and bearing them up, that they may be able in some sort to walk, and the Patient him­self must endeavor to use his languid Members, and being idle, continuallystir and exercise them.

Friction is chiefly convenient, being made both for Diversion sake in the sound parts, and performeth the same benefit being applied to Sick, seeing nothing doth more powerfully allure the spirits, which is done only by the hands of the standers by or also by applying a rought hot Cloth, or the Patient himself may do it by rubbing the sick parts with the sound.

All which wil be administred with better success in a fitting time, the Patient being fasting, and the body first purged.

By motions of the mind also we discuss the humors, in Watchings longer than usual, for a good while con­tinued, and we prevent that they be not heaped up by immoderate sleep.

They feel benefit by some Affections of the mind that inflame the body, if so be that they do not too much weaken, as by Anger, seeing a Feaver also as hath been said, doth not hurt,

Amongst manifest Openings, only Bleeding takes place in the Plethorick, seeing we know that the abun­dance of this Flegmatick humor is produced from the planty of crude blood or fomented by it, but then also it must be done sparingly in the Arm, of the sound part, neither must we credit the Arabians who teach us to draw so great a quantity of blood, seeing by that their languid heat is extinguisht.

Scarification also brings some help, not by reason of the drawing forth of Blood, but by reason of the Cup­ping-Glasses applied upon it: the which yet are more [Page 111]profitably fastned to the sick parts, but without Scarifi­cation that they may more strongly attract the spirit thither; and that they may divert the humor from the Nerves possessed with it, diligently observing the place wherethe cause of the evil lies, especially if this be about the Marrow of the Back, the Cupping-Glasses being fastned a little below descending by degrees to the pal­sied member, they oftentimes free the Nerves from it.

Instead of which Rubefiers and blistering Remedies, stronger than these do effect the same more strongly. Of which they are wont to apply the stronger Vesica­tories, or instead of them Causticks and Setons, to the hinder part of the Neck, which they call the Nape, which wil be then most convenient, if in a general Pal­sie the cause be neer to the Brain, although also it doth good, if the cause lurk there about the beginng of the spinal Marrow in a Hemiplegia, because it calls it forth, and moves it from its place, and also Causticks applied to the Arm, do revell the humors.

If a Palsie be caused from a Wa­try Flegmatick or Serous hu­mor, The Cure of Palsie or Spasm from other humors. mixt with acrid cholerick humors, not only bedewing the Nerves but also irritating them, as after Colick pains we have said it doth most fre­quently happen in our age, with Pain and sense of ting­ling; then the Cure as long as the Colick pain lasts shall rather be applied to that, and those evil humors must be purged forth, as hath been said there, and those things ought rather to be ap­plied and given, which by lenifying the Nerves may hinder Convulsions into which it is wont easily to ter­minate, as hath been said in Convulsions; in the inte­rim not rashly foretelling any good event: because if Convulsions be supervenient, it is wont easily to kill; but if that other Disease ceasing, that do accompany these Palsies, they do remain in many or particular parts, then the same cure must be administred, which hath been explained in a Flegmatick Palsie.

It hath been shewed, that from Blood a Palsie can­not be caused, especially a lasting one which if it be as Practitioners have writ, because then the Blood consi­sting yet in the Veins, easily goes back by its part in­verted, if it be caused by the perverse Scituation of it, and by and by ceaseth: or if it be from a Plenitude, it will be Cured by bleeding, and by other things that revel and derive.

If from too much Refrigeration of a Muscle and Nerve by the external cold (for concerning that which is caused by a flegmatick Humor hath been spoken al­ready) not only a Stupidity as that hap­pens, The Cure of a Palsie from cooling. but also a Resolution of the Member be caused, then as hath been shewed in a Stupidity, it is corrected by things actually hot, applied by degrees and by Fri­ctions, by which unless it cease, those Topick Reme­dies which have been explained in a Flegmatick Palsie, viz. anoynting, Fomentations and Baths according as their form is appliable to the part affected, will here also take place.

If a Flatulent Palsie be caused from Wind, The Cure of a Flatulent Spasm from Wind. therefore so called, whether they be the cause of it, or if it be caused from the too much astriction of the Muscles, by increasing of it, they render it more vehe­ment and lasting. Then if this happen but seldom, it can signifie no evil, because it proceeds from a manifest cause, too much Motion, or Refrigeration, and therefore it is neglected, but if it return often, be­cause it breeds great trouble, and weakness, the Limbs because it hath an internal cause accompanying it, plen­ty of Wind, and an undecent Connexion of the Mus­cles, as hath been said, it must not be neglected, be­cause somtimes it can scarce be wholly taken away.

Which if it molest not only in the Feet and Joynts but also elsewhere, as in the Back or lower Jaw or Mouth, it wants not its danger of falling to an Epi­lepsie, and therefore as hath been said there, we must provide against it betimes.

But in other Causes, the following Remedies shal be used both for prevention out of the sit, if it return often, or in the fit if it continue; which dispel Wind and Re­lax the bound up Muscles.

There are given to hinder the Product of Wind and to discuss it, as well in course of Dyet, as in purging Medicines, heating, and strengthning, such us in windy cases, especially of the Stomach, we shal explain in their proper places.

There are applied to the Muscle affected, which we know by the bunching forth of the place, and pain) those things in the fit which are Actually or Potentially heating, and discussing Wind do help by Lenisiing and Relaxing the part. But out of the fit, those things which do also by strengthning the part with a light astriction provent the often returning Disease by using almost the same, which in a Flegmatick Palsie and true Contra­ctions we have shewed to be the gentler, and have there described them.

Anointings are made with Oyls of Chamomel, Lil­lics, Dill, or after this manner, if the part must be streng­thend too: Take of Oyl of Chamomel or another of those three, one ounce, of Foxes or Worms, Mastick, of each half an ounce: Mix them, anoint the part hot, your Hands or the part being first moistend with Aqua vitae.

Oyl of Guaicum anoynted with Aqua vitae and Sage helps speedily.

Or make Plasters amongst which Martiatum is con­venient.

The Waters and Balsom Oyls explained in a Palsie are convenient, amongst which simple Aqua vitae ap­plied alone, gives present help, if it be hot.

Treacle dissolved in Aqua vitae, rather then in Oyls as they teach, and anointed, will profit very much.

Fomentations, Incessions, Baths, reckond up in a Palsie and Contraction will do good, being actually or potentially hot. Amongst which a Lie may be applied, as shall be said in the Gout, for prevention sake, be­cause it confirmes the Lax parts and those which receive the Humors or Wind, adding some things that streng­then.

This Plaster is very much approved: Take of Worm­wood, Penny-royal, of each one handful; Bay-berries one pu­gil, Cummin half an ounce: Bruise them, boyl them in strong Wine and Honey: Make a Cataplasm.

The Bags prescribed in a Palsie being first bedewed with Wine will do good also, or thus when by streng­thning we would prevent the evil: Take of the flowers of Chamomel, Melilot, Roses, Bran, Juniper or Bay-berries, of each one pugil; Myrtles half a pugil, Orrice roots half an ounce, seeds of Faenigreek, Carawaies, Cummin, of each three drams; Salt one pugil, for a Bag.

A Bag may quickly be prepared for use, only of Mil­let, Bran, and Salt.

Hot Skins, and other the like things are convenient.

Also gentle Friction, with the Hands or hot Cloths.

By drawing back the part affected, we shall make the fit shorter, or that it presently cease, if the Muscles that are involuntarily violently extended, or bent, and by that drawing the Member, we do voluntarily endeavor [Page 112]by a contrary motion and straining, of the Muscles which are opposed to the diseased ones, to draw them back together with the Member: for so being bound up or out of the way, they are Relaxt again with the Members, and recover their natural Scituation, and the Wind, which did possess the spaces of them con­tracted, when the Muscles return into their place, is repeld from those places and forced to give way, which in the Muscles that constitute the Calf and Feet and move the Toes, being contracted we dayly find by ex­perience, is done by a contrary extension and the pain presently ceases.

From driness or Inanition, The Cure of Contra­ction from driness. as they would have it, of the Muscles, or their Tendons that draw the Member, and somtimes of the Nerves or Ligaments that compass the joynts, if there be a Contraction of that part to which these serve for Motion, whether it happen in the Back or other places, if their driness be great, the evil is incurable; as when this comes to pass, by reason of Age and labor. But also it is hardly cured, if caused for other reasons, it hath been of long continuance, as we see for the most part, those Contracted in the Hands, Feet, and laboring of a Tetanus, do remain contracted in those places all their lise time, or are only changed a little for the beter.

Yet nevertheless the Cure is ofttimes prositably ap­plied at the beginning with success, and by this Method, by applying outwardly to the part affected, Moistning and Laxating Medicines, of which because some of them do cool, the chief part of the Cure is performed by mixing hot things with them, and those that streng­then the Nerves, to wit if they be applied to the Muscle and its Tendon and to the Body which somtimes is neighboring to the Member that draws, but at other times far distant, and is extended to it by a long, som­times a very long Tendon; also to the joynt if the Li­gaments are bound up.

The Back therefore with the Bone is anointed in a Tetannus, or the Members in other Species of contra­ction after this manner: Take of Oyl of sweet Almonds fresh one ounce and an half, of Violets, Lillies, Chamomel, Flax made thy expression that is new, Worms, of each one ounce; Oyl of St. Johns-wort, the Mucilage of the seeds of Flea-wort, Flax, the fat of a Duck, the Marrow of Calves legs of each half an ounce; Turpentine two drams, Sulphur two drams and an half, pouder of Worms one dram, flowers of St. Johns-wort, of each half a dram; Saffron one scruple, Wax as much as is sufficient: Make a Plaster.

They magnifie the fat of a man in this case, as also of Eeles, perhaps because that is counted appropriate, and this more moist, because it is taken from Fishes.

A Bath in a Tetanus, or Irrigation in others, or a Fo­mentation of the place affected, may be made of these things, applied Warm, of sweet Water, Milke, fat broth of the Head and entrals of a Weather or Calfe; Water and Oyl, or Oyl alone, especially of Vio­lets.

Or of the following Decoction: Take of the roots of Marsh-mallows, Bryony, Lillies, of eech one pound; fresh Or­rice root half a pound, the Herbs Mallows, Violets, Lettice, Arach, Cole-worts, of each one handful; Sage, Gronnd-pine of each half a handful; Flax seed, clean Barley, of each one pugil: Boyl them in Water for a Bath to which also the other things may be mixt.

Sulphur Baths have a great vertue to Mollesie, be­cause nothing is fatter then Sulphur, as hath been de­monstrated eisewhere.

Palsters applied to the part because they remain there, do highly profit, as Melilot, de Mucilaginibus, Re­sumptiaum, and the like, prepared of the forementioned Unguents.

Or Cataplasms also are made of the foresaid Plants in the Bath, which do help more then the rest being worn a long while and often renewed.

This also is most commendable: Take of the fresh roots of Marsh-mallows, Briony, of each two ounces; of Man­drake one ounce, fresh leaves of Henbane (which I have known by experience, as also Mandrake do wonder­fully Mollifie) Mallows, of each one handful: Boyl them in Milk, bruise them, adding the floure of Flax seed two ounces, Flea-wort, Quinces, of each half an ounce; Hogs and Goose grease, of each one ounce; Oyl of sweet Almonds, fresh Butter, of each half an ounce; Bay-berries two drams, Saf­fron half a dram: Make a Cataplasm.

The Caule, Mesentery, Kidneys, with the fat, being made watm, are laid on the sick part.

Skins of themselves or first anoynted with Oyl, being newly puld off, especially Fox Skins do good, and a Goose Skin with the Feathers.

We can scarce do any thing singular, by things taken inwardly, or injected here, unless by accident in rela­tion to that Disease but in a Convulsion or particular Spasm, they help very much.

If the contracted Members can be separated by ma­nual operation, then though they be not made move­able again, the which yet somtimes comes to pass, ne­vertheless another form may be fitted for them, which brings a less impediment in Motion: as if the Fingers being extended be stopt, then if they be contracted, they are less prejudicial in laying hold of things; if the Foot stick drawn upwards, being drawn back to the ground, although the joynt of the Knee remain fixt, yet it restores the going which before was taken a­way.

But this we may somtimes do in some places with our Hands, or application of Instruments forcing it somwhat down dayly, not with a great force, but by little and little, in process of time more and more re­laxing the bound up Tendons and Ligaments, and that according to the Nature of the Member contracted, divers waies; as if by reason of the joynt of the Knee fixt, as it often comes to pass, the Foot be drawn up­wards, putting on the Shoe and tying it else where, by continually drawing it down, whiles they sit and do any thing: or by hanging a weight to it ofttimes depressing it; the which also is neatly performed, if two oblong plates hollow in the middle, fitted to the Leg and hin­der part of the Hips and joyned about the joynt, by interposition of an Engin and turning it as long as he is able to endure, the Foot be forced by degrees from the upper parts downwards, and also it is commodiously performed in other places after the same manner by an Engin having caannelling, because if it be turened, by degrees pressing those parts into which it is inserted, it forceth the fixt Member, and because the Engine so turn'd remaines immoveable, the same doth substain and return the Member as far as it hath thrust it. Which I have made tryal of in many with success, the Instru­ments being Ingeniously made. As also if a Finger re­main extended, a Ring being put upon it, which must be Contiguous and fastend to another Ring applied on the next Finger; whiles this Finger is moved, the other which is fixt being continually forced, is at length com­peld somwhat to yeld and bow.

If the Member be stopt by a hard Tumor, Callus, The Cure of a Contraction, or Spasm from a Tumor. or Skar growing in the Tendons, and Ligaments, or if by pos­sessing or pressing a Nerve they cause a Palsie, there is no other manner of [Page 113]Cure ordered then by Emollient things, which is due to these also arising in other places, as shall be explai­ned there: in the interim the fixt Members, if they be very prejudicial in that Scituation, they must be conti­nually drawn into a righter and less incongruous form, by actual labor, as was said even now.

If a Palsie be caused from a violent compression of a Nerve by a burthen or bound, The Cure of a Palsie from compression. then these Impediments must be removed, and the bands loosed; the which being taken away, if a Stupidity or Palsie do continue, the spirits must be recalled by Frictions and other hot things applied, spoken of in a Flegmatick Palsie; seeing a Nerve is scarce prest by a Bone Luxated, but rather other discom­modities follow from thence, they shall be explained in them.

If a Palsie be from a Wound, a Ten­don, The Cure of a Palsie from a solution of con­tinuity. Nerve, or Ligament being cut in two, it is incurable, yet there are Chy­rurgions that are wont to sow together Tendons cut in two. If this come to pass from a Muscle wounded transers­ly, the same cure must be made as in other Wounds, the which also oftentimes helps; but if it be wholly cut off, because then it is drawn back both waies, and is hardly joyned together again or retained, nevertheless there remains an immobility of that part, when the Wound is cured.

If a Palsie be caused by a Contusion, Blow, or Fall, if there follow an Inflamation in a Nerve a Convulsion easily ensues, which is deadly; that this therefore may not be, the Blood must presently be revelled by opening a Vein and otherwayes; but upon the part contused, cold, astringent things must not be applied, but those which digest too.

Such a Plaister as this. Take of Mastick, Franken­cense, Gum of Ivy, each half an ounce; Mummy two drams, Pouder of Worms one dram, flowers of Chamomel, Roses, of each half a dram; Oyl of Roses, Chamomel, Wall flower, of each one ounce; Turpentine and Wax as much as is suffici­ent: Make a Plaster.

At the end, when there is no more fear of an Infla­mation, let it be anoynted with the Unguents menti­on'd in a Flegmatick Palsie; if the Palsie continue stil, to recal the heat of the Nerve, and the Palsied parts, this will be most excellent: Take the roots of Pellitory of Spain four drams, Pipper three drams, Sulphur five drams, Pouder of Worms two drams, Castor two scruples, Euphorbium one scruple: Let them boyl in ten ounces of Oyl to the Consumption of half; anoint the Vertebrae of the Neck and Back, the Emunctories also, and places af­fected.

If a Callus be left in a Nerve, how we must proceed, hath been already said in a hard Tumor.

The Contusion of a Muscle or part which is moved, requires no other Cure then a general Contusion, of which we shall treat in its place.

If the Fracture of a Bone be the cause, The Cure of Im­mobility from the Fracture of Bones that a Member cannot be mo­ved, then by manual operation chief­ly we shall endeavor to set the bro­ken Bone. If it decline from the o­ther, and shorten the Member; then we must retain those now joyned, or those which though they be bro­ken, yet do still hang together, that they part not a sunder: afterwards we must apply Medicines to the place affected, that asswage pain, and keep off an In­flammation, if need be, and those things which help also the Bones that they may be Conglutinated, and grow together, or Consolidated. Which they do by accident, chiefly by taking away the Impediments, and by somwhat binding the Fracture, and as it were obli­terating it by an Emplastick vertue, because otherwise the Concretion it self of the Bones is perfected only by the labor of Nature, by the benefit of the juyce that nourisheth the Bones, as of Glue, as hath been said con­cerning Wounds.

We set and joyn again the broken Bone (if nothing else hinder, as the Splints of Bones broken, which must be first taken away, as shall be said in its place) either by our Hands only, or moveover applying Instru­ments, as shall be said in a Luxation, drawing it by degrees so far, till it come to the end of the Fracture of its Bone to which it was joyned, and then thrusting it with the Hands it must be decently joyned again with it, and that as much as may be most evenly, for so both suddainly and easily it grows together with it a­gain, but if it do not joyn it self with it, nor rightly as before, then it must needs be that they grow together again, by a Callus intermediating, so large, as that di­stance remained. From whence, because that cannot be done so suddainly, the Cure is prolonged, and the Member oftimes remains crooked, or otherwise ill shaped.

We retain the broken Bones together, if first of all we wrap them decently in Swaths, then putting about them thin boards or Bark, or the like Instrument on the part affected being first swathed up, which may comply with their hollowness, we must bind them so, and that the bound up Bones may not easily move out of their place, we must tie them straight, and so fater­wards they keep the part quiet.

Somtimes we Foment the place affected, before it be swathed, according as we would allay pain, or bind, for fear of an Inflamation, either with red Stiptick Wine, or with the Decoction of Elm and Mirtle leaves, or with Oyl, Wine and Vinegar mixt together, with unwasht Wooll: or the Swath it self is moisten'd with Oyl of Roses, or Oxycrate before it is applied.

Or the place affected is anoynted first with Oyl of Roses, Mirtles and the like, by reason of the pain, for when we would binde, the following form is more pro­fitable.

The part being already bound, as hath been said, tis encompassed with Plasters the which also are somtimes applied to the naked part, if necessity require it, and afterwards the part is bound, but then they must be of­ten changed.

The more simple ones are: Take of Comfry, the roots of Cranes bill, as much as is sufficient, bruise them, and being mixt with Hogs grease, let them be applied.

Another, Take of Mastick, Frankincense, of each half an ounce; Bole one ounce, Aloes, Dragons blood, or the binding Bean-tree, of each two drams; Gum Tragacanth, Arabick, of each one dram; the Volatile Flowers of a hand­meil two ounces. With the white of an Egg, Make a Pla­ster.

Or thus; Take of the Volatile flour of a Handmil half a pound, the flour of Barley and Beans, of each three ounces, Bole two ounces, Parget one ounce, the Blood stone half an ounce, Frankincense three ounces, Comfry root half an ounce, the Ashes of Crabs shels two drams: Make a Pouder, which the Chyrurgeons may keep for they use, that then when there is need, they may mix it with the white of an Egg to the form of a Plaster, adding Oyl of Roses that it dry not too much, and may stick.

Certain things given to drink, are thought to help very much the Consolidation of the Bones, as we shall say concerning Vulnerary Potions. Thus Dioscorides [Page 114]approves the Decoction of Mullein: Matthiolus the juyce of Prim-rose; the more modern give of the sandy Stone of Osteocolla one dram pouderd with Wine, in the morning three times at the least, whose efficacy they wonderfully commend, and I have made tryal off.

As concerning a course of Dyet and other general help, we must take care that the Body be kept clean and pure, and be not Constipated by its lying down: and Blood must be taken away, if an Inflamation be fea­red.

If a Luxation of a joynt caused by force, or by reason of the Laxness of the Ligaments doth stop Motion, and the Separation of it be only slight, somtimes it returns again into its place, of its own accord, by the proper Motion of the Member. But if there be a total Disloca­tion, there will need greater force to reduce the Bone, by drawing, forcing, pressing it, and that it fall not out again, by retaining and confirming the joynt, that it slip not again, and by taking away the Impediments. which is performed in some joynts easier in others with greater difficulty, in some not at all, if it hath been of long continuance: and the Bone hath made it self a socket elsewhere.

We draw the Bone which in an Exarthrema from ano­ther Bone, being carried upwards by it, doth shorten the part, till it be reduced again under the Cavity of the other Bone. Which is performed either by the Hands alone, if it give way easily, but if otherwise, by ap­plying a Swath also by the help of others, or by the succour of Instruments. As in the Thigh Luxated, there is need of great endeavor to reduce it, but the Jaw be­ing Luxated we reduce it divers waies laying hold of it by the grinders and drawing it: but we draw back the Vertebrae in a bunch of the Back crookt outwardly, in­wardly, or to the sides, and removed out of their place by a contrary straining, by standing or setting so bo­wing the Back, that its crookedness is raised up by de­grees, because this cannot be done by any force used. Wherefore that is done most rightly in such a posture of lying in which they continue longest, chiefly by the help of an Instrument, by which the part in the Interim is prest, as shall be said.

We force it by violently thrusting the Bone, which in an Exarthrema is attracted, or in a Pararthrema is de­parted from the middle to the Circumference. As also in Arthrodies, if many Bones have parted a sunder, by pressing the Bone there, where its top stands forth, to­wards the opposite seat which is hollow, so far till it fal again into its socket, or be put again into its place, which we somtimes know by the Noise that it makes. But this is commonly done easily by the Hands alone, if so be it be forced to the right place, but at other times there is need of greater strength to do it, when the Shoulder is faln downwards under the Arm-pit: for then when the Arm is extended, it is raised up by a Chyrurgions Shoulder put under it, or by some other Artifice it is prest upwards with great force, which is not performed without great pain, as it were of a rack.

By pressing the Vertebrae of the back by degrees, dis­located in their moveable Connexion the bunch of the back bunching forth backwards somtimes we correct its crookedness whiles it is yet in making and not con­firmed, commonly in the younger sort only. Which seeing it is not compleated, but in a long time, there will be need of an Instrument fit for it which continual­ly cleaving to the part, may successively press it. Such as is a breast-plate put on of Paper, or pitcht Leather, or made of a Plate of Iron, pressing the Gibbous part, the same is effected by a Cloth breast-plate, in which a Plate of Iron, or Lead is sowed, or by some other Art.

We keep the Joynt being joyned again, inquiet, that it be not again separated or dislocated, if we keep it im­moveable, and that until the parts which were relaxt, being confirmed, the Joynt afterwards, can subsist in its own place, when it is moved again: which wil be more rightly done by underpropping the Member putting Pillows and Cushions under it; or also hanging it in a string cast about the Neck, in which putting in the arm, we keep up the the Shoulder that it fal not down again. But also in danger of a Luxation, a part being lengthned and relaxt, seeing we cannot alwaies abstain from Mo­tion, we must take care at least that it be not too vehe­ment; as also they who do easily suffer a Luxation of the Jaw, they must abstain from that strong opening of the Mouth by yawning. And they that have a bunch grow­ing, they must be moved, so that they do not very much incline or bend their Body, but as much as may be, they must keep it upright, and that by the Instrument even now mentioned, not only the bunch be prest, but also the Back be kept upright.

Also Ligatures are applied, if the Bone reduced do hardly stay, and the part can be bound a little.

Moreover Remedies are somtimes applied extrinse­cally, if pain urge, the which presently ceaseth, if the Member be rightly reduced. Or if any thing else be joyned, as an Inflammation, Fractures, or sinvous Ulcer, which somtimes pours forth its Matter by the Hip, as hath been said, whose Cure shall be explain­ed in their places.

To confirm the Joynt when there is fear of a Luxa­tion, or if there have been one, and being reduced a­gain, that it may not easily return, astringent Remedies are applied to it, which by drying may wast the Moi­stures of the place, especially also if they be the cause of it.

The Joynt is to this intent most profitably wrapped up in a Cere-cloth that doth allay pain, and strengthen the Juncture. Take of Rams fat, white Wax, of each half a pound: Dissolve them, mix of Volatile flour of a Mill two ounces, Frankincense, Mastich, Bole, Dragons blood, of each one ounce; Comfry roots half an ounce; and whiles they are hot, stir them together, and dip the cloth, till this matter grow to it, apply it.

Such Plasters also as we have described in Fractures are here convenient, or this following: Take of Fran­kincense, Mastick, Colophony, Rosin, Pitch, each one ounce; Wax and Oyl of Roses, as much as is sufficient: Make a Plaster, let him wear it.

A Cataplasm if necessity require, may be made thus, especially when pain urgeth: Take of the roots of great Burr (which Dioscorides teacheth doth very much as­swage pain in the Luxated) of Daffodil, of each half a pound; leaves of Plantane, Nettle, of each two handfuls: Boyl them in red Wine, add of the Mucilage of Comfry roots two ounces, the flower of Faenugreek seed one ounce, Ho­ney two onnces, Salt two drams, Oyl of Myrtles or Mastick two ounces: Bruise them for a Cataplasm.

A Cautery also or Vesicatory applied on the part doth powerfully dissolve, and calls forth the moisture, with which the Joynts being possest are easily Luxated.

Some write that the juyce of Prim-roses given by the Mouth, doth help in Luxations.

If an Organical fault do cause Immobility, The Cure of Immo­bility by fault of the Organ. and it be from the Birth, it is incurable, because we cannot fashion the parts other­wise; but if it be from an adven­titious [Page 115]cause, the Tendons being too much Relaxt, and Lengthened, by some force or humor, the same Topick means wil do good, as in the said Palsie, espe­cially the flegmatick one. But if they being too much bound, that a slatulent Spasm be caused, the Cure hath been explained in Winds: but if there be a true Con­traction and lasting, the same Cure as that for Driness wil be convenient as hath been said.

CHAP. III. Concerning Depraved Mo­tion.

The Kinds,

WE call that Depraved motion, when Voluntary Motions especially, are exercised either Immo­derately, or unseasonably, or otherwise undecently; as it comes to pass when the Members that perform those Motions are Restless or Cramped, or Tremble, or Be [...] or are Shaken by a Rigor, or are Extended by re [...] and yawning, or otherwise moved by twink­ling.

The Members are said to be Restless when they are acted too much, Restlessness and rest not, as when men besides themselves, mad men, and phrenitical, do exercise such various and violent motions, and angry, furious folks do things so headlongly, but chiefly those who labor of that disease called Vitus his Dance, do tire their Feet with Run­ning and Jumping beyond measure, of whom we have spoken in an Alienation of the mind. Those also that lie by it, in other Diseases both Waking and Sleeping are somtimes very unquiet, and it is properly called Inquietude, and he that is sick of it, is called Assodis, it is a Symptom of many Diseases, that overthrows the strength, with which they that are affected, somtimes toss their body variously hither and thither, whence they have called it jactation, and some Jectigation, somtimes they often raise themselves up, somtimes continually exercise their hands and feet, retract them, change them. Somtimes they rowl to the Feet, which in acute Diseases (with which this is a familiar acci­dent) Hippocrates reckons it amongst the deadly signs; in the healthful also such like restlessness is wont to be troublesome both to them Waking and Sleeping whether also may be referd that unseasonable Night­walking in Dreams of which hath been spoken in Watching.

The Members are said to be con­velled, A Convulsion. when they exercise those inor­dinate Motions, as hath been said in a general Convulsion or Epilepsie, and it happens also in a particular Spasm, especially in that Species, in which the Members are yet agitated, and their motion is not yet stopt, they being attracted by a Convulsion, as in that called a Convulsive Palpitation, hath been shown in a particular Cramp.

The Members are said to tremble, when they are stirred upwards or down­wards with an inequal motion, A Trembling. and it is called Trembling, which then is caused chiefly, when we would use them, which sometimes tremble more somtimes less, which often happens in the Hands when somwhat is to be laid hold on: and sometimes in the Feet which tremble as they stand: and sometimes in the Head, which continually is moved hither and thi­ther: somtimes the lower Jaw becomes tremulous, the which often happens before Vomiting which it presa­geth, we have seen a Citizen of ours Tremble in all the parts together even from his birth unto his old age, with his Arms, Hands, Fingers, Feet, with which he danced as it were while he went, with his head also which he shaked, and with his Jaw with which he che­wed as it were.

The Members are said to beat or pant, not when they are shaken, A Palpitation. being about to do somthing, as in a trembling, but when they are somwhat attracted involuntarily, and are again re­laxt as in Convulsive Palpitation, we have formerly said, it doth come to pass after the same manner, which Palpitation may be referred to that Species which they call the flatulent Spasm, having almost the same cause, as shal be said, and therefore it may be called a flatu­lent Palpitation, yet more gently exercising the Mem­bers rather than strongly drawing them, as the other doth; seeing the Members are properly said to palpi­tate, when the Muscles and the Skin over them are somwhat lifted up, and sink again, and that with pain for the most Part and trouble, the Members in the inte­rim not being attracted or very little.

We say the Members are shaken by a Rigor, A Rigor when there is a certain Convulsion of the whol body, or of its parts, almost as it befalls those that tremble, but with a certain sense of cold and involuntarily, whence it is called a Rigor, as in the beginning of the Fits of intermitting Feavers, the whole body by this means is extended, bowed, shaken, oftentimes so strongly, that the Teeth knocking together make a Noise, which they call the Gnashing of the Teeth and continual Feavers also do invade with the like Rigor, and somtimes when a Cri­sis is at hand, it is a foreteller of it; at other times the Agitation is lighter and then it is called Horror or shivering in which a greater sense of cold runs through the body, Horror. and the hairs stand upright and the pores bound up make the Skin rough: and somtimes Cold only doth molest a man as hath been said in Feavers: but also out of Diseases a Rigor or Horror, like unto these doth somwhat shake the Body from External cold, Fear, and sometimes a Rigor ariseth from external Causes without Cold.

In that called Reaching, the Arms espe­cially with the back are very much exten­ded, Reaching. and bowed with a vehement open­ing or drawing asunder of the Mouth which they call Gaping, the which also may be caused apart; these two if they trouble often without occasion, do presage Diseases or are Prefaces to the Fits of Feavers beginning: but otherwise out of Diseases they are signs of sloth, or they arise from some Imagination as shal be said.

We call that Nyctation when the Eyes are forced to twinkle, Nyctation that is the Eyelids fall down, and they are coverd with them and can hardly be kept open, as it happens in the slothful when they are full and heavy to sleep, somtimes also it hap­pens in Diseases.

The Causes.

The Causes of these Kinds of Depraved motion, may be various, in the Brain, Nerves, Muscles, and [Page 116]Members: either an agitation of the Spirits, a Pertur­bation, or Irritation, Distension, Weakness.

The Spirits stirred by the affections of the Mind do cause a heat in the Brain, A perturbation of the Mind, is the cause of rest­lesness. or being troubled by a Mixture of Humors, Vapors, by Alienating the Mind, and offering divers imagi­nations, do cause that they are so un­quiet, and do attempt and perform divers things, as hath been explained in an Alienation of the Mind.

An Irritation made in the Nerves, which way it causeth that the Body is convelled, An Irritation of the Nerves, is the Cause of a Convulsion. or Exagitated with inordi­nate motions, hath been said in a con­vulsion. But from Irritation and trou­ble also, other Motions are diversly forced according to the diversity of the cause, that they are made too much, or not rightly. For the said restles­ness is oft caused from heat, not only because it pro­motes actions, and brings them into act, or causes a raving in the Brain heated, but when the whol Body boyles with it in Feavers, and because it makes a great trouble, Heat the cause of restlesness. it makes the Body unquiet, and it is a Symptom of the feaverish, especially of the continual, continent, burning; and then also of the intermit­ting when in the fit an exceeding heat doth chiefly afflict, Pain the cause as shall be shown in Feavers. The Body offended with some other grie­vous pain, and afflicted with it as with an enemy, can subsist or rest in no place, and in driving away and mi­tigating it, it doth reinforce all its actions: from Acrid, Choletick or Salt, or Putrid humors, passing through the sensible parts, and the flesh of the Muscles, and as it were pricking and Irritating them, because their Ex­pulsive faculty endeavors to repel the trouble, that con­cussion of the Body is caused in the said rigor or shaking fit as this doth happen in the begining of Feavers from the like matter exhaling and passing through the Body. And upon that account first of all, Retchings and Ga­pings do follow, and by and by horrors or rigors. Somtimes also that they do manifest themselves before a Crisis, hath been said in Feavers, in other Evacua­tions in which the like acrid Excrements are cast forth, as in making water, stooling, sweating, a rigor or hor­ror, doth somwhat shake either the whol Body, or cer­tain parts, whiles they are a doing; the which also is wont ofttimes to fall out, before these Evacuations are made, and to presage them at hand, Nature being now stirred up to attempt them. As some horror in a Crisis and out of it, somtimes is a foreteller of sweats at hand: and the lower Jaw for the most part is wont to tremble before vomiting, and as it were to sollicite the Mouth to a voluntary opening, the natural faculty so forcing it.

From Breathy Vapors, Breathy Vapors the cause of re­ching. as they call them, collected in the Spaces of the Muscles, solliciting nature to Excretion, rather by their plenty then by a vehe­ment Acrimony, that Motion of dis­tension of the Limbs or Pandiculation also doth pro­ceed; because in that, the Muscles which are chiefly possest with them, being bound up to drive them forth, do so draw the Members; and that especially, because then a weariness being joyned to, either Spontaneous, which ariseth from the plenty of these Excrements col­lected about the Muscles, or that proceeding from la­bor, from which also there is a congestion of Halituous vapors about the Muscles, by this constriction of the Muscles in Pandiculation, not only because then the Vapors are driven forth they are somwhat refresht from their Weariness, but also because the Muscles being re­laxt by too much and long continued motion, and when they rest feeling that Weariness, when they are bound up again, they do less feel the Weariness, as hath been formerly said that one Weariness is cured by another, they acquire some ease of their labors by rea­ching and therefore in weariness they are invited to ex­ercise it, and being invited are forced. And this is the cause, that commonly reaching doth accompany the natural weariness and sluggishness before sleep, till the Body afterwards rightly resting by sleep, be freed from the weariness, and after sleep also so long, til that which remains of the Halituous Vapor, be expelled, by yet extending the Body. And because in a Spontaneous weariness going before Diseases, both by reason of the plenty of Vapors, and this weariness of the Body that also doth manifest it self; as the same weariness and plenty of Vapors doth cause that drawing a sunder of the Mouth and blowing forth, in the said gaping, the Muscles of the Breast, and lower Jaw, and Cheeks working together and as it were consenting to the en­deavor of the rest of the Muscles, if gaping be joyned with reaching, or these Muscles act­ing severally, The Immagina­tion, is the cause of gaping. to mitigate their wea­riness and discuss the Vapors, gaping ariseth. The which also ariseth from the Immagination, if one see ano­other gaping, or think of it, being so invited as it were to do the like; yet more easily in the sloathful, and drowsie, or those disposed, then in others. And the same cause also depending on the weariness of the Mus­cles that move the Eyes and Eylids, and on the Vapors collected about them, doth breed the same twinkling of the Eyes, which is not only coupled somtimes with reaching and gaping in the sloathful, but also ariseth by it self alwaies, when sleep invites. And that because by reason of the continual Motion of the Eyes they are al­waies made weary, and because the shutting of the Eyes, which this heaviness of the Eyes doth so much force, that they remain shut also in those that sleep, is necessary for the righter taking of Sleep.

From the said Halituous vapors, Halituous va­pors, the Cause of Palpitation. but thicker and more plentiful, collected in the habit of the Body and running up and down to seek a passage out, the said Palpitation is caused; which if they break forth under the Skin, and wander between that and the Membranes of the Muscles under it, here and there lifting up the Skin in some one or more places, and variously chan­ging their place, they cause there an apparent Palpita­tion, somtimes with a sense of pain. But if they run un­der the Muscles and their spaces, and be unquiet they cause that the Members be also somwhat attracted, yet not strongly or lastingly as we have said it was done in that called a Flatulent Spasm, but only by intervals then when the wind gathering it self as it were into one place doth force the Muscles alluring the part, but by and by letting it alone, the wind flying back again and giving place. So that if this Agitation of the Members be from this cause, as hath been said, it may deservedly be called a milder Species of a Flatulent Convulsion, or a Flatulent Palpitation, as that which is caused by the Irritation of the Nerves, as hath been declared in a Convulsive Pal­pitation. The causes of which Flatulent Palpitation also whether they be Wind or Vapors, have no other origi­nal, then that which hath been propounded in a Flatu­lent Spasm.

[Page 117]That weakness of the Muscles by reason of which, their action doth not wholly cease, but only cannot be be sufficiently performed, doth not cause a total Impo­tency to move, but only an impaired one, manifesting it self depravedly and with trembling, and that because whiles the Muscle doth endeavor to lift up the Member, and it cannot keep it so long, by reason of its weakness, that sliding back indeed by a natural Motion by reason of gravity, but the Muscle drawing it back again upwards by a voluntary Motion, by this intercourse, and as it were contention of Motion amongst themselves, the Member stirred upward and downwards, ariseth that called a trembling: which will be so much the greater if the Member which it ought to move, be heavy, or do not follow, and the Muscle also be in some sort in­voluntarily stirred up to move; where we observe in some, although their Member rest, yet they tremble.

But this their weakness happens somtimes by reason of the defect of the Animal spirit, The defect of the Animal spirit is the cause of trem­bling. not absolute, as in a Palsie, but only such a one, by which the sense of Feeling is yet in­deed communicated but there is not sufficient force ministred to the Muscles to move, be­cause a greater portion of it is required to Motion then to the sense of Feeling: which somtimes happens when they are spent, whence ariseth a lasting trembling; and that either by reason of Age, whence old Folks become Tremulous, or by reason of a grievous and long con­tinued Disease, after which they oftentimes tremble a long while; or of immoderate Evacuation especially by Venery, shedding of blood, purging and great la­bors; but otherwise the spirits being only dissipated they tremble til they return; as by a vehement affect of the Mind, or suddain, in Fear, Anger, Joy, they trem­ble for a while: and in strong or swift Motion, as when they carry heavy burthens, or do somwhat else which is above strength they tremble: and when having suf­ferd grievous labors, they rest, the Members being too much wearied do tremble for a time; also the Spirits being hinderd, yet not wholly intercepted, as in a Pal­sie, whence a perfect resolution of the Muscle follows, but only in part, the weakness which ariseth in the Mus­cle causing a trembling, which even then is, as it were a certain Diminute Palsie, sprung from the same causes affecting the Nerve, as in a Palsie, yet not so power­fully, and especially proceeding from Excrementi­tious humors, possessing the Nerves: but other affects of the Nerves also do induce a tremb­ling, A hurt of the Nerve, is the cause of trem­bling. not by intercepting, the spi­rits, but by weakning or hurting the Nerves another way; as if from Excre­mentitious humors, as hath been said, this weakness in the Muscle doth cause a trembling, not only by intercepting the Spirits, but al­so by irritating the Nerve doth somtimes force it to the motion which is made in trembling, whence also the cause being increased, or lasting, the trembling ofttimes ends in a convulsion. And if the Nerves also, by Nar­coticks too much or often taken, do at length contract that weakness from that Stupidity, that also the Muscles by reason of them be weakend, a trembling also is bred from this affect of them; as it hath befallen some, not only by the use of Opium or of other strong ones, but from a Suffumigation of Henbane, and we observe that by the Narcotick vertue of Wine, they who are given to drunkenness, do at length become Tremulous, the which notwithstanding they perswade themselves doth proceed from the drinking of cold Water, which drun­kards drink in the morning to quench their thirst caused by Wine, that they may not be compelled to abstain from Wine. Which suspition of theirs is augmented also by this, that whiles they are yet fasting and sober, they tremble, and after they are heated again with Wine, the trembling ceaseth, or at least waies shews it self less, the which yet doth not happen, as if Wine were not the cause of this trembling, but because whiles the Wine increasing the heat of the Body renders its actions live­ly, that as long as it is hot with Wine, and as it were refresht, it doth less feel the weakness which otherwise alwaies remains, for that reason, as those refresht with meat and Wine, being made stronger, is the cause that they tremble less.

After the same manner trembling is somtimes bread from other Poysonous things being taken and applied, chiefly besetting the Nerves, as it is somtimes wont to happen from the Suffumigation of quick-silver (not from the touch, as some would have it) to Gold-smiths in gilding their Vessels, if they have not a care of them­selves, but draw it in; for which cause also in the French Pox those suffumigated with Cinnabar, especially if then also they drink Wine, by which the Nerves being already made feeble, are easily hurt, do oftentimes fall into a trembling, the which also ofttimes befals them, who in the same Disease being anointed with quick­silver do thence get a trembling, which hurts of the Nerves proceeding from quick-silver, either proceed frrom its Antipathy with the Nerves, or from some other propriety of it, almost proper to it, by which it moving the Humors driving them to the Jawes it moves plentiful spitting, and driving them to the super­ficies and extremities of the Body, it also affects the Nerves, and so much the worse, if the Humors which are moved be evil, and be not decently purged by sweats, by which also if the Nerves suffer more vehe­mently, after tremblings they suffer Convulsions which often follow these cures made by the use of quick­silver. There may be some fault in the Nerves from the Birth, whence some are born trembling, as hath been formerly shewed by the example of one; but what trembling that was, can hardly be explained be­cause though trembling, he nevertheless performed his Duties for a long course of life, and married a Wife.

The Cure.

We will divide the Cure according to the diversity of the Kinds, and we will explain in every one what is to be done.

What must be done both in a general and particular Convulsion, The Cure of a Convulsion. hath been taught in Convulsions; in that also cal­led a Convulsive Palpitation, in as much as this threa­tens true Convulsions we must study to prevent it by Application of the same Remedies, but by reason of its motion, seeing it is not very urgent, nothing peculiar is applied to the members.

In Restlessness, The Cure of restlessness from trouble of mind. if that spring from a perturbation of the mind, what then must be done in respect of the Disease and also of this Symptom, by reason of which, how it ought to be quieted with Dormitives and be restrained by using of force, hath been explained in an Alienation of the Mind.

If they be restless by reason of Pain, The Cure of rest­lessness by reason of Pain. then smoothing the pain with Anodines and things enducing sleep, and if it urge more vehemently cau­sing a Stupidity, together with the Pain, we correct the Restlessness.

[Page 118]But if the Restlessnes arise by reason of the Heat, not only of the Heart and Brain, but also of the whol Body in Feavers, then this Symptom because it dejects the strength, draws the Cure to it self; the which yet is used no otherwise, than that which is wont to be applied to Feavers in quenching that burning, except that here the strength of the Remedies must be increased and upon that account when the Cure urgeth, we attempt a more plentiful Evacuation and diversion of the Blood, unless somwhat hinder, or we reiterate it: also we increase the quality of Coolers both with Internal and Exter­nal Remedies, The Cure of Rest­lessness by reason of by reason of heat. and those things which may augment the Heat we take away, as too much cloathing, and the roomes being shut up, we open them, and chiefly in respect of the Symptom, by rubbing the body diverting from the Nerves the vapors which do cause or increase the the restlessness, and afterward lenifying it with anoyn­ting the Back-bone, with Oyl of Violets, sweet Al­monds &c. we correct that tossing of the body: the which also is done if we admonish the sick, that they weaken not themselves with too much motion, or hinder Sweats by making themselves bare, and that we may somwhat quiet them, we may procure Sleep.

In Trembling we must proceed according to the Nature of the Cause, and if they tremble from some Passion of the Mind, or by reason of Labor above their strength, those ceasing, the Trembling also ceaseth.

But if the Spirits being dissipated or wasted by reason of old Age or Venery and other profuse Evacuations, The Cure of Trembling from defect of Spirits. or it fol­low after grievous diseases, 'tis easie to repair the strength dis [...]pated, but very hard that which is lost: the which yet must be tried by that called a Restorative Cure, which is chiefly accomplisht, by a fit and moderate sleep, by moderate and seasonable exercise, the which wil profit more, if the Trembling were induced by vehement la­bor, if it be gently undertaken, than altogether idleness; by a cheerful Mind, or if the Trembling remaineth, from some passion of Mind, it is corrected by the con­trary passion of the Mind, by a cleer temperate Air, pure and sweet, by nourishments of good juyce and wel nourishing, also by things that repair the spirits and increase the heat, as Wine, which moderately taken doth so refresh, that it doth correct the Trembling caused by Wine, by its refreshing, if it be taken as hath been said.

But if it proceed from a Disease of the Nerves and is as it were an imperfect or dimunite Palsie and it be from the Birth, The Cure of Trembling from an af­fect of the Nerves. or otherwise from a grievous disease, it somtimes is incurable. But if it proceed from an Excrementitious humor possess­sing the Nerves, no other method of Cure is applied for the curing of this disease, then what was spoken of in a Palsie, and is applied to other disea­ses of the Brain and Nerves, ingendred from excre­ments, amongst which also is a Convulsion, which if they would use timely, and continue in it, doubtless they would be sooner cured than the paralytick, but be­cause they neglect it, unless the trembling be very much, or are content with a few things, it comes to pass that the Trembling doth not only not cease, but old age comming on, it is increased.

As therefore it hath been said in a Palsie, so here also we must proceed, and the body first of all must be ge­nerally purged, and that, if the evil persist, must be re­peated at certain times and particular Evacuations and Diversions must be ordered, & the same altering things must be drank, and the like must be outwardly applied, and Baths must be ordered, if it yeild not to other things; and we must chiefly take heed, that the trem­bling hands be not exposed to the cold, or washed with cold water, instead of which they may be washed with Decoction of Sage, Lavender flowers, and the like, a­mongst which Lotions they teach that if the parts be washt in the morning with Piss, it doth very much, help.

If the Trembling have its original from Poyson those Alexiphamaca which resist this must be used; and if this be from the use of Quick-silver, which more fre­quently comes to pass, they give Treacle or Cordial Medicines, with which they mix the filings of Gold, seeing they say that Gold hath such an affinity with Quick-silver, that if it be in the body, and Gold be drank, that so draws it with it that afterwards voided by the stool, it is found pure in the Excrements sticking to the Gold, which affinity of theirs they have taken from that, that in gilding, Gold can be fastned to no Mettal but by the intervention of Quick-silver.

At this day the Electuary of Orvietanus is chiefly commended for a singular Remedy in this case of which kind if this following be not, yet it may supply its room. As, Take of the roots of Gentian, Bistort, Car­line, Tormentil, white Dittander, Aromatick cane, round Birthwort, Wolfsbane, the herb blessed Thistle, the seeds of Vipers Bugloss, Alkanet, Citron each one ounce; make them all into a fine Pouder, to which add the roots of Vipers grass pouderd the weight of them all, of Honey clarified, with a sufficient quantity of generous Wine three times as much, and towards the latter end of boyling, mix of the best Treacle one pound and an half, keep it for use, the Dose is from half a dram to a dram.

There are some who have taught that they can draw Quick-silver out of the body by Sweats, that it shall stick plainly to the Skin like Sand, and afterwards be­ing washt with water shal appear shining, by this means, if every other day in a Stove suffumigating the body one day with the Wine of the Decoction of Sage and Wormwood poured forth on red Bricks, but the other day with Frankincense cast upon the Coles, they draw forth Sweat, and as often as they go out of the Bath they must rub their body with Aqua vitae distilled with Balm, and continue it for twelve or fourteen daies: afterwards let them anoynt themselves six daies with Oyl of Turky, Millet and Foxes til as they say, the aforesaid Sand doth stick to the Skin, but we who profess that Quick-silver in substance, cannot pass the body neither by its Suffumigations nor anoyntings, as no other Medicines also, but that they attempt what they perform, by their vertues only carried thither we do judg this opinion of the Vulgar and of some Physi­tians to be false, although it be very much imprinted in the minds of men, and Deceivers pr [...]ely con­veighing quick-silver in a Plaster, confirm it in the vul­gar: and in the like case, we advise that Gold-smiths whiles they gild, do sit out of the house in the open Air, as for the most part they are wont to do, that the Wind may drive the smoak from them; and if there be need of quick-silver in the Cure, we give order that it be fit­ly and moderately administred; yet if a trembling a­rise from thence, we advise the same Remedies especi­ally the Topical mentioned in a Palsie, which help the Nerves rather by strengthening and somwhat binding as Rondoletius wil have it, than by affecting them with an eminent heat. And we wash the trembling parts with the Decoctions before quoted.

If the trembling arise from Narcoticks, and their [Page 119]force causes it; how it must be broken hath been said in a Numness: but if the Trembling remain, the same Topicks shal be tried which by strengthening do heat also, not because the Nerves are cooled by Narcoticks, as they think, but because when they are stupid, they are stirred up by heat. But if Drunkeness with Wine hath caused a trembling, either it ceaseth of its own accord, if it be not accustomary, but if Drunkenness hath been already a long while continued, the Trembling arising thence is hardly any more taken away, especially when Drunkards have contracted so perverse a habit, that unless they fil themselves again with Wine and are heated by it, as hath been said in the Causes, they are troubled more with the Trembling, yet in the interim they may mend this perverse kind by Temperance and Sobriety of life, also the Remedies that strengthen the Nerve wil do good both given and applied.

In that called a Rigor if it be gen­tle, The Cure of a Rigor from acrid Humors. or only a Horror, seeing it doth not much trouble, or continue long, we need not take pains to correct it, and also if it be vehement seeing Na­ture by that in the beginning of Feavers, doth endea­vor to expel the hurtful matter, neither is it then easily to be curbed, or Natures Motion to be hindred, as nei­ther if it go before a Crisis, seeing Hippocrates saith, a Rigor coming upon a Burning Feaver, its dissolved.

But if it so trouble the body, together with a trouble­some sense of Cold, that the sick suffers it with a great deal of trouble, and are weakned by it, then 'tis rather to be mitigated, then wholly to be hindered, seeing this cannot be done without dammage, and the Rigor be­ing wholly taken away, the course of the whol Feaver is stopt, or is caused, that it is not decently, so that though those Remedies which suffer not the Rigor to break forth, are beleeved to cure a Feaver, yet by re­tarding it they do rather cause, that afterwards it fol­lows worse, or is changed into more grievous acci­dents; unless perhaps that unprofitable Rigor persist rather from custom than the Morbifick cause which is already taken away, for then also it must be wholly prevented, as these things have been largely explained in Feavers.

Also by what means the Fit of the whol Feaver may be hindred with the Rigor hath been likewise taught in Feavers, but for Mitigation of it the things following wil suffice,

If the body be somwhat actually heated, for whiles we provide against cold, also the Rigor is appeased; which is with less hurt done in the Feet, heating them with Cloaths or other waies, as with warm water in a Brass Vessel, or with Stones or Tiles heated and wrapt in a cloth.

Diverting the matter by Frictions and Ligatures of the extream parts, we amend the Rigor.

That is [...]fly performed by anoynting the Back­bone with any heating Oyls and proper to the Nerves. As, Take of Oyl of Chamomel, Dill, St. Johns wort, each half an ounce; anoynt it, first besprinkling the hands with Aqua vitae.

Or after this manner. Take of the flowers of Chamo­mel, St. Johns wort, the Leaves of Southernwood dried, pou­dered, each two drams; Pellitory of Spain one dram, pour as much Oyl of Nuts as to cover them, Aqua vitae two drams; boyl them, strain it, and anoynt the Back­bone.

Or of Juyces and Oyls. Take the juyce of Mugwort, Southernwood, each half an ounce; Oyl of Dill, Rue, each one ounce; Aqua vitae two drams, Saffron half a scruple, boyl them a little, make an Oyntment.

Many mix Treacle with Aqua vitae and Oyls and anoynt the Back-bone, others if the Cold be great mix Spices.

The Oyntment of Spiders explained in Feavers, as also other things exprest there do the same also, with which also the soals of the feet are rubbed.

There are some who approve of Baths, if the Feave­rish heat hinder not, and the Rigor lie highly hurtful, of the Decoction of Pennyroyal, Calamint, Rue, Sou­thernwood, Mugwort, and the flowers of Chamomel, and Melilot.

In Reaching and Yawning, The Cure of reach­ing & yawning from halituous Vapors. see­ing these can bring no dammage, but rather do good, there wil be no need of any Cure there, unless in as much as, if these together with a Spontaneous weariness do as signs foretel Diseases, they do admo­nish us to apply Remedies that we may prevent them.

If from Yawning the lower Jaw be easily luxated, we advise that they do somwhat repress it, and gape not with such a wide mouth, as also in reaching, be­cause it is uncivil too much to extend the Members, we teach them somwhat to restrain their limbs, for Ci­vilities sake, rather than any benefit.

CHAP. IV. Of the Defect of Breathing.

The Kinds.

IT is called a Defect of Breathing, when it is either abolisht, or is done with difficulty, which may hap­pen both to natural Breathing and to voluntary or vo­cal breathing forth in utterring the Voice and Speech.

The Breathing which is conti­nually performed by vertue of the Heart, Breathing abolisht in a Syncope. naturally by drawing in and sending out of the Breath, can no waies perseveringly be wholly abolisht, while the man lives, but for a time it may altogether cease, in a true Syncope, and in that which accompanies that which we call strangling of the Womb, in which cases as long as, the mind faileth in them, as they call it, or the Life, or rather the vital motion, so long no breath­at all is perceived in them, or it is so obscure that we can observe no breathing forth of the Air even with a Feathers laid to the Nostrils, or shaddow of motion in a Cup ful of Water laid on their Breast, but they lie like dead folks without all motion and sense.

But Breathing oftentimes proceeds difficultly, when they fetch it with great labour and impediment; and if this be with high streining, so that they are in the be­ginning of Suffocation, it is called Suffocation and strangling, the which also wil follow, if it did not cease: In which danger because they are more conversant when they lie down, to turn that away they are forced to breath upright with their Breast raised up and their Neck straight, and then they are called Orthopneumati­cal, and because if they move their body they, they are more grieved, their Breathing being made swifter, they are compeld to be quiet: but otherwise they Breath with less anguish, yet difficultly also, and it is simply called a Dispnoea. Somtimes labouring more do send forth the Breath, somtimes to draw it in, at other times both being hindred together.

[Page 120]But a Dyspnaea or Strangling, do divers­ly offer themselves, A strangling from things external. for somtimes it is bred and shews it self, some manifest cause concuring, from which also it is, as shall be said in the causes.

Somtimes difficulty of Breathing hath a Catarrh its companion, A suffocating Catarrh. in which also somtimes they are suffocated, all Brea­thing being suddainly intercepted, and this evil is called a Praefocating, or suffocating Ca­tarrhe.

Ofttimes it is coupled with affects of the Breast, with a Cough, Wheezing, in that called an Asthma, in which they fetch their breath often with difficulty, as if they were wearied with too much Motion, whence they are called Shortbreathed and Suspirious, and they Cough, but spit forth nothing mattery, and somtimes in their Lungs there is heard a certain Piping, or Wheezing, and this evil assails them either continually, ot upon a slight cause, and it returnes and hath its Exacerbations, and it is of long continuance, and stubborn.

A Dyspnaea is somtimes joyned with a difficulty of swallowing, A Quinsie. and there is a pain or trouble both in the Jaws and Neck, especially in that called a Quinsie or Cynanche, because by reason of their breathing hinderd, they gape like Dogs with their Mouth open, which affect somtimes a Feaver doth accompany.

At other times also the breathing labors highly, Suffocation and a Dyspnaea in an Apoplexy, Palsie, Spasm. with a resolution of the whol Body in the Apoplectical, and the sick are choaked, as hath been said there: and then a Dyspnaea is somtimes joyned with a Palsie or some Species of Spasm, as hath been said there, that then when they would breath forth strongly, which is required to the uttering a great voice, and being forced to Laugh. Weep, call out, or to Cough they are com­peld to breath forth powerfully, the which because they cannot do for the causes there exprest, they fall into danger of Suffocation.

Affects of the Womb, somtimes go be­fore that Species called the Suffocation, The cause of the defect of Speech and Voice. or Strangulation, or Praefocation of the Womb, with which being suddainly seazed, som­times the breathing being wholly taken a­way, at othertimes very much hinderd, they are so tormented, as if their Jawes were tyed with a bond, and those thus affected, then they call Hyste­rical.

A swelling, distension of the Belly, are also with a Dyspnaea in the faults of the na­tural parts. A Dyspnaea in the faults of the natu­ral Parts. But especially in the Hydropi­cal, to whom it is very troublesome, so that they are forced to breath upright, like to the Orthropneumatical, and lying down they are in danger of Choaking.

There is also a certain Nocturnal suffo­cation, The Night Mare. that befals those that Sleep, called Pnigalion, or the Night-Mare, because they think and Dream that they are suffocated by some thing lying upon them and pressing them, and afterwards waking, they think that they have sufferd that from an Enemy, or Witch, or Devil, and that they were invaded and opprest by them, whence they call it Ephialtes, and Doating, for a time they do somwhat perswade themselves so.

The Voice, or Vocal breating, which at our pleasure we can wholly omit, yet not make, unless there be a breathing forth, can no waies be long abolisht by rea­son of Respiration, because that cannot long cease; The defect of the Voice in a Dys­naea. Yet it happens that it is utterd obscurely by reason of that, if the brea­thing be very smal; but more commonly it happens in a Dyspnaea, that the Voice cannot be utterd very clear and loud: but sending forth of the breath not being hin­derd, In a Palsie. the Voice nevertheless cannot som­times be exprest by us, or at other times also can only be brought forth silently and lowly; both which som­times happen in a Palsie, other Motions also being then hurt together, as hath been explained there; but at o­ther times without this the Voice is lost for a time, and returnes again, as I remember an excel­lent Physitian Theodorus Zuingerus, An Aphony. my God-father and Colleague, when we were in the School of my Father Tho­mas Platerus, that was Master to us both, A defect of the Voice with a pain of the jawes. hath ofttimes been so Stupified, that he could not answer one word, though asked with threatning, and hath so re­turned home mute and astonisht, his sences otherwise entire, which Species they call Apolepsie and Hippocra­tes an Aphony, some would refer it to the Species of a Catalepsie, somtimes also when the Voice is lost, or weak, there is felt a pain in the Jawes, a Tumor, or some other fault, and somtimes it is apparent.

Speech, or an Articulate voice may be intermitted at our desire or will, A defect of Speech the Voice fai­ling. but we cannot speak, unless there be a vocal Re­spiration, and therefore by reason of the defect of the voice, as hath been already said, the Speech is either abolisht, or not sufficiently utterd, but also somtime they cannot speak without an Impediment of the Voice, and they are cal­led Dumb, in a Palsie either peculiar to the Tongue, or common also to other parts; Dumb. somtimes they are both Dumb and Deaf from their Birth; but oftentimes when they can­not exactly express certain Syllables or let­ters, Deaf and Dumb, Stutter­ring. those especially which that they may be pronounced, do require a various doub­ling of the Tongue, as in R. and S. to be pronounced with a noise or hissing, they Stutter and are called Blaesi, or Lispers, the which also happens with some faults of the Lips, or Teeth, or Jawes.

The Causes.

Every cause of breathing taken away or diminisht, A Suffocation by reason of the Brain in an A­poplexy. of the Voice and Speech how these do fail in an Apoplexy, all the sences being taken away, by rea­son of the Brain affected, and in an Epilepsie also, hath been explained in the Consterna­tion of the Mind.

For which reason as long as the Motion of the Heart ceaseth, Breathing abolisht in a Syncope by reason of the heart. so long also Respi­ration may cease, seeing then there will be no need of it, but if that be hinderd, the Motion of the Heart not first ceasing, that a man must needs die, we will shew in a Syncope.

But if these fail without a Disease of [...]he principal parts, of the Brain and Heart, this comes to pass by reason of the Nerves that carry the vertue, or of the moving Muscles, or of other Instruments that effect and help Motion.

[Page 121]By occasion of the Nerves af­fected, An affect of the Nerves of the Toung is the cause that somtimes they are Deaf and Dumb. that the Speech, Voice, and Breathing may be weakened, hath been formerly explained in the Impotency of motion, their Muscle being then palsied, or con­tracted, by the causes declared there, that the Speech somtimes may be particularly abolisht, the third con­jugation being affected, which makes the Nerve of the Tongue, and if the hurt be great, especially a fault of conformation from the Birth, that then the Hearing is commonly taken away too by reason of its Commu­nication with the said branch. And that the same also comes to pass, An affect of the re­current Nerves is the cause of the defect of of Speech and Voice. if the branches of the Nerves of the sixth and seventh conjuga­tion called the Recurrent Nerves, folding with the Muscles of the Tongue do suffer. An affect of the Nerves of the sixth and seventh Conju­gation is the cause of a Dispnoea with a Palsie. And if this be in the branches of the same Re­current Nerves that infold the La­rynx that the Voice doth then also cease, the dissections of Anatomists do manifestly declare, who for ex­perience sake, have in a Hog taken the recurent Nerves in a band: which Aphony by reason of the recurrent Nerves arising from internal causes seldom happens particularly to the Voyce, and if it be, it proceeds either only from some thick vapor, as they would have it, or only from a Defluxion fallen down thither, but this fault more commonly happens to the Voice and Speech in a Palsie, from the causes mentioned, together also with other Impotencies of motion, to which also that Impediment of Breathing which in uttterring of a strong voyce we have said did offer it self, as in Crying out, Laughing, Howling, Coughing, Snezing is somtimes added, if the other In­tercostal branches infolding the Muscle be affected too; for Breathing alone seldom suffers a Defect, sin­gly without other hurts, by reason of the Nerves; see­ing the Midriff whose motion is sufficient for moderate Breathing, hath received Nerves, as hath been explain­ed there, not only from the said Conjugation of Nerves, but also from the Spinal Marrow great Nerves on both sides, proceeding from its first pairs joyned together, and descending to the Midriff, for which cause it doth not fall out that the Breathing ceaseth, unless both the Spinal Marrow, and the Conjugations or paires of the Nerves be hurt together, which can scarce be but about their beginning in the Brain, as hath been said in an Apoplexy, as neither can it be hinder'd in a Palsie unless the hurt befalling both, the Paires and Conjugations of the Nerves and reaching also the Nerves of the Midriff, The Nerves of the Midriff troubled with a Defluxion do cause an occult Asthma. doth prejudice many motions. yet it also comes to pass, that especially the greater Nerves of the Midriff proceeding from the Spinal Marrow, singly and soly troubled with defluxions or other Diseases may breed a certain Dyspnaea, such as we have obser­ved in the Asthmatical continually molesting the sick, no other signs appearing of the Lungs affected.

By reason of the Muscles, Na­tural and Vocal breathing fail­eth, An affect of the Mus­cles of the Tongue is the cause of the Defect of Speech. Of the Muscles, of the defect of the Voice. as the Speech if the Muscles moving the Tongue (for we shal treat afterwards of the faults of the Tongue, as it is an Instru­ment that is moved) the Voice if the Muscle of the Larynx be­ing troubled with Defluxions cannot do their office, they by moving the Tongue, these by dilating and straitenning the cleft of the Larynx for diversly shaping the Voyce. Or if this happen from an Inflammation of them, or some other Tumor hindering their Fun­ction.

But the defect of Natural Breathing sometimes hap­pens by reason of a Disease of the Muscles that consti­tute and move the Breast, neither doth Breathing suf­fer dammage only when we would make a strong breathing forth, which these Muscles do chiefly per­form, but also if the cause be great, Natural drawing in the breath is also hindered, and that commonly from a Defluxi­on falling down upon the Mus­cles of the breast and the Inter­costal, A Disease of the muscles of the breast is the cause of a Dispnaea. whence oftentimes follows a great streightness of the Breast with pain, the which also comes to pass, if these Mus­cles be bruised or inflamed, whence Swellings and pains shew themselves outwardly, and if this happens to the Muscles of the belly which also do move the breast and press forth the Excrements, they can no longer exercise that vehement endeavor, which is re­quired by holding the breath and pressing these Muscles in the casting forth of Excrements.

The Midriff since it is the prin­cipal Organ of Natural breath­ing, The Midriff affe­cted by it self is the cause of a Dyspnaea. if it be hurt not only by con­sent of its Nerves as hath been formerly declared, but by it self, then it is the chief cause of breathing hurt. But this comes to pass especially, if the Defluxion which fals down on its Nerves, or slides into the intercostal Muscles doth reach also to the Midriff, whence we have seen some vehemently tormented. But if it be assaulted by other Diseases, the motion of the Midriff is rather depraved, than weakned, as we shal explain there: although it may also come to pass, And by con­sent. that the Midriff, because it lurks free in the in­ner parts, exposed every where to the in­ternal heat, being dried and bound up in a Burning Feaver, upon that account a Dyspnoea may arise, which oftentimes fals out in these Feavers: but its mo­tion is more commonly hindred, if it be molested, by Vapors, Wind, Humors, or the Neighboring Bowels.

Vapors raised in the lower Belly of a manifest quan­tity or quality, or malignant and poysonous, and be­ing gathered about this transverse space or Midriff, and stopping there some time, until they are carried further, and hindering its free motion, which is required in breathing, by divers waies, especially if they be plenti­ful, sometimes induce a Dyspnaea, sometimes fear of choaking and other accidents moreover: both because the Midriff hath a great consent with the heart by rea­son of the Pericardium, and with the Brain, because it is a nervous part and hath eminent Nerves, whence it comes to pass that if it be troubled, it doth not only hinder breathing, but also accidents of the Heart and Brain do follow, and so much the more, if furthermore the vapors from it do reach also to these principal parts, the which if there be a malignant or poysonous quality in them, may easily come to pass, as also these are wont at other times to prejudice these parts, the Midriff not being offended, as we have said in the hurt of internal senses and shal shew in the affects of the Heart, the which accidents yet do presently cease the Vapors being repeld, or otherwise discust and dissipa­ted, or flying back, by the motion of the Midriff: un­less by the continual arrival of the cause, the Midriff be [Page 122]so molested or infected, that either fome permanent Dis­ease doth follow, or most grievous accidents of the Fun­ctions of the mind do ensue, which are wont to be hurt by the fault of the Midrif (as that being inflamed we see a Phrensie doth follow, whence they have called the Midriff, Phrenas, that is, the Mind) as the Falling­sickness, Madness, and at last the Brain being long and much smitten, an Apoplexy, which evils these Symp­toms of Suffocations invading oftentimes by fits, are wont to foregoe and foretel.

But that such like Vapors are for the most part raised up from the Veins, as from crude, impure, bad, and Malignant blood, yet not putrefied (otherwise a Feaver would be caused) hath been shown in a Madness and an Epilepsie, for as there, diversly here and there in the Body, such vapors being raised, from blood collected in the branches of the Vena Porta and Cava molesting the Brain do produce the forementioned accidents, so also in the lower Belly cheifly, being collected as in a sink of Excrementitious blood, and abundantly in great plenty flying upwards to the Midrif and molesting that, either they create Suffocation only, or other dis­commodities moreover.

But from the Mesaraick Veins especially the greater dispersed e­very where about the Heart to the Bowels, Vapors from the Me­saraick Veins affect­ing the Midrif, the Cause of a Night-Mare. and in which by rea­son of the many Excrements of the first Concoction, impure blood is easily collected, such like Vapors somtimes arising, and stopping about the Mid­rif, they produce a Suffocation which they call the night Mare, which invades rather in the night then when Concoction ought to be made, because at that time, the evil Vapors collected, therefore the most part are wont, by the accession of Crudities, to be increased and moved, and to be carried upwards, and by reason of lying down to torment the more. Whence in their Dreams feeling these streits they Dream of divers causes whence they proceed, and being often raised up, if the Mind moreover be somwhat affected with them, they remain in the same perswasion, and though they being raised and set upright, the Vapors being then discust the evil ceaseth, yet often returning, if the Fewel of the evil remains, at last it threatens and brings more grievous accidents to the Brain, as hath been said. The cause of which evil certainly depends upon an ill course of Diet and that a long time continued, as in other af­fects sprung also from Vapors there, especially in Hy­pochondriacal Melancholly and Intermitting Feavers, as hath been shown in them. This is therefore an ac­customary affect to Children, and those of ripe Age, who do sooner and longer offend in their Dyet.

In the Female sex this more commonly proceeds from the Veins of the Womb, Vapors from the Veins of the Womb affecting the Midrif, are the cause of the Suffocati­on of the Womb. in the stran­gulation of the Womb therefore so called; which when being de­rived from the branches of the Vena Cava, and many of them and great ones do creep along the Womb and its Mem­branes, if the filth of the blood doth stop in them, which from the whol Mass of it, is wont to be purged thither, in impure Bodies, that at the set time it may be emp­tied by the Courses. Which is wont to come to pass more commonly in the unmarried by a stoppage of the Courses, not so easily in the married by reason of Co­pulation, and the Vapors from thence assail the Midrif; they produce divers kinds of Suffocations of the Womb as they prejudice the Midrif and the neighboring parts or those that consent with it, and as the plenty and na­ture of those Vapors is diverse. For if it hurt only the Midrif either it breeds only a Dyspnaea, if the plenty or offense be less, or if it be greater, it breed only an Ago­ny of Suffocation; but if that, it also brings hurt to the Stomach, that is continued to the Midrif, then with a Dyspnaea and Compression of the orifice of the Stomach which they call the heart, Nauseousness, Vomiting, a Vertigo, and pain of the Head being caused by consent, the Hysterical accidents do shew themselves. Which passions are wont to happen in great bellied Women at the first Month, the young one being not yet increased, nor able to consume the blood that is retained, especi­ally if it be impure, from which also they take a sign that they are with Child. Hysterical Women are far more grievously affected, if these Vapors especially the Poysenous being communicated to the Heart too, by reason of its communion as it hath been said, do also bring dammage. In which species the Motion of the Heart wholly ceasing, all breathing also ceaseth, and as it were seazed on by a Syncope the Virgins fall by degrees to the ground, and are held in that fit, some a short time, others the space of an hour, before they come to themselves. But at other times the Midrif by reason of the consent which it hath with the Brain, as hath been said, or both together affected with these Va­pors, with the said strangulation of the Womb, that called the Madness of the Womb, or Convulsive Mo­tions, and other hurts of the Brain offended, do mani­fest themselves.

All which also may be varied, not only by reason of the parts affected, but also if a Poysenous cause be joy­ned, according to the divers Nature of the Poyson, by which they are wont chiefly to beset this or that part, as we have expounded in other diseases of the Womb, that vitious blood breathing forth such like Vapors is generated from divers causes, and collected about the Womb. Amongst which they have beleeved that the seed retained and corrupted is not the least cause in Vir­gins with whom this affect is familiar, the which yet can scarce be, as long as it is contained in its proper Vessels. and if poured out of them, it be retained, it rather pro­duces an Erosion of that part, then such accidents, as we shall explain elsewhere.

Winds filling the Capacity of the Belly, because they distend that, Wind hindering the Midrif, is the cause of a Dyspnaea. as also the Midrif which shuts up the up­per parts of it, they cause a Dyspnaea: which also the puffings up with Wind of the Stomach and Cholick Gut that lies under the Stomach do effect, by reason of the neer­ness and Adherency with the Midrif, and they know that they proceed from thence, by the murmuring and distension of that place, but that they write that they would no waies have a Night-Mare to be caused by the same Winds or thick Vapors, the far more grievous evils which do then fall out, and follow from thence, do sufficiently declare.

A watery Humor also distending the Belly and drawing a sunder the lower Ribs of the Breast, A Humor posses­ssing the Midrif, is the cause of a Dyspnaea. extending the Midrif doth breed a difficulty of breathing, in an ascites Dropsie, as shall be declared in a Dropsie. But the Humor which is collected in the Cavity of the Breast doth cause a Dy­spnaea rather by hindering the Lungs then the Breast, as we shall shew in the Lungs.

The Bowels lying under the Midrif, and growing to it, The Bowels hindring the Midrif, are the cause of a Dyspnaea. or hanging by it, if they acquire too [Page 123]great a bulk, drawing down the Midrif with their weight, do not suffer it to be moved freely, or in those that lie down, lying upon it, they hinder it by pressing it, as when the Liver, Spleen, being obstructed, hard­ned and increased into a bulk in the Hydropical do cause that high difficulty of breathing, which often­times doth discover a Dropsie a long time before a Tu­mor doth appear, with which they are molested lying down, and therefore are compelled to sit upright; the swelling of the Belly also increasing it, as hath already been said.

A Dyspnaea also may happen from the Stomach too much filled with meat, which vexeth so long till the things taken are disgested, or are returned by Vomit, or are eased by belching. The which when it succeeds not, and the Repletion is great, they may be Suffoca­ted; which as it may happen from the quantity of things heaped in, so from the quality of certain meats, as of Mushrums, which are wont to Suffocate.

The Instruments by which breathing, the Voice and Speech are performed or governed, are the Cavities of the Mouth, Nostrils and Jaws, containing the Air for the performance of all three, the parts placed in the Mouth for the uttering an Articulate Voice or Speech by their Motion are the Tongue, or by tuning, are the Palate and the Teeth, the passage or pipe carried from the Jawes to the Lunges, that makes the Voice and serves for breathing in drawing down the Air, is the rough Artery, or Wind-pipe, the Bowels, or Bellows receiving and sending forth the Air by a Natural Mo­tion for breathing, is the Lungs; the Breast doing the same by a voluntary Motion with the Lungs to which it applies it self.

By reason of the Largness of the Mouth. The stoppage of the Mouth and Nostrils, the Cause of Suffo­cation. Nostrils and Jawes, these de­fects happen, if the Mouth and No­strils together be stopt up by external Bodies or by water, or otherwise the Teeth being bound together, that the Mouth cannot be opened, the Nostrils in the interim being stopt up with Snivel, upon which account somtimes the Apoplectical and Epileptical are in danger of Suffocation, especially because otherwise breathing is made obscurely in them, but if that the No­strils only be stopt with Snivel or other things, because they may draw breath with their open Mouth, then breathing is only somwhat hindered, when the Air can­not be sufficiently let in, or rather because then tis fetcht quick, it is depraved and an uncomely voice is utteied. The hinder largeness of the Jaws be­ing likewise stopt, The narrowness of the jawes stopt, is the Cause of Suf­focation. the same comes to pass, especially about its narrow­ness in which even the least thing that sticks, makes work: and that especially if the passage into the Wind-pipe and Gullet being possest by a Tumor ari­sing in the incompassing coat, or in the Muscles of the Jaws and Larynx or in the Glandules, or Palate, or by the Palate fallen down, be obstructed: Or if the Vertebrae of the Neck being Luxated inwardly (which is most commonly in the first Vertebrae, which is loos­ly joynted with the Head and by reason of the weight of the Head sustains great Motions) These passages be straitned, especially if then the Nerves also and rough Artery be prest; from which accidents they can neither sufficiently breath, or utter a voice, or speak, or swal­low. Somtimes also a pain being joyned, as we shall explain these things in a quinsie. A Species of which also it is said to be, if it be from a Vertebrae Luxated, and in the other painful Diseases of the Jaws.

By occasion of the Tongue, A driness of the Tongue, is the cause of Stam­mering. the Speech suffers a defect, if that as it is a Musculous Instrument (for, of the o­ther hurts of its Muscles we have al­ready spoke) it be too much dried and hardned from the causes explained in the hurt of Tast­ing. For because then in the pronouncing of certain Letters it cannot be sufficiently rowled, (the which that they may be plainly exprest do require a more various doubling of it) whiles they shape their words they stammer. The Tongue too much increased is the Cause of hindering the Speech. The which also happens from a Tumor arising under it, or if it swel or be inflamed, or other­wise if from the birth it have too great a bulk, which oftentimes is so great, that they cannot speak at all.

A familiar fault with some Fools who from their birth are born Fools and Dumb, A little Tongue the cause of de­fect of Speech. as hath been said in an Alienation of the Mind; the which also happens if it be framed too smal, The bond under the Tongue tied up, the cause of the defect of Speech. or if it be cut off, or maimed, by a pu­nishment, or some other chance, and in Convulsions the Tongue being strongly laid hold on and bit of by the Teeth; the same also comes to pass by reason of that bond by which it is knit, if that be too strait bound up, and not sufficiently loosed in Chil­dren new born, so that it hinders the free Motion of the Tongue.

The Palate seeing it is the quil of the Voice, if that be wanting or mained, The want of the Palate, is the Cause of the want of Speech. it doth prejudice the voice; as also when the former Teeth are wanting, because they ought to resist the Motion of the Tongue in the pronuntiation of certain Letters, and that in the want of them cannot be done, they Stammer a little.

By reason of the Diseases of the rough Artery or Wezand, The want of Teeth the cause of stam­mering. which is the Pipe through which natural and vocal Respiration is uttered, the breathing, Voice, The binding, or stopping of the chink of the La­rynx, is the Cause of the defect of the Voice. and Speech do fail, for if the chink of the Head of it, called the Larynx, be too much bound, which happens by occasion of the Membrane in which that is cut, when it is dried and wrinkled more then is fit, by the cold Air, or cold Water, or the use of astringent things, then a smal or hoarse Voice is uttered. Which impediment also of the Voice happens from a thick slime long sticking there, for if it be wholly obstructed with that, or some other Body slipt in, or drawn in with the brearh, and continuing there long, the which yet seldom happens, because it is forced to give place, by the Cough, which it suddainly moves unless by reason of its sharpness the thing sticking there be fastned into it, it must needs be that the Patient be suffocated. As Histories testifie that Pope Adrian died by a Fly flying into his Throat, and we have observed a Child strangled by Swallowing a Gold Noble. And what they suffer also, in whom wa­ter by chance flowes down into this Wind-dore of the rough Artery, and what straits it breeds, and how with great violence a Cough doth cast it thence through the Mouth and largenss of the Nostrils, we often see in o­thers, and somtimes we try it in our selves. But the chink of the Larynx scarce labors of any other Disease, unless when by consent it is hindered or prest by the neighboring parts, as from the Vertebrae of the Neck [Page 124]Luxated, of which hath been spoken already: For it can scarcely happen that it be relaxt more than is fit, by a Humor, seeing it is convenient for it alwaies to be moist: that it should be torn, seeing it is a thick Membrane, is impossible, as also it is very hard to be wounded.

The passage of the rough Arte­ry or Wind-pipe, The binding of the pipe of the rough Artery is the cause of Suffocation. from the Head even to the Lungs, if it be inter­cepted by outward force the Neck being bound up as shal be said in the Gullet, it brings strangling, and if it be prest by the first Vertebrae of the Neck lux­ated, it causeth difficulty of breathing, which Hippocrates called the sixth sort of Squinzy. The rough Artery can scarce be filled otherwise, with things that fall into it, but as I said breathing may be stopped about the sides thereof. And they that are drowned, are not choaked so much by the Influx of Water as by the hin­derance of the passage of the Air. And if any thing fal into the passage and hi [...]er breathing, it is by its stick­ing fast and causing a continual Cough.

The connexion and Obstructi­on of the Lungs are the Diseases that cause a Dyspnaea. The Cause of Disp­naea or difficulty of breathing is the con­nexion of the Lungs with the Breast. The con­nexion of the Lungs with the Convex part of the breast being streighter than it should be, suffers them not to move freely, and makes them short-winded in motion. This by Ana­tomies hath been found to have been natural to some, and to others from a fall or Pleu­risie. The Obstruction of the Lungs causeth an Asthma. When the Lungs are stop­ped inwardly in the branches of the rough Artery that are disper­sed through them, there is a diffi­culty of breathing, because the Air cannot freely pass. This comes often from a watry humor falling from the Head, in time of sleep and lying down, without sense by degrees, through the rough Artery to the Lungs; which staying in the narrow branches thereof, and growing slimy and stopping the passage, it causeth breathing with Snorting and noise and a Cough. And if by reason of the toughness thereof it cannot be haw­ked forth, it causeth a long Disease called Asthma: which by a new defluxion, at night time and in moist weather, and after a Surfet, is not violent. And if the defluxion be great and suddenly fill the passages that were formerly stopped, it causeth the Suffocating Ca­tarrh. The same may come from the Excrements of the Lungs there long detained and made thick. For as the Brain by reason of the plenty of Blood, which filleth the Cavity of the membranes, being crude, con­tinually gathereth Excrements; so the Lungs whose vessels are ful of blood if it be excrementitious or crude, it causeth many excrements: so that it is not necessary that all the flegm which is spet up must come from the Head to the Lungs. Both these Causes are discovered by the flegmatick constitution of the body, and the signs of abounding flegm, and rattling, and o­ther hurts mentioned. A white chalky matter, and hard, is made rather of the Lungs, than of flegm which is slimy like Bird-lime, but not crumbling. This ob­structing inwardly the branches, causeth that long Asth­ma wherein there is no sign of flegm. And the same may cause the Stone in the Lungs, which is hard, brit­tle, smooth or rough, according as the vessels are, as we have seen Anatomies. And such have been cough­ed out after a long and otherwise incurable Asthma, which were the cause thereof.

The Compression of the Breast is the cause of difficult breathing. The Diseases that hinder the Breathing besides the Muscles of the Breast mentioned in those which hinder the motion both of the Lungs and Breast both which are required to breathing. This is when it is outward­ly compressed, or when astringent things are laid thereon, as common Physitians suppose. The hardness of the gristles of the breast is the cause of Dysp­noea. If the Gristles of the Ribs, which are about the Breast to cause the more easie motion, be turned into a hard substance like the other Ribs: which happens in some through age, in some sooner, especially in Wo­men, by reason of their Breasts held up thereby; for then the breast cannot be sufficiently dilated: And this makes them sigh, when they have great breasts and lie upon their backs.

When a Rib or two are broken and thrust inward, The Ribs thrust in­ward causeth diffi­cult breath. because they hinder the dilatation of the Lungs, and the motion of the breast they hinder breathing: And so do the Ribs dis­located, and the Vertebrae or spondits of the back bent inwards. These two hurts as they may come by an external force to the Ribs: so Fernelius testifieth that a Rib hath been broken by great palpitation of the body: which I rather beleeve might be displaced.

If the Cavity of the Breast be filled with matter in an Empyema and Corruption of the Lungs, The Repletion of the Cavity of the Breast is the cause of Dysp­noea. or Water in a Dropsie; Or Blood from a Vein broken: If these be in great quantity, they cause a Dyspnoea by hindering motion of the Lungs, Breast and Midriff. Also Wind may cause the same if in the Breast: as I gathered from one in a Dyspnaea who had a noise about his breast with no rattling.

The Cure.

If Breath be stopped from Fainting of the Heart, The Cure of want of breath in Swooning. when strength returneth, they recover. And what must be done in Swooning shal be shewed in the defect of strength,

If men in Apoplexies from a distemper of the Brain are in dan­ger of Suffocation, The Cure of Defect of breathing from an Apoplexy. we shewed what must be done in the Con­sternation of mind. Also when breath is stopped by Convulsions.

If there be Defect of Breath, The Cure of want of Breathing & Speech in a Palsie & Cramp and other Diseases of the Nerves. Voyce, or Speech by reason of the Nerves in a particular Palsie or Convulsion, it must be cu­red as a Palsie or Convul­sion.

If it come from the Cramp you must give things to prevent a general Convulsion, as was there shewed.

And if it come from Loosness of the Nerves you must proceed as in a Palsie, by purging and altering.

When the Speech or Voyce is lost, things applied to the Mouth and Throat are best, because they draw forth flegm by the right way, and being neer the part affect­ed, consume and alter the humor. Masticatories and Gargarisms are most proper, not such as draw flegm thither, as in the Palsie of other parts, but which dry and draw out the humor that is fallen thither.

[Page 125]This Masticatory is good. Take Nutmeg two drams, Long Pepper, Cubebs, Galangal, Water-cresse sceds, Mu­stard seed, each one dram; Salt, Gum Elemi, each half a dram; Mastick one dram and an half; Turpentine which is highly commended, and with Wax make Pills, add half a scruple of Castor.

These Pils are excellent to be held all night under the Tongue. Take Bayberries one dram, Castor and Eu­phorbium cach six grains; with the Infusion of Gum-tra­ganth made in Rose water, make Pils.

It is admirable to rub the Tongue with Mithridate and Castor. And to wash the mouth with Brine, or a Decoction of red Wine, Sage, and Salt.

Or this. Take Acorus roots one ounce, Galangal, Cy­press, Costus, Nutmeg, each half an ounce; Sage, Marsoram, each one handful; boyl them in Water and Wine, and add Honey of Rosemary flowers, make a Gargarism.

Black-Cherry water to wash the mouth and to drink is vulgarly admired in loss of Speech, but this is better. Take Black-Cherry water, Lavender, Sage, and Pennyroyal water, each equal parts; Anoynt the mouth often.

Some have written it as a secret that the juyce of Net­tles put into the Ears, restoreth the Speech.

The same external medicines are to be used as in the Palsie. And the Oyntments and things which are ap­plied to the original of the Nerves, are to be applied to the nape of the Neck, and let the Jaws be anoynted therewith.

Sinapisms, Dropaces, Vesicatories and Cauteries which draw back are to be applied to the hinder part of the Head.

If there be plethory it is good to let blood under the Tongue in the Palsie thereof upon the same side and to apply Cupping-Glasses under the Chin and the hinder part of the Head.

It is good to bid them use the Tongue and endeavor to speak.

If Voyce, Speech or Breath­ing be hindered 'tis a Desluxion upon the Muscles, The Cure of want of Breathing. which distend­eth and inflameth them; whe­ther it be in the narrow Muscles of the Jaws or of the breast, or upon the Diaphragma, it shal be spoken of in Pains and Defluxions.

But if it come from the Diaphragma which is so troubled with Vapors that Nocturnal Suffocation or Fits of the Mother follow, then because this Symptom is most urgent, The Cure shal be as followeth.

If a Vapor arise from the Prae­cordia and hinders the Midriff in the Sleep, The Cure of Incu­bus or Night-mare. and brings danger of choaking, as in the Incubus it is dangerous, for fat folks and Children. Otherwise if it continues, it sends the Vapors to the Brain, and cau­seth worse accidents as Hypochondriack Melancholly, or Madness, or Falling-sickness, for the cause is the same only the part affected differreth; and if the brain be much hurt it may turn to an Apoplexy.

Therefore it is good to prevent it betimes, and the Crudity and Cacochymie and Repletion in the first passages is to be taken away. And the Vapors are to be kept from rising to hurt the Diaphragma or other parts either in the Fit or out of the Fit, and to be di­verted and discussed, as we shewed in the Melancholy, Epilepsie, Catalepsie, and the like Diseases from the same cause.

This is done first by purging the thick Excrements by Clysters or otherwise, and then letting blood if it be much or impure. Then clense the Cacochymy by vo­mit and purge; as the humor is, especially with things against Melancholy, and Wind, that are good for the Head and Falling-sickness. Then use particular Eva­cuations, provoke the Haemrhoids or Courses if they be stopped, and purge the Excrements of the Brain by the Nose. And in the mean while to make a good Concoction, give & apply things to the Stomach, avoid Crudities and things breeding Excrements and Wind. Look to the Head, for the Imagination is hurt, and to the Heart by reason of Fear, and to the Breast for it is troubled. All these must be respected out of the Fit. In the Fit use Clysters, and then outward Applicati­ons, that draw down vapors, and these may be conti­nued after for prevention of the Fit.

If you give no Clyster, use this. Take Diacatholi­consix drams, Diasenna Solutiva one dram, give them a­lone or in Wormwood Water.

Pils. Take Species Hiera of Galen, half a dram, Ag­gregative one scruple, with Syrup of Stoechas make Pills.

The Humor is prepared thus. Take Syrup of Hysop (for the Head and Breast) Stoechas and Lavender, Ho­ney or Rosemary of Bugloss each [...]e ounce; Oxymel simple half an ounce, Wormwood, Mints, Succory, Bugloss and Peo­ny water, each three ounces; give it for three or four times with Nutmeg.

Or thus. Take Fennel, Asparagu [...] and Liquorish roots, each one ounce; Pe [...]ny roots and Capar bark, each half an ounce; B [...]ttony, Hysop, each one handful; Endive, Succory, Bugloss, Agrimony, Hops, each half an handful; Bugloss flowers one pugil, Raisons stoned one ounce, Annise and Fen­nel seed each two drams; Dodder one dram, Schaenanth one dram, boyl them to a pint, strain it, and dissolve Oxy­mel two ounces, Sugar one ounce, Diarrhodon Abbatis one dram, for four Doses.

In Crudities, Infuse in Wine, Fennel roots two ounces, Capar barks half an ounce, Galangal three drams, Wormwood, Germander, Groundpine, each three drams; Cordial flowers each two drams; Fennel and Parsley seed, each one dram.

Then purge. Take Liquorish half an ounce, Raisons one ounce, Anise seed two drams and an half; Cordial flowers one pugil, Epithymum, Senna, each half an ounce; boyl them and add to the straining Rhubarb one dram, barks of black Helebore prepared half a dram (if the Patient be strong, or increase the quantity of Senna) Ginger, Grains of Para­dice, each half a scruple; strain it, and give it with half an ounce of Syrup of Roses.

Or give other Potions with Diasenna, or Pils of Co­chy &c.

Evacuate at divers times by the former; or by Ma­gistral Syrups, Electuaries, &c. mentioned in Melan­choly Diseases.

Let these Pils be in readiness. Take Species Hierae Archigenis one dram, Black Hellebore prepared one scruple, Agarick, Rhubarb, each half a dram, Epithimum half a dram, Peony seeds and roots each half a dram; with Honey of Squils make a Mass: let him take three or four or more bigger or less as they work. Let him use them often fasting fome hours before Dinner or Supper.

Hiera Archigenis alone wil do the same.

Spare Diet, and avoiding Suppers is excellent; e­specially if it come from Surfets. Let him beware of crude and windy things that stretch forth the Belly and increaseth shortneness of Breath. Let the Diet be of good juyce, and easie Concoction, with warm Spices. For Drink, Wine is forbidden because it disturbs the mind, and Water because it puffeth up, and Mead is allowed, but in young people by reason of the Honey which turneth into choler, it is not so good. We allow Wine moderated with Water, as in other melancholly Diseases.

A Honey-water for old men that are flegmatick. Take Liquorish one ounce, Fennel half an ounce, Raisons stoned two ounces, Annise seed one dram, Bugloss flowers one [Page 126]pugil, boyl them to one pint and an half, and Dissolve Sugar, and Honey, of each two ounces: Boyl them again a little and strain them.

The Wormwood wine mentioned to prepare, is good also to strengthen, taken in the mornings.

Pouders after meat to help Concoction, and hinder Vapors.

As, Take Coriander seed prepared half an ounce, Anise­seed two drams, Pouder of Aromaticum Rosatum one dram; Diamargaritum frigidum one scruple, Cinnamon half a dram Mace one scruple, Piony seeds and Coral, each half a dram; Sugar of Roses, as much as all the rest: give one spoonful after Meat.

Or this mixture after Meat. Take the Marmalad of Quinces, candied Citron peels, Conserve of Roses, each half an ounce; Conserve of Marjoram half an ounce, Aromati­cum Rosatum, Diamoschu dulce, Diamargariton, each one scruple; Piony seeds half a dram, red Coral one dram, Su­gar of Roses, as much as is sufficient, give one spoonful.

The Lozenges of Aromaticum Rosatum, Diarrho­don, or Diamoschun, are good taken at bed time.

Or this Electuary. Take Conserve of Roses, Borrage, Marjoram, each one ounce and an half; Citron peels, Myro­balans, and Ginger candied, each half an ounce; Elicam­pane and Galangal, each half a dram; Piony-seeds one dram, Coral, Ivory, each one dram and an half; Diarrhodon, Di­anthos, each half a dram; Cordial Spices one scruple, with Syrup of Bettony, make an Electuary. Let him drink after it a little Wine, with the Water of Lillies Con­vallies.

Old Treacle is good once in a week taken at Mid­night.

We give Clysters before Purging to prepare, and af­ter to expel wind, and loosen the Belly. And in the time of the Fit. Of which you have Examples in the like Diseases.

Purgers of the Head by the Nose and Mouth after general purging to prevent other Diseases of the Head must be used.

Apply Caps and Pillows to the Head of these. Take Cypress roots, Angelica, each two drams; Marjoram, Rose­mary, Lavender flowers and Roses, each one dram; Corian­der seeds one dram and an half, Cloves half a dram: make a Pouder.

Baggs are applied in the fit to the Heart and Pulses, sprinkled with Wine, Balm-water, Rose and Orange-flower-water. Take Galangal, Cypress, Citron peels, each two drams; Citron and Basil seeds, each one dram; Balme and Cordial flowers, each half a dram; Cloves one scruple: make a Pouder.

Let the Stomach and Breast be anointed in the Fit. Take Oyl of Dill and Chamomil, each one ounce; white Wine one ounce, Aqua vitae two drams: boyl them till the wine be spent.

Often washing externally doth revel Vapors from the Head and Midrif.

Also Frictions from beneath till they come to the Head, and combing of the Head backwards, are good.

Let Cupping-glasses be applied to the Thighs, and then to the Shoulders,

A Dropax made of Pitch and Oyl of Mastick must be applied hot to the Head with a Clout between; if the Head be afflicted.

In Plethorick and Cacochymical Bodies, a vein must be opened on that side, which is most heavy, first in the Arm, then in the Foot, and in other parts, for revulsion of Blood from that part, to which the Vapors most as­cend.

They must be wakened in the Fit, and not disturbed in Mind.

Let them sleep with the Head high upon one side, and take heed of sleeping upon the Back, because it doth not onely cause Straightness, but troublesome Dreams.

If the Vapors be about the Womb, and cause Hysterical accidents, The cure of the Suffocation of the Womb. because there are divers kinds thereof, one pro­duceth a pain of the Heart, another Swounding, another raging, another convulsive Motions with Suffocation, of which is spo­ken in those Diseases, yet since the Spirits are hindered in all, and they are all called Suffocations of the womb we shall speak of them.

They are in most danger who fetch no breath, but ly like dead people, because sometimes they die in the Fit, and sometimes return to themselves. Also if they have raging madness or Convulsion. But often they recover after these.

The Method of Cure is, to evacuate the Excrements about the Womb, provoke the Courses, and to repress the Vapors that rise from the womb, and to revel, dis­cuss and consume them, divers wayes, among which some take away the fit.

We give Evacuations, as in foul Blood and Melan­choly according to the Constitution, and Humors a­bounding, which must be repeated, if the Disease cease not, alwayes adding things that provoke the Termes. These are best.

To provoke Vomit, give one dram and an half of Agarick, with Oxymel.

Let the Potion following be given every week to purge. Take Agarick in Pouder, and Triphera magna without Opium, each one dram; dissolve them in white Wine and Water of Mugwort, or Mother-wort.

Or thus. Take Agarick, Briony roots, each one dram and an half; Ginger and Cinnamon, each half a dram; in­fuse them in the best white Wine, strain them, and add Sy­rup of Mugwort one ounce.

Turpentine is much commended, and this Purge. Take Agarick troches'd two scruples, Ginger, one scruple, in­sufe them in white Wine, strain them, adding Turpentine three drams, dissolved in six drams of Honey, and the Yolk of an Egg.

Usual Pills. Take Hiera Colocynthidos one dram, Agarick trochs'd one dram and an half, Carrot, Agnus Castus seeds, each one scruple; Myrrh, Castor, each half a scruple; Dia­gredium half a scruple, with Turpentine make a Mass for Pills, give from half a dram.

The Food must be moderate and good, and because Wine causeth the fit, let him drink Anise-seed boyled in Water or Mead.

Medicines to alter must discuss Vapors, and move the Terms, strengthen the womb, and the principal Parts, and resist the venemous Humors. Thus,

A good Water. Take Balm and Mint-water, each one ounce and an half; Cinnamon-water two ounces, with a lit­tle Castor, or distil one of these Simples following, with a lit­tle Castor.

Or make this Decoction of them. Take Roots of So­lomons Seal, Valerian, each one dram and an half; Balme, Penny-royal, Organ, Calamints, Jet, each one dram; boyl them in Wine, adding Vinegar of Squills, strain it, and ad Syrup of Mugwort half an ounce for two Draughts.

Or this Syrup. Take Roots of Solomons Seal, Briony, Valerian, Spignel, Coltsfoot, white Wine, Master-wort, An­gelica, each half an ounce; Plantane, Balm, Penny-royal, Min [...]s, Calamints, Fleabane, Nep, Bettony, Mugwort, Thyme, each one handful; Rosemary, Lavender flowers, each one pngil; Seeds of Cummin, Carrots, wild Parsnips, Sor­rel, Piony, Anise, each one dram; Bay-berries, each two drams; boyl and strain them, add Juyce of Plantane one ounce and an half, Sugar six ounces, boyl them thick, and [Page 127]add Cinnamon and Cloves, each one dram and an half; give one ounce by it self, or with convenient Liquor.

A Potion. Take Mithridate one dram and an half, Pouder of Moschu dulcis half a dram, Syrup of Mugwort half an ounce, Balm-water as much as is sufficient, with a little Cinnamon-water, make a Potion.

Pouders to drink with Liquors, with Sugars, or to be taken in Lozenges or Electuaries.

One easie made. Take Cummin seeds one dram, Ju­niper-berries eleven, pouder them, give it in Wine or Cin­namon, or Plantane, or Rose-water.

Or thus. Take Cummin seed, wild Parsnip and Car­rot seed, each one scruple; Cloves half a scruple.

Or, Take Cummin, wild Carrot seed, each one dram; Gith, Agnus castus, Rue, Piony, Dittany roots, each two scru­ples; Amber, Crystal, Jet, each one scruple; Cloves, Cin­namon, Pepper, wood Aloes, each half a scruple; Musk five grains: make a Pouder, give a dram in Liquor, or with four ounces of Sugor make a Tragema, or Lozenges, or with Honey, or Syrup of Mugwort an Electuary.

Pills of stinking things are made thus. Take Castor one scruple, Assa faetida half a scruple, Myrrh, Galbanum, Sagapenum, each one scruple, with Honey of Squills, make Pills, take half a dram.

Or of very sweet things thus. Take Musk six grains, Benzoin half a dram, Sugar one dram, with Cinnamon-wa­ter make Pills, give half a scruple.

Suppositories revel Vapors. Take Honey one ounce and an half, boyl it to a consistence, add Hiera, Cummin, and Nigella seeds, each one scruple; Sal Gem. half a scruple, make Suppositories.

A Clyster doth the same. Take Bay and Juniper-ber­ryes, each one ounce; Penny-royal, Calamints, Rue, Savine, each one handful; Cummin two drams: boyl them, and dissolve Hiera Coloquintidos two drams, Oyl of Wall-flo­wers and Rue, each one ounce; Salt one dram, make a Cly­ster.

Provoke vomiting with the singer, or a feather in the Throat.

Put pouder of Mustard into the Nose in the sit to provoke Neesing, or a little white Hellebore therewith, some blow up Rhubarb with good success, if she sneese it is good, by which we perceive life.

Strong Scents are applied to the Nose that stink, in the Fit, which drive down the Womb being sensible thereof, as some suppose. But we think they do good by dispersing vapors, and stir up strength in the Heart and Brain, whether they pierced being subtile, and be­cause they stir up the expulsive Faculty which was a sleep, that they may come to themselves; therefore we bid them smell such out of the fit. Castor because it is strong, is good to smell too.

Also Assa foetida, Galbanum, Opoponax, Bitumen and the like; Trefoyl that stinketh, Petroleum, Rue, and Chimches, both Domestick, and in Plants, which stink moist horridly.

Also Onions, and Garlick which have a piercing sharp Scent.

Also strong Vinegar in a spunge, or mixed with Ca­stor and Sulphur to anoint the Nose.

A stinking Fume is better, of burnt Feathers, Leather, horn Hoofes, Candles ends put forth.

Or these Troches. Take Castor one scruple, Assa foe­tida half a scruple, Pitch half a dram, with Turpentine make Troches; light one, and take in the vapors at the Nose with a Funnel, but not too thick, least it suffocate.

To the womb pleasant things are applied to fetch it down by delight: but we suppose that they do it by piercing being hot, and so discuss the vapors sooner.

A Fume for the womb with a funnel. Take Storax, Benzoin, of each one dram; wood Aloes half a dram, Musk five grains; with the infusion of Gum Traganth: Make Troches and lay them dry upon the Embers.

Or thus: Take Troches of Gallia Moschata, Mesues and Nicolai.

These scent a sweet scent, if they boyl in Rose-wa­ter.

The Privities must be anoynted with Civet by the Midwife.

Or this Linament: Take Gallia Moschata Mesues one dram, Pouder Diamoschu, Diambra, of each half a scruple; Civet three grains, Saftron six grains, with Oyl of sweet Al­monds or Been: Make a Linament.

Or mix Musk, Amber, or Civet, in Cotton: Or this Pouder, Take Storax, Benzoin, Gallia Moschata, of each one dram: Cloves, Cinnamon, wood of Aloes, of each half a dram; Saffron half a scruple. This may be sprinkled with Rose­water and put into a bag and used like a Pessary.

Or this, which is not only well sented, but provokes the Termes. Take Balm, Marjoram, of each one dram; Cloves, Mace, of each a dram; Pepper, Saffron, of each one scruple; Jet, Pitch, of each half a dram; Salt Peter one scru­ple, Alipta Moschata, which hath Camphyre half a dram, with Oyl of Bayes and Lillies, and a little Storax: Make a Pessary.

Or others for the Termes which are there mentio­ned.

They which think it comes from stoppage of seed apply sharper and provoke the seed by divers Arts. Which we omit because we speak of another cause, yet w [...] [...]llow lawful Copulation: which revels and pro­vokes Terms and alters the Nature of Virgins.

These are applied to the Navil and Share.

A Cataplasm: Take Fern leaves, Lovadge with the roots, of each one handful; Rue half a handful: Boyl them in Wine, and with Grease, make a Cataplasm.

Or thus: Take Honey and Figs equal parts, boyl them in Wine and Water, beat them; and add Oyl of Spike and Dill.

Also Flax from the Spindle dipt in Oyl of Dill.

Also Henbane bruised, with Oyl of Spike, applied to the Navil.

An Emplaster for the Share: Take Galbanum one ounce, Storax one dram, with Oyl of Spike and Pouder of Cloves.

Another: Take Emplastrum Ceroneum, or for the Mo­ther one ounce, Troches of Alipta Moschata one dram; Storax half a dram, with Oyl of Spike: Make a Pla­ster.

It is good to wash the Feet to divert and strengthen the Womb, As; Take Orris roots, Lovage, Fern, Mother­wort, Calamints, Nep, Penny-royal, of each one handful; Chamomil flowers one pugil, Juniper and Bay-berries of each half a pugil; Carrot, Carway and wild Parsnip seeds and Agnus Castus seeds, of each one dram; Coriander two drams. Boyl them in Water, add a little Wine.

A Bath of the same after purging, or to go to the hot Baths is good.

Frictions also or rubbings of the Lungs and Soles of the Feet, with Salt Vinegar and Oyl of Bayes, are good in the fit.

Also pul the Ears, Nose, and Hair upon the Privi­ties.

Bind the Hips aboue the Knees, and the Hypochon­dria with a Girdle.

Apply a great Cupping Glass below the Navel and smal ones to the Hips.

Apply a Dropax and Sinapisme to the Loyns and Share.

A Cautery in the Coronel suture is good if the Head [Page 128]be afflicted. If the Terms be stopped, open a Vein in the Foot; and Scarifie under the Ham, and apply Horsleeches to the Ankle.

Let her avoid cold Air, in the lower parts chiefly, and Feet which must alwaies be kept warm. Let her exer­cise moderately, and sleep moderately, and not be di­sturbed in mind.

And if in other Diseases the Di­aphragma or Midriff be hindered by Wind or Humors from other parts. The Cure of short Breathing from wind and humors in the Belly. The Cure is by those Dis­eases: as in the Wind of the Co­lick, Stomach, Repletion, Tym­pany, Dropsie, Hardness of the Bowels and Schir­rhus.

It is done by Vomiting with the Decoction of Radish, The Cure of Suffocation by Mushrooms. or with dried Hen-dung and Oxymel. Or, Take Oxymel one ounce and an half, Sal Niter half a dram, and drink after it Wine of the Infusion and Decoction of Wormwood and Balm.

If the Instruments of Breathing, Voyce and Speak­ing, as the Mouth, Jaws, Palate, Tongue, Rough Ar­tery, Lungs and Breast be hurt, you must proceed as followeth.

If too much driness and hard­ness of the Tongue hinder the Speech, The Cure of S [...]utt e­ring from driness of the Tongue. The Cure of Short­windedness from the hardness of the Gri­stles of the Ribs. or of the Jaws, the Voice the Cure is shewed in the privati­on of Tast. But if the Gristles of the Ribs are hard, and cause [...]ld men and women to be Short-win­ded (being wholl chested as they call it) this cannot be cured. Therefore they are con­strained to be at rest, and not cause the least breathing violently by motion, that they may spend the remain­der of their daies in quiet.

When the Tongue is growen biggar or less or otherwise defor­med, The want of Speech from the greatness of the Tongue. whereby the Speech is hin­der'd, this cannot be cured if it be from the birth. But by Pra­ctice some that cannot pronounce some sorts of Let­ters, they learn them as we read of Demosthenes. If the Tongue be swollen, seek for the Cure in Tumors.

When the want or defect of a patt is the Cause, The Cure of the hinderance of speech from the want of Tongue, Palate, or Teeth. there is no Cure. As when the Speech is hinder'd from a disfigured Tongue, or loss of Palate, or ab­sence of Fore-Teeth: yet some can make Artificial Teeth of Ivo­ry or Bone that will stick fast being placed in the space.

A great solution of continuity, or when the rough Artery is cut, The Cure of the cutting the rough Artery. and the passage stopt for breath, there is no Cure, because they are commonly choaked, Yet we have read that some have been cured by diligence.

If a Rib be broken and thrust inward and hinder the motion of the Lungs it must be reduced to its place: The Cure of Dysp­naea from a wounded or broken Rib. and cured as a Fract­ure. If a Ribbe displaced it must be reduced first, and then held there as a dislocation.

If the Lungs be joyned by smal fibres to the Breast it being an or­ganical Disease, The Cure of Sighes from the growing of the Lungs to the Breast. it is incurable: And they are constrained as those whose Gristles are hard, to live with strong motion.

If Speech be hinderred from the streightness of the Ligament or string of the Tongue, The Cure of defect of Speech from the Con­traction of the Tongue or of the Tongue-tied. as when Children are Tongue-tied, it is cured with the Finger, or Cut­ting: But when it is grown hard, it is incurable.

When the Breast is silled with matter, Water or Blood, The Cure of Dysp­naea from Repletion of the Breast. it causeth Coughing rather than hinders breathing, which sendeth it forth, and therefore it is to be treated of in things sent forth.

If the stoppage of the Mouth, Nose, The Cure of Suffo­cation from the stoppage of the Mouth, Nose or Jaws. and Jaws hinder breathing and come from external injuries as diving under water, or hanging, or from a weight upon the Breast, the cause taken away the breath wil return. But if there be fear of Suffocation from the fixing of the Teeth, or stoppage of the Nose with filth, in an Apoplexy or Epilepsie, we shewed there how the Teeth are to be opened, and what else is to be done.

If the rough Artery be suffoca­ted from a Spondil dislocated which lieth thereon which is diffi­cult to be: The Cure of Suffo­cation from the ty­ing of the rough Ar­tery. it easily killeth. And if crookedness of Back cause short breathing, because the bones cannot easily be reduced, the Disease is desperate. If strangulation be from any thing fallen into the rough Artery, it cannot get out but by Coughing: and because a Cough doth come of its own accord, when any thing fals in, we need not provok it. But neesing doth very much help the ex­pelling of it, and strikeing upon the back as the vulgar suppose. But that which falls in is either cast forth af­ter long Coughing, or the matter sticketh so fast, that the Cough and straitness do so perplex that they may be choaked, as we shewed in the Causes.

If a preternatural tumor in the Almonds of the Ears cause diffi­cult breathing, The Cure of Dysp­naea from a Tumor in the Jaws. we shewed the cure in pains and Tumors. And we spake in the Muscles of the Tu­mor thereof.

The Cure of Asthma. If an Obstruction in the Lungs by a tough flegmatick Excrement produce an Asthma, and it continue long, in old men it is incurable, in others it is difficult, especially if they spit not forth the matter that stoppeth; And the Disease is increased with a new Defluxion: which if it be great in a Fit when before they feared Suffocation, it often suddenly suffocateth. But if the Asthma came from a Clay or Gravel-like matter, in one part only, it doth not suffocate as that from flegm which takes up more room, except a Defluxion comes upon it, and and so increase the stoppage, neither is this easily cured except it be cast forth by the long force of a cough, and then the old Disease is suddenly cured.

The Method of Cure is, to cut the humor so fixed, and to clense, and to dilate the breast that it may expel it. And this will expell the Gravel by medicines inward and outward. Then if a Catarrh cause or feed the Disease, the Body must be clensed: the head must be dried and the humor that flows from thence must be revelled. And if straightness come from Wind that stretcheth the Stomach or Belly it must be discussed. All these are to be done by Fumes, by Attractives, by Burners, cutting and motion of the body, as we snal shew.

[Page 129]Purgers are to be given out of the Fit if Defluxions cause or encrease an Asthma, in respect of them, for otherwise they wil draw nothing from the Breast. And in other causes that the body being clensed may be bet­ter ordered. But these are not to be strong except the body be very foul: but gentle and often, except the Defluxion be very troublesom, and then you must do as shal be shewed, but for the Asthma Thus.

Gentle Purgers which expectorate are Cassia, Man­na, Polipody. Take Liquorish half an ounce, Raisons stoned and Figs each one ounce; Jujubes half an ounce, Po­lypody dried six drams, boyl them and dissolve three oun­ces of Manna or one ounce and an half of Cassia.

Old Cock Broth is commended of all men in which dissolve Cassia or Manna as was shewed, or other Ele­ctuaries that purge flegm.

Or thus, Take an old Cock, kill him, pluck him, and gut him, then take Raisons and Figs each four ounces; beat them into a past: Carthamus seed and Polypody each two ounces; Senna one ounce, Agarick two drams, Annise one dram, Turbith one dram and an half, Ginger half a dram, beat them with the past, with which stuff the Cock and boyl him in Water. Take it thrice, and if it work not at first, add Cassia or Manna. Or you may first boyl the Cock, and after, the ingredients in his Broth.

Another used long is an excellent Remedy, Take a Cock, and one ounce of Fox Lungs, Raisons stoned and Figs two ounces, Leeks two ounces, Liquorish one ounce, Eli­campane two drams, Hysop, Savory, Horehound, Time, Ca­lamints dried, Pennyroyal, each one dram and an half; Fen­nel and Anise seed each one dram; Carthamus seeds and Po­lypody bruised each half an ounce; white Tartar one dram, two yolks of Eggs, fresh Butter half an ounce. Pouder and cut them and beat them into a past, sow them into the Cock and boyl him til his flesh fall off in much Water in a great Vessel, then strain it, and to ten pints of the Broth add one pound of Honey, that it may not quick­ly corrupt, give a draught with Manna and Cassia each half an ounce; in the morning for many daies. And this wil work better if you give after it one dram of Turpentine with Penedies in the form of a Bolus.

Three drams of the Troches of Violets without Scammony are good for the Breast and purge flegm, with a pectoral Decoction or Water.

Stronger are thus made, when the slegm is much. Take Violet flowers six drams, Turbith four drams, Agarick three drams, juyce of Liquorish, Manna, each two drams; Scammony one scruple, with syrup of Violets make Tro­chisks give two drams.

This Potion is good. Take Agarick one dram and an half, Turbith one dram, Ginger half a dram, pouder them and Infuse them in Oxymel or Hydromel one ounce, and as much of white Wine, Hysop and Fennel water, strain them, dissolve Diaphenicon and Diacarthamum each one dram and an half; Manna, Syrup of Violets each one ounce.

Pils. Take Pils of Agarick, Cochiae, each one scruple; Troches of Alhandal six grains, with Oxymel of Squils make Pils.

This Wine is good if there be Wind which straiten­eth. Take Senna two ounces, Agarick half an ounce, Tur­bith two drams, Squils two drams, Wormwood three drams, Bayberries ten, Anise seed one ounce, Fennel, Caraway, each two drams; Infuse them in Wine and Honey and let him drink thereof in the morning.

The pulp of Coloquintida infused in Wine is ex­cellent.

An usual Electuary. Take Manna, Cassia, each two ounces, Diaphaenicon and Diacarthamum, each one ounce; Syrup of Violets and Oxymel of Squils, each half an ounce; make an Electuary: give two drams and after more at a time.

A day after purging use, Mithridate or proper Con­serves to refresh.

Vomits are given, out of the Fit least, too much straining should bring fear of Suffocation. Tobacco water distilled is most excellent.

The humors must be prepared before Purging, with things to cut flegm, and they must also be given after­wards,

Thus: Take of Syrup of Liquorish and Hysop each one ounce and an half; Oxymel of Squils one ounce, Hysop, Fennel and Colts-foot water each three ounces; make a Ju­lep for three daies to be continued, mix Pouder Diaire­os, or give a Lozenge thereof after.

Or with this Apozeme. Take Liquorish one ounce and an half, Elicampane and Orrice each half an ounce; Horehound, Maidenhair, Hysop, Colts-foot, each one hand­ful; Scabious and French Lavender flowers, Violets, Mal­lows, each one pugil; Anise and Fennel each two drams; Raisons stoned, Jujubes, each one ounce and an half; Dates three, Figs ten, boyl them adding to the strained Liquor Oxymel two ounces, aromatize it with a little Cinnamon, let it be taken like a Julep.

Observe the same diet, as in the Night-mare, thin, of good juyce, easie concoction, not windy, crude, a­stringent.

Among others Dioscorides commends old Cock broth, and Snails.

For Sauce, mix Saffron, for the Breast, and Mustard with Honey doth expectorate wel.

Beans, Barley, Orobus, Almonds, Pine-nuts, with Carua and Fennel to correct the wind and Figs, Rai­sons, Dates.

Take Leeks two ounces, boyl them in Water or Cock broth til they be soft, add the Yolk of an Egg and Butter two ounces, Sugar one ounce, boyl them again a little, let him eat one half at Dinner and another at Supper.

Let him drink Mead or Hydromel with Hysop boy­led therein.

Or this Ptisan. Take Barley one pugil, Liquorish two long sticks bruised, Raisons stoned twenty, Figs fifteen, boyl them in eleven measures of Water to eight, adding Juju­bies twelve,

There are divers Medicines which clense, lenifie and cut matter in the Lungs that it may be coughed up, and are good in all causes.

This Decoction, for morning and evening. Take Liquorish one ounce, Elicampane, Orris, each half an ounce; Maidenhair, Hysop each half a handful; Raisons and Figs, each one ounce; Saffron one scruple,, boyl them, and add Honey.

Or thus. Take dried Horehound, Germander, Hysop, each one handful; Staechas flowers one pugil, boyl them in Honey and Water.

Or thus. Take Orris two drams, Horehound, Rue, Ca­lamints, each one dram; Nettle and Fenugreek seeds, each two drams; Raisons stoned one ounce, boyl them, add Ho­ney or Oxymel of Squils.

Or this. Take Liquorish two ounces, Orris, Elicam­pane each one ounce; Horstail one ounce and an half, Vale­rian, Squils, each two drams; Maidenhair, Coltsfoot, Betto­ny, Veronica, Hysop, Savory, Horehound, Calamints, Time, each one handful; flowers of Staechas, Rosemary, Scabious, each one pugil; Anise and Fennel seed each half an ounce; Nettle, Rocket and Watercress seed, each one dram; Figs, Raisons each four ounces; Jujubes, Sebestens, each ten; boyl them in Water and Honey, add Peper and Spike each one scruple: let him drink of it often, or with more Ho­ney or Sugar and Manna, make a Syrup.

Another Syrup. Take Radish roots four ounces, Leeks three ounces, Orris two ounces, Elicampane, Dragons Green, [Page 130]each one ounce; Squils half an ounce, Liquorish one ounce and an half, Savory, Penny-royal, Hysop, Savin, Horehound, Germander, of each one handful; Coleworts, and Coltsfoot, of each two handfuls; flowers of Staechas one pugil, Faenugreek and Carthamus seeds, of each six drams; Bay-berries half an ounce, Spike half a dram, Saffron one scruple: Make a Decoction, and with Sugar and Honey and Syrup.

A Wine. Take Liquorish one ounce and an half, Orris one ounce, Elicampane half an ounce, Angelica, Squils, of each two drams; Horehound, Hysop, of each three drams; Annis, and Fennel, of each two drams; Nettle, and Water­creses seeds, of each one dram; Honey clarified six ounces, white Wine one pottle.

Sows or Hoglice tied in a clout and steeped in Wine and strained, is an excellent Medicine experienced by some.

Wine, Vineger, Honey, and Oxymel of Squils, given in the fit are excellent.

Also juyce of Scabious and Sowthistle, alone or with Honey.

Or, Take juyce of Elicampane, Hysop, Horehound, of each one ounce; water of Hysop, Colts-foot, of each three ounces; Boyl them with Sugar, give it often.

It is thought good that they drink their own Urine.

A Spoonful of this water often taken is excellent: Take Squils prepared two drams, Elicampane half an ounce, Leeks one ounce, Mustard and water Cress seeds, of each one dram; Cinnamon three drams: beat them, and with strong Wine draw a water, add Honey of Rosemary, or of Squils.

Also Oyl of sweet Almonds, or fresh Butter.

Let Figs toasted and steept in wine be eaten.

Also roasted Leeks and Onions, with Honey and Butter, or Dragon roots so ordered. Or, Cuckow­pints, but if they inflame the Mouth, beat them up with Oyl, Sugar, and Honey. Or, boyl them and throw off the water. Also a roasted Squil with Honey is good.

Or this: Take juyce of Leeks two ounces, juyce of Dra­gons one ounce, juyce of Squils, Radish, of each half an ounce, juyce of Hysop, Elicampane, of each one ounce; with Honey six ounces: Boyl them to an Electuary.

Let him often eat Conserve of Orris and Elicam­pane.

And Take one dram of Turpentine, with the Yolk of an Egg and Honey.

Let him take every morning Brimstone prepared, that is washed often with Coltsfoot water, with Orris root, and a little Salt in a rear Egg.

Things that are licked are of Syrups of Hysop, Hore­hound, Oxymel, Lohoch of Fox Lungs, Coleworts, Coltfoot, Carthamus, Pine-nuts, Mucilages, Loch­sanum, and of Squils. And the Species of Diairios, and Salomonis, Pleres Archonticon and Diahysopi.

Other Eclegma's are thus made. Take Gum Ammo­niake dissolved in Aqua vitae two drams, water cress and Ni­gella seeds, of each one dram; Sal Ammoniak half a dram, Sulphure prepared one dram, Saffron five grains, prepared Fox Lungs one dram and an half, with Honey of Squils and convenient Syrup two ounces: Make a Lohoch.

Or thus, Take Althea roots two drams, Orris one dram and an half, Elicampane, Birthwort, Asarum, Bryony, of each one dram; Gentian, Cuckowpints, of each half a dram; Savin, and Coltsfoot, of each one dram and an half; Fenu­greek, Time, and Carthamus seed, of each two drams; Bay­berries one dram, water Cress, and Nettle seeds, of each half a dram; Pouder of Fox Lungs and Gum Ammoniack dissol­ved in Vinegar of Squils, of each two drams; Sulphur vive, or Quickbrimstone washed in Coltsfoot water, and boyled Tur­pentine, of each one dram; Storax half a dram, juyce of Li­quorish one dram with Honey of Squils, or one of the former syrup: Make a Lohoch.

If the Belly be bound: Take the Mucilage of Marsh­mallows, and Lineseed, of each half an ounce; Manna, Cassia, of each one ounce; Agarick, Turbith, of each one dram; Oyl of sweet Almonds, or Butter and Penedies, of each one ounce.

Also this Pouder: Take Liquorish, Polipody, of each two drams; Orrice, Elicampane, of each one dram; Dragon roots half a dram, Water-cresses seeds and Nettle seed, of each one dram; Cinnamon one dram and an half, Saffron one scruple, Pouder of Fox Lungs two drams, Sugar half as much as all: Or with Colts-foot water, make Lozenges with more Sugar.

This is commended highly: Take Saffron one scruple, Mosch one grain, give it in white Wine.

Pills: Take Gum Ammoniake dissolved in Vinegar of Squils two drams, Storax, Sagapenum, Myrrh, of each half a dram; Turpentine, boyled one dram, Spike one scruple, Saf­fron half a scruple, with Honey make Pills, the Dose is half a dram.

If there be a Catarrh, to stop it and stupefie the sense of the Breast, thickners and Stupefactives must be given of which in Catarrhes.

We may use this: Take Barley cleansed steep it six houres, then boyl it well, that it may be dissolved, then take sweet Almonds three ounces blanched, Gourd seeds one ounce and an half, Melon seeds one ounce, white Poppy and Lettice seeds, of each half an ounce: beat them, and with Barley Water, make a milk, which being mixed with two pound of the Pulp of Barley, must be boyled and swee­tened with Sugar; let him drink ten drams in the mor­ning in his bed, and at evening. This is an usual Medicine with the French and Italians to stop Fluxes.

Also Treacle, Mithridate, Philonium, with pouder of Liquorish in the fit, or with Diapenidian or Lohoch of Fox Lungs,

Let him hold Diatragacanth in his Mouth: or, Take the Pouder of Diatragacanth Frigid two drams, Frankincense one dram, juyce of Liquorish half a dram, Saffron half a scruple, with Syrup of Violets, make Forms.

Let this Fume be taken at the Mouth but not sudden­ly, or much least it Suffocate: Take dried Colts-foot one dram, Frankincense, Mastick, Storac, of each half a dram; Sulphur one scruple, with Turpentine, Make Troches.

Caps and the Chamber also may be smoaked with the same.

Anoynt the Breast with loosners and concocters, As Take Oyl of sweet Almonds, Lillies, of each one ounce; juyce of Hysop one ounce and an half: Boyl them till the juyce bc consumed, add fresh Butter, Mucilage of Faenugreek and roasted Lillies, of each one ounce and an half? Ducks Grease half an ounce, Saffron one scuruple, white Wax a little.

Or use the resumptive Oyntment.

Apply things outward to the Stomach, if it be stret­ched with Wind, which increaseth the Asthma.

And to the Head to stop Catarrhs, dry and streng­then the Head, if the Disease come from thence.

There are washes for the Head also, and hot washes for the Feet, do revel from the Head and Breast very much: Of the Decoction of Sage, Lavender, Chamo­mil, Elder and other hot sweet scented Herbs.

Also Frictions are good.

And Cupping Glasses to the Shoulders, Thighs, of­ten used to draw the Humor that flows to the Breast, backwards and downwards: and if they be applied [Page 131]under the Breasts they discurse the matter.

Also Issues in the Armes, Legs. And Vesicatories in the Wrists, and Palms of the Hands, or behind the Eares. And in the middle of the Breast, they are ex­cellent in all sorts of Asthmaes. Aetius, bids that part to be burnt. And others apply a Dropax.

If there be a Plethory, open a Vein.

And if the Belly be bound, use Clysters that expel wind, and loosen, and Suppositories.

Belching and Farting are difficult without Art do help, (though some can suck in the Air and belch it out again, and kneel down with their Arse lifted up and fart at their pleasure) It is good to put the Finger, or a Father into the Throat and provoke Vomiting.

In the firt let him rest and move not, nor speak much, for so breathing is made quicker which will perplex more. And if he lie down let his Head be very high, with divers Pillows.

CHAP. V. Of Breathing Depraved.

The Kinds,

WE call it a Depraved Respiration which is evil, either too much, or disorderly, not only without the evil, or involuntary. But Voluntary.

Respiration is involuntary, when Inspiration, or Breathing in is too quick or too great, or when Expi­ration or Breathing out is violent or interrupted, too short or too long, in divers kinds, either with divers noises, or with manifest voiding. These in sound men are from smal causes, and are but light afflictions: but somtimes they are greater and fortel Diseases, or are constant, and Symptoms of Diseases, and if great Ex­cretions are voided they are referred to that Head.

Often and quick respiration when the Air is suddenly drawn in and suddenly sent out, Quick Breath. may be in some men, and be also the Symptom of a Disease.

Great Respiration in Sighing in which the Air is attracted with great labor and thrown out again with a lamentable sound, Sighing. may be in the sound, and sick.

There is great Respiration in Yawning, Yawning. or Oscitation, in which the Mouth is wide opened, and the Air drawn in much, and presently sent out with a doleful sound. With this Pandiculation is commonly joyned, as we shewed. They are both in the sound, and sick.

In the Hicket there is a short and interrup­ted Respiration, Hickets. the Air breaking forth with a sound in a moment. It is in sound people; and in sick a dangerous accident, and holds many hours.

In Neesing, Neesing. there is a sudden sending forth of Air with more force and noise and a sha­king of the whol Body. It is many times to­gether somtimes, causing Tears and throwing out what­soever is in the Jawes, or Nostrils. It foreruns Catarrhs and great Diseases, as the Falling-sickness somtimes. Hence come the crying of God bless you, at that time as we shewed in Epilepsie. It somtimes follows Dis­eases, and puts an end to them, and in some people it comes upon a slight occasion.

In a Cough the Air is thrown out with as much force as the other, Coughing. and with a noise but chiefly from the Mouth, it is somtimes long somtimes short and returns, usually sending hu­mors to the Mouth that are spit forth afterwards, then it is called a moist Cough, as that in which nothing is voided, is called a dry Cough, and if it be smal, Tussi­cula, or a Kecking. But if it be vehement it causeth Vomiting, Weeping, and Hoarsness by clamor, or takes away the Voice: And if it continue it causeth pain in the Breast and Belly by the shaking thereof. This Cough may be in some Men from outward causes, but in old men it is so usual that it seems a Natural Excre­tion. In many Diseases it is troublesome and the chief Symptome.

There is a more strong and continued sending forth of wind in belching, Belching. in sound and sick, it is stinking or otherwise.

In Vomiting, Vomiting there is breathing forth with greater straining, somtimes without matter sent forth, and it is the Symptom of many Diseases, lasting long and much afflicting.

There is also a Voluntary sending forth of Air from the Mouth and Nose in Vo­ciferation or hollowing and in Anhelati­on which is hot breathing, Vociferation, Anhelation, Sufflation. and Exsufflati­on which is cold breathing.

Emunction, Emunction. or blowing of the Nose is voluntary with force and Noise, sending forth Air, and Humor; with holding of the Nose that the part being strightned, the sending forth may be more violent: or else the Nostrils are open and the matter is snuffed out.

We cast out Humors voluntarily, Spitting. also by spitting with the Mouth contracted that the Wind may be stronger. And by Hawking we ferch it out of the Jawes into the Mouth, Hawking. and so squirt it forth. These two are som­times Symptomes of Diseases. Somtimes sound men have them from plenty of Humors in the Jaws; or from custom. As when Oratours spet at every ful point.

Hoarsness, Hoarsness. is when the Voyce is rough and unequal. The Articulate Voyce or Speech is sent forth badly, Stammering. when men Stemmer in pronouncing some Letters: But when they cannot speak them plainly it is to be re­ferred to Speech diminished, as we shewed in the defect of Respiration. But when there is no defect but they pronounce some Letters with a double sound, as R. then it belongs to Depraved Speech.

The Causes.

All the Causes of all the Kinds of Depraved Respi­ration are from the Heart and Organs of breathing. Respiration, and especially Inspiration is from the Heart to get vital Spirits. And it is enlarged if there be not sufficient Air: or when the Spirits are moved vehemently.

If the Heart be deprived of Air by respiration intermitting, Affection of the mind is the cause of sighs. which the heart must have for the genera­tion of vital spirits: then to reco­ver what was lost it fetcheth a great Inspiration or Sigh; by which the Air being largely attracted, the Defect is made up. Respiration is in­termitted when the mind through affection is so in­tent [Page 132]upon other things, that it forgets breathing til ne­cessity constrains it and makes it greater.

The Cause of sighing or great Inspiration, is the too much commotion of the spirits of the heart, by reason the preturbation of mind with Pain, Oppression and Suffocation, of as we may perceive in passions. For thereby the heart is cooled and refreshed, as we per­ceive plainly in sighing. And this is the cause rather, than intermission, and forgetfulness, in regard in the night when we think of nothing we breath suffici­ently.

Vehement motion of the whole body, Vehement motion is the cause of quick breathing. as Running, Climing up a hil, which dissipate the spirits, is the cause of quick respiration to restore them, not only to cool the heart, for respiration may be from motion without heat.

Respiration is quicker if the bo­dy grow hot with too much pain whereby the Spirits are more con­sumed, Heat is the cause of short breathing. especially when the heart is hot also, as it may be by hot houses, as wel as motion, also by violent motions of the mind, as Anger, Joy, and Feavers, in which one Symptom is short breath­ing.

And if the Organs of breathing are burdened or pro­voked, the expiration is greater.

We shewed in depraved moti­on how the Organs of breath, A Vapor, Idleness or Imagination is the cause of yawning. be­ing burdened with vapors, and de­siring to relax themselves cause oscitation and pandiculation,

The Organs of Respiration being molested cause blowing or exsufflation, when any of them being very sensible, as the Membrane in the Aspera Arteria, Lungs, Nostrils, Mouth, Jaws, Throat, Stomach, Guts and Midriff is offended, whereby they labor to blow forth what hurts them, and then the blowing is more or less according to the part affected. And we shal now shew how it may come from divers causes, splendor, vapor, air, humors.

As a great Light as that of the Sun by disturbing the Eyes causeth tears: The Brightness of the Sun is the cause of sneezing. so it causeth snezing, by affecting the sensible Tunicle of the Nostrils with which that of the Eyebrows hath consent, in those that have thin humors or exqui­site sense of those parts.

A sharp scent or vapor, as that of Gar­lick, A sharp Odour is the cause of sneezing. Onions, Mustard, Radish, caus­eth Tears and Neezing by pricking the Membrane of the Eyes and Nose.

Much cold Air drawn in, Air and cold Water, is the Cause of Cough­ing and Hoarsness. that molesteth the Tunicle of the Jawes and rough Artery causeth a dry Cough with Hoarsness, when by binding and drying it exasperateth and maketh rough the parts that should be smooth and slippery. And then the Voice is lost, and by causing a Defluxion, it may by accident produce a moist Cough.

Cold Water drunk much doth the same, and astrin­gents much used.

If humors or other thick bodies fall into the rough Artery (being it is of exquisite sense, Things falling into the rough Artery cause a Cough. and cannot so much as have a touch of them) a cough is caused, and it is greater if the things be rough or sharp. As it is when in eating or drinking any thing goes the wrong way in at the La­rynx or Wind-pipe; as it often happens to them that speak when they are eating, which enlargeth the wind­pipe, Water, Wine, or a crum of bread gets in, or the like which cause coughing by which they are sent out at the mouth or Nose. Also dust or pouder may be drawn into the Wind-pipe and cause the same.

And if the like be snuffed or drawn into the Nose with the breath, Things snuffed into the Nose the cause of neezing. being sharp and pricking they cause neesing, as Pepper, Pel­litory, Hellebore, or sharp juyces. And if they get into the Wind-pipe with the Air, they cause coughing.

Also things that burn the Jaws, Things held in the mouth, cause spit­ting. and prick the mouth, chewed or held therein provoke spittle, as Pel­litory, Stavesacre, and the like.

A watry humor, thin, or thick, A humor from the Brain causeth a Cough. simple, or mixed with choler, which is salt, or is chewed in a Catarrh, if it fall into the Wind-pipe, it caus­eth a Cough which is greater, according to the quanti­ty or sharpness of the humor. And it continues when the Flux continueth, and is rather dispersed than sent forth by coughing.

All these are milder when the humor is watery, and not sharp, as when it falls at night only, and is easily spit up the next morning.

Also the same humor falling from the head into the mouth or Wind­pipe causeth a hauking which brings it into the mouth and so sends it forth. A humor from the head is the cause of hauking. If it be tough and sticketh long, it caus­eth a hoarsness, by making an inequality in the part which hinders the voyce, or it lies under the Tunicle and swels it. Use of Quick-silver is the cause of spit­ting. When filth is sent hither from the whol body, it causeth a constant spitting, as after anoynting with Quick-silver; by which means an ulcer may be caused, which may cause hoarsness.

If the humor from from the head be sharp and thin, An humor from the head is the cause of sneesing. and flow to the Nose, it causeth by pricking, nee­sing and often sniffling in the disease Coryza: and if it continue; Inflammation, and ulcers, from the heat of the humor.

When Blood falls into the Jaws it is hauked out: Blood falling down is the cause of hau­king and cough. when into the Lungs it is coughed out. And if it be sharp and about the Nose it causeth neesing which foregoeth bleeding at the Nose.

Also Flegm in the Lungs from their crude nourishment causeth coughing which continues according to the toughness as we shewed in Asthma. Flegm or Gravel in the Lungs the cause of cough­ing. As also stones or gravel growing there, especially if they be in the greater bran­ches of the Wind-pipe where the sense is more exqui­site, and laboureth to get forth.

Also matter in the Lungs causeth coughing: Matter in the Lungs, the cause of a cough. of flegm long conteined and ripened: or of excrementitious blood without an Ulcer; for which cause in the Pleurisie and Peripneumony it is gathered rather from the Inflammation of the Lungs than strai­ned through the Lungs from the breast which causeth coughing as I shal shew there: somtimes it comes [Page 133]from an Ulcer or Imposthume of the Lungs, and 'tis alwaies spit up in Consumptions. In all which if the matter be white, concocted and temperate, the Cough is milder, but if yellow, green, black, sharp or stinking, it is worse.

Also the matter in a Pleu­risie and Peripneumony sweat­ing through the Lungs at the first causeth a Cough. Matter and blood in the Lungs, cause a Cough.

And Blood in the passion of Blood-spitting. Evil Vapors causeth Hickets.

If the Midriff in malig­nant Feavers be troubled with evil vapors and stir'd to send them forth, it is contracted and suddenly relaxed, as we shewed in Convulsions, and causeth the same in the Hickets as we see in deadly Diseases. And in a burning Feaver when the Midriff is dried, this cannot be, but a dfficulty of breathing.

If the Midriff be wounded with the Stomach, it caus­eth depraved motion; for the Midriff lieth upon the stomach, and hath the same Tunicle with the Stomach and the Nerves, therefore it must needs consent there­with: And when the stomach laboureth to expel any, the Midriff moves to resist it, with the other Muscles of the breast, as it doth assist the Muscles of the belly to press down the Excrements by stool.

If any thing offending the in­ward sides of the stomach only, The pricking of the stomach is the cause of Hickets. be to be cast off, the motion of the Hicket is sufficient; by which the Midriff shakes the stomach, and helps the expulsive faculty, that it may cast the matter sticking thereto into the hollow of the sto­mach, and mix it with the rest: And then the pricking ceaseth, and also the motion of the Midriff, except the matter cleave again to the stomach, and then the Hic­kets return. The Stomach is pricked thus by sharp things, or such as burn, or are enemies unto it, as Pep­per, Onions, Purges, Poyson, stinks, or cholerick ma­lignant humors there bred, or sent thither.

When the stomach is offended by consent of the inward Tunicle, Heart-burning the cause of Nesing. nature strives to disburden it by a stronger motion, which is Nees­ing, by which they which have pain at the Heart are suddenly refreshed, because the matter is by that means shaken into the stomach.

And by the same consent not only with the stomach, The Cause of Cough and Sneesing from stomach and Guts. but guts and bowels adjacent there is a dry cough: as it appears in Children that have the Worms, which cause a dry Cough by their disturbing of the stomach and Colon, and somtimes Neesing: before which the Nose itched by the consent of the same Tunicle. And in other obstructions of the bowels, the Midriff being burdened with their weight, there is a dry Cough.

Belching is a stronger motion than Hickets for the Midriff helps the sto­mach, Wind the cause of Belching. when it is filled with Wind to throw it out, which swels like the matter that caused it.

When the matter is more solid as meat and Drink and humors, Trouble in the stomach the cause of Vomiting. there is a stronger motion of the Midriff and Muscles of the breast by Vomiting, by which the stomach is not only forced but turned, by which the matter and air is sent forth with great noise by an unaccustomed way. This Vomiting is caused by things in the stomach that offend in quantity or quality, as we shal shew in Excretion and things cast out.

Also the Inflammation of the sto­mach and Midriff, Some Diseases cause Hickets. and other Diseases that hurt them, cause the Hickets; And also great Diseases of the parts adjacent.

Preternatural Tumors and Ulcers in the Chaps, cause hoarsness, Diseases are the cause of Hoars­ness. as we observe in the Leprosie and French Pox.

It is commonly from the Birth, The Tongue disor­dered in the cause of stammering and Wharling. that the Tongue is so disordered that it cannot pronounce R. but like a double R. the Tongue is bent or otherwise. The cause of stammering is shewed in the Defect of Respirati­on.

The Cure.

Some kinds need no Cure, others are mentioned in other places.

If it come from strong motion, The cure of Short-breath­ing. there must be rest, or by a contrary motion, as when it comes from ascending, to de­scend.

If it come from passion, when that is past, the mo­tion of the heart is past.

If from outward heat, cooling abates it, &c. In Feavers.

If it come from disturbance of the mind and be often, it ceaseth with it. Sighing. Sighs shew the greatness of the Disease in the Mind, Head, or Madness. In other Diseases when the mind is not di­sturbed, often sighing declares Pusilanimity or strength lost.

If it come not from weariness or want of sleep which is natural, and be often, Concerning Yawning. it foretels a Feaver or Ague as we shewed in Pandiculation which accompanieth it. It is caused by Imagination, easier in lazy people than in Active.

If Hickets be in acute Feavers and con­tinue, it threateneth Convulsion, The cure of Hickets. because the Midrif is greatly affected, and death. If it come from the Stomach much offended with Hellebore, Poyson or corroding things, or a great Disease, o [...] Inflammation, it foretels the same from other causes; it is easily cured.

In the cure, first remove the cause as the Inflamma­tion in a malignant or sharp Feaver, if from the sto­mach being pricked lenifie it. And in all causes stop the inordinate motion of the Midrife which comes by the Hicket. They are done by these following, as the cause is sharp, hot, cholerick, biting, malignant, or cold and flegmatick.

If the cause be in the Stomach, Vomiting is best, for the Midriffe in the Hicket helpeth the stomach to ex­pel together with the Muscles of the breast.

The Vomit must be such as cleanseth, and allayeth sharpness and heat, thus. Take syrup of Vinegar and Oxymel simple, each six drams; Oyl of sweet Almonds two ounces, with Water of Nuts or Decoction of Raddishes, give it.

It must be repeated, if the Hicket cease not, and stronger given such as are mentioned.

Also purge. And if the Humor be tough, prepare it with Cutters and Cleansers, as Juleps, Wormwood­wine, which is good both in a cholerick and flegmatick Humor.

[Page 134]Stomach Purges are given for this as Hiera &c. in the Diseases of the Stomach. As in a hot Cause: Take Wormwood one dram, Senna three drams, Rhubarb one dram, Infuse them in Wine, let them boyl and be strai­ned.

In a cold Cause: Take Agarick, Turbith, of each one dram; Ginger half a dram, Sal Gem six grains, Hiera two drams Diagrydium one scruple, with Oxymel make a Mass, give one dram.

These may be repeated if the Disease return.

These following stop the Hickets, cleanse the Hu­mor, and Lenifie the Stomach, and after streng­then.

In a hot cause when the humor is sharp and burning, or in a distemper or emptiness, these following are good.

Broath in great quantity and often, Ptisans, cold or hot, water in great quantity, Oyl of sweet Al­monds.

Or, Take juyce of Pomegranats half an ounce, Vineger two drams, Mastick, dried Mints, of each half a dram; Let him drink it.

Or other sharp Syrups.

In a cold Elegmatick Cause: Take Galangal, Ginger, of each half a dram, spanish Wine one ounce and an half, Cinnamon water half an ounce: Or thus, Take Galangal three drams, dried Wormwood and Mints, of each two drams; Spike, Marjoram, Dill and Carva seeds, of each one dram; Cinnamon, Cloves, of each half a dram; Steep them in Wine.

Also: Take Aqua vitae one ounce, infuse Cinnamon and Galangal, of each one dram; shake it often.

Or this Electuary: Take Acorus, that is, Calamus Aromaticus and Candied Ginger, of each one ounce; conserve of Marjoram half an ounce, Pouder of Galangal one dram, with syrup of Mints.

Or these Pills: Take Castor half a dram, Mumie one scruple, Mastick half a scruple, with Honey of squils: make a Mass, for two Doses.

We also allay the sense of the Stomach with Treacle Methridate, pouder of Tormentil, and if it come from Poyson, they do good against the Hicket And other Antidotes. You may give other Narcoticks if it hin­der Sleep.

And Clysters to revel downwards, and Supposito­ries, that Nature may rather send downwards then up­wards.

The smel of Dill boyled with Mastick staies the Hickets.

Neesing Cures Hickets, because the matter offen­ding is sent from the Stomach and Midrif by a greater force.

Wash the Mouth with cold Water and Gargle.

Apply things outwardly to the Stomach, as this Fo­mentation: Take roots of Elicampanc three drams, Mints, Wormwood, Spike, Dill, Pennyroyal, Calamints, of each one handful; Lavender, Rosemary and Cammomel flowers, each one pugil, Cumin, Carua, Dill seeds, of each one dram; Bay and Juniper berries, of each half an ounce; Mastick two drams; Boyl them in Wine to foment the Stomach before.

Also hot Ashes with Aqua vitae and Sack put in a bag or bladder and applied to the Stomach.

A Fomentation with Rose Vinegar and a Spunge is good in a hot cause.

Anoynt the Stomach before and behind with loos­ning Oyls and after with Astringents.

Or apply this Bag: Take CArva seeds half an ounce, Ammi and Dill seeds, of each two drams; Galangal, Cloves, of each one dram; dried Mints two drams, Mastick, Fran­kincense, of each one dram; sprinkle them with Rose Vine­gar.

Emplasters also, in a hot cause the Cerot of Sanders, Unguent of Roses, of each one ounce; Mastich half an ounce, Citron peels and Quince, of each one dram; with juyce of Houseleek and Turpentine, make two Emplaisters for the fore and hinder side of the Sto­mach.

It is good to wash or bath the Hands and Feet in hot water.

And to bind the outward parts.

Apply Cupping-glasses first to the Shoulders and Navel, and then to the Stomach before and be­hind.

If you hold your breath, it stops the motion of the Midrif and abates the Hicket.

Or, Swallow down suddenly water or gulp divers times without it. Or, if you hollow and roar or runn, it causeth more breathing and then the Muscles of the Breast with the Midrif help the Stomach to expel what is hurtful.

Also sudden passions of the mind by calling in the spirits, take it away by frighting or noise or the like. And chiefly by dashing the Face suddenly with Wa­ter.

Dioscorides, Teacheth that Alysson held in the Hand stops it.

Neesing is somtimes, a good sign and in sound people sends forth that which trou­bleth, The cure of Neesing. and in the declining of a Disease shews recovery. Somtimes it is a sign of a distillation coming or Epilepfie in those that are ad­dicted to it. None of these ought to be stopped. But in bleeding at the Nose, and in Ruptures, because it provoketh the Gut down, and in Diseases of the Eyes because it causeth tears, and sends blood thither and o­ther Diseases, in which it increaseth pain, it is to be stopped. As also when it is so immoderate and con­tinual that it causeth Head-ach, and disperseth the spirits.

It is then stopped by things that purge Excrements from the Head, if it come from the Flux of them into the Nose as shall be shewed in Coryza.

They say the Decoction of Basilicon stops it.

Palliate the Nostrils, with the Vapor of warm water, and anoynt them with Butter, Milk, Oyl, Oyl of Gourds, Poppies, Henbane, and with the white of an Egg and Mucilages. All fresh.

The smel of Narcoticks, as of Opium, Oyl of Roses or Willows, represeth the sharpness of the Humors. As the smel of sharp things raiseth it.

Oyls, as those of sweet Almonds, Dill, Chamomil, Roses, Willows, Gourds, and juyce of Basilicon, are good to be put into the Ears.

And the Decoction of Basilicon to wash the Head. And Chamomel flowers in the Pillow. Foment the Breast to strengthen the Muscles with this: Take Cha­momel flowers two pugils, Metilot and Basil flowers and Bran, of each one pugil; put a stupe into the Decoction and Foment the Breast with it Squeezed.

Use Frictions, and Ligatures of the extream parts. press and rub the Ears and Eyes, and pul the Nose, rub the Palate with the Finger and Comb the Head.

Holding of the breath as it Cure the Hickets, so doth it Neefing, if the Nose and Mouth be stopped.

Also frighting will Cure Neesing, as soon as Hickets.

Strong drawing in of the breath doth stop Neesing, which when the vulgar smel unto Bread, they impute to the sent thereof.

[Page 135]Sleep also stops it.

And darkness, as light increaseth it. Therefore after a Cataract is couched they are kept a while in the dark, and you may do so in other Diseases unto which Nee­sing is an enemy.

Let the Head be laid high.

If there be great Diseases with a Cough look for the Cure in them. The cure of a Cough. As in Dyspnaea and Asthma. When blood or matter is spet, see in Haemoptoica Passio, Pleurisie, Peripneumony, Phthises. And for the Cure of that which comes from the fault of Natural parts, in other places. But that Cough which is alone, is to be judged by the diversity of the Causes, and to be so Cured. If it come from things fallen into the wind Pipe, then if they be not choaked as we shewed in Dyspnaea, the Cough ceaseth when they are cast out. And if there be provocation in the jaws after, use the Lenitives following. If it come from cold, only use actual and potential heat, and Leni­tives, and they will easily Cure. If it come from a thin Defluxion sharp and salt, the Cough is troublesome, provokes much, and it is not voided by coughing but dispersed only, neither doth it stop till the Catarrh is gone, and the matter be thick and concocted, and then it is easily voided, and the Cough abates. If it come from thick Flegm fallen down or otherwise it is hard to be cured, if new matter stil come, after the old is voi­ded.

In the Cure of both Coughs that come from Excre­mentitious Humors; we keep Humors from flowing, and stop them. And we study to expectorate that which is the conjunct Cause and Lyes in the Breast; by thick­ning it if thin; by cutting if it be thick; by concocting both and a little blunting the exquisite sense. And these chiefly correct this Symptom of Cough.

Thus give Juleps to prepare before evacuations, and after to expectorate, if the Humor be thin and sharp, for three daies: Take Syrup of Jujubies and Violets, of each one ounce and an half, Honey of Roses, Syrup of Poppies, of each half an ounce, water of Coltsfoot and Violets, of each four ounces: Make a Julep.

Or this Decoction: Take Jujubes, Sebestens, of each twenty, Prunes ten, Clean-barley half an ounce, Liquorish one ounce, Violets two pugils, Roses, one pugil: boyl them, add Penidyes one ounce, for three doses.

If the Humor be thick and cold. Take Syrup of Li­quorish one ounce and an half, of Hysop, Oxymel simple, each one ounce; Water of Bettony, Horehound, Hysop, each three ounces. Make a Julep.

Or this Decoction: Take Liquerish one ounce, Elicam­pane two drams, Raysons stone, twenty pair, Figs ten, Dates five, Anniseeds two drams, Fennel seed one dram, dried Hysop two drams, Maiden hair, Coltsfoot, of each one dram: Boyl them, and add Honey two ounces, for three or four Doses.

If the Cough come from a Desluxion give Purges, but not too strong least, you increase the Desluxion, therefore mix Astringents.

If the Defluxion be thin and hot thus. Take yellow Myrobalans two drams, Rheubarb four scruples, Agarick one dram, Spike six grains: Infuse them all in white Wine, strain them and dissolve the Electuaries, of the juyce of Roses one dram, syrup of Roses solutive one ounce.

Or give half a dram of Aggregative Pills, and one scruple of Pill Aureae, Mixed with Wine.

In a cold thick Humor purge thus: Take Agarick one dram, Turbith half a dram, Spike half a scruple, Gin­ger one scruple; Infuse them in Wine and Honey, strain them and dissolve Diaphaenicon two drams, Honey of Roses solutive one ounce and an half.

Or with Pills: Take Pills of Agarick two scruples, Cochy one scruple. With Wine, or Cinnamon water, Make Pills.

If the Body needs more Purging, give this Decocti­on three or four mornings: Take Liquorish two ounces, Orris one ounce, Elicampane half an ounce, Horehound, Coltsfoot, Hysop, Betony, of each one handful; Annis, Fennel seeds, of each two drams; Raysons twenty, Figs ten, Dates five, Carthamus and Senna, of each one ounce and an half: Boyl them in Water and a little Wine, infuse at the end Agarick three drams, Turbith two drams, strain them, add Honey of Roses four ounces; Boyl them a little and strain them, and let him drink it.

Keep the Body loose and Purge somtimes.

This Electuary is the best Lenitive: Take Raysons one ounce and an half, Currans one ounce, Sebestens fifteen, Figs twelve, Dates five, Cassia new drawn one ounce and an half, Tamarinds one ounce, Steep them and Boyl them in white Wine, make a Pulp, and add to it Manna three ounces, syrup of Violets and Roses solutive, of each one ounce; boyl them a little, give a spoonful or two before Sup­per.

When we will gently Purge and stop the Catarrh also; Take Agarick two drams, Mastick and Frankincense, of each half a dram, with juyce of Hysop make a Body. Take half a dram at night, or take one scruple of Mastick Pills.

If you will have them stronger: Take Pill Asajaret, Agarick, Rhubarb, of each one dram; Frankincense, Mastick of each one scruple, Saffron half a scruple, with syrup of Poppyes: make a Mass, give half a dram at Bed time.

It is good in Defluxions when they continue to sweat after purging.

Alteratives shall be declared which stay the Catarrh, if it cause a Cough with their healing and drying quali­ty rather then with astringing: and which Expectorate, by thickning if the humor be thin, by cutting if it be thick, by cleansing if it stick; also to Lenifie the passages and stupefie; many whereof were mentioned in Asthma especially to cut and cleanse.

The solid forms for a Cough, are to be held long in the Mouth: and they stop the Catarrh from falling to the Wind-pipe, and mix with the spittle: or to be chewed, as troches, little things like Lupines, or Tab­lets, dry, like Pills to be held under the Tongue, at bed time, for in sleep they are held better, and are not pre­sently Swallowed down when Melted. These may be also held in the Cheeks where they hinder not the Speech and get into the Wind-pipe better when you speak.

The root of Liquorish is so held and chewed which Lenifieth and cleanseth, and the juyce thereof; but it is a little unpleasant alone.

Sugar Candy, especially that sticks to the Glass where syrup of Roses or Violets are kept is also good for the same.

The white Troches called Bechici, are more u­sual.

But the red are better by reason of the Bole, or these. Take the best Bole one dram, Mastick, Starch, of each half a dram, Spike, Gum Traganth, Arabike, of each one scruple; Camphyre two grains, Penidies and Sugar Candy, of each two drams, with Mucilage of Fleabane, make little Balls.

The black are Compounded of juyce of Liquorish, with Storax, &c.

There are yellow Troches also, very pleasant and good. Take Starch three drams, Liquorish two drams, Elicampane, Orris, of each half a dram; Angelica half a scruple, Saffron six grains, Penidies and Sugar-candy, of each two ounces, with infusion of Gum Traganth, make Troches; add Oyl of Annis seeds two drops.

[Page 136]The usual Lozenges, are Diatragacanth Frigid: Diapenidion without the Species, Sugar of Roses in a hot cause. In a cold, Diaireos simple, and Solomonis Diatragacanthum Calidum, &c.

A Linctus, or Eclegma, is usual for a Cough, because it goes down by degrees, and comes to the breast, it is to be taken with a Liquorish stick.

In a hot cause, Lohoch of Fleabane, Marsh-mallows of Mucilages; in others Lohoch Sanum, of Pine-nuts, of Fox Lungs, Coltsfoot, and Coleworts.

Many are made without Pouders and Lenifie more.

Others are Unctious, and the better for that, to which things of other vertue are added; And this kind is good for Children, because it smels like meat, and is sweet.

Junkets of Butter or May butter, are usual in Ger­many and very good taken by little or licked, Take Starch one ounce, dissolve it in Milk, boyl it to a pultis, add fresh Butter four ounces, Sugar a good quantity, when it is cold it grows hard.

An Eclegma of Oyl excellent for a Cough. Take Oyl of sweet Almonds new drawn one ounce, Sugar-Candy half an ounce, Mucilage of Fleabane made with Rose water half an ounce, lick it often.

This Mucilage is Lenifying: Take Mucilage of Line­seed, Fenugreek, Fleabane, Quinces, all made with Rose water one ounce and an half, Penidies one ounce: Infusion of Gum Traganth, in Rose water, or Cinnamon water, half an ounce, Sugar-candy, or Penidies as much as will make a Linctus.

This is good to Lenifie and loosen the Mouth and Belly: Take Cassia, Manna, of each three drams; Peni­dies and Sugar-candy, of each two drams; Oyl of sweet Al­monds and fresh Butter, of each as much as will make a Lo­boch. Of which let much be taken if you will Purge much.

Or, Take Turpentine one dram; one yolk of an Egg, fresh Butter two drams, Honey half an ounce: Mix them, lick it.

Syrups and Robs are made of Decoctions and juyces for to be licked. Syrup of Myrtles is most usual.

Also of Violets, Jujubies, in a hot cause, in another, of Liquorish, Maiden hair, Hysop.

The Rob or thick juyce of fruits boyled is used in­stead of Honey, which in a thin Defluxion moveth it too much. Or use this, Take Liquorish, Pease shels, of each three ounces; Raysons, Currants, Figs, of each four ounces; Prunes ten, Jujubies, Sebestens, of each twelve pair: boyl them tel the fruits are dissolved, strain them and boyl them to a Rob.

Or thus of Juyces: Take juyce of Coltsfoot, red Cole, Purslain, of each one ounce; juyce of Horehound, Hysop, Sage, of each half an ounce; juyce of Liquorish two drams, Sugar and Honey, of each three ounces; Boyl them to a Syrup.

Or of a Decoction in a cold cause: Take Liquorish, Marsh-mallows, of each one ounce and an half; Elecampane, O [...]ri, Fennel, of each one ounce; Angelica two drams, Com­frey half an ounce, Maidenhair, Hysop, Pennyroyal, of each one handful; Horehound half a handful, Annis seed one ounce, Fennel seed half an ounce, Line seed three drams, Fe­nugreek two drams, Violets and Rosemary flowers, of each one pugil; Pease shels cleansed two ounces, Raysons stoned three ounces, Figs twelve, Jujubies and Sebestens, of each ten pair; Boyl them, strain them, and add Honey and Sugar, of each four ounces, and a little Cinnamon; Boyl it to a Syrup.

Those that have Pouders, if they be not finely sifted will cause coughing. They are diversly made.

As of Seeds and Roots thus: Take Line seeds, Fenu­greek, of each a dram; Nettle seed; Bryony root, Marsh-mal­lows, Orrice, Elicampane, of each half a dram; Gum Tra­ganth one scruple, juyce of Liquorish dissolved in Oxymel one dram: Make a Lohoch.

Or of Fruits stoned: Take sweet Almonds, Pinenuts, of each an ounce; Gourd and Melon seeds, of each half an ounce; Penides and Sugar-candy, of each an ounce; Manna half an ounce, with syrup of Violets, or Liquorish: Make a Lohoch.

This of Sulphur is good: Take the best Sulphur one dram, Orrice half a dram, Sugar-candy one dram and an half: Make a pouder, let it be licked, or taken with a rear Egg.

For Compound Pouders. In a hot cause: Take pouder of Diatraganth frigid, Diapenidies without species, of each one dram; Lohoch of Fleabane, Coltsfoot, of each half an ounce; Penides and Sugar-candy, of each six drams; Mallows and Cotten seed, of each half a dram; Line seed one dram, Liquorish one dram and an half, with syrup of Ju­jubies: Make an Eclegma.

It is good to give things with Meat and Drink for a Cough, though they work less, because they mix with the spittle, and leave their Vertues therewith.

Also to Eat Figs, Raysons, and Prunes.

It is a usual Medicine for a Cough, to steep Figs in Aqua vitae, and then dry them and after eat them.

Also Almonds, Pine and Pistach nuts alone, or can­died, March pane and other sweet Meats also, and the junkats mentioned of Butter.

Also Meats of Barley, and Oats, and of Beans, ccor­ding to Dioscorides.

Especially Barley and Almond Milk is excellent to stop a Catarrh, as we shewed in Asthma.

Or this, taken some spoonfuls towards bed: Take Barley Meal, Starch, of each half a dishful, two whites of Eggs beaten: Boyl them with Milk, and add Sugar.

Also a roasted Onyon with Butter and Sugar, or fil­led with Treacle and roasted and the juyce taken out and mixed with Sugar-candy to be licked. Also Leek Portage are good.

And Radishes with much Oyl, a little Vinegar and Honey.

Eggs also rear dressed with fresh better and but a little Salt, for it provokes coughing.

Spinach and Rocket buttered.

A meat made of Egs boyled Wine and Butter, or Egs, Wine, Sugar, and Butter, which the Dutch call Beanwarm, that is Warm-bones.

Also warm Milk drunk with Penidies or Sugar­candy.

A Medicine wel of sented, sharp Apples, is excellent, and for to restore the strength also in other Diseases: Take sound Apples sliced round, Lay them upon sticks in an earthen Vessel in a Wine-seller, sprinkle Sugar-candy thereon: Take of the juyce that you shall find in the Vessel which fel from the Apples two ounces, Aqua vitae, Rosewater, of each one ounce; Oyl of Cloves and Cinnamon, of each two drops: Mix them, and give a spoonful or two of­ten.

Another Lenifying Decoction: Take Raysons, Pease shels, Liquorish, of each two ounces; Jujubies, Sebestens, of each ten pair; Barley clensed one ounce: Boyl them, strain them, and Clarifie them, let him often drink a draught, you may add Sugar and Honey.

Another to Expectorate: Take Hysop, Penyroyal, Maidenhair, Cole worts, of each one handful; Figs ten, with Honey: Boyl and scum and strain them, drink it.

[Page 137]Or thus. Take Line-seed, Faenugreek bruised, each two drams; Anise and Nettle seed, each one dram; Basil seed half a dram, Liquorish, Marsh-mallows, each half an ounce; Pennyroyal, Goldy-locks, each one bandful and an half; Mallows, Violets, each one pugil; Figs ten, Dates five, boyl them and add Honey and Syrup of Liquorish.

This is good against a Catarrh. Take Frankincense, Mastich, each one dram; Liquorish one ounce, Raisons sto­ned ten pair, Figs five pair, Jujubes, Sebestens, each six pair; boyl them, add to the straining Penidies, for a Drink.

Wine with things infused or boyled, especially that of Elicampane is good, boyled thick.

Wine wherein Juniper berries are boyled is good for a Cough in Children, and it is stronger with Hysop and Mother of Time.

Also the flowers of Gourd dried and boyled in Wine. And of bitter things, Take Elicampane half an ounce, Orris, Squils prepared, each two drams; Horehound, Car­duus, Germander, Sage, Pennyroyal, Pauls Bettony, each one handful; steep and boyl them in Wine.

Some drink pouder of Ginger in Wine, at nights, in Winter. And if the Cough be of Cold it must do good; And because it heats the mouth, and the virrue is carried by consent to the Lungs it expectorateth. And Dioscorides commends Pepper.

Brandewine is good with Sugar-candy, also the same burnt while it wil flame, and so brought to an Oyl.

Some commend the essential Oyl of Sugar thus made. Put four ounces of Sugar often washed with Sack, and dried, into a Glass; lute it wel, set it in the Sun or Ashes over the fire, and sublime the Sugar, which wil make a noyse. This take out, and put it in the hard boyled whites of Eggs, and place them in a Wine-celler til you have a cleer Oyl. One spoonful of this swallowed by degrees is excellent.

The water of Pauls Betony or, Pouder of it with Su­gar is good.

Also new drawn Oyl of sweet Almonds.

That which stops the Catarrh, expectorateth, and taketh away the provoking to cough by stupefaction, is excellent.

As Diacodium at bed-time, or syrup of Poppies, or Lohoch of Poppies.

Or thus, Take Syrup of Poppies or Diacodium one ounce, Syrup of Jujubes one ounce and an half, Mucilage of Fleabane seeds half an ounce, make a Lambitive or Linctus.

Or this. Take Garden Poppy heads almost ripe three ounces, Pease shels, Liquorish, each one ounce and an half; boyl them, add Penidies and Sugar-candy, each four oun­ces; boyl them to a Consistence, let it be licked at night.

Or, Take Lohoch of Poppies one ounce, Lohoch of Flea­bane half an ounce, Pouder of Diatragacanth frigid. one dram, Henbane seed half a dram, Bole one scruple, Penidies half an ounce.

Some write for a secret that red Poppy water and Sugar-candy drunk at night is excellent.

Also Pils of Hounds-tongue or Storax are taken one or two of six grains in weight at bed-time.

If you wil use them often; Take Storax, Myrrh, Frankincense, Galbanum, Spike, each one scruple; Saffron, Opium, each five grains; mix them with Honey for Pils: let him hold one of half a scruple in the mouth, and if it doth not help take one scruple at bed-time.

Errhines are put into the Nose, to bring the Catarrh into the Nose. And clysters to draw it downwards, of which see in Catarrhs. Masticatories and Garga­risms which draw rheum to the Mouth cannot be good fumes to dry the Brain, taken in at the Mouth and Nose, do reach the Lungs and Brain, and dry both.

Let him take into his mouth the hot vapor of this Decoction. Take Mastich, Frankincense, each one dram and an half, Salt two drams, Sulphur one dram, Calamus three drams, Colts-foot, Horehound, each one handful; boyl them in water and take up the vapor by a Funnel.

A Fume from things burnt is stronger, if it be not in great quantity or sharp. Take Colts-foot dried half an ounce, Schaenanth, Storax, each two drams; Mastich, Frankincense, Myrrh, each one dram; Henbane seeds half a dram, with Turpentine, or Infusion of Gum Traganth in Rose-water make Troches.

Some things are applied to dilate the breast, and to allay its pain, and to concoct the matter.

In a hot case this Oyntment. Take Oyl of Violets one ounce, Oyl of sweet Almonds, sweet Butter washed in Violes water, Hens grease, Mucilage of Fleabane made with Colts­foot water, each half an ounce.

In a Cold this. Oyl of Lillies, wall-flower, each half an ounce; Mucilage of Time and Faenu-greek seed each half an ounce; Orris half a dram, Saffron one scruple, with Wax make a Liniment, see the rest in Asthma.

Also the Resumptive Oyntment.

An Emplaster of Lillies and Onions boyled, and butterred.

And this Epithem warm. Take Oyl of Cammomel, Violets, each one ounce and an half; Milk or cream of Al­monds, made with Barley water wel boyled four ounces, dip Clouts strain and apply them.

Keep the Breast warm.

Use spiced Caps or pouders to the Head, wash the Thighs with warm water to divert Catarrhs, in which Head herbs have been boyled. And when the Cough is hot, or sleep is wanting, use cold herbs.

Apply Garlick and Bears grease to the feet, it is ac­counted an Oyntment that cureth.

Ligatures also, Cupping-Glasses, Cauteries, are good to revel, as we shewed in a Catarrh.

Holding of the Breath staies Hickets and Neesing, and also Coughing; not because then a greater heat is raised in the breast, but for the cause mentioned in Hickets.

Warm Air is best when the Cough is from Cold.

A hot house is good, because Sweating after purging is proper.

Let him take heed of a cold Air and the North-wind, and a moist or Night-air or Westwind: the East a­stringeth. Also from the Head being inflamed with the Sun.

It is hurtful to lie with the Face upwards, because so the humor fals sooner into the mouth, except it be when you take Pils in the mouth.

Fast sometimes or eat little, exercise gently, sleep moderately, and they wil hinder the increase of hu­mors.

If Hoarsness come from a Tumor or Ulcer of the Jawes, The Cure of Hoarsness. it must be cured as I shal shew in its proper place; for that being cured, the hoarsness ceaseth: but if that be not cured, or so cured that there remaineth unevenness, the Hoarsness is uncurable. As I have known many from Leprosies and the Pox to be ever hoarse. If it come from cold and driness, it is cured by warm, moist, and suppleing things. If it come from a Defluxion, after spitting of the humor up, it ceaseth. But if the De­fluxion return or the humor stick fast, use things menti­oned for a Catarrh. But for expectoration, it is best here to use Clensers and Lenifiers such as are mention­ed there, to which I shal add these following choice things.

Myrrh held in the Mouth til it dissolves is excellent.

[Page 138]Also the Infusion of Gum Traganth in Violet or Rose-water.

Hot Milk with the white of an Egg or Mucilage is good for a Gargle.

A raw Egg is experimental; but a rear Egg is bet­ter, because there is nothing from beasts eaten crude, but it is nauseous, except Milk.

Boyled Snailes also by reason of their sliminess, but they without Salt, are not eaten pleasantly, nor Eggs.

Also buttered Leeks, Coleworts and Arrach.

Also crude Purslane doth wonderfully take away roughness not only of the Teeth, but Jaws: And it is good boyled.

Also Cubebs beaten with Raisons: especially when it is from cold.

Juyce of Liquorish held in the Mouth.

Juyce of Coleworts boyled with Honey.

Oyl of sweet Almonds, Fresh Butter.

Mathiolus commends the water of Phyllitis.

These Compounds are also good. Take Myrrh, Frankincense, Sugar-candy, each equal parts; with Muci­lage of Gum Traganth make smal Troches like Lupines to be held in the mouth.

Or thus. Take Turpentine two drams, dislolve it with the Yolk of a small Hen-egg: add Orris, Myrrh, each half a dram; Cubebs one scruple, meal of Orrobus and Starch, each two drams; Penidies half an ounce, Honey to make a Lohoch.

Rondoletius commends the Pils of Benzoin, and Heli­daeus Avicens Pils to be held in the Mouth.

Lobel saith that with this Syrup he cured Women that had been ten yeers Hoarse. Take Erysimum or wild Mustard with the roots six handful, Elicampane and Colts-foot green, Liquorish, each two ounces; Borrage, Suc­cory, Maidenhair, each one handful and an half; Co [...]dial flowers, French Lavender, or Bettony flowers, each half a handful; Aniseed six drams, Raisons stoned two ounces: boyl them in Barley water and Honey, add Juyce of Wa­ter-cresses six ounces: add as much Sugar to two or three pints of the strained Liquor as wil make a Syrup.

Or this. Take Liquorish two ounces, Marsh-mallow roots green three ounces, Orris, Galangal, each half an ounce; Erysimum three handful, Colts-foot, Coleworts, Arrach, Mal­lows, Purslain, Green, each one handful; Mallows, Violets, each one pugil; Gourd and Melon seed, each half an ounce; Cotton seeds one dram, Barley and Beans, each one pugil; Raisons stoned twenty pair, Cubebs one dram, boyl and strain them, and with Honey or Sugar make a Syrup.

Or this Gargle. Take Liquorish and Marsh-mallows, each two ounce; Mallows with the roots one handful, Beans, Orobus beaten, each one pugil; Raisons stoned twenty pair, Figs, Jujubes, Sebestens, each six pair; Myrrh, Frankin­cense each three drams; boyl them and with Honey or Su­gar make a Gargarism.

Belching, Vomiting, Snorting, Spitting, The Cure of other kinds of Depra­ved Breathing. Hauking: if they be pre­ternatural shal be treated of in Ex­cretion, here they are mentioned on­ly for order sake.

Whooping, Panting, and Breathing or blowing hot do little hurt of themselves; so that we neither menti­on further their Causes or Cure. We mentioned in the Kinds what was different from natural Re­spiration.

CHAP. VI. Of the Defect of Swallowing or passage by the Throat.

The Kinds,

WE say the passage through the Throat is wanting or defective, when things cannot go downward or upward as they ought somtimes.

Sometimes they cannot swallow or it is with difficulty. Difficuly of Swal­lowing. And the hin­derance is the greater, because the action is natural and usual. And then there is somthing appears in the Jaws, or there is pain; sometimes there is a defect of swallowing with­out a Palsie or Convulsion, as we shewed in Impo­tent motion.

Somtimes things cannot be sent upward, or with much difficulty. And though this be not natural or usual, yet it is somtimes necessary, and it hinders if it be not. It is either when by nature they can neither Vo­mit nor Belch.

Somtimes there is a desire to Belch and it is troublesome if it cannot be; Hinderance of Belching but the passage is stopt, and there is a burn­ing of this in a Cardialgia.

A desire or endeavor of Vomiting is called Nausea or Loathing, Difficulty of Vomiting. and not only some things are loathed, but they feel the stomach troubled and provoked to Vomit, and the Rhewm sent to the mouth, and yet nothing is voided. This is worst for them that are used to vomit at certain times, because it is to them natural and the suppression thereof is troublesom.

The Causes.

The Cause of the Defect of these motions in the passage of the Throat, is either in the part that commu­nicates the force of motion, or in the Instrument, the Gullet or Stomach.

Difficulty of Swallowing follow­eth from the Resolution and Con­vulsion of the Nerves of the sixth and seventh Conjugation, The distemper of the Nerves is the cause of difficul­ty of Swallowing that come to the Muscles of the Jawes (which Fal­lopius saith cause the first swallowing not the hairs in the Gullet) and comes from the same Diseases with Convulsions of other parts; and then it is a kind of symptom of the Stomach if it be from a wound, or of a Palsie or Convulsion; as was shewed in impotent motion. If it come from a Palsie it is harder to swallow down liquid things than solid. And from the affliction of the same Nerves, in some Palsies they cannot speak plain, or cough, or vomit, though Nature force without danger of being choaked.

When the passage is stopped in the Gullet and swal­lowing hindered: which they say comes from the re­laxing of the tufts as I shewed in the Muscles thereof: but because the Gullet moves not of its own accord, by its own villi or hairs but by the Muscles of the Jaws, as as we shewed this cannot be granted. The Causes [Page 139]that hinder swallowing are when the gullet is too dry and cannot send meat down as in burning feavers: or if it be stopped by things swallowed either, great or stic­king or rough, or sharp, or otherwise as Rhasis speaks of Horsleeches. From which being great and hard as nuts-shels, bones, because they press the Membranous side of the Wind-pipe which is joyned to the gullet and so straiten it, breathing and swallowing are also hin­dered, even as both passages suffer the same when from external injuries, tying or dislo­cation of a spondil, The dryness of the Gullet, is the cause of difficulty of Swal­lowing. and are con­tracted when the Gullet is in­wardly straitend by a Tumor of the Neck, or Inflammation or Defluxion, Obstruction of the Gullet, is the cause of difficult swallo­wing. the Patient swallows with difficulty. Also when it is corroded or pricked, it cannot suffer things to pass for pain with inflamation. And this comes from sharp things or vapors, or humors; As a Boy that eat fish greedily and was choaked with a sharp bone that fixed in the Gullet after a great Tumor and Infla­mation. Of the causes mentioned, some hinder Vomiting when it should be, Obstruction of the Gullet, is cause of Vomiting hindered. The streightness of the Stomach causeth difficult Vomiting. but not all, because Vo­miting being more forcible, Na­tural and Voluntary motion will sooner make way then swallowing which is only from our will. Be­sides these Diseases of the Gullet, if it be in a streight place, it cannot be dilated, and so Vomiting is hindered. Hence it is that they that have streight Breasts, and short Necks, are unfit to vomit.

Vomiting is difficult from the fault of the Stomach. And the streightness of the Neck causeth the same. If it be not too loose nor the right Orifice too large, as it is natur­ally, and therefore men that have good Stomacks concoct well, yet being sick and stirred to Vomit by Medicines or Excre­ments, yet they cannot vomit but with great pain: And contrarily they who have too much dilated their Stomach by gluttony and drunkness, vo­mit upon the least occasion.

When a sharp and hot humor boyles in the stomach, A boyling humor in the Stomach, is the cause of diffi­cult belching. as we shall shew in Cardialgia or hartburning, it causeth a desire to belch from the breaking of those bubbles which it raiseth and which send forth, a wind or burning vapor to the Mouth of the stomach; but because the wind is dispersed before it come into the Gullet, there is no belching.

And if a Humor stick fast in the Sto­mach, A tough humor in the Stomach is the cause of difficult Vomi­ting. and Solicite vomiting, yet it wil not cause it, because it cannot come forth, but the things taken may be vo­mited up. Though often the Humors are vomited and the meat retained, though but lately eaten, by natures choyce to cast out the worst, as we shall shew in im­moderate Vomiting.

The Cure.

That we may know what to do in difficulty of swal­lowing, vomiting, and belching, we shall speak of each Particularly.

If difficulty of swallowing come from the Nerves affected and the Muscles of the Jaws loosned, The Cure of the difficulty of swal­lowing, which is a kind of Palsie. in a ge­neral Palsie, it is the worse; because it signisies that, not only the pairs of Nerves in the Back, but also those of the sixth and seventh Conjugation, are hurt.

Except it be a Particular Palsie, as of the Tongue and parts adjacent which is also bad and threatneth a general; The same Cure is to be used, as in the Palsie, in respect of the causes. If it come from a Defluxion of water to the Nerves, it must be purged, revelled, and consumed, and the part confirmed.

Amongs which Mustard held in the Mouth, is excel­lent, as I shewed. And Pellitory of Spain, it draws water plentifully. And Tablets of Nu [...]megs, accor­ding to my uncles receit, are excellent.

Also Gargarismes that reach the Muscles of the Jaws. As this: Take Calamus half an ounce, Sage, Rosemary, each one handful, Lavender flowers one pugil, Cypress Nuts four, Nutmegs two, Cloves one dram: boyl them in Water and the fourth part Wine, and in one pint and an half, dissolve Honey of Rosemary, and Squils, of each two ounces: Vinegar of Squiis, half an ounce.

Or thus: Take [...]amoron, Oxymel of squils, of each one ounce and an half; Sage, and Lavender water, of each four ounces: Make a Gargle.

There are many Oyn [...]menrs for the Neck, mentio­ned in the Palsies, to which add these: Take Oyl one ounce, Oyl of Spike, Masitch, of each half an ounce; Lab­danum, Frankincense, Storax, of each half a dram; with a little Wax make a Liniment.

If it be a kind of Spasmus, The Cure of dif­ficulty of swallo­wing, which is a kind of Convul­sion. it must be cured, as that is; And the To­picks applied as in the Palsie. It is deadly from a wound, as we shewed in Spasmus.

If it be from heat in Feavers, see Feavers and cool with Epithems, The Cure of dif­ficult swallowing from the dryness of the Gullet. to the Liver chiefly, and Gargarisms and Linctus, as in hoarsness, that comes from roughness of the Chaps, give moist meat, Unctions, Broths, Barley, Cream, Emulsions, &c.

If the body fallen in be thick, The Cure of difficult swallowing from things fallen into the Wind­pipe. or sticking, or Membranous, we must use divers arts, upwards and downwards.

Oftentimes things are driven down by a great draught of water, or washed off if they stick, or with a piece of Bread; or by neesing; but chiefly by vomi­ting, which is easier, if they can first take a great deal of Water and Oyl, and as Rhasis saith, if we strike the Neck of the Patient; If the thing may be seen and laid hold upon, we have Instruments for to take it out, as the forceps, &c.

And other bending things that may fit themselves to the passage, and so we thrust it down, as a thick stick of a birchen broom, or Beets, or any thing they will bend and not break, being green. If it be dry soften it in hot Lead, or anoynt it with Oyl, Rhasis useth Lead. But a Wax Candle dipp'd in Oyl, is best.

They say that a peice of a Spunge tied to a string and swallowed down, and after much water is drunk to swel it, pulled up again will fetch any thing out of the Throat: but this is best in thin and sharp things that trouble the Gullet, for it can do nothing except the Spunge be swallowed. This may be done by a great bead, which will be swallowed more easily, and may be done often.

[Page 140]We give Oyl or Butter to make the part slippery; and anoynt the Throat to enlarge it.

If a Hors-leech creep into the mouth, and stick to the Gullet, Rhasis shews the cure. But we advise it to be pul'd out with the Forceps, if it may be laid hold upon, or provoke it to ascend with drinking hot water, and holding afterwards cold in the mouth: or we drive it downwards as other Worms, with things that displease them, as by drinking Vinegar, eating Salt things, Oni­ons, Garlick, Mustard, and the like, that are contrary to Worms, as shal be shewed in their places.

When the Gullet is strieghten­ed within or stopped by a Tu­mor, The Cure of difficult swallowing from a Tumor. Inflammation, or Desluxi­on, or hurt by things taken in, if there be pain, the Cure shal be mentioned in the pains of the neck.

If it be pressed by external In­juries or loosning of the Spondil, From Compression of the Gullet. in regard it hinders breathing which is the greatest danger, we shewed in Respiration what should be done.

If Vomiting be profitable to pre­vent Diseases, The Cure of hard Vomiting. as Avicen commends it once in a month or oftener; or if it be necessary in Diseases to expell things that trouble the Stomach: and if it be difficult by reason of the unfitness of the Constitution by reason of the short neck and streightness of the breast, and mouth of the stomach; it is often inconvenient to force it. But if in such natures, it is necessary, and there be striving without success. We have shewed in divers Diseases where Vomiting is required, how to provoke it by filling the Belly and subverting it as they call it, and tickling the Jaws and Throat.

We shal shew in Cardialgia or Heart-burning, The Cure of diffi­cult belching. how that imperfect Belching with heat of stomach, is to be cured.

CHAP. VII. Of the Defect of Dejection or going to Stool.

The Kinds,

THere is a Defect of natural Excretion of Excre­ments from the Belly, and it is called Constipati­on, or Astriction, or binding of the Bel­ly. Belly-bound In which either nothing is voided, and the Belly is wholly stopped: Or the Excrements are voided seldom or less than is fit, or with great labor and straining.

This is somtimes in sound people, whose nature is to go seldom to stool. Or according to Hippocrates it comes from the change of age, so that they who are in youth loose-bodied, are bound in old age, and so con­trarily. In others it is from an evil custom and life, as shal be shewed, and is the cause of diseases.

It is a Symptom in divers Diseases both of the lower belly, joyned with Heart-pain, Colick, Jaundies, Rup­tures and other accidents: And of the Head, with pain, giddiness and the like. And in Feavers this is a familiar symptom. And in other diseases it is so usual that it is the first and last symptom of which the Pati­ent complaineth.

The Causes.

The Guts containing the Excrements must needs be afflicted in every Constipation or binding: either pri­marily when they are stopped, or secondarily when they have lost their expulsive faculty.

When the Guts are straitned, so that the passage of the Excrements is hindered, the Belly is bound. And this straitness may come from astriction or Convolu­tion.

We call it Astriction when the Guts have lost their slippriness, Driness of Excre­ments is the cause of Constipation or bin­ding. and are dried and wrinkled; or when they are bound and made straiter. Hence is it that Dri­ers, Binders, sower and sharp things taken, as they astringe the Gullet and wrinkle the Jaws; so if they be taken imoderately especially fast­ing, they stop the Guts and their passages, and bind the belly. And this may come from long fasting, and too much evacuation. And from heat that drieth the guts, or rather the Excrements, as we shal shew. Some say that the Guts may be pressed and stopped by a Tumor in the Mesentery: but we think it not to be possible, because when a Woman is with child, that great Tu­mor dorh not cause constipation without some other accident.

The thin Guts are somtimes so rouled together in the disease cal­led Convolvulus, Convolution or roul­ing together of the Guts the cause of Constipation, or Co­stiveness. so that they are closed and the Excrements can­not descend: but are vomited up, either with pain called Ileon, when the Guts are inflamed, or with re­pletion of excrements without, Inflammation, as we shal shew in pains.

But this is most usual in Ruptures when the Guts fal into the Cods, from the breaking of the Peritonaeum; by reason of the evil position of the Guts.

There is an ordinary Consti­pation from the Obstruction of the Guts with proper Excrements, Obstruction of the Guts by excrements is the cause of Con­stipation. not only when they abound, but when they are dry, hard, thick, clammy, and hinder the Excre­ments that follow. This is usually in the Orifice where the thin Guts use to open themselves into the thick, by reason of the straitness there; where they have been so fixed, that the constipation hath been deadly as we have observed in Anatomy. This is often in the Co­lon, in the great turning thereof before it comes to the Rectum, by the hard dung reteined and stopping and binding the Belly, with the pain of the Colick. And somtimes such hard dung is in the Arse-gut, and not voided without great straining, or help of Art.

The dung grows hard when the meat is too solid and dry; as we see in Dogs that eat bones: especially when they drink little. The same comes from the use of hot and dry meats. And it is in hot natures when the Liver and parts adjacent are too hot; in whom, if they go not every day to stool through long sitting, ri­ding or lying in the bed (because the excrements fall down better when the body is upright or moved) the Excrements grow hard from their internal heat that drieth them. Hence it is that Senators, Riders, and old Men, complain of costiveness. And as it comes [Page 141]from moderate heat, so may it come from hot diseases and Feavers. From fasting also, the Guts and excre­ments that remain may be dried, not only in the time of fasting, but after, if they be very hungry. And that because nature being exhausted draws whatsoever chy­lus or humor is in the meat, to recruit her by the Mesa­raicks, and so leaves the Excrements dry and hard. Hence it is that after a long Disease, when the Patient eats much, he complains of a constipation: And though, they who nourish wel have rather a dry than moist belly, the Guts can scarce be so stopped by any thing but Excrements: Stopping of the Guts by other things be­sides excrements is the cause of consti­pation. for things that are swallowed though great and hard if they pass the Gullet, may also pass the Guts, except they stick in the Fundament: And what is writ­ten of the stone in the Guts it is rare, and can scarce be so big as to stop the Guts, except dung as they say, be turned to a stone.

If the Guts lose their pricking and the expulsive faculty doth not move them, Loss or Dulness of sense is the cause of Costiveness. our wil is also at rest being not admonished thereby, and there is no dejection. This is when the Guts either feel not or very little, from the fault of the Nerves of the sixth or seventh conjugation from whence the Nerves of the Guts arise. And in a general stupefaction they suffer with the other Nerves, and there is no dejection, as here in particular. The same may be from the Excrements when they are few, wherefore in want of appetite where little is eaten, lit­tle is voided, or from great purgings, til more ex­crements are made, which requireth some daies. Also if acrimony be wanting in the excrements, which na­turally provoketh the Guts to stool, which is caused of Choller mixed with the excrements for that purpose there is also costiveness: as in obstructions when cho­ler is not carried to the Guts, but to other parts in the Jaundies and the like, as appears by the excrements which are not tinctur'd, but white or ash-colored.

The Cure.

Every constipation of the belly needs not cure, as when some go seldom to stool, from nature and custom, or moderate diet, which causethfew excrements and de­clares that the body is wel nourished; as it doth after sickness or Famine, except the Guts be dried and shrunk, which being dangerous requireth cure, which is difficult. But if costiveness come from dry meats, that bind, and are hot, it is cured by abstaining from them, and using the contrary. And so you must when the body is bound by natural heat through long sitting: and also when it comes from a hot temper or constitu­tion: But in Diseases when constipation is a symp­tom, as from heat in Feavers or stoppage or convolu­tion of the Guts in the Convolvulus and Rupture (in which if the excrements are vomited, death is at hand) or from the loss of provocation in Stupefaction, Jaun­dies, or the like Diseases, we shal in treating of them shew you what you must do in respect of the cause.

But the Medicines that are used chiefly for constipation, Medicines that loo­sen the belly. are to be taken in or injected, or otherwise, and here we shal mention some of them, the rest are mentioned in the Diseases that cause costiveness.

The gentlest that moisten and soften the hard excre­ments and by their slipperiness loosen the passages, and provoke nature by pricking, are of things nourishing. Young flesh boyled, especially Veal, also that which is fat and mucilaginous or slimy.

Butter and Oyl.

Temperate Herbs, boyled or raw, as Spinach, Beets, Arrage, Bugloss, Coleworts; and stronger, as Mallows, Violets, and tops of Hops and Asparagus.

All moist Fruits open the belly that are temperate and sweet, but sharp do it rather by troubling than loosning.

Drinking of Water or Milk.

Of Physical things, Cassia and Manna in broath. Juyce or Syrup of Roses, dissolved in spring water.

Stronger are such as puge, as the Infusion of Senna with Wormwood and seeds, the rest are mentioned in Purges for divers Diseases.

For the Fundament there are divers Suppositories.

And Clysters which prick and dissolve the hard Ex­crements, by washing, mollifying, and opening the passages. These are best in costiveness, and there are divers of them mentioned in the Colick.

Some things to loosen and soften are applied out­wardly to the belly, as Oyls and the remainder of the Glysters.

Also Baths of Sweet waters and Decoctions.

Also exercise makes the Ezcrements fall down, and medicines that loosen do it sooner thereby.

And in regard none can go to stool without strain­ing, which is done by the will with holding the breath and contracting the Muscles, nor with the Will only with the expulsive faculty moving thereunto, we must endeavor so to accustom nature that it may consent to the will in the same: And this is done by endeavoring morning and evening before and after sleep to void the excrements. Because nature observeth order not only monthly and dayly, but hourly in eating and expulsion of excrements. And if we observe this order at a set time, and solicite nature to dejection, and continue it; it wil be very helpful to evacuation by stool.

CHAP. VIII. Of the Defect of Pissing.

The Kinds,

THere is a defect also in Pissing, which is a natural excretion, at certain times.

Somtimes it is wholly stopped called Ischuria, Ischuria or not piss­ing the Bladder be­ing ful or empty. with a great di­stention in the Pecten and a Tu­mor by reason of the fulness of the Bladder: somtimes without, and there is an empty bladder, and this is called also Ischuria, but impro­perly.

Sometimes there is not a sufficient Evacuation by Urin, being seldom, Little and sel­dom Pissing. or in smal quantity in respect of the drink, which is particular to the Ischuria or Dropsie Ascites. Dysuria or pissing by Fits. Somtimes it is with difficulty by Fits before the bladder be emptied called Dysuria with pain; or by Drops called Strangury: Strangury or by drops. Both which are referred to pains, when the pain is more than the difficulty.

[Page 142]These come alone somtimes in them that were for­merly sound: somtimes they are joyned with other Diseases as the Colick, Stone, Dropsie, Feavers &c.

The Causes.

The cause of defect of Pissing, is either the matter, or Serum when it is not plentifully bred, or when it is car­ried another way, or the passage hindered. Or from the instruments of Pissing, the Reyns or Kidnies in which the Urin is seperated from the blood, or ureters by which it goeth into the Bladder; or Bladder, which receiveth it, or the Neck thereof which voideth it.

If the Serum be produced in smal quantity, Little Serum, is the cause of little and sel­dom Pissing. it is necessary that little and seldom Pissing do fol­low; in people that drink little and are of a dry constitution, and use a drying Diet. Or when it is carri­ed otherwaies; it is the cause of little and seldom Pissing. But if part of the Serum, which should be attracted by the Kidneys, be carried to the habit of the Body; And there consumed with heat, or sent out by sweat, it comes to pass that they which sweat much Piss little. And this is also from a Diar­rhaea, when the Whey, or Serum is voided by stool, in abundance, or from purging. And as this is Natural and hurts not, so it is preternatural, and a Disease when it is from obstruction of the Bowels, especially the Li­ver which stops the Passage of the Serum: which being turned another way causeth the Dropsie ascites, The passage of the Serum stopped, and the thickness of the serum causeth little and seldom Pissing. in which there is little pissing. And if the Serum be not thin enough, but is hardly strained from the blood by the Kidneys, it causeth the same. This comes from things taken which thicken the blood and the Serum also; as red wine and the like, by use whereof we observe the Urin is lessened, and by the use of contraries, as hot Diure­tikes, it is enlarged.

Pissing is seldom stopped from the cause in the Kid­neys and Vreters; for the Kidneys being two, the one being hurt, the other will supply. But it is selsom seen that both Kidneys are afflicted with the Ureters which are remote from them, so that the Function perisheth: And it cannot be but from a great cause. As the Con­sumption of the substance of both, as I saw once in an Anatomy; Or an obstruction in the beginning of the ureters, by matter or a stone in both together, Consumption, obstruction, drying of both Kidneys, or ureters, or the absence of one ureter, is the cause of suppression of Urin. which is seldom. Or, when in bur­ning feavers both the ureters are dryed up, or when one ureter is wanting, or twisted and the other stopped, as I saw in an Anatomy. And if these be the Causes, and the Bladder empty, there is no pain from distention, nor desire to Piss.

There is seldom defect in pissing from the largness of the Bladder ex­cept it be wounded, A wound in the Bladder causeth Suppression of urin when it is empty. as in a Fisher that pissed from a hole in his Groyn and not from the Yard. Pissing is chiefly hindered from the Neck of the Bladder when it is obstructed, and this being a narrow passage is easily stopped, or straitned by cold, and then there is pain, or by out­ward compression, with long sitting, or the like, in regard of the stoppage of that part between the Funda­ment and the Yard, through which the Urin passeth in men. Or by inward compression by the streight Gut filled with Excrements or Wind. The same may come from Inflamation of the parts adjacent, or a great Tu­mor. The Urin is most stopped when after long re­tention, the Bladder is stretched much, and the Neck thereof so contracted that it cannot be opened: This is incident to them that sit long at banquets and are ashamed to rise and make water; or otherwise for want of a convenient place, stay so long that they cannot Piss. Doting people that are very contemplative forget Pissing and other Functions which de­pend upon the will in part. Doting, or Delirium, is the cause of Ischu­ria. Moreover in the Convulsion or twisting of the Neck of the Blad­der, Also the twisting of the Bladder by a Rup­ture, is the cause of Ischuria. as we shewed in the convol­vulus of the Guts, Urin may be wholly suppressed, as we shewed in the Fisherman whose bladder from a Rupture in the Groyn fel into the Cods, and lay stretched out and voided no Urin, but by a Cathe­ter: while an ignorant Chyrurgion, let it out by cutting thereof, which gave ease to the patient, with great danger: from which being freed, he pisseth yet through a Fistula that remains, by drawing forth a tent wherewith it is stopped. If it come from obstructions of the Neck of the Bladder, A Stone in the Bladder flopping it, causeth Ischu­ria and Stran­gury. it is a stone usually that stops it, if it be a great one, or a lit­tle one that passeth into the Yard in men: As we shall shew in the pains of the Reines. A Caruncle or Callus, from an Inflamation not well cu­red, An excrescence in the Neck of the blad­der or humor, is the cause of Ischury or Strangury. being in the same passage causeth stoppage of Urin, as also Warts, and clotted blood and matter, though not of so long continuance other humors cannot cause it because that they come not to the Bladder, and if they do, Stupefaction of the bladder, is the cause of little and seldom Pissing. they are so mixed with the Urin that they can get easily forth therewith.

When the Nerves of the Bladder are afflicted, and the sting is lost, the expulsive faculty acteth not, as it is the cause, as of not going to stool, so of not pissing. Also when there is no pricking of Urin and the Bladder is not ful, yet we may make water by pressing the blad­der with the Muscles of the Belly: which cannot be in going to the stool, except the expulsive faculty help by our own will: because there is need of more force to send forth thick humors then Urin. Therefore though the bladder and its Neck and Sphincter be stupefied, yet Urin may be voided: as in the Palsie, and when the Sphincter is loosned there is involuntary pissing, be­cause it is the office of that Muscle to retain, not expel the Urin.

But it is true that, if the Bladder be Stupified, we piss more seldom: as when it is of exquisite sense, more often. Because the expulsive faculty forceth out will to make water, as we shall shew in often Pissing.

The Cure.

If Pissing be seldom, What we must foretel and do in defect of pissing, from what cause soever. from drinking little, or dry Diet; much sweat, or purging, or [Page 143]in less quantity, it needs no Cure, because it doth no hurt.

But if it come from stoppage of the bowels in drop­sies: the Serum being so retained that they piss less then they drink, which causeth a Tumor of the Belly; we shall shew the Cure therefore in the Dropsie.

If it come from thickness of the Serum, through things taken in, there must be a contrary Diet and thinner drink.

If from the Kidneys and Vreter on both sides, which is seldom seen, if there be no Urin in the Bladder, it is mortal and incurable.

If from a wound of the Bladder, so that the Urin fals into the Belly, or comes forth at the Wound, either they die, or, as we shewed, there is a Fistula through which they piss; but it is rare, as is also the bladder falling into the Cods, which had been deadly without the chance mentioned.

If it come from cold because it causeth pain, it shall be mentioned there.

If from compression of the Neck of the bladder, it ceaseth when the Excrements and Wind are voi­ded.

If Urin long held stretch the Bladder, and there be Inflamation or Tumor the Cure is to be applied to them. If it come from a Stone, Caruncle, or other Tumors or Humor, which stoppeth the passage, when these impediments are removed, the Urin is voi­ded.

If from the Stupefaction of the bladder the pissing be slower, you must not meddle therewith, for when it is ful it will come forth, or by straining at stool.

We shall now shew what Medicines are to be used internal and external to provoke Urin in divers causes, Remedies to provoke Urin and help Pis­sing, especi­ally when the Serum is thick, and the passages about the Bowels, Reigns, Bladder and Vreters are stopped.

These are called Diureticks, that cause it to be more, or quicker either by increasing of the Serum, or making it thin and fluid; and seperated from the blood that it may pass easily from the Kidneys to the bladder, or by making the Serum and Urin hotter and sharper to stir up the expulsive faculty, as we shall shew.

One dram of the Powders following are to be given in a good quantity of Wine, Ale, or Milk, or other convenient Liquor: and if you will keep them long make them into Troches.

The first: Take Water-cress seeds one dram and an half, Pouder them.

The second: Take Acrons and Hazel nuts dryed in an Oven, of each one dram and an half: give it with Goats Milk, morning and evening.

The third Pouder: Take Madder roots, Asarum, Fen­nel, Parsley, Lovage, Water cress, Nigella, winter cherry seeds, of each one dram; Valerian half a dram: make a Pouder.

The fourth: Take roots of Asarum and Valerian, Spig­nel, Calamus Aromaticus, Fennel, Smallage, Pursley, Carrot, Seseli seeds, of each one dram: Savin, Schaenanth, Spicknard, Cinnamon, Pepper, of each half a dram: Saffron one scruple: make a Pouder.

The fifth Pouder: Take Amber, Gum of Plums and Cherries, of each one dram; Turpentine boyled half a dram, the Jews-stone, Alkekengi Berries, Parsley seeds, Asarum roots, of each half a dram; with Cinnamon one scruple: make a Pouder.

The sixth: Take of Egg-shels that are hatched, and the Skin taken out one dram, or nine swims of Herrings: give them in Pouder.

The seventh: Take the Ashes of earth Worms, or Cray­fish, of each one dram; of Hog-lice half a dram, Spanish flies, or Grass hoppers their thin wings taken out, or Scorpions half a scruple, Cinnamon one dram, Cloves half a dram, Sugar two drams.

The eight Ponder, quickly made in time of neces­sity: Take two Cantharides, and one dram of Sugar-candy, beat them well, give it with Honey and Water, or the Decoction of Linseed, or with Milk.

These Decoctions following are good: Take Radish roots two ounces, Asparagus and Rest-harrow, of each one ounce; Asarum half an ounce, Mallows, Pellitory, of each one handful; Berries of winter Cherries two drams, Water­cress seeds two drams, Smallage seed half a dram: boyl them in red Pease broath.

Or this: Take one Onion, and a head of Garlick: boyl them in broath, and drink it being strained.

A Diuretike Oxymel is given, two ounces; with covenient Water or Wine, to provoke Urine.

Also Wormwood Wine, or Malmsey fasting, or white Wine, in which white Flints have been quen­ched till they turne to Pouder.

Or this Composition: Take roots of Parsley, Fennel, Rest-harrow, of each one ounce; Asarum, Elicampane, of each half an ounce; Wormwood, Rue, Strawberry leaves, Savin, Hysop, of each one handful; Broom, Elder, and Cha­momil flowers, of each one pagil; Smallage, Parsley, Lovage, Rocket, Nigella, Water cress seeds of each one dram; Juniper-berries half an ounce: Infuse them in white Wine.

Also this Lixivium: Take Juniper, Bean stalks and shales dried; burn them, and mix the Ashes with white Wine, and straining it often, make a Lie or Lixivium: Let him drink a Glass: And with the ashes of Broom, or Bitter-sweet, it is better.

Other Potions: Take Oyl of Sulphur two drops, spirit of Vitriol one drop, with Wine and Water.

Or: Take Oyl of Scorpions half an ounce; with Milk or Wine.

Or; Take Oyl of sweet Almonds two ounces, with much Milk.

Two or three drops of Oyl of Wax, given in great Nettle water, provoketh Urin violently. The fresh juyce of Pomegranate, doth the same.

Or thus: Take Horse Radish roots green, bruise them, sprinkle them with Wine, and take two ounces of the juyce.

Or thus: Take juyce of Pellitory two or three ounces, juyce of Water-cresses one ounce, add Wine, Sugar and Ho­ney.

Waters pierce most, as that of Pellitory, Alkekengi, or Winter-cherries, Lemmons, Nuts, or of Broom flowers, with Cinnamon water, also of Horse-radish, Water-cresses, and Sea-fennel.

Another Water: Take Horse-radish roots half a pound, Rest-harrow, Winter-cherries, of each four ounces; Cherries and Peach kernels, of each two ounces; Broom and Elder flowers, of each one ounce; Fennel seed two drams, Turpen­tine half an ounce, with spanish Wine, a fingers breadth above them being bruised, distil a Water, give one or two ounces.

The water of Peach kernels, drawn with Spanish Wine is also good.

The buds of Asparagus boyled or raw, make the Urin stink, and provoke it often.

Make a Sallat of Purslane, Water-cresses, Chervil, and Parsley, with young Onions, and Horse-radish sli­ced, and Cowcumbers if the season afford them, with Vinegar and Oyl: It will provoke Urin if it be eaten for a Supper.

[Page 144]Or this Bole. Take Turpentine two drams, Winter­cherries one dram, Amber half a dram, with Sugar.

Make Pils of unpleasant things. Take Galbanum, Bdellium, Myrrh, each half a dram; Oyl of Sulphur four drops, with Turpentine make Pils, give half a dram at a Dse.

Somtimes we mix Purgers with Diureticks, because the Urin is easier rendered when the Excrements are voided, and because they prick and stir up the expulsive faculty of the Guts, and give the same force to the Bladder.

Or this Bole. Take Cassia new drawn half an ounce, Benedicta Laxativa, Agarick in Troches, each half a dram; Winter-cherries one scruple with Sugar.

Turpentine doth both. Take two drams thereof, dis­solveit with Honey and the yolk of an Eg, and drink it with Wine.

Or thus, Take Electuary Indum the great two drams, Catholicon half an ounce, Winter-cherry water as much as wil make a Potion.

If it come from clotted blood you must give things at the mouth, which dissolve such blood, among which Amber is best in this case.

Clysters are good in this case, and Topicks to the bladder. As,

Take Mallows with the roots, Pellitory, each one handful; Chamaemel flowers one pugil: boyl them, and dissolve Cassia, Benedicta Laxativa, each half an ounce; Turpen­tine dissolved in the yolk of an Egg, and Honey half an ounce, Oyl of Chamaemel and Scorpions, each one ounce; Salt two drams, make a Clyster.

Another more compounded. Take marsh-mallow roots, and Radishes, each two ounces; Onions, Garlick, Leeks, each one ounce; Pellitory, Water-cresses, Parsley, each one handful; Chamaemel and Melilot flowers, each one one pugil; Smallage and Lovage seeds, each two drams; Juniper berries half an ounce, boyl them in Wine and Wa­ter, and dissolve the aforesaid things therein.

Or this of Juyces. Take Juyce of Mallows, Mercury, Pellitory, Rue; each one ounce and an half; of Water-cresses half an ounce, white Wine two ounces, Butter one ounce and an half, Honey one ounce, Salt one dram, make a Clyster.

Divers things are applied outwardly to the Share neer the Bladder, that dilate it and provoke Pissing.

A Fomentation and Bath of these. Take Valerian roote two ounces, Mallows, Mugwort, Parsley, flowers of Chamaemel, Melilot, Dill, each one pugil; Linseed and Fe­nugreek each one dram [...] Smallage seeds two drams, boyl them, and add Wine. These are good when the blad­der is so ful they cannot piss. Also you may add things that dissolve the clodded blood, if there be any; And Coolers if there be Inflammation.

Or this Emplaster. Take roots of Marsh-mallows, Ra­dish and Pellitory, boyl them, stamp them, and add a lit­tle Butter.

Or. Take Radish, Water-cresses, Garlick, Juniper­berries, stamp them, and fry them with Wine, adding Butter and Oyl of Scorpions.

Hot Cow-dung also with Cummin-seed and Oyl of Scorpions.

It is good in the Strangury to boyl Hempen thred newly spun, in Water and Lie, with Mugwort and Chamaemel, and apply it.

You may use these Oyntments with the former or alone. Take Oyl of Scorpions, and Cunney grease each half an ounce.

Or, Take Juyce of Water-cresses, Parsley, Onions, each one ounce; Sea-fennel, Oyl of Scorpions, each two ounces; boyl them and add Oyl of Turpentine two drams, and with Cunney grease make a Liniment.

Boyl Wine Vinegar and Honey, thick, with Linseed meal, and apply them to the Pecten to provoke Urin.

Inject with a Syringe into the bladder things that loo­sen the passages; as Oyl of sweet Almonds, or in which Mallows was boyled: or that prick, as Oyl of Scor­pions: to cause Urin and the Stone to be voided. Or Whey or other clensers, as Honey and Aloes, if the humor be thick, or things that break the Stone. If there be a Caruncle or hardness, inject Mollifiers, and Clensers as Aegiptiacum, and after Dryers, as that of Litharge, Tutty, Antimony, Ceruss and Aloes thrust in at the end of a Wax Candle.

If the Bladder be ful of Urin, put in the Catheter, which is good in all stoppages, for it drives back the Stone, breaks the Caruncle, and dissolves clotted blood or matter, it is made hollow that the Urin may flow through it.

Chimches, Fleas, and Lice may be put into the Yard, or smal Hairs, to provoke Urin.

They say Galbanum applied like a Plaister to the top of the Yard, provokes Urin.

Also a Fume of Hedghogs bristles and Agarick, and of Grass-hoppers doth it in Women.

Somtimes the only pressing of the swollen Bladder with the hand doth it. And when a Stone is gotten into the Yard, it may be pressed out by degrees.

Somtimes they must be cut for the Stone or Carun­cle, when other means fail, as we shal shew in the Stone.

CHAP. IX. Of the Defect of Bringing forth Children, or other things.

The Kinds,

THere is a Defect of natural excretion by which a Woman sends forth, at a fit season, either a Child or a deformed Mole.

The Birth is Defective when it is difficult, as it may be preternaturally, and naturally. Or when it is not at its time appointed by nature, or before it; or when part thereof remains behind.

Birth becomes difficult and painful, when it is Natural when the Child is ripe, A natural dif­ficult Birth. and the Woman hath foregoing signs, by which she is provoked to hold her breath, and press the Muscles of the belly, as in o­ther digestion: All which are increased when the Child comes forth. Also after birth some pain re­mains called after-pains: of which seeing they are na­tural to the bringing forth, we shal speak in the hurt of that Function rather than in pains.

Somtimes Travail is not preterna­tural from some impediment and so with more difficulty and slower as is mentioned; A preternatural difficult Birth. in which great pain af­flicteth with straining, heat, and sweating, when the Child sticks cross in the passage (where the Midwife may feel it) or when the Hand or Foot hangs out and not the Head (for when that comes first, the birth is easie) Hence it is that either the Mother or the Child often dies.

[Page 145]It is said to be no Birth when the Wo­man goes beyond the natural time, Birth hin­dered. which is usually the tenth month (though the seventh month be also allowed) and there is nothing brought forth, though the Child be ripe, or there be a mole. And then she falleth to sounding, which kind of fainting is here most deadly, through pain, labor and bleeding. Also shee hath her throws at the time, and seems to be fit for Travail, and is so disposed by the Midwife, and her Urin breaks from her, as is usual in that condition. But all these cease, and no birth followeth. And if they return not, the Child is dead, and putrifies, and breeds Feavers, and Faintings, and so infecteth the body, that the Mother dieth, as ma­ny have done (especially one who went five months beyond her time with a dead Child, and a stinking flux, with the Navel-string hanging forth, before she died) which so infected, that the Womb and Child were black and very stinking when shee was opened. And when the Mother lived shee had somtimes cleer blad­ders about her Navel, which signified putrefaction, through which the Back-bones of the Child were seen, and taken forth after they brake.

This causeth death as we shewed, if it be not speedi­ly voided; and may be before the Child is perfect, and then it must be cast out presently, and it is easily done while it is little; but when it is great, there is, as we said, want of birth. As also if there be a false con­ception or Mole, which the sooner it is cast out, the less is the danger, therefore when we are certain there­of, if nature be slow, we help her with Medicines.

The Child is known to be dead if the Mother feel no motion, which shee formerly felt, and the belly is stil big (which often deceiveth by the Terms reteined, and these breaking forth it suddenly falleth flat) about the flanks. And if the Womb be cold and the Paps which were swollen, grow lank, At length, if it conti­nue there followeth water, matter and filth, and pieces of the secondine hang out, there is a Feaver, Heart­pain, and Swounding. We shal shew in depravate Conception when there a Mole and no Child, and how you shal know it.

The Birth is imperfect when the Child is voided and the Secondine remaineth whol or torn, Imperfect Birth. growing to the Womb, or stopped; and causeth great danger of a Feaver, or sudden Swounding, or Death.

The Causes.

The Scripture witnesseth that natural diffi­culty of Travail was caused by original sin, Sin. from Eves fall in Paradise, for which the Crea­tor was pleased to inflict pain in Travail. Yet let us shew some natural cause of both, why it should be natu­rally or preternaturally defective or imperfect: which is either from the greatness of the Child, Situation, or weakness, or form of the Womb, having three orifices or from streightness of the Neck thereof.

When a Child ready to be delivered, is great (as when it can no longer be contained in the Womb, Greatness of the Child. but seeks ano­ther mansion and Diet) in respect of the passages, the Delivery cannot be without pain, though it be natural. And the rather when the Child being great by the Father, is born by a little Woman which brings forth with great danger alwaies. As also when there is monstrous Conception, or many at once.

There is also either no birth or very hard, Evil position of the Child. when the decent roundness of it is changed, by breaking the coats, and flowing of water, whereby the Child comes not forth with the Head first, but the Feet, or lieth cross, or when the hands or feet which were close to the sides are stretched out.

And in regard the strong Throws of the Mother are required in Travail, Weakness of the Mother. the more couragious the Woman is, the ea­sier is the Delivery, so they that are weak, as very young and old Women, and such as are weak-spirited and fearful, dul and sloathful, are tired out and in great danger.

If the Vessels by which the child wrapt in Membranes with a cake of flesh in the middle clea­veth to the Womb be not ripe, The Vessels connexi­on not divided in the Womb. they are unfit to be divided, like the stalks of unripe Apples, without tearing and force, and bleeding, (nor doth bleeding after birth, which is ordinary, come from this cause as shal be shewed) And then they growing together, and being forced be­fore the time, the birth is more difficult, with pain, and bleeding, and Inflammation of the Womb, sometimes with a Feaver, and danger of life: The same symp­tomes follow when the Secundine, remaineth fast, ei­ther being whol or rent. And also after a fall, stroak, or taking of a violent medicine, there is untimely birth. Or from the violent usage of the Midwife taking these pains for Throws, they do often provoke with great danger of life. And some I have known die of the [...]ame, and some I have cured. These pains of the Womb go before Throws in many, for which they send for the Midwife which increaseth them, but should rather use hysterical means to mitigate them, for these pains do rather hinder the Throws than further them.

Sometimes there is difficulty and impossibility of bringing forth from the Orifices of the Womb within and the neck without, and the cleft of the Privities, through which the Infant must pass. The inward orifice of the Womb. It is also no wonder if there be hard Travail when the inward orifice of the womb is so streight when the Woman is with Child, that nothing can pass in or out, and the orifice of the neck of the womb with­out, is no larger than to receive the yard, and they both must be so inlarged as to let the Infant pass through. And the more when they are by nature straiter and harder, The outward orifice of the neck strait­ned. as in those who have not of a long time had Children, and old women, which all have hard delivery. Or if they be drier, in regard the water which moisten the passages is spent.

The Infant may stop in the Privities when they are too strait, or short, The straitness of the Privi­ties. be­cause they cannot be enlarged as the orifices and swel as they do in Bitches: in Women the Privity is alwaies of the same largeness, as shal be shewed in Conception.

Also the straitness of the neck of the womb to the Privities is the cause of hard Labor, The straitness of the neck of the womb. although it be large yet it must be stretched to let out the Child, and this stret­ching causeth pain, then (as Rondeletius supposeth) the separating of the Secundine from the Matrix: he was mistaken in thinking that Travail was without pain when the Secundine remained fast. For we shew­ed, that if the time be come, that wil separate without [Page 146]pine. And I have often observed that the pains con­tinued when the Secundine remained. Also there fol­lows bleeding from the opening of the Menstrual Veins in the Neck of the Womb, which is stretched, as in the time of the Terms. And that part of the Neck suffers not where it lieth under the bones of the Privi­ties, in a strait place, which also containeth the strait Gut. Although it be larger in Women then in Men; by reason of the loosning and Relaxing of the Grisles which joyns the bones, and the going back of the Rump; except the Woman be strait and short loyned, being of little stature, and then the difficulty will be increased. And also when the strait Gut is ful of Ex­crements, or the Rump pressed in by sitting.

They report that fat women especi­ally about the Womb, Whether fat can cause hard Travail. have hard Tra­vil, though experience teacheth the contrary; neither is there any fat in the Womb, or its Neck. And that fat which is without in the Belly cannot hinder, except it be by making them more heavy, or slow in the time.

The Cure.

If the Child be too big to be delive­red, A Praediction. especially if it come not from the Womb, it will die there, and the Mother will be in danger if it come forth, she usually dieth of the second or third Child, if she breed them so great. Also when the Child comes cross, or the Orifices, or passages be strait. Many women that have the Secondine growing to them after Travil, do die. If she hath a mole, we shall shew in depraved Conception, what is to be foretold and done for that. In all cases if the strength be abated much, and she faint, bleed, or have a Feaver, it is dangerous.

If these dangers, are feared, we must prevent in time, The forewar­ning and Cure of difficult Tra­vil. before the deli­very, by a good Diet. And nothing must be given to provok, before the last month.

Let her Diet be sparing, and of little nourishment, if she use to bear great Children, and be fat: Let her ab­stain from Wine, or drink it with water; let her bleed in the middle of her being with Child; and if she be plethorck, let it be done again a while after, and let her not sleep too much.

Presently after Conception, let weak people be re­freshed with good Diet. Let the Diet be moist and slippery, if the Orifices be strait, and let her use Baths.

In the last month, let things be used to make easie Deliverance, but not before the throws. Let some light things be given then to provoke, especially Baths and Oyntments, to loosen the passages. Increasing their strength by degrees, as the time draws on, and when the throws come proceed to strong expellers of the Child. And at last if the Child be certainly dead, or the Secundine not voided, use the strongest things, such as would have killed the Child, had it been living, and therefore were not to be used before. All these are to be performed in, and before the Birth, either by the Husband, or the Mother, or the Midwise, or by the Chyrurgion, or by the Physitian; by remedies taken, or applied.

Many teach, and it is agreeable to reason, that if a man use his wife often, a little before, or in time of the Birth, the Labor will be easie, and she will be more lightsome.

Travil is quickned by the help of the Mother, if she stand up often and walk in the last month up a hill, especially at the time of dilivery.

The endeavor of the Mother is very necessary, for nature cannot do it alone, therefore she must strain and contract the Muscles, as when she goes to the stool. And when she perceives her pains coming, being taught by the Midwife, that her delivery is at hand, (for she must not be forced before, least the Child be delivered without the Secundine, as I shewed. She must hold her breath, strain and contract the Muscles of her belly, to expel as much as possible, and the Midwife with others, must exhort her thereunto. And let her be put upon a stool that is hollow, and that will not keep the Rump from going back, and so let her lean backwards. Or if more force be required, let her stand up and lean, or be held up by the Arms. If fatness hinder, let her Face be down towards the ground, to her Knees. And let her take large steps when she is wearied with strai­ning, and knock her Feet upon the ground; And if the Secundine be retained, or the Child come not, let her stamp strongly, that she may be delivered, as Hippo­crates shews of the Tire-woman. Also pressing of the belly will help the throws, with both Thumbs below the Navil, and the Hands upon the sides, by a strong woman. And the same is good to bring forth the Secundine after delivery.

Also Neesing causeth strong, though short straining by attracting of the Muscles of the Belly, especially if the Mouth be a little stopped and the Nose.

Let the Midwise take half of the Child when it first begins to appear, and draw it gently forth by degrees pressing the upper part of the Belly. But if it lie deep and be turned, let her put in her Fingers or Hand, being anoynted, and place it right with the Head down­ward, and gather the Limbs together.

If these succeed not, and the Midwise perceive the Child dead, let a Chyrurgion enlarge the Orifice with a Speculum Matricis: And if so it cannot be taken forth, let him pul it out with Instruments, or cut it out by pieces.

When all hope is gone, some do so, and keep the Mother alive. The bladders that appear in the Belly, as I shewed, when a Child is rotten, through which the Child may be seen, of which I am an Eye witness, gave occasion I suppose to this way; which none at­tempt while the Child is alive, except both be des­perate. It is more safe and honorable when the Mother is dead, and the Child alive, to cut it out by opening the Belly; by which means many have been preserved, and Caesar was so called, because he was cut out of his Mothers Womb, and thence this birth is called Caesa­rian. Also we dilate the Privities to let out the Child, with an Incision Knife. But it is dangerous to open the Orifice of the Neck of the Womb by Incision. And it may be unprofitable, because it hath the same larg­ness with the passage.

There are also things given to open, and stir up the faculties which provoke Terms, and expel the birth; the weakest first, after stronger, and then strongest which may hurt the Child; when dead, or when the Secundine is retained.

The stilled water of Savin, Mugwort, Mullein, Orris, white Lillies, and Chamomil.

And these boyled in Wine, Pennyroyal, Mugwort, Savin, Beans, Wall-flowers.

Or this Decoction: Take Dittany half an ounce, Birthwort, Madder, Cassia barks, of each two drams; Mug­wort, Pennyroyal, Savin, of each one handful; Lavender, Chamomil, Wall-flowers, of each one pugil; Cinnamon [Page 147]three drams, Saffron one dram; Boyl them in white Wine.

This is stronget: Take Birthwort, Sowbread, of each one dram; Savin, Tamarisk, of each two drams: Boyl them in wine, drink it at once or twice.

These juyces are good, of which you may make this Electuary to be given in Travail: Take roots of Eli­campane, Comfrey, Marsh-mallows, of each three ounces; five leaved Grass, Bittony, Hysop, of each one handful; bruise them, and clarifie the juyce with Sugar and with Cin­namon, make an Electuary: Let her take two spoon­fuls thrice in a day, in the morning, before supper, and at bed time.

Or give juyce of Savin, Mugwort, and Leeks, and of Sowbread alone, or with wine.

Let these Pouders be given with wine, or waters mentioned, or with Sugar made into Lozenges.

Take the bark of Cassia Fistula, white Dittany roots, of each one dram; Cinnamon half a dram, Saffron one scru­ple.

Or thus: Take Lavender seeds half a dram, Plantane and Endive seeds, of each two scruples; Cinnamon, Pepper, of each one scruple: Saffron half a scruple,

The yellow tops of the Chives, of white Lillies, are good to be drunk, the Italians steep them in Oyl, in the Sun, and drink that.

One dram of Amber, is good when there is a Flux of blood from the retention of the Secundine, to stop one and expel the other.

Or this Pouder: Take Pouder of Date stones and Harts­horn, Canes of Cassia, of each one dram; Peach kernels one ounce, Cinnamon two drams, Sugar one ounce: Let her take two or three spoonfuls, and drink convenient wa­ter afterwards.

This is stronger: Take Borax one dram or four scru­ples, Cinnamon, Crocus, of each one scruple; Ginger half a scruple, give it with Cinnamon water, or Sack, or with Confection Alkermes, in a Bolus; in the greatest weak­ness.

Another: Take Borax, Myrrh, Birthwort, of each half a dram; Saffron, Pepper, of each one scruple: Mak a Pou­der.

These are good to expel a dead Child and the Se­cundine, Chymical Oyl of Amber, Camphur, Savin, anoynt the Navil with a little, and give four drops in white wine. Some commend a Medicine made of the wrappings of the Child. Let the Midwife dry the Navil string and Vreter in a Oven, and to two drams of the Pouder, add Cinnamon and Pepper, of each half a dram; Saffron half a scruple: and with juyce of Savin; make Troches: give two drams in Pouder alone, or with other Pouders.

Rondeletius teacheth, that the Secundine so burnt and given, cureth the after pains.

Also one dram, or one and an half of the Troches of Myrrh, or Gallia Moschata, are given with Sage, Wine, or made into Pills.

These Pills of bitter and stinking ingredients are ve­ry efficacious: Take Galbanum and Mirrh, of each one dram; round Birthwort, Dittany and Gentian, of each half a dram; Castor and Assa Faetida, and Saffron, of each one scruple; with juyce of Savin: make Pills, give from half a dram to a dram.

Cassia and Tryphera loosen the Belly and cause easie deliverance thereby: And purges that are sharp stirre up the expulsive faculty of the womb also; therefore to avoid Abortion we give no strong purges.

There are divers Restauratives to preserve strength, which are useful in the throws, and to refresh them for Labor: both for Diet and Medicine. Confection Alkermes is Cordial and stirs up the faculty. It is given with wine and Borax. Or: Take the Ponder of Diamargariton Calidum, and Diamoschu, of each half a dram; give it with wine or water, or make Lozenges thereof.

Fumigations and sents below, peirce into the womb and are good if made of very stinking things, let them be directed into the womb, by a Funnel.

Of sweet scents: Take Labdanum one dram, Storax half a dram, Musk and Amber grease, of each half a scruple; Sugar a dram: Make a Pouder, or Troches to be laid upon Embers.

Anoynt the Orifice of the Neck of the womb with Oyl of Spike, or put it in with bread.

Also the fume of Amber, or Horse, or Asse hoofs is good.

Or: Take the Pouder of an Asses hoofe, and mix it with Horse grease, and burn it.

Or: Take Galbanum, Myrrh, Asphaltum, of each half a dram; Castor one scruple, and with the Gall of an Ox [...] Make Troches, burn them.

Dioscorides commends the fum of Brim-stone, if the Child be dead.

The fume of the Decoction of Dittany and Mugwort doth the same.

Sweet scents are applied to the Nose to refresh, nor may you fear the rising up of the Womb, because it is otherwise, as I shewed in the Sunocation of the Womb.

You must put into the womb things that relax and make it slippery, and that provoke excretion.

Of loosning things, this Decoction is best: Take Marsh-mallow roots one ounce, Linseed, and Fenugreek, of each half an ounce; Savin three drams; Boyl and strain, and add one ounce of common Oyl or Butter, or use Oyl of Chamomil, or of sweet Almonds, by injection; or Oyl wherein Fenugreek hath been boyled, with Oyl of Flower-de-luce, or Cream.

Or thrust greasie wool into the Womb, dipt in But­ter, Honey, Mucilage of Lin-seed and Goos-grease, with a little Saffron.

Also dip wool or Spunge in juyce of Leeks, Saffron, and Myrrh.

Or thus. Take Galbanum, Opopanax dissolved in Vi­negar each three drams; Myrrh two drams, Saffron half a dram, with Oyl of Orris make a Pessary.

If the Child be dead, use juyce of Peny-royal, lesser Centory, Leeks, Mercury.

Or a Pessary of Dittany root, or of Madder, or Bri­ony green, and anonyted with Oyl.

Or Take Mercury bruised with Parsley as much as will make a Pessary, Nigella seeds, and Sowbread roots each one dram; fil a little bag therewith.

A stronger. Take Agarick two drams, Birthwort and Asa­rum roots, each one dram; Coloquintida (which openeth the Veins very much) one scruple, Myrrh three drams, juyce of Mercury boyled with Honey to a Syrup, make Pessa­ries in Bags.

We inject things to suppurate the Secundine if it come away, that it may come forth like matter, and this may be done without hurt to the Womb, for Na­ture separates the corrupt parts from the sound, of her self.

Thus. Take Starch one ounce, dissolve it in the De­coction of Mallows and Lin-seed, adding two yolks of Eggs, and Turpentine dissolved two drams, inject often, adding Honey, also to clense, Basilicon dissolved in Milk, or Com­mon Oyl is an ordinary ripener.

Also Aegyptiacum when we know the Secundine is [Page 148]rotten by the matter that comes forth, is good with Lie to clense and cause nature to expel it.

Suppositories help by loosening the belly. And pricking nature to increase the Throws, because they are neer the Womb; especially Clysters, they work better than any outward applications.

Baths are to be used often in the last month to loosen the passages, when a Woman is used to have hard Tra­vail; made of Wormwood-water, or the Decoction of Loosners, and let the belly be anoynted with Grease, Butter, or Oyl.

If shee sit in such a Bath in the time of her Travail, or foment the Privities therewith, it will dilate and help.

If we desire chiefly to loosen make it thus. Take Lillies, Briony roots green, each half a pound; Marsh-mal­lows, Mallows, Pellitory, Coleworts, each one handful; Lin­seed and Faenugreek, each half an ounce; Chamaemel and Melilot each one pugil; boyl them for a Bath to sit in, or a Fomentation. Or take one pint thereof, and with Honey, juyce of Mercury, Hiera, make a Clyster.

If we wil urge forth the Child or Secundine. Take fresh roots of Briony half a pound, of Dittany and Birthwort, each two ounces; Pennyroyal, Savin, Rue, Mugwort, each one handful; Lupines, Bay and Juniper berries bruised each two ounces; Lavender flowers three pugils, boyl them in Water, add Wine, let it be used as the former. Or make a Clyster therewith as the former Clyster.

It is good to bring forth the Secundine, if you dip a Cloth in the Decoction of Birthwort, Pennyroyal, Sa­vory, made in Wine and apply it to the belly.

If you use no Baths, wash the Legs and the Thighes with the former.

Anoynt after bathing, the lower part of the belly, and the Privities, and the Loyns, and Rump.

A loosning Liniment. Take Oyl of Lillies, Wall­flowers, Dil, Butter, Goose and Hens grease, Mucilage of Lineseed and Faenugreek each one ounce; with Saffron half a dram.

The Resumptive Oyntment wil do the same.

Provoke the Child with this. Take Oyl of Wall-flowers and Rue, each two ounces; Juyce of Savin and Mug­wort, each one ounce and an half; juyce of Leeks half an ounce, boyl them till the Juyces are consumed, add Myrrh and Gabanum dissolved in Vinegar, each half an ounce, liquid Storax one dram, roots of Asarum, Birthwort, Sowbread, each one dram; Cinamon half a dram, Saffron one scruple, with Wax make an Oyntment.

Emplasters work stronger, applied to the Navel and Share. This is best, Green Leeks, and Polipody each half an ounce; Birthwort one ounce, Mugwort, Coleworts, Or­gan, Tansie, Savory, Orris leaves, each one handful; stamp them, with one ounce of meal of Lupines, apply it like a Cataplasm, and renew it when it is dry.

Also Cupping-Glasses, Frictions, Ligatures to the Thighs and Feet, draw down and hasten the Birth.

The Vulgar commend Amulets in difficult Travail, which though they have no strength, yet because they encourage the woman, may help.

A Snakes Skin about her middle is most commend­ed.

And Saffron about her neck, And a Load-stone in her hand.

Also the Eagle-stone, bound to the Thigh or soal of the Foot.

VVe shall not mention superstitious words and looks, and the giving of some things to be chewed by the Husband before they be applied.

CHAP. X. Of the Defect of Vital Mo­tion.

The Kinds,

WE call that Operation, by which all the parts of the Body live; the Vital motion or Life: The Defect of which, we cal also the defect of strength, and is known in parts that are moved, not only in re­spect of a voluntary motion, but when all the Functi­ons Vital and Natural are taken away, or diminished, in parts movable and immovable: This is either ge­neral to the whol Body, or special to some parts.

VVe perceive the want of strength in the whol body not only by the want of all the Functions mentioned, but by the remission of the motion of the Heart and Arteries; which is either weak or ceaseth wholly.

If the strength fail in general; and the mo­tions mentioned are slower, General weakness. it is called a ge­neral weakness; which is greater or less, sometimes natural from the birth, somtimes going before Diseases, or in the beginning or end of them.

In this the whol body acteth dully and with difficul­ty, not as in Impotency of motion, when the Members are palsied or their actions hindered, but when the Members are faint and bruised more or less as the weakness is.

Then is the pulse or beating of the Arreries dimini­shed. And either the Artery is not so dilated as it ought to be, which is called the little pulse: Or when it is pressed, it presently stoppeth, and the pulse is less, which is called a faint pulse. Or the Artery extended slowly, and it is called a slow pulse. Or it beats at a great distance, and is called a rare pulse. Or it stop­peth one or two or more stroaks, and is called an inter­mitting pulse. Or it is obscure of two or three sorts, of which there are many kinds, as the pulse like a Mouse­tail, Grasshopper, or Worm called Miurus, Formicans, Vermicularis.

Likewise the motion of the Heart is weak, and then the pulse is remiss, slow, and Dul. Physitians menti­on no other in the Heart, for it is sufficient by touch­ing the Arteries to know the vital strength, especially in regard the motion of the pulse is answerable to that of the Heart. Also the Defect of the Heart is known by the breathing.

In the pangs of Death there is extream weakness, Extream weakness in the hour of death. which is more or less, longer or shorter. In which, although the conflict between life and death, or Convulsions, the Members are moved, yet the strength is gone. And the pulse intermitteth and ceaseth, like the flame of a Candles end, that somtimes blazeth with a little refreshment from the grease, but goeth out a­gain when that is wanting. And the motion of the Heart and Breathing, are much stirred up in the Agony before they cease so that the whol breast is shaken, and the Nostrils moved, the body sweats and farteth (which caused the Poets to say the Soul went out) And death being at hand the heat leaves the external remote parts, as Hands, Feet, Nose by degrees, and the rest [Page 149]while the breast is warm a while; til all the breath cea­seth, the mouth and Eyes remaining open and the bo­dy turned like a clay colour, we are certain the Soul hath left the body.

Sometimes while the man liveth the strength is taken away for a time, Syncope or Swooning. and all the Functions of the whol body suddenly, Pulse and Motion ceasing, so that it cannot be felt at least. In the Disease called Deliquium, Lipothymy, or Lipopsychy in Greek; if it be great 'tis called Syncope. And then all breath is gone so that you cannot perceive it by a Feather applied to the Nose, or the like; which may be stopped (in this case only during the Fit, while the motion of the heart is staied, and hath no need of Breathing) without Death. But while the the Heart moveth it cannot want Breath, because it procureth vital spirits. In this Syncope they fall sud­denly, only with a noise in the Ears or hissing, the strength being lost as in an Apoplexy, if the Syncope be great: but they differ in this, that in the Apoplexy, the Heart and Arteries beat, and they breath though with difficulty and obscurity. There is also a cold sweat called Snycoptical or Diaphoretick, not from the di­gested substance of solid things, but from the conflict of nature and the dissipation of the Spirits; which is so great, that not only thin humors, but also the Dung and Urin break forth. And because then heat vanish­eth from the outward parts, there is a cold sweat re­maining, and a paleness all over, in those places that should be red by nature, shewing it self first in the Lipps.

Somtimes there is a particular weakness when the internal or external Organs are deprived, Particular weakness. and it is called the weakness of that part; not every weakness that comes from a Disease, but as shal be shewed in the causes, that which comes from the loss of the flourishing vertue. Such as is sometimes in the Stomach, Liver, Brain, Eyes, Joynts or Members: which shal be spoken of in those accidents which are produced thereby.

The Causes.

The Cause of all failing of strength, The cause of all want of strength is in the vital spirit in man, when it is not nourish­ed with another spirit or moisture, or consu­med. fainting, and weakness of particular parts, dependeth upon the inbred and inhaerent spirit of the similary parts, which makes the spiritual substance of parts, as they call it, and giveth living vertue, or life, and strength, and heat, which is natural. This natural spirit or heat being in­bred in every substance of parts as in the Heart (which though it abound with other, yet hath this in it as ne­cessary for life) hath need to be continually nourished and renewed by the vital spirit, made in the left ventri­cle of the Heart, and communicated to all the parts by the Arteries, as to the substance of the Heart by the co­ronary Arteries called the influent spirit, that it might be the matter that sustains the innate spirit; and because it easily disperseth, it ought to be in great plenty through the body. And hence is it that the heart being the shop where that spirit is made, alwaies stands in need of Air and Blood whereof it is made. Wherefore if they be wanting, or but little, there is one cause why strength faileth. As when for want of breath the heart wants Air, then Death follows except its motion were hindered by other causes, as shal be shewed in the cau­ses of swooning. Because the Heart being dilated by motion often not filled with matter for vital sptrits, di­eth: And this cannot befall it while it moveth not, because it may subsist a while with its own spirits, as other parts. So we shewed in a Syncope, wherein they revive after a long stopping of the breath. But seeing Blood mixed with Air in the Lungs affordeth fit matter for animal spirits, if it be consumed by great want of nourishment or Arrophy; or stopped in the Vessels, so that it cometh not to the parts, there must be weakness. But no man living can be so without blood, that the Lungs should be so empty which usual­have so much; or the Vessels that are so large by which the Blood is carried with Air from the Heart, should be so obstructed. Only strength fails in this respect, that spirits are not made, or being made, they are suddenly dissipated, which causeth the innate spirits to subsist no longer. And that either when they alto­gether vanish and leave the body, as in the Agony of Death; or they depart for a time from the Heart and return again, as in swooning: Or when they are fewer then are necessary, as in Weakness. Also strength must needs fail when there is want of substance making moisture, in regard the innate spirit is nourished not only with the infinent spirit, but by radical moisture which consumeth dayly. And so it is the occasion of Death, or Weeknes [...] as it is wanting in the Heart (where it is the proper nourishment of the spirit) or in any other parts. But if the innate spirit ca [...]ed the spiritual substance of the parts, or called the natural heat be extinguished or weakened, or any part cold: Then if it be in the Heart (which hath as I shewed, its proper native heat or innate spirit besides the vital, which it aboundeth with, otherwise there had been no coronal Arteries) and be spent, Death follows, but if it be diminished, there is a general faintness of the whol body, as a particular weakness of some other member, if it be in them. But now I shal shew what causeth the dissipation of both the innate spirit called native heat, and of the Influent spirit by which it is susteined. And how the humor that feeds it is consumed by natural and adventitious courses.

They who have more innate spirit, or natural heat, The constipation of radical moisture through age is the cause of weakness. and radical moisture, are more strong and active, and they who have less, are weak, and sooner die. And when that flourishing humor is consumed like Oyl by the heat of the spirit, by degrees, in age men grow more weak and dry.

Among internal and external causes, Diseases that dissi­pate the influent and fixed spirits are the cause of weakness. all great Diseases dissipate the vital spirits if they continue long, and at length consume the innate spirits with the radical moisture wherewith it is joyned; from whence the weakness is more or less.

Great and often Evacuations either by chance, or willingly, Evacuations that dissipate the natural fixed, and also the influent heat cause weakness. or in Diseases, exhaust and dissipate the spirits, and abate strength, e­specially if good humors be void­ded, as Seed in the running of the Reins, or by Venery. Also great bleeding, purging by reason the stirring of the spirits abate strength, as in Diarrhaea's, and great and often sweating, and much pissing. Also the sudden effusion of things besides na­ture, as of Water in the Dropsie, matter in an Empie­ma [Page 150]doth weaken. These violent excretions being pain­ful, as in a Dysentery, weaken more.

Great pain which violently stirreth the spirits, Pain moving the spirits caus­eth weakness. to bring them to the part afflicted with the blood, for help; causeth weakness, and if it be very great, fainting. Especialy if the part suffering, Pain of the Mouth of the Stomack cause of Cardiaca, or fain­ting. have great affinity with the Heart. Hence it is that they who have the Cardialgia or Heart pain are very weak by reason of the consent of the Stomach with the Heart, and do easily faint: this fainting is called Cardiaca. And so it is in other painful and long Dis­eases.

Great and sudden Passions of the Mind, Trembling of the Spirit, is the cause of weakness, fain­ting. because then the spirits are carried in and out with force, cause debility, and somtimes fainting and death; Thus we have seen some swoon with joy that hath thrown the spirits outward, and have read that others have died so. In anger the spirits are so inraged that they look red in the Face: And when the spirits presently return, as the paleness following sheweth, they are in little danger of life, but they are weakned thereby, as appears by their trembling, and there remains a weariness though anger be over. Nor is the cause of men not dying with anger as with joy, because angry men are stronger, as is sup­posed: in regard old men and sick men that are pee­vish, are easily moved to anger. But it often hapens that by great fear, the spirits being violently moved, some die and many are weakned. And shame and bashfulness may cause the same; by which they say Homer died. Also if the passions be of long continu­ance and strong; as sadness, and fear, and the like, they stir the spirits with continual Cogitation, and at length consum them, and as they say dry the bones, and this is a Consumption of the Spirits.

A strong and constant heat, doth not only dissipate the spirits but consumes them, Heat dissipating the spirits and consuming their nourishment, is the cause of weakness. and their nourishment; as when the body is weakned by heat, fire, labor, there is fainting somtimes. And in Feavers, it is so especially in a Causon, or burning Feaver. And in a Hectick the accidental heat of the heart, though not great, yet continuing, devours the radical moisture of the heart and solid parts, and the spirits, and causeth weakness and Consumption.

A cold distemper quencheth the native heat, Cold restraining the native heat, is the cause of weak­ness. or makes it less: so some have been frozen to death. And others have been killed with staying long in cold water. Also some parts are benumed and blasted with cold, or so weakned that they come not again to themselves. And this may come to the Stomach, by drinking cold water. And hither may be referred those that for want of excercise, bring not the native heat into action, and grow stupid. Also the parrs grow weak, by using things inwardly and outwardly, that are Potentially cold a long time, they grow weak, but the native heat is not wholly extinct, as by actual cold. Although hitherto it hath been believed, to come from Narcoticks, that are very cold: which as we shewed, do not kil by cooling, but by stupefying the brain. Nor do we grant that the Pores being obstructed, that the heat is Suffocated for want of fanning, or Eventilation; for as we shewed, the Skin hath Pores not to let in Air, but to let out other things.

A Maligne quality affecting the Heart, or mixed with its spirits, A Maligne qua­lity in the Heart, is the Cause of weakness. causeth an extinction of native heat thereof, and by consequence of all the Body: or diminisheth it, and begets a Syncope, or weakness, or Death, according toits divers qualities. So when the Air is infected, men in the Plague, suddenly faint, are weak and die: or in swouning Feavers, which alwaies begin with fainting. And when Poyson is taken, or bred in the Body, it gets to the Heart, and endangers life, and causeth weakness. And this may happen to other parts, when Poyson is more contrary to them then to the Heat.

If a Wound peirce the left Ven­tricle of the Heart, A Wound in the Heart, is the cause of weakness and Death. the spirits sud­denly vanish, and there is sudden Death. And if the right, or it peirce the Superficies, or cuts the Coronal Veins, they die suddenly from great bleeding. I suppose non can scape, if the substance only be hurt and divi­ded, because a principal part cannot endure it. Fernelius writes that he saw one that consumed, before he died of an Ulcer in the Heart that came from an inward cause. The like may be from a Tumor, which is rare, and not known but by dissection, because the Heart feels not. I faw in 1644. in a Woman that I opened of a Dropsie in the Breast, such a swolen Heart loose and greater then it should be with the Vessels, especially the Arteria Aorta three times bigger then usual, and both the Ven­tricles, especially the left, and the Langs and Cavity of the breast, silled with waterish blood. Also a great corruption in other parts extinguisheth the native heat.

The Cure.

We shall shew how it is to be done in diverse weaknesses, The Cure of weakness and swouning. and chiefly in general Imbecility and great fainting: which also may be for particular weakned parts although in their Symptoms, we shall also speak there­of. We must act and prognostick, acctording to the diversity of the cause, of weakness; If it come from want of Air and breathing, we shewed the Cure in the defect of Breathing. If it be from the birth or old age, we labor in Vain, because natural causes cannot be changed, nor radical moisture renewed. If it be from Evacuation, it is worst from Venery, or bleeding, which is in a Dropsie. If from sweat, it must be stop­ped, as we shall shew in its place. If from pain; take away the cause, and allay the pain; for pain of the Heart, causing swouning vomit, purge and strengthen the Stomach, as in Cardialgia; some die of joy, and that weakness which is from other passions, if it con­tinue, especially from fear, it is hard to be Cured. If it come from a hot or cold distemper, Cure it by con­traries. A Maligne quality, Plague or Poyson often killeth, for which we use Evacuations and Antidotes. A Wound in the Heart is deadly, and a corruption of the parts thereof, uncurable.

These things observed, though the evil be desperate, yet with Restauratives and Cordials, we may ply them to the last breath: that if there be any hope, and the weakness not fixed, cure them: And we may be the bol­der if it come from Evacuation, Pain, or Passion, or after a Disease. And if there be a Syncope, we may remove it, and prevent it. Examples of all which do fol­fow.

[Page 151]Let the Diet be of good juyce, Cordials. and in little quantity, easie concocted, give them little and often. Especially if old men are lately sick, or such as have had great Evacuation. And if they cannot digest thick, give broaths, things strained, or Jellies.

A good Julep: Take Capon broath, and boyl Rise therein, with Borrage, add the yolk of an Egg, and a little Rose Vinegar, or a little juyce of sharp Apples, or Citrons or Wine, Marjoram, Nutmeg, Saffron and Salt.

Or boyl and strain the flesh of a Capon in broath, and give it with the rest.

The German dish of yolks of Eggs, Wine, Sugar and Butter, doth restore excellently.

The Gravie of a roasted Capon, mixed with the yolk of an Egg, the fat being taken off, and boyled with Nutmeg and Salt, doth the same.

There are divers jellies; As, Take a Capon and Mince it with a little Veal salted and Spiced with a little Wine, and boyl it in Balneo Mariae, and take the juyce, and strain it from the fat, and keep it till it con­geal in a cold place. This may be given by it self, or with others. Wine doth suddenly and greatly refresh, as experience sheweth, give it alone, or with Sugar, let it be well sented and sweetish, or mix Cinnamon therewith.

It is good in swouning to give a sop in Wine, with juyce of Apples, Lemmons, Pomegranats, and Cinna­mon.

The Medicines to refresh the Spirits and preserve them are these.

Take the julep of Roses two ounces, Cinnamon water half an ounce; give it often

Or thus: Take the juyce of sweet sented sower Apples half an ounce, Sack and Cinamon water, of each two drams.

Or thus in the Heart pain: Take of Balm and Laven­der flower water, of each half an ounce; Cinnamon water, juyce of Lemons, or of Apples, and Sack, of each two drams.

Juleps are usual in Feavers and in thirst: As, Take syrup of Violets, Bugloss water, Lillies, of each one ounce; julep of Roses one ounce and an half, Rose, Bugloss, and Balm wa­ter, of each two ounces; Cinnamon water half an bunce: give two or three ounces.

A Distilled water to restore: Take the broath of a Capon, and Oxes, or Dears Hearts well boyled, four pints; Sack one pint, an Orange, or a Lemon cut in pieces, Galangal, Balm, of each one dram; Cinnamon half an onnce, Cloves two drams, Coriander and Basil seeds, Roses, Scabious and Bugloss flowers, of each one dram; Saffron one scruple, Harts horn and Ivory shavings, of each one dram; Distill a Wa­ter.

Or thus: Take dried Citron peels, Angelica roots, Balm, Borrage flowers, Basil seed, of each half a dram; Cinnamon three drams, Cloves, and species of Diamargariton Frigidum, of each one dram: Infuse them in spirit of Wine, give one or two spoonfuls with Sugar of Roses, or white Wine.

Cordial Potions to be given at the point of Death, to refresh. Take Confectio Alchermes one scruple, species Diamargariton Frigidum half a dram, syrup of the juyce of Citrons half an ounce, syrup of Poppies three drams, with Rose, Bugloss, and Cinnamon water, make a Cordial. This is good in extremity, with more Poppy water.

Or thus: which is good against Poyson: Take Con­fectio de Hyacyntho half a dram, or Diamargariton Frigi­dum, Diamoscum dulce, of each half a dram; Syrup of the juyce of Citrons one ounce, with Scabious and Balm water: make a Potion.

Treacle is good if fainting come from Poyson, or an evil Medicine.

Also Lozenges of Sugar of Roses, and Diamargari­ton Frigidum.

Or these: Take species of Diamargariton frigidum, of the Electuary of Gems, or Cordial species, of each half a dram; Oyl of Cinnamon four drops, Sugar dissolved in Rose water two ounces: Make Lozenges.

Or: Take Coral one dram, Precious stones, Pearles, Ivory, of each half a dram: Citron seeds, Sorrel and Basil seeds, of each one scruple; Cinnamon, Mace, of each one dram; wood Aloes one scruple, Musk two grains, with Sugar, make a Pouder, or Lozenges.

To these you may add the Oyls of Pearls, Coral or the like.

Portable Gold, or spirits drawn called Elixirs, are commended by Chymists, to strengthen and hinder old Age. And they attribute much to their holy Oyl of mans blood: Take of a sound mans blood, of thirty, or forty years old three pints, Sperma Ceti, Marrow of Oxe bones, of each one pound; Distill them in a Lembeck well luted, keep the last water which is red; and they say will change with the Moon; give three drops in Wine, or Cordial water.

Sweet scented things, refresh and fetch swouning peo­ple again, we shall mention some only to be applied to the Nose, which are at hand.

Apply Vinegar of Roses with a Spunge, or Cloth, to the Nose, or mix it with Penniroyal bruised, or Basil: or let him smel to Wine.

They use to chew Cloves, and breath into the Mouth and Nose of the Patient.

Or this: Take Cloves, yellow Sanders, Roses, of each one dram; Camphire one scruple, beat them with Vinegar and apply them to the Nose.

Or: Take Rose water one ounce, juyce of Apples, and Vinegar of Roses, of each half an ounce; Cloves half a dram, Oyl of Spike one drop: apply it to the Nose.

Or anoynt it with Civet, or Chymical Oyls of Cloves and Cinnamon, with white Wax.

Apply Epithems to the Heart and Pulses: As, Take Rose water three ounces, Wine that is sweet scented two ounces, Vinegar of Roses one ounce, juyce of sweet Apples, or Lem­mons half an ounce, Cloves one dram, Saffron one scru­ple.

Or this: Take water of Roses, Balm, Scabious, of each two ounces; Vinegar of Roses, juyce of Apples, of each one ounce; species Diamargariton frigidum one dram, Camphire one scruple, Saffron half a scruple: Make an Epi­them.

You may boyl Pouders, put into Bags, in Wine, and apply them: Take Cloves two drams, Gallia Mos­chata one dram, Saffron half a scruple, Basil seed one scruple, Camphire half a scruple.

Or anoynt the Pulses: Take Oyl of Cloves and Cin­namon, of each three drops: and mix them with a little Wax.

Anoynt the Heart, with those mentioned in the Pal­pitation thereof, or Oyl of Jesemin, or Oyntment of water Lillies, or Citrine Oyntment.

Or: Take Oyl of water Lillies two ounces, juyce of Citrons, and Vinegar of Roses, of each half an ounce: boyl them to a Consistence: add of all the Saunders, Roses, and Sorrel seed, of each one scruple, Coral one dram, Pearl half a dram, Camphire half a scruple: with Wax, make an Oyntment.

Or apply this Emplaister: Take Treacle one dram and an half, the Cerot of Sanders half a dram, the species of Diamoscbu and Diambra, of each half a scru­ple.

A Cordial Bag. Take of all the Saunders each one dram; dryed Citron peels, the four cordial flowers, of Scabi­ous and Leaves of Balm, each half a dram; Ivory or the [Page 152]Bone of a Stags heart two scruples, Species Diamoschum one dram, make a little Bag, sprinkle it with Wine and Rose­water, or Fume it therewith, apply it to the heart.

It is good to raise them, to sprinkle Water, and Rose-water, and Vinegar and Wine upon the Face.

Also to bind the Limbs and rub them very hard.

Also to stop the Nose and pul it, and open the mouth, and rub the Tongue.

They are soonest raised with great Noise, and Nees­ing.

And to place them with the Head down, and the bo­dy high.

Let them be quiet after the Fit, for weak people faint upon the least motion.

CHAP. XI. Of the Depravation of Vital Motion.

The Kinds,

IF the Vital Motion be Depraved which may be seen, as I shewed in the Voluntary and Involuntary Fun­ctions of the parts, Heart, and Arteries: we do not ob­serve it as in the defect: for none can live too much, and the body and its parts cannot be too strong: And if any parts that move voluntarily, move too much or wrong, that belongs to the depraved voluntary motion, of which we have spoken. We observe Depravation of Vital Motion in the pulse of the Heart and Arteries, when it is oftener or more vehement than it ought to be by nature, or proceeds otherwise disorderly.

Oftentimes the pulse of the Heart and Arteries is more fre­quent than is fit, The quick beating of the Heart and Arte­ries, whether great or smal. both in sound and sick, the breathing being also quick; and if this pulse be great also, it is with pain in the Breast, Neck, Head, Ears. It is to be felt in those parts, and by Physitians at the Wrists.

Vehement and immoderate pulsation or beating of the Heart and Arteries, Heart­beating. is a symp­tom often by it self, or in cathectick Maids before they have their Terms, or such as have the Hypochondriack Melancholy. This is cal­led palpitation or trembling of the Heart, because the motion is unequal. And being alwaies strong, it is perceived plainly in the left side of the Breast, often in the Neck, somtimes under the Ribs, especially on the left side, it is very troublesom, and weakneth him much if it continue. Sometimes it forceth the Ribs, and as Fernelius saith puts them out of their place. Aneurisma Sometimes it so dilateth the Artery and drives it out that it causeth the Tumor cal­led Aneurisma, which is great and beating. This Symp­tom somtimes remitteth and comes again sooner or la­ter; and it continueth longer or shorter time as we said. I observed a grievous and wonderful palpitation of the Heart in the yeer 1627. in a noble Virgin of Narbo in France who was alwaies held in her fit by two strong men that bare down the left side of her Breast with her hands til it ceased, otherwise shee complained that her Breast and Ribs would break.

An Inordinate and uneven Pulse causeth trouble, An uneven Pulse. but that which beats low is con­sidered not as a Symptom, but only a sign shewing the Disease and the strength: And therefore Physitians feel it.

The Causes.

It is most certain that the Heart and Arteries cause this depraved palpitation by their motion; because no other parts do beat. When these beat moderately, sound people ought not to perceive it, least the noise should be a hinderance; as it is when they beat vehe­mently: especially where the Arteries are great and many, and free, not sunk into the Muscles, as in the left side, not only by reason of the left Ventricle of the Heart, and the Ear that moveth it self there, but by the great Artery that comes from the left side of the Heart, and descendeth by the left side of the Vertebrae. Also in both fides of the Throat, which the great Artery as­cending goerh through being divided and there produ­ceth the sleeping Arteries, and those of the Arms: Al­so under the Ribs especially or the left side, because the great Artery descending thither, lieth chiefly on the left side: As also because it produceth great Arteries which accompany the branches of the Gate-vein on the right side, especially those that go to the natural bowels and the Spleen. For which causes, when the Arteries beat much, the putefaction is perceived on that side, and is troublesome. In other places where the Arteries are less or hidden, though they beat stronger, yet are they not perceived, except it be by the pain of the part ad­joyning, which is troubled at the least touch of an Ar­tery. As in pains of the Head, by reason of the great Ventricles of the brain beating, and in Inslammations. Or when a little Artery beating too violently in a strait place, and hurts a Nerve, as in the Ears, wherein we may hear the pulsation. But in naked parts without flesh, you may touch a pulse and judg whether it be na­tural or depraved; especially in the Wrist. The tru­est causes of the great beating of the Heart and Arteries is the dissipation of vital spirits, and the repletion and dilatation of the Arteries, among which there are others less probable. If the influent vital spirits be suddenly or too much dissipated, so that the innate spirits cannot enjoy them sufficiently, because it is necessary that new be alwaies sent from the Heart to the whole body, which must be done by the pulsation of the Heart and Arteries; It is therefore no wonder if their motion be enlarged and more quick, and if the cause be great more vehement with great breathing, which as is said, brings matter to make vital spirits. And this may come also from the spirits stirred with the blood, the Heart and Arteries being inflamed.

When the spirits are suddenly tossed hither and thither, The too great stir­ring of the spirits is the cause of quick & great pulsation of the Arteries. and dis­persed, and not equally commu­nicated to the body, the Heart and Arteries beat quick for new, and the respiration is greater, or other­wise strength would fail. This comes from the moti­on of the body and mind as we shewed in quick respi­ration which comes from thence. Hence is it that the pulsation increaseth by the passions of the mind, as an­ger, Joy, Terror, Fear, Shame, the spirits being mo­ved: which Erasistratus knew when from the sudden motion of the pulse from the beholding of the Nurse that was beloved, he discovered a Disease to be from the mind; that is Love.

[Page 153]This Palpitation of the Heart is sooner in weak people and such as are disposed to it; Stirring of the Spi­rits causeth palpita­tion of Heart in them that are subject thereto. the least ex­ercise wil cause it in some: One confessed to me that he had it presently in the act of Venery, and was so troubled therewith that except he gave over, he should be stifled, as it fel out afterwards.

This pulsation also is greater when the spirits are dis­sipated from other causes, as at the point of Death, when they are vanished though there be great weak­ness by which nature labors to assist them in the great­est danger, by this motion and recollection of Spi­rits.

When the Spirits grow hot with the blood, Over-heating of the Spirits is the cause of quick and great pulsation. there is great mo­tion of the Heart and Arteries, not so much because the spirits are hot and unquiet, but because they then are sooner spent, that what is suddenly lost, may be suddenly repaired. Whether it come from the external causes, as the Fire or Fume, or from internal, and the rather if the Heart grow hot, and continue so, as in a Feaver. Or if the heat come from motion of the body: or exercise in heat. Or when the mind is so affected that not only the Spirits are troubled but set on fire thereby as in anger. Or when all these concur; As we knew a Noble man that play­ing at Tennis, was so hot and angry, and so moved in the Pulsation and Respiration, that he could not re­collect himself, nor could the motion cease, but he di­ed suddenly.

When the Arteries are too full of blood, and too much dilated thereby (in regard they ought not to be filled as the Veins are, that there may be room for the Vital spirits) the Pulsation which before was not per­ceived when moderate, is felt by the Patient, and that vehement Diastole about the Heart and great Ar­teries, mentioned in the Palpitation of the Heart, is raised. Especially when the blood floweth to the left Ventricle of the Heart and to its Ear, which may be much enlarged, to the great Artery, whereby they are too full and extended. And it ceaseth when it flows from those parts, and doth not more lift them up and dilate them. Or it molesteth continually if an Artery be so dilated as Fernelius observed, Yea, that the great Tumor called Aneurisma doth follow. And if this A­neurisma be within, in any part of the great Artery, or in the breast, Throat, under the Ribs, or in the Ear of the Heart, which wil be very much stretched, it causeth a perpetual Pulsation, as an external Aneurism, and is the cause of that Palpitation of Heart which lasteth so long and kils so many, as some have observed in Ana­tomy.

It is plain that this Palpitation comes from plenty of Arterial blood, Plenty and heat of Arterial blood, that fils the Arteries causeth palpitation of Heart. because the Arteries have nothing else in them; And Galen seems to grant it when he saies all such are cured or eased by bleed­ing. And this pulsation is greater, by how much the blood and the spirits mixed there­with, which fill the Arteries, are the hotter. Fernelius witnesseth that he saw such blood in the Arteries burnt like black choller. And we prove that that cholerick hot blood is gathered in the Mesaraick Arteries and and sent to the great Arteries by these Arguments. Be­cause as such juyce as is frequently bred in the mesara­ick Veins from meat and drink doth inflame & pollute the blood being carried from the branches of the Gate­vein to the hollow vein: so doth it get into the mesa­raick Arteries which are joyned to those Veins, and so into the greater Arteries, and so to the Heart, and so filleth them, and doth what is mentioned. And the rather because these mesaraick Arteries are branches of the great Artery, but the meseraick Veins come not from the hollow Vein, nor are joyned to it, but by the substance of the hinder. Hence is this Disease so usu­al in Virgins from the stoppage of their Courses, which begets an evil habit, and in those that have Hypochon­driack Melancholy. In which, as the fulness and foul­ness of the Venal and Arterial blood causeth Cachexy and Melancholy, so do they cause palpitation of the Heart and Arteries.

Some say this may be from Wind filling the Arte­ries, which we cannot allow, because none hath obser­ved that the Veins can be filled therewith. Nor do we grant that vapors gathered about the Midriff, Spleen, or Womb, and so sent into the Arteries and Heart, or a thick vapor shut into the Heart, that came from another place, as some have written, can so fill it that they may cause this Pulsation. As for other causes of palpitation of which they write, especially wind or wa­ter in the Pericardium, we count them not the true cause of Palpitation, but of some fluctuation when the body is moved, as may appear by the noise in the breast; as we shal shew in preternatural Swoons in the body.

Other Diseases of the Heart besides these mentioned may cause it to move inordinately and quicker, as heat that moves the Spirits and disperseth them, and too great Repletion by the blood of the Arteries. Such are those, that so offend the Heart it moveth violently to cast them off, rather by a natural sensation than by feeling which the Heart wanteth. A Venemous quality from within or without, A malign quality stirs up the Heart to palpitation. doth cause palpitati­on, or any malignity in the arteri­al blood which fils the Arteries causeth the same by stretching them and by troubling the Heart. I understood that one who died of a conti­nual Trembling of the Heart, had a Bone or Gristle found in his Heart.

The Cure.

That Palpitation which comes from vehement motion of mind, or body, The Cure when it comes from vehement mo­tion. or Heat, ceaseth when they cease, as we shewed in Short-breathing which is joyned therewith. But when ma­ny causes concur, it is dangerous as we shewed.

When it comes from plenty of blood, it is dangerous, and lasting, Cure of Palpi­tation of heart and trou­blesom by continual motion, but wast­ing of the Spirits: many have dyed hereof, others have long been troubled therewith, ma­ny have been cured by removing the cause. And be­cause the Cause is commonly about the Meseraick Vessels which are distributed in the natural parts, and there is the plethory and filth, it is cured as Cachexy Cachochymie and Hypochondriack Melancholly; which are usualy joyned therewith. By preventing too great increase of Blood, Humors, and Wind, and such humors as chiefly abound, by purging of Choler, and strengthening the natural parts, and mixing Cordials with all things. And in regard it is hard to evacuate the conjunct cause in the Artesies and Heart, we must strengthen them with Cordials. Thus.

[Page 154]Letting of blood except some thing hinder, is good according to Galen. And best from the Arteries, which will either take away the cause, or diminish it: as we shewed a Vertigo, or Giddiness is cured by opening an Artery, when it comes from such a Repletion. But it will help, if the blood be taken from the Vessels, both for the diminishing of the Anticedent cause, and be­cause when the Veins are empty, they often fetch blood from the neighbor Arteries. Therefore the great Vein in the Arm, must be opened on the side, that beats most. And if it doth good, it must be repeated. Also open the Veins of the Legs, to draw down, especially if Terms be stopped.

It is good also to provoke the Haemorrhoids, be­cause we cannot draw blood directly from the Mese­raicks, another way.

In Evacuations of Cacochymy, or burnt Melan­choly, alwaies mix Cordials.

Prepare the Humors and open obstructions first with Clysters, then with Juleps and Decoctions, for three or four daies. Thus, Take Syrup of the juyce of Citrons or Lemons, or Apples, of Vinegar and Bugloss, of each one ounce; Fumitory, Bugloss and Endive water, of each three ounces.

If obstructions prevail: Take syrup of Maiden-hair, of the two roots, and Bugloss, of each one ounce; Balm, Rose­mary and Bugloss water, of each three ounces.

Or give this Decoction: Take the opening roots steep them in Wine, of each half an ounce; Balm, Sage, Fu­mitory, Hops, Ceterach, Maiden-hair, of each one handful; Rosemary, Violets and Bugloss flowers, of each one pugil; Dodder, Sorrel and Annisseeds, of each one dram: Boyl them, and add juyce of Apples two ounces, and with Sugar and Cinnamon: Give it for three or four Doses.

Or: Take opening roots, of each half an ounce; bark of Tamarisk, Wormwood, and Balm, and Fumitory, of each three drams; Cordial flowers, Citron seeds, of each one dram, steep them in Wine.

Purge with gentle things: Thus often, Take Rhu­barb four scruples, yellow Myrobalans two drams: bruise them, and sprinkle a little juyce of Citrons, or Apples thereon, till they are soft, then infuse them in Wine or Balm water two drams, and Cinnamon water; strain it, and add syrup of Roses or Manna two ounces.

It he love a bitter Potion: Take Rhubarb four scru­ples, yellow Myrobalans two drams, Agarick one dram, Senna two drams; steep them in Wormwood Wine.

Or: Take Catholicon half an ounce, Electuary of Citrons solutive two drams, syrup of Roses solutive one ounce, juyce of Apples half an ounce, with Balm and Rose­water.

Make this Decoction for many Doses, or a syrup thereof: Take Succory roots, Sorrel roots, of each two oun­ces; bark of Tamarisk half an ounce, Bugloss, Fumitory, Hops, Time, Balm, Maiden-hair, of each one handful; flowers Cordial of Scabious, Rosemary, water Lillies, of each one pugil; Annis, Purslaine and Citron seeds, of each one dram; Raisins, Tamarinds, of each one ounce; Polipody two ounces, Senna one ounce and an half, boyl them, and add to the strained Liquor being hot, Citron and Emblick, Myrobalans, of each three drams; Turbith two drams, or Agarick half a dram, Ginger and Spike, of each half a dram, strain it, add syrup of Bugloss, and Roses solutive, of each two drams; for three or four mornings, or with Sugar make a Syrup.

If hehad rather take Pills, make them of the extract of Myrobalans and Rheubarb: Or, Take yellow Myro­halans one dram and an half, Agarick and Turbith, of each one dram; Basil seed one scruple, Spike half a scruple, with juyce of Roses and Wormwood: make a Mass, give one dram.

Let the Diet be temperate, by which, and blood-let­ting many have been cured, as Galen saith. Avoid things that breed Crudities and wind.

The Hearts of four footed Beasts, and of Birds often eaten do good, by Propriety. Especially if roasted with Cloves.

This Cordial water is excellent: Take the Heart, of an Hart, Ox, or Hogg one pound: to these add the Hearts of Patridges; cut them smal: add these Pouders of the Cordial flowers, Rosemary, Majoram, Balm, Basil, Harts­tongue, of each two drams; seeds of Basil, Citrous, of each one dram; Citrm peels three drams, Cloves two drams, Cinnamon, Sanders, wood Aloes, of each one dram; Mace, Zedoary, of each half a dram; Saffron one scruple, Musk or Amber greese half a scruple, sprinkle them with Sack till they be like a Pultis: Distill a water, give from half a dram, to six drams, alone or with Julep of Roses, or syrup of the juyce of Citrons often.

The Oyl of Coral, or Pearl, given with Sugar is good.

Or this Syrup: Take of Cordial flowers, each one pugil, Balm, Basil, of each one handful; Cloves two drams: Boyl them in Wine and Water, Clarifie them, and with Sugar and Cinnamon; Make a Syrup.

Or this of the juyces: Take juyce of sweet Apples, Po­megranats, of each four ounces; juyce of Bugloss, Roses, of each two ounces; juyce of Citrons, Lemmons and Plantane, of each one ounce; Rose and Balm water, of each two ounces; Sugar half a pound: boyl them to a Syrup, and add Cinnnamon and Cloves; give one ounce alone, or with Wine or convenient Waters.

An excellent Wine: Take Angelica, Elicampane, Tor­mentil, white Dittany, of each half an ounce; Zedoary, Ga­langal, of each two drams; dried Citron peels one ounce, Cloves an ounce, Cinnamon two drams, Cordial flowers, of each one dram; Rosemary and Lavender flowers, of each one dram and an half, Balm, Sage, Basil, of each two drams; Basil seeds, Marjoram and Citron seeds, of each one dram; Mirtle berries two drams, bruise them, and add twelve or fifteen pints of the best Wine, keep it in a Vessel, that is first seasoned with hot Wine, wherein Cloves were boy­led, or with the Pouder of Cloves. Let him drink in the morning when he takes broath, or before Din­ner.

Give these Pouders with Gilly-flower water, Balm, Basil, Sorrel, Plantan or Scabious water; or make Lozenges thereof.

The first: Take roots of Angelica, Galangal, Zedoary, Citron peels dryed, Balm, each half a dram; Basil seeds and Cloves, each one dram; Purslane seed, Mace, Cinnamon, Sanders, of each one dram; Saffron, Camphire, of each a scruple; Coral one dram, make' a Pouder, give one dram.

The third: Take Coral, Pearl, Cristal, Ivory or Bone of a Stags Heart, or Vnicorns horn, of each half a dram; Basil seed two scruples, Cloves one scruple: make a Pou­der.

Or give Tablets of Diamargariton frigid, Diamoschu or Diambra.

Or thus: Take species Diamargariton frigid one dram, Species Diambra, Diamoschy, of each half a dram; Troches of Camphire half a scruple, Sugar dissolved in Rose water three ounces, Balm water two ounces, Cinnamon water one ounce: make Lozenges and guild them.

Make Electuaries of Conserves, with syrup of Bug­loss, Violets, Roses, Citrons, Sorrel, Apples and the like.

Thus: Take the Conserve of the four Cordial flowers, of [Page 155]Sorrel and Balm, of each an ounce; candied Citron peels, Myrobalans, of each one ounce, candied Ginger and Nutmegs, of each two drams, of the Pouders aforesaid two drams, with syrup of Apples: Make an Electuary, give two drams, and the Wine or Waters mentioned to be drunk af­ter.

Confectio Alkermes, and de Hyacintho, and the like are good, of which we speak in defect of strength: Pills, Take Amber half a dram, Smaragds, Hyacints, of each two scruples; Pearls one scruple, Basil seeds one dram, Camphire half a scruple, with juyce of Citrons: make a Mass, give half a dram.

Bags for the Heart of red Silk quilted, sprinkled with Wine, or Rose water, or Balm water. Thus: Take Citron peels, Balm, Spiknard, Baies, red Roses, Rosemary, Lavender, Borrage, of each one dram; Basil seed two drams, seeds of Citrons, Mirtle berries, of each one dram; Cuchi­neel half a dram, Sanders, wood Aloes, Cloves, Mace, of each half a dram; Coral one dram, precious stones half a dram, Troches of Camphire, Species Diambra, of each one scruple; Make a Pouder for a Bag.

Anoynt the Heart and Pulses, morning and evening, with this: Take juyce of Mother-wort, Oyl of Spike, of each half an ounce: boyl them a little, add Oyl of Cloves half a scruple, Camphire one scruple, Saffron half a scruple, with Wax: Make a Liniment, add a little Musk.

Or this Epithem: Take Rose water three ounces, Balm, Lavender water, and Wine, of each one ounce and an half; Camphire one scruple.

Heat Balm upon a hot Tile, and sprinkle it with Wine and apply it to the Heart.

Perfumes go to the Heart speedily: As this, Take Balm, Basil, Gilly flowers dried, of each two drams; Ange­lica roots, dryed Citron peels, of each one dram; Saffron half a scruple, Camphire six grains, tie them in a clout, and sprinkle them with Rose, and Balm, and Wine, and let it be smelled to.

A Fomentation is good to the left side, with a Spung wet in this Decoction; Take Chamomel and Melilot flowers, of each one pugil; Annis and Fennel seeds, of each two drams; Fenugreek half an ounce: Boyl them in Wine.

It is good to rub the Limbs, especially the Legs and left side.

And to apply Cupping-glasses to the left side, or Hypochondria.

Rest doth allay the Palpitation, as motion increaseth it.

Camphire hung about the Neck, is reported to be excellent.

CHAP. XII. Of want of Appetite.

The Kinds.

WE call it a Defect, or want of Appetite, when men neither hunger nor thirst, or when they disdain certain things, which are to be eaten and drunk.

Some hunger not at convenient times, that is, Anorexia, or Appetitie dejected. when the Stomack is empty, and the Appetite is wholly, or for the most part gone, this is called Anorexia, and if they disdain, or loath Meat and suppose it unpleasant, which is pleasant, it is called Nausea and Apositia, Nausea or loathing. and if all meat be re­fused, Asitia. If this be in some men, except the cause be manifest, it presageth Diseases, because all men require meat, that are sound. In some it is a usual Symptom of Diseases; and there­fore in Children and Beasts, though they cannot other­wise declare it, we take it for a certain sign of sickness, if they refuse to eat.

If they thirst not, and refuse all drink, Aposta; or not drin­king. it is called Oligoposia, or Aposia, this is rare, for though some sound men drink little, and live upon moist meats, which is seldom; yet is it ordinary that they which desire no meat, desire drink, and they which Eate desire drink. In Diseases though the appetite of meat be dejected, yet they are so far from being not thirsty, that they are very dry, so that they had rather have moist things then other.

If usually happens that things that are usually eaten, Loathing of some Meats. and are pleasant to the tast, as most nourishments are, and sower sweets that are clean and good, are disdained of some; And this is either by an aversness of nature, to some things which abhors them, and by which they receive hurt, as we have known by many concerning Cheese, who though they eate Milke and Butter, they disdain. Others hate Wine by nature called Abstemious men, from Abs which signifyeth without, and Temetum which signifyeth Wine. Others hate other things: This is also usual in Diseases, they hate some meats, that nou­rish, and not only for being fleshy, fat, and unctious, but for the scent. Also sweet things, which most love, are disdained by them, and Wine. Others refuse things offered from a distaste, supposing their tast to be other­wise, as we shewed in Drepraved Tast.

The Causes.

In regard the Stomach desires by its natural sense, Meat and Drink, it is necessary that it should be affli­cted in all kinds of defect of Appetite, so that it either looseth sense of hunger, of thirst, wholly, or in part, or is afflicted with a contrary sense, and loathing of all Meats, or of some. This may be from the lightest afflictions of the Stomach, because the Stomach must be well constituted, that it may rightly hunger, or thirst, and therefore this Disease is so frequent, both in sound and sick. And it is either from its constitution, or Repletion, or Offense, or Distemper, or Weak­ness.

The Stomach hath originally such a constitution, A certain constituti­on of the Stomack, is the cause of loathing of divers Meats. or temperature many times, from innate causes, that it disdaineth some things, as Cheese, or Wine, which other natures abhor not. Which temperature we cannot describe, but that it delights in some meats and refus­eth other, as some creatures can digest things that a man cannot, as Birds do Stones, and Estridges Iron. Yet the Apprehension of the Mother being with Child, hath been a cause, from her dislike, and loathing of certain Meats, especially if she were troubled with the Pica, or longing which made an impression upon the Child. And we have seen Children refuse the same, as soon as they were born this loa­thing they bring with them into the world. Apprehension, is the cause of loa­thing of some Meats. Also we find that the con­stitution of the Stomach in other [Page 156]causes, is so changed by apprehension that it refuseth those meats that it is wont to take, because they have been taken either immoderately, or indecently, or un­cleanly. Or because in Diseases, they have been ab­horred; as after a Feaver, we have known some long abstain from Flesh, others never eat any more thereof.

Custom is another nature, and therefore we delight in things we have usually eaten from Infancy, Want of Custom is the cause of Loathing. and abhor things that are universal, though rare and Savory: And this is the cause why divers kinds of Creatutes are not used but in extremity, and that they who use themselves to eat Frogs and Snails, take delight therein, which cause Loathsomness to those that never eat them before. And why? Raw flesh and the like unclean things are nauseous to people that are used to a clean Diet.

Repletion of the Stomach which stupifieth the sense thereof, takes away appetite which is caused by the Chyle which it maketh, and retaineth too long: as when it is cleansed from the Chyle, it desireth more meat to make new; therefore while the old Chyle re­maineth, it desireth no more meat; And this comes from the defect of distribution of the Chyle, from the Obstruction of the Meseraick Veins, from abundance of blood in the Meseraicks and the Stomach, therefore when they suck little or not at all, there is little or no Appetite; because the Stomach being full of blood desires no new juyce. As in plethorick men that exercise not (in regard the substance of the body consumeth slowly, they have no such need of other juyce, being it is slowly distributed) these hunger lit­tle, except they have gotten preternatural hunger from a custom of gorging.

The same comes from a stuffing of the Stomach with humors: Slime, Fat, or Hu­mors in the Stomach cause want of Appe­tite. As when it abounds with Slime, with which the Guts are naturally a­nointed and the stomach also, and which the Butchers use to scrape away when they wash them; Then the Stomach be­ing covered with this slime waxing hard, loseth sense, and is satisfied therwith being sweet, & not so disagree­ing as Chyle. Fat and clammy meats cause this, used immoderately. Also this want of Appetite may come from fat which groweth on the left side of the stomachs bottom, where it is found in Anatomies; or about the orifice thereof as Fernelius observeth. Also if any other humor, or crude excrement, unsavory, waterish, or sli­my, or flegmtaick, bred of meat or drink, or flowing thither from another part, fill the stomach or stick fast thereto, Moistness of Sto­mach causeth want of Thirst. it de­stroyeth appetite in the like man­ner: And if the stomach be con­tinnally moistned thereby, they never thirst.

If the stomach be greatly offen­ded it causeth vomiting, Offence of the sto­mach causeth loath­ing of some meats. if but a little, an inclination to vomit, which is loathing called Nausea, by which it disdaineth things therein, and which ought to be taken. This may come from sharp meats, Me­dicines and Poysons. Especially from Choler, Yel­low, Green, or Black, in many Diseases that come thereof; or other humors, bred in the stomack or brought thither.

A hot distemper of the stomach taketh away appetite not only by relaxing it, Heat of the stomach causeth want of Ap­petite. but by causing Thirst; because Thirst and Hunger can­not meet together in the Stomach and when one prevaileth, the other is quiet, as we she­wed. Also if the body be so hot from an internal or external cause, so that the stomach be inflamed, which causeth Thirst, they desire drink rather than meat: And if they use hot meats, when the stomach is empty as when strong Wine is drunk at meat, or sweet or spi­ced things be eaten first, they lose Appetite. And in all hot Diseases in which either the stomach alone or with other bowels adjacent, or the whol body, as in Feavers is inflamed, the appetite is cast down.

Other Weaknesses which hinder Concoction, and distribution, Weakness of the Stomach causeth want of Appetite. take away appetite which serveth them. And if they be right the appetite is good. These come from the birth, or age, or great Diseases, and the Stomach digesteth slowly, and less desireth meat. And passions of the mind also ceaseth the Cardialgia or Stomach-pain, and they who are grieved in mind, and sad at heart lose ap­petite. And in regard the Stomach being very seusi­ble, consenteth with so many darts, it cometh to pass that the appetite is gone in divers Diseases of other parts.

Also if from stupefaction of the sto­mach in the sense of touching which is joyned with Tasting, Dulness of the Stomach causeth want of Appetite it be decay­ed, there is no appetite: This may come from the use of Narcoticks, especially from the Decoction of Nightshade in Wine, which Mathiolus saith cureth the Glutton. And I suppose the reason why Drunkards eat so little, is not the heat of the Wine, but the stupefactive quality thereof.

That natural Ferment or sharp juyce which is in the Stomach for Concoction, The Leaven or Fer­ment of the Stomach being consumed caus­eth want of Appetite. is the cause of want of Appetite in Man or Beast.

The Cure.

When sound men want Appe­tite and eat not with delight, The Cure of Appe­tite dejected and loa­thing of Meat and Drink. it must be cured, but in other Dis­eases which have greater accidents it is not so much regarded, especi­ally when eating wil do hurt: And when the Disease being cured it wil return, though it be last, and that by which we discover health. Want of Thirst, in re­gard it hurts not of its own self, is cured if it be preter­natural, by no other than taking away the cause in the Stomach which breedeth other inconveniences. Nau­sea or Loathing both in the sound and sick if it incline to Vomiting, must be cured as we have shewed in Vo­miting. It is hard to cure the loathing of some meats, which is natural from the Birth. In all these kinds of what cause soever, we must use these divers Medi­cines.

Custom is of great consequence to keep up appetite at a certain time; therefore keeping constant meals accustometh nature to an appetite. And without that there is a confusion as in other operations of nature. And as we shewed in the causes, custom is the cause of loving and loathing of some things, we may alter it to the coutrary by degrees, perswasions, and deceits, as we have seen in them that have hated Wine or Cheese. Fasting is good if it come from Repletion of meat, or Chyle, or abundance of Blood, or Fat; or when the stomach is foul with slime, or wet with water; for it wil consume them all, and they wil be taken away [Page 157]by the Meseraicks which are not idle: But it is worst in Choler abounding.

Moderate execrcise, and strong in those that can en­dure it, stirreth up all the Functions, and Appetite, by distributing the meat, rather then Concoction. This must be before meat, hence fome laboring men eat three or four times in a day: and they who are idle, scarse once; in sick people that cannot excercise, Fri­ctions are good.

They say sleep takes of loathing, but it provoketh not Appetite, but by accident, because distribution of the chile is rather in the time of waking, and that done the Appetite presently returns. Therefore we sooner hunger being awake, between meals, in the day time, then in the night.

Vomiting is good, if it proceed from Excrements, Humors, or Choller, or the like in the Stomach. And if they stick fast, it must be caused by sharp cleansers, as Oxymel, and Syrup of Vineger, with other Li­quors.

If Vomiting doth it not, Purge the Stomach, espe­cially with bitter things, which cleanse and strengthen it, with Aloes, Pills of Hiera, Alephanginae.

Or thus in any Humor: Take Rheubarb, Citrine Myrobalans, of each one dram; species Hiera two drams, Mastick, white Sanders, of each half a scruple; with syrup of Wormwood: Make a Mass, give one dram, or sharpen them with Diagredium.

Or give Wormwood Wine, with Rhubarb, Myro­balans and Senna, and if Flegm prevail, with Agarick infused.

Other things restore Appetite, by cooling, if it be lost by heat, either actually, or Potentially, especially sower things, which allay the sharpness of Choller, if that be the cause. Others prick and stir up the Sto­mach, by a propriety, as shall be shewed in Depraved Appetite. As the sharpness of Melancholly juyces, from the Spleen, is supposed to do; But we impute that rather to the sharpness of the chile, and its natural Fermentation, of which we spake formerly, in regard every Vomiting, if not after Wine, is sower; especi­ally if sower things have been taken: which take away the force of stupefying Narcoticks. Also others do it by cleansing, as Salt things which purge slime, and sweet juyce, and prick the Stomach. Bitter things do the same, by cleansing Flegm, and Choller, which de­ject the Appetite. Others do it by an unknown pro­perty. Things pleasant to the tast, stir it up chiefly, and abate loathing. Therefore in Feavers they refuse sweet, and desire sharp things, and a little Salt. Also strengtheners of the Stomack, take away loathing, but these are best when it is weak; they are hot and astrin­gent, and these cause thirst.

If Appetite be lost from heat, let the meat and drink be actually cold.

Cold Water is good before Meat.

And they who drink water have the best Stomackes; therefore beasts that eat crude things, and drink water, eat so much.

Let the meat be seasoned, with the juyce of sower Fruits; as of green Grapes.

Also let the bread be well Leavened, and Salted.

And in hot Natures let sharp wine be given to those that have used Wine.

Use Vinegar in Broaths, and Salats; or drink it be­fore meat.

If loathing come from drinking Wine, with Night­shade boyled there in, give Vingar; or if it come from other Narcoticks.

Peaches that are green, are good in a hot cause, use Oranges, and Lemmons sliced, with Rose water, and Sugar.

Also the German Sallats, of Picklet, Colewarts, and Turneps.

Also Sorrel, and Purslain, with Vinegar.

Also Olives, and Cappars for sallats.

Garlick is good to get an Appetite. Thus, stamp Garlick, and mix crums of Bread, and sweet Almonds therewith, and give it with broath.

Drink Wormwood Wine before Meat, if it come not from heat, it is good in all other cases.

Also give the Essence, or Tincture of Wormwood, Zedoary, Master-wort, and Saffron before Meat, with Broath or Wine.

Also Syrup of Peaches, juyce of Citrons, Pomegra­nates, Currans, Grapes, Sorrel, Vinegar, and Sugar, of Wormwood boyled with Vinegar are good.

Or thus: Take juyce of Peaches one pinte, of Pomegra­nates, and sower Apples four ounces, juyce of Citrons two ounces: boyl them with Vinegar and Sugar: give one ounce.

Or this Electuary which cleanseth: Take Honey one pound, scum it, add juyce of Pellitory, and Wormwood, of each four ounces: Boyl them, give morning and Eve­ning as much as a Chesnut.

Or, Conserve of Roses, Sorrel, Currans, of each one ounce.

Chamomel water drunk provokes Apetite.

Things that strengthen shall be after mentioned, among which Pepper is commended, by Dioscorides. Also Pouder of Masterwort, and Hens gizard skins which help Concoction and Apetite, and a Sopp in Sack; season the meat, with Mints, Calamints, &c. these take away Aposia, or want of thirst.

Cleansing Clysters are good, when the Stomach is foul: as that of the Urin of a Boy, or gentle Lixi­vium.

Also: Take white Beets, with the roots, Mercury, Cole­worts, of each one handful; Barley one pugil, Agarick one dram, Senna two drams, Carva seeds one dram: Boyl them, and add the urin of a Bay, or Lixivium four ounces; strain it, and dissolve juyce of Mercury, or Beets one ounce; Ho­ney one ounce and an half, Salt one dram; give it without Oyl that it may cleanse well.

If it come from heat in a Feaver, give cooling Cly­sters: As, Take Lettice, Endive and Violet water, of each four ounces; juyce of Purslane, Lettice, of each one ounce; Oyl of Lillies, Violet, of each half an ounce.

Sweet sents correct Loathing, as we shall shew in stopping of Vomiting; as of Vinegar, sower Fruits, Wormwood.

Apply to strengthen the Stomach, cold or hot astrin­gents, as the cause is: Take heed of Oyly sents that are unpleasant, as we shewed in other Symptoms of the Stomach.

Use the Epithems that are prescribed to cool the Liver, if Loathing come from a hot cause, as in Fea­vers.

External cooling of the Body, is good in a hot cause, as cool Air, is better then hot; also Bath, and wash the Feet in cold water: Also change the Shirts and Linnen often, to get an Appetite.

It is good to let blood, if there be Plethory, and if the Disease, of which want of Appetite is a Symptom, will permit.

CHAP. XIII. Of Depraved Appetite.

The Kinds,

WE say the Appetite is Depraved, if they desire Meat or Drink more immoderately than is na­tural, or when they desire other things besides meat and drink.

There is immoderate hunger, when more meat than is fit is desired, Boulimos or great Appetite. when they are not satisfied, or desire more before the first is concocted. This is sometimes in sound men, sometimes the symptom of a Disease called Boulimos, or insatiable hunger; with other accidents somtimes, as heaviness of the sto­mach from great gorging til it is digested. Others take more than they can bear, Doggs Ap­petite. and vomit it up again as a Dog doth; some­have a Loosness after gorging which car­rieth it away. Others faint if they eat not presenly and swound and die: this comes to some from weakness and pain in the Cardialgia, the Appetite being rather a­bated than increased, and if they have been long so; they have a weak stomach and loathing.

They Thirst immoderately who desire drink much between meals, Immoderate Thirst. or when they cannot quench thirst. It is usual with sick and sound, and intollera­ble, worse than Hunger, because the want of things that quickly satisfie and cause sudden delight doth more af­flict than the want of those that do it slowly. There­fore in Feavers they complain most thereof and in o­ther diseases; They that are thus, spet white and froa­thy and speak with difficulty and stammer, because their Tongues (as they say) stick to their mouthes, and if they want Drink they faint.

When People desire other things besides meat and drink, Pica. it is called a vicious Appe­tite, or Pica. Men have it seldome, but Women with child often, in the first month sometimes, and then it is called Malacia, Malacia. and it is sometimes in the Green-Sickness in Maids.

There are divers kinds hereof according to the diver­sity of things desired, some love raw flesh like Men­eaters, some have been like beasts and bitten peoples Arms by violence. Others desire and eat Sawces and Sallets, and Spices in abundance without hurt, as one that eat pounds of Ginger, another that drank Vinegar in abundance, and the like. And another that came to me, being an Hostess that eat abundance of Pepper, without any hurt or heat of the stomach. Commonly they love dry things as Meal, Ashes, Chalk, Clay, Shels, old Rags, and Leather; which they eat with great de­light. And Fernelius mentions one who eat abundance of unslaked Lime without hurt.

The Causes.

All immoderate Hunger or Thirst comes from a na­tural cause, that is from the natural Appetite, which if immoderate is preternatural, as from the sense of the stomach from want of nourishment or moisture. Som­times this overgreat and strange appetite is from a pre­ternatural cause, as a cold and dry distemper of the sto­mach or other quality.

The stomach desireth from sense which is mixed with Touching and Tasting and if it be exquisite it is easily afflicted, Exquisite sense of the stomach causeth too great Appetite. and feels a De­fect, and desires more. Or Evil Custom. This is from the Birth in some who eat more then others from the Cra­dle; some have it from a custom of gorging continu­ally not suffering the stomach to be empty; and ex­cept it be ful alwaies, crave; as Gluttons, who serve their bellies night and day not so much from pleasure as from custom, or inbred ravening.

Want of nourishment which is dayly consumed as it causeth a natural hunger; Want of Appetite. so if it continue long it makes people ra­venous. This is from a long want of meat, or because they have eaten things of small nourishment and quick digestion; or because they have long sickness, and want of Appetite eaten little or nothing: therefore upon re­covery they are greedy. And when they have eaten, nature suddenly draws away the Chyle, which causeth them to be usually costive as I shewed in the suppressi­on of the Belly; they are presently hungry again, and if they moderate not themselves, they get hurt and the accidents of Boulimos mentioned, and relapse into their Disease.

If the Chyle be snatched from the stomach too soon by exercise evacuation, sweats, Distribution of the Chyle too soon caus­eth quick Appetite. the same hap­pens. Or if the Chyle be wasted too much as Rondoletius observes with moist meats or drinks, and stay not in the stomach but descends pre­sently. Or if it be snatcht away by Worms as they say, which must needs be very many to cause such a Disease. Some suppose it comes from the broad Worm, which is longest if it be so, it is not because the Worm­seeds upon Chyle which is not alive as I shewed, but because the Chyle breeds it.

As a natural Thirst is for want of moisture, Want of moisture in the stomach cause of Thirst. is so the preterna­tural when it is long absent: And this is like Hunger for want of meat, when drink hath long been wanting or not actu­ally cold which quencheth Thirst the best. This may be also from long Spetting which drieth the mouth and stomach; Hence they say much talking which causeth spetting causeth Thirst.

Some say that a cold distemper of the stomach causeth immode­rate Appetite, Coolng of a hot sto­mach restoreth Ap­petitie. because they saw some who lived in a cold Air and drank cold water eat very much. But in regard cold doth not whet the sense but blunt it, we propound ano­ther cause if the stomach be hot, and the Appetite lost therby, as we shewed cold by correcting the Heat, and bringing the stomach to its natural temper, provoketh Appetite, rather than causing a cold distemper. And because in Winter through outward cold in cold coun­tries, the heat is driven in and there contracted as Hip­pocrates saith, the stomach is more hot, men need more meat, And therefore desire more meat: so, that as the same Hippocrates saith they that grow have more natu­ral heat which increaseth the Appetite, and Cold dimi­nisheth it. This being so, neither doth a sharp humor cause a Dog-like Appetite, although it may restore a dejected Appetite, and raise the stomach, as we shewed in defect of Appetite. Nor can a Melanchollick or [Page 159]flegmatick Humor as they suppose, do the same by coldness or sharpness,

Driness of the inward coat there­of, Driness of the Sto­mach causeth Thirsl preternatural. which goeth to the Gullet and Jaws if it be in any part thereof, causeth preternatural thirst, as on­ly the want of natural moisture causeth thirst. And the greater the driness, the more the thirst. Heat causeth it by consuming the moisture, and the thirst is greater, because the stomach being hot also, desires cold as wel as moisture; As when the whol body is inflamed and the stomach by the same, Bathes, motion of body or mind, and in Fea­vers, there is great thirst, And if the heat be great the heat is intollerable: Or if the stomach only be infla­med from things taken in, as Wine, sweet things or Spices, or with sharp things, Herbs, rotten Cheese, or the like, all these taken intemperately cause a preterna­tural thirst. Also from the Heat of a Purge there is thirst. Also Choler in the Stomach from meats eaten, or sent thither in Diseases causeth thirst, and the greater when it is hotter. And this may also come from hot vapors sent thither: And from things which only dry and do not (of their own nature) heat as all Salt things and such as are smoak-dryed: Also by Air long taken in with an open mouth, because it drieth the Jawes and the stomach by consequence. Some write that thirst may come from the heat and driness of the Wind-pipe and Lungs, to the Stomach. But, in re­gard the Lungs want sense of feeling, if thirst come them or from other Diseases of the Breast, it is from the consent of the Tunicle of the Stomach, Gullet, and Wind-pipe, that the stomach is affected: Or by rea­son of much spitting, or from a Feaver. Neither doth white spittle signifie that it comes from the Lungs; for the same may be made in the mouth from driness, and Air.

If any quality or propriety al­ter the stomach; An occult quality in the Stomach is the cause of Dog-like Appetite. so as to raise the Appetite, it is the cause of disor­derly Appetite, as we observe by melancholick humors which breed in the mesaraicks and mix with the blood, and get into the stomach by the Veins of the Spleen and other branches of the Gate-vein: which cause it not so much from sharpness which is in melancholy, and astringeth the stomach which causeth appetite; as from an hidden quality, which stirs up immoderate sence: which we conjecture to be so, be­cause, sour things that bind prick, nor cold, as we she­wed, nor other quality manifest, can so stir up the fun­ction, as to increase, but rather allay appetite; except there be some hidden force in the humor. As those humors which Physitians cal melancholly, corrupted, and burnt to ashes can put on divers venemous quali­ties, and cause Dog-like Appetite or Pica which is a desire of abominable things. And therefore the cause of these is a ve­nemous force, An occult quality in the stomach is the cause of Pica. Poysons cause Bou­linos and Thirst. which is better known by the effect than descri­bed, in the humors sent to, or bred in the stomach, As Dioscorides speaks of some Poysons that tou­chedor taken in do the same; or cause thirst as the bi­ting of the Serpent Dipsas; such humors Galen saith may breed in the body and be turned into Poyson. That it is no wonder that women with Child and Vir­gins that want their Terms should have the Pica. Or others a depraved appetite from a Cacochymy or evil juyce.

The Cure.

Of the three kinds of evil Appe­tite if Hunger or Thirst cannot be satisfied, The Cure of Boui­mos or great Appe­tite of Thirst and Pica. or if it be they are sick or pained at heart, or Vomit, or purge; or if they be weak and faint for being satisfied; this is to be cured. And it is more easily done in Hunger than Thirst, and great Hunger is easier taken away than satisfied. When strange things are desired that must not be neglected, because it signifieth a preternatural cause in the body: as also because they delight in such things and think they cannot hurt, which they find otherwise.

First be temperate in eating and drinking, not too much nor too little; especially after long fasting and sickness, and then take a little and often, such as is of good juyce and nourisheth wel and is easily concocted. In other causes, eat things that fil much and are solid, and not soon digested, yet in small quantity; for as an evil custom maketh Gluttons and Drunkards, that they are not well except ful, so a good and decent cu­stom takes away immoderate appetite, and brings it in­to good order.

Vomiting is good if there be an evil humor that causeth it, and if it come not of it self, provoke it. And in Dogs Appetite, at the first, before it is too violent, provoke it to take away the cause. In other cases vo­miting increaseth it, except it come from choler; In which also thirst is raised, which ceaseth when that is spent.

Purging is good in these cases mentioned both a­gainst Thirst and Hunger, not in other, except there be a Diarrhaea, in which you must help nature to take away the cause, with things that are gentle and a­stringe; First preparing the Humor. All these we choose, by other observations than by the sharpness of flegm or melancholly. And though purging cause thirst, if it come from Choler they may be used. If it come from Worms give bitter things to drive them down.

We use hot and dry things for the stomach when this Disease comes from humors after they are purged. Which do not alter the coldness of the stomach, but heat and dry it, causing thirst, which cureth hunger: give meat actually and potentially hot, spiced, and sweetned, which are best fasting. And sweet Wine that is strong and spiced, and Aqua vitae which the labour­ing people drink in the morning, that they may better endure hunger. Also hot medicines for the stomach, as sweet, sharp, burning, and wel scented: Or anoynt foment or Plaister the stomach with hot things. Or use exercise and Baths.

Things that loosen, or are fat or viscous, subvert the stomack, and by greasing it take away the sense, and Appetite, as Butter, Oyl, Fat, Glutinous, as Calfes, and Sheps Feet, and if they be loathsom they are the better; as they speak of roasted Dormice.

Things take away Appetite by propriety, by their adverse force, or loathsomness. As Wine in which an Ele hath been drowned, causeth men alwaies to loath Wine: But this must do it by another quality, if they that are ignorant of it are cured thereby. Antidotes do the like, if it come from venom. Others stupifie the sense of the stomach, as we shewed in the causes of dejected Appetite. And Wine or spirit thereof taken fasting, doth the same, not by heating, but stupifying. And the infusion of nightshade roots in Wine; Also [Page 160]Treacle and Mithridate, with Wine, are stupifying by reason of the Opium; And other Opiates, though no Antidotes, abate Appetite, but it will return again by taking Vinegar.

Cold and moist things, Cure all sorts of thirst; And Rhazis saith, that cold, or cold water hurts the actions of the Stomach, largely taken, and cold Air cures Hun­ger.

Drink doth this chiefly by wetting the dry Belly, if it be actually cold and potentially also.

Water actually cold (which we shewed to be poten­tially temperate) is best, either crude or boyled to take away the windines. Or with sour Juyces, or Vinegar, or with Spirit of Vitriol-waters cure Thirst.

Wine may be given to them that are used to it, es­pecially if small, or mixed with Water.

Also Milk to young Children, and such as use it, and Whey: But they are prohibited in Diseases in which they corrupt easily.

An Emulsion of sweet Almonds in water, called Al­mond-milk, is pleasant.

Or Decoctions, as that of Barley-water, or beaten Bread, or of cold Seeds, or of Prunes, Cherries, Ray­sons, with Cinnamon, Anise, Fennel, &c.

Broaths of Flesh-Capons, let the Fat be taken off, restore and quench Thirst.

Beere or Ptisan, with Juyces. As, Take Water two quarts, Juyce of Pomegranates, or Grapes two ounces, Sugar half an ounce: boyl them a little.

Or of distilled Waters. Take Sorrel, and Endive, wa­ter, each two pints, Juyce of Currance, and Grapes, or Pome­granates, each three ounces; Juyce of Lemmons, or Apples: boyl them, and sweeten them a little.

Julep Alexandrinum. Take Rose-water one pint, Su­gar half a pound: boyl them to a consistance, add Wa­ter boyled.

Or thus: Take Water one pint, Rose-water four oun­ces, Juyces of Cherries, or Grapes two ounces, Sugar four ounces: boyl them.

Sharp Syrups, as of Currance, or Goos-berries, Grapes, Medlars, Cherries, Prunes, Pomegranates, Sorrel, or Vinegar, with Water or distilled Waters, or Syrup of Violets.

The Juyce of ripe Anguriae, or Pomegranates, is good.

Other solid things to chew, made of Sorrel, or wood­sorrel, Lettice, Purslane, Endive, Succory, Bugloss­flowers in Sallets.

Coleworts, Rapes, Apples boyled, Bar-berries.

Medlars, Peaches, Apples, Cherries, Prunes, Pome­granates, Bar-berries, Grapes, Raisons green or dryed, Liquorish chewed, quencheth Thirst: Also Sugar can­dy, with Syrup of Violets held in the Mouth.

Manna, Sugar of Roses, and Conserves, with Spi­rit of Vitriol, Conserve of Violets, candied Lettice, Coleworts, Guords, Citrons.

Or: Take Conserve of Roses two ounces, of Sorrel one ounce, of Violets, Bugloss, Water-lillies, of each half an ounce; of Currans, as much as will make a sharp Elect­uary.

Take the Mucilage of Fleabane, and Quince seed, Gum Traganth extracted, with Rose water, with Sugar, or Syrup convenient: Make a Linctus.

Take of the Mucilages mentioned one ounce, Syrup of Grapes half an ounce, with Sugar: Make a Linctus.

Or put seeds of Fleabane, and Quinces, in a clout, and add Sugar, cool it in water, and lay it upon the Tongue.

Take the four cold seeds, of each one dram; Purslane seed, Search, juyce of Liquorish, of each half a dram; with Gum Traganth: make Troches to hold in the mouth.

Or Troches of Salt-peter, that is, Salprunella, with Sanders, and Suger, and Gum Traganth.

It is good to cool the mouth with water, and Vine­ger, Candied Coleworts, or with Rose water, or Sor­rel water, &c. or to hold Crystal, or a Stone, or Ice in the mouth and chang it often.

Some anoynt the Tongue with Mucilage of seeds, and Oyl of Roses.

Cold air Cures thirst, by cooling the Lungs, if it come from them: and by correcting the heat of the whol body, in regard the Tunicle of the Mouth, and of the stomach, are all one.

Baths for the Feet and Hands of cold water, and change of Linnen doth the same.

Also Epithems applied to the Liver and Heart.

And anoynting of the Throat and Neck with Oyl of Violets, Water-lillies, Willows, Poppies,

Some anoynt the Head in Feavers, with the same, because the Nerves of the Head consent with the sto­mach: but I suppose it doth good by provoking sleep.

Hippocrates saith that sleep slaketh thirst, not because it moistneth, as some say, but because heat is carried outward by sleep, as appeareth by sweating, which is then most easie to be cause.

Rest is good, because it keeps the body cool.

And also little talk, for much increaseth thirst.

CHAP. XIV. Of Defect of Bleeding.

The Kinds,

THe wants of bleeding, which is divers waies at set times; differ first, in respect of the place; as they are not, or not sufficient, either from the womb, Fundament, or Nostrils, or the like.

A suppression of the Terms, is when the monthly Evacuation of women, Stoppage of Terms. by the womb for forty years, in which they are fit to bear Children; is wanting, and they are neither with Child, nor give suck. Some women, but it is rare, never have them and without inconveni­ence, these are Virago'es, because they are like men. Others have had them, but they stopped and never re­turned. Some have wanted them a whol year, or some months; In whom Laziness presageth Diseases: Then follows heart pain, want of Appetite, and loa­thing, with inclination to Vomite, Palpitation of heart and Arteries, Head-ach, troublsome dreams, palness of face, and crudity of urin, discovereth it. And as these are preternatural in Plethory and Cacochymy, so are they Natural in Women with Child, whose Terms are stopped, they vomit in the first month. Also suppres­sion of Terms, is when they flow too slowly for the constitution, in less quantity, or shorter time then is meet. This causeth inconveniences.

There is another flux of the womb after Child-bearing, that is necessary, Want of clean­sing after child-bearing. and continueth some dayes, more a­bundant then the monthly, the blood is called Lochia. If these flow not, they cause great Diseases, Colick, and Convulsion.

There is a flux at the Fundament in both sexes called Haemorrhoids, Stoppage of Haemorroids. in some Natures, either once in a year, or at a [Page 161]certain time, this is said to be stopped, when it hath been, and is called suppression of Hemorrhoids. Phy­sitians explain this defect chiefly, when there are other accidents from the retention of them; as Cacochymy, Cachexy, Quartan Feaver, Melancholly, and the like. The Patient disdaining the Flux, Complains not of the want of it, but when he is Pained by the swollen Veins, which cannot open, which are called the blind Hemorrhoids.

Some have a natural Evacuation at the Nose, The want of bleeding at Nose. at a set time, which are young and Plethorick, and bleed at no other part, as women that want their terms that are with child, or Virgins, before they have them; And hither may be refer'd, the critical evacuations in Diseases. If any of these are stopped, the Physitian must endeavor to procure them.

If blood flow another way, though som­times it doth good, Defect of bleeding by other parts. yet in regard it is not so according to nature, it belongs to the defect of Natural bleeding if it stop.

The Causes.

The defect of these bleedings, is either from the want, or foulness of blood; or from the stoppage, or straitness of the Veins.

Women fit to conceive, must have more blood then is fit to nourish the body, to nourish the Child, if they do conceive, [...] to be purged forth, at the end of the month, if they conceive not. If this plenty of blood be wanting, or not sufficient, there is little, or no Flux of the Terms. And though this want of blood may come from divers causes, yet all do not cause this suppression.

There are Women, but few, in which as nature before they are ripe to conceive; A manly Con­stitution, is the cause of suppres­sion of Terms. breeds no more blood then will nourish the body, so she keeps the same course, when they are fit to conceive, these are barren; and without other inconveniences. These are called Vira­go'es from their manlike constitution.

From want of juyce, of which blood should be made, Spare Diet causeth the same. the Terms flow less, ra­ther then cease: because nature keeps the the same order, when blood doth not a­bound. Yet there may be a defect of Terms from long fasting, or use of bad meats, so that the body may grow very lean.

In sharp Diseases, the blood being spent by violent heat, Blood sent another way causeth want of Terms and Hemor­rhoids. if it continue long the same may be; but being short it rather causeth a Flux then stops, and often in a Crisis cureth the Disease. And great Fluxes by provoking the expulsive faculty pro­voke the Terms; except they be bloody, and then they hinder, as the Terms hinder them and bleeding at the Nose. So these Fluxes are stopped by deriving of the blood to another part. And the cheif cause of sup­pression of Humorrhoids is, when nature retaines, or sends it otherwaies.

Thickness of blood causeth also suppression of Terms and Hemorrhoids, when it will not flow, being too thick from the juyce of meats eaten, or want of serum to carry it. And this is the cause that in Cachectickes, Thickness of blood, caus­eth suppression of Terms. and Hy­dropicks, the Terms are stopt, the serum, or whey sweats through the Veins, and when a Vein is opened the blood is thick, and if it stand, like red, or white Coral.

Crude and impure blood, Crudities and im­purity of blood, caus­eth suppression of Terms. if it be thick (as it will be when it is cold, as we have observed with a thick skin at the top;) or foul: will not flow by the Terms; for the purest blood is sent to nourish the Child, and to breed milk. If therefore it be foul, or there be obstructious, then the Terms are wanting. Therefore Cachectickes, Leucophlegmaticks, or Vir­gins in the Green-sickness, while their blood is bad, have not the Terms, but when it is putrified, have. Hence it appears, that this natural flux of the Terms, is not for to discharge foul blood according to the vul­gar error, which will rather hinder it, if it abound; And it is not from the quality of blood that is evil, but from the quantity abounding. And it is preternatural when it is immoderate, or without order; And we shall shew that women after they are past the Terms, may so bleed. And though the impurity of the blood, cause the Flux of the Hemorrhoids, it is no argument why the Terms should flow from impurity naturally, for they differ greatly; for though foul blood be usually purged by the Hemorrhoids, yet it is easie in those that are accu­stomed to them.

Obstruction of the Veins, Obstruction of the bowels, and elsewhere caus­eth the same. causeth defect of natural bleeding, chiefly in the great Vessels, or those of the part by which blood should flow. Because the natural distribution to parts that should void it, is hindered; As we may observe that cupping or bleeding, hinders bleeding by revulsion, and bleeding at the foot, provokes Terms. Hence is it that Cachectickes have not the Terms so much, be­cause they have impure blood, but because of obstru­ctions. And when the Meseraicks are obstructed the Hemorrhoids flow not, which causeth great Diseases by putrefaction, as Feavers, Melancholly, Epilepsies; which are not cured, except the Hemorrhoids return.

If the obstruction be in the part by which they bleed, the flux is stopped, Obstruction of the parts that should bleed. as the Veins of the Neck of the Womb stopped, hinder the Terms, the Veins of the Womb stopped hin­der the after flux; if of the Nose the like. Either by thick blood, or other humors.

Straitness of the Veins and of their orifices, stoppeth blood: Fat, a Callus, or scarre, caus­eth stoppage of Terms. as when fat grows too much in the Womb, or a scar remains after an Ulcer, or other hard Tumors; A Tumor also causeth sup­pression of He­morrhoids. by which last the Veins in the Fundament may also be stop­ped. Especially if they be swollen hard; as shall be shewed in the blind painful Hemorrhoids. The Womb also may be so naturally formed, that the Veins may be wanting, Evil Confor­mation. Or, Weakness, causeth want of Terms. or closed in such as never had Terms, called Vira­go, s.

Although it be the common opinion that a cold distemper stops the Terms, and therefore they take heed of Cold, and cold Meats, and impure it to ea­ting of cold things. Yet these parts cannot be so coo­led that the Orifices of the Veins should be stopped; except cold keep the blood from flowing freely. Or comes after the native heat is weakned, which weakn­eth [Page 162]the expulsive faculty and makes the terms flow less and more seldom.

The Cure.

In the Defect of terms keep this me­thod (of the rest we shal speak hereafter) If it be when the woman is not fit for Children it is natural and not medled with. The Cure of Terms sup­pressed. You must not attempt til fourteen, and when they are evil colored; And if they stop after forty four they must not be recalled; nor when the woman hath conceived, or giveth suck although there be more blood than is needful, and some have their terms som­times then. Nor at a time when they use not to flow, except to prepare the Body, but in that week wherin they used to flow, must you givethings to provoke them, especially if they be strong: Or when there are signs of them, as pain of the back and the like, or have drops appear.

It is impossible to bring down the Courses in them which are from the Birth of a man-like constitution, or have the Veins closed, when they never had them, and are barren.

If they cease for want of blood, or fault thereof it is in vain to attempt their recovery in lean people, but it is better to repair the blood, by good diet: And then they wil come of themselves. If they have been turned another way, and flow not at the Womb, they must be brought thither again.

If foulness of blood or obstruction of the bowels cause it, we must open them and clense the blood, and give things that provoke the Terms. And these are to be used in the stoppage of the Haemorrhoids when the foul blood remains in the meseraick Veins.

A hard Scirrhus or Callus in the neck of the womb if it hinder the Courses must be taken away, And then if the Terms flow not, they must be provoked. If the Veins of the womb be so hidden with Fat, that they cannot bleed, it must be consumed by Fasting.

In other causes, as thickness of humors and obstru­ction of the Veins of the womb, or coldness, we must proceed as followeth, when we intend to move them.

Purges are good if they be stopped by reason of the foulness or impurity of the blood; which, though they provoke the expulsive faculty and cause dejection or going to stool, yet because they also stir up and move the veins of the womb, they so provoke the Terms al­so: Wherefore when Courses flow, to abate them and prevent them in Women with Child, we dare not give Purges. And in those that are stopt we often do more by purges that are mixed with things that provoke the Terms, than with such things as only provoke them. And these we proportion to the humor abounding whether it be Flegm, Choler, or Melancholy.

We first loosen the belly with Catholicon, Hiera, or the like.

Then we prepare the humor thus. Take syrnp of Mugwort and the five roots, of each one ounce and an half; Oxymel simple one ounce, water of Mugwort, Motherwort, each two ounces and an half; water of Pennyroyal and Nepp, each one ounce; make a Julep for three or four doses sweet­ned with Cinnamon.

Or this Decoction. Take the five opening roots steept in Wine each half an ounce; roots of Madder and Eringus, each six draws; Valerian roots half an ounce, Mugwort, Pennyroyal, Motherwort, Balm, Nepp, Germander, Chamae­pytis or Groundpine, Time, each a handful; Tops of Hops and red Pease, each a pugil; Bayberries half an ounce, Anise and Fennel seeds each two drams; Parsley and Dodder seed, each one dram and an half; Flowers of Rosemary, Elder, and of both Buglosses, each a pugil; roots of Polypody one ounce: make a Decoction, sweeten it with Sugar and Ci­namon, and give it several daies.

Then purge with this Potion. Take of Catholicon six drams, Agarick one dram, the species of Benedicta Lax­ativa half a dram, Saffron five grains: make a Bolus with Sugar, or drink it with Rosemary or Wormwood Wine.

Or thus in cholerick bodies. Take Tryphera Persica six drams, Rhubarb one dram, Spike one scruple, Electuary of the juyce of Roses one dram, Syrup of Roses solutive one ounce; with Bugloss and Fumitory water make a Potion.

Or this Decoction. Take Liquorish one ounce, Red Pease a pugil, Mugwort a handful, Annise and Fennel seed, each two drams; Cordial flowers a pugil, Polypody roots, Car­thamus seed, Senna, of each half an ounce; Epithymum two drams, make a Decoction: Infuse Agarick two drams, strain it and add one ounce of syrup of Roses solutive for a Potion.

Or this Pouder. Take Turbith four scruples, Agarick two scruples, Cinnamon, Ginger, of each half a dram; salt Gem one scruple, Saffron five grains, Sugar two drams, make a Pouder, give it in white Wine which hath Mug­wort infused or the like.

Or these Pills. Take the species of Hiera and Bene­dicta Laxativa, each half a dram; Pil Faeridae one scruple, or more, according to the strength, make Pils with white Wine.

It is good to purge with things that provoke Terms, at the time we expect them.

To weak people and Virgins we give gentler medi­cines, and because bitter things are best we give them in Pils, As. Take Aloes one dram and an half, Agarick and Rhubarb, of each one dram; Myrrh and Gum Amoni­ack dissolved in Vinegar, roots of Gentian and Asarabacca, each half a dram; Spike, Cinnamon, Mastich, each one scruple; Saffron five grains, with Syrup of Mugwort, make a Mass. Give half a dram or two scruples, sometimes quickned with Scammony.

Or make this Infusion. Take Succory rooots, Parsley and Fennel roots, each half an ounce; Asarum roots two drams, Wormwood & Mugwort each one dram and an half; Senna one ounce, Rhubarb two drams, Spike a scruple, Agarick two drams, Ginger a dram, shake them in Wine for three or four Doses.

We make a stronger like a Syrup thus. Take of the opening roots one ounce and an half, of Liquorish and Peony root; green, each two ounces; roots of Asarum, madder, E­ryngus, white Dittany, each one ounce; roots of Birthwort and Valerian, each half an ounce; Sowsbread two drams, Mugwort, Motherwort, Pennyroyal, Balm, Marjoram, each a handful; Savin, Savory, Horehound, Carduus, Thyme, of each half a handful; Rosemary, Elder, & the Cordial stow­ers, each a pugil; Wall-flowers one pugil and an half, red Pease a pugil, Juniper and Bay berries, each half an ounce; Annise and Fennel seed, each two drams; Dodder, Smallage, Parsley and Lovage seed, each one dram; Raisons one ounce and an half, Figs ten, boyl them in Water and Wine: in the strained Liquor add, infused Polypody and Carthamus seeds, each two ounces and an half; Senna six ounces, dried Briony roots one ounce, boyl them again, strain them and add Agarick and Turbith of each half an ounce; and if you wil purge strongly Hellebore one dram, Ginger one dram and an half, boyl them again gently and strain them, add six ounces of Sugar, make a Syrup, give one ounce more or less as it worketh, with Pease broath, twice or thrice in the time the Courses should come, or in the full of the Moon which is thought a proper time.

An Infusion of dried bitter things in Wine is good As, Take Asarum roots half an ounce, Sowbread roots two drams, Gentian roots one dram and half, Wormwood, Cen­tory [Page 163]tops, Savin, Horehound, Carduus, each two drams; Mar­joram, Pennyroyal, each one dram; Rosemary and Wall­flowers, each two drams; Annise and Smallage seeds, each one dram; Senna two ounces, Agarick, Briony roots each half an ounce; Turbith two drams, Ginger one dram, pow­der them and infuse them in Wine two fingers breadth a­bove them, give it some daies.

Remedies given at the mouth to provoke the terms, Either do it by increase of blood in such as want it, as nourishing things: Or by heating and extenuating the blood, and opening the mouths of the veins, as Diure­ticks: Or by some property unknown to us. Of these we shal here speak.

They are diversly prepared and given at the time the courses used to flow, and that fasting, sometimes at the going into a Bath, or coming out. For so they do best, and one helps the other; and also before the opening of a vein in the Foot. The examples of which follow.

A Broath. Take red Pease one pugil, Parsley roots two ounces, Borrage flowers one pugil, one Leek or an Onion: boyl them, give the Broath with Butter and Salt, Saffron and Cinnamon every morning.

Strong People may eat Sallats of Watercresses, Ra­dishes and Onions.

Give Pouders in Wine, Water, Decoctions, and o­ther Liquors, or with Honey, Water or Wine, Syrups, Sugar, or made into Lozenges, or in Electuaries, or Pils, drinking some convenient Liquors afterwards.

They are thus made. The first, Take Saffron half a scruple, Mace and Cinnamon, each one scruple; and drink it in Pouder in the morning for some daies.

The second. Take Nigella seeds half a dram, Myrrh one scruple, Cinnamon one dram, Saffron half a scruple, make a Pouder.

The third. Take the Troches of Myrrh without Assa Faetida half a dram, Nigella seed and Borax, each one scru­ple; make a Pouder.

The fourth. Take Asarum roots, Leaves of Savin, each half a dram; Smallage and Parsley seed, each one dram; Cinnamon half a dram, Saffron a scruple, Myrrh and Am­ber, each half a dram; make a Pouder, give a dram.

The fifth. Take Asarum roots, white Dittany, Mad­der, Flower-de-luce roots, each half a dram; Sowbread roots, Leaves of Savin, Pennyroyal, Rue, Wall-flowers, Nigella seed, the cane of Cassia, and Cassia Lignea, Date stones, each one scruple; Cinnamon one dram, Schaenanth half an ounce, Saffron half a scruple, make a Pouder for many Doses.

The sixth. Take Date stones, Borax, Lavender seeds, each one scruple; Mace half a scruple, Saffron five grains, make a Pouder for one Dose.

The seventh and the best is. Take the Spleen of an Heifer gelded, dry it in an Oven, take a dram thereof, ad Cinnamon half a dram, Saffron three grains, pouder them, give it with Pease broath, often. Paracelsus gives the es­sence. Crollius commends and teacheth the extract of the Liver and Spleen of an Ox.

Salts of Mugwort, Balm, and Celondine roots, are commended by Chymists.

Theriaca Diatessaron one dram, is an approved medi­cine for the terms.

One dram and an half of Tryphera Magna without O­pium, is the like.

The Electuary called Haemagogon given in one or two drams is also good.

The Electuary of Rhasis made of filings of Iron gi­ven in the quantitity of a Chesnut is good especially in Women of evil habit of body. And Crocus martis is commended by Chymists.

Another thus made. Take roots of Birthwort Flower­de-luce, Madder, each a dram; Savin, Horehound, each half a dram; Schaenanth, Spike, Wood Aloes, each a scruple, Gum lac, half adram; make an Electuaoy with Honey.

This is best. Take Juyce of Mercury and Honey, each equal parts; boyl them to a Syrup add the Pouder of Ni­gella seed, a little Cinnamon, and half a scruple of Saffron, make a thick-Electuary, give one scruple or make it in­to Pills.

Conserve of Borrage given in Wine is a secret among Women.

The usuallest Pills are those of Castor.

The Troches of Myrrh are best, given in Pills by reason of the stink of the Assa Foetida.

Thus: Take Troches of Myrrh one dram, Castor half a scruple, with Juyce of Mugwort, make small Pills.

Or thus: Take Myrrh one dram, Aloes half a dram, Lu­pines, Nigella seed, Madder roots, Gentian, each half a dram; Saffron a scruple, Borax half a dram, with Syrup of Mug­wort, make Pills, give half a dram.

Or thus of Gums. Take Myrrh one dram, Galba­num, Assa faetida, each half a dram; Castor a scruple, Saf­fron half a scruple, Nigella seed and Asarum roots, each two scruples; with Juyce of Savin and Honey make Pils, give half a dram.

Or thus. Take Agarick, Hermodacts, each half a dram, dried wild Goats dung one scruple, Gumlac, Myrrh, each two scruples; with Syrup of Mugwort make Pills, give a scruple,

In Women of evil habit of body to open obstructi­ons and provoke the terms. Take the Troches of Ca­pars and of Rhubarb, each half a dram; Gum Ammoniack dissolved in Vinegar one scruple, Gentian and Asarum roots, and seeds of Smallage and Parsley, each two scruples; Troches of Myrrh half a dram, with Syrup of Mugwort and of the five roots, make Pills, give half a dram, or two scruples eve­ry other or third day.

In liquid form we give to drink, Waters, Juyces, In­fusions alone, or together, with Pouders or Electuaries.

The best waters are of Mugwort, Savine, Penny­royal, Motherwort, Balm, Calamints, Catmints, Nip, Parsley, Fennel, Radish, Acorus, and Cinnamon, a­lone or together mixed we give them.

The Juyces of the same plants are good, but the pleasantest are of Radish, Eryngus, Leeks. We give also the juyce of young red Osiers and white Wine.

Or thus. Take the juyce of Radish and Eryngus, each two ounces; of Flower-de-luce one ounce, with Sugar as much, give one ounce and an half with Wine.

Or thus. Take the juyces mentioned, add juyce of Mug­wort, Pennyroyal, Parsley, each one ounce; Sugar as much as of all, make a Syrup, give one ounce and an half or more in Wine or by it self.

The Oyl of Savin four drops or five, in water of Savin, Pennyroyal, Mugwort, Balm, or the like, or a spoonful of Sack, doth quickly dissolve the courses.

Decoctions or infusions in water, or wine, or other Liquor are made of the Plants aforesaid, of which we draw waters; and the Decoction of Pease is most com­mended. Of Juniper berries also, and of Lupins, of Burnet, Chamomil flowers, and Barley, there is a good Decoction to be made.

Compounds of these are thus made: Take Mugwort, Pennyroyal dried, Balm, of each three drams; Juniper, and Bay berries, of each half an ounce; Boyl them in Wine.

Or thus. Take roots of Smallage, Fennel, each one ounce and half; Red Pease, Barley, each a pugil; boyl them add to a pint, Honey four ounces, Wine two ounces, boyl them again, and strain it, drink it often.

A bitter Wine most excellent. Take Gentian, Vale­rian, and Asarum roots dried, each two drams; Madder roots half an ounce, Sea Onions prepared one dram, dried Wormwood, Carduus, Mugwort, Savin, Rue, each three drams; infuse them in Wine, and boyl them in a dou­ble Vessel, give three ounces.

[Page 164]Hippocras also or Claret made of Spices and Ho­ney is good.

A Syrup for the same is thus made. Take of the ope­ning roots each two ounces; Eryngus and Madder roots, each one ounce; Asarum half an ounce, Mugwort, Pennyroyal, wild Thyme, Savin, Balm, Calamints, Nip, Rue, each one handful; flowers of Rosemary, Chamaenul, Broom, St. Johns wort, Wallflowers, each one pugil; Smallage, Lovage, and Fennelseeds, each two drams; Red Pease one pugil, suniper berries half a pugil, boyl them in Wine and Water in three pints of the flrained Liquor, dissolve six ounces of Honey, boyl it, and strain it, and so use it, or keep it boyld up to a Syrup.

Syrup of Mugwort, Calamints of the opening roots, all the Oxymels are good.

Potions are made of those mixed: As, Take Syrup of Mugwort one ounce and an half, Pennyroyal and Balm water, of each two ounces; Cinnamon water two drams: Make a Julep, give it at once.

Or thus: Take Parsley roots one ounce, red Pease a pu­gil, Pennyroyal one handful, Fennel and Parsley seeds, of each a dram: boyl them in Wine, dissolve in the straining Triphera magna without opium or Thereaca Diatessaron one dram, syrup of Mugwort one ounce, Saffron half a scruple: Make a Potion for one Dose.

Of Topicks, make Baths or Fomentations for the womb in the time when the courses are expected, some daies, morning and evening for an hour; not to pro­voke sweat; but to warm, for that would hinder. Therefore they must not dry and astringe: but loosen. Hence it is that women find so little good by dry Baths. These are made of sweet and hot Plants boy­led in greater quantity for a Bath, then a Fomentation, and with wine and water.

They are easily made even in the winter: As, Take Savin green, Rue, Lavender flowers, of each two handful, or more: Juniper berries two pugils: boyl them for a Bath to fit in, or a Fomentation in Summer; add green Mer­cury two handfuls.

Another for the Poor: Take Onyons, Leeks, and if the scent offend not, Garlick: boyl them alone, or with some of the abovesaid.

The third is this: Take roots of Lillies, Valerian, Mug­wort, Savin, Rue, Balm, Lovage, Pennyroyal, Calamints, of each one or two handfuls; Chamomil and Elder flowers, of each one or two pugils; Fenugreek and Lin seed, of each one ounce; Carua seeds half an ounce, Bay, and Juniper berries, and red Pease, of each a pugil: boyl them.

A Compound of many thus; if you have not all, take more of them you have: Take roots of Lillies, Marsh­mallows, Flower-de-Luce, of each four ounces; roots of Mad­der, Birthwort, Valerian, of each three ounces; roots of Asa­rum one ounce and an half, roots of true Acorus and Elicam­pane, of each one ounce; Mugwort, Savin, Rue, Southern­wood, Motherwort, Balm, Calamints, Nip, Pennyroyal, Organ, Spikenard, Lovage, Savory, sprigs of red Osiers bruised, of each two handfuls; seeds of the lesser Centaury, Carduus, Marjoram, Bay leaves, of each one handful; Chamomil, Dill, Elder, Lavender and Wall flower, of each one pugil; Fenu­greek and Line-seed, of each one ounce; Nigella and Water­cress seeds, of each half an ounce; juniper and Bay-berries, of each one pugil; seeds of Smallage and Lovage, of each two drams: Boyl them for a Bath.

A Fomentation of the strongest, is thus made: Take of Madder, Asarum, Birth-wort and Sowhred roots, of each one ounce; of wild Cucumbers and Mercury leaves, of each one handful; of Myrrh half an ounce: boyl them in Wine and Water, add the juyce of Savin and Mugwort, of each half an ounce; Ox-gal half an ounce: Make a Fomenta­tion.

If the Thighs to the Feet, are washed with the afore­said Decoction, or if the Feet be bathed therein often. it is good.

And if you make Clysters of them, because the Neck of the Womb joyneth to the straight Gut, they do as well, especially if the body be bound; because Clysters of Mercury, Benedicta Laxativa and Hiera, by stir­ring up and forcing the Belly do work upon the Womb.

Or thus: A Clyster often repeated, is good: Take Lilly roots three ounces, green Flower-de-Luce roots one ounce and an half, Valerian roots one ounce, Mugwort, Savin, Rue of each one handful; Centaury tops, Chamomil, Melilot and Lavender flowers, of each one pugil; Fenugreek, and Line seed, of each half an ounce; Carita and Nigella seed, of each two drams; Bay berries half a pugil, red Pease one pugil: Make a Decoction, add Benedicta Laxativa Hiera Lo­gadij, each three drams, juyce of Mercury and Flower-de-luce, of each one ounce; Honey of Squils one ounce and an half, Oyl of Wall-flowers two ounces, Ox-gal one dram: Make a Clyster, give it without Salt, that she make keep it longer.

To anoynt the Privities and Loynes, after Baths, is good, and otherwise, with hot and loosning Oyls and Fats.

Oyl of Wall-flowers and Flower-de-Luce, of each an ounce; is proper.

Or that called Moschatum or Moschelinum: Or this Oyntment: Take Oyl of bitter Almonds and Lillies, of each one ounce; Oyl of Wall-flowers, Flower-de-luce and Broom-flowers, of each half an ounce; Goose grease and Mar­row of Calves Legs, of each half an ounce; the Mucilage of Fenugreek six drams, Asarum, Birthwort, Sowbread and Flower-de-Luce roots, of each one dram; Wax enough to make an Oyntment.

Emplaisters are applied to the Share, and about the Privities; made of the former: As, Take roots of Lillies and Orris, of each two ounces; Leeks one ounce, Mugwort, Savin, Pennyroyal, of each one handful; Figs ten: boyl them in wine, stamp them, add wild Goats dung two drams: Oyl of Lillies and Wall flowers, of each one ounce: Make a Cataplasm.

Or: Take Oyl of Wall flowers, Orris, Moscheline, of each one ounce; Storax and Galbanum, dissolved in Aqua vitae, of each half an ounce; Sal Nitre one dram, Rosin of the Larich tree, as much as is will make a Plaster.

A Fume taken into the womb by a Funnel, or through a hollow stool, provokes the courses, if made of Aro­maticks, and other hot things, as Hippocrates saith; it is used after Baths, or at other times.

They are made of the Vapor of the Decoction of the things aforementioned.

Or thus: Take white Dittany roots and Madder, of each one ounce; Mugwort, Hops, Pennyroyal, Savin, Baies, of each one handful; Bay and Juniper berries, of each one pugil; roots of Galangal and Ginger, of each two drams; Myrrh and Bdellium, of each half a dram: boyl them in wine, and let her take in the Fume while it is hot.

Oyl of Spike or Civet put into the womb doth by its scent strongly draw down the courses.

The following sweet fume doth the same: Take of Storax two drams, Benzoin, Frankincense, Gallia or Alipta Moschata, of each half a dram; Cloves, wood Aloes, Sche­nanth, Cassia Lignea, of each one scruple; Sugar two drams: make them up in Troches for a Fume, with Gum tra­ganth infused in Cinnamon water.

Or thus: Take the wood of Berry bearing Savin, and Juniper, and cast it upon the Coals, or Juniper ber­ries.

[Page 165]This is stronger but stinketh: Take Mummy two drams, Galbanum, Bdellium, Opopanax, of each one dram; Frankincense, Storax, of each one dram and an half; roots of Asarum, Schaenanth, of each one dram; the hoofe of an Ass, or a Horse, one scruple; Pouder them, with the Rosin of the Larix tree: Make Troches, use them in a close stool.

The strongest Fume to provoke the courses quickly, is made of all kinds of dung dried, and poudered, and mixed with Saffron to be burned upon live coales, and sent into the womb by a funnel.

Pessaries put into the Womb, or Nascalia applied thereto, when Virgins, are the last remedies, such as may open the mouth of the womb with heat and sharpness, and not exulcerate.

A Radish made like a Pessary, and applied doth it.

Pot Mercury bruised, and put into a bag, is good, and better with flowers of Centaury; the true Scor­dium, Jack of the hedg, or sawce alone called Alliaria doth the same.

Or thus: Take juyce of Mercury, Onyons, Ox-gall, of each one ounce; Honey two ounces: boyl them to a Suppository consistence.

To which you may add these Pouders: Take roots of Asarum, Sowbread, of each half a dram; Agarick one dram, Myrrh two drams: boyl them with Honey to a Pes­sary.

Or thus: Take Aloes half an ounce, Myrrh two drams, Gentian roots one dram and an half, Nigella or Gith seeds one dram: Mix them with Ox-galls, and make Pessa­ries.

Another of Species: Take of Species of Hiera Picra, and Benedicta Laxativa, and troches of Myrrh, of each one dram and an half: Make a Pessary with boyled Ho­ney.

Another made of Antidotes: Take of Triphera Per­fica without Opium, and Theriaca, Diatesseron, of each two drams: Mix them with Pouder of Nigella, to Pessa­ries.

This is most excellent: Take of Myrrh half an ounce, Nigella seeds two drams, Agarick one dram, Sal niter half a dram, with juyce of Coleworts or Honey: make a past for Pessaries, and if you add Troches of Alhandal half a scru­ple; it will be stronger.

Another of perfumed things: Take the Troches of Gallia, and Alipta moschata, of each three drams; of Civet, Musk and Amber-greese, according to the purse of the Patient, make them up into a Pessary with Storax.

Or thus with Oyls: Take Oyl Moscheline two drams, Storax liquid one dram, Oyl of juniper berries six drops: Mix them, and dip Wooll therein for a Pessary.

If you make Injections of the Decoctions aforesaid into the Womb. they are better then in Baths or Fo­mentations.

Or this: Take Madder and Asarum roots, of each half an ounce; Mugwort and Pennyroyal, of each one handful; Nigella or Gith seeds three drams, Lupines one ounce: boyl them, and in half a pint, dissolve juyce of Savin two ounces, inject some in.

Letting blood in the Foot, at the time is the usual re­medy; for when the blood above strives to discend into the parts beneath, by reason of their Emptiness through blood-letting, that blood which lay idle about the Veins of the Womb, is stirred up, and rather gets into the usual passage then another, by which means the Terms are brought again. Wherefore we use this remedy of bleeding in the Foot, not only in full bo­dies where we open a Vein in the Arm also first; but also in lean, except other matters hinder: And we usually open that under the inward Ancle called the Saphena in that Foot where it most appears, which we first put into hot water, and also after it is opened that the Veins may bleed better. But it will be as good in the Ham Vein, and bleed better. If you bleed in both Feet together, or in one in the morning, and in the o­ther afternoon it will be better, at which time if you bind the Hip with a Ligature fast, that the blood may not discend, it will sooner be carried to the Womb.

Horsleeches if they suck well may supply the Lan­cet.

Cupping-glasses applied to the Hams, inside of the Thighs, and Privities draw the blood thither, especially with Scarification.

Ligatures in the Hips and Feet, do the same, and strong frictions from the Leg downwards.

Copulation if it may be lawfully done, Cures Vir­gins of this Disease: and they which are sick thereby and pale, are cured the night of their Marriage, by ha­ving their Courses, which is the token of their Virgi­nity, to them which are sound, and have them then a­fore the time.

The Purgation after Child-bea­ring, is a kind of bleeding, The Cure of the want of Courses after Child-bea­ring. which produceth great inconvenience, if it be stopped, and therefore is to be provoked, this is done by the same Medicines, of which in consideration of the weakness of the woman that lieth in, we chuse the mildest, and coolest, especially if there be a Feaver which is of­ten.

And in that case we give this Pouder: Take roots of Piony (which provokes the Terms, and if there be a convulsion, is also good against that) one dram, Mallow seeds half a dram, Mirrh, Cinnamon of each a scruple; Su­gar two drams: give it at twice in white Wine, and Piony water, or the like.

Or this Decoction: Take Piony roots half an ounce, Maiden hair, Celandine, of each one handful; Mugwort half a handful, Violets a pugil; red Pease a pugil, Barley half a pugil: make a Decoction, add Sugar and Cinna­mon one dram, and Schenanth half a dram, for two Doses.

We give stronger, if nothing hinder us; As, Take Mugwort, Vervaine, Celandine, Juniper berries; boyl them in Wine, give it to be drunk.

Or these Pills: Take Birthwort roots one dram, Mirrh half a dram, Pepper one scruple, with juyce of Leeks; make Pills, take half a dram.

The rest are like those former that provoke Courses, as Infessions of Marsh-mallows, Chamomil, Mug­wort and the like: and Oyntments, Fumes, Pessaries, Frictions, Ligatures, Cupping-glasses, Bleeding in the Foot somtimes, considering the strength and acci­dents.

If the Haemorrhoids have been us­ual and stop; The Cure of the stopping of the Haemorrhoids. and we perceive mani­fest danger at hand thereby, we must study to move them again. As som­times we do, when they never, were before: if the cause of the Disease may be carried that way; as we ought to do when the cause of Feavers and Melancholly and the like lies in the Meseraiks. Also when the blood labors for passage at Haemorrhoids, being swoln we must help nature: Thus,

Somtimes we purge by stool, by reason of the im­purity of the blood, which is retained in the Haemor­rhoids suppressed, because they have power to stir up and provoke the Haemorrhoids, as well as purge, spe­cially if things proper for that be added, as Aloes Co­loquintida, and the like, as we shewed in the Terms, the examples of which may be refer'd to this treatise.

[Page 166]As the Electuarium Haemagogon, and the like, which is good to provoke both Courses and Haemorrhoids.

Topicks are better for moving the Haemorrhoids than the Terms, because the Veins appear more than in the womb, somtimes they are outward and swell, though somtimes more inward and blind, but alwaies easily to be reached by Medicines.

This may be done with Ovntments, this is the mil­dest. Take roots of Orris, Sowbread, each half an ounce; tops of Centory, Motherwort, each two drams; powder them, add Oyl of Nuts a fingers breadth above them, juyce of red Onions one ounce, boyl them a little, and strain them, and anoynt therewith.

Or thus, Take Bacon, the rind and Membranes taken off, one ounce, Hogs-gall half an ounce, Pigeons dung two drams, Niter half a dram, make an Unguent.

Another. Take Hiera Piera, Benedicta Laxativa, each two drams; roots of Sowbread, Birthwort, Centaury the less, each one dram; make an Oyntment with Gall and Honey.

These are stronger. Take juyce of Leeks and red Oni­ons, each one ounce; Hogs or Ox gall six drams, roots of Sowbread, pulp of Coloquintida and Euphorbium, each half a scruple; with Honey make a Liniment, if you add the juyce of Esula or Lathyris it wil be strong, but remove it if it burn.

It is better in form of Suppository if the Haemor­rhoids are inward, and be not sore, thus. Take Honey, Juyce of Onions, Gall, each one ounce and half: boyl them, add Hiera Piera one dram, Myrrh half a dram, Sowbread roots half a dram, Sal Nitre a little, make a Suppository, add a little Hellebore it wil be stronger.

The root of Orris, made like a Suppository, and dip'd in Gall or in Oyl of Orris is good.

A head of Garlick or Onion doth the same if you take off the outward skin, and thrust it in, and a Sow­bread root green.

Baths or outward Fomentations, and Clysters such as provoke the Terms are good in this case.

We use Leeches to the Haemorrhoids to draw the blood, that after they may keep their course: We a­noynt the Veins with blood to make them fasten, and set them on with a reed. This is the surest and most cer­tain Remedy.

Friction with a rough cloth, or Figg leaves, or with Borrage, doth open or prepare them.

We may do it also with a Lancet if the Veins appear, but we must be wary of missing the Veins: some prick them with Bristles til they bleed, and open the Veins in the Feet, but not so properly, for the Haemorrhoids proceed from the branches of the Gate-vein, and not from the hollow vein as the menstrual do, and because none of them come forth to the skin there can be no proper Evacuation.

It is not amiss to provoke bleed­ing at Nose, The Cure of defect of bleeding at the Nose. where it hath been usu­al, and is stopt (especially when a­ny Diseases of the Head, Eyes, or Ears are approaching) to prevent them, and cure them except nature of her own accord open the Veins in the Nose. And this is no small help to a Cure.

It is a difficult matter by reason of their smallness, and distance to open them with a Lancet, but some do it with Bristles.

It is best to fil the Nostrils with a Pessary made of sharp and rough plants, and to smite them, as with Yarrow, Burrage, Madder, Goof-grass, and the flow­ers of Reed-grass, or the like.

An Oyntment of Mints and Honey, or Madder and Oyl doth the same.

Diascorides saith that the Decoction of the root of Crocodilium or smal Crocus, being drunk, causeth bleeding at the Nose.

In other parts, as under the Tongue, or in the Forehead, Arms, The Cure of want of bleed­ing in other parts. or Feet (as when they itch from the foulness of blood, requiring the evacuation which was formerly made in that place, and which nature of her self sometimes forceth out, as we often observed in Horses) if it be requisite to bleed for the prevention or Cure of a Dis­ease, it is best done by a Lancet; and to make the veins appear, you may first foment them with Deco­ction of Sa [...], or the like. And it is good to heat the body with things given internally and applied out­wardly, to make the blood thin that it may be the bet­aer evacuated.

CHAP. XV. Of the Want of Sweating.

The Kinds,

VVE call this a Disease when the Evacuation made by the pores of the skin with moisture called Sweat, is stopped, when it is necessary and ought to be: Or when a Vapor comes forth instead thereof: Or when the Sweat ought to be general through the whol body, and yet only some few parts, as the Head or Feet do sweat.

This is somtimes in found peo­ple that are plethorick or full of hu­mors, Cacochymical, The suppression of usual Sweating. or of evil ha­bit, and moist-bodied: who use to be refreshed by Sweating, which when they want is called suppression of Sweat.

When men by exercise or Baths labor to provoke Sweat for preser­vation of health and cannot, The want of such Sweating as is ne­cessary for health. then is there a want of Sweating, which is requisite for health. And this we have observed to be in some who by no means or bathing could produce the least sweat.

It happeneth in many imperfect­ed Crises of sharp Diseases, The want of sweat which in time of sickness is necessa­ry. and in some lingring diseases, that no sweat can be procured by Art or Nature, which should expel the cause there­of: and this is a defect of Sweat re­quisite in the time of Sickness.

The Causes.

As is the Serum or watry humor so is the Sweat, and Urin, The cause of want of Sweat is when the moisture de­caieth or is turn'd another way. for it cau­seth both, and when there is little Urin there is little Sweat. And when the Serum is not carried to the habit of the body but otherwaies as by much Urin, Seege or the like, then there is a defect of Sweat. Wherefore in Diseases when Nature endea­vors evacuation by sweat, it is hindered by other passa­ges. Moreover it may happen by obstructions that the passage of the Serum may be so hindered that there [Page 167]may be great difficulty in Sweating and Pissing: wherefore men in Dropsies piss little, and sweat with difficulty, though it be necessary for them. Also the thickness and sliminess of the serum may hinder both Pissing and Swearing, as in phlegmatick persons; and in sharp Diseases there is no sweat til the humor is con­cocted and made thin; therefore attenuating medi­cines do provoke Sweat, as we shewed in the defect of Pissing.

The usual cause of want of Sweating is the not drawing of the Serum to the habit of the bo­dy, The cause of want of Sweat is because the serum goes not to the habit of the body. which is done by external heat, which being abrent, Nature cannot sweat without great Vio­lence, especially if the pores are astringed or stopt by cold external; for only closing of the pores cannot hinder sweat except there be external cold,

The Cure.

If any want serum or natural moisture it is in vain to provoke them to sweat: The Cure of want of Sweat. also when it is plentiful and turned another way, except it be against natures intenti­on; for if nature incline to sweat we must not use o­ther evacuations, but hinder them. Also in Obstructi­ons and crudities if we intend to evacuate by sweat, they must first be opened and the matter prepared. But if there be abundance of excrementitious moisture in the Veins and habit of the body, we must use this eva­cuation for the preventing and curing of Diseases, and it must be attenuated and concocted from its thickness and crudity: and first we must remove external causes which may hinder sweat, and then give Sudorificks or medicines to cause sweat such as follow.

Among Sudorisicks, Sudorificks or medi­cines to cause Sweat. some are such as cause sweat by a great quantity of Liquor taken in when there is external heat to further it; hence it is that when we drink fasting and warm in bed in any quantity, sweat wil follow.

And this is caused by cold drink as well as by hot, for the entrals being suddenly cooled, the heat external sooner draws the serum to it.

And this is soonest done by things that are piercing, and sharp, and these are called Sudorificks.

Among which distilled waters by reason of their thinness are the best, as for example, of hot herbs, Cherfoyl and Carduus, of cold plants, Fumitory and Lemmons.

Many Decoctions are made for this purpose as of Guajacum, Sarsaparilla, China, and other Woods, Roots and Herbs, boyld in much water. Or Hors­tail, or the lesser Polygonum, or the like, boyled in Wine.

This following is commended. Take Millium or Pannicum hulled, one pugil, boyl it in Water, to four oun­ces of the Water strained, add two ounces of white Wine for one Draught, this is called St. Ambrose his Syrup.

Or this. Take Hysop and Marjoram, boyl them in Chicken Broath, and ad thereto two drams of the Emulsion of Hemp-seed.

This is excellent. Take Nep and Citron seed each one dram and an half; Water of Carduus and Sorrel each one ounce and an half or two ounces; make an Emulsion, add Syrup of Carduus or of Sorrel six drams, of Roses two drams, let it be given at bed-time, some give the root of Asa­rabacca two darms in pouder in three ounces of Carduus water which is a good Sudorifick.

Treacle and other sleeping medicines are given dis­solved to provoke Sweat, for in a deep sleep Sweat doth easily come forth.

Also the juyce of Elder or Danewort given with di­stilled waters, or in a Decoction doth the same.

Or, Take Saffron one scruple, Ginger half a dram: give them in Pouder with Almond Milk.

Or, Take one dram of Brimstone with the Yolk of an Egg.

The Chymists give Salts, Oyls, and Spirits, as Spi­rit of Vitriol with convenient Liquors. Their Bezo­ardine Mineral, Diaphoretick Sol and Luna, Diapho­retick Antimony, the Sulphur of Antimony, Spirit of Tartar, and the Treacle water of Crollius, the secret of Carduus, and the like.

All things that outwardly heat the body, so that the blood may be carried thither, and the serum with it and open the pores do cause Sweat: And they may be, greater or less as the humor aboundeth and the Consti­tion requireth, as follow.

As many Cloaths and Coverings, Skins, and Fea­thers, Hot Air caused by the Sun, or Fire, which out­wardly inflames the body.

Hot Water either natural or Artificial.

Oyntments for the Back and great Veins, which gently heat with Oyl of Lillies, Pellitory, and the like.

Also Violent motion.

And the passions of the mind which inslame the spi­rits and humors, as Anger, Joy, or such as shake the spi­rits, produce Sweat, as Terror, Fear.

CHAP. XVI. Of want of Milk.

The Kinds.

ALthough the natural excretion of Milk or giving Suck, which ought to be from the Birth to the mo­derate growth of the Child, is not so necessary, that the defect thereof should prejudice the Woman: for we see many Women which for preserving of their Breasts near, give no suck and receive [...] hurt thereby: except it be through plethory, or foulness, or Inflam­mation of their Breasts for want of giving suck: yet be­cause it is an inconveniency to the Mother or Nurse, and also to the Child which must be nourished with Milk, it is called, a Defect. And it is divers, Sucking hindred either when the sucking is hindred or cannot be, or when there is want of Milk wholly, Want of Milk. or in part; and this is called the want of Milk.

The Causes.

This Defect comes from want of Blood in the Veins of the Breasts, Want of blood, Foulness or thick­ness of blood, is the cause of want of Milk. which is the matter of which Milk is made, And this comes from di­vers Causes as we shewed in the want of Courses, chiefly in Women with Child, who through squemish­ness [Page 168]eat little, or that which is not nourishing, from the Disease called Pica. Or when they have too many of their courses after Child-bearing, or when they flow in time of giving suck, which they ought not to do; especially violently and beyond their strength. Or when they have immoderate bleeding other waies. Or when they have in time of giving suck an acute disease, which makes them lean, Also when the foulness of the Blood is such that it is brought to the Breasts, for Milk is made of the purest blood which was the Childs food in the womb. Also thickness of the blood as it is the cause of stopping the Courses, hinders increase of the milk wholly, or in part, because it cannot get into the Veins of the Breasts.

Milk also is wanting, when the Veins of the Breasts are stopped by some hard Tumor or other­wise. Stoppage of the veins of the Breasts nipples without passage or absent, or hurt, cause the want of giving suck. Or when there is no pas­sage in the Nipples. Or when Nipples are wanting which comes from scratching when young Women have itching Breasts, being marriageable, this causeth Ulcers which either stop the passage or leave a Callus or hardness which doth it.

Also the clifts and pains which Women have from their strong-mouth'd Children when they suck may hinder giving suck while they cease.

The Cure.

If it comes from want of blood shee must be high fed, The Cure of want of Milk. if from evil humors purged, if from thickness of blood, it must be attenuated or made thin, if from hurt of Breasts or Nipples, they must be cured as we shewed else­where.

For this we must use things that by a propriety cause Milk, Medicines to cause or increase Milk. or make the blood so thin by heat that it wil pass into the Breasts.

Milk, Eggs, Udders of beasts, and brains are good not only for their nourishment, but for the property in them to increase milk.

Also such Fruits as have a milky juyce, as Almonds, Pine-Nuts, and the like, eaten or drunk in Emul­sions.

The Germans use a Broath of Eggs, Wine, Butter, and Sugar.

Also Rise-milk.

Broath of Coleworts, Mallows, Rocket, Dill, Fen­nel, Parsley, is good: and though Lettice is said to in­crease milk, we cannot believe it, because it extin­guisheth seed:

Onions boyled or roasted are also good.

And the root of purple-flowr'd Goats-beard boyld in Broath,

As Barly and Pease broath.

The best Wine nourisheth, and warmeth, and is good for Nurses.

These Decoctions also. Take Barley one pugil, Fen­nel and Parsley each one handful; boyl them, and add Sugar.

Or thus. Take Eryngus roots, half an ounce, Mallows, Polygala, Fennel, Parsley, Dill, Rocket, Basil, Mints, each one handful; Barley, Pease, each a pugil; Line-seed two drams, boyl them, drink it with Sugar every morn­ing.

Of juyces thus. Take juyce of Sowthistle and of Goats­beard, each half an ounce; give it with white Wine and Sugar.

The Decoction of Earth-worms in Flesh broath with Fennel and Barley is good, but let not the Nurse know what she taketh.

Dry things are less profitable, yet some seeds are commended whose herbs are better.

As, Take Annise seed two drams, Fennel seed one dram, Rocket and Nigella seed, each half a dram; make a Pouder, give two drams with any fit Decoction.

Or, Take Pouder of Earthworms three ounces, Sugar half an ounce, Annise seed one dram, Ginger and Cinnamon each half a dram; make a Pouder, give a spoonful with some Decoction.

Or, Take Crystal in fine pouder, me dram, or Coral.

That which comes from the Alpes called Lac lunae, given one dram is accounted good.

Divers things are applied to the Breasts, for the draw­ing of Milk unto them.

As hot Fomentations which enlarge the Veins.

And bruised Mints.

Or make this Plaster. Take Parsley, Fennel and green Mints, each one handful; boyl and stamp them, add Barley meal one pugil, Storax two drams, Nigella seed one dram, Oyl of Lillies two ounces, make a Cataplasm.

Some use Sinapisms and Dropaxes, made of Mu­stard or stinking Gums, to attract Milk, but they are too violent and inflame.

Friction of the Breast is better.

And Cupping-Glasses to the Arm-holes upon the great Veins which bring the milk to the Breasts, and look blew, are good.

Also to let them be often sucked or milked.

Also if Nipples be wanting, there may be an Instru­ment made of hollow Glass, for the Child to suck.

CHAP. XVII. Of the Defect, or Want of Copulation.

The Kinds,

THere is a Defect of the Venereal act, when the Male and Female cannot perform, or weakly joyn together.

Men are more deficient than Women, for the man doth more in that act than the Woman.

And they are called Impotent which cannot ingender at all for want of ere­ction; Impotent men. Weak men. and such as do it faintly with small extension are called weak men; and when they spend no seed in the act whether done strongly or faintly, Imperfect Ve­uery. they are called Imperfect men. Nor is it a Defect when it is done but seldome, because that may be surest. And the more moderate, the better.

In Women, this defect is rare through fault of the Member, which will alwaies receive while it is sound, neither doth it wont to recruit, as mans doth; nor are they confin'd to a certain time of lust, as Bitches: Venery hin­dered and im­perfect women. Yet somtimes there is a defect in the Womb apparent, or close, so that they cannot, or at least with diffi­culty, they endure a Man, and will not [Page 169]retain him long. And so Venery is hindered, as it is imperfect, when there is none or smal pleasure in the act, especially if they have not been tired, but alwaies dislike, as I have known three women who advised with me that for many years never per­ceived any more pleasure then by an ex­ternal touch, Venery ex­tinct in wo­men. and this is called Venery extinct.

The Causes.

We must search out the cause in both sexes of this defect, whether the members be unsit for the act, or seed cannot be spent, or whether the seminal Vessels, which contain the Seed and conveigh it, be disorde­red.

This act is defective, from the want of a Yard somtimes; The cause of weak­ness, or impotency in man, is the evil shape hurt, or num­ness of the Yard. as some are born Eunuchs: others have lost it by accident, or by force: som­times by loss of a part, as a stone by gelding; somtimes by smalness of the Yard, as Hermophrodites, which resemble women, and have but a very smal Yard somtimes by largness or thickness, so that the Womb cannot receive it without torment: somtimes by croo­kedness or windy swelling like a pudding, as in Hy­dropical Persons; or by an excrescence, hurt or Ulcer especially in the Glans or Prepuce, by which means it cannot endure any force by unclean Copulation, or violent acting, or when the Prepuce, or Foreskin is so straight that it will not come from the Glans; for these causes, either the action is not performed, or difficultly and imperfectly. And it is caused also by a cold dis­temper which hinders the flowing of blood to the part, which is requisite, as I shall shew, for the distension, or stretching of it. And when it is stupified and in­sensible from hurt of the Nerves, as in a Palsey: And also by inchantments, when the exquisite sense of the Yard is so lost that it will not rise by the tickling, which we shall shew proceedeth from the seed. Hence it is that either there is no act or very faint.

Venery is defective from a fault in the neck of the Womb, The growing together straightness, or hurt of the neck of the Womb, is the cause of defect of Venery. when the passage is not open: For Children born without an Orifice, cannot live for want of Pissing, as hath been known; except it be made by Art. And this is somtimes by birth, and somtimes by an Ulcer af­ter it is heated: but seldom; Yet a woman which through difficulty in Child-bearing was hurt in that part, whom I know, was so modest that she would not reveal it, but committed it to natures Cure; so that proud flesh grew about the Womb, and stopped her Courses from coming forth, and the Orifice was so closed, as appeared after her death, though living she would not declare it, that there was a thick Escar upon it, and it could not be seen, or perceived: This Orifice in Virgins is often closed with a Skin called Hymen, which causeth the first Copulation painful, and if it be thick, hinders Copulation till it be removed: Also it may be made straighter naturally, or by an excrescence, a Tumor, or Callus, or hurt of the neck of the Womb, which may cause such pain that she cannot admit of a man.

From the affliction of the Semi­nal Vessels which bring the blood which begets seed, made, The causes of hin­dered, or imperfect Venery in both sexes of quenched Venery in a Woman, is ei­ther no Seed, or that which is naught in the Vessels. contai­ned and sent forth from them, Ve­nery may be hindered, or weak in both Sexes, if there be either no seed, or at least such as will not provoke to the act. For the sharp­ness of the Seed, causeth the Itch (not wind, as hath been thought) and stirs up nature by the spirits, in the Arteries and fils the Spungy Body of the Yard and Glans therewith, so that it is enlarged, swollen, hard, red, and hot, and fit for the action; especially when it is in the proper Ves­sels hot and labors to get out. But when it is weak waterish and crude, or little in quantity or none, then there is no pricking, without which there can be no erection, as in Eunuchs, and so there can be no per­formance, or very little and weak. And if this be in a woman, and the provocation, or pricking be wanting, they grow not warm, nor desire Venery nor find any pleasure therein. These distempers of the Seminal Vessels hinder the voiding of seed, when it is not wan­ting, and cause imperfect Venery.

The affects, Weakness, coldness, ill fashion of the Se­minal Vessels, is the cause of defect of Ve­nery in both sexes and of that which is called coldness in man. by which Seed is wanting, or cannot be spent, or grows weak, are either weakness of the Seminal Vessels, by reason of old age, or a Disease especial­ly about those parts, or too much Venery which relaxeth and wea­kneth them. Or coldness of the parts, especially in men when the Yard is refrigerated and cannot be filled and stretched forth with blood, for which causes little or none, or dul seed being pro­duced, they are not stird up to Copulation; or their seed flows from them without sense. This also may come from an evil composition of the Vessels at the first; the kind whereof is difficult to be known in peo­ple that are alive, except it be conjectured from this, that they having perfect Members for generation, and no cause aforegoing to hinder it, cannot use Copula­tion; but when they are dead we may, as I have found, perceive in their opening want of Seminal Vessels, or disorderly passages, somtimes on both sides of the Reins or the like.

It often hapneth to men that by incantation, Inchantment is the cause of impotency in men, from whence they are said to have the point tied. or witchcraft their Reins or Yard, or both are so weakned, that they cannot per­form. These they call bound or lockt (because it is caused by ty­ing of a Point, a Bulls pizle, or Wolfes pizle, or of some other Lecherous beast. How this is done being preternatural, doth not concern us to enquire.

By the cutting of the Spermatical Ves­sels, which bring the matter of the Seed, Gelding is the cause of impotency in Eunuchs. as when both stones are taken off (for one cannot do it) in men, because seed can­not be made, they cannot spend, nor have they a desire. Yet somtimes from other causes blood may so flow to the Member, that it may enter into a woman, but to no purpose; Wherefore when they will have true Eunuchs, to whom they may commit their women, they take of the Yard at the root: This is too often done to men, for the Cure of the Rupture, but I never knew it done, either for any Disease, or to take away lust.

[Page 170]Also the stoppage of the vessels by a thick humor or Tumor, The Obstruction of the seminal vessels is the cause of want of Venery. may cause a defect, especially in men when the passege of the Yard for both Seed and Urin is stopt by a Caruncle or Excrescence, a Callus, a Stone, or the like, that neither can come forth. Stoppage or streight­ness, or Perforation of the passage in the Yard, is the cause that hinders Copula­tion or makes it Im­perfect. Or when the member is weak, in the act of Co­pulation, and the passage is not direct, nor sufficiently enlarged, so that the seed being little, is not directly conveighed but stopped til after it come forth of it self. Or when there is a hole through the Yard, by reason of a Fistula therein, as I have seen, by which means the Seed passeth not the right way. And this is not an hinderance to the Act as I shal shew, but only of Conception.

The Act of Copulation is not wholly hindred from a want of sufficient Blood to produce Seed, for little is required; wherefore poor men that are in want of Food, and such as have long been sick, and are in Con­sumptions, may do the feat, but they who have more blood do it to better purpose. Now that Copulation should not be desired in some Diseases where there is disturbance of mind and grief, it is no wonder, when pleasure and delight, which stirs up this act, is taken a­way.

Neither can thickness of blood cause it, when it is brought and dispersed for the extension of the Yard, for the arterial blood which hath most spirits is chiefly sent thither; yet we suppose them to be most lustful, whose blood is hottest and thinnest.

The Cure.

We must consider first whether the fault be hid or manifest and accordingly foretel and Act.

If men are born without a Yard, The Care of Impoten­cy, Faintness, Copu­lat on bindred, or im­perfect, or extinct, whether in man or woman. or with a mishapen one not fit for the work; or if it be cut off, or the head cut, or if the stones are both taken out, the Cure is impossible. And Wo­men that have the womb so clo­sed that it can be opened by no Art without danger of life they are incurable. Other defects in men and Women, as Tumors, Ulcers, Wounds or Bruises, stoppage of the passage of the Yard, shal be spoken of in other Treatises. But we shal here shew the Cure of the streightness of the passage in man, and the largeness of the Hymen or Membrane in Women; but if none of these appear, and the Yard wil not stand nor seed be spent, or if the Woman without or with little delight perform the act and these be in sound people, there is some original fault which we perceive by what they have been from their youth; And this is incurable. Or when it comes from Incantation which is not our part to untie. But when from Weakness, Coldness, or other Diseases, which hindreth Seed, or makes it unprofitable, though long continuance may make difficulty, yet in these ca­ses chiefly we undertake the Cure.

We give things that cause seed, and this as we said by its plenty and sharpness stirs up a desire to the Act, and disposeth the members for it. These are such as cause much blood, which is the matter of which seed is made. To these we add hot things which may make the blood hotter, and by consequence the seed, which will more stimulate or provoke; and by its heat and thinness come sooner and in greater plenty to the Yard. And when the serum is hereby inflamed and carried to the bladder, it being neer to the seminal vessels, & promotes the cause, as we have seen by the use of Spanish flies the Bladder hath been so inflamed that it hath been ulcera­ted, and the Urin hath been much and bloody, and the heat so sent to the parts adjacent that they have vio­lently provoked Lust; this sharpness of seed may be cured with Salts mixed with other things, as I shal shew. And we shal shew that it is our opinion that such me­dicines work by a manifest quality, rather than by stret­ching the Yard with Wind as some say (which cannot be) besides their secret hidden quality which was ob­served by the first teachers of such things, from the whiteness of the flesh, fruits, and roots, resembling seed: Or because taken from Lecherous Creatures; Or from their shape resembling Stones, as the Satyri­ons or plants called Dogs-stones; or like a rough wrinkled Cod, as Toad-stools or Mushrooms.

Many things are given for this, especially at Supper, or after at Bed-time, if we expect the effect that night, or (if you wil have them successively to work) in the morning.

Of meats they are best that nourish wel, and cause much blood, and they are chosen which are white and ful of marrow, as Brains, Stones, especially of the most lecherous Beasts, as of Cocks, Quails, Sparrows, Fox­es. Also the flesh of the Castor, because his Stones cannot be eaten by reason of their stink: but they are thought to be Bladders and not Stones. The flesh of Craw-fish, Crabs, Lobsters, Oysters, and other hard Fishes that have Gristles, Cuttle-fish, Polypus, Milk, Eggs, Almonds, Nuts, Pine-nuts, Pistachaes, Ches­nuts, Beans, Pease, Rise, Barley, Hartichoaks, Pars­neps, Rapes, Scirroots and roots of Goars-beard, and such as cause Milk, cause Seed also, also Onions, Leeks, Mushrooms, also Rocket, Coleworts, Asparagus; all these diversly dressed and eaten do the same, especially if they be prepared and salted: for Pepper stimulateth and provoketh Venery, and we suppose that when such things are so eaten it comes rather from the Sawce than the Meat.

The usual meats to provoke Venery is the white Broath called in Dutch, Beinwarm made of Wine, Egs, Sugar and Butter, with which the Bride-groom resto­reth himself in the morning. Or that called Lebersuls made of Piggs Livers which helps Conception with Wine, Spices, and Saffron, this according to Diascori­des increaseth Venery; and that which the Germans give at Weddings called Pseffer strong of Pepper, and that congealed saffron'd Galren made of juyce of Flesh and Fishes wel spiced.

Divers Junkets are made of Sugar, Honey, and Spi­ces, given after Supper or at night at the Greeks Col­lation time called Epidorpismus-

As dried Confections of Kernels and Seeds with Sugar, among which Rocket seed, Pine and Pistacha Nuts are the chief.

Or March-pane, as this. Take Almonds, and small Nuts, each four ounces; Pine and Pistacho Nuts, each one ounce; beat them, Cinnamon half an ounce, Pepper one dram, Ginger, Cloves, Nutmegs, Cardamoms the great, each half a dram; Rocket seed two drams, and if you wil have it yellow, Saffron; or red Saunders and Sugar as much as is fit, mix them and bake them in an Oven like Bread.

The Bread of Life called in High Dutch Lebfuchen wel spiced and honeyed was invented with the rest to provoke Venery.

[Page 171]Rocket, Water-cresses and other sharp Herbs eaten at supper with Botargo or Honey after the Spanish fashion provoke much.

Strong sweet Wine wel spiced with Cinnamon and Pepper, taken moderately heats and refresheth the bo­dy, and makes it fit for the work: but immoderately; stupifies and makes unfit and sluggish.

There are divers pouders to be given with Wine, Milk, or the like, or made up with Sugar in Tablers.

The first: Take Pepper ten grains, only bruised that it burn not the mouth, let him drink it in Wine or Milk at bed-time.

The second: Take Pepper half a dram, Saffron half a scruple, make a Pouder, take it with any convenient Li­quor.

The third: Take Pepper one dram, Nutmeg half a dram, Salt one dram, take it in a reat Egg.,

The fourth: Take Pepper a dram, Ginger, Rocket seed and Leek seed, each half a dram; Sugar two drams, take a dram.

The fifth: Take Rocket seed two drams, Ashen keys, Burdock, Line, and Annise seed, each a dram; Parsnep, Nepp, Radish, Onion, Leek, Mustard, Nettle, Water-cres­ses, and Asparagus seeds, each half a dram; Pepper a dram and half, Ginger, Galangal, Cloves, Mace, each half a dram; Saffron a scruple, Ivory shavings a dram, pizle of a Deare or Bull; the flesh of the Scincus each half a dram; Sugar as much as all the rest, Cinnamon two drams, make a Pouder, give two drams.

The sixth better than the rest: Take Rocket seed half an ounce, Parsnep Rape and Leek seed, each a dram; Wa­tercress seeds and Pellitory roots each half a dram; Pepper a dram, Ginger, Cinnamon, of each half a dram; Saffron a scruple, spanish Flies without wings nine, Boraxa dram, Musk some grains, Sugar an ounce, make a fine Pouder, give a spoonful at first in Warm Milk, and more if it fail.

The seventh and strongest of all: Take two spanish Flies the wings being taken off, Cinnamon one scruple, Sugar Candy one dram, give it in Milk. if it do not the feat, take three the next time.

The Chymists highly commend the blood of Saty­rion which Quercetan teacheth how to prepare.

Among Electuaries the Diasatyrion of Nicolas one dram was invented for the same use; also Confectio Anacardina which inflameth highly.

Another may be made thus. Take Satyrion and E­ryngus roots candied each one ounce; Ginger candied, Con­serve of Acorus each half an ounce; Pine and Pistacha Nuts each three drams; the Kernels of Indian Nuts one dram, Line seed and Ashen keys each two drams; Roeket seed one dram and an half, the Electuary of the three Peppers one dram, the species of Diambra and Diamoschu each half a dram; Cinnamon one dram, of Stags or Buls pizle and Scin­cus of the Sea dried, each half a dram (for Women add the dried matrix of a Hare, and an ounce of Sugar) add Honey as much as is fit for an Electuary, give two drams or more.

The nauseous Pils are thus made. Take of Mouse­dung half a dram, Rocket seed a dram, Pepper half a dram, spanish Flies the wings taken off five; mix them with Tur­pentine, give a dram.

You may make a Syrup to be kept til you have oc­casion thus. Take the green roots of Eryngus, Satyrion and Parsneps each two ounces; roots of Pellitory and Dracuncu­lus each half an onnce; Rocket two handfuls, Watercresses, Hedg-mustard, each one handful; Rocket seed half an ounce, Line seed, Ash-keys, Asparagus seed, each two drams: Anise seed (which is thought to cause Milk) half an ounce, Dates five, boyl them in white Wine, and add to the strained Liquor, Sugar, Cinnamon and Pepper, boyl them to a consistence or height, give an ounce alone or with white Wine.

We have observed that gentle Purges corrected with hot Spices, whether they work or not, do vehemently provoke Venery: so that before they work they cause erection, as some have confessed to me, who thought I had mistaken in my intention when I gave the Medi­cine.

Sweet scents provoke not only by refreshing, but by heating and piercing, as Amber-greece, Musk, Civet.

In men outward applications are best for the Yard, and beneath, by the heat whereof the blood may come to erect that part: and that blood may come into the seminal vessels to make seed, we anoynt the Stones, Loyns, and Privities, and sometimes the soles of the Feet, these are made of hot Attractives.

Of usual Oyls thus. Take of Oyl of Pepper, Euphor­bium and Castor, each equal parts.

Or thus. Take Juyce of Rocket, Watercresses, Aqua vitae each an ounce; Pellitory roots two drams, Mustard seed one dram, Euphorbium half a dram, Line seed Oyl one ounce and half, boyl and strain them.

Otherwise, Take Oyl of Nutmegs by expression two drams, Oyl of Spike two drams, Oyl of Cloves half a scruple, mix them for an Oyntment.

Without Oyls thus. Take the Gall of a Bore or Hogg one dram, Civet half a scruple, Honey, anoynt the Yard and parts adjacent, if you add three or four spanish Flies it wil be better.

Oyl of Ants which have wings; made by boyling of them in Sallet Oyl is excellent.

Also the Fat of a Hedg-hog.

A good Oyntment. Take roots of Pellitory, Pepper, Ginger, Mustard seed, each one dram; Euphorbium half a dram, Castor one scruple, dried Ants half a dram, pouder them, add Oyl of Spike and a little Wax; make an Oynt­ment.

They say that if the right Toe be anoynted with Oyl of Spanish Flies it will provoke Venery: which we cannot deny to be possible from the vertue we have declared in them for provoking bloody Urin of which we have experience.

These Oyntments in the Loyns and Privities of Women stir them up when dull: But privately before Copulation, let the man anoynt his Yard wit Civet or Gall of a Hen.

The use of hot natural Baths is counted the best Re­medy to restore heat in cold and decaied persons.

Also other Baths and Fomentations for the Feet and other parts being actually and potentially hot do the same, As the Decoction of Flower-de-luce roots, Nep, Calamints, Nettles Marjoram, Rocket, Hedg­mustard, Lavender flowers, and of Chamomil, and the like.

It is good to wrap the Feet in soft furrs (which by their gentle tickling stir up Women and effoeminate Persons) to preserve the Heat, and prevent Cold.

Somtimes weakness is taken away by manual Ope­ration, in a Man when the Fore-skin is so strait that it will not uncover the Head of the Yard, we stretch or divide it by cutting. In women, when the neck of the womb is too strait, or covered with the skin called Hy­men, or with a Callus, we open it with a thin Groat or Instrument made on purpose, to cut both sides.

Other things belong to the Cure of Incantations, as shaking of the Pillows, pissing through the wedding­ring, or the Axle-tree of the Plough, or the changing of shifts, before they go to the sport, shiftings of the left Foot, and the like, these belong not to us.

[Page 172]Nor care we for Amulets, to which much is attribu­ted. They say the ashes of a black Lizard carried in the left hand cause Erection, and in the right hand hin­der it.

Imagination and apprehension of former sport, pro­voke Venery extreamly; by remembrance beholding or hearing of things passed: and much more tou­ching.

Sweet affections, as Joy advance, Sorrow and grief hinder the Act: This joy is brought by recreating the senses, as the Sight, the Hearing, and the rest, especi­ally by Musick.

CHAP. XVIII. Of Lust, or Leehery.

The Kinds,

WE call that Lechery which is an immo­derate inclination to Venery, A Veneri­al Itch. and it is either continual; or an often itching and lust, which being unsatisfyed, disturbeth and provokes people to sordid, nasty actions, except they have go­vernment. This is somtimes in Males and Females, but differeth, in that men are sooner hot: Women are longer cooling.

There is another kind which is far worse and preternatural, Lustful fury. called an insatiable frensie in lust, which when it is excercised, hath no allay, but grows higher, and is unsatisfied.

This is oftner in Women then Men, as weakness is oftner in men then women; As in foul and pocky wo­men, or the like, which have the Priapismus or Frensie of the womb, so called. The History of impudent Semiramis and of other, sheweth that some have been so, and unsatisfied with innumerable men, and this Disease occasioneth many to try unlawful things, and to fal into great sins to appease lust. And somtimes when the fury of the womb comes, they desire Copu­lation with beasts, (as she of whom I spake in the trea­tise of Madness, which desired the English Dogs to Lime her.)

This is more seldom in men, though some are so Lascivious, Priapismus, or immoder­ate erection. that they can do it often in one night, not naturally, but by the pride of appearing strong, and by provocations and forcing: these have somtimes a venemous Gonorrhaea, or running of the Reins. This is called Priapismus, Tentigo, or Satyriasis, from Satyrs painted with standing Yards. And there is another Disease called by that name, which we shall after mention.

The Causes.

All Causes of immoderate lust come either from much seed, sharpness, or motion which stir up Venery, or from blood, which stretcheth the Member in men, as we shewed in defect of Venery.

If Seed be plentiful, it causeth San­guin men, Plenty of seed and heat is the cause of a Ve­nereal Itch. by reason of fulness, or heat of the Vessels, which continually at­tract blood, which desires expulsion where it aboundeth, to be Lascivi­ous.

Especially when the Seed is hotter then ordinary and sharper, Sharpness of seed, is the cause of Frensie of the Womb in Women so called. this we have shewed, may come of eating hot Spices, or Medi­cines. And of hot humors and sharp, not in the Womb of salt Flegm and Choller, as is usual, but from the seed which is venemous and sharp, from the heat of which comes the unsatiable Itch, which is usual in unclean Women, who infect men therewith. Men when they are thus infected, have a running of the Reins, which sends it forth, but women have it not so usually. Some say that the cause why Lepers are not Lecherous, is because they are separated from women, and constrained to be abstinenr.

Seed raised from its Vessels, Shaking of the Seed, causeth a Venereal Itch. and de­siring passage causeth Itch, and is scarse hindered from flowing: for this is the condition thereof while it is sound and in its own place, except it abound, that it doth not much prick: But when it is removed, it is very trouble­some to get forth; so it is, for by imagination, dreams, and handling, Seed may be spent by both Sexes.

When much Arterial blood sils the Yard and continueth, The cause of Pria­pismus, or Erection preternatural, is the plenty of blood ga­thered in the Privi­ties. it caus­eth Priapismus, or constant stan­ding with a desire, of which we now speak: But it may hapen that there may be Erection, before the blood come to prick the part, and a desire afterwards from thence. Also it may come from heat of the Reins and parts ad­jacent, by blood, caused from lying upon the back, up­on feather beds, or boards, which posture makes blood come sooner to the part, and makes Erection and grea­ter Appetite, as experience sheweth. And heat of the bed makes men rise at midnight, as the Proverb is. If it come from other causes, as Pain, Inflamation, Wind, or Water, it belongs to another treatise.

The Cure.

If Men or Women are provoked to Venery, to prevent unlawful acts, The Cure of the Venereal Itch and Frensie, and of Priapismus. the heat is to be allay'd by hindering increase of Seed, and heat thereof, as also of blood; and preventing the commotion of Seed. Thus,

Purges are chiefly requisite when foul and sharp hu­mors corrupt and sharpen the Seed, and cause lust.

To cool lust, we give things that quench, or that dry, though hot, if they consume it, by a propriety: nor do we spend time to Cure and expel wind which is not the cause, as we said: we give them evening or mor­ning often, for the effect will not quickly be seen.

Sallats at supper of Lettice, Purslane, Mints with Vinegar are proper, without Spices.

And this Electuary: Take Conserve of Water-lillies, and Mints, of each an ounce; Lettice and Coleworts candied six drams, seeds of Agnus Castus, (so called from its ver­tue) one dram and an half, Rue half a dram, Coral one dram, Crystal half a dram, Camphire a scruple, with syrup of Purslane: Make an Electuary.

A convenient Pouder: Take Snakweed roots one dram, Mints, Rue, Water-lillies dried, of each half a dram; the seeds of Vitex one dram and an half, Hemp seeds, Grapes, Let­tice, of each one dram and an half; Crystal one dram, Cam­phire a scruple; make a Pouder, take a dram in broath, [Page 173]or syrup of Purslane, or with a little Sugar, or made into Tablets with Rose and Lettice.

A convenient Syrup: Take juyce of Lettice and Pur­slane, of each two ounces; juyce of Mints half an ounce, Vio­let and Rose-water, of each an ounce; Vineger of Roses half an ounce, Sugar three ounces; Boyl them to a Syrup, give an ounce often.

The Decoction of Lettice, Purslane, Endive, Mints, is good in broath.

Cold water drunk in great quantity, allaies lust.

Some affirme that they can take away all desire and use of Venery, with Wine in which the Fish called Mullus is infused, others give forty Pismires in drink.

Outwardly, cool the Feet, Privities, Loynes, so to wash the Yard in cold water, makes it presently fall, this remedy my Father told me, a learned man used who the first year of his Mariage, lost his Wife and Child at once in Child-bed, that he night die a Wid­dower without desire of Women.

Things that Potentially cool, mixed with driers and applied by Fomentation to the Privities extinguish lust, as the Decoction of Lettice, Plantane, Purslane, Willows, Water-lillies, and the like.

Especially if they be applied to the Feet, with Vi­negar.

The juyces of the same to foment the Stones, adding a little Vinegar and Camphire is better; and injected into the Womb, doth the same for Women.

Vinegar of Roses, doth the like.

It is good to anoynt the Reins with this: Take Oyl of water Lillies, two ounces, juyce of Lettice one ounce and an half, Vinegar half an ounce: boyl them to the consu­ming of the juyces; add seeds of Vitex one dram, Cam­phire half a dram, white Wax a little: Make an Oynt­ment.

Unguentum Album, with Camphire, or that cooler of Galen for the Reins, with Camphire, doth the same.

And also Plates of Lead to the Reins.

Sugar and Crystal of Lead, with Oyntments, and Correcters, given in a smal quantity, are commended by the Chymists.

The smel of Camphire stupifieth lust, therefore they teach that it is to be worn to preserve chastity, which it doth by touching it, or tying to the Arms; And Vitex and Vervain, they say, doth the same.

Great fasting doth somewhat allay lust, especially abstinence from hot Meats, Spices and Wine, which rule they ought to observe, which pretend to chastity, by abstaining from certain Meats, as the Friers who pretend to mortifie by eating of Shel-fish and Botargo, and the like, in the holy time of Lent.

The sorrow of mind and grief, take away lust.

And Diseases with pain, whether hot or cold.

By letting blood, something is abated, but it cannot make the Body lean or weak, without some other in­convenience. It is reported that one cured his Wife of her unsatiable desire, by opening all the usual Veins. And Hippocrates teacheth by the example of the Scy­thians, that the opening of the Veins behind the Eares maketh Sterility and Impotency.

Gelding is the extream remedy, for extream Lechery, and taking off the Yard, is the surest way, for which cause they say Origen Gelt himself; And I know a Priest that having been often punished for sin, in that kind, did the same, and Masters usually do so to their Servants, to whom they commit their Wives: but they deserve this punishment best, that sin in Adultery, and Fornication, and therein persevere.

The surest remedy is Mariage which is granted by God to all that want the gift of Chastity.

CHAP. XIX. Of Want of Conception.

The Kinds,

WHen a Woman is of Age to Conceive and hath her Courses naturally, Barrenness. and hath the use of a Man, and conceiveth not, it is called Sterility or Barrenness. And if she have conceived and brought forth, and after brings not forth (which is usu­al, in the space of three or four years) it is a defect of Generation, which is necessary for the propagation of mankind.

Of those which are thus barren: some are sound of a good habit of Body, and are often fatter then those which have born Children, and look not quickly so old. But oftentimes there are defects of the Womb joyned with this defect, Viragoes, or manlike Women. either they never had their Courses, and therefore called Viragines, and because they also en­gender not. Or their Courses which they had, either flow not, or little and disorderly, with dif­ficulty and discolored. This often hapneth to such, as have the whites, a Disease usual with barren Women. And they have other inconveniences, which either cause barrenness, or come from thence.

As when some bring forth only Females, which may hinder the Progeny of the Name.

The Causes.

The Cause why a Woman conceiveth not, when there is no defect perceived in the Venerial act, is either because she receives not the Seed into the Womb, or retains it not being received: And this happneth from the Seed, or Genitals of the Man or Woman.

This comes from the occasion of mans Seed, The Cause of Barrenness from the Man, is lit­tle Seed, or Cru­dity. when it is not sufficient in quantity, or fit for Generation; and though a Woman receives it, either there is no Procreation, or its in vain, as a Mole, whereof we shall speak; for if there be not so much as will fill the Cavity of the Womb, which therefore was made little, a Child cannot be conceived. And this is the cause, that if the Seed be not enough for Generation, but often by too much Venery or running of the Reins abated, that such Generate not, as they who use it sel­dom, and either for Procreation, or health sake, are very temperate. Hence it is that old men marrying young maids get Children, as my Father after four­score, in regard they are less hot and eager then young men, and go to it but seldom. Also if the Seed be not concocted, but crude thin and waterish, or too cold, and with spirits, or the like, which takes away the vertue, it cannot beget Children. This comes from weakness of the Vessels, or mixture of evil humors, and from the causes mentioned in Impotency and Lechery: som­times there is a secret fault in the Seed which doth not hinder Procreation, which passeth to the Children, and shews it self then, and conveighs the like to the Grand­child [Page 175]when it is of the age the Father was when his dis­ease first appeared: Hence it is, that the Gout, Lepro­sie, and the like, are propagated. It is probable that this defect is in the seed of the Man when he be­gets no Males but Females, The seed of a Man and Woman is the cause why Males or Females are begot­ten. be­cause it is weaker than the Wo­mans which beareth away the Bell for the sex: It is better to impute the secret causes to the seed, than to the temper or the change of the sex or to the seeds coming from this or that Stone; for a Man with one Stone, of what temper soever may beget Children of both sexes.

It is necessary for Generation that the Womans seed should be mixed with the mans, When Barrenness is from the Woman it comes from Crudity impurity or want of seed. for the Ge­neration of a Faemale, as may be seen by the likeness of the Mother in both: now if the seed be de­fective, or be in less quantity than is fit, Barrenness is by the womans cause, and oftener than by the man, for a Woman without seed may suf­fer Copulation, but a man without is unfit for it; and this is the cause why Whores which spend their seed for gain so that they are sapless, cannot conceive though they receive. And if if it be impure, crude, or the like, not only Harlots, but other Women are impotent and diseased. But if the temper of the Womans seed be the same with the Mans they say there can be no gene­ration from the equality, but diversity. But we affir­ming the seed to be hot, do not place the generative vertue in it, but in the seemly temper of them both.

It seldom happens that a man is in fault by reason of the Yard, so it can but act, for though it be not so long as others it hindreth not, but the seed may be sent into the Womb if there be no other obstacle, for the womb being then hot and greedy after seed, easily con­descends and takes it in. But if the hole in the head of the Yard which sends forth seed and Urin, The opening of the Yard being wrong is cause of defect in Conception. be not in the middle, so that it may directly aim at the inward Orifice of the womb, but in the side or beneath, as I have known in some, who have been born so, or if there be a Fistula beneath so that it is not sent to the mouth of ths womb, it is nothing worth.

If Barreness come from the Womb, it is seldom caused by the neck thereof, but by accident, as it hin­ders Copulation as I said: But this may be often cau­sed from the Orifice of the bottom of the womb or the substance thereof.

The inward Orifice of the womb, The largeness, loos­ness, closeness, of the orifice internal of the womb, is the cause of Barrenness. or that clift which is close and narrow, and openeth at the time of Conception, drawing the seed unto it; if it be too large though then it easily receive the seed, yet because it reteineth not it long enough, it is the cause of barrenness. This comes from an evil birth, when the child hath been vi­olently taken away by reason of the bigness or ill po­sture, when it is so stretched that it cannot return, as in other cases, to its former proportion. And this is the cause why many times Women after difficult Travail never conceive again; some Women also are unfit for Conception by reason of the loosness of the Orifice, by moist excrement, either in the Womb, or the neck thereof, by reason of the Whites. And when the Ori­ficeis shut up so that it cannot be opened, there canbe no Conception, because the seed cannot be admitted; this may be naturally, or by a scar, or excrescence of flesh, after the parts have been ulcerated, or torn in hard Travail, by which means the outward Orifice though larger, hath been closed, as I shewed before. It is seldom stopt from other causes. What they say of Fat in the neck or bottom of the womb, we have shewed cannot cause barrenness, but the cause is the not opening of the womb in conception, for at other times it is naturally closed, and after Conception clo­seth, and openeth not, but when there is a supertaetation or taking too much.

If the substance of the womb be too hard, or want blood, The cause of barren­ness is the hardness and driness of the womb. it is a great cause of want of Concepti­on: for a Woman is then fit to conceive, when the womb which is thick and nervous, and unfit for conception while it remaineth so, becomes fleshy and soft by heat and affluxion of blood, and as in salt Bit­ches we see their privities swollen, so doth the Orisice in a Woman, and the clift is larger to entertain the seed. But if it continue in its natural condition, or grow harder, there can be no Conception, because the Orifice wil not open and receive the seed. And this is from the constitution and temper thereof from the ori­ginal, the substance thereof is too dry, otherwise it is only in age, and then but natural, because they then cease to breed; but if it be hard before old age, it makes sound Women barren and so they remain. This befalls them who by too much Lechery and the like, have dried the Womb, or them whose wombs are hard by a Tumor, or after an Inflammation. But if blood doth not moisten the womb, When the substance of the womb is not moistened with blood it is barren. which is required for the enlarging & softning thereof, and for the increase of the Infant, ei­ther not at all, or by suppression of the Courses, or come not to the bottom of the womb by reason of the hardness thereof, or streightness of the Veins, or Obstructions: it comes to pass that Viragoes or Women that never had Courses, or that have them so much that they can­not be dispersed into the Veins for want of heat are barren. And hence it is that they who have long ab­stained from the use of man, or not conceived for other causes, and made their womb without blood through want of exercise, causing it to flow rather to the Veins of the neck of the womb to be purged by Courses, by reason of discontinuance or want of practise when they grow old; though they use a man, they conceive not so easily, as they who keep a constant moderate excer­cise from their youth.

The weakness of the womb is the cause why it is not fit for Concep­tion, Weakness of the Womb is the cause of barrenness. for the functions thereof be­ing hurt the chief whereof is the conceiving of seed, it cannot attract, or retain it. This is from the birth, or from coldness, or other Diseases, these are slow to Venery, and sub­ject to other Diseases of the womb.

The Cold and moist distemper besides the cold and dry is a hinde­rance of conception, A moist distemper of the Womb is the cause of bar­renness. and this is usu­ally lookt at in Cure, as being the most usual. This comes from moist excrements in the womb made from evil and crude nourishment, which moisten and loosen the orifice, or from too much Lechery in Whores, which causeth slipperiness in the part. This [Page 176]cannot be from a defluxion into the Womb, beause there is no passage, besides the body purgeth the excre­ments by the usual veins monthly: But in both when it comes from defect in the blood, the women that conceive not, are of an evil habit and ill-colored.

The Cure.

If a Woman conceive not, The Cure of defect of Conception. which hath no defect of the Venereal act, or in her Husband, we must dili­gently search out the cause thus. If it come from want of seed which is most the mans fault, then let them sel­dom engender, and use things to encrease seed, as we shewed. If from the crudeness of seed or foulness we we must cause good blood, and strengthen the vessels that breed seed. If it come from a fault of the Yard of the man which hath a hole in the wrong place, the Fistula must be cut, or first opened otherwise; and af­ter united together and healed up, that the seed may come the right way. If this be from the birth it is in­curable. If Barrenness be caused from the Wombs defect, as when it is hard, or the orifice closed with a Tumor, or hurt by Child-bearing, the Cure is despe­rate in women otherwise sound, which have either ne­ver conceived, or have been hurt at the time of Tra­vail, as in those who never have their Courses. In o­thers who want Conception from Weakness, Moist­ness, Coldness, or excrements abounding in the womb, which have their Courses disorderly, or are troubled with the Whites, or other such like, there may be Cure.

First let her be purged, observing her constitution, Remedies to pro­cure Conception. and the humor a­bounding, and whether shee have her Courses duly or the whites.

Generally thus. Take Catholicon one ounce, Syrup of Roses solutive two ounces, with Burrage and Mugwort wa­ter, make a Potion.

Then open a Vein if shee be plethorick.

Then give this preparative. Take Syrup of Mugwort and Maidenhair, each one ounce and an half; Burrage, Mugwort, and Nep water, each one ounce; with a little Cinnamon make a Julep, give it three mornings.

Or this Decoction. Take the opening roots steept in Wine, each half an ounce; Eryngus roots one ounce, roots of Elicampane, Valerian and Masterwort, each half an ounce; Mugwort, Motherwort, Nep, Pennyroyal, Germander, La­dies-mantle, Marjoram, of each one handful; both Buglos­ses roots and Leaves, Succory, Endive, Fumitory each one handful; Wall-flowers, Broom and Rosemary, Burrage and red Pease, each a pugil; Anise and Fennel seed each a dram; Parsley seed, Siler montane and wild Parsnep seed each a dram; beat, boyl, and clarifie, and sweeten them, with Cinnamon and Sugar make an Apozem for three doses, or four, or five, or make a Wine of the Infusion of them.

If we wil have it purge when the body is foul, we add Liquorish two ounces, Asarum roots two drams, Pot-Mercury one handful, Raisons twenty pair, Senna and Poly­pody, each one ounce and an half; Carthamus seeds bruised six drams, give them boyled as formerly with Wine and Water.

Then purge with this Potion. Take Rhubarb four scruples, Cinamon one scruple. Infuse them in Wine and Endive-water, strain and dissolve therein the solutive Ele­ctuary of Citrons and Diaphenicon two drams, syrup of Roses solutive two ounces, make a Potion.

If Pills be taken. Take Pills of Cochiae, Agregative and sine quibus, each a scruple; mix them with white Wine into Pills.

After purging give a dram of Triphera magna with­out Opium in the morning.

We also keep the body loose with ordinary Pills or Electuaries before bathing or use of outward medi­cines, as. Take Catholicon two ounces, Diaphenicon one ounce, Cassia newly drawn two ounces, Pulp of Sebestens one ounce, syrup of Roses solutive one ounce and an half, mix them, take it with Pease broath, or Wine, or in a Bolus.

Usual Pills are either the former, Or. Take the A­romatick pill called Alephangina, and that of Agarick, each one dram and an half; Cochie one dram, Troches of Alhan­dal half a scruple, with syrup of Roses solutive make Pills, give a dram.

Often sweating is good for moist Women, because it evacuateth from the whol body: as with the Decocti­on of Lignum vitae using a spare diet, a Friend of mine used this diet and proved with child before it ended.

Also dry or moist Baths; Bleeding in the Foot to provoke the Terms as we shewed.

The things mentioned to provoke Lust, increase seed, are chiefly used for Conception: these are given to men, for they are most subject to impotency: but women may use them to heat and increase seed; and sometimes both together, lest one prove slow in per­formance. It is good to add for Women things pro­per for the womb, hot and dry, and such as provoke the terms if wanting, and consume humidity, Thus

VVith these pouders, the first is. Take Nutmeg one scruple, Musk two grains, Salt a little, in a rear Egg every morning.

The second. Take seed of Siler montane one dram, Rocket seed half a dram, Ivory shavings two drams, Cinna­mon, Nutmeg, each a dram; Musk six grains, Sugar two drams, give it in Sack one dram for a Dose.

The third, Take species of Diamoschu and Diambra, each half a dram; shavings of Ivory one dram and an half, seeds of montane Siler two drams, Cinnamon one dram, Su­gar two ounces, or dissolve the Sugar in Cinnamon and Mugwort water, and make Lozenges, give two drams.

The fourth. Take Boars stones two drams, Buls pizle one dram, of the Matrix and Runnet of a Hare, each half a dram, dry them, and pouder them, adding Cinnamon one dram and an half, Nutmegs, Cloves, each half a dram; Pepper, Ginger, each a scruple; Rocket and Parsnep seed, Siler montane and Ashen keys, each half a dram; Watercerss and Peony seeds, each a scruple; shavings of Ivory and Goats-horn, each half a dram; Musk and Ambergreese, each six grains; Sugar ten ounces, give a dram in Pouder or Lozenges.

It is better to make Confections of Nuts, than Pou­ders or Electuaries, for they wil decay so.

A dry Confection. Take the preserved Kernels of Al­monds, Hazel Nuts, Pine and Pistacha Nuts, each an ounce; Cieron peels, Cinnamon, Cloves and Ginger candied each half an ounce; Rocket seed candied two drams, mix them, give a spoonful at bed-time.

Make Marchpane thus. Take sweet Almonds four ounces, Hazel Nuts two ounces, Pine-nuts two ounces, Pista­choes one ounce, steep them in Milk, then bruise them, and add species Diambrae and Diamoschil, each half a dram; Cinnamon two drams, Ivory shavings one dram, beat them in round Cakes.

These Electuaries following are good. Take Con­serve of Eryngus and Dog stones, each one ounce and an half; Conserve of Rosemary flowers, Scabious, Citron rind, Ginger candied, each an ounce; mix them with two or three drams of the first, second, or third Pouder aforemen­tioned.

The rest are to be found in the Provokatives.

Or give one drame of Triphera magna without Opi­um in Sack.

[Page 176]The best Junkets are thus made; Take Nutmeg a dram, Ginger, Pepper, of each half an ounce; dried Mar­joram a scruple, Rocket, siler mountain, and Carua seed, of each half a dram: Make a Pouder for the following Receites.

Take the Brains of a Hog: boyl them in Sack, then add the Pouder aforementioned and Salt, let her eat them often, at supper.

Or: Take the stones and Combes of Cocks, and use them as the former.

Or the stones of a Ram, slice them, and wrap them in the Pouder mentioned, and Sage leaves the Caule being wrapt about, let them be roasted for supper.

Also other nourishing meats are good.

This dish is pleasant and excellent: Take Mints, Scabious and Burnet, cut them smal; add two or three Eggs, Onyons, Nutmegs and Salt, make a Tansey thereof; or wrap them in Past and bake them, with Colewort leaves, in the Embers, let the Man and Woman eat thereof fasting, and go to the work four hours after, eight daies after her Courses.

This Decoction is infalible: Take Eryngus roots, Mugwort and Sanamunda: boyl them in red wine, a glassful of it warm morning and evening with a dram of Triphera Magna, without Opium for nine daies toge­ther.

This is a secret, and of great force, give Chymical Oyl of Marjoram and Musk, of each one or two grains; with the Runnet of a Hare.

If the Womb be loose and moist, we must warm, dry and strengthen it with Baths, Fumes, Oyntments, Pes­saries, and somtimes relax it, when hard.

Baths, Insessions are chiefest, if used for five, six, or eight daies after the Courses, before the Husband be admitted, before bed time, or supper, or in the mor­ning, repeating them monthly three or four times, if she conceive not, which we know by a stoppage of the Terms.

If we will make a Bath of hot drying and strengthe­ning things; Take of these more or less, white Lilly roots, Valerian, Orris, Mother-wort, Mugwort, Pennyroyal, Nep, Or­gan, Calamints, Marjoram, Baies, Savin, Juniper, Chamo­mil, Rose, Elder, and Lavender flowers, Bay and juniper ber­ries, of each a pugil; seed of Siler Mountane half an ounce, Allum three drams or more, or Salt: Boyl them in Rain-water, adding Lixivium, Smiths forge water, and Wine.

If you will have it more binding, add Galls, Pome­granat slowers, of each a pugil; Bramvle and Oak leaves, of each one handful; Allum half an ounce: Boyl them as before, with more Forge water.

When we desire to relax: Take roots of Lillies, Mal­lows, and Marsh-mallows, with the leaves of Pellitory of the Wall, of each as much as is sufficient, add Marjoram, Pen­nyroyal and others that strengthen the Womb, with Lime and Fenugreek seed, of each a pugil; flowers of Chamomil and Melilot, of each two pugils: Make a Bath.

If you will purge the womb from moisture, add to a hot Bath Bryony roots, Mercury and Arsmart; make a Bath, or Fomentation.

She may be bathed for a month together, every day if her Body require it.

The last refuge is the use of natural hot Baths for a month, every day for many hours sweating, as of Al­lum, Niter and Sulphur, with mollifie exceedingly in the hardness of the womb, but they will make sound women Barren and help over moist bodies by drying. Also Salt water by its self, or which other proper things is good. A Fume taken into the womb, is also good, from a Decoction in the swearing chaire, or in the Bath.

A hot and strengthening, is thus made of sweet Plants, as of the Decoction of Motherwort, Penny­royal, Calamints, Organ, Sage, Hysop, Basil, Marjo­ram, Rosemary, Chamomil, with Fumitory and Bur­net, the roots of Masterwort, Valerian and Acorus: Boyl them in wine and water.

If we will astringe more, and dry more: Take roots of Snakweed, Agrimony, Acorn cups, Cypress nuts, with red Wine and Water: Make a Decoction.

Let her take into her body a Fume of Pouders or Troches, upon live Coales, Thus made: Take Ben­zoin, Storax, of each two drams; Labdanum one dram, wood Aloes one scruple, Musk half a scruple, Sugar three drams: Make Troches with Gum Traganth, use one at a time.

Or thus: Take Troches of Gallia and Alypta Moschata; put one upon the Coales.

Or this not so pleasant: Take Mastick, Frankincense Storax, Labdanum, of each a dram; Cloves, Cinnamon, Nutmegs, Cypress nuts yellow Sanders, of each half a dram; Castor a scruple: Make a Pouder sprinkle a little upon the Coales.

Things that are put into the womb are called Nascals and if they be far put in, Pessaries; they are to purge the womb from moisture, after Purging and the Terms, when the whites flow, before bathing, or at that time; for two or three nights continuance, or to make the Courses flow kindly, a little before they appear.

Thus: Take Mercury leaves green, bruise them, and put them in a silk bag, anoynted with Batter. If it be too sharp use Honey and yolks of Eggs.

Or thus: Take Pulvis Benedictus half an ounce, Aga­rick three drams, Gith seed one dram, Goats-gall one dram and an half, Pease flower one ounce, with juyce of Mercury, or Beets: Make a Pessaty.

To heat and dispose the womb for Conception, af­ter bathing and Fumes, when she is in bed, let her use the following Remedies all night the three last nights of bathing.

Thus: Take Triphera magna without Opium one ounce, Mastick half an ounce, Storax one dram, the runnet of a Kid or Hare half an ounce, Civet or Musk half a scruple: make Pessaries in Bags.

Or thus: Take Mastick half an ounce, Frankincense three drams, Ivory shavings one dram and an half, Cypress nuts one dram, Balm, Nep, Cloves, Spicknard, of each half a dram; Civit or Musk half a scruple, or one scruple of Castor with the Runnet of a Hare or Kid, and three drams of Sto­rax: Make Pessaries.

In Viragoes whose womb is hard, and dry, it must be enlarged thus: Take Goose and Hens grease, Mucilage of Faenugreek made with Wine, yolks of an Egg, each half an ounce; Rosin of the Larch tree, Runnet of a Kid, of each two drams; Orris roots three drams, Storax two drams, Wax, Musk and Castor: Make Pessaries.

You must anoynt, after bathing, the Navil and Groins, above the Privities, Oyl Moschalinum, is the best.

Or thus: Take Oyl of Wall flowers, of Nard, Hens and Goose grease, of each half an ounce; Storax two drams, Cloves, Mutmegs, Mace, of each a dram; wood Aloes, Schaenanth, of each half an ounce; Gallia moschata one dram, Wax as much as will make a Liniment.

This is best: Take Oyl of Marjoram and Cloves by distillation, of each a scruple; Oyl of Nutmeg by expression one dram, Civit and Musk some grains; with Wax, make a Liniment for the Navel and Womb, some daies after bathing, before she come to her Husband.

She must have a Plaster also to the Reins, and Peri­naeum, to cause the womb to attract Seed, and streng­then, [Page 177]to retain it at the same time, or when bathing Fumes, Oyntments, and Pessaries are over, and she begins again to go to her Husband; using it continu­ally, or at least every night, to the last week wherein she expects her Courses.

As this: Take the Plaster for the Womb one ounce, Gal­lia moschata one dram, Storax one dram and an half, Cloves one dram, Mastick two drams with Oyl Moscheline: Make a Plaster.

If the Terms be stopt a month or two, and we fear she is sped with Child, you must rest and expect a week or two, and let her be quiet, and except they return, let the Plaster following be applied to the parts afore­said, to keep Conception and prevent Abortion, and she must keep it on every night: Take Emplaster of Mastick an ounce, Snakeweed roots three drams, Cyprussnuts, Hypocystis, of each two drams; red Sanders, red Roses, Cloves, of each a dram; with Oyl of Mastick: Make a Plaster.

Decent Copulation is very necessary for Concep­tion, and it must be when both Male and Female have a vehement desire, and it is better when desired from long want of enjoyments, then from provocatives. And this is the cause why men returning from Travail and Women from bathing, or abstinence from Venery do sooner procreate. Then it must be ordered that both seeds may meet at the time, and not be presently parted. And when the Woman thinks she hath her due let her abstain til the Child be grown to the Womb and well confirmed. If they go to it a day or two after the Courses, then there is hopes of Conception: som­think the best time to hit, is when they have their Terms. But we think it may be done at any time, while the Womb is hot, as was shewed. There are some that teach divers filthy postures to cause Con­ception, and which is worse, paint them forth.

If a man afore Copulation anoynt his Yard with Civet, in regard the Womb is delighted with the scent thereof, some think the Seed will be sooner recei­ved.

They report that the smel of Civet, Amber greese, Musk in baths, or Cloves, or Pillows, especially at night, maketh Women apt to Conception.

That a Male may be conceived, The Reason of getting Males, or Females. ra­ther then a Female: some think it may be by their using both a hotter and dry­er Diet then ordinary, that Males are gotten, which are of the hottest Nature. Others say that if a man before Copulation, eate the Matrix of a Hare. and the woman take the Stones dryed and Pou­dered, in white wine, a Male will be begotten. Or if the man anoynt his Yard with Goose grease and Tur­pentine three daies before Copulation. Some think that of the Seed of the right stone, the Males are be­gotten, and the Females of the Seed of the left: And that by binding this, or that stone, at the time of Co­pulation, a Male or Female, may be begotten. These follow Aristotle, who adviseth this to be done to Cattle. But this is fals, as may be seen in those that are Gelt of one stone, and yet beget both Sexes, as we shewed. Also reason teacheth, that except the binding be so straight, that the Seed Vessels be intercepted, the pas­sage of Seed cannot be hinder'd: And if that be done the man cannot be without great pain, and so will have little mind to the sport, I'le warrant you.

Others thinks that Males are begot in the right side, and Females in the left side of the womb, and therefore advise women to turn on the right side after Copula­tion: Others Superstitiously bind the right Foot with a white rowler of a Boyes, and the left Foot with a black.

THE SECOND TOME IN ONE BOOK;

Which is the THIRD OF THE Whole Work.
Of Dolors, or Griefs, or Pains.

BY Dolor we understand here every Molestation or trouble of the five Senses: of which sick people com­plain more then of the hurt of any Function, which is joyned there­with, we therefore shall not speak in this Book of Pain or Dolor, as it is in the sense of Feeling, but as it is in all the Senses. These Dolors are distinguished in respect of the senses wherein they are, for all the sen­ses may be offended, but divers waies. For the four senses in the Face, and the fifth which is over all the Body do suffer divers waies.

The Senses in the Face, as Seeing, Hea­ring, Smelling, Tasting, have not such great pains, as the Sense of Feeling, and are sooner allayed. Of these we shall speak in the first Chapter, Page 187.

The sense of Feeling, which is through the whole Body, hath divers greivous and continuing pains; as Heat, Cold, Itching, Tickling, Pricking, Burning, Cutting. And we shall shew their differences, as they are through the whole Body, or the parts thereof.

All the parts of the Body, that have the sense of Feeling, can scarse be pained at once. Yet many parts together, or some outward parts, as the Skin, may have a general pain. And when the Body is weak or loose, albeit it seemeth to be pained all over, yet because the Patient complaineth rather of want of Motion and strength: you may seek for the Cure there­of in our Treatise of Weakness and defect of strength and Motion: when the whole Body hath a distemper, if it be great, all sensible parts may be offended. And this cannot come of a cold distemper, so that every part is at the same time affected, ex­cept it be deadly, but of a hot. So in Fea­vers all the parts of the Body are inflamed, and all sensible parts are offended, of this we shall speak in the Feavers, the second Chapter, Page 187.

There are pains of all sorts of some parts of the Body. And these are either hidden or more manifest in divers parts.

[Page 186] The hidden pains are inwardly in the four distinct parts of the Body: The Head, Neek, Breast, and Belly, and the Cavities thereof, and are distinguished according to those parts.

The pains which are in the inward part of the Head within the Skull, shall be spoken of in the third Chapter, Page 235. Of the pains of the Head.

The pains that are in the inward Cavi­ties of the Face shall be described, as fol­loweth.

The pains in the Eyes shall be spoken of in the fourth Chapter, Page 241. Of Pain in the Eyes.

Those in the Cavities of the Ears, in the fifth Chapter, Page 251. Of the Pains of the Ears.

Those of the Nose, in the sixth Chap­ter, Page 253.

Those of the Mouth, in the seventh Chapter, Page 255.

Those of the Bones of the Mouth, in the eight Chapter, Page 258. Of the Tooth­ach.

The pains which are in the inward parts of the Neck, shall be spoken of in the ninth Chapter, Page 263. Of the Pain of the Jawes.

The pains which are in the Cavity of the Breast, shall be treated of in the tenth Chapter, Page 269. Of the Pain of the Breast.

The pains which are in the Cavity of the Belly or Panch, shall be thus treated of.

The pains which are in the upper part about the Heart, shall be spoken of in the eleventh Chapter, Page 277. Of pains of the Heart.

Those on the Sides, shall be spoken of in the twelfth Chapter, Page 294. Of Hy­pochondriak pains.

The other Pains shall be spoken of in the thirteenth Chapter, Page 305. Of pains of the Belly.

Other pains in the parts adjoyning to the Belly, manifest themselves by things voi­ded, as by Stools or Urin, of these we shall speak in the treatise of things cast forth: Other pains which are in certain holes and parts thereof, shall be hear declared.

The pains in the inward parts of the Privities, shall be mentioned in the four­teenth Chapter, Page 391.

Those in the Arse, shall be spoken in the fifteenth Chapter, Page 393.

The pains that are outward in the Body, are more manifest, and are thus distin­guished.

Some are more deep and profound, these shall be spoken of in the Pains in the Habit of the Body, sixteenth Chapter, Page 396.

Those which are more outward and higher, and appear more, shall be mentioned in the seventeenth Chapter, Page 408. Of the Pain of Superficies of the Body.

CHAP. I. Of the Griefs of the Sight, Hearing, Smelling and Tasting.

The Kinds,

ALthough that Irksome sense which the Touching feeleth be properly cal­led Dolor, yet we may call them mo­lestations or Troubles, which the o­ther Senses endure, by that name, when the Function is not lost but of­fended. This comes diversly to the Sight, Hearing, Smelling and Tasting, from whence there are divers kinds, which are easie to be perceived, but not to be described or nam­ed. The Offence of the Sight or Hearing. The Insuavity of the Smelling or Tasting. The Dolor of the Sight or Hearing we call The offence of them, and and the Dolor of the Smelling or Tasting we call in­suavity or want of Rellish.

The Causes.

These four mentioned dolors of the Senses comes from the violent quality of their objects which doth strike upon, or disturb them: from the object of the sight, by Brightness: of the Hearing, by Grating; of the Smelling by Stink; from the object of the Tast by its unsavoriness.

A Splendor or great Light if it be vehement, Splendor or Bright­ness causeth the of­fence of Sight. as of the Sun, or Flame, or come suddenly to the Eye, as of Lightening, molesteth it. Hence it is that men shut their Eyes at the sight of them. And the sense of Feeling perceiving the molestation in the Eyes and Nose caus­sneesing to shake them off, as we shewed in Sternutati­on. Also Light when it is discolored, and shines much and long, and strikes much upon the Sight is an enemy unto it.

A great Noyse by Crying, Ringing of Bels, Noyse hurts the Hearing. Trumpeting or Drumming, or otherwise coming suddenly, especially neer the Ears, as of a Musket or Can­non, hurts the Hearing.

A strong Stink or Smel, as of Soot, or things burnt, A Stink hurts the Smelling. or from Excrements molesteth the sense of Smelling: And somtimes by twiching of the Nostrils, and provoking their sense of Feeling, they cause neez­ing, and by offending the Neighbor Pallate and Tast, they cause Loathing and Vomiting.

An unpleasant and ungrateful savor, as bitterness, or extream saltness, or sourness, or the like, coming ex­ternally from things taken in, or from external humors or exhalations, An evil Relish is the cause of Insuavity. sent to the sense of Tasting, causeth mole­station, and also offendeth its sense of Feeling.

The Cure.

Take away the Cause and the Effect ceaseth. If it be external which useth to offend all the four Senses, it either quickly ceaseth or may be allayed. If internal which only hurteth the Tast, it is amended by purging of evil humors and repressing of stinking vapors. If offence remaineth by an impression upon the senses, it is to be cured by evacuations and things that alter and change the impression, as too much Light, by Dark­ness, offensive Colors, by such as please the Eye, Stinks, by Sweets, evil Relishes, by savory meats, as we shewed in the depravation of the senses.

CHAP. II. Of Feavers.

The Kinds.

AFeaver called Puretos is a Disease in which the whol body is inflamed with a preternatural heat which continueth, it begins with cold and shivering, and brings forth divers molestations and symptomes. There are two chief kinds of Feavers that differ, in that they are either constant, or cease and return again. Those are called Continual, these Inter­mitting. Continual Feavers. Continual Feavers are those whose hear from the first to the last never wholly ceaseth, of these there are divers kinds, the first sort we distinguish in respect of heat in­to sharp, and gentle or lingring, we call them sharp or acute, in which the Patient manifestly perceiveth heat and thereby molestation. These are two-fold, Pure, whose pure heat only heats the hand that toucheth it, and Impure when the heat doth not only heat but prick the hand. We call them gentle, when the Patient feels little or no heat, and not constantly though the Feaver be constant, of these there are two sorts, Hectick so cal­led because the body hath gotten a habit of them, and simply gentle or lingring when there is no habit. If any of these have a Venom they are called Malignant, these are threefold from divers causes, Putrid malignant, or Pestilential, or Venemous, but to divide them accor­ding to their apparent accidents (for better under­standing) some are called Solitary which have only the accidents of Feavers, others accompanied or which have the accidents of other Diseases with them.

Continual solitary Feavers are such as are not ac­companied with other accidents of other Diseases, but with such as belong to Feavers, and these accidents come from sharp lingering, or malignant heat, either single or together from hence some Feavers are called simple, others compound.

[Page 188]Simple continual and solitary Fea­vers, Simple conti­nual Feavers. are when one sort of Feaver only possesseth the body: These are shorter or longer, or more constant and lasting, if they have their Courses,

The shorter reach not to the seventh day, or to the weeks end: such are some acute and Malignant.

This is that sort of pure Feavers, of which we did speak, The pure Feaver, is a kind of conti­nual Feaver. and is cal­led continual, not Puttid Feavers, and Diaria, because it continueth but few daies. This comes of ex­ternal causes and continueth som­times but one day, Ephemera, is a kind of pure conti­nual Feaver. and lasteth scarce twenty four houres, and then is cal­led Ephemera: somtimes it lasteth two, three, or four daies: And then it is called a Diary Feaver of many daies, or Synochus pure, or simple. These end not suddenly with a Crisis, but by degrees by hidden transpiration, or moisture, or by manifest sweat: or they turn into impure Synochus after three or four daies, and that lasteth longer: or into an Hectick which is longest, and we shall shew by signs, into which they will turn.

The accidents or Symptoms of Diary Feavers are these, somtimes they begin with a little shivering, espe­cially if they be any thing impure, somtimes without shivering, from an external heat.

A feaverish heat following a shivering, or without, is never encreased with fits, from the beginning to the end, but either is in an equal degree, as in Ephemera, Synochus, Acmastick or Uniforme, or Seems, to be increased in that, which is called Epacmastick that encreaseth, or Paracmastick that decreaseth. The heat varieth in them for it is milder, as the Feaver is shorter, as in an Ephe­mera, this is called gentle, because the Skin feeleth moist; or stronger, as it is longer, as in Synochus called sanguin, somtimes with sharpness, when it is cholerick and begins to grow putride.

The other accidents which are worse, or better, as the heat and constitution of the body is, are paine and beating of the Head, thirst more or less, and bitter rast; in cholerick persons unquietness, weariness, watching, or deep sleep, short breathing, quick pulse, strong and great, yet not uneven, a red face, swolen, great Veins, a soft Skin, and dry, in chollerick persons; Urin not much altered, when the Feavers are short, if long; red sweat not ill sented, or troublesom.

A Malignant short conrinual Feaver, is somtimes Pestilential, The Pestilent Feaver, is a sort of the con­tinual Feavers and is not un­like the formentioned acute Synochus, so that it is scarce to be distinguished from it, but by the generality of it in time of infection, and by the sudden taking away of strength. And if it have a botch, as is usual, it is not distinguished, hence it is that many infe­cted with the Plague, suppose they have only a Synochus for a Pestilent Feaver, comes also from external causes, but they are occult: and suddenly and secretly smite the body, as in a moment, and endeth in a few daies, as a Synochus doth, except death or a Crisis ap­pear.

As for the accidents of this Feaver. It begins com­monly with a little horror or chilness, and after follow­eth heat; which is somtime so gentle that the patient complains little thereof, And the Urin is little, or no­thing different from a sound. Yet the Pulse argues weakness. But somtimes there is vehement heat and sharp, as in a Synochus, and then the accidents are alike, as pain of the Head, doting, watching, and thirst, and sudden loss of strength. And also sweats, which in Pestilential Feavers come at the first, and return in again, and yet do not put a period to the Dis­ease.

The long continual solitary Feavers, are a week or two, or more a coming, such are some acute and Ma­lignant.

An Acute long continual solitary Feaver, A Putride Fea­ver, is a short con­tinual. is one of those called im­pure, and is called also a continual putride Feaver, or a weeks Feaver, distinguished from the Diary, or daies Feaver. Which beginning of it self, or from a pure Synochus turning impure (which is thus known, when the pure endeth not in the fourth day at farthest, and the heat increaseth especially if there be a new chilness, as is usual;) when after the beginning it stayeth a little in the increase, and so comes to the state, or heighth; the Patient is freed from it suddenly, by a Crisis and it declineth, except death prevent. And if the Crisis be imperfect, which comes again, it either kils, or cures: Somtimes, but seldom, this Feaver, especially that sort which is called burning if it fix, seems to degenerate into a new sort, which suddenly consumes the body: And this is called a burning and melting Feaver, which some say is a sort of Hectick; And somtimes it turns into a true Hectick, as a Diary Feaver doth,

There are more and more fierce accidents in these Feavers, then in Diaries, in so much that by reason of the violence of some accidents, the Feaver somtimes gets a new name, as if it were of another sort. And these molest the Patient, with horror, or amasment, heat, thirst, dryness of Tongue, Head-ach, which hurt the functions, disturbe the mind and weaken the strength, there are other accidents observable by the consumption of the Body, and the Excrements.

Thus; At the first coming there is horror and shive­ring, especially when they come of themselves and not by being changed from others; and then there is little or no shivering; this presently ceasing, ever after there is no trembling, except somtimes when a Crisis is at hand; neither will it return although there be fits, or Paroxysmes: And if it should return it comes not from this continual Feaver, but from an intermitting joyned with it, as I shall shew in Compound Feavers. But from this chilness, or horror, the outward and inward parts also are cold, and somtimes only the inward, and somtimes only the outward, when the heat is great within.

The heat which follows this horror, or chilness, ac­cording to the four times of these Feavers, hath di­vers changes: for at first it is vehe­ment and sharp, An inordinate Synochus, Quo­tidian, or Quar­tan, is a kind of continual Pu­trid Feaver. and from that to the state or highth it increaseth. In which time somtimes are Paroxysmes or fits, and then they are called Synochae con­tinuated distinguished from putride Synochus. In which if the fits, or Pa­roxysms come often in a day, so that the feaver is twice or thrice cooled, then it is called in­ordinate and continual, especially if the day after it come but once or not at all. But if the Paroxysme come the next day and keep the same order after, which is rare, then it is called a continual Quotidian. The third day is usually the fit day in these feavers and then it is called a continual Tertian. The Quartan conti­nual, is seldom seen, because the fits are seldom put off so long. Synochus, a sort of pu­trid continual Feaver. Somtimes these fea­vers have no distinct Paroxysm [...]s and then it is called Synochus pu­trid, [Page 189]which is called also Epacmastick, Paracmastick or Homotonos, or Equal, as it increaseth or is diminish­ed. But if there be a great burning in a continual pu­trid Feaver which continueth, as one fit it is called Causos or a bur­ning Feaver; Causos is a kind of putrid continual Feaver. Leipyria is a kind of Causos. in which the in­wards burn and the outward parts are cold, it is called Lei­yria. But when these come to their height if there come a good Crises to abate the heat, they decline, and this is by Sweat, Pissing, or the like Evacuation: But if the Cri­ses be for the worst, Death follows. And if the Crises be not absolute, and the heat abate not, then by a new Crises we judge of Life or Death.

Thirst is very troublesom in these Feavers, where­fore they desire moist, cold, and sharp drinks. There is total loss of Appetite, and Loathing of Sweet, Fat, and nourishing things. And somtimes of sour meats which in drink is pleasing.

Somtimes in burning Feavers there is driness, black­ness and Inflammation of the Tongue, by which means the disease is called by the Germans Breune or Braunchrot, that is an Inflammation with blackness, especially if there be malignity and the Feaver is com­mon with this symptom. Also there is sooner or later in the declining Inflammation chopping or exulcerati­on of the Lips.

At the beginning there is great Head-ach, except they be sensless and perceive it not, for which cause in Germany it is called the Head-ach or Hauptwe with beating of the Temples and redness of Face. There is also Heart-ach. And a beating pain of the Bones, Loyns, Back, and Joynts.

Doting, after somtimes, comes upon them, more or less, and Madness; for which the Germans call them Daubhaptwe or mad Head-ach, especially when it is malignant and vulgar. Sometimes a Convulsion fol­lows these Feavers, but watching is the most con­stant.

Somtimes by reason of the Fea­vers constancy the strength faileth, A swooning Fea­ver is a kind of continual putrid. and in the Fit day there is swooning and then it is called a Swooning Feaver, and then the pulse is great or small according to the strength.

At length the body pines by a long Feaver and a melting heat, A melting burning Feaver is a kind of Causon. especially in the declining there­of, by much Sweat and Pissing: Somtimes a sudden consuming of the body follows these Feavers, especially a Causon or burning Feaver, as we shewed in a melting Feaver.

As for the Excrements, some vomit very much, o­thers have the Hickets, and sometimes a flux thereup­on. There is often much Urin made after a Crisis in the declining of the Disease. Sweat breaks forth somtimes and follows the Crises: Otherwhiles bleed­ing at the Nose, or by termes, is critical or judicial, sometimes it is not. The Stools and Urin are very much changed, and divers in substance and colour: The Sweat is somtimes ill scented, sometimes of none. All which changes and what they presage we shal speak of before the Cure.

A longer malignant and Con­tinual Feaver, A putrid malignant Feaver is a sort of a Continual Feaver. is often among Pu­trid malignant Feavers not much differring from the former, which is acute and putrid, only it is more vulgar like the Plague, among people of age, and especially men. It comes secretly upon some, and suddenly destroies them. This is prolonged some weeks as the putrid, and is ended by a Crises, and some evacuations as the others, but not so certainly.

There are also the same accidents which are in a pu­trid Feaver; but greater and more dangerous. Yet the heat is more disorderly and unequal.

The pain of the Head and doting is the most mani­fest, first and chiefest symptom.

Also Inflammation of the Jaws and Tongue.

Also there is a sort of malignant feaver which came first out of England into all Europe, The English Sweat is a sort of putrid malignant and Con­tinual Feaver. which de­clared it self by a continual Sweat, and destroied many. This was called The English Sweat.

Also a dayly constant Feaver alone, The Hectick Feaver is a kind of Conti­nual. which continueth not on­ly some weeks but months is a sort of Hectick. This comes from a change, when another feaver ends in a Hectick, as a Diary, if it turn not into a Putrid, ends in a He­ctick after three or four daies, or a putrid Feaver of long continuance, or very burning, as also intermit­ting Feavers if long and vehement. These end in He­cties, and kill a man at a distance.

As for the accidents, the Patient feels no great heat, and thinks he is not feaverish, except an hour or two after meat; and that the Arteries are hotter, and more stretched out and hard, and swifter in motion, as in o­ther Feavers.

Extenuation follows this Feaver, or it is increased af­ter it was begun in the putrid that went before it, so that at length the whol body is pined away; for which cause (as the Consumption is in the beginning, in­crease, or State) there are three sorts of Hecticks, not accounted so from the heat but Consumption, they are called, Beginning, Increased, or confirmed He­cticks. In the last there is nothing left but skin and bone, and it is called Marasmodes. Also when Fat is voided by Urin, Marasmodes is a Hectick. or like Bran, or Orobus, the Feaver is named from thence, but we shewed that they could not be but from distemper of the Reins and Bladder.

By reason of long continuance, there must needs be great weakness; so that the Pulse though quick, is smal and weak.

Compound Feavers are when di­vers sorts meet in the body, Compound con­stant Feavers. at the same time, which happen divers waies either by mixture of continual with continual or inter­mitting Feavers.

Divers sorts of constant Fea­vers aforesaid mixed together do afflict the body, A Feaver compound of a putrid and a Hectick. as when a putrid is joyned with an Hectick of its own producing.

In this the vehement heat doth so hide the gentle, that the putrid is thought the chief, only the Hectick is discovered by the Consumption especially when the putrid declineth. And this Hectick sooner dis­patcheth the Patient. And it is distinguished from a melting Feaver that comes after a burning, because in that the Feaver is most ardent and sooner killeth.

Also all other continual Feavers may be joyned with an Hectick which went before, and wil sooner destroy the Patient, as other diseases coming after an Hectick. This mixture is known by the new heat of what sort it is, and by its signs.

[Page 190]Continual Feavers are often mixt with intermitting, A putrid Feaver mixed with an intermitting is a semi-tertian. and make also continual Feavers called persevering, and these are discerned easily, by a new chilness coming at the time of the fit of the intermitting Feaver. All continual Fea­vers may be joyned with an intermitting, and seem to be one when joyned with continual acute, called Pu­trid. And because an intermitting tertian is usually joyned with a quotidian, it is called a semi-tertian, and it is greater when joyn'd with a continual quartan, al­so a continual and intermitting Quartane may be joyn­ed together.

If the continual Feaver be first, it begins with asto­nishment and horror or trembling, if the intermitting be first, with chilness; and there are two fits in a day, one is from chilness of the intermitting, the other is an increase of the continual without horror: And the se­cond day they make but one fit, and keep that order til they both go together or follow each other. Only an intermitting Quartan joyned with a continual, hath two fits the fourth day.

Every Feaver hath symptomes according to its kind, especially because cold falls in with the heat of a con­tinual Feaver which hath inflamed the body, and then in the fit of the Tertian the Patient feels both heat and cold, Epiala a sort of semi-tertian. this is called Epiala. Now the the heat in these compounded is grea­ter than in simple Feavers, because the heat of the Tertian is every other day joyned with the heat of the continual: Hence the symptomes of heat are ve­hement and alter the body and the ex­crements, A swooning Feaver is a sore of Jemi-tertian. and weaken, and cause swooning at their meeting. And Ron­doletius made a swooning Feaver one with a semi­tertian.

Also an intermitting Feaver may be joyned with a Hectick which it caused, An Intermitting Feaver com­pounded with an Hectick. this is known by great lean­ness, and in the day of rest the ling­ring Feaver wil be present which is known by the pulse and other signs. And so also you may know when a Hectick comes af­ter an intermitting Feaver.

They are called continual accom­panid Feavers, Accompanied constant Feavers when there is another disease from them, or causing them, adjoyned. These have distinct symptoms that come from that Disease and change the the nature of the Feaver. Of this sort some are pure others impure, malignant, pestilential, venemous, and hectical; if these Feavers go before the disease they are called Primary, if they follow, secundary and sympto­matical. And they differ in that the Diseases accom­panying are apparent outwardly, as Inflammations or Tumors, as Carbuncles or Spots: Or are inward, as Pain, Cough, ill habit, and shew themselves by things voided.

An Ephemera with an external Inflammation. Somtimes a day's Feaver called Ephemera or a Synochus follows an external Inslamma­tion and hath its accidents.

But if Inflammations come from a poysonous sting or bite, and have a Feaver, it is called a venemous Feaver, this staies not above a day and hath grievous accidents, as Trembling, Convulsion, and the like.

A pure Synochus sends forth an Erysipelas, A pure Synochus and Carbuncle with an ex­ternal Eryfipelas. and this denomi­nateth the Disease the Germans call it Carfunkel or Carbuncle, like a jewel or Hyacinth of a red yellowish color. This goes on as a simple Synochus, and is ended or changed in some few daies: And hath the like accidents, send­ing also forth a Tumor, the same day or the second or third day, or inflammation in the Legs or Face, seldom in other parts; and the kernels thereabouts do swell. These remain somtimes after a Feaver, as we shall shew in Tumors.

An Ephemera or pure Synochus produceth a Carbuncle, An Ephemer, pure Synochus, Pestilen­eial, or venemous, joyned with a Car­buncle. as the o­ther, an Erysipel as thus differing; it comes under the Ears, in the Arm-pits or the Groyns, with pain and redness. This Feaver is called by the Germans Carbuncle as also the Ephemera and Synochus.

Also a Pestilent Feaver sends forth one or more Carbuncles or Bubo's at the first, or not long after, in the Groyns, Arm-pits, and behind the Ears, with pain, these continuing and being inflamed turn Apostems and are grievous, and bring a new Synochus. Some­times they lie hid, especially in fat men, and discover themselves only by pain and redness of the part.

We shal shew in the Causes how that great pains may be in both Groyns in a venemous Feaver.

Anthrax comes often forth in some Feavers, An Anthrax or Car­buncle may be with a pure, or putrid, or malignant pestilent Feaver. especially Pestilen­tial; at first it is but like a Wheal, itching and burning, and after it is an hard Ulcer. From this we have often observed (which is a deadly sign) a long red line to the Bubo commonly accompanying it, or to the heart.

Somtimes a continual, putrid, or single, or malig­nant Feaver goes before an Anthrax, not pestilential, and follows not except there be great burning.

Ecthymata or small Pox are thrust out by some continual Fea­vers, A Feever, Synochus putrid and malig­nant accompanies the small Pox. and they are commonly pu­trid malignant, few children e­scape them, and many are infect­ed in a place, aged people have them seldom. These Feavers are shorter somtimes in which the pulses sooner come forth, somtimes longer, and then they come forth slower. And the Feaver lasteth a week, and longer in people of years. They end without a Crises certain, but by degrees and with a stinking flux of the belly somtimes.

The accidents are the same with those of Synochus putrid, but milder in Children, greater in men; and worst when most malignant. They come forth the third or fourth day without a Crises or loss of the Fea­ver, over most part of the body, til they turn to matter, and then depart, as shal be shewed.

There hath been a pestilent Feaver like small Pox which hath killed many Children and some men.

The Meazles come from the same Feavers, A Synochus pure, putrid, malignant, pestilent, or vene­mous is joyned with the Measles. and as the other are pusles, so these are spots, red and broad over the body, and especi­ally the Face and Breast: Some Children have them both but at divers times, the Feaver is alike in both.

In putrid malignant Feavers, red spots such as after flea-bites, or black, or blew, break forth in the height or state of the Feaver, these are signs of malignity and Death. Sometimes there is a broad spot under the breast, as I saw in a maid before her Death, in a malig­nant Feaver. And in the yeer 1649. I saw a blew spot [Page 191]which turned black upon the Heart of an old woman, before her death, and her neighbour died of a Carbun­cle in that place, where it appeared ten years before, when he had the Plague.

The like in a Pestilent feaver, shew the infection and death, and are called the tokens.

In venemous feavers, divers spots declare the Poy­son.

Also a smal Ephemera, or pure Synochus may be with the Gout, Colick, Stone, bloody Flux, and breeding of teeth, and in hard travil, but this hath no great Symptoms.

A pure Synochus, which degenerateth at the end, may have other pain and accidents from internal Inflama­tions, but if it follow them it is not long or vehement nor dangerous, but by reason of the Inflamation. If the feaver be first, and the Inflamation follow (which is somtimes very sudden and doubtful, which was first) if there be a cough of bloody and filthy matter in the Lungs, and a pain, as the Pleurisie; or heat and stret­ching pain in the Liver or Spleen, with this feaver, it lasteth longer, then a single Synochus, and according to the Disease accompanying, it is longer, or shorter, or changed into a putrid feaver: As in the causes shall be shewed. The accidents of these feavers are less then [...]ose of a single Synochus, they seldom have the Head­ach, although the Symptoms of the Disease accompa­nying be great and dangerous. And they are not cal­led by the name of a feaver. But if a doting in a true Phrensie, or Suffocation in a quinsie, which follow these feavers, as the Inflamation of the Tongue follow the Disease called in High-dutch Brenne come here up­on, the companion of the feaver is as the former. Al­beit other dangerous accidents (for which these are cal­led very sharp Diseases) come from the Disease.

There is with a Cough and matte­ry spitting and Consumption, The Tysick ac­companies a He­ctick Feaver. at first a gentle feaver which turneth into a Hectick, this is not unlike a simple feaver, but kills at a distance. This heat being smal, breeds no great Symptoms, except at the night. The Puls is often swift and inequal, but not strong, when the feaver increaseth, by reason of the Patients weakness. The Urin is little changed.

There is somtimes a gentle Symp­tomatical feaver joyned with Ca­chexy or evil habit, Cachexy, or evil habit joyned with a gentle Feaver. which is either when the body is swolen and disco­loured, as in Leuco-Phlegmatia, or grown less, as in Atrophy, the heat of this feaver is not sharp, but so gentle that the Patient feels it not: Like a Hectick, for which it is usually taken; It is com­monly in new born Children, and when they are wea­ned, and in Virgins before they have their Terms. It is known by sharp breathing, beating of the Heart, and Consumption of the body, which is seen by the stic­king forth of the Sword-bone in the breast, and of the Ribs and Shoulders; it turns somtimes into a true Hectick, and is cured by taking away the Disease that caused it.

When the After-birth, a dead Child, A gentle Feaver from the Retention of foul humors, or the like. or Worms, or congealed Blood is retained, there is a preter­natural heat, and a Feaver known by the Puls and other signs that last not long, because the cause is not of long continuance, as shall be shewed. This is at first gentle and Symptomatical.

Intermitting Feavers, that go and come at certain times, Intermitting Feavers. are of one sort, and are called impure Acute, because there is an apparent molesting heat, which is pric­king and impure: Yet in respect of the daies in which they come, they are divers.

These are solitary or alone, not accompanied with others, as continual feavers are; for though they pro­duce another Disease, yet it is distinct from the feavers; Besides they follow not Diseases, for as we shall shew in the Causes, when a Disease causeth a feaver it must be continual; nor are they Symptomatical but Pri­mary, and begin of themselves.

But intermitting feavers are single, as the continual are, in which not one alone, but two or three sorts come in divers fits: and therefore it is called a single, a double, or a triple intermitting feaver. Any of these joyned with a continual, is Compound, as the Semi­tertian, or the like, wherein the Patient is alwaies in a feaver.

The Course, of this Acute impure intermitting fea­vers, of what kind so ever, is the whol time of the o­ther, somtimes for a week or longer, or for many months. In which time a feaver coming extraordi­nary in the time of the sit: by which we know the time. This is properly called the worst time of the feaver, and the time of rest is called remission: both which are named from their circuite, which from the accession either returnes the same day, or the following, third, fourth, or fifth.

Those that return the third day are the most frequent, called Tertians, An intermit­ting Tertian. and somtimes they come at the same hour, often sooner: but later when they decline. The ac­cession of these feavers, is somtimes at four hours, twelve, or fourteen hours distance, and there are so many sits, or more before it ceaseth. They are most in Summer, and young people: When they come in Autum, and in old men they last longer, and are dan­gerous.

They which come the fourth day are called Quartanes and are usual, An intermit­ting Quartan. either sooner or later, the fits are as long, or longer then those of a Tertian, and the whol course, seldom lasting less then three or six months: Som­times above a year, or two, These begin in Autum and scarse ever leave till the beginning of the next Spring, and are more frequent with people of a mid­dle Age.

They which come the next day are called quotidians, An intermit­ting Feaver. and Amphimerinae. The acession is eight hours, and the in­termission six, according to the ancients, but we know it not. These Quotidians are of the kind of Ter­tians, or quartans, not a new sort, for if either seaze upon a body, and another feaver followeth, as is usual, either presently or a little after, of its own nature, or of another sort; Then there being divers, one cometh one day and another the other; so there are divers ac­cessions or fits dayly, not equal nor at the same hour; till one is gone and the other returnes to its former or­der, either the third, or fourth day: as in double Tertians, and triple quartans, A double Ter­tian. Triple Quar­tan. Double Quar­tan. but if it be a double quartan, the fit is two daies, and the intermission one: If a Tertian meet with a quartan, the fit is three daies together and the inter­mission one day, if it return the same day, it is not a new sort; but when quotidians come sooner, one may come, when ano­ther departeth. And if the later feaver, that it fal in with the former in the time of the fit, then the fit is lon­ger: and may continue eight or ten hours, but it is two [Page 192]fits, of two Agues, the one begins with a new chilness at the end of the other.

Some return the fifth or sixth day, A Quintan, or Sex­tan Feaver. but they are but quartans, which staied longer away than usually.

There are divers accidents of intermitting feavers, which are troublesome, as cold, heat, thirst, Head-ach, and change of Excrements.

Intermitting feavers not only begin, but return with a cold fit first, as the continual do, with yawning, shi­vering, and coldness of Hands, feet, Nose and Ears, first; then shaking: the Germans therefore call it Kalt­wee or Frierer, from the cold. This is greater or less, An Ague, in High­dutch called Kalt­wee or Frierer. according as the Ague is. Somtimes the body is very cold, and the chilness come sooner in a Tertian, slower in a quartan, the Body shaketh, the teeth gnash. Both begin somtimes with less cold, but then they last longer; somtimes the cold is felt inwardly and outwardly also; somtimes more within or without; And when every part feels cold with heat, it is called Epiala. But we suppose that this is, because intermitting feavers meet in the same day, and the cold of one begins, before the heat of the other is past. Or when intermitting feavers meet with continual, as we shewed Semitertians, for in the continual, there is alwaies heat, and when the intermitting comes, it begins with cold.

The heat which follows the cold and shaking, or mixeth with it, in most vehement Tertians, presently kindled, dispersed through the body, sharp, quickly at the highth, and quickly declining. In others it is gent­ler, nor so general in the whol body, but like the bur­ning of green wood, as in tertians that have lasted long. It is also vehement in quartans, but not equal over the body, but with mixture of cold, and as it were pain of the joynts and bones.

Thirst is the greatest Symptom in tertians and quartans; they call for drink, as for life. And som­times in the cold fit, especially when the cold is out­ward and the heat inward, they desire drink.

Somtimes there is Head-ach, at first, but it ceaseth before the end.

The change of Functions, is seen chiefly in these: They somtimes dote in the time of the fit, they are un­ruly, and tost, when the heat is at the highth: And they cannot sleep somtimes: Somtimes they sleep too much, as in Children. They draw much breath: the Puls at the first is smal; afterwards quick and often, and great, and more or less uneven. There is weak­ness, except the strength be renewed, in the time of in­termission: There is in some a swoun­ding from whence it is denominated. A swounding feaver, is a sort of intermitting Feaver. At the end of the cold fit there are of­ten bitter Vomitings. Also after every fit there is plenty of vaporing and hot sweat, by which they decrease, and by which they are judged: Somtimes they void much Urin often, and have somtimes the Haemorrhoids, or Courses.

There is alteration of Excrements to be seen by the Urin, which is of a yellow or flame color and sub­stance, and in Tertians ptesently, or in quartans at a little distance; they turn white and waterish at first. Al­so a black Urin is not alwaies bad in a quartane, if the matter of the disease be thereby purged. The stools are cholerick and yellow somtimes black.

The Causes.

The first Cause of all Feavers is a Disease, A hot distemper is the cause of all Feavers. which is an hot distemper or preternatural heat making all the bo­dy hotter than it should be. The heat which disturbeth the Patient is a symptom. First we shal consider the place, then the essence of this heat whether it be a Disease or a Symptom.

The place affected is not one but all parts of the body: In all Feavers the whol body is the seat of the hot di­stemper. not only the fleshy parts which are sooner infla­med, but the Membranes and bony parts take this preternatural heat. The heart grows first hot and then all other parts more or less begin to burn by consent, as they are by nature hotter or colder: But this is not a Feaver, except the heart be also inflamed though the whol body burn with the blood, spirits and other principal parts, as the Brain, Liver and the like. Nor can the heat of the heart cause a Feaver if it be little, or if it be short, though vehement, such as comes by Anger, or Motion except it be fixed.

The essence of this preternatural heat in Feavers [...] not the same in all, and the difference thereof makes different Feavers. For this heat is either adventitious and mutable, which is called a fiery heat, and that is ei­ther pure and single which inflameth only the body and causeth pure or not putrid Feavers. Or impure and mixed with putrefaction, infecting the body, and making putrid or impure Feavers. Or it is malignant and putrid together, or alone, and infecteth, causing malignant putrid, pestilent and venemous feavers. Or this heat is fixed and constant, or a change of the tem­per of body into a more hot, hence come those called Hecticks. How these come, whether of pure heat, or filthy, shal be shewed in these three causes.

A pure simple heat when it on­ly is a little increased, A pure heat is the cause of pure or not putrid Feavers. first in the Spirits and Blood, Veins and Ar­teries, and so sent to the Heart and fixed to the matter that nou­risheth it, and so communicated to all parts causeth pure, simple and continual feavers; when the heat being once kindled goeth not out till it be quenced. These are either solitary, or without any other disease in their course; or accompanied with another disease that went afore or cometh after. The cause of this variety is when the cause of the disease is either in the vessels or out of them.

If Blood is kindled or infla­med in the vessels, that is, Heat of blood and spi­rits coming to the heart is thecause of pure con­tinual Feavers. Heat remaining in the vessels causeth solitary Feavers. in the Veins and Arteries, and so the heart set on fire, and a feaver produced, and it continue to the end without moving into o­ther parts, then the feavers are called Solitary, or accompani­ed, or symptomatical, as they come from or not from the disease.

If no Disease cause these Feavers; but the blood is inflamed in the Vessels, then they are called Solitary, and Primary, being accompanied with no other Dis­ease, or accidents: and as the heat is more, or less, they are shorter, (as for a day, except they turn into putride feavers:) or longer, when the heat is more fixed which causeth the Hectick. And this is not, as some would have it, that if the spirits are only inflamed, the heat should [Page 193]depart in one day, which causeth Ephemeral feavers. And if the blood be enflamed, the continuing longer causeth a Synochus; if the heat be in the substance of the Heart, a constant Hectick: Because in all these kinds, neither the Spirits nor the Blood can be enflamed by themselves, being confusedly together in the Vessels, and the substance of the Heart must be inflamed toge­ther with them: And every Feaver, and other Disease, must have some solid part to subsist in, as their subject, and not the Spirits and Humors. But this diversity of feavers, comes from the Cause, from whence they pro­ceed, and the Subject (which is the body of man) where­in they are.

In respect of the external cause, as it worketh these in the body, and continueth longer. These Feavers differ in time and greatness: and this external cause, is either from things without, or taken in, or from ex­cercise.

Of things without, these by themselves inflame, as hot Air, or Water, if long continuance be made there­in by accident, these vehement cold and sudden, espe­cially taken when the body is hot, by outward Air, or Water. Because the heat being suddenly struck inward by the cold external, inflames the Spirits, Humors, Bowels and the very Heart. And this is more pro­bable, then to say (as others) that it comes from the stoppage of the Pores of the Skin by cold, whereby the Air, which should pass through to cool and Venti­late (as they call it) is hindered, and so the blood is in­flamed and putrified. But we shewed formerly that the necessity of Respiration, or Breathing was ordai­ned not to cool the Heart, which being in health, it needeth not; and the use of transpiration was not to cool the blood, which being temperate, it needeth not; But for the Evacuation of Excrements, as we shall shew in putrid Feavers, which proceed from the want of that.

Things taken in, which actually or potentially in­flame, especially if they peirce suddenly, do the same; as strong Wine, and stronge Waters drunk in great quantity, and the Anacardine Confection being very hot. And we shall shew that neither crudities nor cor­ruption of meats, as some think can produce these pure Feavers, but other Diseases, or putrid Fea­vers.

Vehement motion, especially running, by heating, may cause the same, as we see in Horses after Races, that we perceive to be feverish, from their short breath extream heat and sweating. And Women long lying in hard Travail, by a continual motion, and hard, and often throws are in a feaver, which is increased by pain. Also immoderate motion of mind by watchings, chiefly sudden motions by anger, frights, or joy, if they do not only stir the spirits and blood, but enflame the heart, also cause feavers. But we suppose that fear and sadness cannot cause these feavers, except there be also putrifaction.

From the subject Body, afflicted with these feavers, they are also divers. Any constitution is capable of them, from an external cause, by which heat being stirred up, may differ in respect of the constitution, as it is temperate, hotter, or impure.

If a temperate body be inflamed from without, Inflamation of the Blood, or Spirits, (from an external cause) in the Vessels may cause an Ephe­mora. in regard that heat cannot continue long, but the bo­dy must return to its former tem­per, there may be a short feaver called Ephemera. And the heat be­ing united, there is no great change made, and being not impure it begins not with shaking, or Crisis, and it goes away by degrees through sweat, which is caused by a gentle breathing, or exhalation from the same heat.

That is an over hot constitution, which is more fit to receive heat, and if it be enflamed from an exter­nal cause, then from the double heat comes a Syno­chus simple Feaver, which lasteth longer, and is hotter. This constitution is either Sanguin, or Cho­lerick.

The Sanguiue constitution, A sanguine Synoch, is caused by blood and spirits inflamed in the Vessels from an ex­ternal cause. is sooner enflamed, when there is more blood or heat then ordi­nary. Therefore young persons and Plethorick, or full bodies, and hot, and such as want their usual bleedings by Haemorrhoids, Terms, or at the Nose, are sooner in these Feavers. And these, by rea­son of the efficient cause meeting with the adjuvant, or assisting continue above one day, to the third, or fourth day, and are called simple bloody Synocks. These have a greater heat, and other Symptoms from the causes mentioned, but otherwise they begin and end as the Ephemerae.

A Chollerick constitution be­ing hotter, A cholerick Synoch, is caused by Instama­tion of Blood and spirits in the Ves­sels, from an external cause. is easily enflamed from the same causes, with a Fea­ver like a Synoch, called a simple Cholerick Synoch. And it keeps the same progress with a San­guine except some accidents arise caused by choller by which it is turned putrid.

If a foul body take a feaver from an external cause, A Synoch which de­generateth, is caused by Inflamation of blood and spirits in the Vessels of an unclean body. then if the blood be apt to putrifie, the feaver is no longer simple and pure, but an impure Synoch and of longer continuance. But if the blood be somwhat impure, and yet not apt to pu­trifie, then the Synoch is pure, but the accidents are more and greater then in the former. There is also a Synoch called accompanied, when nature driveth out of the Veins some of the impure blood.

If these Feavers come from a Disease and the blood being enfla­med stay in the Vessels, The cause of pure Symptomatical ac­companied Feavers, is a hot disease that enflames the blood and spirits. then be­cause they follow a Disease, they are called Symptomatical simple Feavers. These are like the Ephe­meral or Synoch Feavers, except they be turned into Putrid, by the Disease that caused them, or their Course, or Symptoms altered there­by.

The Diseases that cause Symptomatical feavers, are of some part, and send forth such heat, that first it in­flames the blood in the part, and then the whol Mass, and the Heart; and the blood in the part is commonly more then ordinary, by reason of the Disease and pain which attracteth. These hot Diseases which cause fea­vers from hot humors, as Blood and Choler may pro­duce them without corruption; for Blood and Chol­ler only of all the Humors, can produce feavers, with­out putrefaction.

When Blood gets out of the Veins, A Disease of Blood, is the cause of Ephe­mera, or Synoch. Or, Symptomatical Fea­vers. not from the Feaver afore­going, (of which hereafter) but from some other cause, as heat or pain, and fals into a part where it begets either a bare distemper, which may cause a Feaver in ten­der bodies: or an Inflamation, or Erysipelas of divers [Page 194]forts according to the variety of the Flux; if it enflame it begets a Feaver, in which the inflamed blood som­times falling out of the vessels (as hereafter we shal shew) may renew the old, or cause new inflammati­ons. These feavers are simple and pure, not putrid, and as the heat of the Disease is, they increase or abate, and end before it be quite over except there be a sup­puration or a new pain or putrefaction. These symp­tomatical feavers are in divers hot Diseases, of the Bo­wels, Membranes, and other parts. And the more vehement or long as the Disease is neerer to the Heart, and the parts adjacent, or great Veins, or as the heat is greater, or the body by nature more hot, as in In­fants who have a Feaver many times only by the bree­ding of Teeth. They are milder and shorter when they are from the fountain of heat, or outwardly, in these there is little heat, but horror, and somtimes not that.

The Cholerick humor being most hot, A cholerick disease is the cause of the symptomatical Fea­ver of the Ephemera or Synochus. seldom causeth these kind of feavers. But when it is not in its proper place where it doth no hurt, nor mixed with the blood, nor qualified with the Whey which so tempereth it that it can­not produce a feaver, as we observe in the Jaundies, but separated into sensible parts the Stomach and Guts, and gets into their substance, causing Erysipelas, about the Belly & the fever Lipyria in which the inward parts burn with intollerable heat and pain as Aetius observes, about those parts and great thirst, except it be cast forth by nature, it fires all the parts adjacent with the blood and Spirits, and causeth small feavers which follow such Diseases. These we often see in the disease of Choller, when it is vomited and purged, and in the Dysentery, and in the Colick coming from Choller and Erysipelas in the Guts, as we shal shew. And they cannot be great feavers because their cause is far from the Heart, and lodgeth about the Meseraick Veins,

If Blood inflamed from the causes aforesaid, Some Blood inflamed & sent out of the ves­sels into other parts causeth a Synoch pri­mary & accompanied get out of the great vessels into any part inter­nal or external and inflame the heart, and cause a Feaver (as it usually doth by its plenty, heat, or thinness, or impurity, either at the beginning of a Feaver, or after by the force of Nature, as in the Crisis of these Feavers we may see by their bleeding at the Nose) Then it causeth a new dis­ease in the part where it comes, and a Feaver which is accompanied therewith, but not symptomatical, be­cause it follows not the Disease, but goes before it as I shal shew. And these observe not the course of other simple Feavers, but being increased or abated by the accidents of the Disease they are longer or shorter, greater or less: And when nature hath sent a good quantity of burning blood from the Veins, thy are not so hot, nor so thirsty, nor ful of Head-ach as in solitary Feavers. And this chiefly when the blood flows into the bowels or superficies of the body.

Sometimes this flux of blood in Feavers is into the Bowels capable thereof; The effusion of infla­med blood into the in­ward pars is the cause of Synochus accompa­nied with Inflamma­tion of the Bowels. especially such as are most fleshy and bloody and ful of Veins joyning to the great Veins and neer to the Heart, and chiefly into the Lungs, which it inflameth and causeth a Peripneumonia and somtimes Pleurisie (as shal be said.) These Inflammations go not before the Feavers, because the Feavers shew themselves before there is a pricking pain or signs of Inflammation, with horror and heat following, and sometimes go some hours afore: Nor are they caused by those inflamma­tions but as they were first raised from Feavers and in­creased by a new heat in some part neer the Heart which shews that the Feaver did not there first begin, and that is not putrid (as others thought) because the heat rais'd from the Inflammation increaseth the fea­ver rather by its quantity then filthy quality. Nor doth it acquire or get any putrefaction from the in­flammation, especially when it first comes, except the blood suppurate, and then as Hyppocrates saith it is in­creased. But we suppose this may be rather from the pain that is then increased, and not a new putrid feaver from a putrid exhalation, because it presently ceaseth. Except this happen from an Ulcer that follows these inflammations, as when a Pleurisie or Peripneumony turns into Phthisis, the feaver being turned into a putrid symptomatical Hectick, or from blood which is pu­trified and sent out of the Veins, as I shal shew in pu­trid feavers. These happen, as in the Lungs from the situation and for to receive the flux. So may inflam­mations which follow these feavers and increase them, be from blood in a Synoch sent into the Liver or Spleen, because they are boody parts, and have large vessels. These feavers in all the said inflammations of bowels, are longer than other solitary Synochs, in respect of the Disease accompanying them. And they vary as the inflammations are true, as Phlegmons, from whence some are called Phlegmonodes. Or Erysi­pelas, wherein the feaver is more sharp called Typhodeis though this name be proper to the feaver in the Erysi­pelas of the Liver. As the feavers from the Erysipelas of the Lungs are called Crymodes. The same may come from blood sent into the brain in feavers, which hath large cavities and is easily filled: And then an inflam­mation of the Brain is joyned with the fearver, which turns suddenly with doting into a Pleurisie, with a pain of the Head which went before, and caused blood to come thither and makes the feaver more dangerous and violent. This may be also in the Stomach, Guts, Womb, Bladder, when the blood is sent thither in fea­vers. But when another way which leads into the fleshy parts being membranous have only meseraick veins, or are far from the great vessels and the Heart, it comes to pass that when these parts are inflamed by pain which comes quickly to such sensible parts, that the feavers rather follow the Inflammation than go before them and are (as is said) symptomatical. As that inflammation which is in fleshy parts which are not so sensible of pain, comes from the feavers and is a symptom of them.

These Feavers send blood from the veins into other inter­nal parts, Inflamed blood sent into the habit of the body causeth a Synoch, these inflammations are red and painful. as in the muscles of the Neck and Glandules and maketh inflammations in the mouth, Tongue, and Jaws, and Quinsie. And though they be­gin not from feavers but other causes, yet when a fea­ver comes, they increase. Somtimes these feavers go before pains and swellings of the Gout, when Nature by them drives blood into the Joynts, and then they are red and swollen except the tumor lie very low. So that such as are inclined to the Gout (being easily ta­ken with this Feaver Nature being used to disburden her self into the outward parts, joynts, or skin) are subject to these Diseases. Also, albeit these feavers go [Page 195]before Defluxions or Catarrhs, and promote them, yet because they do it not by affording matter to them, but by moving the flux with their heat, they are not dif­fering from solitary feavers, though they may also be joyned with other diseases.

Nature doth often discharge blood into the superficies of the body, Inflamed blood in a Feaver sent to the su­perficies of the body is the cause of Synoch with a Botch, Erysipe­las, smal Pox, Mea­sles or Carbuncle. the Skin especially Glan­dules, and internal Membranes in these Synochs, and cause there Redness, Heat, Tumors, or Pustles, sooner or later, and as the blood is Pure, Thin, Thick, Yellow Black or Wate­rish; or impute, yet not putrid (as we shall shew) the Tumor and Heat and Pain are different. This Difference is chiesly in respect of Tumors and Pustles.

These Feavers often produce Tumors or Redness called Carbuncles. These are so usual to some Na­tures (by reason of the Heat, Thinness and Wate­rishness of the blood, or Impurity) that they have them upon the least occasion at certain times if the blood be but a little inflamed; nor do they spare old or gouty people. They are diary as we shewed, and a Tumor follows them, seldom the same day, but two or three daies after, either in the Glandules of the great Veins, in the Groyns, Arm-pits, and Chine, if blood go along with them: And these are with pain, and sometimes with inflammation. The blood often falling into the lowest parts of the Legs, there is often an itching and then a burning in the An­kles, and after a redness with Yellow or Black as the blood is in thickness, if it be an Erysipelas. Somtimes it swels and is inflamed if it be an Erysipelas with a Flegmon, when better blood flows thither, and if the blood bewaterish, the whol Leg swels with an oedema­tous Erysipelas. These have a Bubo or swelling in the Groyn going before them; the feaver commonly abates at their coming forth, so that former Writers were deceived that thought the feavers began with them, and were symptoms to them, which are the con­trary, for the feavers appeared before there was sign of inflammations, And if the Glandules only swel, there is no great heat, and it cannot be from a feaver.

The smal Pox, though it be usual in malignant fea­vers are somtimes in pure feavers; And the Measles in Infants by reason of the fulness of blood or disposition to be inflamed, they come forth the third or fourth day, but in a pure feaver they are not infectious, and depart themselves.

Nature labors also to do the same in Synochs, not putrid if the blood be black which it desires to expel, by a Carbuncle not pestilential either alone, or with a Bubo. And many fear they have the Plague through ignorance.

A Heat mixed with Foulness first raised from putrid humors or parts of the body, A putrid heat causeth putrid Feavers. and so carried to the Heart; and inflaming it, and sent from thence to all the parts of the body, causeth putrid feavers, which continue or return while the pu­trid vapors or humor go to the Heart; which they wil do, because they are bred in the Veins and Arteries by which they may be directly carried therunto: For these go to the heart with great Orifices conveighing humors and spirits into it, and they cannot be carried another way. For if a stinking Vapor couldpass the the cavi­ty of the Breast another way into the Heart to inflame it, we should alwaies have a Feaver from the vapors sent from the Excrements, which though thin and hot, so that they may be let flie, and burned to flame, yet cannot reach the upper parts to infect them, unless it be by making a stinking breath: As we shall shew. And although a poyson or venemous quality can reach the heart wheresoever it is bred, or by any passage, yet these vapors bred in a thick putrid matter constrained to a certain place, but by the manifest passages aforesaid. By which means as a simple heat sent to the heart in the spirits and blood causeth a pure simple Feaver, so doth a putrid vapour, or matter by the same way, cause a putrid Feaver; which is divers according to the di­vers places, in which the matter is bred, which matter also is not alwayes of the same Nature. The stinking Matter is either bred in the veins or arteries, or out of the vessels in the humor of some part, or substance thereof.

The Humors that cause putrid Feavers, either pu­trifie in the vessels, that is the veins and arteries, either continued to the heart, or in them that are not joyned by continuity to the heart, but can send a vapour by vessels that are continued. And this is cause why a­mong putrid Feavers some are continual, others inter­mitting.

The vessels continued to the Heart are the Veins and Arteries except the Mesaraicks. Foulness of blood in the vessels continu­ed to the Heart is the cause of putrid continual Feavers. If any hu­mor putrifie in these, being largest and dispersed through the whol body, because the way is open to the Heart, the vapor and part of the humor go to the Heart and sets it on fire, causing continual feavers, because the cause is included in the vessels. These if they kill not by the vehemency of the cause and the Disease, or melt the body with heat, go slowly off, and and continue til the heat of the Feaver hath consumed the mattter by Vapors, and Nature hath made Conco­ction of it and discharged it by a perfect Crisis.

The humor putrifying in the vessels, is blood, which being too hot and moist, easily putrifieth, as we may observe by it out of the vessels. But all wil not putri­fie but from a great fault, but a little only: some re­maining good (though by reason of the Disease and fasting the Patient gets no new) and this is separated from the bad into other places: And if it were mixed and grew hot, yet it did not stink, but the filth being se­parated it returns to its former purity. As we observe in letting blood it flows somtimes pure, somtimes im­pure, and somtimes confused or mixed. Moreover though blood hath divers parts, yet one cannot be cor­rupted alone, but all is made thinner, thicker or fatter rather than cruder (which cannot make perfect blood as I shewed) for the blood in the Veins is made of them not distinct but confused or mixed (though they seem divided) in cold blood; and there is no part of blood but is made of them. This is manifest by the Urin and Sweat when the serum is putrified Hence are divers sorts of putrid feavers, not because divers parts thereof called humors, as Blood, Flegm, Chol­ler or Melancholly are corrupted, but from the place in which the humors putrifie, and the diversity of the blood so corrupted.

There are distinct Feavers in respect of the place wherein the humor corrupteth, first in the respect of the veins and arteries.

The corrupt Blood that causeth putrid Feavers, is constantly in the branches of the hollow Vein, and in the greatest of them, in which more may be contained and from which the Heart may be sooner reached which cannot be done in the least branches. There­fore [Page 196]in the trunk of the hollow Vein, which passeth up­wards and downwards from the Heart, by the Back­bone, or in the great branches that come from it into Throat and Groyns, this corruption of blood, being contained and alwaies disturbing the heart; it causeth divers putrid feavers, as the filth is nearer, or further the Heart.

Any corruption near the Heart which sends it self, Corruption of blood in the hollow Vein near the Heart, is the cause of putrid Sy­noch, causon, Leipy­ria. or vapors to it, maketh a Synoch feaver, which in­creaseth, or decreaseth, or stands at a stay, according to the corrup­tion. And in a causon, or bru­ning feaver, because its heat is near the Heart, there is no mani­fest change, because the heat is equal; especially when the heat is at the height and cannot be raised, but by death. Yet the Patient may find about the Breast, Midriff, Back, where the corruption lodgeth, a burning which troubleth the Heart and parts adjacent: And this is the cause why in a Leipyria, which is a sort of causon that the inward parts do burn.

When the corruption is in the branches of the hollow Vein distant from the Heart, Blood corrupted in the hollow Vein remote from the heart, is the cause of a Synoch exas­perated. because it causeth not so much heating, it begets Fea­vers with fits, which have different heat. For when the Vapors, whose matter is forced of, are hindered by the long passages, and cannot come in order, and the same measure to the Heart, it comes to pass when it is increased it comes with more vio­lence and encreaseth both the heat and fits, without horror, as at the first, because the feaver was before. These fits go away when the Vapors are discussed, but not the feaver, for heat once kindled, although the cause abate, cannot thereby be extinguished: as we shewed concerning simple heat from an external cause, which cause being removed the Feaver ceaseth not, till the Heart return to its former temper. And this is the true cause of fits, which come somtimes twice in a day when the stinking vapor is much and not far off: and the other day once, because the day before some part was discussed, and keep or change their course in re­spect of the cause which acteth. Also when the cause is far of, or is less, the fits come every third day at first, and so continue for a time, seldom the fourth or every other day. For which causes these putrid continual Feavers are called ordinate, or inordinate quotidians, Tertians, or quarrans. But in those whose cause lurk­eth in the Veins remote from the Heart, there is a hea­viness, or pain, or burning in the part, where the matter lodgeth in the Neck, Loynes, or Joynts. There is alwaies a pain of the heart also, not that the matter lodgeth there, but from the hot Vapors.

Also in all these putrid Feavers whether the matter be near or far from the Heart, A Portion of putrid blood which causeth a putrid Feaver, sent from the hollow Vein into other parts caus­eth continual Feavers accompanied with o­ther Diseases. a part of it may be forced by nature out of the Veins, as in pure Feavers, by which she is disburdned into some internal or external parts, producing Tumors, Pustles, or Spots, which are not signes of In­flamation, but Putrefaction. As in Children, the smal Pox and Meazles break forth (as Fernelius saith) plentifully in a Feaver, like a putrid Synoch: but they are not infections, but in Malignant Feavers.

It is a question whether blood can thus corrupt in the Arteries to cause Feavers. Corruption of blood in the great Artery causeth a burning Feaver. For it being hot and sprit­ful, may easily burne and conveigh a a simple pure Feaver to the Heart, but it can scarse alone, or seperated from the blood of the hollow Vein, which is very pure, be corrupted; though with it, it may, or be infected by neighboring humors: especially because vapors that come from putrid blood, are carried that way to the Heart, both in putrid and intermitting Feavers. But if corruption should be in the Arteries, from the causes aforesaid, the feaver will be most violent: as in a causon, when corruption is in the trunk of the great Artery near the Heart. These feavers also differ in re­spect of the blood, in respect of its temper, or distem­per, before it caused them.

Temperate blood which offend­eth only in quantity and which is not naturally inclined to putre­faction, if it corrupt, Corruption of tem­perate blood in the Vessels, is the cause of a putrid Synoch. causeth a pu­trid Synoch, which is either made so from a Simple Synoch, wherein the blood was first inflamed, and then corrupted, or from the external causes at the first. Therefore some call the beginning of them, putrid Ephemera, which come from outward Causes. But we, because this pu­trid heat ends not in one, or somtimes many dayes as a simple doth, cannot call the ephemeral, but putrid Synochus, because in them the heat is milder then in o­ther continual putrid Feavers, and more equal, from the temper of the blood, having no fits from the equa­lity of the blood, and because being near the heart in the great vessels, it is first afflicted with the external cau­ses, and so the heart beats with an even Pulse: As we shewed.

If the blood be distempered, Corruption of hot blood in the Vessels causeth a burning Feaver. be­fore it corrupt, it must be hotter then ordinary, for if it be too cold or crude, it rather causeth Cachexy or ill habit of Body then Feavers. And if it be so, Corruption of hot blood in the hollow Veins and Arteries near the Heart causeth a melting Feaver. before the feaver come, whether it be too thin or too thick or corrupted, it causeth Infla­mation, and the more when it is in the Arteries, or any place near the Heart, hence come burning feavers continuing in the same state, so vio­lently burning that except they kill, the substance of the Heart is melted away therewith and dryed, so that the whol body consumeth, as we shewed in a melting fea­ver.

Praeternatural Heat or fault in the blood is the ante­cedent Cause of Corruption of it in the Veins.

If the blood beinflamed with heat, we shewed, that it caused diary feavers, within a sanguine and full Body, as we shewed in a simple Synoch, except the heat abate of it self, or by cooling medicines, cause a suppuration, either in the blood or in the parts. So that the mass of blood being corrupted by long heat, there is not a sim­ple heat but a compounded feaver, with putrefaction. And this is the cause why a Synoch not ending the se­cond or third day, becomes putrid. This is known by the signs of an Ephemera and simple Synoch, the one whereof is, that the heat began externally. And this is the reason why fulness of blood which many say is the cause of putrid feavers, causeth a change of simple fea­vers into putrid.

Foul or evil blood, which hath the seeds of corrup­tion [Page 197]in it, or is disposed thereunto, if it be gone so far by its plenty or corruption, that nature cannot order it, that is amend or purge it, causeth by putrefaction divers putrid feavers differing according to the place wherein, or the matter of which, the putrefaction is. These are foreseen before they come, by a constitution, not perfectly sound, nor sick, by reason of some secret fault in the blood: in which there is a laziness, havi­ness and pain of the Head, troublesom dreams, stret­ching of the sides or Hypochondria, Heart pain, Nau­seousness, loathing of Meat, change and stink of usual Excrements, or not usual as sweat, spitting, vomiting, belching. This fault of blood comes either from things taken in, or from Excrements retained, or from outward things.

Things taken, as meat and drink, which are the matter of which blood is caused, if they be of evil juyce or corrupt, cause this fault in the blood.

Meats of evil juyce, though after they are eaten they are somwhat changed by concoction, and turned into blood, yet in regard the former condition remains, if they be often taken produce these putrid feavers: which are popular or common, when the meats ordinary eaten by most people from necessity, are such, as Herbs and Fruits, or Corn eaten in too much plenty, when unsound, as in time of dearth, these infect the blood, and cause Epidemical Feavers in Cities and Ar­mies.

Also if the food be naturally good, and be putrified before it be taken, it infects the blood. As when they are too old or corrupt by too much moisture, whether Flesh, Fish, or Cheese, by stink and Putrefaction, being long taken, infect the Blood, and cause Feavers. And common Feavers come by corrupt Water, Bread, or Flesh at Sea, or from Corn, that is mowed up wet.

Those most easily corrupt, being eaten, which have much Excrementitious moisture, as summer fruits, the eating of these in summer abundantly, causeth Feavers in Autumn or the Spring following. Things that nou­rish, as M [...]k and Eggs, or sweer things, soon corrupt in hot Stomacks, and turn to Choler, which causeth other Diseases rather then Feavers: So do hard Meats and slimy, when the Stomack, Liver or Spleen are afflicted, for want of concoction cause crude blood and obstructions rather than Feavers: Except there be other accidents.

The retention of the Vapors and Excrements of blood usually sent forth by insensible Transpiration, or sweat infects the blood and causeth Feavers. This may be from divers causes, from idlness and sluggishness of na­ture in expelling of Excrements, obstruction of the Skin and pores thereof, and want of Aire. Not that the blood is inflamed and then corrupted for want of Air through the pores to cool it, as we shewed in the causes of a Diary Feaver; Nor that it can come from a sudden cold taken in while the body is hot. But be­cause the skin being made thick, the Excrements usu­ally purged by the pores cannot come forth. And be­cause the body cannot be refreshed with Air, to consume the moist Excrements under the skin; As we may ob­serve by things kept in close places, where fresh Air comes not, they grow mouldy and musty: so by the long retention of these moist Excrements, for want of Air the blood may be infected, and Feavers fol­low.

When the Air is infected with evil Vapors from stin­king Carkases, and taken constantly into the body, it infects the Spirits, Blood and Heart, and causeth pu­trid Feavers, and they are somtimes popular, when many live in it, and are disposed for it. Or contagi­ous, when the putrefaction comes from the breath or sweat of sick men. This is from a malignant or vene­mous quality, rather then a simple corruption.

The vessels not continued to the heart of veins and arteries are only the meseraicks, Corruption of blood in the meseraicks, is the cause of inter­mitting putrid Fe­vers. branches of the gate-vein which comes from the li­ver, dispersed through the bowels in the lower belly, and no where else, never coming forth to the skin but in the Funda­ment, where they are called Haemorrhoids. For the Arte­ries which accompany these, as also those that accom­pany the branches of the hollow Vein, coming all from the great Artery, are continued to the Heart thereby. Therefore if a humor corrupt in the meseraicks: though their passage be intercepted by the substance of the Li­ver, in which all their branches are, yet because the branches of the hollow Vein are also in the same sub­stance of the Liver, and are joyned to the mouths of of the branches of the Gate-vein, and because there is a constant passage of the Blood in the Liver by them: And also because the Arteries coming to the Heart, are joyned to the Meseraicks in the Spleen, Stomach, and Guts. By this communion and vicinity it happens, that as oft as evil vapors rising from the Meseraicks, do fill the branches of the hollow Vein and great Artery, they pass that way to the Heart, and cause putrid Fea­vers by their stink; but these are not continual, but in­termitting. And because the putrid Matter is not far from the Heart in continual Feavers, they may a little intermit, but not wholly cease: For the Heart once on fire, before it be wholly quenched, and a new vapor in the Veins that come unto it, must have fits at certain times: As we shewed. Also this is from other Cau­ses, a filthy vapor in the Meseraicks, which causeth a Feaver, which doth not constantly touch the Heart with the same force, by reason of the distance, this is not alwayes unequal, but wholly ceaseth, by reason of the stoppage of passages to the Heart. And so long inter­mitteth while the putrid Matter confined to its fire, swells, and sends forth a vapor to the Heart, with some of it self. For it being abundant, and of an evil quality, provoketh Nature to send it into the branches of the hollow Vein and great Artery, and so into the Heart, where it causeth Feavers, to continue so long, till all the fuel be burnt up, or sweat out: After which manner a Feaver wholly ceaseth, till a new fit cometh by a new motion and heat of the Matter, sooner or la­ter, and not in the same form: As shall be shewed. Now let us consider what humor it is that putrifieth in the Meseraicks, what is the conjunct cause of intermit­ting Feavers, and the antecedent Cause of Corrup­tion.

The humor contained in the Meseraicks is Blood, yet not so pure as that in the Liver purged from the wa­terish and cholerick Excrements, and fit for nourish­ment, although some part of it for nourishing the mem­branes be pure, it is waterish, and some part thick, it is full of excrementitious Humors that pass with the Chyle, and being purged from these in the second con­coction it is sent into the hollow Vein. These excre­mentitious Humors seem whey-like and cholerick, for Serum or Whey coming from much drink, and moist food, and passing through the Meseraicks, and carry­ing with it other crude humors, passeth in greater quan­tity to the emulgent Veins, and so to the Reins and Bladder. The cholerick Matter, rifing from Meats and Drinks mixed with Blood, is first purged by the li­ver, and then sent to the Gall. Besides these two Hu­mors [Page 198]for which nature hath made two receptacles, we can find none; nor can we by reason or sense perceive that the Spleen was ordained for that purpose. Ther­fore a putrefaction in the Meseraicks nor in the hollow Vein cannot be distinct in any part of this blood, or in the excrements mixed therewith, but must needs cor­rupt the whol mass. And if it come to the height that it sends most hot vapors (which only can reach the Heart) then it produceth these fevers. Nor can they come from a crude or waterish blood which wil not so corrupt and grow so hot to send such vapors, but other Diseases may. As when the matter which aboundeth in this blood is cholerick, and is not sufficiently clens­ed in the Gall, but makes the blood too cholerick, and putrifieth it, then causeth intermitting Fevers by hot and subtile vapors sent to the Heart. And for this cause we affirm that this blood corrupted with yellow or black Choler, such as we have seen voided by the Haemorrhoids in the Cure of such fevers; and Children have voided abundantly by stool, causeth these inter­mitting fevers. Thus, The cholerick blood being long in the Veins before it produce a fever, at length corrupting, and swelling and burning about the Mid­riff, and sending forth dry vapors (which first offend the sensible Nervous parts) by pricking the expulsive faculty causeth cold at the beginning of the fit (the heat being sent in with the blood) and when nature strives to shake off that which offendeth yawning, chil­ness, shaking; as we may observe in other places when any sharp matter strikes upon sensile parts the body shivereth, also Vomiting is often in the begin­ning from the stirring up of the expulsive faculty. These are at the beginning, but after when the Vapor from the Midriff ascending to the Heart by the waies aforesaid, enflameth it, a heat follows, and the cold and shaking ceaseth, except the Vapor go so soon to the Heart that the heat appears before the cold be gone, and there be both heat and cold at the same time, as in the fever Epialis. This heat being raised from the Mid­riff, the whol body is inflamed, a great thirstand other accidents from heat continue so long, til the Vapors being discussed by insensible transpiration or sweat, the fever departs or intermits, so long til new matter cor­rupting in time of rest, cause as many vapors as may make a new fit. And this course of fits continueth till all that matter which was apt to corrupt be taken away by help of Nature and the Physitian, for in every fit part of that cholerick matter corrupted is turned into a Vapor & discussed by heat, or sweat out, or pissed forth, the Urin being after the fits yellow, red, sharp and stin­king: sometimes the whol Disease is dissolved by sweat; and if any thick part of the choler stick in the skin, there followeth the Maunge or Scab, or the like: somtimes by vomiting flegm and choler sent into the Stomach from the Gall is voided by wh [...]ch the cause is taken away and the Ague cured. These are by Art or Nature separating the feverish matter from the blood in the Meseraicks, and the Vomits and Stools are bloody often, when there is a Cure, but it is dangerous because the way is not ordinary, except the cause of the fever come forth with blood at the Haemorrhoids, by these means we have seen quartans cured, which could not be by other bleeding, which draws from the branches of the hollow vein only, and the Meseraicks only appear at the Haemmorrhoids. Nor can the cause be so taken away, except when the branches of the hol­low vein are emptied, theseverish matter gets into them out of the Meseraicks. But if there be such a passage, and the putrid blood be mixed with that in the branches of the hollow Vein, an intermitting fever is made a Continual as I have often seen by unseasonable blood­letting, when the cholerick matter is purged from the blood and the blood tempered with serum and carried thereby into the branches of the hollow vein, and so into the habit of the body and Urin which it tinctu­reth, then the fever either ceaseth with the Jaundies if the the whol cause be carried thither. Sometimes this matter isinfused into the fibres or smal veins of the Guts and produceth Erysipelas and Colicks, the fever ceasing or not as the matter is wholly or in part carried away: from whence if Convulsions arise they are dangerous as I shewed. Fernelius saies that he found a pound of this cholerick matter about the Membrane of the Li­ver and the Nerves of the Back in one that he dissected after his death of a Fever. Therfore if cholerick blood corrupt in the Meseraicks, it is the true cause of all in­termitting fevers, they come and go, by reason of stop­page of the way to the Heart and thinness of the Va­pors. The diversity of them comes from the diversity of the place and matter.

The matter of this putrifying cholerick blood is not alwaies the same, but as we see choller separated from the blood, is now yellow, now green, and black, thick­er or thinner, so is this divers in the Mesaraicks, espe­cially thinner or thicker.

The Corruption of thin choller in this blood before it can cause a feaver, Corruption of thin blood in the Mesaraicks caus­eth an intermitting Tertian exquisite when pure. Nothus or Bastard tertian when impure. must be three daies after the first Cor­ruption is discussed; hence it is called a Tertian, which comes every third day. And if as much be corrupted as before it comes at the same hour; or if more be corrupted, it comes one hour or two sooner; when less corruption or matter for it re­maineth, the fits are later and the feaver decaies. But as this chollerick matter is pure or impure, the course of the whol feaver and its fits varieth.

Pure Choler which is mixed with blood being hot makes an exquisite Tertian: and because the vapors are sooner discussed the fits are shorter, and the feaver lasteth scarce seven fits by reason of the quick motion of the matter.

If it be impure mixed rather with crude than fleg­matick humors and blood, it causeth a bastard tertian, in which the fits are longer, more disorderly and the fever longer, because the matter is much and unequal.

If the Choller be thick and burnt; Corruption of thick blood in the Mesara­causeth an intermit­ting quartan, or sex­tan exquisite or No­thus as the mater is pure or impure. because it is longer corrupting, it requires a longer time to get to the Heart to make a fever, therefore the fit is not til the fourth day, and it is called a Quartan. This comes sooner or later, is exquisite or bastard, hath a shorter or longer course for the same cause that a Tertian from which in heat and other accidents it is much different, only by reason of thickness of the humor it is longer and worse to be abated. And if the matter grow so tough that it corrupteth not under five or six daies, to send up va­pors that cause a feaver, then these feavers which are rare are called quintans or sextans.

These vary according to the place as the matter is in one or divers places.

If in the same it putrifie, the feaver is a simple-tertian or quartan, exquisite or Nothus in respect of the matter.

If in divers places, it wil be either in the Mesaraicks only, or also in the branches of the hollow vein.

[Page 199]If Choller corrupt in the Me­seraicks only not in one but two or three places about the Liver, The cause of a double tertian or triple quar­tan, or confused, is when thin blood putri­fieth in one place and thick in another place of the Mesaraicks. Spleen, Mesentery or Caul, the feaver is double or treble, and one ceasing another follows the the next day, or the same. Hence it is that Quotidians are, not as some talk from flegm though they cannot prove it, for they are double terti­ans or treble quartans, which have every day a fit or more, for I observed in a double bastard tertian two fits in a day, and three in twenty four hours. And to these may the double quartanes (which come two daies and intermit one) be referd, and as these are when Chol­ler of the same nature corrupts in divers places. And when the Choller is divers in divers places, as thick in one, thin in another, there are Tertians mixed confu­sedly with Quartans divers daies. These are known by their symptoms.

If blood corrupt not only in the Mesaraicks but Branches of the hollow Vein, Asemi tertian is caus­ed by corrnption of blood in the Mesara­icks and vessels conti­nued to the Heart, at the same time. then there is a continual with an intermitting feaver called a semi tertian; where in respect of the diversi­ty of the matter tertians or quartans, single or double, ba­stard or legitimate, are joyned with a continual feaver, that either hath no fits, or upon certain daies. Hence it is that the feaver is alwaies either with sharpness from the continual, or fits from the tertian.

The antecedent cause of this corruption in the hu­mors of the Meseraicks which causeth fevers is either efficient or adjuvant.

The efficient is meat and drink by which hot, sharp, chollerick or burnt juvce is bred in the stomach or first passages. This being long gathered nor wel separated from the blood, but in the Mesaraicks or another place, or divers, when it corrupteth it causeth feavers agreeable to its humor shorter or longer, or otherwise differing. This juyce comes from food that hath such in it self, or gets it by corruption.

These have sharp chollerick juyce, Onions, Garlick, Leeks, Rotten Cheese, and like, naturally.

By corruption these turn into such juyce, especially in hot stomachs. Sweet things which easily turn into choler, and fat. Raw fruits, by eating whereof in Au­tumn come Dysenteries or bloody fluxes from choller, and also quartans. Also other moist meats as Eggs and Milk, which nourish much, by corruption turn into sharpest choller; of which this filth proceeding if it be not purged, it is carried into the Veins and, gets fea­vers, though the vulgar impute them to other causes.

The cause adjuvant is the disposition of body in re­spect of constitution or season.

They who are hot and chollerick are soonest taken, and they of middle age, and Infants by intemperance, and have the matter from the Womb like black cholle­rick blood, and bring these feavers into the world with them. Somtimes they suck them from their Nurse, as March 27. 1640. I had a Son born in the seventh month when the Mother had the third fit of a bastard tertian, which had at first the feaver at the same time with the Mother, and two sits after, it had sucked, and in the third with some light Couvulsions it departed being not fourteen daies old. Sometimes old men have them, but they are seldom. The hottest time of the yeer and when the diet is worst, is the time to get Agues in Autum tertians and quartans are usual by rea­son of the Summer Diet, in Spring and Summer, Terti­ans are frequent.

Putrefaction out of the Veins and Arteries causeth feavers, Corruption out of the Vessels is the cause of gentle symp­tomatical Feavers. when it sends evil vapors or corrupti­on to the Heart and afflicteth it with a stinking heat, hence come symptomatical feavers which fol­low a disease caused by this cortuption. These are gentle and unequal, because the matter out of the ves­sels, cannot send to the Heart so much as when it is in the vessels, nor keep that order: these are quicker or slower to the tast, as the matter is; either in a Natural or Pretertatural humor, or a Natural or preternatural body or part thereof.

When a few humors contained out of the vessels corrupt without the putrefaction of the parts con­tainining they cause putied fea­vers. Corruption of some humors out of the vessels causeth gentle symptomatical Fea­vers. Some say all humors whe­ther hot or moist being corrupted out of the vessels wil cause it, but this we shal examin. These are hot, viz. natural blood falling out of the Veins, and divers cholerick excre­ments, These are moist, the waterish and flegmatick humor.

If blood flow from the veins into any part and cause inflammation it causeth only a pure symptomatical fe­ver and not a putrid though it corrupt, except the part corrupt also. But if blood coming from veins open or broken congeal, and by continuance corrupt, especi­ally in great quantity, and in a place neer the Heart, as in the breast and Lungs, then putrid but gentle Fevers follow these Affects or Diseases, but seldom when it is in the stomach or Guts, because it cannot stay long there; or in the Reins or Bladder, because the Urine washeth it away.

If either that Choler which comes from the Mesa­raicks into the Gall or Spleen to be purged as they say, or that which breeds in the stomach of things eaten; either corrupt in its own place or in another, some think it begets putrid Fevers if yellow, Tertians, if black, quartans, exquisite or Nothus as it is pure or mixed. But we not observing any such black Choler in the substance of the Spleen, and perceiving no Gall or Bladder to receive it, as there is for the yellow Choler in the Liver, and knowing that the use of the Spleen is more excellent than to be the Receiver of Melancholy, nor finding any other black Choler than that which is made of the yellow, cannot be convinced, that such a humor in the Spleen can produce either quartan or other Agues. And if they call the melan­cholick juyce corrupted so, and make it the cause of a quartane, we wil not grant that to be in the substance of the Spleen or elswhere distinct from the blood whose dreg it is. But if they understand by it, the thickest part of the blood, in that they confirm our O­pinion which teacheth that some of the blood in the Mesaraicks corrupting causeth intermitting fevers: because Faeculent blood is rather in the great Veins of the Mesaraicks than in the smal of the Spleen by reason of the plenty of Arteries filled with thin rather than thick blood; In which Mesaraicks if corruption in the dregs of blood causeth quartans, as they grant, then they must confess that the cause of Tertians is from the same blood, but in a divers part as we shewed: But we do not affirm either excrementitious choler gather­ed out of the Veins, whether yellow, green, or black, to be the cause of intermitting fevers if it putrifie, in re­gard [Page 200]it is a very hot and sharp humor being in the Bel­ly, especially if it corrupt, or be heated more, and it causeth rather Colicks, Heart-pains, Vomitings and Cholerick fluxes by pulling the parts than Fevers, ex­cept by inflammation through pain there be a little fe­ver which seldom follows these Diseases. And if it be so hot it cannot stay so long, to raise corrupt vapors and send them to the Heart to cause a fever: but this being moved and hot by a feverish heat brings forth accidents that signifie Choler as we shewed, of which the fever is rather the cause, than Choler the Cause of of the Fever; which being naturally mixed with the excrements and corrupting with them and sending stinking vapors doth not infect the superior parts.

They say that superfluous flegm in the Stomach, Guts, Mesentery and about the Bowels, corrupting causeth Agues called Quotidians, and if it be glassie or sharp, Epiala's. And some say that the corruption of waterish flegm causeth a gentle Fever in Dropsies cal­led Leucophlegm and Cachecticks. But how can slegm which is cold, get so much heat from putrefacti­on that it may produce sharp and hot vapors, to cause Fevers, because if it be long kept, and the part be hot, it wil turn rather slimy than putrid. And no Authors mention any kind of putrid flegm, moreover these Fevers answer to the three humors excrementitious as they say viz. to Flegm, Choler, and Melancholy. And there is another cause of Epiala in which heat and cold are both at a time. As for the waterish flegm that brings a Fever we shal shew (treating of the serum) that serum is the cause there of and not flegm.

For as Serum or Whey washeth the blood, and by its moisture allay's the heat and the Choler in the Blood, in the Jaundies: So when it is mixed in the Meseraicks with Cholerick blood putrified, in a great quantity it causeth lingring and long bastard Fevers. But this Whey being separated from the blood into the Abdomen that is Belly or Breast, or under the Skin, and there contained a long time corrupting, and turn­ing, stinking, and sharp, as we have often seen it green and stinking, when it hath been let out in Dropsies: It causeth little Feavers, especially when it is near the Heart, being hot and thin, and corrupting the parts that contain it. Such Feavers are in Virgins that have the green sickness, saith Fernelius.

Fleshy moist Bodies, because they easily corrupt, and so have a preternatural heat, beget putrid Fever caused by the humors, which are out of their vessels whether they be Natural as parts of the Body, or con­tained in the Body as a dead Child, or Secundine, or preternatural, as Worms.

Corruption of some parts of the body, Corruption of some parts causeth gentle symptomatical Fea­vers. causeth gentle putrid Fe­vers, if any part of the corruption or Vapor from it get to the heart. And these are of long continuance especially if there be corruption of any noble part or neer the Heart, by which means viz. the continuance of the Fever and corruption of the part, the body consumeth. This corruption be­gins from some humor fixed and stinking, corroding or infecting the part. Or from an Ulcer or Imposthume after Inflammation, or outward hurt, or a Vein bro­ken: We shal shew the reason why this falling in some parts causeth Fevers, in others not.

In the Phthisis or Consumption the Lungs are usuallyulcerated, corrupt, and filthy, and consumed for the most part, and the heart being constantly by their neerness infected, there is a gentle symptomatical Fever, which turns into an Hectick, which from the loss of a noble part makes the whol body lean and de­stroyeth it.

Corruption of the Liver and Spleen, by reason their substance is alike, cometh from the same causes in both, which we find often after Death with great stink; and it brings lingring symptomatical Fevers which pro­duce Atrophy and Cachexy, and the vulgar take to be Hecticks, from the want of blood, most usual in Vir­gins and Children, such Children may have at the time of sucking and in the smal Pox when they refuse drink, and want moisture to cool them, the Liver gro­wing hot, hard or swollen.

Corruption of the Reins causeth no constant Fever, because it goes away by Urin; neither doth the body pine away, for if one Kidney be consumed, the other wil officiate for it, & so a man may be long preserved.

The Brain and the Heart, being noble parts, cannot be corrupted to produce a Fever while a man is living. Though Ulcers have been observed in the Heart, which have caused Death, before a Fever.

Also corruption in the Membranous parts about the Stomach, Guts, Bladder, and Womb, the Mesentery and Cawl causeth a lingring Fever. Also in any part of the body inward or outward, and the farther from the Heart, the corruption is, the more uneven is the Fe­ver and intermitting.

If the Child in the Womb with the Secundine joyn­ed by the Vessels to the Womb be putrified, and conti­nue til the Womb be infected, and other adjacent parts (as I have seen) there is a Fever of the same sort, which disturbeth the body after a divers manner and is long, if the Patient die not.

Also preternatural things bred in the body, Corruption of pre­ternatural bodies causeth lingring symptomatical Fe­vers. as Worms or Flesh joyn to other parts, corrupting and infecting other parts produce the same Fevers which shake and consume the body: but not ex­cept they corrupt; albeit Infants that have live Worms are feverish, and it is like a Synoch from an external cause, sharp not gentle, and as that hath other accidents, so in this Children have Worms.

A great heat with a malignant quality strikeing the Heart, gets constant malignant Fevers, and if it infect others, contagious; thus differing, as the heat comes on­ly from malignity or corruption with malignity.

Corruption with a malignant qua­lity, A malignant pu­trid heat causeth putrid malignant Fevers. not only offending the Heart by it self as we shewed in putrid Fe­vers, but with malignity, causeth malignant, and contagious but not pestilential Fevers, these are in In­fants in the Meazles and smal Pox, seldom in men: but in them it causeth common Epidemical Fevers without Bubo or Carbuncle, or great symptoms, but Head-ach and doting, which destroy. We shal shew how this corruption gets malignity and in what place, and what is the cause thereof.

The place in which this corruption is bred, is the same in which simple corruption is bred in the vessels of the hollow Vein, or in the Meseraicks, or without them; and it is as I shewed in the same humors and bodies.

If blood corrupt in the great vessels of the hollow Veiu, Corruption of blood in the vessels that go to the Heart causeth pu­trid malignant conti­nual Fevers and of di­vers sorts, from the same causes as other putrid Fevers are divers and hath a venemous quality, which is communicated to the heart by the vessels as we shewed in putrid Fevers, disturbing it with stinking and malignant heat, it [Page 201]causeth continual Fevers, dangerous for two qualities. In which if Nature send any of that malignant blood into the pores of the Skin or the Membranes, it causeth Spots and Pimples smal Pox and Measles afore­said, but if not, nothing breaks forth, but some small spots which declare the secret venom and Death. But then these Fevers differ in respect of the corruption and malignity which meet together.

The fevers that come from putrefaction of blood are like putrid Synochs and other continual Fevers, and as the blood corrupted was temperate or distempered, or is neer the Heart, or farther off, the symptoms are better or worse, and the whol course of the Disease varieth. Hence some of these are like Synochs, and have no strong Fits, as in Children of the small Pox; when Nature sends the filth forth, the Fever is milder. In malignant Fevers in men, if the Corruption be not great, and apear not in Urin or Blood, there is great heat, and accidents following. And if the Corruption increase, in an intemperate body neer the Heart or o­ther princcipal part, then it begins with Horror and Heat as other continual Fevers and somtimes it is like a Causon or burning Fever in the symptomes.

From a malign quality joyned with Corruption, if it prevail and weaken the Heart, in regard Nature be­ing hindered cannot valiantly and in order encounter the Disease, it happens these fevers whether less or grea­ter or more hot, keep not a certain motion, nor time by which they are to be known. Yet somtimes they end with a Crisis. Those like Synochs putrid end not so, but by filth sent forth, as in the small Pox.

Choler in the Meseraicks, if it be malignant as wel as putrid, it produceth intermitting malignant Fevers, if it be green blew or black and venemous, Nature of­fended therewith, presently labors to expel it by fluxes or Vomits, and a malignant intermiting Fever is sel­dom seen, but if it come by the long reteining of that malignity, those Stools or Vomitings are deadly.

When humors corrupt out of the Vessels, in regard they can scarce produce simple Fevers; If malignity happen, it begets not putrid malignant Fevers but swounings, Convulsions, and other accidents; and if there be venom which of it self causeth Fevers without putrefaction, then it begets such Fevers which may come only from malignity, of which hereafter.

The cause of this malignant quality in the blood joyned to Corruption, from whence these putrid ma­lignant Fevers arise, is either from things about us, or things taken in and retained.

Air or other bodies about us, if they be not only un­clean but malignant, and we receive the malignity by breath or touching to infect the blood, then it produ­ceth these Fevers, especially when the blood was foul before. When it comes from things about us, it comes from great changes, or exhalations.

Change of Seasons or inordinate great and sudden tempests, foreshewed by Meteors going afore or then appearing, or demonstrated rather than caused, cause these faults in the Air which produce these malignant epidemical Fevers like the Plague. Among these, is a wet spring with much Southerly Wind.

Exhalations stinking and venemous coming from the Earth, Ditches or Pools, and the excrements of li­ving Creatures formerly infected, as sweat, breath, bo­dies, pollute the Air to infect the body, and cause these Fevers, most common to them that live in the place from whence the seed of the infection sprang.

Corrupt Diet which not only fouls the blood, but is malignant, if it offend the blood caused by it both waies, makes not only simple but malignant Fevers, such as they have who have been in a Famine, as the Greek Proverb is, After a Famine comes a Plague.

Corrupt blood long retained in the body, as when it is sent out of the Veins into some part, and turns ve­nemous, causeth such symptoms as they have who are stung with venemous Beasts. Also Blood corrupted in the Veins and growing old where it cannot produce a Fever and malignant, causeth not only putrid Fevers, but malignant and spotted Fevers; these are in some men of impure constitutions when there is no epide­mical Fever, that have been il disposed a long time be­fore. This malignity is known by the sudden failing of strength, spots and other signs of secret poyson. Al so Infants though Nature presently casts forth the ve­nom have such Fevers from the same cause, by which they cast off the filth of blood they brought with them, and after they renew their bodies by Scabs, and Itch, and other natural purgations. This came not only from the Mothers Courses as they suppose because the Child is not nourished in the Womb with impure but good blood, and the excrements gathered to the time of bringing forth, after the Child is born are sent forth by stool not only red and green, but black. But there may be new corruption and venom from change of Diet.

A malignant quality alone, and without corruption may cause a Fe­ver pestilential and venemous. A malignant heat is the only cause of malig­nant Fevers. This quality is seldom seen in the body, but a Corruption went afore it to which it is joyned, such as hath pow­er to strike the Heatt as soon as it is taken, and to in­fect it and the whol body, spirits, humors and parts, getting Fevers like Ephem [...]a's or Synochs, with great weakness alone, or joyned with other D [...]eases. But these Fevers differ in respect of the Poyson taken in. For there are divers sorts of Poysons which strike at di­vers parts of the body, and afflict the Heart, and some inflame it and cause Fevers, and indeed we cannot de­clare what this propriety is, but we know by the effect that it doth so. We shal therefore make two kinds of poysons which cause Fevers from the diversity of the effects which they produce. The one we wil call ma­nifest inflaming poyson, the other secret pestilent poy­son.

We conclude that there is an in­flaming Poyson from stinging and biting of venemous Beasts which causeth venemous Fevers, Inflaming poyson is the cause of malignant vene­mous Fevers. from in­flammation of the whol body, great Thirst, Horror and Shivering, as Nicander and Diosco­rides describe it. Nicander that the biting of the Ser­pent Dipsas inflames the Heart. These Fevers are proper to them that are so stung, and have the afore­said and other accidents. In which if any part of the Ve­nom be sent forth by nature to the extream parts, there are blew spots in the Skin. And sometimes there are Bubo's as in the Plague, as Nicander saith, when they are stung with the Serpent Cerasta, and have great pain in both Groyns; somtimes where the sting is and the poyson entred, there is a Pustle or Inflammation which shews the way by which the Poyson entered.

A Pestilent Poyson of what kind soever causeth a Pestilent Feaver: Pestilent Poy­son causeth Ma­lignant Pestilent Feavers. for there is seldom a Plague, without a Feaver, though in some it is disco­vered only by the Pulse, this is dead­ly and contagious or the cause of Po­pular infection. It is manifest that this Pestilent poy­son comes first to the Body from without, because it striks a Man suddenly. But when it invadeth pri­vately [Page 202]we know not the place whence it came, being internal, except we suspect some body that was infect­ed, and near the Patient. Some say this Venom is in the Air, and gets into the Bodies therewith, either sent from Heaven into it, or by change or exhalations, it is so corrupted, that it hath not only malignity to cause putrid, malignant Feavers, but also Pestilence. But omitting many other Arguments: We shall conclude it not so from hence. That after great and long tem­pests, though there be other Diseases, there is often no Plague, especially where the Contagion of dead Bodies is avoided. And the Plague is many times, when no change of times, or Stars went afore, or is present, as in the year 1564. in that great Plague in Germany no man could accuse the Air of Intemperance. But chiefly, if the Plague should arise from a poysoned Air, every Man that breaths therein, should be infected, because it is the Nature of Poysons, that being contrary to us in their whole substance, they sease upon Bodies how­soever they are disposed. This coming to pass, that the Plague taking but here and there some that are in the same Air, we cannot conclude that it is in the Air and so communicated to Mankind. But it is more probable, that as other Poysons are bred in some Bodies, from the beginning of the World, so this pestilent poyson is not only in some bodies infected, and others not feaverish as yet, but in their Cloaths, and so passeth from body to body, not only by touch­ing but by the Air intervening; This Pestilent Poyson, taken by breathing in, presently strikes the Heart, and makes a Feaver in a moment; Or getting into some part of the Body, gets by degrees into the Heart by secret passages: Or staying there somtimes infects the Body but not with a Pestilent Feaver. But by this the same body or another may be infected sooner or later.

Hence it is that some infected persons flying from the place infected to another, where there is no infecti­on, and there staying, have the Plague after many daies, or infect others before they are themselves infected therewith. As we know by experience, and Fernelius witnesseth, that a Harlot that hath laien with a man that hath the Pox, hath not been infected herself, and yet hath given the Pox to another, And therefore we dare affirm that this Seminary Plague, lodgeth alwaies in some part of the world (as other Poysons do) in some bodies and from thence goes into others, by the way we shewed. As we know the Pox doth, which came first from the Indies, and so crep from body to body to us, and is no where but in mens bodies. And it som­times appears not in some places, and somtimes it doth, and is carried by men from one Country to an­other. So the Plague although it hath long been un­seen in some places, yet being in some bodies upon the Earth, it is derived in time into others, so that it is not necessary when we hear no news of it, to think it is ta­ken out of the World, or that it is newly begot in the Air, when it returns. Although we deny not but that the Air may be infected, and may get into the body, as in Putrid Malignant Feavers was shewed: As the Plague may come from infected bodies by the Air, but that it took the beginning from the Air, we cannot al­low for the reasons mentioned. All which as they are probably to be found in the seat and original of this pestilent Venom, so it is very difficult to explain how this poyson goes from body to body, and why it in­fects one rather than another in the same place, in re­gard this is not done so plainly as in other poysons but secretly: But it is easier to shew, why Fevers differing in nature, accidents and signs should come from thence. All these happen either in respect of the Ve­nom, or the dispotion of the subject body so infected, or in respect of strength.

The contrary effects which cannot come only from the constitution of the body affected shew that Pesti­lent venome, is not all of the same nature: for some Plagues take all or most with one distinction, others only few; others kill all they touch: others are most of them cured. But we cannot describe what lieth hid in the venome that causeth the variety and whence it comes.

To find out a fit disposition of Body, or of the Heart, as Fernelius saith, to receive this poyson is as impossible as to shew the nature of it: because men of all constitu­tions, and those that are not only foul bodied, but pure and sound are easily infected: so that no disposition is required, or if any, it is difficult or impossible to be known, as Fernelius saith and we confess. And there­fore in the former case and this, we fly to divine pro­vidence, which stirreth up this Plague here or there for the punishment of man, and sends it to what place he pleaseth, to kill those he marked out, and to cha­stise others. Yet though we can no otherwise describe this disposition which makes men fit or unfit for the Plague, in regard the Pestilent Feaver is not one and the same that comes from the venom, we can prove that it comes from the diversity of the subject body that is affected. As fire burnes more or less according to the variety of the fuel, so when the Plague is in any body, it hath a different Feaver in respect of the differ­ent constitution.

If it gets into a temperate body (for it spares not such as Children, Virgins, Youths and well habited bodies) it causeth somtimes a mild Feaver like a Diary, only the spirits being inflamed with the Heart, and then the heat and the accidents following are milder, nor is the Urin changed much.

If the Plague strike a Sanguine or Plethorick person then it will be like a Synoch Feaver and the Spirits and Blood will be inflamed with the Heart: in which there is greater heat, and accidents as Head-ach, redness of Face and the like, that disturbe the Patient grievous­ly.

If the Plague seize upon Cholerick persons, then by reason of the heat of the Heart, Spirits and Humors, there is with other Symptoms of hear, Vomiting, Stools, and other accidents from choller which are grievous.

Unclean bodies, especially that have corrupt blood, and subject to Feavers, if they take the Plague, then it is putrid continual and Malignant with great hear and other Symptoms, and then are foul excretions by rea­son of corruption.

The reason why they who have the Plague are in more or less danger, is in the strength as well as the poyson, for strong persons oppose it more then weak. And this is the reason why some have spots and others none: for if nature be weak the poyson will lie at the Heart and no tokens thereof appear. But if nature send it forth, then it inflameth every part it toucheth and burns it red, with pain and impression under the Arm-pits, or Tumors under the Ears, or Carbuncles, which inflamed increase the Feaver. And when na­ture disburdens her self by the pores of the Skin, there are Spots and Pustles: These are caused by the Poy­son sent out by Nature: And are not sent as markes or tokens, as some call them, of the Plague, at its first entrance: for though some appear at the first, Nature doth cause it by expelling from the Heart that which so suddenly smore it: except a Pustle come by touching of a dead body infected, as I once had in my hand, but [Page 203]when I felt the pulse of a man in a mortal sweat, that died of the Plague; and both I and my Chirurgion that was with me had a pustle in our Feet which sudden­ly vanished and though we were infected we had nei­ther Feaver nor any other inconvenience. And in the year 1634. I touched the pulse of a sweating man dy­ing of the Plague, and presently after I had black spots from my middle Finger and the outside of my Hand to my Wrist; yet they presently went away after I had washed my Hands with Vinegar and Treacle. And Bubo's come in the Plague somtimes, not from the poyson sent to the Emunctuaries, but from the heat and pain of some Carbuncle that is near, as in other Inflamations: Yet somtimes they come from both causes, and there are divers in the same, or divers pla­ces, and these being inflamed and brought to suppura­tion joyn a new Feaver to the former. I have by long observation found out these things, having fix times been a practiser in the time of great plagues to the end of them, and been constant to my patients, and there­fore I declare them for Favor of no man, but for Love of the truth.

A fixed constant heat in the Heart and other parts, Heat fixed in the Body, is the cause of Hect­ickes. not mutable or that called fire by the Greeks, which comes and goes without change of tempera­ment, (the parts that were hot returning to their former state) as Fernelius shews may be in the ninth Chapter of his Book of tempera­ments. But when the temperament and proportion of the Elements to use the words of Fernelius are turnd hotter and dryer, so that the heat can scarse be remo­ved or the temperament changed, then Feavers will be continuing long and constant, never to be cured. Hence they are called Hecticks, because they are in the habit of the body, called in Greek [...] and cannot be easily removed, as habit is not easily taken away; And in regard the heat in them is not fiery, as in other Feavers, but a change of the temperament into more hot and dry, as I shewed: thefore they scarce feel the heat, although all similar parts of the Body are chan­ged and dryer and hotter to the touch, and the Heart is perceived to beat quicker and harder. This heat is not alwaies alike, but when the body is more inflamed, as after meat, which they alwaies perceive, or violent motion and other causes, it is increased with the pulse and motion of the Heart. Also the Consumption cal­led Marasmus which follows these Feavers, is not the melting of the body by violent heat, by which means they say some pieces of the body come away by Urin, but falsly, for that is only from the foulness of the Reins and Bladder, and otherwise in the most burning Feaver the parts cannot be so roasted and melted. But this leanness comes from the temperament of the simi­lary parts turned hotter and dryer by reason of the heat of the Heart. And this is the reason why they are not rightly nourished, but fall and pine away in a Con­sumption.

Another Feaver going before it, is the cause of an Hectick, because the heart cannot loose its tempera­ment so much from any other cause then the heat of a violent Feaver, which by its strength and continuance may at length change the Heart. Hence it is that these Feavers come seldom from a simple and pure heat and Diary Feavers. But if they end not in an exact time as they use to do, and turn not into putride, they turn into Hetticks. But more usually they come from pu­trid Feavers alone or Malignant, which last long, espe­cially when the Heart hath been long scorched, and after quenched and then Distemper remain, which caus­eth a long Hectick which consumeth the Body, when the burning Fever is gone. This is not that Fever which while the burning Fever remaineth, so broyleth the Heart by its violent heat, that the whole body is suddenly consumed which is called, A melting He­ctick. Also Hecticks may be produced from long inter­mitting burning Fevers after the same manner. And Fontanonus teacheth, that they may come of continual Fevers when a semi-tertian abides long. Also from o­ther putrid Fevers though gentle, if long, and heat the Heart constantly, may a gentle Hectick follow gentle and lingring putrid Fevers, as in Cachecticks and Consumptions, because the Cause is more neer the Heart. Also they begin and are joyned with Putrid Continual Fevers which are known as we shewed, by the accidents of the aforesaid Fevers stil continuing, and a great or Consumption then was in Putrid fevers; As when an Hectick is joyned with an acute Putrid, Lingring, or Intermitting; This is caused by the dis­position of the Heart, if it be by nature too hot which grows sooner hot and dry by the fevers aforesaid. And by a Heart that is tender and quickly receives other heat which destroies the Natural. For this cause yong Children have often Hecticks, not only after a long but a Diary fever.

The Cure.

The general Cure of all Fevers the Indication being taken from the Disease is moistening and cooling be­cause they are hot and dry. But because the heat is not alwaies the same in every kind of Fever, and the causes divers, the Cure must be divers. The chief kinds are solitary or alone Fevers without another Disease, and these are simple or compound; or accompanied with another Disease. The Cure differs according to the Cause of these three kinds of Fevers.

They are simple solitary Fevers which are of one kind, under which are divers sorts in respect of the di­vers Causes, for which the Cure is different. When they come from a simple or single heat, they are pure and single called Ephemeral and Synochs; when from a putrid heat, they are Putrid, Continual, and Inter­mitting: When from a malignant heat, they are Pu­trid, Malignant, Pestilential and Venemous. When from a fixed heat, they are Hecticks. To these eight kinds we shal prescribe particular Cures.

An Ephemeral Fever Pure, Single or Alone, The Cure of an Ephemeral Fever ends of it self many times the first day before twenty four hours pass, and brings no danger. If it continue longer by some error or greatness of the Cause, it turns to a Synoch, seldom to a Hectick: To prevent which they must be thus ordered by Altering and Evacuating means.

For the Evacuation of the matter which is thin, and and sooty, and dissolves and breaks forth by heat in­creased, by the pores insensibly or Sweat, we shal help Nature those waies, for shee wil of her self do it, if shee be not hindred.

By keeping the body warm, lest the Vapor be struk in.

By giving no meat before the Fever decline lest we hinder Natures motion, or very little and that when the body is weak.

By giving to drink sometimes such things as help transpiration or sweat as we shal shew in the Synoch accompanied.

If the Belly be loose there is less danger of its turn­ing [Page 204]into a Synoch, this is better done by Clysters and Suppositories than by other means.

If the Fever come from a Surfet, or Wine especially, a Vomit wil not be amiss.

Altering things, in regard the heat is small, are not many. If the Air be too hot in the Chamber, it must not be too much cooled but qualified, lest we increase the Fever by sudden sending the heat to the Heart, or by stopping transpiration or sweating. And we refresh them with moderate drinking, if they thirst, by which they wil sweat better.

A simple pure Synoch if it be a­lone, The Cure of a Sy­noch not putrid. although the heat be great, if it be wel ordered departs the third or fourth day at the farthest without hurt either by transpiration or Sweat. If not, it turns to a Putrid or a Hectick. But usually when some blood gets out of the Veins, it produceth Erysipelas, Bubo, or inward Inflammations, as we shal shew in treating of Synoch accompanied.

To prevent these betimes while the the Fever is so­litary, especially lest Inflammations should arise which are very dangerous, we study speedily to quench the blood, and keep it from going out of the Veins, and discuss whatsoever is turned into Vapors, and to cor­rect the greatest accidents, By the things following, observing the constitution whether it be sanguine or cholerick.

Blood-letting is the first thing to cool that Inflam­mation, and to draw it from falling into noble parts, and causing dangerous Inflammations (Fontanonus therefore saith it must be done quickly, and by so say­ing, he affirms my Opinion that these Inflammations go not before but follow a Synoch) Therefore in ple­thorick persons it must be done speedily, if it were o­mitted the first day expecting an Ephemera, the next, because the Fever remaining concludes it to be a Sy­noch. And a general Vein opened, and a great quan­tity taken away, even to swounding in strong pletho­rick persons, as Galen saith. Or which is safest it must be done often. In cholerick and yong persons it must be used sparingly, if there be danger of Inflammation I fear not to open a Vein in a Child of ten yeers old.

Purging is to no purpose, because it takes away none of the Cause, and only inflames the body. But before blood-letting it is good to loose the Belly, By a Cly­ster is the quickest way, and it also cooleth. Thus, Take of the four emollient Herbs, each one handful; Let­tice half a handful, Barly a pugil, boyl them, add Cassia one ounce, or juyce of Beets and Lettice each half an ounce; Honey, Butter, each an ounce; with a little Salt make a Clyster. And this may be given again after bleeding if the body be bound.

Or give two ounces of Syrup of Violets or Roses with water, or simple Diaprunes, or other gentle Electuaries, by which the Cacochymie or evil juyce is diminished. If Nature be accustomed to it, and tend that way, a Vo­mit may be allowed, especially if the Fever come from a Surfet of Wine, or Eating, or the like. And if Cho­ler be hot and troublesome in the Stomach it will help much.

We give also things to quench the heat of the blood, or allay it; and to thicken it that it may not get out of the Veins easily, these are actually or potentially cold; and such as keep away putrefaction, which blood in­flamed is easily turn'd into, to prevent a Putrid Sy­noch. They are sharp, or four things which do both cool and hinder Putrefaction, and are excellent when Choler is much inflamed. Also they take away the bitterness of the Mouth and Thirst. These are in di­vers formes.

Drinking of cold water is good to allay the heat of Blood. This done in abundance to satiety, and blood­letting till they faint, was accounted sufficient for the Cure. But custom and constitution must regulate the quantity of these.

Crude or boyled Water, with Barley, a little Vine­gar, or Juyce of Pomegranates, Lemmons, or the like, to sharpen it, is good to be given instead of Drink.

Also distilled Waters of Purslane, and Sorrel, with the Decoction of Barley, or the Decoction of Lentiles which is best when an Erysipelas appears to send the matter forth.

Also Juleps of Syrup of Currants, Pomegranats, Lemmons, Sorrel, Citrons or Jujubes, are good mix­ed with Waters to thicken the blood, as those usual of Roses, Violets, Maidenhair.

If the Belly be bound Thus. Take Syrup or Julep of Violets (the one is made of the Juyce, the other of the Water of Violets) each one ounce and an half; Syrup of Ribes or Currans one ounce, Barley water six ounces, Bugloss and Sorrel water, each two ounces; make a Julep, with a little Cinnamon or Galangal to sweeten it.

If the Belly be too loose. Take the Alexandrine Ju­lep or Julep of Roses (which by reason of the Rose wa­ter astringeth, the Syrup loosen) two ounces, the Decocti­on of Barley four ounces, drink often.

You may give a spoonful or two of the syrups afore­said.

Put Oyl of Vitriol some drops in Water to make it sharp for a Julep. And the Chymists commend in these fevers the Spirit of Niter, and the Salt called La­pis Prunella or Crystal Mineral in cold or distilled wa­ter in a good quantity.

You may give Conserves thus. Take Conserve of Roses one ounce, Conserve of Sorrel and Barberries, each half an ounce; Candied Citron peels half an ounce, with Syrup of Barberries.

Or thus. Take Conserve of Roses, Sorrel, Barberries, (if the Belly be loose) each two drams; Coral one dram, red Sanders half a dram, with Sugar of Roses, make a Conserve.

We alter by external Remedies to the Heart, Liver, and Reins that are cold, by consent of which parts all the body is cooled.

To the Heart with this Epithem. Take Rose water three ounces, Bugloss and Burrage water each two ounces, Vi­negar of Roses half an ounce, Juyce of sour Apples and Lem­mons, each two drams; red Sanders a dram.

To the Liver with this. Take Endive and Sorrel wa­ter, each three ounces; Vinegar of Roses half an ounce, Spike­nard a scruple, mix them.

We anoynt the Reins with Galens white Cerote or Oyntment of Sanders.

It is good to bath in sweet water in the declining of the fever to refresh and to discuss the Reliques, if after you anoynt with Oyl the whol body or Back­bone.

Friction or Rubbing is also good in the declining of a fever to dissolve the Vapors raised from the hot blood, if it be gentle with a hot Cloth, and anoynt the body with Oyl of Chamaemel.

Sleep Refresheth, takes away Thirst, and provokes Sweat.

For correcting the accidents, let the Diet be thin and nourishing to sustain strength, as Barley-Cream, Ptisans, Almond milk, boyled fruits, with other Cor­dials to restore the Patient.

Let Head-ach, Watching, Doting, Thirst, Driness, [Page 205]of Mouth, Roughness of Tongue be amended as we shewed how. But if the the former things be rightly administred they cease of themselves.

A Continual solitary fever though it hath divers kinds as a Continual Tertian, The Cure of Con­stant putrid Fe­vers. Quotidian, Quartan, and that called inordinate which is most usual, and a putrid Synoch and Causon, yet because their Cause is the same, that is blood corrupted in the Veins, though the species or kinds are different in respect of the place and blood, we shal speak of the Cure of them altogether because most if not all the Remedies may be applied in part to eve­ry one.

As for the Prediction, in regard Hippocrates saith the Judgment of acute Diseases, meaning Fevers is uncer­tain, we must not rashly pronounce Health or Death. But we may declare danger or good hope by obser­ving signs and accidents, and chiefly the Critical daies, and among them those called Indices or declaring daies, to foretel what will be (from the signs) in those daies following good or bad, from whence as the Ancients did, so can we with wariness pronounce som­thing, all things diligently considered: for if the Cri­sis ought to tend to the best, which leads to health, up­on the directory day good must happen, which is the seventh of the first week, & the fourteenth of the second, and the twentieth not one and twentieth of the third. And after in the same order the twenty seventh, thirty fourth and fortieth. These are indicated by the fourth the eleventh, and seventeenth and the rest, alwaies go­ing before them three daies, and therfore are called In­dices. If the Crisis or Judgment ought to be for the worst, which brings Death, the Directory fals upon an e­vil day, which is the sixth or eighth or tenth or twelfth: that is an uncertain Crisis in which the fever abates not at all, and therefore called Imperfect or doubtful, tending to good or evil at its return. This is often the third, fifth, or ninth day. But the Prognostick signs and accidents by which we judg of the event of fevers are these chiefly that follow.

The Urin is to be observed all the course of the fe­ver, because the matter is in the Veins, and therfore it is much changed. If it be Saffron-like, or high as Gold, it shews heat, or purging of Choler by Urin. Black shews greater heat and danger, except the melancho­lick humor sent forth by a critical evacuation cause it. If it be thin, of what color soever, or crude it is worse than thick, if it be perspicuous or to be seen through, whether thin or thick it is good, because it is neer to the natural. Troubled Urin portends no ill, if it come so from the cold Air external, because that which is con­cocted is usually so. if it be pissed so it is evil, except it be critical or a natural discharge; a sediment in the Urin is good if it stay at the bottom, and together, not dispersed, equal, white, and thickish, especially in a cri­tical day. That Urin which is otherwise is worse.

The pulse doth declare chiefly the heat and strength, which the oftener and quicker it beats, especially in the Diastole or dilatation shews greater Heat: And as it is small or great declareth the strength. An unequal, intermitting, creeping Pulse signifies no good.

Difficult Breathing small and strained is not good.

Sweat which the Patient liketh, and wetteth the whol body, and is hot, is good. If it stink and come in due time, it is not hurtful. Cold sweat is ill and a forerunner of Death.

Much Pissing is good, and in a good Critical day takes away the Fever.

Bleeding at the Nose and Courses coming unseaso­nably do not ease, but coming critically cures the fever.

A Loosness, or Diarthaea following, except it help to take away some of the cause, weakneth and is dan­gerous. And black stools shew malignity.

If the sharpness of the fever be constant and the bo­dy burning continually, or if it be dayly, or twice or thrice in fevers called inordinate and quotidians, it is dangerous.

Tossing of the body, restlessness, casting off cloaths, and going to the feet, as Hippocrates saith shews the greatness of the fever and loss of strength. If Sleep cause trouble it is an ill sign according to Hippocrates. When the Temples fall, the Nostrils are sharp, the Tongue dry and black, the outward parts cold, they are evil signs. And a sudden consumption of the bo­dy spoken of in a melting Causon.

Long and often Swounding, Hiccupping, Sighing continuing, Convulsion and Carus, are perverse and deadly accidents.

Though Nature cures continual putrid fevers, The Cure of con­tinual putrid Fe­vers. which only doth it somtimes, yet by the help of a Phy­sitian shee doth it better and sooner. If any part of the cause which maketh it, or increaseth it, be evacuated, and the heat altered, and the strength be preserved to the state and crisis: Let us take away symptoms, if they remain, and be violent which is done by divers means.

Things that Evacuate the Cause which produced, nourisheth and increaseth severs, comprehend by blood-letting, evacuation of Humors and Excrements by stool Urin and Sweat.

Bloodletting (except hindered by fear of Swound­ing and weakness, which appears in a swounding fever by the moving of the Choler in a Diarrhaea) is the the chiefest means to abate the Cause and the Acci­dent.

It wil take away the cause, to open any apparent Vein in the Arm. This is a principal Remedy, because the Cause lurketh in the Blood, and in the branches of the hollow Vein, from whence the blood is drawn; for with the blood some corruption is taken away, as we may plainly see at the first bleeding, for nature throws some of the cause of the Fever into the great Veins in the skin, which makes them swel where it is most: and perceiving this at the first opening of the Vein. I ever thought it best to open the Vein which swelled rather than another, because they all come in one place from the hollow Vein against the Throat, and the Chirur­geons may use this observation rather than those of the the signs in Heaven. Also hereby is the Heat abated.

The time for bleeding is the beginning of the fever, to hinder the increase of the Discases, and to take away some of the Cause while there is strength. And if it be neglected at first, it may be done in the increase. But in the state and heigth, which is sometime sooner or la­ter, we must avoid it lest we hinder the motion of Na­ture: For as Hippocrates saith, if any thing be to move, let it be moved in the beginning, but when the Disease is at a stand, be quiet.

The quantity of blood must be taken according to the cause and the Disease. As for the Cause, if the blood be foul let it run, if not, stop it sooner. And if the foulness was not seen when it ran forth being hot, as it appears when cold and congealed, at it again if need require, and again if there be no hinderance and the strength permits. In respect of the Disease, measure [Page 206]the blood also: in a putrid Synoch, or in a simple, which is in a Plethorick body loose much blood, And in a Causon or burning Feaver, by reason of great heat although they condemne it, who suppose it to come from pure choller which we deny. In other Feavers as the heat is more or less, bleed more or less observing the constitution and strength.

The accidents removed by bleeding, are Head-ach and Doting, which are usual in these Feavers, and the vulgar observe most. In which, because the matter is carried to the Head after a general Blood-letting, bleed at the Feet, and scarifie in the extream parts, to make revulsion. And to derive the matter, open the Vein of the Fore-head, especially in a Delirium or under the Tongue, especially when you fear Inflammation in the Neck, Jawes or Tongue: Also Scarification is good in the Neck and Shoulders.

Somtimes we purge the Humors and Excrements to prepare and remove the cause that nourisheth increas­eth and also produced the Feaver.

The cause may be the retention of Excrements in the Guts and Stomack.

These may two waies hurt, first if they be many the Veins being empty by bleeding, take filth from the Meseraicks which they drew from the Guts. There­fore before blood-letting we loosen the Belly: Second­ly, if we will purge humors, and the Excrements of the Belly be not first cleansed, nor the body as Hippo­crates saith made fluid, the Medicine will be hindered by them and take less of the rest away. And therefore we give Laxatives afore purges. But thirdly and chief­ly, in regard there are divers putrid and chollerick Ex­crements in the Belly, if they be long kept, by their stinking vapors they will increase the heat of the Heart or the parts near, which they can reach unto (for as we shew'd they cannot come to the Heart) and so make the Feaver and its Symptoms, especialy thirst and Head-ach greater. Therefore it is good to prevent costiveness all the time of the Disease with giving Lax­atives: Such as may cleanse and not inflame; tem­perate and moist and cooling. In these following forms.

Clysters work soonest, and are best, and therefore we give them before bleeding, which must not be delayed. These by moisture wash the Guts, and provoke not, nor inflame, as things given at the Mouth, and they bind not after, as usually they do. And they may be given the whol time of the disease, if there be costive­ness by reason of heat, when we dare not stir up nature with other things, as in the state of the Dis­ease.

Make an easie loosning moistning, cleansing cooling Clysters thus: Take Barley and Bran, each a pugil; Mallows, Violets, each two handfuls; Housleek three or four leaves: boyl them, and in a pint dissolve Honey two spoonfuls, Salt butter three spoonfuls, juyce of Beets one ounce: Make a Clyster.

The following is more pricking and cleansing. Take the four Emollients, Blites, Spinach, Beets, Cole, Lettice, each an handful; Marsh-mallow roots one ounce, Pellitory and Mercury, each half an handful; Prunes ten, Linseed half an ounce, Gourd seeds half an ounce bruised: instead of Cold seed, which are usually musty, boyl them and in a pint dissolve red Sugar and Honey, each one ounce; these cleanse and resist corruption, Oyl of Violets three ounces, two yolkes of Egs, Cassia or Diapruns simple one ounce, Tur­pentine of the larke Tree, dissolved with the yolk of an Egg two drams, this is most pricking, with a little Salt: Make a Clyster.

When you will cool more, as in a Causon: Take the Emollients Lettice, Purslane, Housleek and Endive, each one handful; flowers of Violets, Water-lillies and Barley, each a pugil; Gourd seeds half an ounce, Melon seeds two drams, sweet Prunes ten; boyl them and in a pint dis­solve red Sugar one ounce, Honey of Violets one ounce and an half. Cassia half an ounce, juyce of Lettice an ounce, with a little Salt make a Clyster.

If the party be flegmatick or old and the Feaver not violent, such as they called a Quotidian continual, then choose more temperate things, and mix gently hot things and more abstergents or clensers: Thus, Take Mallows, Pellitory, Mercury Beets, each one handful; Bar­ley and Bran a pugil, Raysons and Figs, each twelve pair; Fennel and Carua seed, each one dram and an half; Cordial and Chamomil flowers, each a pugil: boyl them and in a pint dissolve Honey of Roses and red Sugar, each two ounces, juyce of Beets or Mercury one ounce, Oyl of Chamomil and Violets, each an ounce and an half, with a little Salt, make a Clyster.

Suppositories may be instead of Clysters if they can­not be given, these will provoke nature to thrust out the Excrements: the common is that of Honey and Salt; or that of Figs or yolks of Egs and Salt, or a Sugar Violet comfit for Children.

Things are given to loosen before bleeding and pur­ging. Thus,

In a Bolus: As, Take Cassia new drawn, pulp of Ta­marinds, each half an ounce; with Sugar or without it: make a Bolus.

Or: Take Diacatholicon, Diaprunes simple, each three drams; with Sugar: make a Bolus.

In a Potion: Thus, for the Delicate ladies; Take Manna one ounce and an half: give it in Pease broath.

Or: Take Damask Prunes ten, Raysons stoned half an ounce, Dates four, Cordial flowers one pugil, Gourd seeds half an ounce, Melon seeds bruised two drams: make a Decoction, dissolve Cassia, syrup of Roses solutive, each half an ounce: make a potion.

In hot and cholerick persons: Thus, Take syrup of Roses solutive and Violets, each one ounce; Cassia new drawn one ounce; give it.

These may be repeated if the Belly be bound at any time.

Or this which I use: Take Syrup of Roses solutive and of Violets, each three ounces, give it in boyled water like a Ju­lep for constant drink: abstaine from it, if by rumbling of the Belly, or the like signs, you fear a Flux.

If crude Humors are in the Stomack, use the same gentle Medicines, especially because then there is in­clination to Vomit, and if Choller, great thirst and bitterness of tast, and nature must be helped to cast out her enemy: by tickling the Throat, or with gentle Vo­mits which loosen and cleanse and cool.

As this: Take a draught of warm Water, and a little Vinegar.

Or, Take warm Water or fat broath, with syrup of Vi­negar or Oxymel one ounce and an half, common Oylom ounce.

Although bleeding takes away the filth which is the conjunct cause of a Feaver, the best, yet because that Evacuation may be made from the Veins thereby we may provoke stools, Urin and sweat also.

We use purges to cleanse the Guts and Stomack and also the first Veins which causeth corruption in the o­ther: for nature by them provoked draws preterna­tural Excrements from the secretest places to the sink. Therefore after Laxatives and the next after bleeding when the disease is urgent and the matter turgent, and needs no more preparation, we give purges: Som­times after the Feaver hath been some time, after a [Page 207]preparative: But we aovid strong purges that are hot, or we qualifie them that they stir not the Body too violently nor enflame. And though practitioners use not divers purging Medicines in intermitting and con­tinual Feavers, yet because in the well daies when the feaver is absent we may use stronger then in a continual Feaver. And we must alter the purges according to the nature of the Feaver, and moderate them in conti­nual Feavers.

In a Causon called a burning Feaver, they must not be hot but qualified. As: Take damask Prunes ten, Raisons stoned one ounce, Sebestens twelve, Tamarinds one ounce, Dates four, Cordial flowers, each a pugil: the great Cold seeds, each an ounce, of the lesser Cold seeds, each half a dram: boyl them, add if you please Endive and Lettice water to abate heat, and dissolve Manna (which they say being thus mixed turns not so soon into Choller) Cassia each half an ounce; (this somewhat sharp like Tama­rinds and therefore excellent) syrup of Violets one ounce, or of Roses and Violets, each half an ounce: make a Potion.

Or thus stronger: Take Cassia newly drawn and Ta­marinds pulped, each half an ounce; Electuary of juyce of Roses two drams; make a Bolus: or dissolve it in broath or Barley water.

Or: Take Diaprunis and Electuary of the juyce of Roses, each one dram and an half; syrup of Violets one ounce, with Barley or Endive: make a Potion.

After these Scammoniate Medicines, give an ounce and an half, of syrup of Violets with Endive water to quali­fie them, or after the purging to hinder the increase of heat.

Some deny Rhubarb because of its binding but that is not to be feared, if it be infused.

Take Syrup of Violets one ounce and an half, of Roses solutive one ounce, Rhubarb infused in Endive water and strained half a dram: make a Potion.

Or thus: Take Rhubarb four scruples, Spicknard one scruple, infuse them in Endive water and Whey, dissolve therein Manna one ounce, Cassia six drams, syrup of Violets one ounce: make a Potion.

In a putrid Synoch and a sanguine Constitution use the same. Or this: Take Rhubarb, infused in Endive or Sorrel water four scruples, Citrine Myrohalans, infused in Whey three drams, strain and add syrup of Roses Solu­tive two ounces, for a draught.

In Tertians and Cholerick bodies take of hot and strong purges for fear of a Diarrhaea, therefore beware of Scammonials and use the aforesaid mentioned in a Causon, which provoke Choler. As take the De­coction of loosning flowers and fruits, as much as is fit thus made: Take Prunes ten, Tamarinds one ounce; Se­bestens and Jujubes, each ten; Raisons one ounce, Dates five, flowers of Violets, Bugloss and Borage, each one pugil; Gourd seeds half an ounce: infuse in this Decoction, Rheubarb four scruples, Citrin Myrobalans two drams, Spike one scru­ple, strain it, and add Cassia half an ounce, Manna six drams: make a Potion.

Or thus: Take syrup of Roses solutive, with the infusion of Rheubarb one ounce and an half, dissolve it with Bugloss or Endive water.

Or: Take syrup Diasereos (which hath many cooling and opening things) one ounce and an half: dissolve it as afore.

Or thus, to provoke Urin also: Take Succory, Grass and Asparagus roots, each two drams: infuse them in sharp Wine: Endive, Burrage and Sorrel, each one handful; Ta­marinds one ounce, the three Cordial flowers, each one pugil; Senna three drams: make a Decoction, dissolve in the straining syrup of Violets and Roses solutive, of each one ounce.

Or thus: Take Diaprunis Lenitive, and Cassia, each half an ounce; Electuaries of the juyce of Roses two drams, with Sorrel, Bugloss and Violet water: make a Potion.

To Cure quotidians we give things that purge flegm, but in regard these Feavers do weaken much you must purge warily, with the things abovesaid ra­ther then stronger: Yet in flegmatick Constitutions: Take Agarick one dram, Carthamus seeds skin'd three drams: steep them in Oxymel, Endive, Violet, and Mai­denhatre water, add Catholicon one ounce: make a Po­tion.

Or thus: Take Aggregative Pills two scruples, with En­dive water; make Pills.

In continual quartans, add things against Melan­cholly: As, Take Rhubarb four seruples, Indy Myroba­lans two drams, infuse them in Whey, and dissolve that straining with a Decoction of Mercury one handful, Epi­thymum two drams, Senna three drams, add syrup of sweet Apples one ounce.

Before the state of the disease, or when after an im­perfect crisis, the Feaver is not gone, you must again purge, diligently observing: first whether nature en­deavor to evacuate by any other way, as Bleeding, Urin or Sweat, if she doth not before the seventh day, or shew some signs thereof, purge again and open ob­structions.

Thus: Take Rhuharb four scruples, Myrobalans chebs and Indies, each one dram and an half: infuse them in En­dive, Wormwood water and a little white Wine, then strain and add syrup Bizantinus, syrup of Roses solutive, of each one ounce, or with the infusion of Senna half an ounce: make a Potion.

Or thus: Take Diaprunis lenitive six drams, Electua­ry of juyce of Roses two drams, syrup of Roses solutive one ounce, with the Waters abovesaid or the common De­coction.

Or thus in stronger persons: Take Aggregative and Pills of Rhubarb, each one scruple; Pill Aureae half a scru­ple, with Violet water: make Pills.

In the Declination of the disease purge often with the same.

In the begnning of the Disease prepare the Humors, after a Lenitive, or in the progress if the Feaver con­tinue: made with cold things to abate heat, and thin to make humors thick, and that resist putrefaction and that cleanse: adding alwaies openers that the Humors may pass Urin, Sweat or Stools. And these are the better when they suppress heat and are prepared for the Heart and Liver which two parts are most hot. These preparatives are given according to the cause and con­stitution of the sick.

In a burning Feaver called Causon, which is an acute Disease and grants not long truce, we purge and alter with the coldest things.

In Synochus which is usually in sanguin persons, pre­pare the Humors thus: Take syrup of Lemons or of the juyce of Citrons, syrup of Vinegar and Violets, each one ounce and an half; water of Sorrel, Endive, Purslane, Bugloss, each two ounces: mix them, give it three daies together.

Or thus: Take syrup of Pomegranats, Lemons and Sor­rel, each an ounce; of water Lillies half an ounce, Violet wa­ter, Lilly and Lettice water, each two ounces.

Or thus: Take syrup of juyces of Endive, Plantane and Purslane, each half an ounce; Endive, Plantane and Pur­slane water, each two ounces; syrup of Currans half an ounce.

In a Tertian, and in Cholerick bodies, the same things are good, because they allay Choler. Or thus, Take syrup of Sorrel, Vinegar and Violets, each an ounce; water of Sorrel, Bugloss and Endive, of each two ounces; drink it two or three daies.

[Page 208]In Quotidians and Phlegmatick bodies and old folk, Take Honey of Roses, Oxymel, syrup Bizantine, each an ounce; waters of Maidenhair, Succory and Grass, each two ounces.

In quartans and Melancholick bodies: Take syrup of Violets, Bugloss, Borrage and Fumitory, of each an ounce; Purslane, Fumitory, Bugloss and Borrage water, each an ounce and an half: make a Julep for three draughts, all these may be mixed with the Pouder of Sanders, or you may give after every draught a Lozenge of Trion­santalon, or Diarhodon.

Urin must be provoked and sweat, for when the matter is concocted and prepared, nature doth usually send it out those waies, these are done by Aperitives which make thin; but you must observe whether na­ture moveth by Urin or Sweat most; if they piss more then they drink, or the Urin be thick: or if they Sweat, you must provoke that way most to which na­ture inclines.

The Divreticks which open and attenuate, must not be not but moderated howsoever with cooling things.

And somtimes purgers may be mixed therewith if the body be bound. It is done by this Decoction: Take roots of Succory and Grass, each an ounce; Liquorish, Fennel and Parsley, each half an ounce; Maidenhair and Endive, each an handful; Polypody roots six drams, Senna half an ounce, Annis seeds a dram, of the great and smal Cold seeds, each half a dram; Cordial flowers a pugil, Par­sley seeds half a dram: boyl them, dissolve in the Li­quor the sryup of the opening Roots two ounces, syrup of Ro­ses one ounce: make a Potion for twice.

Things that only provoke Urin, may be given three or four times, and then the purgers again. If nature provoke Urin, you may leave out the purgers, least you hinder her intention.

The Decoction of Sparagus in broath, provokes Urin, and juyce of Pomegranats.

And this Julep: Take syrup Bizantive, of Endive, each an ounce; water of Endive, Maidenhair, Wormwood, each an ounce.

If you will open more: Take Honey of Roses, Oxymel, syrup of Maidenhair, each seven drams; Water or Decoction of Grass roots, Sparagus, Succory, each an ounce.

Make an Emulsion to provoke Urin thus: Take seeds of Gourds half an ounce, Melon seeds two drams, Cow­cumber, Pompion, Endive and Purslane seeds, each a dram; beat them, and with Endive water, make an Emulsion with syrup of Sorrel one ounce and an half. The simple Emulsion of the Cold seeds, is also good to take away waterish Humors.

Pills for to provoke Urin, are made thus: Take the troches of Roses, Eupatorium, each half a dram; of Cappars (in Melancholick persons) a scruple, with Smalage water, make Pills: give them every other day, drinking after a little Barley and Fennel water.

Fontanonus gives water of Maidenhair, with Barley and Fennel water only.

If nature incline to sweat, as she doth about the de­cliuing of the disease, she must be helped by art. The Diureticks aforesaid by opening and making thin do help, and other Drinks and Juleps.

Stilled waters alone, being very thin are usually given as we shewed in a simple Synoch, to which the Chymists add spirits of Vitriol two or three drops, or spirit of Niter or of Salt, which strongly resist putre­fation.

Anoynting of the Back and other parts, causeth sweat: Thus, Take Oyl of Chamomil and Dill, each half an ounce: Oyl of Violets and sweet Almonds, each an ounce; wet your Hands first in Aqua vitae, and then use it.

Friction is good also to draw the matter outward.

Altering Medicines, are such as cool and moisten the heat of the fever, and resist putrefaction; These strike at the Cause, and mend the symptoms that come from heat, as Head-ach, Watching, Restlesness. There­fore use Coolers and Moisteners, in all Fevers, especially Violent, when the blood is burnt and putrid. Sharp things are best, for they cool and re­sist putrefaction also, if you add things that open Ob­structions. But there you must not cool suddenly as in a simple Synoch, but by degrees, lest Concoction of humors be hindred, which cannot be made with Cool­ers only, for the corrupt part ought to be concocted. This is done by the means following.

For ordinary drink water is desired and is good to cool, moisten, and allay thirst, it is given Crude, or Boyled, or prepared.

It may be given Crude if the Stomach be not weak; some wil not give it til the humors are prepared. Sometimes there is much given at a Draught, as in a Causon, or Synoch, or Tertian, to quench the great heat, and some by sweating thereupon have been pre­sently cured. And lest it be overcome by the heat of the stomach and turned into Choler (as they say) they give it often. And Averroes saith that he saved many times by giving four pints before Concoction. And if there be any hurt perceived by it, Vomiting cureth it, and laying hot cloths to the belly.

Boyled Water is better than crude in a weak Sto­mach, because it is not so windy.

Somtimes it is compounded with things that nou­rish and resist putrefaction, and make it pierce, or o­therwise correct it.

Barley is accounted the best of Nourishers and Coo­lers. Therefore we give Barley-water, which nourish­eth very little, in a good quantity.

Bread beaten in Water til it be white makes it nou­rishing.

Salt-peter beaten with the white of an Egg in a Spring-water makes a cooling Drink that resists putre­faction.

And so doth a little Sugar used the same way.

Almonds made like Milke with Water in a Mortar is usual in Germany: But it nourisheth too much, and must not be given in great quantity, because little nou­rishment is required, and it is better for Food than a Julep to quench thirst; with cold seeds it makes good Emulsion.

Things that resist Putrefaction are usually sharp and sweet.

Sharp things also cool and are very delightful, Galen puts a little Vinegar in Water, and juyce of Pomegra­nates. Wine of Pomegranates or the like is also com­mended.

Also sharp Syrups mixed with Waters as of Vinegar Sorrel, Lemmons, Citrons, Currants, sour Grapes, Pomegranats, Apples and four Plums, and sharp Cher­ries are good. Things very sharp may be given if there be a Flux as Syrup of Barberries.

The Waters to make the Juleps are of Endive, Let­tice, Succory, Sorrel, and Roses if you will bind.

Some sweet things resist putrefaction, and Sugar more than Honey, which easily turns into Choler, but because usually they hate sweet things, therefore add Syrups that are sweet and sour. Also the Decoction of Currans is usual and good.

Somtimes we add Correctors of Crudities when they are weak, the heat of which is overcome by the [Page 209]plenty of the Water. Cinnamon is most usual being sweet either boyled or infused, or Coriander seed boy­led, or Galangal, red Saunders is good to cozen the Patients when they expect Wine, especially if there be a little Pomegranate Wine to give it a scent,

There are divers Potions and Juleps which alter and correct the distemper of the humor and whol body, to be given all along, mentioned among the Prepata­tives.

And this Decoction. Take roots of Succory, Aspara­gus, each an ounce; Endive, Lettice, Purslane, Liverwort, Ducks-meat, each one handful; Bugloss and Burrage flo­wers, each a pugil; Barley a pugil, Gourd seeds half an ounce, Fleabane seeds (which are very cold) a dram, boyl them, add Sugar and Vinegar, boyl them to a mid­dle consistence between a Water and a Syrup, give two or three ounees alone or with others.

Or thus. Take Endive, Succory, Sorrel, Liverwort, each a handful: Barley a pugil, make a Decoction, strain them, add Vinegar for the Poor, and Syrups for the Rich.

Or thus. Take syrup of Sorrel two ounces, the Muci­lage of Fleabane seeds half an ounce, give three spoonfull often.

Sick People refuse solid things to be eaten and had rather have Drinks for their thirst. but for variety, they may take sometimes dried Confections as the Tablets of Trionsantalon or the three Sanders.

Or these. Take pouder of the three Sanders one dram, Diarrhodon one scruple, the Troches of Camphire half a scru­ple, red Coral half a dram, Conserve of Roses, Violets, Bug­loss, each half a dram; with Sugar dissolved in Rose or En­dive water, make Tablets, give them morning and even­ing and Endive water after them.

Soft Electuaries made of Conserves are given the day after purging to strengthen and correct the heat caused by the medicine, and in the whol course of the fever. Thus made. Take Conserve of Roses, Bugloss, Violets, each half a dram; with Sugar or Rob of Ribes make a Bolus.

This is pleasanter. Take Conserve of Roses and Sor­rel, each an ounce; of candied Citrons, Lettice stalks, and Gourds, each half an ounce, with Syrup of Ribes make an Electuary, give it often, and thereupon a little Endive, Sorrel or Bugloss water.

Clysters when they are bound, are good to loosen and to bring the humors into the Guts, and for to alter, but because they cannot be given cold, they are not so good as other things to cool the Stomach and whol body, and quench thirst, they are better to loosen than cool. They are mentioned among the Loose­ners.

This is best to cool. Take Lettice, Purslane, Violets, Mallows, Housleek, each an handful: Barley a pugil and an half, Cordial flowers a pugil, Guoard seeds half an ounce, boyl them, add Oyl of Violets three ounces, Honey of Violets two ounces, Diaprunis or Cassia an ounce, make a Cly­ster.

Things may be given in the meat to nourish and cool, or for sawce, but the Pacient must rather have them in drink, though the Vulgar love to be cramming them.

Boyl Lettice, Sorrel, Purslane, Burrage, Endive, in Broath, and Spinach or Arrach, or Laxative herbs if need require it is pleasant and good, to take Savory broath, made with Sorrel, Spinach and Arrach and with an Egg and a little sharp Wine, or Vinegar and Water, beaten and boyled a little, pour it upon Sippets of Bread.

Or boyl these forms in Broath. Take Lettice and Sorrel seed, each adram; Melon seed two drams, Trionsan­talon half a dram, Coral a dram, Diamargariton frigidum a dram and a half. make them as big as Fetches.

Make sawces of Orenges, Lemmons, Cherries, Pomegranats, Ribes, unripe Grapes, Barberries, dried Prunes, a little boyled or stoned, sharp Apples and Lemmons, with Sugar and Rose-water.

Also of the juyce of Sorrel, Vinegar, and Sugar and pickled Purslane, with the juyce of Secalis in the Spring, with crums of bread, Vinegar, Cinnamon, and a little Ginger is good sawce.

Outward things are to be regarded, as Air.

That must be very cold by nature or Art, for it is actually and potentially cooling for the Lungs, which being neer the heart, refresheth it much. It is allowed for breathing but not to be naked in (as the Patients desire in the extremity of heat) lest the sweat be struk in. Besides the body must not be inflamed with too many cloaths, especially Feathers or Furs, and there­fore it is good to change the Sheets, and Shirts, and Bed, and lay a Leather upon the Pillow. And to keep away the Sun and company, especially at noon to keep out the Air, and not let it in, but when cool. To sprin­kle the Chamber with Water, and Vinegar, Flowers, and cool herbs, Willow leaves, Vine leaves and Water Lillies.

To the Heart, Liver, and Kidnies, apply coolers, and to the Brain in time of Head-ach, and Doting by reason of heat, and to those parts which consent with the Head, as the Stones. The Heart must be cooled at first in a burning Fever, in others in the increase af­ter the matter is evacuated, because all the parts are in­flamed from thence; adding alwaies things that pro­perly refresh this noble part, and can carry the vertue to it. These are to be applied to the Breast or Wrists in form of Epithems or Oyntments, and to other parts where the Arteries beat, They are thus made.

In a Causon apply an Epithem presently to the Heart, As, Take Rose water two ounces, Violet, Bugloss, and Lettice water, each an ounce; Scabious water half an ounce, Vinegar of Roses or Clove Gilliflowers, half an ounce, juyce of Lemmons or sour Apples two drams, Diamargariton frigidum a dram, mix them for an Epithem, apply it with Scarlet if the heat be great, cold, or otherwise warm.

Another, Take Rose water two ounces, Sorrel, Bugloss, Violet and Water Lilly water, each an ounce; Water of Sca­bious, Balm, Vinegar, White Wine each half an ouncr; juyce of Lemmons, or Orenges or Apples, two drams, Sanders one dram, Ivory and Harts-horn, each half a dram; red Co­ral and precious Stones, each two scruples, Pearl half a seru­ple, Crystal half a dram, Saffron half a scruple. make an Epithem for the Heart and Pulses.

Or bind this Bag to the Wrists and Feet. Take Flo­wers of red Roses, Violets, Bugloss, each half a dram; pouder of Cloves half a dram, of Saunders and Wood Aloes, each a scruple; Saffron five grains, Diamargariton frigidum half a dram, bind them in two little bags, sprinkle them with Wine, Vinegar and Juyces, and bind them to the Pulses.

An Oyntment for the Heart and Pulses. Take Oyl of Violets and Roses, each an ounce; the Mucilage of Flea­bane seeds half an ounce, Gallia Moschata a dram, Cam­phire six grains, Saffron half a scruple, juyce of Lemons two drams, mix them.

Oyntments for the Liver and Epithems to cool it, and strengthen and open it if stopped, for the Liver is hot in Fevers and inflames other parts. Thus, Take Lettice, Water-lilly and Nightshade Water, each one ounce and an half; Rose-water an ounce, Endive and Succory wa­ter, [Page 210]each two ounces; Vinegar of Roses an ounce, Camphire six grains: make an Epithem.

Another better against obstructions: Take Endive, Liver-wort and Succory water, each two ounces; Rose water an ounce and an half, Lettice and Housleek water, each an ounce; Wormwood water six drams, pouder of the three San­ders, Spike and red Rose leaves, each half a dram; Vinegar one ounce, Troches of Camphire half a scruple.

If you add Salt-peter or Lapis Prunellae, these Epi­thems will cool more and resist putrefation.

Also this Bag: Take flowers of red Roses, Violets and Succory, each a pugil; all the Sanders half a dram, seeds of Sorrel, Endive and Purslane, each a dram; Parsley seed half a dram, Spikenard a scruple, sow them in a red cloth being bruised, steep it in Vinegar, Rose and Endive water, apply it warm to the Liver.

After anoynt with Oyntment of Sanders: or with Oyl of Roses and Violets, with Spike and Wax.

Because the heat of the Reins is great, which inflam­eth other parts; use Galens cool Oyntment.

Or thus: Take of Galens cool Oyntment two ounces, Oyl of Violets and Roses, each an ounce; Vinegar half an ounce, Camphyre five grains: Mix them, and anoynt.

The Stones have a consent with the Reins and the whol Body, by reason of many Vessels, therefore to cool them, abates Inflammation of the Body.

Thus: Take water of Plantane and water Lillies, each four ounces; Vinegar of Roses an ounce, red Wine an ounce and an half, wet a clout therein and apply it cold.

Cold washings of the outward parts by reason of the consent and the Vessels under the Skin and the Nerves, do the same and cause sleep.

Thus: Take Lettice, Violet, Housleek, Purslane, Vine­leaves, Willow, each one handful; Poppy heads twelve, or the leaves, if sleep be wanting one handful, Vinegar an ounce, white Wine half a pint, water as much as is suffici­ent, wash the Hands, Arms, Legs and Feet, with the Decoction, warm at night.

It is good to hold cold things as Stones and Apples in the Hand.

It is good in Feavers to keep up the strength, if they are continual and acute, which we must have an Eye at. For when it fails, the Physitians labors in Vain, be­cause it is natures work to conquour a Feaver, and if she yeild to the disease, there can be no perfect Crisis, but it is either imperfect or the Patient dieth in the bat­tel. Strength is preserved, by order in good Air, meat and drink, and the like, and by Medicines.

Air doth much refresh, if it be cool and pure, for then it refresheth and altereth.

Food as it is necessary for sick & sound to restore what is lost, while they live; so it is required here, because the body is dissolved with heat, but because it must be con­cocted by nature by which means she is hindered from concocting the matter of the Disease, especially if any quantity be taken: Therefore let so much serve as will just sustaine and not put nature to too much trouble to concoct it: Let it be thin as Hippocrates shews in acute diseases, and that little nourisheth, and given at certain times. Or extream thin; or indifferent thin: alwaies observing custome which is another nature.

Hippocrates saith that an extream thin Diet is to be used in the vigor of the disease, this the Patient endures best at that time. And it is the better extream to give too sparing a diet at that time then too much, by which the common people think to strengthen nature to over come the disease.

This is the most sparing which is given, but once a day: or twice when of little nourishment.

As Barley broath twice a day in the state only of the Feaver.

Or a Ptisan which is stronger, this is the cream or juyce of Barley hulled and cleansed. And it is given thinner or thicker, as you please, as you desire it should nourish. This allayes choler also.

And also the juyce of Wheat called Starch, or Rice, well boyled doth easier digest and less swel.

The Germans use Hen or Chicken broath with alte­rers. And they are good.

Also cream of Almonds or Emulsions is given not as drink but meat.

That slender diet which is fuller a little then this which Hippocrates saith must be at the beginning and continue to the state, must be also used. But when the exacerbation or fit comes, or a little before, the Pati­ent must not eat, not only to prevent the hindering of natures motion but to keep the heat from increasing which it doth after meat as we shall shew in He­cticks.

The fuller but sparing Diet: is that which is given oft [...]er as twice or thrice in a day, and hath more nou­rishment.

As the beaten flesh of a Chicken well boyled first, and washed with its broath, or stronge broath of the same.

Eggs, because in cholerick persons they quickly cor­rupt, are not to be given rashly: nor Milk, for the same reason, which Hippocrates proclaimes to be naught in Feavers.

To this Diet belong sops in broath.

Prunes, Apples, Peares, not sharp but fresh or new gathered, or throughly dryed, (for then their juyce is most excellent, and therefore the Germans keep all sorts of fruits so preserved and dryed) or boyl'd in their Liquor or syrup wherein they are kept.

The other are made of Plants and are given for alter­ation rather then nourishment, as sower fruits.

Wine is beyond all for refreshing, and is not allowed but in the declining of the Feaver, by reason of its heat, especially when they sweat, and also because it causeth Head-ach which is usual in a Feaver. But in the de­clining it may be given to provoke Urin and refresh, and also a fuller diet, often and of little nourish­ment.

Sleep refresheth, yet of some it is denied all the time of the Feaver while the heat goes outward, least by sleep it should come inward. But it is in vain to fear it, be­cause heat by sleep goes outward rather then inward at which time we see men are more hot and sweat, and also because it allayes thirst. Moreover nature makes better concoction in time of sleep, and is active at that time in overcoming the cause of the disease. Never­theless in the exacerbation or fit of the Feaver it is bet­ter to abstaine from sleep. And at othertimes to per­mit it according to age custome, and as they are well or ill after it, that it be not immoderate or unseasonable. And if the patient be long without sleep, to give and apply things to provoke it.

Frictions instead of excercise, in regard they cannot perform more, do stir up the strength, to expel the cause of the disease.

A resolute mind also, not too sad, especially confi­dence in God and his Minister the Physitian, with hope of safety in this, or the life to come, is a great help to strength.

As for Medicines we have shewed restorers among the alterers, which also hold up the strength: besides which, we have declared many in our treatise of Sow­ning, and in swoning Feavers.

[Page 211]When the strength is wholly dejected give this julep. Take Rose, Bugloss and Scabious water, each one ounce and an half; Cinnamon water made with Wine (for the heat thereof is not then to be feared) half an ounce, Species Diamargariton frigid half a dram, strain them, and add Manus christi perled one ounce, juyce of Lemons one dram, give a spoonful at a time.

Or thus: Take Confectio Alkermes a dram, (if there be no loosness which will be provoked by the Lapis La­zuli in it) syrup of Poppies half an ounce, Cinnamon water two drams, with Bugloss water, give it somtimes with a little added.

The external things to be applied to the pulse and Heart, are mentioned in the alterers.

As for the Symptoms, many of them are mentioned in the Cure of the cause and the disease, though some require a peculiar cure, which shall be shewed in the practice, but here we shall shew briefly how we are to proceed.

Head-ach and doting that follows presently after, which are the chief, are amended with the things that are given against the cause and the disease; because they suppress vapors and burning in the Head. Yet when they are strong we open the Vein under the Tongue, and use Scarification, Cupping and Frictions for revul­sion. And apply to the Head topicks at first to repel, then to asswage pain, and afterwards to discuss as we shewed in the Treatise of Head-ach.

We hinder too much watching or waking with slee­ping Medicines and Narcoticks in time of necessity mixed with Cordials above mentioned, and coolers to correct them because they would heat alone given, and increase Head-ach. If they sleep too much we take it off with revelling means.

Thirst is quencht with cold drink and sharp, many give candied things which cause it by sweetness; Also it is allayed as we shewed by sleep, restlesness is abated with cold things especially drink, and by changing the place which by continuance in they make hot, and by taking cool Air.

We shall shew hereafter the Cure of the Tongue, Mouth and Jaws inflamed, and the quinsie which is in Feavers also of the dryness and clamminess of the Mouth and blackness of the Tongue.

The pain of the Heart is cured by anoynting of the Stomach; The Swoning, as we shewed afore: The heat of the Hypochondria or sides by things applied to the Liver and Reins as we shewed.

For the shortness of breath we anoynt the breast: in a Diarrhaea or Flux we apply things to the belly and give inward things that bind without heat, as syrup of quin­ces: when the body is bound we give Laxatives. If a Hectick is suspected from the leanness of the body we apply to the Heart and Breast, Epithems and moistning Oyntments, and give often the mentioned Cordials, and such as shall be explained in the Cure of the He­ctick.

Intermitting putrid Feavers are Tertians or quartans simple, The Cure of in­termitting putrid Feavers. whereof some have one well day others two: or double which come every other day: and these are either equisite made of a simple Humor, or bastard from mixed Hu­mors of divers kinds. We make no more kinds of these which others mention are either comprehended under these, or not known; we shall speak of Feavers Compounded of intermitting and continual by them­selves.

The judgment of all these is more certain then of continual Feavers: for (as I say) tertian are shorter, if exquisite and in Summer or Spring, but longer if bastard and begin in harvest: quartanes are longest that begin in Autum, they continue ordinarily six months, and somtimes but three, and by want of knowledg are kept somtimes a whol year: All double Feavers keep their own nature.

These Feavers of themselves are not deadly, al­though the exquisite are very sharp, because their cause lycth far from the Heart in the lower belly about the Excrements as we shewed, for whence also it may bet­ter be purged. Except it be carried into the great Veins and cause a continual Feaver, which is danger­ous. It hapens also often that if intermitting Feavers last long or come often, that new diseases follow from hurt of the Liver, Spleen, Stomack and Guts, and greater Symptoms, as the Colick, Jaundies, Drop­sie and the like, by error of the Patient or Physi­tian.

We shall shew the Cure of all, both Tertian and quartans. Because they are all from the same cause that is choller and in the same place that is the Meseraicks: although some have treated of them in respect of di­versity of Humors natural and preternatural, making bastard Tertians, from Citrin, yellow Choller which is mixed with thin flegm or from yolk-like Choller, which is mixed with thick flegm, calling both of them Tertians of greater fame, and call the other a Tertian of less fame, which is mixed with Melancholick juyce, and prescribe a particular Cure for that which comes of green Choller like verdigreese. And will have the divers bastard quartans from, not only the burnt dregs of blood, but from Choller and Flegm burnt. And will have quotidians, not only from simple flegm but sweet, sower, salt, glassie, called Epiala and Lipyria, and say they come from that flegm mixed with Melan­cholly or Choller, and teach a particular Cure for them all: as also of Syncopal or Swouning Feavers as if they were divers kinds. Hence come the many confused treaties of Feavers and the diversity of purges according to the diversity of humors that cause them as they suppose, which if any should follow, they may as soon Cure their patient by leaving the whol work to nature, which often times doth it alone.

Therefore we shal speak of the Cure of all Agues, or intermitting fevers together. First shewing what is to be done, by Evacuations to remove the Cause, and by Al­terers, and Restorers or Stengtheners, and to be obser­ved in Diet. And last what is to be done to the Symptoms.

In respect of the Cause we must take it away, or a­bate it by Evacuations, which we shewed was putrid cholerick blood in the Mesaraick Veins. And if thin be not first taken away, they which go about by other means to hinder the fits and stop their course, and the motion of Nature, by which shee shakes off some of the Cause, as most Empericks and unlearned Physiti­ans do; bring greater Diseases, as Colick, Jaundies, Cachexy, either with the Fever or after it. Therefore first take away the Cause by Evacuations, by which means the heat of the Disease and the symptoms wil be abated, This is done as followeth.

Taking of blood from the mesaraicks, is the chiefest Remedy (because the Cause is in it) to Cure A­gues, as opening the branches of the hollow Vein, is to Cure continual Fevers. But none of the Mesaraicks come to the skin to be cut open, as the branches of the hollow Vein do, nor is it safe to make them bleed by corroding Medicines as hath been done by the use of Coloquintida, whereby the blood is sent into the Sto­mach and Guts, and so forth by Vomit and Stool, for [Page 212]fear of Dysenteries or Bloody fluxes. Therefore we do it thus.

The Flux of the Haemorrhoids cures not only Quar­tans but Tertians of all sorts, though of long continu­ance, when all meanes fail: And it is no marvail, since these Veins are branches of the Mesaraicks, and evacuate, by bleeding, the cause of the Disease. There­fore if the Haemorrhoids bleed naturally, as in some, they must not be stopped, and if little, they must be pro­voked. But in Quartans which last long, it is most pro­per, by reason the blood is thick and best let out this way. especially if nature incline that way by some signs of blood, or itching of the fundament, it must be helped. This is done by beginning with Fomentati­ons and applying of Leeches, which is the best way of all, or rubbing with Fig leaves or the like, as we she­wed in the Hemmorrhoids. Some open them by cut­ting, but this must be warily done, fot fear of a wound in the Fundament, which I have known to cause grie­vous pain.

If the Courses be stopt in Women, although these come not as the Haemorthoids from the Mesaraicks, but from the branches of the Vena Cava, and so seems to take away none of the Cause of the Fever, yet be­cause it is natural, and ought to be at a set time, and though the whol body is made foul thereby, they must be provoked. And so the body wil be clensed, and it wil do as much as blood-letting. Especially in regard nature useth to clense her self this way, and it may be there is some passage from the Mesaraicks to it, by rea­son of their neer joyning. These Veins although by rea­son of their smalness, they open not wide, yet when they are ful they are stretched as the rest. Therfore provoke the terms if they flow not, or flow disorderly, divers waies, first by opening the Saphena, this wil either pro­voke the terms or take away the matter, and although a Vein was opened afore for general Evacuation, yet the next day you may open the Saphena by which means the fever either presently ceaseth or more easily remo­veth with help of other medicines. Also Purges do not only void the Excrements but open the Haemorrhoids and terms as we shal shew.

Somtimes we allow, and somtimes disallow of ope­ning a Vein in the skin. It is to be omitted in exqui­site tertians and others which have great heat by reason of the burning Choler which causeth them. Also in flegmatick persons, and aged, and the rest it is not to be done rashly, as the Vulgar do, who make it the chief [...]art of the Cure: for it can do no good, because it takes away none of the conjunct cause of the fever. But often being done rashly, the matter is snatcht into the hollow Vein, and of an Ague it becomes a fever, or Continual, of Intermitting. Or the pure blood being sent from the meseraicks to fil up the emptiness of the branches of the hollow Vein, that which remaineth behind being cho­lerick & putrid, becomes more fierce for want of good blood to temper it. Hence it is that I observed more hurt than good by opening Veins in Agues (except it be when we fear some inflammation of some inter­nal part. In plethorick and cacochymick bodies we allow it, for these reasons; when the plethory or ful­ness is great, which is known by the constitution, and red and thick Urin, and when there is heat after a fe­ver, it may be allowed upon the wel day. Although somtimes in the beginning of a Fit it hindereth it, by repressing the heat and Vapors that ascend, yet it can­not be good, because the motion of nature is hindered, by which some of the cause of the Disease is taken a­way. Therefore blood must be let in time of rest or intermission, especially in double fevers, not in the be­ginning, but in the increase, or state of the Disease, in Tertians, scarce before the third or fourth Fit which u­seth tobe the greatest, foretelling the greatness of the following fi; lest they think it comes from blood-let­ting choosing the common broad Vein in the Arm, ra­ther than the Liver or middle Vein, let the quantity be from five to eight ounces. In quartans 'tis thought good to open the Vein in the left Arm after they have bin a while for they must be gently ordered at the first, lest they turn double or treble, or the strength do fail which ought be kept by reason of the length of the Disease which it usually hath. Or if you open the Vein called Salvatella next to the little finger in the lest hand, they say it is a special cure for a quartan. We allow a Vein to be opened in Cachecticks or bodies of evil habit because the blood in the Mesaraicks is not only impure, either before the fever begins (for im­pure bodies are easily taken with these Agues) or in the time of the Ague, to take away some of the matter lest the Fever increase, or a new one. And if the blood taken be foul, let it bleed longer and in quartans if it be thick and black blood more, otherwise stop it: and if need require, at it again another time. But lest the the Choler should be more fierce after the blood is taken away, give a little cooling syrup of Lernmons or Violets presently upon it, or a little good Broath.

In Agues or inte [...]mitting severs, we purge the thick humors by Vomit and Purges, and the thin by Sweat and Urin.

First we give things to purge the Guts and clense them, both in the beginning, and in the progress of the Disease.

And this is done before bleeding and other medi­cines, that the medicines following may work better, and lest bleeding should draw the excrements into the Veins.

Clysters do it soonest, as those mentioned in continu­al fevers, but we must alter them according to the Dis­ease and constitution.

In Tertians and very hot fevers they are thus made. Take roots of Marshmallows one ounce, the four Emollients, each an handful; Barley a pugil, Gourd seeds half an ounce, boyl them, and add to a pint and an half, Cassia half an ounce, Honey of Violets an ounce, Oyl of Violets two ounces, with Salt, make a Clyster.

In quartans. Take of the four Emollients, Mecury and Beets, each a handful; Bugloss roots two ounces, Prunes ten, the four great cold seeds, each two drams; Epithymum two drams, Aniseeds, two drams, boyl and dissolve in them Diacatholicon and red Sugar, each an ounce; Oyl of Violets two ounces, Chamaemel one ounce, with Salt, make a Clyster.

In flegmatick persons, when flegm is much in the Guts, use this to clense more. Take Liquorish two oun­ces, Mallows and Beets with the roots, Pellitory and Betony each a handful; Barley and Bran each a pugil; Agarick two drams, Figs ten, great cold seeds each two drams; Fennel seed three drams, after boyling, ad Diaphenicon and Hiera Picra, each two drams; red Sugar and Honey of Roses, each an ounce; Oyl of Violets and Chamaemel, each an ounce and an half; with a little Salt, make a Clyster.

Two or three Suppositories given in a day work somtimes better than Clysters.

If at the beginning the Stomach be disturbed with Crudities, Flegm, or Choler, as we may perceive by the Heart-burning which usually accompanieth it, Loathing and Vomiting, before bleeding or when it is not required when we give a diminishing Medicine, or a Vomit.

Diminishing Medicines clense the Guts and Sto­mach [Page 213]from Crudities and thick excrements: by these as Hippocrates saith, we make the body fluid. These are given in the day of rest, and are not to be choosen with that curiosity we use in continual fevers when the heat is constant. These are of three sorrs as Clysters are.

In exquisite Tertians when the heat is great. Take Cassia ten drams, pouder of Aniseed or Liquorish a scruple, with Sugar make a Bolus: give it alone or with Endive or Succory water.

Or, Take Cassia and pulp of Tamarinds, each half an ounce, Aniseed and Sugar as abovesaid.

Or, Take Cassia half an ounce, syrup of Roses solutive (or juyce thereof) and syrup of Violets, each an ounce; with Succory and Bugloss water make a Potion.

Or, Take Damask Prunes ten, Tamarinds twelve, boyl them in Broath or Water, strain and drink it.

This is stronger. Take Rhubarb four scruples, Spike­nard one scruple, infuse them in Endive water, and dissolve Cassia half an ounce, syrup of Roses solutive an ounce, make a Potion.

In long melancholick quartans. Take Cassia one ounce, pouder of Epithymum one dram, with Sugar make a Bolus, or dissolve it with Bugloss water.

Or, Take Epithymum two drams, boyl it in Broath, and add two ounces of Manna.

Or, Take Prunes ten, Dates two, Epithymum two drams Cordial flowers a pugil, dissolve in the strained Liquor boyled, Catholicon six drams, syrup of Peach flowers an ounce, make a Potion.

This is stronger. Take Confection Hameck one dram and an half, Catholicon half an ounce, dissolve it in Bugloss and Fumitory water.

In flegmatick persons give the same or stronger. Take Catholicon half an ounce, Diaphaenicon two drams, with Sugar make a Bolus.

Or, Take Dates five, Prunes ten, Raisons ten pair, Figs four, Liquorish half an ounce, boyl them, and dissolve Diaphaenicon and Diacarthamum, each a dram.

If they wil rather have Pils. Take Pils of Agarick, Rhubarh or Mastich, two scruples.

Or these stronger. Take Aggregative Pils half a dram, with syrup of Roses make Pils.

A Vomit often doth good and is to be reckoned a­mong these, for it takes away the crudity and flegm of the Stomach, and Choller, also if by the motion of the Feaver it get thither. but if the Body be bound, it must be first loosned, as we shall shew when we declare that the cause may be taken away by the same Medi­cine, where we shall mention Vomits, we must begin with the weakest.

We must also purge to take away the putrid matter of the Feavers from the Meseraicks. This doth it by degrees, and cureh the Feaver, but first we take away the thick Excrements and then prepar the Humors, if it be at the beginning, but afterwards if the matter be much, it seeks away out of it self and needs no prepara­tion. And then natures motion must be helped, but if the Feaver abate not, we must come again to prepa­ratives and purges, three or four times in obstinate Agues.

At the first prepare and purge thus, for preparation is necessary in intermitting and continual Feavers also, because the matter lieth in the Meseraicks, which is foul and needs more preparation and concoction, and we must hinder putrefaction and open the passages, that the matter may come from those Veins into the Guts by Medicines purging, which that they may work better, some anoynt the Hypochondria with Oyl of Chamomil and white Wine. These are divers ac­cording to the Ague and the constitution.

In acute Tertians to allay heat, expel putrefaction and quench Choler. Take syrup of Sorrel and Vinegar, each six drams, syrup of Endive and Violets, each half an ounce, Endive and Sorrel water each three ounces; make a Julep to take three daies.

Or thus. Take syrup of Citrons or Lemmons an ounce, syrup of Endive and Violets, each half an ounce; Endive and Lettice water each enough; give it thrice.

For the Poor. Take Sugar two ounces, Wine-vinegar half an ounce, Decoction of Barley and Endive a pint and an half, juyce of Ribes or sharp Apples an ounce, boyl them, then give it three or four times.

Or this. Take roots of Succory and Dandelion the whol, each half a handful; Endive, Lettice, Liverwort, Sorrel each a handful; flowers of Bugloss and Violets, each a pugil; of the great cold seed, each a dram; boyl them, and in a pint and a half dissolve syrup of Sorrel and Vinegar, each two ounces; or Pomegranate Wine four ounces, give it at four or five times.

In long Bastard Tertians with obstructions; Take Oxymel simple an ounce, syrups of Endive and Succory, each half an ounce, Water of Maidenhair, Endive, Succory, each an ounce; make a Syrup, repeat it three or four times.

Or, Take Oxymel and syrup of Succory compound, each an ounce; syrup of Maidenhair half an ounce, Endive wa­ter and of Maidenhair, each two ounces: mix and repeat them as afore.

Or thus. Take roots of Succory, Grass, Asparagus, Plan­tane, each an ounce; Fennel and Parsley roots, each half an ounce; Endive, Succory, Dandelion, Maidenhair, and Li­verwort, each a handful; Bettony half a handful, the four cold seeds, each two drams; Endive and Purslane seeds, each a dram; Fennel, Annise, and Parsley seed, each half a dram; Barley a pugil, Prunes six, Cordial flowers, each a pugil; boyl them, and dissolve Oxymel simple three ounces, per­sume it with Sanders one dram, make a Julep for three or four Doses.

For the Poor. Take Honey, Water and Vinegar to make it sharp.

In quartans prepare thus in the beginning while the heat is great, for by continuance the heat abateth. Take Oxymel simple, syrup Byzantine each one ounce and an half; syrup of Fumitory an ounce, water of Bugloss, Bor­rage and Hops, each three ounces; give it at thrice.

Or thus. Take syrup of Sorrel, Byzantine, Bugloss, each an ounce and an half, Fumitory, Bugloss, Borrage and En­dive water, each three ounces.

Or this Decoction. Take roots of Bugloss, Brambles, Sparagus, Succory, steept in Wine, each an ounce; Fennel and Parsley roots each half an ounce; Liquorish six drams, Tamarisk bark half an ounce, both Buglosses, the Capillaries, Germander, Groundpine, Bettony, each a handful; Cordial and Broom flowers, each a pugil; Raisons stoned two ounces, Prunes ten, great cold seeds, each two drams; Dodder, Parsley and Endive seeds, each a dram; red Pease a pugil, boyl them, and add syrup Byzantine two ounces, Oxymel simple three ounces, with a dram of Cinnamon, make an Apozem for three Doses.

Purge whether the humor be concocted or no, if it be much, and give an hour after a washing Medicine, of Barley or other Broath, with Sugar of Roses: and the day after, give a Strengthener.

In exquisite Tertians that are short and fiery, and in double Fevers, use mild things. Take Rhubarb four scruples, Spike six grains, yellow Myrobalans rub'd with Oyl of bitter Almonds two drams, Infuse them in Endive water, but first sprinkle them with Wine, after twelve hours strain them, add syrup of Roses two ounces, syrup of Violets an ounce.

Another. Take Cassia half an ounce, Electuary of the [Page 214]juyce of Roses two drams, syrup of Roses and Peach flowers each an ounce, with Endive and Violet water: Make a Potion.

The third: Take Barley a pugil, Prunes six, Jujubes and Sebestens, each ten; Tamarinds half an ounce, Cordial flowers a pugil, Senna two drams: boyl them, add Manna an ounce, syrup of Diasereos or Roses, with Rhubarb an ounce. Make a Potion.

In bastard Quartans and Tertians that are of long continuance, and in a flegmatick constitution: Take roots of Succory half an ounce, Liquorish an ounce, Cordial flowers a pugil, Prunes ten, Polypody six drams, Carthamus seeds half an ounce, Annis seeds one dram, Senna three drams: add Rhubarb infused in white Wine and Endive water a dram, syrup of Diasereos an ounce.

Another: Take Rhubarb a dram, Spikenard a scruple, Agarick infused in white Wine and Endive water a dram, with six grains of Ginger infused in Oxymel, strain them, and add Manna two ounces.

The third: Take Catholicon half an ounce, Dia­phenicon and Electuary of the juyce of Roses, of each two drams; with Bettony and Endive water: make a Potion.

Pills: Take Pills Aggregative a dram, made up with sweet Wine.

A Pouder: Take Rhubarb a dram, Cinnamon half a s [...]uple, Turbith two scruples, Ginger a scruple, Senna a dram and an half: give it with Pease broath.

In Quartans give not strong Medicines while the heat is great: Take Rubarb a dram, Indy Myrobalns prepared two drams, Spike, Cinnamon, each six grains; Epi­thymum two drams, infuse them in Whey, add syrup of Peach flowers an ounce, or that of Apples made by Ronde­letius, which hath Hellebor, an ounce.

Another: Take stowers of Borage, Bugloss and Violets, each a pugil; Ceterach a handful, tops of Time and Epithy­mum, each two drams, Liquorish an ounce, Raysons and Se­bestens, each ten; Annis seeds two drams, Dodder seeds a dram, Polipody six drams, Senna half an ounce, Tamarinds half an ounce, rindes of Indy Myrobalans three drams: boyl them, and add in four ounces, syrup of Peach flowers or of Roses or Senna an ounce, or of sweet Apples.

The third: Take Catholicon half an ounce or six drams, or Diasenna as much, (which is good in quartans) Confe­ctio hamech two drams and an half, syrup of Bugloss and Fu­mitory, each an ounce; with Bugloss water: make a Poti­on.

Vomits albeit they seem to take away only the mat­ter from the Stomach, yet by natures motion they take the conjunct cause from the Meseraicks, and either a­bate or take away the Feaver: and if the Feaver be of long continuance, as quartans, and will not be gone by purges, we give three or four Vomits to Cure them. And it is usual by Vomiting abundance of Choller which is not very safe, for the Cholerick matter of the Feaver in the Meseraicks, as it is taken from the Veins of the Guts by purges, so it is taken from the Veins of the Stomach by many and great Vomits.

Therefore Vomits are approved in all kinds of in­termitting Feavers, especially if there be loathing, custom, or Heart-ach; and when nothing forbids, as binding of the belly; for if that be not open, except the Vomit by violence open it, it will be worse: some disallow them while there is crudity in the Belly as in quotidians, and will not give them before seven or eight daies: And say they are safer after signs of Con­coction, and when Oxymel of squils or the like are mixed therewith to cut the Flegm, but that is little to the purpose for flegm is not the next cause of a Feaver. We have known quartans more cured by Vomits then any other: whence Avicen called Vomits the root of the Cure of Feavers. The time of vomiting is somtimes the well day. And if they Vomit easily, it must be given upon an empty Stomach, otherwise a ful: And before vomiting give broath of Pease, or Chickens, or fat Bacon (as in France:) Radishes, Cole-worts, Salt­fish to cleanse and sweet Wine, and after the Vomit ta­ken they provoke it. Also a Vomit given at first, or in time of the fit and repeated is good and makes the Fea­ver gentler and shorter, especially if it be given a little a fore the fit, for then the feverish matter being moved is easily expelled.

When the person is weak and the heat little, it is pro­voked by gentle things, but in long Agues with strong, as quartans, and flegmatick Stomachs, which can in­dure strongest Medicines. Thus: If the Throat be tickled with the Finger or a Feather or the like it is bet­ter that will serve alone somtimes when they are accu­stomed to Vomit after a ful Stomach. And if after the Vomit is taken it worketh not in a quarter of an hour, give a little Chicken broath and tickle the Throat:

The gentle Vomits are these: Take a large draught of Endive water, and put your Finger in your Throat to provoke Vomiting.

Or: Take Oxymel simple an ounce, or an ounce and an half, or two, or three ounces; and drink it with warm water.

Or: Take Oxymel simple two ounces, the Decoction of Honey and Radish seed in water, six ounces.

Or: Three ounces of the distilled water of green Nuts.

Or: Take Chamomil flowers an ounce, Rosemary and Dill flowers, each half an ounce: boyl them in Radish wa­ter. Rondeletius saith this hath Cured many at the first.

Some approve of the stinking Dock called Lapa­thum, Atriplex and Purslane, so taken.

Or: Take Atriplex seeds, Dill and Radish seeds, each an ounce: boyl them in water, and if the flegm be tough in the Stomach, add Oxymel simple or of Squils.

These are stronger: Take Rocket, Leek and Radish seed, each half an ounce; Atriplex seed two drams, Asarum roots a dram: boyl them, and dissolve two ounces of Oxy­mel simple therein.

Rondeletius highly commends the seeds of Asarum and the roots, and Broom seeds with Cinnamon and Mace, boyled in Wine, according to Dioscorides.

Or: Take roots of Palma christi one dram and an half, give it with Sack, in Poudar.

Take Asarum with the roots half an ounce: boyl them to drink, or give a dram, or half a dram in Wine, or the like. I prepare them thus, I slice and clense the roots and steep them two or three daies in Sack, and dry them in the shade, and keep the Pouder. The Dose is half a dram, or a dram, to the strongest.

Or: Take Phaseoli a pugil, of Dill, Atriplex and Ra­dish seeds, each three drams; dryed Calamints a dram and an half: boyl them, and to four ounces add Oxymel simple or of Squils, if flegm be tough.

Many have been cured by Stibium and other strong Vomits, as white Hellebour: and then they Vomit abundance of flegm, with yellow and green Choller: and there is a great Evacuation from the Meseraicks by nature most stirred up. But because this is dangerous they must not be given rashly to any as Empericks do.

We repeat purges differing according to Feavers oftentimes.

If after purging, an exquisite Tertian double and Acute cease not, it is sufficient afterwards tokeep the [Page 215]Belly open with a Clyster, and to invite nature to send out the humor from the Meseraicks, for which the Cly­ster above mentioned must be often given or a stron­ger.

Or this, every other or third day. Take Barley, Pease, each a pugil; Mallows, Violets, Beets, Atriplex, each a hand­ful; Chamomil stowers a pugil, Annis seeds a dram: make a Decoction, dissolve Honey of Violets, red Sugar, each an ounce and an half; Oyl of Violets three ounces, with the yolk of an Egg and a little Salt: make a Clyster.

If the Feaver cease not give a gentle purging Clyster as broath made of Orach, Violets, Spinage, Mal­lows, or a Potion of Rheubarb or Cassia as above­said.

In bastard Feavers especially long lasting, you must purge a fresh and prepare first, with those above men­tioned used discrnetly and altered if need be,

These Medicines that prepare the way and matter and evacuate are commended, if they are somtimes used and then a stronger given: In divers Formes.

As this Apozem: Take roots of Succory, Asparagus, Grass, each an ounce and an half; Dock and Sorrel roots, each an ounce; Parsley and Fennel roots, each half an ounce; Liquorish six drams, Endive, Succory, round Sorrel, Mai­denhair, Bugloss, each a handful; Bettony, Burnet, each half a handful; four great Cold-seeds, each two drams; An­nis seed a dram and an half, Fennel seeds a dram, Cordial flowers a gugil, Chamomil flowers half a pugil, Prunes and Sebestens, each ten; Tamarinds six drams, Carthamus brui­sed an ounce and an half: Steep the roots in sharp Wine and then boyl them all in water, and while the strained Liquor is hot Agarick half an ounce: boyl a little, ad­ding yellow Myrobalans and Rhubarh, each half an ounce; with a dram of Cinnamon, a scruple of Spike, and three drams of syrup of Roses Laxative, give it every other day a good draught, and according as it works give more or less the next time.

You may boyl the half of it with Sugar, to make it last. And use somtimes the Apozem, and somtimes the syrup, or give it being all a syrup alone or with convenient liquor, or Barley or Pease broath.

While this Syrup is preparing, you may give syrup Diasereos, or of Roses solutive, with Rhubarb.

An infusion in Wine is good because many delight in Wormwood Wine, and Wormwood doth better allay the stink of Senna then anything, and amends the hurt that purges do to the Stomach, and the Wine being opening, helps it by piercing, and the heat can do no hurt being but a little.

Opening Wine is thus made: Take Succory roots an ounce and an half, Grass roots an ounce, Parsley and Fennel roots half an ounce; Orris roots two drams, Wormwood three drams, Germander, Ground-pine, Maiden hair, of each two drams; Sorrel, Liver-wort, Maudlin, each two draws; Cor­dial flowers, each a dram; Annis seeds a dram, Parsley seed half a dram, Senna one ounce and an half, Rhubarb three drams, Spike half a dram, Agarick four drams, Ginger bound in a cloute with the Spike a scruple: pour upon them all of strong Wine, dashed with a little water, and of Endive water five pints (because some part will be drunk up by the ingredients. Let them infuse a night, and boyl in the morning, and cool by degrees, use it as the Apo­zem. Before mentioned, after three or four daies heat it again, to keep it from corrupting.

You may make Electuaries for the same thus: Take Cassia new drawn two ounces, Tamarinds pulped with Endive water an ounce and half, Manna an ounce, Catholicon, Dia­prunis and Lenitive Electuary half an ounce; Rhubarb infu­sed in white Wine til it be soft two drams, Spike a scruple, Senna a dram and an half, (first sprinkled with Wine) Cinnamon and Annis seed, each half a dram, with syrup of the five roots and Succory with Rhubarb: make an Electuary, take first half an ounce to try and then increase the Dose by degrees, give it every other day alone or with Li­quor as he pleaseth.

These are the usual Pills: Take Agarick two drams, Turbith a dram, Ginger a scruple, Rhubarb three drams, Spike half a scruple, Diagredium prepared with juyce of Roses a scruple, extract of Wormwood a dram, with syrup of Roses, make a Mass, take half a dram in the morning fasting every other or third day, drinking after a little syrup of Violets with Endive water.

If the Feaver abate not with these, use stronger as this Potion: Take Liquorish an ounce, Raysons an ounce and an half, Prunes six, Tamarinds six drams, tops of Time a dram, Polypody, Senna, each half an ounce; Cartha­mus seeds six drams, Annis and Fennel seed, each a dram: boyl them, infuse Rhubarb four scruples, Spike half a scruple, Agarick a dram and an half: strain and dissolve Diaphaenicon a dram and an half.

Or: Take Electuary of juyce of Roses, Diaphaenicon, Confectio hamech, each a dram and an half; syrup of Roses, made with the infusion of Senna an ounce, with Wormwood Wine and Endive water: make a Potion.

Or these Pills: Take Aggregative, of Myrobalans and sine Quibus, each a scruple: make nine Pills, with white Wine.

In long Quartans you may somtimes rest a month and then prepare and purge again. The humor being Cholerick and thick, blood is thus prepared: Take syrup of Fumitory and Epithymum, each an ounce; syrup of Violets and of Endive, each half an ounce: waters of Fumi­tory, Bugloss and Endive, each an ounce and an half: add yellow Sanders, and drink it five or six daies.

In Spring when Herbs may be had, or Autumn: Thus, Take of both Buglosses, Hops, Fumitory, each a hand­ful; beat them with two ounces of Vinegar: strain and add the juyce of sweet Apples a pint, with Sugar, drink it of­ten.

Afterwards purge as formerly. Or thus: Take Da­mask prunes ten, Raysons, Jusubes, Sebestens, each twelve; Cordial flowers a pugil, Annis seed a dram: boyl them in wa­ter and white Wine, add yellow and Indy Myrobalans rubbed with Oyl of sweet Almonds, each three drams; Rhubarb a dram, Spike six grains, Senna half an ounce, Epithimum and tops of Time, each a dram and an half; strain and add syrup of Roses solutive an ounce and an half; Catholican half an ounce, Confectio hamech a dram: make a Poti­on.

Or with these Pills: Take Pills Aggregative, of My­robalans and Turbith in Pouder, each a scruple: make Pills with five grains of Ginger and white Wine.

To prepare and purge together, make this Apozem, Take Sparagus and grass roots, each an ounce and an half; Smallage and Parsley roots, each an onnce; Tamarisk and Elder, of each an ounce: steep all in Wine, add Borage, Bugloss, Maidenhair, Ceterach, each an handful; Germander, Ground pine and Bettony, each half an handful; green Mer­cury a handful, Cordial, Rosemary and Broom flowers, each a pugil; Annis and Parsley seeds, each two drams: Dodder and Fennel seed, each a dram; four great Coole seeds, each two drams; Raysons two ounces, Prunes ten: boyl, strain, and infuse Carthamus seeds an ounce and an half, roots of Poly­pody four ounces, Senna two ounces, Agarick three drams, Myrobalans, Indy and Citron, each half an ounce; Epithy­mum and tops of Time, each three drams; infuse them hot, then boyl them a little, add a quart of the juyce of sweet Apples with Sugar and Cianamon two drams: make a sy­rup, give an ounce, or more alone, or with Whey or Bugloss or Borrage water.

[Page 216]You may infuse the same in Wine, allaying it a little with Water, and adding Wormwood, for bitter Wine is more pleasant than bitter Decoctions.

A gentler Infusion is made of dry things thus. Take Grass, Succory, Parsley and Fennel roots, each an ounce; Wormwood, Germander, Groundpine and Bettony, each a dram; Fumitory and Hearts-tongue, each two drams: Cor­dial flowers a pugil, Epithymum and tops of Thyme, each two drams; Anise and Fennel seed each half a dram; dryed Po­lypody roots and Senna, each two ounces; Agarick three drams; Ginger half a scruple, infuse them in Wine and Water, and boyl as formerly. It needs no sweetning, for the scent of the Wormwood must prevail.

An Electuary thus. Take Catholicon an ounce, Dia­senna, Confectio Hameck, each half an ounce; Carthamus seeds peel'd and bruised six drams, Turbith two drams, Gin­ger infused in Oxymel a scruple, Senna two drams and an half, Aniseed half a dram, with syrup of Epythimum make an Electuary, give six drams alone or in Whey.

Or these Pils. Take Indy and Citrine Myrobolans rubbed with Oyl of sweet Almods, each a dram; Rhu­barb two drams, Turbith a dram and an half, Thyme and Epithymum each a dram; Senna a dram and an half, Cream of Tartar a scruple, Ginger and Spike, each six grains, with syrup of Epithymum make a Mass, give two scruples or more as you see fit.

In quartans Pils of Agarick with Juyce of Eupatori­um are good.

And after the use of them they must be purged again every third day.

Also Clysters may be given all along to draw from the Mesaraicks, and to loosen: for by long lying, and heat, and fasting, the belly is often bound: We shew­ed you Clysters of sharp and opening things.

In melancholick fevers use this often. Take emol­lients each a handful; Balm, Fumitory, both Buglos­ses, each a handful and an half; Chamaemel, Melilot, Broom, and Elder flowers, each a pugil; Carua seeds a dram, Faenugreek and Line seed, each two ounces; Bran a pugil and an half, Senna an ounce, boyl them, and add Honey of Violets and Rosemary flowers, each half an ounce; Consectio Hamec and Benedicta Laxativa, each two drams; Oyl of Chamaemel and Violets, each an ounce an half; with a little Salt, make a Cly­ster.

This Clyster is for Bastard fevers, and flegmatick persons. Take Lilly and Marshmallow roots, each an ounce and an half; emollient herbs, Atriplex, Mercury, Baulm, Bettony, each a handful; Figs six pair, Dill and Fennel seeds, each a dram; Carthamus seeds bruised six drams, Senna ten drams, Chamaemel, Elder and Rosemary flowers, each a pugil; boyl them and to a pint, ad Catholi­con and Diaphaenicon, each two drams; Hiera Galeni three drams, Honey and red Sugar, each an ounce; Oyl of Violets Lillies and Chamaemel, each an ounce: with a little Salt, make a Clyster.

Fasting belongs to Evacuations, for by it the humor is kept from increasing, and that which is in the Mese­raicks is taken away by the Guts and Stomach, and so the fever is cured. Thessalus cured fevers with his three daies fast, and Empericks in our time labour to do the same. But in regard the Choler rageth by fasting con­stantly, and hurts the parts that draw it to them, especi­ally when it fasteneth to them producing the Colick, as I shewed, and brings worse Diseases, we wil not rashly presribe fasting against fevers, by which means Sweat and Urin wil be hindered.

The thin humors pass away by sweat, or insensible transpiration or Urin, and cure the fever if the thick matter was first purged. This Nature doth ordinarily of her self, when shee is fit for it. And therefore the Physitian being her servant ought to imitate her when signs of Concoction appear, in the declining of the fe­ver, to take away the remainder, with Purgers, by U­rin, Sweat, and insensible transpiration, aforemen­tioned.

We mix things to purge Urin with Preparatives with an Eye to the fever, and somtime we use them af­ter purging in the declining.

In short and sharp Tertians we use the gentlest, that least inslame, as Melon seeds and red Pease, and Pars­ley roots in broath.

Or Decoction of yong Sparagus in Ale, or an Emul­sion of the cold seeds with Almond Milk.

Pomegranate Wine of the moderate tast provokes Urin.

In Bastard tertians and long feve [...] use these, and stronger as Chicken broath, with Parsley, Fennel roots, Borage, and Pease, and the like mentioned in the Diet.

Or thus. Take red Pease a pugil, Barley half a pugil, Liquorish an ounce, Raisons an ounce and an half; Fennel and Parsley roots, each two ounces; Melon and Gourd seeds each two drams; boyl them in lean Chickin broath, drink it in the mornings.

Or thus. Take Barley water a pint, with Fennel roots boyled in it, and add syrup of Maidenhair two ounces.

Make it stronger thus, if the heat of the Fever be not great. Take roots of Brambles, Sparagus, each an ounce: Fennel, Smallage, and Parsley roots, each half an ounce; Asarum roots a dram, Endive, Liverwort and Maidenhair, each half a handful; Hysop a handful, Fennel seed two drams, the four cold great seeds, each three drams; Pease a pugil, boyl and add Sugar or Honey and Vinegar for old Folk.

This Decoction is admired of some. Take tops of Wormwood two drams, red Pease six drams, boyl and give four ounces after the back is anoynted as shal be shew­ed.

The Decoction of Dill with Rue, Honey-wine or Hysop do the same.

Water of Gentian, Centory, Wormwood, or of Grass, Asparagus, Smallage, Parsley, Lovage, Valerian, may be used instead of the others.

These Pils provoke Urin. Take troches of Worm­wood, Roses, and Eupatory, each a dram; with Gentian wa­ter make Pills, give a dram every day, drinking after it the Decoction of red Pease, Melon seeds and Parsley roots.

White thin Wine with water is prescribed for some in the declining time.

Or this Infusion. Take Fennel and Sparagus roots, each an ounce; Wormwood and Hysop, each a dram and an half; Chamaemel and Dill flowers, each a dram; Fennel seed a dram, infuse them in Wine and Water boyled or otherwise.

In long Quartans you may give the former and stron­ger, if the heat be decreased. As, Take Liquorish, Raisons, each an ounce; Parsley roots an ounce and an half, Asarum roots a dram, Maidenhair, Cetarach, Hysop, each half a handful; Hops a pugil, Sparagus seeds three drams, Fennel seed a dram, Melon seed two drams, red Pease a pugil, Cha­maemel flowers a dram and an half, boyl them in six pints of Water, add Pomegranate Wine four ounces, and drink it mornings with Sugar.

Wine and Water is good against quartans.

And this Infusion. Take the three capillary herbs, each a handful; Hysop half a handful, Chamaemel flowers half a pugil, Fennel and Smallage roots, each an ounce; Asarum roots two drams, Fennel seeds a dram, Dodder seed a dram and an half, infuse them in Wine, give it as afore.

[Page 217]Some give this distilled water every morning two or three ounces for an excellent medicine. Take strong Vinegar three pints, hot crusts of new bread a pound, Gun­powder two ounces, distil them in Balneo.

Or. Take Balm water half a pint, Aqua vitae a pint, the pith of Dwarf-elder half a pound, distil them, and give two ounces every morning and evening.

Also these Pils. Take Troches of Wormwood, Eupato­ry, Rhubarb, each a dram; with syrup Bizantine make Pils, take them as formerly with Pease broath in which Roots are boyled.

Sweating is good if the critical Excretion tend that way, for it helpeth Nature in the declining time to ex­pel the residue. It is done by these following, and the gentlest, if they cause not sweat, cause transpira­tion.

Frictions are good before the Fit two hours, and in the beginning of it when the heat begins to disperse the vapors and heat, and if violent they cause heat.

If Sweat be wiped off often it causeth more sweat.

And boyled Water with Wine and alone in great quantity causeth Sweat. Therefore they who deny Drink to fevers and almost Kil men with thirst, do ill, for it hinders Sweat, and inflames the body, causing a Hectick.

Bugloss water taken in great quantity, causeth much sweat, and is excellent in quartans. And also Fu­mitory, Scabious, Carduus, and Hearts-tongue Wa­ter.

This following Decoction provokes Sweat and U­rine. Take of Barley a pugil, roots of Smallage, Pars­ley, Kneeholm, Sparagus, Nettles each an ounce; Or­ris and Elicampane roots each half an ounce; Bayber­ries twelve, Chamaemel and Dil flowers, each a pugil; Pennyroyal, Calamints, each half a handful, Cummin, Anise, Fennel, and Citron seeds, each a dram; boyl them in much Water, drink it often.

Treacle is given for the same, and the like, which we shal declare among things that hinder Fits.

Also anoynting the back with loosning Oyls doth the same, and other things there to be mentioned.

A Bath is good in long fevers, to provoke Sweat, and refresh, and moisten, of sweet water; in which Barley and moistning herbs are somtimes boyled. This must be used on the wel day, or five hours before the fit, not too hot. And after let the Patient take a dram of Mithridate or Diaboraginatum and sweat in his bed. Thus many have been cured of quartanes.

Altering things resist the heat and driness of the Dis­ease, and are cold & moist, and must be mixed with Re­sisters of putrefaction, things that open obstructions, and strengthen, because these differ not much, we shal distinguish them by Forms and not by Kinds of Fevers.

The best way is to give them in drink for they are refreshed thereby and delight in it.

In the fit because they are then driest, give crude or boyled water as we shewed, or Barley water, but in the fit Barley is too nourishing, therefore give little. that water is best, in which Sorrel and Grass roots are boyled, with steel prepared and Cinnamon, nor must they be kept from drink after the shaking Fit, for as Fernelius and Joubert us in his Paradoxes assirms that if the Patient be not relieved with Drink in his great heat and thirst, there wil follow a melting of the solid parts, and wil they not sweat. In this also there is a moderati­on to be used, lest sudden cooling hurts the bowels, and cause a Dropsie, as in quartans its usual, this is to be re­garded when the stomack is offended with cold drink, for then we give not much but corrected and qualified water, with an Eye to custom.

Out of the fit if the body be little cholerick, and not very hot; we give Wine with Water or Bugloss water in quartans and thin, sharp Wine in Bastard Fevers which rather cools than inflames. And it provokes Urin and strengthens. Therefore some boyl Hysop, and by Galens command Pepper or Cloves. Others give Ale to provoke Urin.

Out of the fit, and in the fit, we give these cool and moistening Drinks following. Take Endive, Sorrel, and Bugloss water, each four ounces; Pomegranate Wine two ounces, with Sugar make a Julep, or sharp Syrup, as of sour Apples, Ribes, Currans, Sorrel or Vinegar.

Or, Take one measure of boyled water, syrup of Lemmons or Citrons, two ounces, syrup of Violets an ounce.

Or, Take Sassaphras three drams, red Sanders and Sortel roots, each two drams; Cinnamon a dram, (with Sugar two ounces, if you wil have it sweet) cut and bruise them, tie them in a clout, boyl them in water, to be gi­ven at any time.

Or this syrup. Take ten pints of Water, Vinegar four ounces, Sugar four ounces, boyl and drink.

The Alexandrine Julep of Sugar and Rose-water, and others metioned in Thirst, the juyce of Purslane is commended by Dioscorides.

There are also divers Electuaries.

Give this the day after purging to strengthen. Take Conserve of Roses and Violets, each a dram; Trion­santalon half a scruple, with Sugar make a Bolus.

In bastard quartans. Take Conserve of Borage flo­wers and Bugloss roots, each a dram; Citron peels candied half a dram, Diamargariton frigidum half a scruple.

Or give a dram of Treacle with half a dram of Con­serve of Bugloss.

In the Fit give we Electuaries to quench Thirst which must not be sweet. These are to alter.

Take Conserve of Roses and Bugloss each an ounce; of candied Citrons pulp and peel, each two drams; Rob of Ribes half an ounce, species Diamargariton half a dram, with Sugar of Roses make a Mixture.

Or this, Take Conserve of Roses, Rob of Ribes, sharp Cherries and sharp Prunes preserved, each an ounce; Conserve of Bugloss half an ounce, give it in time of Thirst.

To alter and strengthen all the time of the disease Take species of the three Sanders with a double quanti­ty of Rhubarb a dram, Diarrhodon Abatis a scruple' Diamargariton frigidum half a scruple, Conserve of Rose and Bugloss roots, each a dram, with Sugar dis­solved in Rose and Endive water, and a little Vinegar: if the heat be great, make Lozenges to be eaten on the well daies.

Sugar of Roses by it self or with other things, is much commended, and that called Manus Christi, and Trionsantalon, and Diacorallium.

In quartans for Melancholly. Take species of Dia­rhodon, Trionsantalon, each half a dram; Diamos­chu half a scruple, Laetificans Galeni half a scruple, with Sugar dissolved in Rose or Bugloss water, make Lozen­ges.

Soft Electuaries. Take Conserves of Cordial flow­ers, each an ounce; Conserve of Hearts-tongue, May­denhair and Ceterach, each half an ounce; candied Citron peels two drams, species of Diarrhodon, Dia­tragacanth frigid, and Diamargariton frigid, each a scruple; with the syrup of Citrons.

Or thus. Take Diabuglossati and Diaboraginati, each an ounce; Letitiae Almasoris two drams, species [Page 218]de Gemis, Aromatici Rosati, each half an ounce, with syrup of Apples.

Or for Melancholy: Take the four Cordial con­serves, each an ounce; Species Cordial for meat, frag­ments of precious, Stones and Pearls, each half a scrn­ple; Gold leaves with syrup of Currans and Cherries or Sower Apples: make an Electuary.

Cooling Pills: Take Troches of Camphire two scruples, with Vinegar: make Pills, give half a scru­ple.

Mollifying Clysters all the time of the Disease do alter.

And also moist Dyet.

Moist flesh, as of young beasts, Veal, Pigs, Kids, Chickens boyled, also brook Fish, seasoned with Pep­per. In quartans rare Egs are good, but in Cholierck sto­machs, they soon corrupt.

Grapes are very refreshing, also Peaches and Pip­pins.

Give bread fopt in broath, and Cream of Bar­ley.

Make broath with Lettice, Borrage, (and Bugloss in quartans) with Endive and Sorrel, such as we prescribed for continual putrid Feavers, and give Bugloss water in broaths.

Make sawce of sower Grapes and Vinegar, Capers and Olives well washt from the Salt and our Com­pound called in High-dutch Sumpist.

Also Confections of sower fruits, and the same crude (except there be other things that hinder) or dryed and softned again are good.

Sallats also of Lettice and Vinegar and a little Oyl and Succory roots boyled and eaten with Oyl and Vi­negar.

Let the Air be cool by nature or art.

Apply Epithems to cool the Liver. Thus: Take wa­ter of Succory and Endive, each four ounces; Worm­wood water two ounces, yellow Sanders and Roses, each a scruple, Spike half a scruple, Vinegar of Roses half an ounce.

Then anoynt with the Cerot of Sanders, Oyl of Violets washed with cold water, each an ounce; Spike half a scruple.

For the Heart, this is a good Epithem: Take Rose­water two ounces, Borage and Bugloss water, each an ounce; Balm water half an ounce, Vinegar of Roses six drams, Cordial species or Diamargariton a dram, Saffron a scruple.

Then anoynt the Heart and Pulses with this: Take Treacle two drams, Oyntment of water Lillies a dram, juyce of Lemons half a dram, Saffron and Camphire each five grains: make a Liniment.

If the Reins be hot: Take the mucilage of Flea bane seeds, made with Rose water an ounce, Sanders two drams, Camphire half a scruple, Oyl of Roses and Violets, each an ounce; with Virgins Wax, make an Oyntment.

A moist Bath of moystning things is good in quartans to alter, and is best out of the fit, if the Ague hath been long. Albeit the vulgar people fear to moisten in in­termitting Feavers, and if they walk but near a River they fear a [...]elapse; And therefore by old Wives super­stition forbid any that are recovered to cross over a Bridge, or go by Sea, or in a Boat, or walk upon new broken up or tilled ground, wheras that moisting of the body in long Feavers, when the heat a little abateth, is good especially if there be a Consumption.

There must be a good course of Diet in respect of food, Air, Sleep, and excercise, to keep up strength, if the Feaver be sharp, least he fall, or to hold him up, if it be long.

The Air must be pure and free and somtimes perfu­med.

Meat and Drink must be thin in the beginning of all intermitting Feavers. In which Avicen teaches that hunger and thirst endured the first week conduceth much to the Cure.

And if they be long and Chronical as bastard Agues and quartans, and they live sparing the first three weeks, they are easily Cured. Afterwards a fuller Diet is allowed, and when the choller grows hotter in Ter­tians and quartans, and they cannot endure fasting.

In the fit we give no food least nature should be hin­dered in concocting the matter of the Disease, and least the food should be corrupted with preternatural heat and the Feaver increased, for we see that after meat it doth as in Hecticks. And then we deny nourish­ing drink, if but of Barley in any quantity, and Al­mond Milk, especially when thick. But if the pati­ent be cholerick and thin bodied, least choller should be enraged or an Hectick follow, we allow even in the fit, a little food, as to Children in respect of cu­stom.

Out of the fit Cholerick persons may eat in the declining of the Feaver, and before it cometh two or three hours; But in long Agues, as quartans, it is good to fast the whol day wherein they have their fit, and let food be given six or seven hours before the fit, or so long time before as a Concoction may be before it come. And this is to be observed in double Feavers that come every day, alwaies choosing that time of rest which is farthest from the fit, and feeding presently af­ter the fit, because the Disease returnes soon. And let it be easie of Digestion, as we shewed in altering things and continual Feavers.

Wine is good in quartans and other bastard Agues, because it refresheth: but give it out of the fit at meat and not immoderately, and if thirst be great, give it with boyled water, white thin and new Wine is best especially in cholerick persons: old wine inflames; you may give red Wine if it be clear and dasht with wa­ter.

Sleep refresheth, in the declining of the fit, as wa­king hurts: and sleeping is hurtful in the beginning of the fit.

In quartans moderate excercise is good.

Passions of minde if sad and immoderte hurt, and pleasant and moderate do good.

We have shewed what Medicines are fit to preserve and restore strength, in the alterers.

The Symptoms abate and depart with the disease: and if any of them be extraordinary, the Cure thereof shall be regarded; either by respecting all the accidents together, by hindering the fit: or by respe­cting that in perticular: of which hereafter.

The Paroxysme or fit is when all the accidents from heat and cold appear; and departt with the fit: which fit and accidents, if hindered there is a Cure in part that is of the Symptome, not of the cause, but of the evapo­ration or motion that inflames the Heart. Things that take away chilness which is the first fit, do this; and then though heat follow the vulgar suppose the Ague to be cured or abated. And somtimes it comes to pass that when shaking, by which means the feaverish mat­ter passeth through the Body, is hindered, then both the hot and cold fit are prevented, and the whol feaver is taken away by giving that which prevents shaking. But this cannot be done safely before the matter be prepar'd and purged; for if the cause remain, though the Feaver cease, worse Symptoms may follow: As Empericks find, who ayming at nothing more but the Cure of the [Page 219]fit, bring Cholicks, Jaundies and Dropsies. And som­times we do willingly according to reason take away eth fit before the cause, if it be so great that it destroy­the strength, or at least abate it with extraordinary Me­dicines, yet so, that we go on still Methodically to take away the cause. And it somtimes hapens, that af­ter the cause is removed there are fits which come from custom or habit: to prevent these at the first when they stretch and yawn, we give things against shaking which we mentioned, when we spake of depraved Motion. Those things do it, either by taking away the matter which getting by degrees into the body, causeth the shaking: or by stupifying the sences, or by heating the body suddenly at first, before the fit comes. All these are to be done warily, and not before preparati­on and purgation, and then you may give either a spe­cifical evacuation, or stupefactive or an alterer or a Me­dicine made of all these together.

It comes to pass often, that by large eating before the fit, that nature removes from the cause of the disease to the Concoction of meat and hinders the fit. Hence the German Proverb Sie haben das feber abgessen.

The same thing is done by evacuations when nature is busie to send Excrements upwards and down­wards.

The fit is hindered by vomiting in the beginning of the fit, because by it a revulsion is made of the matter from the Meseraicks to the stomach, and the Feaver is quite taken away, somtimes by throwing out the cause by the Stomach and Guts.

Gentle purges prevent the fit, the same way (but strong purges are dangerous to be given before it, be­cause they will work in the time of the fit and weaken) as Agarick, Senna, with some alterers. These are the best compositions that follow. A Decoction: Take Epithimum and Time, Polypody and Senna, each a dram; Borage flowers a pugil: boyl and strain, and give a draught afore the fit, with a little Wine. This is best in a quartan.

Or a Pouder: Take Senna three drams, Turbith a dram, Pepper a scruple, Ginger half a scruple, Cinnamon, Myrrh, each half a dram; with Sugar as much as all: make a Pouder for three Doses, give one in white Wine a­fore the fit.

Helidaeus gives a dram of Agarick with juyce of Fu­mitory and Fennel.

Others mix a dram of Diagredium with three oun­ces of Syrup of Violets, and give as much as a Ches­nut an houre afore the fit.

Some give strong bodies the Pouder of Mercury, with strong Vinegar, Treacle and Sugar. And the Chymists instead thereof give Mercurius dulcis, or Mercurius vitae, or Panchymagogum Rubrum.

Stupefiers are given afore the fit because they take a­way the sense of the parts, and provoke sweat.

As Treacle a dram and an half, or more or less in Wine is highly commended; or in wormwood Wine, Carduus, Mints or Rose water, some add Diatrion­piperion, that of the three Peppers, others Mirth as Dioscorides.

Also Panchrestum Nicolai with Wine, or Methri­date.

Dioscorides commends three or four leaves of Hen­bane, with a dram of the seed thereof given in Sack at the beginning of the fit. If you repeat it twice or thrice it is a sure remedy. Also syrup of Poppies given afore the fit prevents it.

Also divers alterers do the same, inwardly and out­wardly, and motion of the Body.

Inwardly we give both hot and cold Medicines.

Hot because they presently inflame the body and drive away shaking, and then the heat which useth to follow the motion of the cold fit either goes away or is abated. And hot things do it by dispersing the matter especially when it is thin. And they cause sweat. But vehement hot Medicines are not to be given before a Concoction of the matter, least the thin be consumed and the thick remain; and of a simple Feaver, there prove a double, or treble Ague, or a continual Feaver. This must be observed in giving of Treacle and other hot things, and Stupefiers above mentioned. Of hot things these by experience are found best. Take Gin­ger half an ounce, Pepper a dram, Nut shels two drams: boyl them in two pints of astringent Wine, and to five ounces strained, add an ounce of syrup of Violets, give it two or three hours afore the fit and cover him to sweat.

Or: Take Gentian roots an ounce, Centaury tops and Serpyllum, of each three drams; boyl them in Wine, and give a draught as abovesaid.

Or thus: Take juyce of Calamints three drams or an ounce and an half of the syrup, give it with Wine and Bo­rage water.

Or this: Take Gentian, Centaury and Plantane water, each an ounce and an half; drink it with a drop of Oyl of Vitrial, or some drops of spirit of Salt or Niter.

Or: Take Plantane a handful, Sorrel half a handful, Vinegar and Treacle, each four ounces; Distil them, give three ounces of the water half an hour afore the fit.

Or give three ounces of the juyce Plantane with an ounce of the juyce of Purslane half an hour afore the fit.

Or this Pouder commended in all Feavers though Pestilential: Take Sugar candy three drams, Ginger two drams, Camphire a dram; make a Pouder, give a dram in hot water. This Crato commends.

Another: Take the Pouder of Cray-fish, Mans skul and Ivory, each a scruple; Cinnamon half a dram, Saffron a scruple, give a dram in Wine.

A third: Take Myrrh a scruple, Pepper six grains, Ginger half a scruple, Sugar three drams, give a dram, or make Pills, with juyce of Gentian.

An Electuary: Take the Troches Rubiae of Nicolas a dram: give it with white Wine: or the Electuary of Asa, in Mesue, Trionphyllon Nicolai. Electuary of Peter Arnold of Villanova.

Or: Take Cinnamon two drams, Pepper a dram, Saf­fron half a dram, Myrrh, Storax, Serapine, each half a dram; Benzoin three drams, Gentian roots two drams with Honey: make an Electuary, give half a dram or two scru­ples, two hours afore the fit.

Coolers do it somtimes and stop the fit, but they are better external, because they must be very cool, which will suddenly hurt the Heart, given inwardly.

Cold water, drunk largely in the fit cures many: Hence the Proverb Das feber abtrincken.

Two ounces of Pomegranate wine given in the fit, removes it, if you anoynt the Pulses with the Oynt­ments following.

A famous Physitian gives the Crystal mineral in a great quantity in Spring, Plantane or Sorrel water in the fit.

Somtimes, External things do it, as excercise, Applications, Injections, Amulets and Superstitious things.

Excercise doth it by heating the body and provo­king sweat before the fit. As Running, Riding, &c. Instead of excercise in weak bodies, you may rub them and cover them warm with cloths, or use Oyntments before the cold fit.

[Page 220]Also Applications to the Wrists, Temples and An­kles are used. They are such as either divert or revel the matter from the Heart, and are sharp: or such as alter the distmper of the Heart, so that it will not easi­ly be enflamed by the vapor, and defend it, being sharp and temperate and cooling somtimes, mixed with piercing things to reach the Heart.

A burning, blistering Medicine is made thus: Take leaves of Crow foot or Dove foot bruised with Salt and Vineger, or the leaves of Thlapsus bruised with Salt and Vinegar, or of Shepheards purse, of Dentilaria Rondeletij, Rue, Savine, Marigold, Angelica, Nettles.

As thus: Take Elder leaves, Rue, Marigold and Net­tles, each a handful; bruise them, with Salt and Vinegar, or apply Garlick and Onyons bruised, to the Wrists.

The more cool are: Take Plantan and Sowthistle, of each a handful; bruise them, and with a little Soot of a Chimney, Salt and Vinegar, apply it.

Or this, which makes a black spot and a little cor­rodeth: Take the inward bark of the Hazel Tree, steep them in Vinegar, and apply it. I have used this often with good success.

Also bread steept in Vinegar and applyed to the Pul­ses.

This Remedy is approved by many: Take a little Oyntment of Poplar tree, and mix it with clean Cobwebs: make great Pills, apply two to the Arms, two to the Feet, and two to the Temples, with a Vine leave be­fore the fit: Repeating them after, if they Cure not at first.

Anoynt the Pulses, Back and Body,

The Pulses, Thus: Take juyce of Rue, Boys piss, each equal parts, wash the Pulses before the fit.

Or: Take Oyl of Chamomil and boyl Spiders there­in anoynt the Pulses and Back-bone, or Oyl of Toads.

For the Back to prevent shaking: Take Oyl of Cha­momil three ounces, Oyl of Bays one ounce, Oyl of Castor half an ounce, Spiders and Earth worms, each ten; Aqua vitae two ounces: boyl them till the Aqua vitae be con­sumed and anoynt.

Mathiolus saith that anoynting from Head to Foot with Oyl in which the balls made of Anthemis flowers are dissolved, cureth Agues.

Some commend the Fume of Cats dung.

Others give Anthemis in Clysters.

There are divers Amulets, these are accounted of many the most infalible, a Spider hang'd about the Neck in a Nut shel. Mouse-ear gathered in the de­crease of the Moon tied in a knot of cloth about the Neck, or to cary the Snail stone, Jasper stone, or to hold a Mole in your Hand, in the time of the fit til it die.

We will omit superstitious Characters and Charms as trifles.

And although we have shewed the Cure of Symp­toms, yet we shall here speak of them as they are in the time of the Feaver.

If watchings and Head-ach by reason of Vapors do offend, we hinder the vapors from rising and provoke sleep. If sleep be too much we look to that.

We use things mentioned among the alterers against thirst and dryness of Tongue by heat and Va­pors.

Evacuations restore Aperite, and when the disease declineth, we study to hinder it least they eate too much.

In Swounding Feavers we look first to the Symp­tom, and if it come from choller in the Mouth of the Stomach, the sharpness thereof must be allayed. And then we give strengtheners.

If there be pain in the Stomach from yolky or Leek-like Choler, or from Wind with rumbling, or from too much drink, they must be cured with things that a­bate sharpness, strengthen, and discuss Winds.

A Loosness often comes from Choler, which must be cured, as we shewed in pain of the stomach, by Clysters, as that of Barley water, and red Sugar two ounces.

There is somtimes a Colick with the Ague, by reason of Choler in the Guts, and somtimes after, when the cause is not removed, and it is cured as I shewed in the Colick. They say it comes from Glassey flegm in the fever Leypira, but we have shewed that a fever cannot come from this most cold humor.

There is often also Cachexy or ill-habit, Dropsie, hardness of the Hypochondria, Oedaeamatous tumors in the Legs, in long fevers by reason of the hurt of the internal bowels, the cure of which is in their places.

In the declining there is a Leanness from Atrophy, or want of nourishment, or from the beginning of an Hectick after a double and acute fevers.

In a quartan often, there is a Tumor behind the Ears.

And sometimes Worms are voided; to which we shal prescribe particular Medicines.

A continual putrid malignant so­litary Fever, The Cure of con­tinual putrid Fe­vers. which is often epide­mical, or simply malignant, called by Rondoletius symptomatical, is cured as a putrid fever that is not malignant, and also a semi-tertian which some account malignant.

As for the predictions, they must be made by the same signs shewed in Putrid Continual fevers. These signs being doubtful in putrid nor malignant, and their Judgment uncertain, are more uncertain here where there is malignity, which so insinuateth it self into the heart, that when signs of concoction appears, the Pati­ent dies of a sudden, unexpectedly. Morover, Nature doth not keep her critical motions so orderly as in fe­vers not malignant, being more oppressed: And there­fore we must be more wary here of pronouncing our Judgment of Life or Death from signs, among which the spots like Flea-bitings, or black, foretel Death.

The Cure of malignant fevers is done, as in other simply putrid. And we take away stil some of the Cause, which is putrid and malignant, and we alter the heat with things that cool and resist putrefaction, and hold up the strength, and prevent other acci­dents.

We Evacuate both blood and Humors, as follow­eth.

We prescribe bleeding by Lancet, or Scarification, as in continual putrid, with respect to the strength.

We purge other Humors, as in other putrid fevers, with things added to resist malignity, such as we shew­ed in malignant fevers, that send out Small-Pox and Meazles.

We also provoke Urin and Sweat, as in others.

We also use Alterers, adding to Coolers, resisters of Corruption, and Cordials, as sharp things, and exter­nal applications.

We keep up the strength by Diet and Cordials, and more in these malignant than in other fevers, therefore allow a little sharp Wine somtimes to refesh.

We correct accidents as formerly shewed.

The Pestilent Fever, or the Plague being a contagi­ous Disease proceeding from an external venemous quality, passing from body to body, by the touch, or by the Air. We shal shew how to preserve the sound, and cure the sick.

[Page 221]Preservation is made by declining the external Cause, The preventing and cure of the Plague. or correcting it, or preparing the body to prevent In­fection. albeit the seeds of the Plague are hidden and pierce into the body unknown to us.

We decline the Cause, by avoiding the place where the Plague is, as sar as our calling, piety, and honesty wil permit, and the Garments and cloaths infected, the Houses and Streets, and in regard we know not where it is, many carrying the seeds of it with them, that are not infected, we avoid the concourse of peo­ple in publique meetings, Bathes, and Dancing-meet­ings. And because infection may be conveighed by dead and living creatures, it is good to go quickly far off, and return at leasure.

We amend the pestilent cause to keep it from infecti­on, or to remove it, by Ayring and washing of coaths infected; some wil wash their money at such a time, before they receive it.

Others that think the infection of the Air is the cause of the Plague, amend that, which we approve, though we say the seeds of the Plague are in the bodies and not in the Air: for some things that purifie the Air purifie the Body, and the Air is often the conveigher of the Plague from one body to another. This is done di­versly, first we remove all putrid and corrupt things that may infect the Air. Some perswade themselves, that the scent of and old Goat evening and morning, prevents the Plague. And therefore they bring up Goats in the stable among Horses, who use to have a kind of Plague, and the stink of the Goats frights away Mice also from those places.

It is good to let in pure Air that is dry, and keep out ill. They say Sparrows and other Birds kept in a Chamber, purge the Air, and that Birds will not stay about infected places. Also good fire purges the Air by which Hippocrates stopt it.

Also Fumes of any scents correct the Air, as Juni­per, Savine that beareth berries, or Bayes, Rosemary, or Agnus Castus. Or make fires of Oak, Vine, Osi­ers, with Rue and Juniper.

Some burn Juniper berries upon Coals, Mastich, Frankincense, Amber, Cloves.

Or these troches. Take Benzoin and Storax, each half an ounce; Juniper or Berry-bearing Savin a dram, Angeli­ca roots a scruple, with Gum-traganth infused in Rose-wa­ter and a little Musk, make Troches for a fume.

Or these Candles which smaok. Take Myrrh and Frankincense, each two drams; Benzoin, Storax, each three drams; Labdanum a dram and an half, Amber half a dram, Juniper berries two drams, dried Pomegranate peels a dram, Citron peels and Sanders, each half a dram; Juniper a dram, Wood Aloes and Cloves, each a scruple; Char-coals made of Willow or Tile tree as much again as all the rest, with Infusion of Gum traganth and six grains of Musk make black Candles.

Perfumes not burnt are thus made. Smel to Rue, Citrons, Lemons, Orenges, or a spunge or rag dipt in Vinegar and Rose or Rue water.

Or thus. Take bruised Rue a pugil, and with Vinegar take out the juyce, add Angelica roots half a dram, Cam­phire and Saffron, each half a scruple; with a Spunge as be­fore.

Or this Balsom, to anoynt the Nostrils or Lip, made of Oyl of the seeds or roots of Angelica drawn with with Wax.

It is good to carry sweet Apples or Balls in the hand. Take roots of Angelica and Myrrhis, each two drams; Ze­doary half a dram, red Roses a dram, Lavender half a dram, Angelica, Nigella, and Coriander seeds, each a scruple; seeds of Basil half a scruple, dried Citron peels two scruples, Nut­meg and Cloves, each half a dram; Cinnamon, Wood Aloes, Juniper and Storax, each half an ounce; Benzoin two drams, Myrrh a dram, Camphire six grains, with the Infusion of Gum traganth made in Rose or Angelica water, make a Ball, and add a little Oyl of Cloves or of Angelica seed, and roul it over with a little muskefied piece of Silk or Cot­ton.

It is good to wash the Face, Hands, Armholes, Pri­vities, with Vinegar of Roses, or Rose-angelica, or Lavender water, with a little Camphire, or the water of Citrangle flow­ers called Aqua Naffe.

Droetus drops perfumed distilled waters into the Ears And perfumes the Garments, and adviseth perfumed Gloves or Bags in the bosome, of Ciprus and Violets in Pouder.

Or thus. Take roots of Angelica half an ounce, Orris roots two drams, Coriander seeds, Juniper, each a dram; Benzoin and Storax, each two drams; with Musk or Am­ber if you please, make a Pouder.

We preserve the body by keeping the humors from violent motion and inflammation, and by avoiding repletion and impurity, with Antidotes.

Let men take heed of inflammations at the time of the Plague, which wil soon receive a Fever or malig­nity.

Let them take heed of too hot Air, as Baths by which many have been infected.

And of violent motion by Running, Leaping, or Dauncing, and of violent passions as Anger, Joy, &c.

And of hot meats and Wines immoderately taken, but let them be corrected with cold sharp things.

It is naught to stir the humors, for then they are soo­ner infected by external causes. And Fear causeth the Infection to seize upon men sooner than when the mind is quiet. Also Venery is denied by reason of the imagination. Also much unseasonable bleed­ing.

All Repletion is forbidden, for though every body is capable of the Plague, yet plethorick and cacochy­mical are soonest infected: Therefore keep the body clean, and clense it if it be foul.

Thus Blood-letting is good in men, if the body be plethorick, though it must not be done rashly in young men who are subject to the Plague most, lest the hu­mors be disturbed.

If ill humors abound, give a Clyster every other day.

In Cacochymicks purge, but trouble not the humors too much, but use gentle things, accustomed in Spring and Fall after preparation of the humors abounding, adding things that resist the Plague and putresaction.

Pils are best that have Aloes called pestilential Pils of Ruffus the Author of them. They are thus made right. Take Aloes, Ammoniacum, Myrrh, equal parts, with sweet Wine make Pills.

Since, they make them thus. Take Aloes a dram, Myrrh and Saffron each half a dram: with Wine or for hot natures with syrup of Lemmons make Pills, to which you may add divers Antidotes.

As these that are good to open obstructions in the Meseraicks. Take Extract of Gentian a dram, the lesser Centory and Carduus, each half a dram; Rue, Wormwood, each a scruple; Pouder of lesser Centaury four scruples; Tro­ches of Myrrh a dram and an half, Troches of Eupatory and Capars, each a dram; Troches of Wormwood half a dram, with Elixir of propriety make a Mass, give a dram twice in a week.

These Purge more: Take Aloes two drams, Rhubarb, [Page 222]Myrrh, each a dram; Zedoary, Saffron, each a scruple; with juyce of Citrons, or Limons: make a Mass for Pills.

Or: Take Aloes three drams, Rhubarb in pouder and sprinkled with Cinnamon water one dram and an half, Aga­rick in Troches a dram, of the best Myrrh and Gum Am­moniack, dissolved in Vinegar, each two drams; Saffron half a dram, Camphire a scruple, Oyl of the roots of Master­wort two drops, with Vinegar: make Pills.

These may be used twice or thrice in a Week half a dram or a scruple, made into two Pills, the one at night and the other in the morning, they may be given to Children, if they can swallow them.

These are stronger that follow to be given in foul bodies and seldomer: Take the former mass, with Aga­rick or Rhubarb, add Aggregative pills a dram, Diagri­dium a scruple, with syrup of Roses: make Pills.

The Antients gave Pills of Turpentine instead of Ruffi, And we give Rosin of the Larch tree, which purgeth very wel: Thus, Take Turpentine Rosin, or Laricea boyled, that it may be poudered, Rhubarb sprinkled with Cinnamon water, each two drams; Turbith a dram, Ginger half a scruple, with pouder of Liquorish, make a Mass, give a dram or more, as you desire to Purge.

A dram of Turpentine, dissolved with the yolk of an Egg and Carduus water purgeth well.

Divers Potions also may be made for the same: As, Take Triphera Persica (commended by Mesue) from half an ounce to six drams, with Scabious, Carduus and Sorrel water, mix it, and give the same every fifth day.

You may give infants Manna in broath or Rhubarb, thus, Take the extract of Rhubarb, with juyce of Roses and Sugar and Sorrel water, make Lozenges. Droetus makes candied Rhubarb for Children.

There are many Antidotes mixt with Rhubarb and Triphera.

In very foul bodies give stronge purgers of Diagri­dium, Coloquintida, roots of wild Cucumber, Arme­nian Earth, Stibium.

As this pouder: Take the Troches of Alhandal, Dia­grydium, Turbith, each a dram; Euphorbium a scruple, Mastick half a dram, Saffron a scruple, Snake weed roots, and Burnet, each half a scruple, make a Pouder, take half a dram, in convenient Liquor.

Or this Electuary: Take wild Cucumber roots, Smal­lage, Coriander and Housleek with Honey and Pepper: make an Electuary, give as much as a smal Nut. This is highly commended of Honoratus Castellanus for pre­venting and curing the Plague.

As the true nature of venom of the plague is yet un­found, so is the true Antidote, but experience hath found out more then reason. Therefore we give that which is good against poyson in general: The chief and approved shall be set down. Either as they are eaten, chewed or applied to the pulses or Heart, or used as Amulets.

Of Antidotes taken in, they are either very hot, or less hot, or cold, rather then temperate, given with re­gard to the constitution and Age, and the hottest are not to be given rashly as Euphorbium and Aqua vitae which prooves water of death somtimes to young peo­ple: some are given in a liquid form to drink, as this Decoction. Take roots of Tormentil and Burnet, each an ounce; roots of Valerian half an ounce, roots of Elicampane and Angelica, of each two drams; of Galega leaves called Goats Rue, and Sanguisorba, each a handful: boyl them in Wine and Water, add a little Vinegar and Saf­fron.

Or this infusion in Wine, to take away ill tast. Take roots of Tormentil, Dittany, Endive, Burnet, each an ounce and half, Valerian, Masterwort and Angelica roots, each an ounce, Snake weed and Gentian roots each half an ounce; leavs of Carduus and Cortander seeds each a dram, Cinnamon three drams, slice and infuse them in sour Wine or white Wine and Vinegar, drink every morning often here­of.

Sheeps Milk drunk fasting, is an Antidote commen­ded.

Presbyter Vesantinus Ydeleyus, that often attended in Plague times, in his book of the Plague, highly com­mends the drinking of a mans own Piss, in a morning fasting; and instead thereof the Chymists have a Bal­some of Urin more pleasant.

In Sawces and Sallats use sowre Herbs and Juyces, as Vinegar, Citron juyce, Ribes, green Grapes, Pea­ches, Cherries, Prunes, Apples.

Also the juyce of Clove-gelli-flowers, or Vinegar thereof juyce of Goats Rue, with Treacle, according to Mathiolus, juyce of Vervain, with Wine or Broath, and juyce of Onyons, are given divers waies.

It is good to have things by, that will last in time of Plague, at hand.

As Inspissate juyces, called Rob by the Arabians, or extracts by us, as of Carduus, Vervain, also the ex­tract of Juniper is good and usual, Infants may take it, it is so pleasant.

And Syrups with Sugar, thus. Take Vervain, Scabi­ous, Goats Rue, each a handful; Juniper berries a pugil: boyl them in water and a little Vinegar and with Sugar, make a Syrup.

Also Conserves, or Preserves, or dryed and can­died with Sugar, Honey, Vinegar and Salt may be kept.

As Zedoary sliced and eaten in the morning or drunk with Wine.

Or CLoves steep'd in Vinegar.

Citrons or Oranges candied,

Or Vervain eaten in the morning.

Roots of Tormentil with Harts-horn and Vinegar or candied with Sugar, and Burnet.

Also Sorrel, Bugloss, Borage and roots of Moulin are so prepared.

Also roots of Butter-bur, steep'd in Vinegar, and roots of Myrrhis and Juniper berries steeped in Vine­gar.

Or thus mixed: Take Rue, Sage, Plantane, Bay-ber­ries, stamp them with Vinegar, eat a spoonful every morning with a little Bole Armenick.

The Antidote of Nuts is thus made, for the whol Family. Take Nut kernels, Rue leaves and juniper-ber­ries, stamp them with Vinegar.

Another commended made by Apolonius, or by Mi­thridates: Take four ounces of Nut kernels, three ounces of Figs, dried Rue two drams, with Vinegar and Salt, o [...] Ho­ney, if they have sweet things mix them.

A greater Composition thus. Add to the former, Tormentil and Burnet, each half an ounce; Bole Ammonick prepared six drams, Saffron a scruple, with Vinegar, Salt and Honey. You may add also some of the following Pouders, and Mirrh.

We make divers confections of pouders and all the rest into Lozenges for Antidotes. These are either tem­perate or more pleasant, or unpleasant, bitter and stupi­fying.

The temperate confections are for Infants, Women with Child and dainty Persons, they move not the body, and hurt not by long use.

As Diamargariton frigid, the cordial Electuary of [Page 223]Nuts and Angelica Confection of Hyacinth made by Falcon against the plague. Also Bezoatrick pouders. The Chymist extol the specifical Elixir pestilentiall of Crollius, also the Gold spirit of Life made with Cam­phire. Thus made: Take of the best spirit of Wine a pint, Camphire eight drams, if chosen in Summer, ten in Win­ter dissolve it in the spirit of Wiue, and hang in it after Saffron half a scruple, give a spoonful every mor­ning.

This confection is also good against Worms: Take of Bole Armenick prepared, with juyce of Lemons two drams, shaving of Harts horn half a dram, Citron seeds peel'd a scru­ple, Tormentil roots a dram, Diamargariton frigid half a dram, Sugar dissolved in Sorrel and Purslane water, make Lozenges, or with Syrup or Honey an Electuary.

Another Composition: Take Citron and Sorrel seeds, each a dram, Basil seed a scruple, Tormentil roots a dram and an half, Angelica roots half a dram, Bole prepared two drams, Coral half a dram, Pearl a scruple, shavings of Ivory a scruple, Smaragds and Hyacinths, each half a scruple; Cin­mon a dram, all the Sanders half a dram, Sugar six drams: make a Pouder, or dissolve the Sugar, and make Lo­zenges, or an Electuary.

I made in the year 1593. in the Plague time a stron­ger Pouder, thus: Take Bole prepared half an ounce, Coral two drams, Amber a dram and an half, Ivory and Hearts horn, each half a dram; Tormentil roots a dram and an half; roots of Dittany, Carline, Burnet, Angelica, Ma­ster-wort, Myrrhis, each a dram; of round Birth-wort, Ze­doary, Limon peels, Cloves, each half a dram, Cinnamon two drams, Sorrel seeds a dram, Carduus, Angelica, Bazil and Coriander seeds, each half a dram; Citron seeds a scru­ple, Saffron half a scruple, red Roses, Vervain, Rue, Scor­dium, Carduus, each half a dram; Goats Rue a dram, Species Diamargariton frigid a dram, make a Pouder, give a dram with an ounce of Sugar, in any form. If you add of Camphire to these pouders, about a dram, they will be stronger, but not so fit for Women with Child and Children.

Musk and Amber-greece are Cordials and perfume the rest.

For Infants these simples troches: Take roots of An­gelica half a dram, Bole prepared with juyce of Lemons half an ounce with Musk, Sugar and the infusion of Gum-Traganth: make Troches.

A Compound Pouder with Musk. Take roots of Angelica, Myrrhis, Master-wort, each two drams; roots of Tormentil, Burnet, Dittany, Scorzonera, Vincetoxicon, Cross wort, Devils bit, Elecampane, Zedoary, Galangal, each a dram, roots of Birth-wort, Gentian, Cukowpints, or Dra­gons, each half a dram, all the Sanders a dram, Cinnamon two drams, wood Aloes half a dram, Carduus, Scordium, Balm, Sage, each a dram; Rue half a dram, Scabious, Ver­vaine, Sorrel, Lysimachia, Cordial flowers, each a dram; seeds of Sorrel; Fennel, Carduus, Coriander, each a dram; Citron and Basil seeds, each half a dram; Juniper and Bay­berries, each two drams; Nutmeg and Mace, each half a dram; Amber three drams, Ivory and Harts horne, of each a dram, Unicornes horn a scruple, precious Stones a dram, Bezoard stone, Pearl, each a scruple; Bole prepared half an ounce, Coral half a dram, Musk and Amber-greece, of each half a scruple, Camphire (but it overcomes the sent of the Musk) a scruple, make a Pouder, and to a dram put an ounce of Sugar, and give it in any form.

These are unpleasant but profitable, made of Mirth, Alloes and Castor, and best in Pills.

This following pouder is called the King of Spaines. Take Myrrh, Mastick, Bole, sealed Earth, wood Aloes, Cloves, Mace, Saffron, each equal parts: make a Pouder take it every morning.

Another: Take Sorrel seeds two drams, Citron seeds a scruple, Tormentil roots a dram and an half, Bole prepared three drams, Aloes washt, Myrrh, red Coral, each a dram; dryed Citron peels Cloves and Cinnamon, each half a dram; Saffron half a scruple, species of Diamargariton frigid and Trionsantalon, each half a dram; make a Pouder.

Castor is somtimes added to great Compositions and in a smal quantity by reason of the scent.

Antidotes made of Opium are to be taken in smal quantity.

As Treacle, Methridate, and Mathiolus his great An­tidote.

Also the Electuary of the Egg, thus, better made to prevent burning of it. Take the yolk of a hard Egg, add as much Saffron in weight, beat them together, adding the pouder of Tormentil and Dittany roots, of each half an ounce; Angelica roots an ounce, roots of Vincetoxicum or Swal­low-wort, Devils bit, Zedoary, each two drams; Rocket seed a dram, Mirrh a scruple, with Treacle and Mithridate, make a Mass, give a dram with Water, Wine, and Vine­gar.

In the year 1582. this was our Electuary which was very successful. Take roots of Angelica, Master-wort, of each two drams; of Tormental, Carline, Swallow-wort, Burnet, Devils bit, Valerian, each a dram; Zedoary half a dram, juniper berries two drams, Bay-berries a dram, Angelica, Sorrel, Carduus seeds, of each a dram; Citron seeds half a dram, Rue, Carduus, each a dram; Saffron, Pepper, Mace, each half a dram, Hearts horn and Ivory, each a dram; Bole prepared with juyce of Citrons half an ounce, Opium a scru­ple, Camphire half a scruple, Nut kernels, Figs, each half an ounce; fine Sugar two ounces, Honey twelve ounces; make an Electuary, or Lozenges, give a dram with an ounce and an half of Sugar.

These aforesaid are taken alone or with other.

Of Mithridate these are usual Lozenges. Take Mi­thridate half an ounce, Sugar and Sugar candy, each four ounces; with Spanish wine, make them up.

Or this Electuary: Take the best Treacle three ounces, Tormentil roots, juniper-berries, Carduus and Sorrel seed, of each two drams; Bole prepared half an ounce, Ivory a dram, Coral a dram and an half, species Diamargarit frigid a dram, with syrup of Citrons: make an Electuary, give it alone or with Wine or fit Waters.

If Treacle be added these aforesaid are Opiats.

Stilled waters are Antidotes and expel and provoke sweat, In the Cure of the Plague we shall declare those that preserve or Cure, or both.

Some things may be held in the Mouth to preserve, because its thought the Plague is taken by the breath, when we go forth into suspected places.

As Angelica root which is well sented, and Zedoary, roots of Elicampane, Galangal, Citron rind or Orange peels or seeds, or Fennel seed. We shall not advise things without scent, as Vervain which is commended highly, five leaved Grass, nor unpleasant things which cannot be long held in the Mouth.

For to be held in the mouth are Troches made; Thus, Take Angelica roots two drams, Orris roots a dram, Zedoary half a dram, dried Citron peels, Coriander seed, each half a dram; Cloves, Nutmeg, yellow Sanders, each a dram; Cinnamon two scruples, Bole prepared with juyce of Lem­mons or Vinegar a dram and an half, Sugar six drams: with the Infusion of Gum traganth in Rose-water and a grain or two of Musk or Amber-greece make Troches.

Others easier made and pleasant. Take Angelica roots one dram, Juniper half a dram, Wood Aloes a scruple, Sugar half an ounce: with Infusion of Musk make Tro­ches.

The Angelical Balls of Percovius are made thus. [Page 224]Take red Coral and burnt Hearts-horn prepared with juyce of Scordium, each an ounce: Sugar dissolved in Scordium water two pound, the distilled Oyl of Angelica half a dram.

Some only chew Myrrh, troches of Musk are made only of Bole, and Sugar, and Musk.

External Remedies are applied to divers parts, espe­cially to the Heart and Pulses which are good before the Heart be smote, or in a Fever. Therefore it is guarded with Cordials and Poysons also, as they say, one poyson expels another.

Cordial Applications are best in a bagg, or Oynt­ments for Epithems dry quickly.

Make a Bag thus. Take Cordial flowers, each a pugil; Rosemary flowers half a pugil, Scordium, Marjoram, Balm, each a handful; Angelica roots, half an ounce, dried Citron peels two drams, Orris roots a dram, Sorrel and Cori­ander seeds, each two drams; Basil seed a dram, Citron seeds, yellow Sanders, Nutmegs, Mace, Wood Aloes, each half a dram; Saffron a scruple: make a Pouder, bast it with Cotton in a sine cloth or silk for a Bag. add Musk or Am­ber-greece.

Anoynt or bathe the Heart, and Pulses, and Nostrils, with this. Take Angelica roots half an ounce, cordial flowers and clove Gilliflowers, each a pugil; citron peels six drams, Saffron, Camphire, each a dram; Balm and Car­diaca, each a handful; Treacle two drams, add Rose-water and Vinegar.

Or with this Liniment. Take the best Treacle two drams, of the yellow Oyntment of Water-lillies three drams, Cordial species half a dram, with juyce of Lemmons.

Or with this sweet Balsom. Take distilled Oyl of Cloves and seeds or roots of Angelica five drops: with white Wax and a little Mosch, Anoynt.

Or with this. Take juyce of Cardiaca and Balm, each two drams; dissolved Camphyre in Aqua vitae half a dram, Saffron a scruple: with Honey make a Liniment for the Pulses.

Not only Empericks, but some learned men com­mend highly some poysons to be applied to the Heart, to defend it from the Plague.

Mathiolus highly extols Oyl of Scorpions, thus easi­ly made. Take two drams of right Oyl of Scorpions, with Treacle a dram: apply them to the Pulses with a clout.

Some add Rhubarb, as the Oyl of Scorpions of Cle­mens.

Some commend this of Arsnic. Take white and red Arsnic, each equal parts: make a Pouder, add the white of an Egg or Mucilage of Traganth to make a hard Cake, which must be carried about the Heart in a double Scarff.

Somtimes Arsnic is mixed with cordial Pouders thus. Take fragments of precious stones, coral, Pearl, and Hearts­horn, each a dram; Orris half an ounce, Saffron a scruple, white Arsnic an ounce, Orpiment half an ounce: make a Pouder for a Bag with a little Ambergreece.

Some do mix with good success two ounces of the Pouder of a Toad.

If the Liver be anoynted with Oyntments that cool and strengthen, some think the body is safer from the plague.

Some hold it for a great secret to anoynt the Emun­ctuaries, as the Arm-holes and Groins with Benzoin, Storax, Labdanum and Litharge.

Also to keep open old Ulcers, is good in time of plague to preserve.

And an Issue in the Arm or Legg.

In the year 1564. a Monke at Leyden in time of the plague had a hole in his Cod with an Hellebore root, kept open by which he preserved himself, and perswa­ded others to use the same for safety.

Amulers are highly esteemed, a Nut-shel filled with Quick-silver, stopped and [...]anged about the Neck. This is commended by Marsilius Ficinus by many ex­amples, and by others, some say it must touch the re­gion of the Heart.

They think Saphires, Smarradgs, Hyacinths, Uni­corns horn, and Ivory about the Neck do the same.

Also Five-leav'd grass and Dittany roots, and Betto­ny with the roots held in the hand.

The Cure of a pestilential fever is divers according to the humor they suppose it comes from, which they evacuate: But we say it came from a pestiferous qua­lity infecting the body, and therefore aim at the oppo­sing and altering that, considering the age of the Per­son.

First we give a prognostick because all Plagues are dangerous, and more die than live, In which there is no hope, and the Physitian labors in vain, except in the space of twenty four hours Nature throws all or most part of the poyson from the Heart. Spots are deadly when they appear, because they are not critical. Bu­boes and Carbuncles appearing give hopes of recove­ry. Sudden loss of strength, especially Swounding and outward cold are evil signs. If a woman with child having the Plague, miscarry, as shee commonly doth shee dieth usually.

The Cure is by Nature and the Physitians help, for many do recover. Therefore we strike at the Disease, keep up strength, and correct symptomes.

We said the Disease was a venemous quality fixed in the Heart, and so upon the whol body in the similar parts, with a preternatural heat and fever. Therefore we first labor to take away this quality from the Heart, and the humors which increase the same. And to alter the venemous force thereof and abate the heat.

Things that evacuate this poyson, and put it from the heart, and expel the humors that in­crease the fever must be used in this order and man­ner.

Blood-letting was the first and usual means. And many perswaded themselves that much poyson was ta­ken from the the heart thereby. But it is a general rule that it must not be til ripe age. And in women with Child not so much as in the Foot, for fear of miscarry­ing; for others, I cannot perceive how bleeding can take the Venom from the heart or body when it is not conteined in the blood: but it rather is a cause of dra­wing the Plague more inwardly the Veins being emp­tied. Besides, the motion of nature is hindered there­by, which at first labors by Sweat, and Pustles, and swellings to expel it. And the strength which should be kept to encounter with the Disease is lost. Neither doth it bring so much good as hurt, for taking away the cause or cooling the heat which is not very great in the Plague, for the reasons aforesaid. Therefore they are all to be blamed that observe not these circumstances, but let blood rashly, except in Children, though Na­ture be laboring to sweat it forth, or cast out Botches: and though they see many die after bleeding, they wil go on their road of bleeding presently and plentifully. But we are to bleed only when the Plague is in a ple­thorick or cachectick body, which causeth not a sim­ple fever by plenty of blood, but a putrid Synoch, and then the heat and symptoms wil be abated. And then it must be sparingly done to preserve strength, and not at all except the repletion mentioned require it, if there be weakness. For we have often found by experience that more people in yeers have scaped that were not [Page 225]blooded, than that were. Some approve no bleeding, but such as is til the Patient fainteth, and brag of many that have been cured thereby.

We think it safer to omit it, than rashly to use it: and if it doth good, it is more for the fever than the ve­nemous quality, which is not in the blood, but comes to the heart from without, and so cannot be expel'd by bleeding. The time if it must be, is at first, with­in twenty four hours, or not at all. And if sweat ap­pear as usualy it doth, it must be defer'd til it be past: and it must not be stop'd either by bleeding or naked­ness, which is required when the Vein is opened. But when sweat is past and the Patient is refreshed with meat or medicine, it may be done if need require, or before sweat if it appear not: nor must we stay to loosen the body first, as at other times before bleeding, for there is no dallying. If pain be, take blood from the side, if not take the common Vein. Open the Sa­phena or Vein in the Foot if there be a swelling in the groyn. If it be above, open the Arm or Hand-vein on that side. If under the Arm-holes, open the Basi­lick vein, if under the Ears the Head vein, if in the Face, under the Tongue. Some clap on Cupping-glasses to the Carbuncles before bleeding, that the ve­nom sent thither may stay there, and be drawn inward by bleeding, by which way we have known bleeding do much hurt. And I have observed that Empericks have with very ill success raised blisters with Vesicato­ries upon the Botches at first appearance. Some do draw the venom out at the orifice, after bleeding apply Scordium or Jack of the hedg, which is of the same nature, others apply living Oysters for the same.

In yong people Cupping-glasses are instead of blee­ding, and they are better for old than bleeding with the Lancet, which weakens and draws in the venom, if they are applied at first to help nature to drive out the ve­nom, when she is in motion with sweat; and in those places where nature expels, as when a pestilent sign is above, to the Neck and Shoulders, when in the Groyns, to the Buttocks, Thighs and Hands.

Scarification before Cupping in the same places, draws outward more powerfully, and because the su­perficial blood is only taken away, thereby doth it weaken or hinder Natures motion.

Horsleeches may be instead thereof applied to the same parts.

A Vesicatory to the great Toe or Ring-singer made of Crowfoot or Flammula deriveth the Venom, and the more if it be kept open with a Thred and Beet or Colewort leaf, or anoynted with Butter.

A quick Pidgeon cut in two, and bound to the soles of the feet, or a Tench, or a bruised Radish, or Nettles with the roots, or Ground-Ivy bruised doth the same.

Some commend a live Pigeon opened and laid hot to the Head.

In the yeer 1584. in plague-time, I observed that a Cock pluckt at the Rump, and his feet bound close together, and his mouth stopt with the hand of a man, was applied to the Heart, with admirable suc­cess.

Evacuation made by sweat or insensible transpirati­on, draws the venom from the Heart, or outwardly to the superficies, and is the chief way of Cure. This Na­ture at first doth endeavor for the most part. And the Physitian must help her motion, or provoke her to it.

This is done somtimes by things given inward, som­times by Fumes or Frictions, by sweating medicines, and by Blysters, and by things that experience teacheth us do resist poyson. These are called expelling medi­cines, and are of divers forms.

These must be used at the first, and if possible before the Venom strike the Heart and beat it down, which it doth suddenly if not resisted and expelled with the spi­rits and heat outwardly, the sooner the better, for it is the Key of the work, and if it be not done in twenty four hours (in which time the Plague somtimes kill­eth) what is done after wil signifie nothing, and except Nature of her self do it we shal labour in vain, after this opportunity is neglected. Neither ought bleeding or purging (though required) hinder this; although some perswade to sweat after bleeding, and if the Phy­sitian come after it may be done, but not so wel, and repeated the next day, and all the time of the Disease if strength hold and Nature offer to discharge that way. The Patient must not be forced much to sweat, except Nature tend that way; for the Venom of the Plague may be carried away by insensible transpiration with­out sweating.

They are in divers forms, but the moist is best, as a Decoction, or Water, or Infusion, or Potion, or you may give an Electuary.

A simple Decoction, or a common Decoction used in the smal pox to drive them out as is there mentioned may be given here.

For Children. Take Pease and Barley, each a pugil; Figs ten, Dates five, Tormentil and Dittany roots, each a dram; boyl them, add a little Wine, give it.

Or a Decoction of Tormentil, Dittany, Angelica, Bur­dock, Butter-bur or Celondine roots.

Or of Sorrel, Plantane, Tansie, Vervain, Scordium, Rue in Water and Vinegar, or Wine and distilled Water.

Or Garlick boyled in Honey'd water to two ounces which wil cause sweat and Urin.

Also this Decoction of Lignum vitae. Take Gua­jacum two ounces, Sarsaparilla an ounce, Juniper and Bay­berries, roots of Angelica and Elicampane, each two drams; with a little Cinnamon.

Juyces are not given alone, but mixed with other things, yet Rondoletius saith that three ounces of the juyce of Marygolds is excellent.

The best distilled Waters are, that of Orange flowers, and of juyce or flowers of Limons. Also Angelica water with Aqua vitae produceth sweat violently to my know­ledge, or water of Citron leaves, and Aqua vitae, and to chew them is a good Antidote. And 1534. I never used other when I visited my Patients of the plague.

Also Distilled water of Oak leaves, wild Vetches, Sorrel, Burnet, Tormentil, Dragons.

Also Celondine boyled in Wine and Vinegar.

Or this. Take Burdock roots a pound, of the inward bark of an Ash two handful, distil them, give three oun­ces.

Also Water of green Nuts.

Or this. Take Sorrel, Scabious, Vervain, Rue, (not ful ripe) each a handful; Nightshade and Housleek, each half a handful; cut them small, distill them. And if you add Vinegar before stilling, it wil cause Vomit, but Sweat howsoever.

Or, Take Limons ten, cut them, add Borage and Sor­rel, each two or three handful; white Wine three pints, di­stil them, give two ounces.

The first choise Water: Take Angelica roots, Ma­ster-wort, Termentil, Valerian and Dittany, Devils bit, Burnet and Snake weed roots, each an ounce; Vervaine and Scabious, each a handful; distil them in Aqua vitae or strong Wine, give an ounce.

The second: Take Rue, Marigolds, Sage, Vervain, Sca­bious, each a handful; Burdock and Devils bit roots; each [Page 226]two ounces; distill them in white Wine, give an ounce.

The third: Take Gua [...]acum half a pound, roots of An­gelica, Master-wort, Gentian, of each an ounce; Orris and Zedoary, each half an ounce; Carduus, Rue, Scordium, each two handful; Basil a handful, Lemons sliced six: distil them thrice, give half an ounce.

The fourth, which I have often used successfully: Take roots of Valerian, five leaved Grass, white Dittany, Smallage, Burnet, Dragons, Tormentil, each an ounce; Gen­tian half an ounce, Dane-wort, Birth-wort, Angelica roots, of each two drams; Galangal six drams, Valerian, Smallage, and Celandine, each a handful; Rue half a handful, Bay and juniper-berries, each half an ounce; wood Aloes two drams, Cinnamon six drams: cut and bruise them, distill them in Aqua vitae, Borage, Bugloss, Sorrel and Scabious water, give two ounces.

The fifth: Take Tormentil, Burnet, Dittany, Swallow-wort, five leaved Grass, Burdock, Butter-bur and Devils bit, of all the roots, each an ounce; roots of Angelica, Ma­ster-wort, Elicampane, Mockchervil, Valerian, each half an ounce; roots of Gentian, Birth-wort, each three drams; Ze­doary, Galangal, Ginger, each two drams; roots of Dragons, Cookowpints, Garlick, Onyons, of each two drams; Laurel bark a dram, Scabious, Vervain, Marigold, Celandine, Willow herb, Scordium, Rue, Tansey, Sage, Balm, Plan­tane, Pauls Bettony, Carduus, Wormwood, each three drams; flowers of Rosemary, Bugloss, Borage, Water-lillies, Violets, each a dram; Saffron half a dram, Coriander, Basil, Citron and Angelica seeds, each a dram; Carduus and Sorrel seed, each two drams; Bay and Juniper-berries, of each an ounce; Nutmegs, Cloves, Mace, each a dram; Lemons sliced five, Wall-nut kernels fifteen, Bole prepared an ounce, cut them smal, and cover them with Wine, add two ounces of Rose­water, and four ounces of Aqua vitae: distil them, or infuse them in spirit of Wine.

Camphite is good if it be added to all these waters: dissolved first in Aqua vitae.

And therefore we commend the golden spirit of Life with Camphire, above mentioned, for the Cure of the plague.

Treacle also and Mithridate, and other Antidotes, as the Electuary of the Egg may be added before you stil and then they are Treacle waters.

Thus: Take the best Treacle five ounces, Mirrh an ounce and an half, Saffron half an ounce, Aqua vitae ten ounces; distil them, give half an ounce, with a drop of spirit of Vitriol.

The second Treacle water approved often: Take white Onyons sliced six, Garlick pickt three heads, Rue, Celandine, Plantane, each a handful, Treacle a dram and an half, Aquae vitae two ounces, Vinegar an ounce, Wine two ounces: distill them, give half an ounce.

The third made by me for the poor 1594. I used few others. and it cured many: Take roots of Tormentil, Burdock, Valerian, Burnet, Devils bit, each four ounces; roots of Master-wort, Angelica, Dittany, Gentian, Dragons all dry, each an ounce; Onyons and Nuts not ripe, each six ounces; Rue, Sorrel, Carduus, each two handfuls; Camphire a dram and an half, dissolved in an ounce of Aqua vitae, Mithridate an ounce and an half, with white Wine, and two ounces of Rose Vinegar, draw a Water, give two ounces; with syrup of Vinegar or Lemons, if you please.

The fourth: Take Angelica roots two ounces, Zedoary half an ounce, roots of Black-hellebor two drams, Devils bit, Tormentil, Dittany, Carline, Gentian, each an ounce; Trea­cle four ounces, Green Nuts twenty, water of Pauls Bettony three paints, Vinegar a pint and an half, distil them, give two ounces and an half.

Infusions may be used instead of waters, and they are stronger, you may make them of the things mentio­ned: Or thus, Take Camphire half an ounce, white Gin­ger an ounce, Cloves an ounce and an half, Sugar candy an ounce, infuse them in Aqua vitae, give two drams.

Another: Take Mithridate or Treacle two ounces or an ounce of each, Aqua vitae ten ounces, syrup of Limons or Citrons five ounces, infuse them a moneth; or in Balneo, give an ounce.

The third: Take spirit of Wine four times distilled a pint and an half, Sack two ounces, syrup of Lemons or Citrons two ounces, Treacle or Mithridate ten ounces, Angelica roots half an ounce, Zedoary two drams, Camphire a dram, Saffion half a dram, species Diamargariton frigid a dram and an half, Cinnamon two drams, Musk half a scruple, infufe them, give an ounce.

The fourth: Take roots of Angelica, Masterwort and Zedoary, each two drams, wild Angelica, Burnet, Va­lerian, Swallow-wort, Tormentil, Personate, Carline and Elicampane, each three drams: Juniper and Bay­berries, each an ounce; Angelica seeds a dram, Cin­namon a dram and an half, long Pepper half a scruple, Saffron a scruple, Mirrh half a dram: make a Pouder, add spirit of Wine, syrup of Lemons, Citrons or Sor­rel two ounces, set it in the Sun, or in Balneo, give an ounce, with Treacle, Mithridate, or Mathiolus Anti­dote a dram, if the Patient be young and hot give less, and dissolve it with Marigold water.

Other Pouders above mentioned may be so used.

Syrups also of the Decoctions or Juyces mentioned. Or thus: Take roots of Angelica, Tormentil, Dittany, Burnet, Cross wort, each an ounce; roots of Master-wort and Zedoary, each half an ounce; Carduus, Vervaine, Rue, Celandine, Marigold, Sage all dry each three drams; Juniper-berries two ounces, Bay­berries an ounce and an half, boyl them in Winc, and with Sugar, make a syrup: give an ounce.

Extracts of Angelica, Vervain, Elicampane and Rob of Elder are commended.

Mathiolus gives a scruple of Oyl of Vitriol with pro­per waters.

Pouders are mixed in potions, or Electuaries, or made into Lozenges for Children.

These may be given to Women with Child: Take Angelica roots half a dram, Tormentil and Dittany roots, each an ounce; Treacle half a dram, Diamar­gariton frigid half a scruple, with Sugar, dissolved in Sorrel water, make Lozenges, give two drams.

A pouder for weak persons: Take Tormentil and Butter-bur roots, each half a dram; Diamargariton frigid a scruple, give it with Sorrel water and syrup of Lemons.

A second: Take Bole Armenick prepared two drams, Hearts horn a scruple, Pearl half a scruple, juyce of Lemons two drams: give it with Sorrel or Carduus water.

A third, that is bitter: Take roots of Tormentil Dittany, Gentian, leaves of Carduus, each half a dram Bole and Coral prepared, each a dram; give it with Sorrel water.

A fourth: Take white Amber and Coral, each half a dram, Pearl a scruple, Elkes Hoofe, Ivory, each half a scruple: make a Pouder, give it in purslane or Scabious water, or make Lozenges.

A fifth unpleasant: Take Diamargariton frigid two scruples, Harts horn a scruple, Basil seed half a scruple, Sorrel seed a scruple, Citron seeds six grains, Mirrh half a scruple with Vinegar: make a Potion.

Pouders with Camphire are thought to cool: As, Take Troches of Camphire a dram, syrup of Citrons an ounce, with Scabious and Sorrel water: make a Potion,

[Page 227]Another pouder which cures all Feavers and is good against the Plague, made of hot things, and Cam­phire. Take Camphire a dram, Ginger two drams, Sugar candy three drams. give a dram with Carduus, Scabious or Marigold water.

This may be infused alone or with Treacle.

The Itallians commend Euphorbium, and make this Pouder: Take Euphorpium and Mastick, each half a scruple, Saffron five grains, Sugar candy a dram: make a pouder, give it with Sorrel water and Vinegar of Roses half an ounce.

Or thus: Take Euphorbium, Maflick and Gum Elemni each half a scruple; roots of Tormentil and Angelica, of each half a dram; Camphire half a scruple: make a pouder, give it with Sorrel water and Rose Vinegar half an ounce.

The Chymists commend their Salts and Crato also. As Salt of Angelica, Scabious, Scordium, Carduus, Zedo­ary, Ash, Guajacum, Wormwood ten or twelve grains, with Conserve of Roses, or Citrons, or a dram of Salt of Polypody in Wine, it doth wonders.

Also Salt made of Vine boughs a scruple, given in Wine or proper water, if you take three hours after a scruple or half a dram of Antidote-Colubrine, or the like to provoke more sweat.

Crato saith Diasulphur right made, is a strong ex­peller.

And the Chymists use Antimonium Diaphoreticum but not safely.

Hartman commends his Panacea or sulphure of An­timony fixed, which he teacheth in his Chymical practise.

There are divers Electuaries made of the mentioned things, and may be given to Cure, as well as to pre­vent. You may make them of the pouders with Ho­ney or Syrup.

The mixture among the preservatives made of roots of wild Cowcumbers with Smallage and Housleek is commended by Honoratus and Crato for to Cure al­so.

Opiate Antidotes are good against all poysons and the plague.

Treacle and Mithridate are the old standers a dram at a time, or with Philonium of Gesner. The later are Diascordium, Mathiolus Antidote, and the Elect­uary made of an Egg, or Diacroceum.

Or thus first: Take Treacle or Mithridate, or Electuary of the Egg, or Mathiolus Antidote a dram and an half; dissolve it with the Decoction of Zedoary, add syrup of Vinegar an ounce.

The second: Take Treacle a dram, juyce of Scabious, Carduus, each an ounce; dissolved in Wine.

A third: Take Treacle or Mithridate a dram, Ange­lica roots, Sorrel seeds and Hearts horn, each a scruple; give it with Angelica water.

A fourth: Take Treacle two scruples, Pouder of Ver­vain a dram, Saffron seven grains, water of green Nuts four ounces, drink it hot, 'tis from Helidaeus.

A fifth: Take Treacle a dram, prepared Bole half a dram, Species, Liberantis and Diamarganton frigid, each a scruple; Sorrel, Carduus and Scabious water, each an ounce with half an ounce of syrup of Limons.

A sixth: Take Treacle and Mithridate, each half an ounce; Electuary of the Egg two drams, species liberantis a dram, Bole prepared half an ounce: with syrup of Sorrel make an Electuary, give two drams.

A seventh. Take Treacle a dram, Vervain half a dram, Saffron and Camphire, each half a scruple; with Nut wa­ter and Vinegar make a potion.

An eighth. Take Treacle three drams, Ginger, Gam­phire, Sugar candy, each half an ounce; give a dram.

The ninth: Take Tormeueil, Dittany and Angelica roots, each two drams; Zedoary and Gentian, each a dram; Scordium two drams, Vervaine a dram, Ginger, Camphire and Saffron, each half a dram; make a pouder, add Treacle and Mithridate, each two ounces; give a dram and an half,

The tenth: Take an onyon a little boyled, steep it in Vinegar, and strain it, add Treacle a dram, syrup of Li­mons an ounce, you may add Garlick for strong Bo­dies.

An eleventh: Take Castor half a scruple, roots of Birth-wort, Gentian and Treacle, each half a dram, give it with strong Vinegar and Sorrel water.

A twelfth called Mountpelior Wolf: Take juyces of Rue, Sage, Burnet, Centaury, Pennyroyal, Wormwood, Va­lerian, Mother-wort, green Wall-nuts, each equal parts, Ho­ney half as much as all: boyl them to a syrup: Take an ounce thereof to Treacle half an ounce, Bole and sealed Earth, of each two drams; with Vinegar and Wine, if he be not hot, give it at the first lying down.

A thirteenth: flower of Brim-stone a s [...]ruple, Saffron half a scruple, Frankincense half a dram, Treacle a dram, give it with convenient waters.

A fourteenth: Take Treacle a dram, Electuary of the Egg half a dram, Oyl of Vitriol seven drops, strong Vinegar an ounce, Sorrel and Borage water, each an ounce.

A fifteenth very hot: Take Cookow pints or Dragon roots a dram, or each half a dram; Angelica roots a dram, Rue and Vervam, each half a dram; Saffron a scruple, Camphire half a scruple: make a pouder, give a dram, with Trea­cle a dram, dissolved in Vinegar and Scabious water.

A sixteenth of Laurel prepared in Vinegar: Take of the Saxon Antidote and Treacle, each half a dram, dissolve it in Sorrel water with Vinegar of Roses six drams, syrup of Limons half an ounce.

Some use this Fume to provoke sweat: Take Sorrel, Rue, Scabious, each a handful, with Aloes, Mirrh, Mastick, Saffron, steeped in Water and Vinegar, and sprinkled upon a hot Brick; make a Fume for the whol Bo­dy.

A certain physitian to provoke sweat boyled Guaja­cum, Tormentil, Danewort and Burdock roots and with a little Sublimate Mercury, dipt a sheet in it and wrapt the patient hot therein.

Some sweat with the Fume of Cinnabar or Antimo­ny, as in the pox.

Also Frictions draw forth and cause sweat, or make insensible transpiration. It must be done before sweat appears, it is best with a hand dipt in warm water or with sca [...]let, and let the body be wel covered and quiet, also Friction is good after spots appear to make them come forth.

Vomiting is also used, when Vomiting is a Symp­tom especially, and to expel the venom by a violent motion and to cast out the Botch. Some give it at the first, others after a Clyster, or after an Antidote, others give it presently after bleeding, and brag of Mira­cles.

The gentlest are of loosners and cutters, as syrup of Vinegar, or two ounces of juyce of Erysimum with Scabious, Carduus, or Bugloss water. One saith that he Cured the plague miraculously with water of wood Sorrel, Vinegar and Oyl of Vitriol, others give Asara­bacca and an Indian Nut.

The Empericks give the strongest Dro [...]tus writes that a Chirurgion gave a Vomit of Chalcanthum prepared presently after bleeding and did wonders.

Mathiolus gives five grains of Stibium with the Ele­ctuary Liberantis, and an Emperick did imitate him here in 1564.

[Page 228] Mathiolus also gives praecipitate in Sugar of Ro­ses.

Or we must give Clysters and purge.

Before bleeding give a Clyster or suppository and it makes an Antidote work better, when no Vein is ope­ned, but a Clyster given. And one brag'd that he cured the plague by only a Clyster, Bleeding and an Anti­dote. Therefore we usually give Clysters, if the body be not very weak. Because they work speedily and loose no time.

That which clenseth and loosneth is best. As the com­mon Decoction, with Cassia, Catholicon or Tryphera Crato gives a Decoction of pauls Bettony with salt-Butter, others add Barley cream to temper the Hu­mors.

Purging doth little because it cannot expel the cause, except nature being at first stir'd up by a strong purge cast some of the Venom out, but that is dangerous be­cause it weakneth, & strength is required to go through it. And because they are subject to a Flux of the Bel­ly and it may carry them away: as one was by stibium given by an Emperick, which he called a present Re­medy, who died upon the stool with violent evacuati­on. Therefore first consider whether the body be clean or foul, if clean purge not rashly, for it wil do hurt if foul, from whnce a putrid Feaver may arise, we may purge, not to expel the venom, but the filth which will cause a Feaver. But have a care of the strength: and defer it to the declination when the state of the Disease is best: if strength be at first, purging may do a little good, except the botch comes forth and commands forbearance, nor must they hinder the chief Medicines which expel, for they must be given first, and nature in­clines to that at first. After an hour or two sweating at the first, if strength be good, and we perceive the pu­trid Feaver to over top the venom, we give a gentle purge to take away filth which will increase the Feaver, that when that is gone, nature may be stronger. Time permits not long preparatives, but all the time we may give altering Medicines to allay the foul Humors and strengthen the Heart; And when the venom is gone and a putrid Feaver remains, we then begin to prepare and purge as in putrid Feavers.

When need therefore requires, we may give these following, with respect to the Age and constitution. Tryphera persica or Sarracenica a dram, with Sorrel, Scabious or Bugloss water.

Or thus: Take Yellow and Chebs Myrobalans, each a dram and an half; Tamarinds an ounce, Cordial and Sca­bious flowers, each a pugil; boyl them, and add Rhubarb a dram, Cinnamon half a dram, strain it, and add Try­phera persica two drams, syrup of Roses laxative half an ounce.

It is good to give at first some Ruffi pills, after which I have presently seen the botch appear.

Rhubarb resists venom, therefore we give the extract and Hartman saith that many have been preserved by canstant use thereof.

We spake of Stibium and Praecipitate among Vo­mits.

And of Alterers which resist Venom, and drive it out. And of things against putrid fevers. But here we shal choose such which abate heat, resist corruption, and are Cordials, and keep up strength.

Some are given inwardly.

As cold Water in which Harts-horn, Ivory, or Gold is steept or boyled, or Gold quencht in it, is good.

Or a Decoction of Sorrel roots or Tormentil in Water.

Crato commends a Decoction of Groundsel in Ale.

Boyl Sorrel, Borage, Purslane, Scabious, Succory, and Endive in his Broaths.

And put juyce of Limons, Citrons, Oranges, Pome­granats, Vinegar, green Grapes, Barberries in Broath or Drink.

Also Sorrel, Rose and Scabious water.

And divers sharp Syrups prescribed in continual se­vers.

For Juleps thus. Take syrup of Citrons or Limons, and Sorrel, each two ounces; of Pomegranates an ounce, Sorrel and Bugloss water, each five ounces; make a Julep.

A second. Take syrup of Ribes or Pomegranate Wine, two ounces, juyce of sharp Apples an ounce, Sorrel, Scabious, Balm and Bugloss water, each four ounces: make a Julep.

A third. Take juyce of Sorrel, Borage, sweet scent­ed Apples, Scabious, each an ounce and half; Rose-Vinegar half an ounce, water of Carduus, Roses, and Scordium, each four ounces; add Sanders and five grains of Camphire, drink it often.

A fourth. Take Rose, Sorrel, and Borage water, each two ounces; Cinnamon water an ounce, white Wine half an ounce, syrup of Citrons or Limons an ounce and an half, Manus Christi with pearls, half an ounce, Bole one dram, Hearts-horn half a dram, boyl and strain it.

A scruple or half a dram of Lapis prunellae is good to be added to these. Or thus, Take roots of Tormentil an ounce, Angelica roots half an ounce, Zedoary a dram; Cordial and Scabious flowers, each a pugil; Wood­sorrel a handful, Saunders a dram: boyl, strain, and add syrup of Sorrel or Citrons or Limons an ounce. They add Unicorns horn for great people.

Pouders, the first. Take Bole thrice washed in Rose water, and Coral each a dram; Hearts-horn and Ivo­ry each half a dram; Cinnamon half a dram, Manus Christi an ounce; make a pouder, take it in Broath or Wine.

A second, Take Confection of Alkermes (if there be no Loosness) a scruple, species Diamargariton frigid, Ivory and Hearts-horn, each half a scruple; Bole pre­pared a scruple, syrup of Limons half an ounce: with Sorrel and Carduus Water make a Cordial potion.

A third. Take Consection de Hyacyntho (which is proper for the Plague) a scruple, syrup of Limons an ounce: give it with convenient Waters.

A fourth. Take juyce of scabious and Vervain, each an ounce; syrup of Limons half an ounce, Diamarga­riton frigid, Electuary of Bole and Gems, each half a scruple; with Rose, Bugloss and sorrel water make a Potion.

Distilled Waters are also good as, Take scabious Balm, sorrel, Vervain, each a handful; Tormentil and Dittany roots, each an ounce; Rose, Violet, Bugloss and scabious flowers, each a pugil; sorrel seeds two drams, Citron seeds half a dram: boyl them in Chicken broath, add Diamargariton frigid, Electuary of Bole, Gems or Bezoar, each a dram; juyce of Apples three ounces, Cinamon half an ounce, Sanders a dram, distil in Balneo, and give it in broath or otherwise.

Another: Take a Capon prepared, boyl it, add half a pound of white bread, two sliced Limons, Borage flowers a pugil, Citron seeds half a dram, Coriander seed a dram, Harts­horn two drams, pouder them, add Sack four ounces, Con­serve of Cordial flowers, each an ounce; distil them, give the water with Cinnamon water, Julep of Roses or Vinegar and Sugar, or alone.

This restoreth more: Take a Capon dressed from the fat, beat his bones, and add a piece of Veal, cut them, [Page 229] and a little Salt, a drain of Diam trgariton frigid, conserve of Sorrel, Water-lillies and Bugloss each an ounce; Cinna­mon three drams, Rosewater an ounce, Wine an ounce: boyl them to a Gelly.

Or thus. Take a Capon or Hen dressed from the fat, break and cut it with a piece of Beef and Veal, with a little Salt, Ginger, and Pepper three corns, a little Marjoram, juyce of Limons, and Wine, each an ounce; boyl them to a Gelly, give it alone, or with other Broaths.

Conserve of Roses, Violets, both Buglosses, Water-lillies, Sorrel and clove Gilli-slowers, Scabious, Balm, Rosemary flowers, Plantane, candied Citron peels, sharp fruits preserved and Berries are good.

These are given alone or mixed in a Bolus, every third day we give Mithridate or Treacle in some of those Conserves.

Or with Pouders and Syrups make an Electuary. As, Take the four cordial Conserves, each an ounce; con­serve of Scabious flowers an ounce and an half, Citron peels candied an ounce, Bole prepared a dram, Coral half a dram, Ivory a scruple, red Sanders half adram, Diamargariton fri­gid a scruple, bezoard pou [...]ler half a scruple, with syrup of Li­mons: make an Electuary.

Another Cordial. Take the four cordial conserves of Sorrel, each an ounce and an half; conserve of Balm helf an ounce, candied Citron peels an ounce, Bole and Coral prepa­red, each a dram; Pearl prepared a scruple, Ivory, Unicorn or Harts-horn, each a scruple, seeds of Citrons, Sorrel and Co­riander, each half a dram; fragments of precious stones a scruple, Bezoar half a scruple, leaves of Gold ten, Camphire five grains: make an Electuary.

Also Lozenges of Diamargariton, Bezoar and Bole. And give for the Liver, Diatrionsantalon and Diar­rhodon.

Or these. Take red and white Saunders, and Citron seeds, each half a dram; Cinnamon two scruples, Coral, Bole, each a dram; Pearl a scruple, red Coral a scruple, Saphires, Smaragds, Rubies and Granates, each half a scru­ple, filings of Gold a scruple, Ivory and Harts-horn, each half a scruple: with white Sugar dissolved in the juyce of Limons make Loxenges.

These are good to be put into Broths when they are almost boyled. Take Sorrel seeds half an ounce, Melon seeds two drams, Citron seed half a dram, all the Sanders two scruples, Coral a dram and an half, Diamargariton frigid half a dram, make forms of them.

Pils of the Troches of Camphire, with syrup of Li­mons are Cordial and do resist Poyson: give two or three.

The Chymists highly commend Aurum Potabile, Salt and Magistery of Pearl, and the Tincture of Coral.

Crato gives an ounce of Oyl of Scorpions to the in­fected.

Divers Applications may be made to the Heart, Li­ver, Pulses, Reins, Brain and Stomach, and Testicles, and the Air amended.

After sweating lay Epithems to the Heart and Pulses. Thus Sorrel, Scabious, Vervain, Balm, and Rose wa­ter, each two ounces; Rose-vinegar an ounce, juyce of Limons half an ounce, Sack an ounce, Sanders, red and white, a dram, Citron peels a scruple, Troches of Camphire a scruple, Diamargariton frigid a dram, make an Epithem.

An Oyntment for the the Heart and Pulses, or to be applied twice a day with Scarlet. Take Treacle half an ounce, juyce of Limons half an ounce, Rose-vine­gar two drams, Camphire a scruple, Saffron half a scru­ple, Musk three grains.

Or use Vinegar in which Angelica Roots are stee­ped.

Or this Emplaster. Take red Roses poudered; boyl them well in Rose-water; with Vinegar, juyce of Ap­ples, Citron peels, Sanders: make a Plaster for the Pulses.

Mathiolus anoynts the Pulses with Oyl of Scorpi­ons.

And the Balsom mentioned among the Antidotes is as good.

Or the Bag there mentioned.

Use to cool the Liver cold and strengthening means, as in the cure of putrid Fevers, and to the Reins.

Rose-vinegar to the Head if it be hot.

And to the stomach strengthening Oyntments if it be weak.

And because the Stones have great consent with the principal parts, apply this to moderate the heat. Take Rose Water four ounces, Rose Vinegar half an ounce, Sack an ounce, juyce of Pomegranates half an ounce, wet cloaths therein and apply them.

It is good to change the Air and place, and remove the Patient from others that are infected and change his shirts, sheets, bed, Pillows, and sprinkle the chamber with Rose Vinegar, Lavender, Rose and Citron water; and in summer, to strew Herbs and Fruit, and to per­fume as we shewed in the Antidotes.

To keep strength use this Diet.

Contrary to all other acute continual Fevers; Let meat be given ofen, but little at a time, and they must be compel'd to eat, if they refuse. Let it be of good nourishment, that a little may serve.

As Broath or Chickens, Kid, wood Fowl, Partridg, Veal, and these make divers dishes and Gellies, avoid Eggs which easily corrupt, and fat things. and give fruits, and things allowed in putrid Fevers. and let this meat be eaten with Vinegar or shap Juyces.

Let the Drink be Juleps mentioned, or Capon Ale, or Broath, or of Veal and Calves feet. Wine tempe­rately taken is allowed.

This is a pleasant Water. Take the flesh of the Loyn of Veal half a pound, and a Calfs foot wel clensed, add Sugar two ounces, boyl them in Water, add a dram of gross Cinnamon, and strain it.

Let them not sleep while they sweat, some keep them from it twenty four hours after the Botch appears. But in regard sleep refresheth and carrieth the heat outward rather than inward, as I shewed, it must not be hin­dered.

Let him rejoyce and be in good hope either of Cure or eternal happiness.

The Botch and Carbuncle are the chief symptoms. their cure shal be shewed hereafter, and how the Ve­nom shal be dawn out.

The first thing is to hold up the strength, as we shew­ed. And if swouning or Heart-beating come, give Cordials, and apply them outwardly. If swouning be from the stomach, anoynt and comfort that. and give a little Wine, or a sop in juyce of Pomegranates-Grapes and Wine, put the Hands and Feet in warm water, and rub the Face and other parts.

Take away Doting and Watching with a puppy ap­plyed, or with Opiates, or washing externally. If sleep be much, use Vinegar of Roses.

Asswage thirst with this Julep. Take water newly distilled of Sorrel and Bread, each six ounces; Rose and Scabious water, each four ounces, Vervain and Bugloss water, each two ounces: with Sugar make a Julep.

Or with this. Take conserve of Sorrel and Roses, each an ounce; Rob de Ribes an ounce and an half, Diamargariton frigid a dram, with Sugar of Roses make a Candy.

[Page 230]If a Diarhaea come it is dangerous, then give a Cly­ster of Barley water and Sugar.

And, Take Tormentil roots half a dram, or Bole with red Wine, and anoynt the Belly with astringents.

Women with Child, do often miscarry, when they are infected, this is deadly, and to be much regar­ded.

The other Symptoms, as of the Tongue and Jaws are cured, as in putrid Feavers.

The Fevers that come from the biting of venemous beasts, The Cure of vene­mous Feavers. inflam­ing the Heart: kil in a few hours, or in the first day, except prevented.

The Cure is by drawing the Poyson forth at the Wound; and by an Antidote, as we shewed in Poy­sons.

If the Feaver be great use Cordials inwardly and outwardly, as I shewed to chear the spirits.

A simple Hectick, whether it follow continual Diary, The Cure of a Hectick fe­ver. or putrid burning, or intermiting Fevers (not that which is melting and a Symptom of a burning Fever) or free from that Fever which caused it: is to be Cured, according as it is either in the beginning, or increase, or setlement.

In Children and Infants, because their Heart is easi­ly altered in temper, it may be sooner Cured, if not confirmed: but it is difficult in Men and Women. And in old people uncurable.

The cause of this disease is the temperament of the Heart and the whol Body made hotter and dryer, not nourished by a Humor or Excrement, when the Body is freed from the Fever that caused it; Therefore pur­ges are needless, except the Excrements and Crudities increase by long continuance of the Disease, and then gentle Clysters or Laxatives may be given. But we must chang the temper of the Body, And hold up the strength that decaies, And amend the accidents, if any be.

At the first we must alter the dryness, with moistners of the Heart and Limbs, and gentle coolers, because the heat is not violent and may be allay'd by tem­perate and moderate coolers. Some give Narcoticks or Medicines to cause sleep to cool the Body, but we say they are not cold, and rather inflame the Body, as I shewed, and therefore give them not but when sleep is wanting. In the progress when the Consumption is begun we refresh, with nourishers that are moist, for they will disperse themselves sooner through the Body. This is done by internal and external means.

We give them a moistning Diet that refresheth, boyl'd things, moisten most, and roasted increase the radical moisture more.

Veal, Kid, and Porke, brains of Hogs and Calves are commended.

Also the stones of beasts that are not very Lecherous, as of Sheep, Calves, and young Kids.

And Hens flesh, Capons or Pullets fed with Barley, or crammed with Dow, made up into pills, with Cray­fish, Frogs flesh, and Wheat flower or Barley flo­wer.

Also Birds boyled, or moist roasted, for Galen saies meat over roasted turns easily into choller, but I rather lay the fault in the Dripping, the brains and stones of these are best.

Also Brook fish, Cray fish, Turtles of the woods and water Frogs are good meat in Hecticks, and Snailes, but some disallow of them, because they are so slymy. The Carthusian Friers, make up the tailes of Cray­fish, with Barley, Almonds and Sugar, which is excel­lent.

And yolks of Eggs boyled with Wine and Sugar cal­led in Dutch Beinwarme, and green Cheese.

Also a Panado of bread boyled in broath: Or this. Take crums of bread steept in Milk, and add Almond Milk, Rose water and Sugar. Or Barley cream made with broath.

Also Almonds, Pine nuts, Pistachas alone, or with Milk, or Sugar, are good.

In meat give Eryngus and Satyrion roots and purple flowr'd Goats beard, Purslane, Bugloss, Mallows, Vio­lets, Endive, Spinage, Betts, Colewort and moist fruits.

In drink which they love best, because they must not endure thirst, give these.

Wine that is of a middle sort between sweet and so­wer is most refreshing, if it be strong, dash it with water, Wine taken much inflames and must not be given here or when there is a Phthisick or cough.

When the Consumption is manifest and there is no suspition of any remainder of the putrid Feaver, give Milk, for a long time every day: rising from four ounces to a pint. Womans Milk that hath been four moneths delivered is best: the next is Asses, which cure, if it be curable. Then Goats milk, after the but­ter is taken out, and if you fear it will corrupt, add sugar. If your fear a loosness, infuse steel in it: the rest shall be shew'd in the Phthisiek.

Make Almond milk with pine Nuts, seeds of Me­lons and Gourds or Poppies into Emulsions.

Or give Cock broath, strained from the sat conti­nually, or a Decoction of Capons flesh and Cray­fish.

Or Barley in Chicken broath.

Or this Julep: Take Violet and Rose water, each four ounces, white Sugar half a pound, Bugloss water two ounces; boyl them to a Julep, give it with boyled water or lean broath, or Barley water.

Or thus: Take juyce of Purslane (highly commended in this cause) three ounces, of Bugloss an ounce: boyl them to a Julep with Sugar, give a good proportion of­ten.

Some commend, the juyce Burnet and Turneps.

Another Syrup: Take Bugloss and Eryngus roots, each two ounces; Satyrion roots an ounce, green Liquorish three ounces, Lettice, Purslane, each a handful; Violets, Bugloss and Borage flowers, each a pugil; Jujubs and Sebestens, each eight pair, Cold seeds bruised two drams, boyl them, strain and infuse red Sanders a dram; make a syrup with Sugar, to be taken alone or otherwise.

Give Children that hate Medicines, Purslane and Scabious water. Also waters distilled from Snails, Cray fish and Mans blood, and from new milk.

Or these: Take Capon broath of his flesh, well boyled, add a pugil of Turtle, Cray fish or Frogs flesh, conserve of Roses, Borage, Bugloss, Scabious, Violets, each an ounce; Diamargariton frigid, Diatragacanth frigid, each a dram; Cinnamon two drams, distil a wator from them.

Another very profitable: Take the Lungs and Heart of a Calf, the flesh of six Cray fish or seven, Frogs four, cut them smal, and add Diatragacanth frigid six drams, Cor­dial temperate species two drams, Cold seeds hull'd and Pur­slane seeds, each half an ounce; Henbane seeds, if there be a Cough, a dram, add Purslane and Linden flower water, each three ounces; Lilly water four ounces, distil them in Bal­neo: give this alone, or with Julep of Roses.

There are divers restoring confections that are plea­sant.

Marsh-pane, thus made: Take the past of which Marsh pane is made a pound, Cold seeds cleansed an ounce, Pine nuts two ounces, steep them in Milk, and bruise [Page 231]them, Diapenides and Diatraganth frigid, each a dram; Diamargariton frigid half a dram, make Cakes.

Or thus: Take Capons flesh and Frogs, Hips and Cray­fish tailes, boyled in Purslane and Rose water, each two ounces; beat them, add sweet Almonds blanched two ounces Pine nuts and Pistachaes, steept in milk, each an ounce; Gourd seeds cleansed half an ounce, white Starch two ounces, Sugar four ounces, Pearl half a dram, sprincle them with Cinnamon water, and make a past with Milk and yolks of two Eggs, make Cakes.

Or thus: Take flesh of Frogs Legs and Cray fish or Turtle flesh of the wood, if you can get it, each four ounces; boyl them in Barley and Purslane water, add the four great cold seeds, each a dram; white Poppy seeds two drams, Raysons stoned and Sebesten, each an ounce; then add the species of the resumptive Electuary, Diatragacanth frigid, Diapenidies without species, each half a dram, Penidies and Sugar-can­dy, each two ounces; Pine and Pistacha Nuts, each half an ounce: make Cakes with Gum Traganth, dissolved in Rose water.

They must often take Sugar of Roses, or Sugar boy­led in Violet or Purslane water.

Or this mixture: Take conserve of Violets, Purslane, Bugloss, of each an ounce; Conserve of Roses half an ounce, Diamargariton frigid a dram, Sugar: make a mix­ture.

For outward means and cold Air is better then hot and dry.

Baths do good by moistning and cooling the body which is hot and dry, and by loosning the parts that nourishment may come to them. The antients used them three waies: first they bath'd in hot water to re­lax: secondly in warm water to moisten: and thirdly in cold to keep in the moisture, by closing the Pores.

We use River or Raine water, which is thought best, so hot as may neither heat the body too much or cause thirst or sweat which must not be. And he must not be in above an houre, once or twice in a day, before meat. Some think it good to let the Patient take in the Fume of the Bath by a Linnen cloth before he goes in.

An artificial Bath is made of roots of Marsh-mal­lows, Mallows, Violets, Purssane, Bugloss with the roots, Chamomil flowers in tripe broath, Veal or Mut­ton broath that is fat, And for the Rich we add milk, Oyl or Butter.

I would allow of Sulphur baths, if they be near, used by degrees, because they make the body Oyly, as I have found by experience.

For this cause we anoynt after bathing, or at other times, morning and evening: the Back, Sides and Belly with loosning Oyls.

Or thus: Take Mucilage of Fleabane and Quince seeds each half an ounce; Gum Traganth infused in milk half a dram, fresh butter an ounce, white Hens and Ducks grease, each an ounce; Oyl of sweet Almonds and Violets, each two onnces; with white Wax: make a Liniment.

Anoynt the Breast and Heart thus: Take Oyl of Vio­lets, Gourd seeds and sweet Almonds, of each half an ounce, Ducks grease an ounce, or use the resumptive Oyntment.

Some anoynt the Liver with the same, but we omit it, because the Liver will have little benefit thereby and the belly may be loosned therewith, which is naught. Neither do we put flesh in Oyntments, as some do.

We apply Epithems to the Breast, Heart and Pulses, because the Arteries are hot: As, Take an Emulsion of sweet Almonds made with Decoction of Barley, Pur­slane and Violets: add fresh Butter and Capons grease Dip cloths therein and apply them warm.

A Cordial Epithem: Take Violet, Rose, Purslane, Scabious, Bugloss and Borage water, each two ounces; juyce of Apples an ounce, juyce of Housleek or Let­tice half an ounce, white wine an ounce.

If bruised Purslane, be laid to the Stomach, it is thought to be good.

And gentle Frictions after bathing to draw the nou­rishment.

The nourishers prescribed, both strengthen and re­store. It is a good rule for Hecticks to eat often and little, and for all weak persons.

When meat is loathed and they are very weak, some give nourishing Clysters: Thus, Take milk half a pinte Capons broath two ounces, two yolks of Egg, give it often and let it be kept long.

Take heed of things that weaken, as fasting, which they cannot endure. And of strong motions of the Body, Mind. And of watching, for sleep is good. And all Evacuations, especiall Venery, are hurtful.

The chief accident is a loosness of the Belly, and it hastneth death if it continue, we look to that with anoynting the Belly, and the like.

Somtimes constant binding in the Belly is troubsom to them, which we prevent by a gentle moistning Cly­ster. Thus: Take Chicken or Tripe broath, boyl there­in Lettice and Mallows, add Cassia or Tamarinds an ounce, Oyl of Violets and Water Lillies, of each two ounces; Honey an ounce, give it.

Or this gentle Potion, Manna with Chicken broath, or Cassia, or syrup of Roses solutive, or of Violets.

We call them Compound Feavers, The Cure of double or tre­ble putrid fe­vers. when divers Feavers are at once, In these the Cure chiefly altereth; For if two putrid Feavers, or three or two con­tinual Feavers, or double intermitting or triple Fevers meet, being all of a kind and differing only in respect of the cause, in this that it is putrified in divers places, but in the same Vessels, and the fits come not the same daies. These are rather divers then Com­pounded Fevers, and the Cure must be, as if there were but one, as in putrid intermitting and continual Fevers was said.

But if the Fevers be compounded of divers, which may be two waies, as when a putrid continual is joy­ned with a putrid intermitting, or a putrid continual, or intermiting with a Hectick; when the causes are divers and meet together. Then the Cure must be directed to both, and it differs from the Cure of simple Fevers.

If a continual putrid be joyned to an intermitting in a Semi-tertian, The Cure of a Semi-terti­an. of what kind soever it be, because the cause is double and the filth is in the hollow Vein and the Meseraicks also, and doth not only constantly perplex the Patient, but brings fits every other or third day, increasing the heat and Symptoms, we say it is very dangerous. Especially if there be swounding when the Fevers meet. There­fore a Semi-tertian useth to turne into a Hectick, or leave a Dropsie behind it,

The Cure of a Semi-tertian, is as in other Fevers, first taking away the Excrements, and Bleeding and Concoction of both matters, by purging and provo­king sweat and Urin, often: with things proper for the Humor, whether Choller, Flegm or Melancholly, which breed the Fever. All Physitians first give reme­dies against the swounding, and Cordials which resist [Page 232]Poyson and Pestilence. And we apply them inwardly and outward first of all.

And for the Fever we direct evacuations, preparing and altering Medicines agreeable to the constitution and the humor predominating, as the firs rise or abate: as we shewed in continual and intermitting severs; And if other accidents besides swounding do happen, we correct them as was there declared.

If a Hectick be joyned with the Fever that produced it, The Cure of a Hectick joyned with a putrid Fever. it wil not be a pure Synoch for that continueth but three or four daies, but a putrid con­tinual, which we know by the con­sumption of the body, or an intermit­ting long Tertian, or Quartan, and then we perceive the Hectick, not only by leanness, but by a feverish Pulse after the fit. This makes us regard both. Thus,

When we concoct the matter and open obstructions we added somthings that resist the Hectick: As, Take syrup of Endive and Violets, of each an ounce; Endive and Purslane water, of each two ounces; with a little Diamarga­ritum frigid: mix them.

Purge gently: Thus, Take Rhubarb a dram, in­fuse it in Endive and Purslane water, strain it, add syrup of Roses solutive and Manna, each an ounce.

These praeperatives and purges, if the Fever require and the Hectick be not hurt thereby, are to be repea­ted.

The altering means must moisten soundly, by reason of the great distemper in the Heart, therefore we let them drink freely. We grant to milk, by reason of the putrid Feaver and Head-ach, as Hippocrates teach­eth, except out of the fit, we allow a little for custom sake.

In Juleps and Conserves and the like, we put moi­stners mentioned in the Hectick to open obstructions and resist corruption in the Fever that is joyned there­with.

At first before the Hectick comes when we fear it, we apply in the Feaver more moistning and cooling Epi­thems to the Heart and Pulses, then ordinarily.

And we begin to use Baths sooner, especially in Quartans.

Allo accompanied Fevers, with other Diseases joy­ned, whether they go before the Disease, or are Symp­and follow after, have a different Cure. As they are joyned with Erysipelas, or Botches, or other hot Dis­eases, or Meazels, or smal Pox, or Phthysick, or Ca­checy, or evil habit, or other accidents. And we shall in order set down the cure of the six sorts of accompa­nied Fevers.

If a putrid Synoch or Epheme­ra be with an Erysipelas or Botch, The preventing and curing of Synochs & Ephemeal Fevers that produce Botches and Erysipelas. it ends in respect of the Fever as a single Fever doth, nor is it more dangerous than that, but in respect of the humor. But it is most troublesome when it comes once a yeer with the Gout, as in old men which are most subject to it.

For whose cause in regard worse accidents are fear­ed, as internal Inflammations, Pleurisies and Impost­humes in the Lungs, we shal shew how to prevent [...]nd eure if it be come.

We prevent this Synoch, if the blood abound, by hindering its increase; if it be hot, by tempering it; if thin, by thickning it; if impure by purging and clens­ing it.

In full bodies we let blood spring and fall, and at other times to prevent.

And use scarification every month, and after cupping in the shoulders.

And we purge before and after Winter, and oftner if there be a foul body: but I have observed that violent purges have brought and not hinderd this Fever, by moving of the matter,

Tops of Hops, Fumitory, Elder buds, Senna, Epithymum and Polypody boyl'd in Whey is good to be drunk all the month of May in yong and strong people.

Or with this Apozem. Take Polipody three ounces, Senna an ounce and an half, Carthamus seeds an ounce, Thyme, Epithymum, each half an ounce; Tama­rinds two ounces, Dock roots an ounce, Liquorish an ounce and an half, Succory roots two ounces, Violet, Endive, Let­tice and Bugloss, each a handful; Prunes and Sebestens, each twenty pair; Raisons ten pair, Anise half an ounce, Cordial flowers a pugil, cold Seeds half an ounce: boyl them in a pint of the strained liquor, dissolve juyce of Roses and Bug­loss, each an ounce; juyce of Apples three ounces, with Sugar and a little Cinnamon, make a Syrup, give an ounce by it self, or in Whey, or other Liquor.

Sharp waters drunk often for some weeks hath pre­served many.

Instead of Spaw waters you may make a Drink to cool a hot Liver, and the blood and spirits.

It is good to sweat often in due season, for thereby the blood is purged from excrements, especially such as are thin. This must be done by Exercise, Stuphes, or Fomentations, and by things taken into the Sto­mach.

Let the Diet be moderate in quantity. And beware of all things which easily inflame the Blood and Spi­rits.

The Cure is directed partly to the Fever, partly to the Disease that accompanieth it. As for the Fever, because Nature from the beginning doth of her own ac­cord send forth the Vapors which rise from the Inflam­mation of the blood by transpiration or sweat, we must do the same in helping her, that so some part of the cause being taken away, little or none may be carried to the emunctuaries or pores, or other places internal which are worst. Wherefore since Nature in this Fe­ver goeth about first to expel by sweat, which she doth later in a Synoch, let us at the first give things that cause sweat (but not very strong, least the body hot before be worse inflamed thereby) or that help, and make them sweat more freely.

Let the Patient be quiet and covered, and not ex­posed to the cold Air, which hath been so dangerous to some, that many fear to apply a cold wet cloth out­wardly, or to an Erysipelas.

Some advise plenty of Barley water to be drunk, and to boyl Lentiles therein, to send forth the matter, and to sweat, as in the small Pox. And if Nape and Citron seed be added, the Decoction wil cause more sweat.

Also the Decoction of Sorrel roots with burnt Harts­horn and Lentiles husked, and Nape seed with a little Cinnamon provokes sweat.

And divers distilled waters, but here we make choyce of the most temperate in regard of the Fever, as that of the three colored Violet highly comended, also of Fu­mitory, Carduus, Marygolds, Chervil, and such as are usually given in other Fevers, which begin in the same manner.

To these Waters we add Rob, or syrup of Elder, or of Danewort, or syrup of Ambrosia or Treacle. Also we refresh in the sweat, or after it especially; with a little Bread tosted and dipt in Water and white Wine, with a little Cinnamon and Sugar, and if you do so at first, they wil sweat the better.

[Page 233]Blood-letting is not so requisite here as in solitary Fevers, except there be fear of greater internal inflam­mation, and a Plethory; for the sending of blood in­to the Emunctuaries, and the extremities is not so much to be feared, that it should be stopt by letting blood.

The Belly must be loosned if bound, as in a solitary Synoch, and purged a little, if there be ill humors with Cassia or Manna.

And the Alterers must be given in, and applied out­wardly, if the heat be great, as in a solitary.

And the Accidents corrected as there said.

As for the Botches, or Buboes, they somtimes va­nish of themselves, without any application, except in the Neck, where they are kept from the Air with a cloth or a Fur. When they are ill ordered, they burn to an Imposthume, as we shewed.

As for Erysipel as, that departs presently after the Fe­ver, but if it be hot and painful, asswage it, as shal be shewed. When it is ill cured, it turns to an Ulcer, and somtimes into a Gangrene. And therefore com­monly they say, that if any Ulcer, or Tumor, or scurf, come after, it was caused from the evil curing or wet­ting of the Erysipelas.

If a Synoch be joyned to a hot Disease or Inflammation, The Cure of Fevers coming from exter­nal Inflammations. and their Accidents, and there is an outward Inflammation with a tu­mor, Contusion, Wound, or Gun­shot, that causeth a Fever, if it be small, little is given, but such as may be mixed with the medicines against the Tumors: as bleeding which is good for Revulsi­on. And loosning of the Belly, and other altering Medicines used in other Feavers.

When there is internal Inflammations of the Lungs, The Cure of Feavers that produce inter­nal Inflama­tions. or in a Pleurisie, or Perip­neumony, or in the Liver, Spleen, or other parts, we direct our Medicines to the Inflamation, rather then to the Fe­ver, which requires no such hast, as the Inflamation, and goes away with the Disease, except as I shewed in the causes, it springs again: Yet we so order the Inflamation that we in­crease not the Feaver. And the Medicines are best, which are contrary to both.

Blood-letting is excellent in both, for it is the chief remedy in a Synoch, and it hinders Inflamation by drawing the blood from the Noble part. Therefore it must not be neglected, but let out freely and som­times repeated.

It is good also against both Fever and Inflammati­on to keep the Belly open with gentle Laxatives or Clysters. Strong Purges are Enemies to both, because they take away more of the cause, but inflame the bo­dy, and stir up the blood to flow to the Inflammations and abate the strength which is here precious. And they are to be feared least they bring a Diarrhaea which is here dangerous and deadly. Therefore imitate not the Empericks in giving them.

Things that are given cold, though they are contra­ry both to the Fever and the Inflammation, yet they must be given warily with regard to the part where the Inflammation is, lest they hurt one, when they profit the other. Although much cold water is good against a Synoch, yet it would hurt internal inflammations by a sudden repercussion, Therefore we give it prepared for that part, and in Diseases of the Breast we give Pe­ctorals, and in Diseases of the Liver openers of Ob­structions mixed therewith. And therefore sharp wa­ters though they may do good in Fevers and many in­ternal inflammations, yet we give them not in diseases of the breast, especially if they bind and are very sour. This rule is to be observed not only in ordinary Drink, but in Juleps, Syrups, and Conserves.

Remedies applied outwardly must be profitable for both, they must not increase Inflammation as Epi­thems, though they are in all Fevers profitably applied to the Heart, yet in Inflammations of the Lungs, they wil do hurt.

The Diet which is thin for a Fever, is good in an In­flammation, also while the matter slows, that while the hungry parts catch away blood for nourishment it may less come to the part affected.

But we have shewed at large in our Practice how to order internal Inflammations with a Fever, whether it went afore or followed them.

Fevers with Meazles or Small Pox which are Synochs, or putrid, The Cure of Synochs putrid, malignant, or pestilential, which produce Meazles or small Pox. malignant, or pestilenlial, are judged and cured according to their divers causes and the age of the Patient. These are less dan­gerous when they come not from a malignant cause, and then they keep the same course with Synochs, So­litary, Putrid, or not Putrid. But if there be a malig­nant cause not pestilential, these Fevers alone hil not Infants, because Nature sends out the putrid malignant cause in the blood, by many pustles, outwardly, but if not, they are dangerous, especially if pustles be in the Jaws, Lungs, or Eyes. But in people of age, whether the Fever send forth Pustles or Spots, because the cause is alwaies malignant, and hath long lurked in the blood, never purged out, or not having the small Pox in their Infancy, it is dangerons, and it observe the course of malignant Fevers which are popular, or epi­demical; though this is seldom. We Prognosticate by the Pustles, for if they come forth when signs of Con­coction appear in the Urin, and the pulse is better, and the accidents of the Fever abated, it is a good sign, if otherwise, it is ill. If a pestilent Fever brings forth the Pustles rather than others, which is seldom seen, it is deadly: And we have shewed that many thousands of Infants have been so taken away.

The Cure is, when the Fever is come, and we suspect the pustles wil come forth, because it is ordinary in that place, or because they appear; we must help Na­tures motion to expel them, and the rather when the cause is malignant, with the expulsive medicines men­tioned, and order the Fever with Evacuations and Al­terations, look to the strength, and correct the acci­dents, Thus.

We give the expulsive medicines mentioned to ex­pel from the Center to the circumference at the first, with respect to the cause, whether putrid, malignant, or pestilential, to yong, weaker; old, stronger; begin­ning with the weakest means thus.

Take Figs dried twelve, Barley and Lentiles, each a pu­gil; boyl and drink them.

Or, Take Lentiles and Barley, each a pugil; dried Figs twelve, Jujubes fifteen, Dates four, Raisons twenty pair, Li­quorish half an ounce: boyl them, you may add Sugar and a little Saffron.

Or add to the same Fennel seed two drams, Quince seeds, Gum traganth and Gum lac, each a dram; Saffron half a dram: boyl them.

The Arabians make it thus. Take dried Figgs seven drams, Lentiles and Gum lac, each three drams: Gum tra­ganth and Fennel seeds each two drams: boyl them to the third part.

If there be Obstructious and a foul body. Thus, [Page 234]Take Grass and Asparagus and Fennel roots, each an ounce; Liquorish an ounce and an half, Sorrel and Maidenhair, each an handful; Cordial flowers a pugil, Figs twenty, Raysons stoned twelve pair, Fennel seeds a dram; boyl them, dis­solve in a draught of it syrup of Citrons or Limons half an ounce, Mithridate a scruple, with waters of Sorrel and Ma­rygold.

Also: Take Carduus seeds a dram, Nape seeds a scruple, Citron seeds half a scruple, Sorrel seeds half a dram, bruise them, and add Carduus, Sorrel and water of Pauls-Bet­tony, each an ounce and an half: make an Emulsion, add syrup of Limons or Citrons an ounce, Harts horn burnt a scruple, Pearl half a scruple, Bole half a dram, Diamar­gariton frigid half a scruple: make a Potion.

Or: Take Barley and Lentil water, and a dram of Sor­rel seed, Grains of Paradice a scruple, Citron seeds half a dram: boyl them, add sealed Earth a scruple: give it.

Or give our Antidote in Pouder, if the heat be not great mentioned in the Cure of the Plague.

Or thus: Take roots of Mock chervil (which is never omitted, if it be to be had) two ounces, roots of Tormentil, white Dittany, each two drams; Cordial flowers a pugil, Sor­rel a handful, Lentils half a handful, Earth of Lemnos a dram: boyl them in two pints of water, sweeten it with Sanders, and five ounces of Sugar, drink often.

Or this which makes the Pustles come forth speedily, Take Monckes Rhubarb, Tormentil, white Dittany and Grass roots, each an ounce; steep them in spring water, boyl them to the consuming of the third part, add Su­gar four ounces, Vinegar an ounce, or juyce of Citrons an ounce, or an ounce and an half of the syrup thereof: drink it two or three daies.

If the Feaver be great: This, Take syrup of Citron, Vinegar or Limons with hoyled water or Sorrel water and Bole and Bezoar stone, drink it.

Anoynt the Back, to fetch out the Pustles, as some do the whol Body. Thus: Take Oyl of sweet Almonds an ounce and an half, Oyl of Chamomil half an ounce, the resumptive Oyntment an ounce.

Or use this Fomentation: Take Chamomil and Me­lilot flowers, of each a pugil; Mallows a handful: boyl them.

Let the Patient be in bed, and keep from the Air.

Also Scarifications, with Cupping-glasses upon the Shoulders, fetch out the Pustles and Spots, when they appear.

And rubbing with a red cloath.

The vulgar think, the beholding red things, makes the Pustles red, and therefore cover them with scar­let.

If the Fever be a Synoch it is good to bleed at the first to take out some of the inflamed putrid or malig­nant Blood, and abate the Cause in Men and big Children, not in Infants. The Spanish Physitians taught by the Jews, did formerly and now also, with the French Physitians open Veins in Children in this Disease, but not when the Spots or Pustles do ap­pear least natures motion be hindered.

If the Fever be very malignant, which bringeth forth these Pustles, or the Patient in years, give the fol­lowing.

Loosen the Belly at first, before Blood-letting (if it must be) least the Excrements increase the heat, with a Clyster or Laxative.

Or give this Potion to Men and Children in a less quantity: Take Violets a pugil, Sebestens and Jujubes, of each ten, Tamarinds three drams, boyl them, and add Manna an ounce, Cassia ten drams.

Some men must have stronger purges, but take heed of a Fluz or Dysentery, and add alwaies somthing to resist Malignity.

As thus: Take Rhubarb four scruples, Spike half a scru­ple, Scordium half a dram, yellow Myrobalans a dram and an half, infuse them in Sorrel and Carduus water: strain and dissolve syrup of Peach flowers and Roses with Senna, each an ounce.

Or: Take Tryphera persica six drams, Manna an ounce and an half, syrup of Limons an ounce, of Violets and Roses each an ounce; with Sorrel, Scabious and Carduus water: make a Potion.

Or these Pills: Take Aloes two scruples, Rheubarb a scruple, Myrobalans half a scruple, Agarick a scruple, with syrup of Sorrel: make Pills.

Or this Clyster: Take Mallows, Beets, Mercury, Sor­rel, Bugloss, Borage, each a handful; Balm half a handful, Cordial flowers, Bran and Barley, each a pugil; boyl and strain them, add Tryphera persica an ounce, Cassia six drams Honey an ounce, Oyl of Violets three ounces, with a little Salt make a Clyster.

Use alterers to cool, and resist corruption, as in a continual putrid Fever and Malignant. It is not good to use cold things outwardly for fear of Repercussion, or striking in the matter,

Restore strength as there, with Lentils and Barley and give no Wine till the declination.

We have shewed else where how to order the Pustles.

If there be a Diarrhea or Flux in the begining, (for in the end it often cureth) by the venemous Humors in the Guts, you must mix the Troches of Spodium or burnt Ivory with expulsives.

The Cholick is abated, with Clysters or Oyl of sweet Almonds.

Vomiting is stopt with a crust of bread dipt in Vine­gar, given and applied.

For the Syncope or Swouning: Take Pearl half a dram, Bole a dram, filings of Gold and Unicorns horne, each a scruple; Citron feeds half a dram, fragments of pre­cious Stones, each a scruple; with Sugar, dissolved in Rose water: make Lozenges.

If the sleep be great and cause astonishment, expel it with Rubbbing, Ligatures or Binding and Cup­ping.

With other Pustles, The Cure of pure Synochs and of pu­trid Malignant fe­vers, which produce the Botch or Car­buncle. as a Car­buncle not Pestilential, if there be a Synoch pure, or a putrid, or ma­lignant, but not the Plague, we shal proceed in respect of the Fever, as formerly. Using things to expel the cause, laying upon the Carbun­cle things that draw out venom, and then we open a Vein, loosen the Belly and strengthen the Heart in­wardly and outwardly with coolers and resisters of venom, hold up the strength, and correct accidents, and Cure the Carbuncle, as was shewed. A lingring Symptomatical fever tur­ned into a Hectick, The Cure of ling­ring or Hectick Fevers which are joyned with Phthi­sick and Cathexy. as in the Phthy­sick is usual, must be as a solitary He­ctick. But if it be fixed and the Disease not gone that caused it, it is incurable. But if before it is a He­ctick it hath little heat and smal accidents and is little alone regarded, but the whol cure is directed to the dis­ease accompanying it, whose Symptoms are more ur­gent, as shall be shewed, having an Eye to the Fever in other prescriptions for the Disease.

And we must take away no more not less blood, be­cause there is a Fever.

[Page 235]But we purge in Cachecticks for the Fever with gen­tle things that inflame not.

If the altering Medicines must be hotter for the Dis­ease, we must cool them for the Fevers sake. And in a Consumption before the Hectick is confirmed, we may use things that moisten rather then violently cool.

If there be a Fever from retenti­on of the After birth, The Cure of ling­ring Fevers rising from a dead Child, After-birth, or con­gealed Blood. a dead Child or congealed Blood, it is gentle and Symptomatical and to be cu­red as the other: except there be an Inflammation and then it is to be cured, as a Fever with Inflam­mation above mentioned.

CHAP. III. Of Head-Ach.

The Kinds.

THe internal pains of the Head, which reach not so outward, as to be increased by the touch, as the internal, are either unusual, or accustoined, or soli­tary, or accompanied: Hence arise all the Kinds of them.

We call them unusual, which are new from lome fresh Cause, Cephalalgia, or the Head-ach cal­led Soda by the Arabians. and which the patient never had before. This is call'd Cephalalgia or Soda by the Arabians. In this the Head either is pained in some distinct place, or here and there.

The last pain is called an indistinct or wandering pain, over all the Head: one while stretching it, as if it would tear it, which some think to abate by binding or pressing, another while it beats only in the Temples, Heaviness of the Head is a kind of Cephalalgia. som­times it pricks only in the Ears, som­times it is a heavy pain like a weight & this is call'd heaviness of the Head.

Somtimes the pain is distinctly in the fore part of the Head and Temples, or the right or left side or both or in the Fore-head or roots of the Eyes, as if they would fall out, the Eyes are red and the Temples beat with pricking, somtimes in the Ears, which are oftner in Cephalalgia: somtimes it is behind like a weight, but oftner in Women then Men, Somtimes in the Crown.

They are usual pains which are old or return upon smal occasions, they are on both sides, or in one side only.

When pain is on both sides of the Head, or the greatest part, Cephalaea. it is called Cephalaea. In this the pain is continual, which ceaseth not, but is somtimes gentler and stronger othertimes. or intermitting or comming by fits: these are ordinate at certain daies, or weeks, morning, or evening, or in­ordinate returning from any light Cause.

If the pain be in one side of the Head as if it were cleaved it is called Hemi­crania; Hemicrania. This begins from the beating of the Temples and goes to the Sagital or arrow like suture, dividing the Head long waies, and comes every third or fourth day: There is another sort which at a set hour every day for divers weeks torments the Pati­ent with a pricking pain in some part of the Skul, with this I was vexed some weeks about my right Eye­brow.

They are solitary Head-aches that come alone no disease going afore, as that of wine and drunkness, which begins after sottishness and amazment there­from is past.

Those are called accompanied, which are joyned with other diseases: which they follow for the most part, and are Symptoms, as when the chief Symptom in a Fever is the Head-ach, and those Head-aches that accompany Melancholly and Falling-sickness. Or those which come from a Catarrh, before or behind with heaviness; Or that come in the Diseases of na­tural parts, accompanied with divers other accidents, as Cachexy and suppression of Terms. Or when in the French Pox there is a Cephalaea that molesteth at night most, both inwardly and outwardly.

The Causes.

Head-ach must needs be, The part affected. within the Skul, or in the meninges, or filmes, or in the brain it self; It may be in the meninges because they are sensible. And they being two, the one thick the other thin, and close joyned together and to the Vessels can carry the pain from what side soever it begins. So that it is hard to distinguish which of them is most affected, but by conjecture, as when the dis­ease is in the outward thick Membrane, the pain must be outward by reason of the Pericranium joyned unto it. But if the inward thin filme be afflicted, the pain is deeper and in the Brain as it were. In both the pain may come to the roots of the Eyes, because the Balls of the Eyes have tunicles from the Membranes of the Brain. But in regard both the Tunicles are distinct with the Brain long waies in the middle of the Skul, it comes to pass, that if the discase be only on one side, only half the Head is pained, but if on both sides, the pain is on both sides, now in one, then in the other, as the cause is more or less.

Many assirm that there can be no pain in the sub­stance of the Brain, because the substance of the brain is insensible: But we affirme that those parts of the brain, to which the tender film, or Meninx grows, which produceth the sensitive Nerves cannot be without sense, and that they may give occa­sion of pain with the meninges by consent, and yet without hurt to the mind, this pain is stupefying rather then sensible. And in heaviness of Head I suppose that that pain or sence of weight before and behind, comes from the brain offended in the part from whence the Nerves and Marrow proceed.

The Disease which is in the meninges of the brain, or the sensible parts thereof, where the Nerves begin, which causeth Head-ach, is either manifest when a hot distemper inflames the parts or cold, when it plucketh them or solution of continuity, stretching or other­wise hurting: Or it is a hidden quality which is offen­sive to these parts. The helping Cause is the disposi­tion of these parts to suffer. From which cause, if they be little, the Disease is less; if great, or more causes meet the Disease is greater.

A hot distemper is often the cause of Head-ach, A hot diflemper of the Brain caus­eth Head-ach. for the Head (as I shal shew) easily is inflamed by reason of the plenty of spiritful blood, and is pained by a preternatural heat: And the rather when [Page 236]there is a matter which raiseth the heat to stretch and disturb it. Or if there be an evil quality in them that offendeth the brain, as it is usually from a hot vapor or humor from blood and choler.

The Head being uppermost ea­sily receives Vapors, Vapors going to the Head cause Head­ach. especially thin. these heat and pul, and give occasion to Head-aches by con­sent. This comes from outward scents, but it is rather the return of an old pain which was usual, than a new. And sometimes from things eaten, that with their Vapors strike the Head. These may cause new Head-aches if they fil the Brain, as in Drunkards who are pained in their Heads, from the thin hot vapors of the Wine, that heat and prick rather than stretch the Brain, by a force, as I shal shew, con­trary to the Brain and Nerves. This pain comes af­ter sleep from the stupifying or Narcotick quality of the Wine, and the heat remaining and continues till the Vapors are thrown out by Snorting. Vapors sent to the Head from hot, cholerick, and putrid humors in the Veins, cause the Head-aches in most Fevers; and out of Fevers they cause the fits of the Hemicrania or half Head-ach: And Choler in the Stomach sending Vapors, causeth Suffusions and Vertigoes or Giddiness and also Head-ach by consent.

Much spiritful Blood conteined in the large cavities and passages of the Brain, Bloood in the Head causeth Cephalalgia. by stretching, or if it be hot by in­flaming, it causeth a Dotage, or by heat, a Cephalalgia, or bloody Head-ach called Soda. This is Cholerick, Melancholick, or Flegmatick, as the blood abounding is thick or thin. This Blood comes into the Head, from a plethory in the Body, which is from divers causes. Or it is drawn thither by the heat of the Sun or Baths, Noyse, Cough­ing, Stroaks, Falls, or great motion of the Body or Mind, and made hotter: Especially in hot Diseases, this is a Symptom, especially in Fevers in which the blood inflamed with the spirits in the Head, as it is al­so in the great Veins. hence comes Head-ach in all Fevers, or from the Vapors, for in Fevers the Head is made hotter as wel as the body. We know when head­ach comes from blood, from things foregoing, and from the beating pain, and redness of the Eyes, and other causes.

Also if such excrementitious Choler as comes pure from the Ears separate from the water, go to the Brain and Meninges, it makes a pricking, but it can scarse get thither without moisture, nor doth it then cause pain, because in the Jaundies, except other causes happen, there is no Head-ach.

A cold Distemper may cause head­ach, A cold distemper of the Brain caus­eth Head-ach. as wel as pain in the Nerves, by binding and biting, and by its ad­verse contrary quality to every sen­sible part. This may come from flegmatick excrements of the Brain, cooling the mem­branes and not the Brain (for then there would be sleep or astonishment) as in the Defluxion called Co­ryza, there cometh somtimes actually cold water from the Nose, and then the pain of the Head ceaseth. Al­so pain riseth from some external actual Cold, either because it astringeth, or is otherwise an Enemy to the Head; from the Air, or Wind, or cold things applied to the Head, these cause Head-ach if they pierce in­ward. And a little cold external in such as are used to have the Head-ach and to keep their heads warm, if they stand bare wil cause the Head-ach, therefore they defend their Heads Caps and long Hair. And they who are offended easily with heat, take off their Hair, and say, that if it be long they perceive the head-ach to trouble them, as we have observed in old Men and bald-pated, who use to be night and day bare-headed: Also by accident, external Cold by driving the exter­nal heat inward (especially when from a cold place one suddenly removes into a hot) may cause Head­ach, rather by heating than cooling the Head.

Solution of Continuity manifest by external causes, as a stroak, Distention and Twitching in the Brain is the cause of Head-ach. or Wound, that pierceth to the Menin­ges, make an inward Head-ach with an outward. But distension and twitching pains are caused by Vapors and hot humors, and flegmatick excrements a­bounding in the Brain, cause the same; not so much by their plenty, as by their coldness and sharpness, which they have by corruption or saltness. And this Headach is joyned with a heat, and is before or behind, as the humor producing it, is in the fore or hinder cavity; and it is heavy like a weight, with stretching and twitching. And it is shorter when the excrements stay not, and longer when they do. and somtimes a Giddiness or Defluxion doth go before or accompany it. And the plenty of these excrements being waterish, thin, sharp, and hot (as we shewed in Coryza with Head-ach) flowing from the Eyes and Nose shew the cause. And we have seen abundance of these humors voided, not only at the Nose, but Ears, which have cured an old Ach.

Any quality that is an Enemy to the Membranes of the Brain will cause pain in them first, A quality which is an enemy to the brain causeth Head-ach. and then in the Head, either by a hidden force, or a manifest quality. As Narco­ticks afflict the Brain with their evil quality being taken, and also cause pain of the Head when they which took them come to their senses, and it continues. And Drunkards are not so much hurt by the heat and vapor of the Wine, as by its evil quality. and after Beer we find Head-aches caused from the Hops, which are narcotick and stupefactive, by which quality we observe that Hops are destructive unto Flies. And we have often observed that Head-ach easily comes af­ter the use of Opiates. And after the use of other things not narcotick, but otherwise offensive, as of Saffron, Smallage seed, not only much taken, but smelt to. Al­so Head-ach, as other diseases of the Head may come from evil vapors or humors, as in melancholly and the like. And in infectious Diseases it may come from the Contagion, as in the French Pox where the quali­ty doth not only outwardly torment the Periostium and Pericranium, causing outward pain, but the inward films or Meninges causing inward, which somtimes are both together. And the Plague or venemous quality hereof, or of any other poyson may cause Head-ach by its enmity to the Brain as wel as the Heart, and not by the heat of the Fever only, though both may be causes of this Head-ach together, as when a putrid Fever is joyned with a malignant.

When the disposition or disposition of the Head is to be pained, Weakness of the Brain or a dispo­sition to suffer causeth head-ach it comes from very small occations, & this dis­positionis the cause of Cephalaea & He­micrania. we cal this a patible or suffe­ring disposition; but we know not how to explain it, un­less we call it too much sensibility, or that which comes from the Parents Hereditary. Or unless it comes from an evil custom in such who have often been pained, or be a weakness which makes the Head more ready to [Page 237]suffer such as is after long diseases of the head, wounds, or French Pox, caused by long and continual gathering of excrements in the Head.

Evil shape, called Mala conforma­tio is somtimes cause of a continual Head-ach, A fault in the Or­gan or part caus­eth Head-ach. as when the sutures or seams in the Skul (especally the Dart-like suture called Sagittalis) is so closed or defective, that there can be no transpration of vapors and sooty excreements. This may come from a preternatural rockey or hard constitution of the Skul in the Crown, as I have felt and seen often.

The Cure.

A hot Cephalalgia comes from a hot, The Cure of Cepha­lalgia Cephalaea or Hemicrania of what cause soever. cholerick, or sanguine va­por, whether pure or impure, which overheats, striketh, and twit­cheth the brain; and this comes from external or internal causes, of themselves, or by consent, in hot diseases of the Stomach or other parts as in Feavers especially. If it comes of it self by Blood flowing to the Head, it must presently be drawn away, and driven down, and the heat raised thereby allayed, and the pain asswaged, least it renew the flux, and the residue discussed and consumed. If it come by con­sent from vapors sent up, the Cure is to be directed to the Disease of which this Head-ach is but a Symptom, and the cause of this symptom, especially the fuel from whence these vapors arise must be purged, and the va­pors are to be stopped, and drawn from the Head and discussed. a cold Head-ach if it come from exter­nal cold, either of it self departeth, or is cured by moderate heat by degrees easily. A flegmatick Head­ach if new called Cephalalgia, Cephalaea, or old, called Hemicranaea, must be cured as other diseases arising from the excrements of the Brain, by general and par­ticular evacuations of the Brain, and by altering and strengthening, and discussing the humors gathered, and fetching them forth by secret or manifest waies opened by Nature or Art. Head-ach from Narcoticks, espe­cially Wine, or other things that are offensive to the Btain, or from malignant vapors is cured by evacuate­ing these causes and suppressing their strength. If it be from the French Pox it is strong and not cured but by many and great Evacuations, as I shewed in those Dis­eases of which Head-ach is a symptom. But we shall shew here what is to be done chiefly against this symp­tom of pain by evacuations and altering medicines, proper to the several Kinds and Causes of Head­ach.

Remedies to take away the Cause, are either to draw away the blood, and with that, humors and vapors from the part affected; or the heat; or the humors upward or downward by the Mouth or Nose, or by sweating, or particularly by the Skin of the Head.

Blood-letting when plenty and heat causeth Head­ach is appointed to repell, or pull it from the place af­fected, and to derive and direct it. We make Revul­sion by opening the Veins remote from the Head, and this must be done at the first while the blood floweth to the part: And it wil also prevent an unaccustomed Headach in plethorick persons to bleed Spring and fall. either in the Arm, or Foot, or pained side, opening the Vein most apparent, or that called Cephalick or head­vein in the Arm. or that in the great Toe proper a­gainst the Head-ach called by the same name. In wo­men open the Saphena, especially if the courses be stopt. In all which you must observe the quantity, in a pure plethory you must bleed more, in an impure less, with respect to the constitution of the Body. And if the Disease wil give leave, first loosen the Belly. we de­rive the blood when much is flown to the part, by the Veins neer the Head: First opening a Vein for Re­vulsion, after the Flux is stopped, and a new not fear­ed. This may be done by opening the external jugu­lar Veins in the Neck (as the Arabians teach and o­thers that speak of the Cure of old Head-aches) but for the danger of stopping them, by reason of their largeness, and swelling from strong Ligature and Ex­tension of Voice. And the rather, because when they bleed much, they cause Sterility or Batrenness as Hip­pocrates saith. Therefore it is better, especially if the dis­ease be in the Fore-head to open the Branches of the Veins in the Temples or Forehead; And because in the opening of them the Throat must be bound to make the veins appear and drive blood into the Head, it is better to open the Veins under the Tongue, which are branch­es of the internal jugular in the Mouth. Or you may open other branches in the Nostrils. Or apply Hors­leeches to the tip of the Nose, or behind the Ears, or upon the external jugulars.

Many commend the opening of an Artery when there is strong pulsation and heat, especially if there be a giddiness called Vertigo, which is done as we shewed in the Fore-head, Temples or behind the Ears.

Cupping-Glasses are used to supply the former, or after other bleeding to advance, because they draw blood, and if scarification be made, evacuate it. These are to be applied to the sides of the Neck, the Shoul­ders, Arms, Hips and Buttocks, beginning above, and so going down, often the same day or the day follow­ing. Scarrifying also afterwards if we wil make strong attraction. Also it is good to scarifie between the Thumb and fore-finger, especially in a Vertigo. or in the Wrists. some use it to the Ears.

By Frictions we attract the heat, which are good not only to draw away blood but humors and vapors which cause pain. These are made in the Arms, Back, and Feet, beginning above. It is good to comb the Head often, if it be done gently it causeth dissolving of humors, if strongly, attraction of humors to the superfi­cies of the Head. This is best in old Head-aches, or in the declining of the other. Ligatures or binding of the extremities, revel more powerfully than frictions or rubbing. Also washing of the body with a hot Decocti­on of Herbs good for the Head, draws humors and Vapors from the Head, And asswageth pain as we shal shew.

Glysters are good, and usually afore bleeding, be­cause they supple the belly and take away excrements. and after also, to draw down blood, spirits, and vapors; if they be sharp, and well applied. And in constant heat they must be given often, the belly being bound, for the Disease comes or is increased by excrements re­tained, which send up vapors.

In a hot cause, especially Fevers, use this. Take Mallows, Violets, Marsh-mallows, Beets, Mercury, red Cole­worts (which besides their pricking resist Vapors and Drunkenness) each a bandful; Bettony (proper for the Liver) half a handful, Violets a pugil, Chamaemel flowers half a pugil, Barley, Bran, each a pugil; cold seeds half an ounce, Fennel seed a dram: boyl and add Honey of Vio­lets and red Sugar, each an ounce; Juyce of Beets or Mercu­ry an ounce and an half, Cassia an ounce, Oyl of Violets two ounces, Butter an ounce: with Salt make a Clyster.

In other Causes, especially old pains; Take Lilly roots two ounces, the Emollients, Beets or Mercury, red Colt­worts, [Page 238]Pellitory of the Wall, Bettony, Sage, Hysop, each a handful, flowers of Chamomil, Lavender or Staechas, Rose­mary and Bran, each a pugil; Figs ten, Annis and Fen­nel seeds, each a dram; boyl them, and add Hiera prica and Diaphaenicon, each two drams; red Sugar and Honey of Rosemary, each an ounce and an half; juyce of Mercury or Beets an ounce, Oyl of Chamomil and Lillies, of each an ounce and an half; with a little Salt: make a Cly­ster.

If the pain come from Humors or Vapors from them or evil quality in them, or if the uncleaness of the Body increase or nourish it, we give divers purges such as are for other Diseases of the Head, coming from the same cause, differing in respect of the cause and consti­tution; when the cause or nature is hot, we use gentle and moderate, but in others stronger and hotter, re­specting the Head in all: giving before them Cly­sters: or letting blood, preparing the Humor first if need be. And we purge often, if the cause require, as in the Head-ach from the French Pox. Thus,

In Cholerick Body we prepare before purging: Thus, Take Syrup of Endive two ounces, syrup of Violets and Sor­rel, each an ounce; Succory and Bugloss water, each four ounces; Vervaine water (which is proper for the Head) two ounces, and Bettony water an ounce, give it at thrice, and a Tablet of Diarrhodon after every draught.

In Melancholly, thus: Take syrup of both Bugloses, each an ounce and an half; syrup of Harts-tongue and Epithymum, of each an ounce; Bugloss, Vervain, Balm and Bettony water, each two ounces: take it as the o­ther.

In flegmatick and old pains, where the heat is not great: Take Honey of Roses, Oxymel simple and syrup of Maiden hair, each an ounce and an half; syrup of Hysop and Staechas, each an ounce, Marjoram, Bettony, Vervain, Balme, Hysop and Sage water, each as much as is fit, give it as the other with a Tablet of Diamoschum after every draught.

Or this Decoction: Take Fennel roots two ounces, the true Acorus or Calamus an ounce, Liquorish an ounce and an half, Bettony, Marjoram, Sage, Vervain, each an hand­ful; Lavender, Staechas and Rosemary flowers, each a pugil; Annis and Fennel seeds, each a dram; Raysons stoned two ounces: boyl them, and add Honey, then clense it, and add Nut-meg and Sugar, give it three or four mor­nings.

As for purges, if the pain come from a hot humor, blood or choller, they are as we shewed in Fevers and other hot diseases that cause Head-ach.

Or thus: Take Cassia, Tamarinds, Prunes, of each half an ounce, take it with Sugar or Whey.

Or thus: Take Cassia six drams, Electuary of juyce of Roses two drams, Diaprunis a dram, syrup of Roses an ounce and an half, with Bugloss and Rose water: make a Po­tion.

Or give this Decoction: Take Beet roots green an ounce, Dock roots half an ounce, Violets two drams, Bugloss flowers a dram, (if fresh two drams,) Cold seeds, of each two drams; Annis seeds a dram, Prunes and Tamarinds, each six pair; Polypody six drams, Senna half an ounce: boyl them, and to one Dose, add syrup of Roses an ounce, or six drams of the infusion of Rhubarb, this may be repea­ted often.

Or this infusion: Take Rhubarb four scruples, yellow Myrobalans two drams, Spike half a scruple, bruise them and sprinckle them with a little Wormwood Wine till they are soft, then infuse them in Whey or Endive and Vervain water, strain them, and add Diaprunis two drams, syrup of Violets an ounce: give it.

We use this Apozem often in Cholerick persons, which tempereth the Humor. Take roots of Succory, Bugloss, Beets, each an ounce; Endive, Succory, Borage, each a handful; Mercury half a handful, Cordial flowers, each a pugil; four great cold seeds, each two drams; Purslane, Let­tice and Annis seeds, each a dram; red Pease a pugil, Ray­sons stoned and Tamarinds, of each an ounce and an half; Prunes twelve, Sebestens ten pair, Polypody two ounces, Senna an ounce and an half, Carthamus seeds an ounce, boyl them and add juyce of Roses two ounces, Manna an ounce, with Sugar and Cinnamon: make an Apozem for three mor­nings.

If he had rather have Pills use those of Assajereth, which are good for Head-ach coming from the Sto­mach, or Aggregative, or sine Quibus, a dram of ei­ther.

In Melancholick persons, when the cause is not so hot, purge as in other Diseases of the Head caused by Melancholly. Or thus: Take Catholicon half an ounce, Diaphaenicon two drams, Hamech a dram, take it with Sugar, or an ounce of syrup Fumitory, or with Whey, or Cock broath.

Or use this Decoction: Take Bugloss roots an ounce, bark of Tamarisk half an ounce, Bugloss and Scabious flo­wers, each a pugil; Staechas, french Lavender half a pugil, Melon seeds a dram and an half, Raysons stoned an ounce, Prunes ten, Dates five, Polypody six drams, Senna half an ounce, tops of Time two drams, boyl and infuse them, Indian and chebs Myrobalans, each a dram; strain them, and add syrup of Roses and Peach flowers, each half an ounce with Sugar and Nutmeg: make a Potion, repeat it if need be.

Mesues syrup of Apples made with black Hellebore, or that with white Hellebore corrected by Rondeletius is good, an ounce and an half given alone or with con­venient Liquor.

Or this: Take the opening roots steep'd in white Wine Vinegar, barks of Capars and Tamarisk, each six drams; Liquorish an ounce, Bugloss with the roots, Fumitory, tops of Hops, Eupatorium, by Mesues, called Ageratum, Maiden­hair, Cetrach, Germander, Ground-pine, each a handful; Balm and Elder, each half a handful; Cordial flowers and Tamarisk, each a pugil; Staechas and Chamomil flowers, each half a handful; Fennel and Annis seeds, each two drams; Parsley and Dodder seed, each a dram; Raysons stoned an ounce and an half, Figs and Prunes, each ten pair, Dates six, Polypody two ounces, Carthamus seeds an ounce, Senna an ounce and an half, tops of Time and Epithymum, each half an ounce; white Hellebore a dram or more, Schae­nanth two drams: boyl them, and add of Myrobalans a dram and half, add to the straining, juyce of sweet Apples half a pint, with Sugar, make an Apozem for three or four Doses, or boyl it to a Syrup.

Or these Pills: Take Pill Indy two scruples, Aggrega­tive half a dram, with juyce of Fumitory or Balm water, make Pills.

Or these: Take species Hiera without Saffron, a dram and an half, extract of Polypody, and all the Myrobalanes, each two scruples; Hellebore and Scammony, each a scruple; Lapis Lazuly prepared half a dram, Oyl of Lavender flowers three drops with syrup of Fumitory, make a Mass, give it from half a dram to a dram.

If a Cephalalgia, or a long Cephalaea, or Hemicrania, come from flegm or waterish humors, they must be purged as other Diseases of the Head mentioned.

Give Pills of Hiera or Allephanginae often, which are good when vapors from the Stomach offend the Head, or stronger, as Cochy, stinking Pills called Faetidae, or more temperate, as of Sarcocol or Agarick.

Or these: Take species of Hiera picra two drams, Aga­rick, Turbith, each a dram; Troches of Alhandal, Diagri­dium, [Page 239]Nut-meg, each half a dram; Ginger a scruple, Sal gem half a scruple, Mastick half a dram, Oyl of Cloves and Lavender flowers, each two drops; with syrup of Staechas, make a Mass, give two scruples, and repeat them in old Head-aches, and add Pills Cochiaee, if they work not enough.

Or this Pouder: Take Turbith two scruples, Diagry­dium three grains, Tartar of white Wine, Gingar and La­vender flowers, of each a scruple; with Sugar give it in broath.

Or this of Dr. Ruland called Pulvis Diatartar, it is very pleasant: Take Senna six drams, Crystal of Tartar an ounce, Fennel and Annis seeds, each a dram; Cinnamon half a dram, Sugar of Roses a dram and an half or two drams, make fine Pouder, give a spoonful or more at a time often.

Or give Tablets of Diacarthamum or Diaphaeni­con.

Or this Potion: Take Liquorish six drams, Calamus Aromaticus half an ounce, Hysop and Marjoram, each half an handful; Staechas and Rosemary flowers, each a pugil; Figs five pair, Dates three, Annis and Fennel seeds, each a dram; Senna two drams, Carthamus seeds three drams, boyl them, and infuse Agarick a dram, Ginger a scruple, strain them, and dissolve Diaphaenicon and Electuary Indy each a dram, make a Potion.

Or this Apozem: Take Liquorish an ounce and an half, Parsley and Grass roots, each an ounce; Acorus, Orris and Galangal, each half an ounce; Bettony, Sage, Marjo­ram, Hysop, Vervam nnd Maiden hair, each a handful; Rosemary, Staechas, Lavender, Bugloss flowers, each a pugil; Fennel and Annis seeds, of each two drams; Parsley, Carua and Seseli seeds, each a dram; Piony seeds a dram and an half, Raysons stoned twelve pair, Figs eight pair, Dates five pair, sweet Prunes eight, Polypody two ounces, Senna and Carthamus seeds, each an ounce and an half; Agarick half an ounce, Turbith three drams, boyl them, and add Ho­ney as much as is fit, Cinnamon two drams, Ginger a dram, Cubebs and Nutmeg, each two drams; make an Apozem for three or four Doses, or a syrup if you please.

There are things purge the Head by the Nose and Mouth, good when flegm abounds. And these are best when the Humor was wont to pass that way and is stopped. Also they are good in Choller and Melan­cholly pains, but they must be used after other Eva­cuations. Those that cause Neesing, cause heaviness of Head somtimes: if the Head-ach be from vapors, they presently take it away, as it doth from drunkards, whom it comes upon and takes away Head-ach. They are thus made, as in other Head diseases.

A Masticatory to chew: Take Mastick half an ounce, Angelica seeds and Nutmeg, each a scruple: mix them with Wax or chew them in a clour.

A stronger: Take Mastick two drams, Staphisager and Pellitory roots, each a dram; long Pepper, Cubebs and Nut­meg, each a scruple, make Pouder, and with Wax, make forms to be chewed.

A Gargarism: Take Orris, Capper and Pellitory roots, each half an ounce; roots of masterwort two drams, Hysop, Organ, Sage, Time, each a handful, Staechas and Rosemary flowers, each a pugil; Mustard seed half an ounce, Nettle seed an ounce, Nutmeg two drams, boyl them in Wine and Water, in a pint and half strained, dissolve Oxymel of Squils two ounces.

An Errhine to snuffe up: Take juyce of Marjoram an ounce and an half, juyce of Brooklime, Beets and Vinegar of Squils, each an ounce; Manna half an ounce.

Or this Liniment for the Nostrils: Take Scammony a dram, Gith seeds, Pellitory and Sowbread roots, each a scruple; Gall of any Fish five drops, Oxymel of Squils: make an Oyntment.

Or put in this Pessary to the Nose: Take the Me­dicine last aforesaid, add Orobus flowers to thicken it, or bruised Marjoram, or a Beet root, the inward being taken off, or if you will neese the inward part of Hellebore, like pith, or the Pouder of it.

It is most convenient to give a Vomit, when Head­ach comes from vapors, rising from the Stomach, as in drunkness, for it presently takes away the Cause. Therefore if nature doth not of herself, give a vomit, as we shewed in other diseases of the Head, Giddiness and Drunkenness. But in other cases, when the Head suffereth from its self, it is not good to vomit rashly, while the Head akes violently. Because by the strong motion and straining to vomit the Head will be shaken and blood spirits and humors sent to it, which will in­crease the pain. But a vomit may somtimes be allo­wed out of the fit to hinder increase of Excrements.

Sweating is good when Head-ach comes from wa­tery Excrements after general purging, because the Ex­crements are drawn forth thereby, therefore in old Cephalaeas and in those pains from the French Pox they are given, to Cure the disease and Symptom, by way of Decoction with slender Diet, for some time, as we shall shew. But it is not good in a hot cause or Cepha­lalgia, because sweat cannot be raised without great heat which will increase pain.

In the extremity of Head-ach, the last remedy is to Evacuate by the Skin of the Head (for so the whol bo­dy may be cleansed) by applying things thereto, that make great Evacuations, (those that purge only the remainder shall be mentioned in the altering Medi­cines. But these are good in old disperate Head-achs to draw the Excrements from the Membranes of the Brain and let them out. These are very hot attracters of humors that consume them also. Lixivium or Lie and Oyntments: and Cupping-glasses or things that inflame, or make the Head red, or burning Vesicato­ries that blister: or Cauteries that cause an Eschar act­ually or potentially. They are applied behind in the Neck, such as we mentioned in other diseases of the Head.

Cutting or Trepanning in the Head, that is, taking out a peice of the Skul, to make way for the humor, is also a last remedy for old and desperate Head­aches.

Medicines to alter are given, as in other diseases of the Head, according to the humor predominating cold or hot, and strengthening, and that beat down vapors if the pain come from the stomach, and allay Choller. These are given in Diet as well as Medicine.

First take heed of things that by scent hurt the Head, as Wine, Mustard seed and the like, which in a Flegma­tick case, would be good, and Wine also, which che­risheth the Head and Cures the hurt it caused, hence the drunkards take a Hair with the old Dog, and till they drink Wine again are not well, or eat with it to repress vapors. And Milk although being corrupted it causeth Head-ach, yet thus drunk it abates it.

We are somtimes urged to give Stupefactives in great pain of the Head, especially if they cannot sleep and in a hot distemper. As syrup of Poppies or other gentle Narcoticks, as Pouder Diapapaveris. In other cases we give not Narcoticks, or sleeping Medicines, because as we shewed, when their strength is spent, they leave a Head-ach behind them, except well corrected, as Treacle or Mithtidate, or Diacodium, or Requies Galeni, but in a very smal quantity; All this may be also done by a large drinking of strong Wine which hath also a Narcotick quality.

The Remedies to be applied outwardly are of three [Page 240]sorts, Coolers, Anodynes or Removers of Pain, or Healers. If it come from a hot cause, or Cephalalgia, give Coolers, and at first Binders, when the flowing of blood is to the Head, or is feared. and after mix moi­stening things therewith to abate the heat. Anodynes which with moderate heat not too dry cherish the part, or by causing sleep or astonishment, keep the pain from being felt; when the pain is great and at the first, to hinder the Defluxion may be given, not so wel alone, as with cold mixture. Hot things which dry and dis­cuss humors and thin vapors, may be given in the de­clining of a hot Head-ach to take away the remainder, and fix the weakned part, first mixed with the aforesaid, then alone. With these the Head is washed from an high, or Stuphes, or Clouts, or Spunges are put there­in, and applied to the Fore-head and Temples, or the parts anoynted therewith, or they are applied in Bags, or Caps, wet or dry, as followeth.

When we wil cool and repell together, we apply Vinegar of Roses thus. Take Rose water four onnces, Rose-vinegar two ounces, Oyl of Roses an ounce: mix them, if you wil astringe more, add more Vinegar.

It is better, Thus with Juyces. Take Rose water three ounces, Rose-vinegar an ounce, juyce of Osiers and Plantane, [...]ch an ounce; with the white of an Egg to make the moi­sture stick longer. if it come from Drunkenness, add juyce of Ivy. apply it.

Or use this Decoction more repelling and cooling. Take Plantane and Osier leaves, Vine and Nightshade, each a handful; boyl them, to six ounces strained, add juyce of Plantane and Housleek each an ounce an half; Vinegar of Roses an ounce: mix them.

Anoynt the Fore-head and Temples with repelling Oyntments as the Cerote or white Oyntment of Galen or that of Roses.

Or, Take Oyl of Roses, juyce of Osiers, Vinegar of Roses, whites of Eggs, each equal parts: beat them a good while and apply them.

Or this. Take Oyl of Myrtles two ounces, of Roses one ounce, juyce of sour Pomegranates, Vinegar of Roses, each an ounce; Oyl of Olives a dram, Myrtle, Barberry and Co­riander seed, each half a dram; with Turpentine of the Larch tree: beat them, apply it as the other.

Or this Emplaster. Take juyce of Willow and Vine leaves, or of Plantane in the winter and Housleek each an an ounce and an half; Vinegar an ounce, with Line seed flour, and the white of an Eg, make two Plasters for both the Temples.

Galen makes a Frontal or Plaster for the Fore-head of red Roses steept in Wine, which is red and astrin­gent, or in Vinegar.

Fresh and green Vine leaves and Willows applied do the same, and better if beaten or bruised or steept as the Roses.

If you wil repel and ease pain also. Take Rose water three ounces, Plantane water two ounces, juyce of Willows, or Plantane an ounce and an half, Vinegar and Poppy flowers, two ounces, Oyl of Roses and Violets, each six drams; whites of Egs and Mucilage of Fleabane seed, each an ounce: beat them wel.

Or use this Cap or Frontal. Take red Roses two drams Violets and Water-lillies, each a dram; Coriander seed two drams, Myrrle seed a dram, rinds of Mandrakes half a dram, red Sanders a dram and an half, red Coral a dram: make a Pouder.

To Cool and Moisten, we use this. Take Lettice, Water-lillies and Nightshade water, each two ounces; Vine­negar of Roses (to pierce and repel) half an ounce: ap­ply it to the Head.

Apply Nightshade also and Purslane bruised.

If you intend to allay pain at the same time. Take Lettice and Nightshade water, each two ounces; the mucilage of Marshmallows and Mallow seeds, each half an ounce; Camphire half a scruple: mix them.

Or this Decoction. Take Marshmallow roots, Lettice and Nightshade, each a handful; Housleek half a handful, Roses, Violets, and Water-lillies, each a pugil; Barley half a pugil, Line seed half an ounce: boyl them in Water.

Or this Epithem to asswage pain. Take Rose water two ounces, Henbane water an ounce, Vinegar half an ounce, the Emulsion of fifteen Peach kernels made with the Liquors mentioned, Oyl of Roses half an ounce.

Or anoynt with this Anodynd. Take Oyl of Roses and Violets, each an ounce; Oyl of Poppy seeds, Lettice and Chamaemel, each half an ounce; Vinegar of Roses two drams, Milk an ounce and an half, mix them with the white of an Egg.

This is stronger. Take Oyl of Violets and Roses, each an ounce and an half; Oyl of Poppy seeds half an ounce, juyce of Housleek and Nightshade, each an ounce; Vinegar half an ounce: boyl them till the juyce is consumed, add white and red Sanders rinds of Mandrakes, each half a dram; Lettice and Purslane seed, each a dram; the Mucilage of Fleabane seed an ounce, Camphire dissolved in a little Aqua vitae a scruple: with Wax make an Oyntment.

Populeon is a good Oyntment against pain.

Or this Cataplasm. Take Peach kernels and sweet Al­monds, each two ounces; beat them, add Starch an ounce, meal of Fleabane seed half an ounce, Henbane seeds two drams, Oyl of Roses and Violets, each an ounce; with Milk make a Cataplasm.

These following are only against pain.

An Anodine Epithem. Milk warm from the Cow, with white of an Egg and any Mucilage, beat them wel and apply.

Or this Decoction. Take the broth of a Sheep or Calfs head, and boyl in it Mallows a handful, Chamaemel flowers a pugil, Lineseed an ounce and an half, Fleabane and white Poppy seed, each half an ounce; boyl and apply them.

Or these Liniments which may be also dropt into the Ears. Take Oyl of Violets and Willows, each half an ounce; Oyl of Poppy seeds two drams, anoynt the Forehead and Temples.

Another. Take Oyl of Apple-bearing Nightshade an ounce, mucilage of Fleabaneseed, cream of Milk half an ounce, mix them.

Of Opium these. Take Aqua vitae an ounce, Opium a scruple, Saffron half a scruple: make a Liniment for the Temples by gentle boyling.

Or thus. Take cream of Milk an ounce, Opium half a dram, Saffron six grains, burnt Ivory and Starch each a dram; mix them, and anoynt, or add Oyl of Violets or Water-lillies.

The leaves of Henbane, Mandrakes and Poppies applied to the Head, take away pain by stupefaction, especial­ly if first bruised. Some roast Henbane in the Embers in a Clout and apply it. But Rondoletius saith it will cause Madness.

If we wil discuss, and add Coolers and Anodynes, use these. Take Marshmallow roots an ounce, of Willow, Plantane, Bettony, each a handful; flowers of Chamaemel, Elder and Dill, each half a pugil; Senna three drams, Dill seed two drams: boyl them in Wine and Water.

Or this Plaster that discusseth a little. Take Violets, and Water-lillies, each half a pugil; white Poppy and Let­tice seed a dram: pouder them, and add Barley meal an ounce, with Vinegar make a Plaster,

Some make Frontals of the Conserves of Violets and Wa­ter-lillies with other things.

[Page 241]Or thus. Take Roses, Violets, Dill, Chamomel flowers, each a pugil; Juniper berries half a pugil: boyl them in Milk, beat them, add Bean flour an ounce, flour of white Poppy seed two drams, Lettice seed a dram, Oyl of Roses and Chamomel, each an ounce and an half: make a Fron­ral.

Dill any waies applied to the Head discusseth, takes away pain, and causeth sleep.

This discusseth more. Take Oyl of Dill an ounce, Oyl of Lillies and Wall-flowers, each half an ounce; juyce of Vervain an ounce, the infusion of Marygold flowers in Aqua vitae half an ounce; boyl away the Juyces, add Capons grease an ounce, and with a little Wax make a Lini­ment.

Chiefly the Oyntment of Alablaster discusseth, and is good in all Head-aches without a Fever, whether they be of themselves or from some other part by con­sent, Thus made. Take juyce of sweet Chamomil four ounces, juyce of Roses and Marshmallow roots, each two oun­ces; juyce of Rue and Bettony, each an ounce and an half; Sallet Oyl a pint and an half, the sinest sifted Alablaster three ounces: steep, and then boyl them, and with Wax make an Oyntment: to which some add Bramble berries, whites of Egs, and Rue, and the juyce of Vervain.

The Oyntment of Dialthaea is also good.

And the Plaster of Frogs or of Vigo applied to the shaved head is good if continued.

This Pouder for a Cap doth asswage pain and dis­cuss. Take Coriander seed prepared three drams, Dill seed two drams, Lettice seed, Couchineel, red Roses and Dill, each a dram, all the Sanders half a dram, Nutmeg two scruples: make a Pouder.

Another that discusseth and strengtheneth. Take Co­riander seeds prepared half an ounce, Dill seed a dram and an half, Chamomel, Melilot, Dill, Lavendar flowers, each a dram, Marjoram, Balm, Rosemary flowers, each half a dram, yellow Sanders a dram, Cloves half a dram.

These Amulets to hang about the body are thought proper, as a wreath or Garland of Vervain.

Or Ivy upon a Drunkards head, or a Snakes Skin, or the stone Ophites.

Some things are snuffed into the Nose to alter, as Sweets not too strong, as Camphire dissolved in Vinegar and Rose water, and smel too.

Or thus. Take Camphire half a dram, Oyl of Storax a dram and an half, which Dioscorides commends, mix them: with a little Labdanum, make a Ball to smell too.

Or thus. Take red Roses and Violets, each a dram; Dill and Chamomel flowers, each half a dram, Coriander seeds prepared a dram, Lettice seed half a dram, all the San­ders a scruple: with Camphire half a scruple, make a Pou­der, tie it in a Clout, and dip it in Rose water and Vinegar to smel to.

Or take the Fume of this Decoction hot. Take Willows, Nightshade, Lettice, each a handful; flowers of Roses, Violets, Dill, Water-lillies, Melilot, each a pugil; Lettice seed two drams, Poppy seed a dram, Basil seed half a dram: boyl them, and add Vinegar and Water of Roses.

Or snuff up Vinegar and Rose water.

Or stupefie with this Oyntment. Take Oyl of Wa­ter Lillies an ounce, Opium and Camphire each six grains.

This is good to be dropt into the Ears also, and the other cooling Anodine (and hot Oyntments mentio­ned when you wil discuss) And you may mix a little Oyl of Safiron, and Oyl of Dill, and drop it into the Ears.

Washing and stroaking downward, divert from the Head, cause sleep, and abate pain, and if the Head-ach be hot, do cool it. It is made with leaves of Willows' Lettice, Violets, Briony water, Lillies, with Mallows and Chamomel flowers, with Head herbs, as Bettony, Calaminth, Southernwood, and somtimes Narcoticks, as the heads of Poppies boyled in Water with a little Wine or Capital Lee.

Also it is good to wash the Face with Rose water and Vinegar.

Head-ach coming from the ill shape of the Head, The cure of a pain coming from the ill fashion of the Head. as absence of a suture, as the Arrow-suture or rocky constitution of the Skull about that suture or seam called Sagital is in­curarable, and if you will attempt by reason of the great pain, use the Trepan to take out a piece of the Skul there.

CHAP. IV. Of Pain in the Eyes.

The Kinds,

WE comprehend under the name of Pain in the Eyes; all Diseases in the balls and corners of the Eyes, and in the inside of the Eyelids, and we leave other pains outwardly in the Eybrows to another place. When pain is in the said parts it either hath no other ac­cident, or is with other accidents, as chiefly Redness, Tumor, or Inflammation in the Eye or great corner, or there is a bladder in the Eye, or unevenness in the Eye­lids, or a corroding or excoriation, or ulcer, or wound in the Eye or Eyelids. These kinds of pain are accord­ing to their accidents.

Itching in sound people coming from Wind or Watching, Itching, Pricking, or contraction of the Eye alone without other sign. wil cause redness if it be rubbed. Also Prick­ings are in the Eye alone without any other hurt, or with a Head-ach called Cephalalgia, where the pain comes to the roots of the Eyes. Also some have a twitching pain in their Eyes after sleep, before their Eyes are well opened, which hinders the motion of the Eyes.

When the pain is with Redness and without Tumor or Inflammation, A false Oph­thalmy or pain in the Eye. it is called a false Ophthalmy, and it is red all over, or in part, or in the inside only of the Eylids Blood-shot, but the veins are not so swel­led as in a true Ophthalmy; nor is there so great burning, but a cutting pain, or itching in the corners or the ed­ges of the Eybrows, and it called Xenophthalmia. Xenophthalmy is a kind of false Oph­thalmy. In this the Eyes are commonly moist, and the tears are first thin, and then thick. If they flow many and cause another Disease, it is called Epiphora, Epiphora is a kind of Pseudophthalmy. Taraxis or Bleard­eyedness. espe­cially if pain be in the Eylids, or Taraxis or moist Blear-eyedness, in which at length is thick matter, and the corners are foul, and the Eyelids cling together, especially in sleep, and they cannot be opened til they are clensed. And there is sand in the corners, and it is called the Sclerophthalmy. Sclerophthalmy a kind of Epiphora. Sometimes the Eyelids swell outwardly, and fall and rise. When the Eyes are red [Page 242]and dry it is called Xerophthalmy and is either new or of long continuance, Xerophthalmy, is a kind of false Ophthalmy. especially an Epiphory in which the Ey-lids are only red and wet and the Eye little offended. This is usual in old men and drun­kards, and scarse to be cured in them, nor is it troubl­some except it increase and bring another infirmity by Itching and shooting, these are called Lippi or blear-eyed. If Eyes be red and hotter only then ordinary, without pain, as when the body is hot it fall often out we shall speak of that in Deformity, by reason of the ill-favored sight of the Ey-lids turned out.

It is called a true Ophthalmy, when it is with a Tumor and redness, A true Oph­thalmy. over all the white, and the Veins appear: when the Tumor is great tis called Chymosis. I have known it as big as my fist. In a true Ophthalmy there is great burning, Chymosis a sort of Oph­thalmy. so that the Eyes cannot be opened, but a true inflammation is seldom in the Eye­lids.

Agilops is in the great corner of the Eye with tumor and redness, Agilops. and pain of the Head, Temples and parts adjacent, and beating in the Eye. In this there is a red push in the middle, and a pricking pain, and I have seen their Ey-lids and Cheek inflamed therewith.

When there is a bladder or blister in the white of the Eye, The blisters in the Eyes. it is red, and the part round about it. And if it be in the black of the Eye, it is not painful, but clear and shining called Phlyctaena. And there are o­ther filmes and spots of that part that rather hinder the sight then cause pain.

Somtimes there is a sense of roughness in the side of the Ey-lids, Roughness in the Eyes. especially when they are moved, and then there is com­commonly somewhat in the Eye, and though it be out again, yet the roughness remaines.

Somtimes in the corners of the Eyes there is a cutting and itching pain with Excoriati­on and sense of roughness. Scabs of the Eyes. Dioscorides menti­ons it, it is often in the side of the Ey-lids, and there is a scab and it is called Pso­rophthalmia, Dry Lippitude called Xeroph­thalmia. but some call it a dry blearing, or Lippitude, or Xerophthal­mia

There is often a pricking and itching pain in the great corner of the Eye, Ulcers in the great corner of the Eyes. af­ter an Egilops turned into an impo­stum and broken. Hence comes a simple Ulcer, A malignant Ulcer in the great corner of the Eye. that hath concocted matter, or a creeping and malignant called Phagedaenicum, and the matter is somtimes Concocted and somtimes crude, somtimes it eats through the lower Ey-lid, and makes a Tumor in the Skin, which being broken, there is an Ulcer there also ful of the same matter. And when it enlarged, it is a Fistula called Lacrymalis or weeping. In this stinking matter flows through the next Nostril, The weeping Fistula in the great corner of the Eye. and tears are still in the Eyes. Somtimes the little flesh of that Eye be­ing consumed by the long malignity of the Ulcer, there is a little hole in the bone that weeps perpetually, and I have seen some of that thin bone with stinking matter fall forth. Of this we shall speak in deformity.

There is somtimes a pain in the bal of the Eye with an Ulcer, Ulcers in the ball of the Eye. either superfi­cial blood red and inflamed, or deep following Inflammations, that were Im­postums, Epicauma and Condy­loma, what. this because it is filthy and mat­tery, is called Epicauma, and if the Lips be hard it is called Condyloma. This hea­led leaves a scar, and when it gets into the hollow of the Eye, it causeth the humors to fal out somtimes, within four daies after the Inflamation, and we have seen the Crystalline humor upon a mans beard.

If there be a prick or cut in the Eye there is pain, with redness, Worms in the Eyes. weeping and som­times true Inflammation. And if the wound peirce through the ball of the Eye, the humors of the Eye fall out and the Eye sinkes in. Also if any sharp thing fall into the Eye, the inside of the Ey­lids may be wounded with pain and redness, as we shewed in Excoriation or rawness.

The Causes.

The Cause of all pain in any part of the Eye, is a disease in some sensible part of the Eye. For the out­ward skin of the Eye, is very sensible under the Ey-lids, and there are many thick Muscles about the Eye, be­sides which, the ball of the Eye, made of the horney Tunicle and other Membranes and ful of humors, (as we observe in the pricking of a Cataract without pain) there is no sense, except it be without in the Circum­ference, by reason of the Tunicle called Adnata for whose cause pain, goes to the Ball of the Eye. The diseases that cause pain in these parts, are either distem­per or afflux of a bloody waterish humor, or solution of continuity manifest, or hidden.

A simple hot distemper that yet hath caused no flux, A hot cold or dry distemper causeth itching or pric­king in the Eye. causeth rather heat and itching then pain in the Eyes, but when pain comes there is a flux presently, as we may see in hot Diseases when they rub their Eyes, their Nose fals a bleeding. Also a cold distemper from cold Wind, especially, and the like causeth itching of the Eyes by biting. Also too much dryness makes itching and roughness in the Eyes, Dryness caus­eth roughness of of the Eye. and therefore they who watch long either in or out of a disease, have itching Eyes, which they rubb, except heavi­ness of Eyes, when sleep is at hand cause this itch­ing.

If there be a hot distemper in the Eyes and Lids with a Flux of bloody humor, and redness, A hot distemper with a Flux of blood, is the cause of an Ophthalmy not true. in regard the Inflammation is not true, the Oph­thalmy will be false and not so strong as a true, and it will be moist from the tears, proceeding from the sensibility of the part, or dry when they are wanting, from the dryness of the brain, or it is called dry and hard, if the matter be sly­my and produce some thing which glueth the Ey-lids together.

But if in this Flux of blood if it flow not only into the Veins but Tunicles and Ey-lids and cause a true Inflam­mation, the Ophthalmy is called true, Inflammation of the Eye caus­eth a true Oph­thalmy. with greater accidents and stronger pain, with Head-ach somtimes by reason of the Con­nexion and consent of the Pericranium with the adnate Tunicle: and the pain is greater when the blood flows into the Muscles of the Eyes, as into the horney Tunicle or under it. And the pain is greater, as the blood is [Page 243]hotter, Inflammation of the great cor­ner of the Eye is the cause of Agilopy. more Chollerick or sharp. When this fals into the great corner of the Eye inflaming it, there follows an Egilops. The cause of this flux of blood into the Eyes, is Plethory or abundance, or thinness, sharpness, or heat. When it is from plenty, it is called an Ophthalmy, from plenitude. Moreover if the Veins of the Eyes be disposed to receive this flux, by reason of their larg­ness having been formerly filled therewith, the dispo­sition of the Eyes is the helping cause. Also too much light which they cannot endure, who have an Ophthal­my, they scarse open their Eyes and shut them soon. This is caused also from hot Air, and cold wind that nips the Eyes, or Smoak, or things fallen into them, for the Eyes cannot be safely touched by any thing, especially that is rough or sharp, as Pouders dust or flies. And crooked hairs in the Ey-lids cause the same. Also hot burning things, as Pepper, or sharp things, as Salt getting into the Eyes. Oyl and all unctious things burne, if they get into the Eyes. Great hurts or wounds cause a true and false Ophthalmy. And wee­ping either makes an Ophthalmy or increaseth it, if the tears be sharp and hot. All these causes trouble in the Eyes, if they cause itching, and makes men rub, this rubbing may cause a new Flux.

A simple waterish humor, or mixt with Flgem fal­ling into the Eyes or Lids causeth no great pain, if it be near to the Nature of water, but continual flux of tears and somtimes outward swelling of the Ey-lids, of this in the Chapter of Tears over-flowing. But if the humor be serous and partly salt it causeth some itching. A Flux of water to the Eye, causeth itching and Epiphora. If it be sharp and hot then there is an Epiphora, that is a pain redness, itching and burning and weeping in one or both Eyes, (for one suffers often with the other) This Epiphora, if it be ve­ry painful, causeth a flux of blood and an Ophthalmy. Aboundance of this waterish humor in the heat within or without the Skul, is the material cause of this de­fluxion, and many Excrements. The efficient cause that moveth the defluxion into this or that part, comes from the things that provoke the Eye either to natural tears or preternatural Tumors, of this we shall spake in the causes of blood-shot and tears.

All these are helped by the disposition of the Eyes to receive them, when they are made weak and loose by former Fluxes, hence it is that when this disease hath long continued and these causes met, they have alwaies red and wet Ey-lids, and somtimes ulcers and little pain but itching,

Some say pains of the Eyes may come from wind, but in regard wind can no way get into the Eyes, nor stay there, and if it were there, it cannot dilate the thick ball of the Eye, or cause pain being the part is insensible, I cannot allow it. But without the ball of the Eye, if vapors get between the Muscles, there is a loosness and a twinkling rather then pain, Vapors cause Convulsion, or Contraction of the Eyes. if they be not many, but if they be many, there may be a short twiching pain before the Eyes are opened, af­ter sleep. As we shewed in the windy Cramp.

Solution of continuity causeth divers pains in the Eye. Twitching of the Eye causeth itching rough­ness Ophthalmy and Epiphora. If it be hidden and only a twiching, not yet seperating any thing in the Eye it causeth itching and roughness, and if it continue and in­crease pain, it causeth Ophthalmy and Epiphora. If the solution be manifest and the adnate Tunicle seperated from the Eye, Solution of conti­tuity, if manifest, [...] the cause of blad­ders, roughness, Ul­cers, Fistulaes and wounds in the Eyes. it fils the part with water and causeth a Bladder. If the Tunicle be divided in the cor­ners or the Ey-brows, there is Cor­rosion, Scabs or Ulcers. If it be deep it causeth a simple or a hollow Ulcer, or Fistula, or Wound. All these have divers causes. Somtimes they come from outward hurts. As strong and hot rubbing, from itch­ing causeth the Phlyctaenae and Excoriations of the Eyes. Things falling in, if they be rough, may not only ex­asperate the Eye, but take of the Skin. Things that are sharp and burn also, do not only inflame, but take of the Skin and cause Phlyctaenae and Erosions, as the juyce of the wild Cowcumber. It often comes from strong Medicines that are used to take away spots, and all these Erosions may turn to true Ulcers. If things that prick or cut fal into the Eye, they may both disturb and wound it, as we see in the couching of a Cataract, there is Inflammation. Also Tears, and waterish hu­mors that wet and provoke the Ey, do at length cor­rode and cause Scabs in the Ey-brows, and Ulcers, as also diseases that went before, cause solution of conti­nuity. As Phlyctaenae broaken leave excoriation behind them. A true Ophthalmy turns into an Impostume, when the Inflammation will not discuss, but supurate, which broken, there is somtimes a deep Ulcer. Also an Aegilops after the flegmon breaks, turns to an Ulcer, either simple or Malignant, as the blood is that caused the Inflammation, or hollow, if the matter be sharp and long kept, before the Impostume opened, corro­ding within. And lastly if the Lips by continuance of the Ulcer be hard, or grown over with a Skin, there is a Fistula that descends into the Nose. And when the Caruncle, Rhyas, is the consuming of the little bitt of flesh in the Eye. or bit of flesh in the Eye is consumed by sharp matter or Medicines, which they used to heal the Ulcer; the disease called Rhyas follows. And the thin bone adjoyning is eaten away and lost.

The Cure.

The Cure and Prognostick is according to the di­vers Causes of these pains.

A Simple hot distemper without a Flux, Prognoflicks in all Eye sores. that causeth itching and som­times pricking, if it come in a Cepha­lalgia, and the pain of the Head reach to the roots of the Eyes, must be Cured as the Head-ach. In these heat and redness and largness of Veins, in a critical day foretel bleeding at the Nose. But if the Eyes itch or be red from any other cause besides these diseases, as heat, violent motion, wind or watching, these causes must be removed, and the Air amended, and they are easily the cured.

A heaviness of Eyes and Lids after sleep, such as wrings them, and suffers them not to be easily ope­ned foretelleth heaviness of head and aboundance of Vapors and Humors, these must be preven­ted.

If a false Ophthalmy come from a Flux of blood there is little danger, except it turn true. But if In­flammation of the Eyes follow, the true Ophthalmy is more dangerous, especially if a great Tumor cover the black of the Eye. That is worst which suppura [...] and turns into an Imposthume, and so into an Ulcer, which if deep there is danger of loosing the Eye, also a [Page 244]not suppurated Ophthalmy true or false if long of con­tinuance, darkneth the Pupil, or leaves a spot, and cau­seth dimness or blindness: But the Inflammation made in the outward corner of the Eye in an Aegilops, goes somtimes soon away, but neglected suppurateth and proveth a lasting and perverse Ulcer, which turns to a Fistula and is scarse cured.

An Epiphora also is very stubborn from a waterish humor, and continues many daies or months, some­times a whol Winter, and in old Persons all their lives.

I have known Phlyctaenae or Pearls coming of out­ward causes that were cleer and not red, to go away of themselves, and they which are red and painful, and break, leave excoriation behind them.

Excoriations and Scabs by reason of the moistness of the part, are not soon cured, and are worse if they ulcerate, if it turn mattery or callous, it is stubborn, and somtimes incurable, piercing the Eye, and putting it out, or covering it with a Callous or Scar.

When a Wound of the Eye pierceth the Cornea or horney Tunicle the humors fall out and the Eye sinks in and is blind. An outward or superficial wound turns to an Ulcer, hard or easie to be cured. A puncture causeth Inflammation if it be not looked unto.

As for the Cure. when any of these Diseases will not away of themselves, All kinds of Eye-sores as Itching, Puncture, Ophthalmy true or false, Aegilops, Rough­ness, Scabs, Ulcers, Wounds, Fistulae's are cured by taking a­way the Cause. then have at the Causes, which either are exter­nal as hard bodies that get into the Eye, or hairs of the Eye-brows, or Air, or Light, which molesteth. Or also from things taken in, or from motion extra­ordinary of mind or body. or from filth or tears. If any of these Causes procure an Ophthalmy, or exulceration, or the like, or increase them, they must be removed, or amended, or prevent­ed. But if an Ophthalmy come from a Defluxion of blood, or an Epiphora from a Defluxion of flegm [...] or if the Eyes formerly weak have new Defluxions, then we must evacuate by opening a Vein or Artery, or cutting or burning of holes, or by Cupping, by Leeches, Frictions, or the like, or by Stool, Nose, Mouth, by Vomitting, Sweat, Urin, or derive the hu­mor another way, and so consume it by things given or applied, and stop the flux to the Eyes by outward applications. But the cause of the Disease it self must be cured by Topicks to the Eye according to its con­dition. All which shall be done as followeth by the order declared being appropriated to the Causes and to the Disease.

Things that get into the Eye, if they be thin, come out again of themselves, if they be more solid, they get out by the motion of the Eyes and Lids and tears that come from thence to wash them away. But if they stick, they must be taken out by Art.

This is done easiest when they are in the corners of the Eyes, and may be seen when the Eye is opened or the Eyelids lifted up, And then make a tent of Linnen and the like, and wipe them out.

But if they lie out of sight, or having been seen, re­turn upon touching, or the motion of the Eye, then they must be taken out with smooth and slippery things put into the Eye, and by putting one Eyelid over the other, these are best when pouderous, as little small Pibbles or precious stones, as the Swallow stone which is made of Mamor, or the Jasperstone, or the Cray­fish stones called Crabs-eyes, which seem to be made for that very purpose, to be put into the Eye, the one side being hollow or concave for the Ball of the Eye, the other convex for the Eyelid.

Rhasis saies this may be better done with a little Pen­sil anoynted with Turpentine, drawn through the Eye under the lid, that they may stick unto it, and so be brought forth, but this way wil presently fail by the watering of the Eye.

Sneesing or often blowing of the Nose are good to shake out, or at least to remove things in the Eye, they appear to be strongly driven through the Nose, by which the Eyes are moved, and the tears provoked to wash them out.

For which Washing other things are good that pro­voke tears, as of often motion of the Eye, when the Eyelids are kept open, this drives things out.

When crooked hair in the Eye-brows prick the Eyes by reason of some fire that singed or dried them, or the like, they must be cut off, and then they will grow bet­ter, if the pores be not in fault, and then if they be, they must be constantly cut, or pul'd out, or the Eyebrows burnt, which being not to be done without pain, and seeing it is not decent to want hair upon the Eyebrows, they may be set right with the infusion of Gum tra­ganth, Mastick, or the like, as some do their Musta­choes to keep them out of their mouth, and which some take for an Ornament.

Hot Air, because it is naught for red inflamed Eyes must be tempered, or avoided, or changed, for cold Air which is good in this case: but very cold Air, espe­cially with Wind, is hurtful in all Diseases of the Eyes. And Smoaks, especially of new quenched Lime which is sharp and pricks the Eyes, and very strong scents as Oyl of Spike, of stinking things or Jakes, all these are to be avoided in sore Eyes.

Also Brightness from flame especially, which cannot be endured, or from light at which the Patient is unwil­ling to look. And therefore they ought to have a black Veil before the Eye if other things are not applied to keep away light.

Meats and Drinks must be avoided, that inflame the body and make the Face and Eyes red, as strong Wine, Onyons, Mustard and Radishes. And it is good in an Epiphora to keep a slender Diet, and abstain from Suppers.

Also 'tis hurtful to sore Eyes to move them much, to look too stedfast upon any thing, or to read or write much, or to move the Head too much, or hang down the Head: therefore let him stand upright, and sleep with his Face upward, on the contrary side. Also it is naught to rub the Eye, from which they hardly abstain.

Also to watch long, or lament, to cause crying and shedding tears; these all must be abstained from.

And from things that are apt to get in, as dust flies. And take heed what midicines are used, lest they be too sharp.

Also remove other Impediments as glewing of the the Eyelids together which is painful when they are o­pened, the glew therefore slime or sand must be gently taken off with the hand, and Rose water if need be, in which some Mucilage or white of an Egg is.

Other filth that is in the Eyebrows before the Pupil especially to hinder the sight, must be gently thrust to the corners, and there taken out.

When tears flow, the less you wipe your Eyes if they be sore, the less you wil offend them, but if you must dry your Eyes, do it gently by pressing not wiping.

Blood-letting is good against sore Eyes if the pain comes from flux of blood thither, as in an Ophthalmy and Aegilops and in an Ulcer or Wound, when we fear a new flux of blood by reason of pain, especially if there be [Page 245]Inflammation, and Plethory or fulness, then they must bleed much, and often in the same or divers veins. the Shoulder-vein in the Arm is opened for Revulsion or that which appears most, on the same side the Eye is sore while blood flows to the Eye according to the A­rabians. also in the Thumb or Foot; some open that between the Shoulder-blades. When we intend to fetch the blood and derive it from the part where it is, we open nearer veins, as in the Forehead, Temples, or under the Tongue. Or some wil in the fore part of head. And it is good to take blood from the Nose any waies.

As we shewed in Head-ach opening of an Artery is excellent against an Opthalmy or great old pain of the Eyes, or an Epiphora which hath continued long: for when the serous humor descends by the outward Veins which causeth weeping there is a certain Cure.

Paracentesis or a Seton or opening of the skin of the Head at the root of the hinder part, and so putting a skein of Silk or Hair through it to keep it open, is the last Remedy in an Epiphora to divert the flux.

In a long flux whether Epiphora, or Ophthalmy, or the other, it is an excellent way to burn or cut an Issue in the Neck opposite against the sore Eye, or in the mid­dle of the Nape, or in the coronal suture of the Head.

Cupping-Glasses are good in all fluxes, whether blood or water in the Eyes, alone or with Scarificati­on, especially if it be blood, they must be applied to the sides of the Neck upon the Shoulders and Arms, and repeated often if need require, for they revel and derive mightily. Some highly esteem of Scarifying of the Ears on that side the Eye is sore,

I should like of better the making an Issue in that part of the Ear which the Greeks call [...] the La­tines Hircus or Goat, and the same is excellent in an old Tooth-ach.

Leeches applied in Head-ach are as good as other bleeding.

And Friction of the body to revell.

Also to loosen the Belly with Clysters or Supposito­ries to clense the Guts before bleeding, or with Laxa­tives is good. These revell also if often given, they may be made more mollifying or sharper as you please as we shewed.

Also light purging to take away the binding of the Belly which hurteth the Eyes, and to take away the first excrements, must be given in all cases, as in In­flammation lest stinking vapors should offend, but we must take heed of hot things in them, without cool to temper them. These are also good in a false Oph­thalmy which hath no inflammation but heat and red­ness, in which stronger may be used, especially in the progress of the Disease when tears begin to molest. Examples of these are in cholerick Diseases and in Head-ach from a hot cause, but add to them alwaies things proper for the Eyes.

Prepare first thus. Take syrup of Violets an ounce, sy­rup of Water-lillies and of red Roses dired, each half an ounce; with Vervain, Rose and Plantane water make a Ju­lep, drink it often.

Then purge thus. Take syrup of Roses an ounce and an hal, syrup of Violets an ounce, Diagridium two or three grains: with Endive and Rose water drink it.

Or, Take syrup of Roses solutive with the Infusion of Senna (which is thought proper for the Eyes) an ounce and an half: drink it with Whey.

Or, Take Cassia an ounce, Electuary of juyce of Roses two drams: with Sugar make a Bolus, or give it in Bugloss water.

Or, Take Rhubarb four scruples, yellow Myrobolans a dram: sprinkle them with Wine to take out the strength, then infuse them in Rose and Violet water: strain them and add syrup of Roses an ounce.

Or this Decoction. Take Fennel roots half an ounce, Cordial flowers a pugil, Fennel seeds half a dram, Violet seeds a dram, Tamarinds an ounce, Prunes six, yellow Myrobalans three drams, Senna two drams: boyl and dissolve syrup of Roses or Violets half an ounce.

The Pill Sine quibus (proper for the Eye) doth the same in half a dram.

If water flow to the Eyes and tears fall, we use stron­ger purges, and hotter, especially in Epiphora or Oph­thalmy when the humor is not so hot, and in Ulcers with Fluxes, as in the weeping Fistula: they are al­most the same prescribed in melancholick and slegma­tick Head-ach.

A Preparative. Take Honey of Roses an ounce, syrup of Bettony and Maiden-hair each half an ounce, with Celon­dine, Bugloss, and Succory water, and a little Sanders give it, and repeat it.

Or When a Flux is more than heat. Take syrup of Hysop an ounce, of Staechas and Bettony each half an ounce; with Fennel, Vervain, and Eyebright water, make a Potion.

Then purge with cooling Purges while redness and heat remain, but if Flux and tears are most, use things to purge flegm, and if the Disease be old, Epiphora or Ophthalmy, or Ulcer, repeat them often.

These are the best Pils of Fumitory, Sine quibus or Lu­cis majores a dram of either, with Eyebright, Vervain, or Fennel water, or syrup of Staechas. Or Pilcochie or Aggre­gative may be given.

Or Diacarthamum, Diaphoenicon, or our Diacaryon and other purgers of flegm and water with proper waters for the Eyes.

Or this Decoction. Take Fennel roots an ounce and half, roots of Calamus and Liquorish, each an ounce, green Fennel, Eyebright, Vervain, Celondine, Fumitory, each a handful; Rue half a handful, flowers of Rosemary, Stoechas, and Roses, each a pugil; Fennel seeds and Siler montane, each two drams; Senna two ounces and an half; Cartha­mus seeds bruised two ounces: boyl, and infuse in it hot Agarick three drams, Rhuharb two drams (this is used in watry fluxes (Spikenard half a scruple, strain them, and with Cinnamon and Sugar give it three mornings.

If this purgeth not sufficiently, give Pils.

We have shewed fit Purges for the Eyes in the Cure of slegmatick humors in the Brain, producing weak­ness of sight.

And how the Head and Stomach is after to be strengthened.

In a hot Cause it is not good to purge by the mouth or Nose, for that wil inflame them, and cause bleeding and inflammation of the Eyes, nor sneesing which makes the Eyes red and weeping. In other cases when Tears are without Heat, or from Ulcers, things to chew called Masticatories, or Gargle called Gargarisms, draw Humors to the Mouth, by the Nose, from the Eyes: And so the Head is purged, and the Flux stopped, after other Purgings. These may be done by Errhines, or things to snuff, but that by Sneesing, they disturb the Eyes, for tears flow Naturally and preternaturally from the Eyes, through the Nose, and it is good to help it.

Sore Eyes are not to be clensed by Vomir, for by straining, the Blood flows to the Eyes, and Tears are produced, and the Cause is increased or renewed, and the Pain also.

Sweating is not good in hot Diseases of the Eyes, because the Eyes would be inflamed more by it, But if there be Ulcers without heat, and tears then Sweating [Page 246]is good to dry the body and consume Excrements, and it may be often with sparing Diet.

In the declining of an Ophthalmy Baths are good to consume the reliques, and wine, though both are nought at first while the Eyes are hot.

It is good to provoke Urin to take away the cause and waterish humors. Therefore in Fistulaes of the Eyes, we give drinks that dry and provoke Urin.

Thus: Tansey, red Coleworts, Agrimony, male Fearn, Dropwort, burnet, Ceterach, each a handful, of Myrrh half a handful, roots of Lquorish an ounce, red Pease two pugils, boyl them, take it for five draughts, sweeten it with Su­gar, give it for the weeping Fistula of the Eye.

We use things to consume the humors in the Head, in an Epiphera and Ulcer in the Eye. These dry and strengthen the Head inwardly and outwardly, such as we prescribed in diseases of the Head. Some are good to be lookt upon, and to be carried about, as in an Ophthalmy it is good to look upon an Agate and to carey a Dock root dig'd up in the Moon increasing, and to put the stone found in the Gall of an Ox into the Nose, as some think.

We stop the humor flowing to the Eyes, whether it be blood or water by the passages, and by coolers to strike them away, in an Ophthalmy or beginning of an Aegilops and in an Epiphora, and in other causes when a Flux is feared. They are applied near to, or upon the Eye, being first closed.

To the parts near which humors flow we apply these on that side the pain is, over all from one Ear to ano­ther, if both Eyes suffer. Somtimes down upon the Cheeks. They are good in an Ophthalmy to asswage the force of the blood, appli'd upon the jugulars. And they are such as astring and dry and cool, and they are safer near then upon the Eye.

Epithems made of a cloth strained, from convenient Liquor or a Spunge spueezed that more get into the Eye are good in a true Ophthalmy, or in great heat. They repercuss more, when they are actually cold; but very cold as Snow must not be used, for it may hurt, and as I knew, make blind. They are mentio­ned in hot diseases of the Head. Only leave out Oyls and Vinegar which hurt the Eyes. These may be ap­plied to the Forehead or jugilares, and mixed with very cold things.

An Epithem of juyce of Plantane with the white of an Egg is good.

Emplasters, because they stick long and fal not into the Eye, may be applied to the said places. And re­nued every third day if need be. As in other Defluxi­ons.

Or thus: Take Mastick, Frankincense, Varnish, each two drams; Starch or finer Flour a dram, with the white of an Egg and infusion of Gum Traganth: make a Plai­ster.

Another: Take Pitch and Oyl of Myrtles, Varnish, Frankincense: make a Plaster, this is good to the nape also.

Or this Astringent: Take Bole half an ounce, Dragons blood, conserve of Sloes, each two drams; Pomegranate peels and Galls, each a dram; make a Pouder, and with the white of an Egg and red Vinegar: make Emplasters for the Forehead and Temples.

A better: Take Bole, burnt Chalk, Blood-stone, each two drams; Vitriol half a dram, Asphaltum, Frankincense, Mastick, Varnish, each a dram and an half; Dragons blood, Conserve of Sloes, Acacia, Pitch, each a dram; flowers and peels of Pomegranats, Galls, Cypres nuts, each half a dram; Pouder them, and add Starch half an ounce, with infusion of Gum Traganth, the yolk of an Egg and Vinegar and Oyl of Roses: make a mixture.

Or a Plaister of Mastick, or that for the Rupture.

Some stop Fluxes with a scruple of Opium in one Pla­ster, and if there be Head-ach we allow it to help, and for Poppy seed instead of white Poppy seeds, we mix syrup of Poppies.

The ordinary defensative is of Bole, Vinegar and whites of Eggs, this applied behind the Eares, is good also in an Ophthalmy.

Of these with Oyls, you may make Oyntments to anoynt about the Eye, especially if it swel they must be thick, that they may stick and not fal into the Eye, and used at nights when the Eyes are shut.

Such may be made of juyces without Pouders, least when the Oyntments are dry they fal into the Eyes: Take juyce of Plantane two ounces, red Vinegar an ounce, white Vitriol a scruple, Dragons blood, Acacia, Hypocistis or conserve of Sloes, Labdanum, each half a dram; dissolve them, and add white of an Egg and Oyl of Roses and a lit­tle Turpentine.

Somtimes they are applied upon the closed Eye and Lids, for these are too strong to be put into the Eyes, and Astringents which would make Eyes rough, which ought to be smooth.

Or thus: Take fat Bole three drams, Barley flowers an ounce and an half, infusion of Gum Traganth in Myrtle or Rose water an ounce, Camphire half a dram, with Cream and juyce of Plantane, to keep it moist, make an Empla­ster, apply it to the closed Eye.

Coolers do the same, as we shall shew for stop­ping of blood at the first and after in stopping of Tears.

Topicks or Medicines applied to the Eye. Or put in to it, Topicks in all kind of sore Eyes. are either Simple waters, or mixed with others, called Colly­ria are in form of Troches to be at hand for use: and they may be dropt in, injected or put in­to the great corner of the Eye or upon the Ey-lids. Some have a Silver and Bone Pen, which they rowle in wet Pouders and put into the Eye, then they close the Ey-lids and draw it through leaving the Pouder behind. Somtimes we blow very fine Pouders into the Eye, ground upon a smooth stone, or a little Pla­ster upon the great corner and the Nose. And others by way of Fomentation. these are divers in respect of the Cause and distemper, if from heat, cold, drouth, or in respect of the Flux of blood in an Ophthalmy, or Ae­gilops, or of water, as in an Epiphora, or in respect of wounds, as in a Phlyctaena, Excoriation, Ulcer, Fi­stula.

A simply hot distemper without Flux that causeth only itching, The Cure of itch­ing or pricking in the Eye. is cured by preventing a Flux with Cold and astringent things.

If they itch, and wax red from cold, add sharp things. These shall be mentioned in Ophthalmy and Epiphora.

If they itch, or are rough from dryness of the Ey-lids use Anodynes, and the Vapors of hot water into the Eye.

If the Eyes be heavy after Sleep, The Cure of Contraction in the Eye. or contracted, open them by degrees and rub with a warm hand.

If an Ophthalmy, true or false, The Cure of true and false Ophthalmy. be with a Flux of blood, with or without In­flammation, then use Topicks, first to allay pain and stop Flux, then to dry and after to degest, and last of all to discuss the re­liques. Thus,

You must take away pain at first, not only because it is troublesom, but because it will bring a Flux, and also [Page 247]cool and stop and allay the heat; use this or that as the pain or Flux most requireth.

Thus: Apply the white of a new laid Egg, beat to a froath, to take away pain by it self, or with others. Or that liquor that sweats out of a rosting Egg, or the yolk alone or both together rosted. The white boyled hard and beaten with Rose water, and applied like a Pultis doth best take away pain and heat.

And all sorts of Milk, especialy Womens, are Ano­dyne.

Also Fresh Cheese, doth the same.

Or Veal new washed and applied, is a brave Empe­rical Medicine.

Or the Papp of sweet Apples roasted, some think rotten Apples best. The Mandrake Apples, or love Apples do the same against pain, but to strike back the Flux use sharp Apples and Pears or Quinces, as the former.

Housleek, Purslane, Nightshade, Henban, Man­drakes green, and bruised or heated in a cloth, take away pain, when applied. If you will bind, apply Plantane, Bramble and Mirtle leaves beaten or boyled. It is good to add Barley meal or bran to them, all to make them stick.

Rose water is in great use to cool, and if we will astringe, take the water of the green cups of Roses or of Plantane, Self-heal or Myrtle, or if you will abate pain use water of Purslane, Nightshade, or Strawberries, or the water of hard whites of Eggs.

When we will take away pain and heat toge­ther.

First: Take the white of an Egg, with Rose water and Milk, beat them. And if you use the Decoction of white Poppies, 'tis better.

The second: Take Fenugreek seeds half an ounce, white Poppy seeds two drams: boyl in Rose water, and add the white of an Egg.

The third: Take crums of Bread steept in Rose water or Milk; apply it or drop the juyce of it.

The fourth, Use sweet Apples, so boyled. Or Bread and Apples.

The Chirurgions apply a Pill of Elder steept in Rose water.

Another Anodyne: Take Mucilage of Fleabane, Quinces, Fenugreek, Gum Arabick, or Traganth, dissolve it with Rose water and Milk.

If pain be great: Take Mucilage of Fleabane seed and Fenugreek, each an ounce; infusion of Gum Traganth, made in Rose water, whites of Eggs, each half an ounce; Camphire five grains, Opium two grains, Saffron a grain.

Or this Emplaster: Take crums of bread steept in Milk, Pap of sweet roasted Apples and Barley meal, each an ounce and an half; Mucilage of seeds of Fleabane and Fenu­greek, each an ounce; two yolks of Eggs, Camphire half a dram, Saffron three grains, Opium two grains, Oyl of Roses, sweet Butter, or Cream six drams, the Unctious things are to keep the Medicines from being dry) make a Cata­plasam and put to the closed Eye. Some apply it to the Forehead to ease pain, or mix cooling juyces, as of Purslane, Nightshade, if heat be great.

Or this Anodyne of Dioscorides: Take the yolk of an Egg roasted and with a little Saffron and Oyl of Roses, ap­ply it to allay pain.

Or this: Take juyce of Chamomil and Melilot, each half an ounce; Womans Milk and whites of Eggs, each two ounces; Rose water an ounce, beat them, and wet a clout for the eyes, two grains of Opium added, will allay pain.

Or this Decoction to foment: Take flowers of Mal­lows, Violets and Roses, each a pugil; Chamomil and Me­lilot flowers, each half a pugil; Fenugreek seeed an ounce, Linseed and Fleabane seed, each two drams; white Poppy seed a dram, boyl them.

An Anodyne Cataplasme: Take Chamomil and Me­lilot flowers, each a pugil; Fenugreek seeds an ounce, boyl them, and strain, add three ounces of crums of Bread, two yolks of Eggs, and a scruple of Saffron with a little Milk; make a Cataplasme:

When you desire rather to repel and astring then cool: Take Rose cup water two ounces, juyce of Plantane an ounce, whites of Eggs half an ounce, mix them, the juyce of Bramble berries added, doth repel also, if dry­ed.

An astringent Decoction: Take Plantane, dryed red Roses, each a dram; flowers of Pomegranats two drams, boyl them in Rose and Plantane water.

When you will astring and also take away pain: Take Plantane, Purslane, (or Housleek in Winter) Nightshade, each half a handful; Rose and Violets, each half a pugil; Fleabane and white Poppy seed, each two drams; boyl them in Water, and two drams of Mandrake roots, will allay the pain sooner.

Or this Cataplasme: Take Pap of sower Apples or of Pares or Quinces, boyled in Rose and Plantane water, or the astringent Decoction mentioned, or Wine as Galen prescribeth, make a Cataplasm.

Or this: Take the Pap of boyl'd Quinces, or the other two ounces, Barley flowers an ounce, Sumach and Pome­granate peels, each a dram; with the juyce of Purslane, Housleek and Plantane: make a Cataplasm.

Somtimes ad dryers, to the said repellers and Ano­dynes to consume moisture, and when the heat is de­creased and the disease, increase the quantity, and add digesters.

Eye-waters are madee of white Ceruss, thus: Take Ceruss washed with Rose water two drams, Plantane (or Myrtle water, if you will repel, or Womens Milk, if you will asswage pain) two ounces, whites of Eggs half an ounce, mix and apply them.

Or: Take washt Ceruss two drams, Mucilage of Flea­bane and Quince seed, or Line, or Fenugreek six drams with Rose water and Milk.

The white Troches of Ceruss to make eye waters, are thus made: Take Ceruss washt half an ounce, Starch two drams, Gum Traganth, infused in Rose water half a dram: make Troches. If pain be great, add half a scru­ple of Opium, dissolve these in Water and Milk, when you have occasion.

Add Sarcocol when you will digest, as in the Troches of Rhasis: Take washt Ceruss ten drams, Sarcocol steept in Womans Milk three drams, Gum Traganth a dram, with Rose water, make Troches, with a scruple of Opium, if you please.

Somtimes add Camphire: As, Take washt Ceruss two drams, Starch a dram, Mucilage of Fleabane, Fenugreek or Lin seed, each half an ounce; Sarcocal steept in Milk a dram, Camphire a scruple, Rose water two ounces, Milk and whites of Eggs, of each half an ounce; add six grains of Opium, or Decoction of Poppy, or Henbane, three or four grains of Saffron, in the increase of the Disease. 'Tis counted a Correcter of Opium, and will make the water yellowish.

Tutty is proper for the eye, and makes a good water, it is burnt and washt for that purpose: or thus, wash it in cold water, Pouder it, and steep it in juyce of Quin­ces or in a Quince, and in a clout bake the Quince, and then infuse it in white Wine Vinegar, then dry and Pouder it, and put it into Rose water. Af­ter Water, Make it to fine Pouder for your use.

[Page 248]It is thus used. Take Tutty prepared half a dram, Rose water an ounce, whites of Eggs beaten half an ounce.

With Camphire thus. Take Tutty prepared a dram, Camphire four grains, Plantane, Rose and Fennel water, each an ounce: mix them. a scruple of Sumach will make it stronger, half a dram of Sugar candy is good in the height of the Disease.

Galen makes a white eye-water with Ceruss thus. Take Tutty washed four drams, Ceruss a dram and an half; Starch and Gum Traganth, each a dram; with Rain-water make an Eye-water; add a dram of Opium in pains.

Or thus. Take Tutty prepared a dram and an half, Ce­russ water a dram, Starch half a dram, mucilage of Faenu­greek seeds half an ounce, Fennel water an ounce, Rose water two ounces, with half a scruple of Camphire.

In great pain a yellow Eye-water is thus made. Take Tutty burnt and washt in womans milk half an ounce, Ceruss wa sht an ounce, Gum Traganth a dram, Saffron two drams, Opium half a dram, with Rain-water mix them, use it with the white of an Egg.

The Oyntment of Tutty or Nihili are good for the Eyes also.

Or thus. Take Butter, or Hogs grease, or Oyl of Roses, well washt, or new, with white Wax or Oyntment of Roses or of Alablaster an ounce, Tutty prepared a dram and an half, Pompholyx half a dram, mix them, Camphire a scruple, Antimony half a scruple.

When we wil digest as in the beginning of the decli­nation use these.

The yellow pouder of Sarcocol of Rhasis. Take Sarcocol five drams, Aloes washt in Rose water a dram, Tra­gacanth half a dram, Opium half a scruple, and Saffron six grains.

Rose water, or Milk, or both having Frankincense quench­ed in them, is good for the same.

Or this Eye-water. Take Frankincense half a dram, Sarcocol a dram and an half, Aloes half a dram, Saffron half a scruple, Mucilage of Faenugreek seeds half an ounce, Eye­bright and Rose water, each an ounce and an half, with Fen­nel water in the declining of the Disease.

The Eye-water of Rhasis digests also and ripens. Take Frankincense five drams, Sarcocol and Ammoniacum, each two drams and an half; Saffron a dram, with juyce of Fennel apply it.

When we wil dry more if there be pain, use this of Galen. Take Frankincense and Tutty, each five drams; Ceruss ten drams, Gum Traganth and Opium, each a dram and an half: make it with Rain-water, somtimes he ads Pompholyx.

To dry and digest. Take Sarcocol a dram and an half, Tutty prepared a dram, Aloes a scruple, Myrrh a scruple, Mucilage of Foenugreek seed half an ounce, Vervain water two ounces, Fennnel water an ounce.

If heat remain. Take Sarcocol four drams, Tutty pre­pared two drams, Aloes a dram, Sugar candy a dram and an half, Camphire four grains, Saffron thrree grains, Rose water four ounces: mix them and shake often.

In red Itching Eyes. Take Tutty prepared half a scru­ple, Aloes and Sugar, each five drams, Camphire two grains, white Wine and Fennel water, each two ounces: mix them.

To discuss the remainder in the declination use

This Fomentation. Take Eyebright and Pennyroyal, each a handful; Chamomel, Melilot flowers, and red Roses, and Oat chaff, each a pugil: Foenugreek seed two drams, Fennel seed a dram: boyl them, add a little Wine, dip Clouts and apply to the Eyes. The Fume of the De­coction is also good.

Or this Cataplasin. Take Southernwood a handful, Chamomel flowers a pugil, Foenugreek seeds an ounce, muci­lage of Foenugreek seeds an ounce, Fennel seeds a dram, Cum­min seeds half a dram: boyl and bruise them, add Bean flower an ounce, mucilage of Foenugreek and Line seeds each half a dram; Saffron a scruple, with Milk make a Cata­plasm.

To strengthen the Eye, use astringent Wine and Fen­nel water last of all.

A roasted Egg or Apple laid hot to the Eyes takes out the remaining redness.

If the Inflammation Imposthumeth it must be ripe­ned with a Plaster upon the Eye thus. Take Marsh­mallows a handful, Chamomel flowers a pugil: boyl them in Milk, beat and add Barley meal and Foenugreek seeds, each an ounce; with Oyl of Chamomel make a Cata­plasm.

The Eye-water of Rhasis and Oyntment of Tutty doth the seme.

When the Imposthume is broken, cure the Wound as followeth.

If an Aegilops come from cholerick blood in the great corner of the Eye, The Cure of an Aegi­lops. you must apply things used in the Ophthalmy if there be an Inflammation that repel and take away pain, and then discuss the Tumor with eye­waters there mentioned which dry and digest, before it come to suppuration, which is sooner when there is little or no inflammation, and the Tumor came by de­grees.

A Discusser. Take Plantane, Mallows, Chamomel with the flowers: bruise them and with kernels of old Walnuts, make a Cataplasm for the corner of the eye. if you add a little Salt and Hen-dung it wil be better.

The herb Aegilops bruised is good also according to Dioscorides.

Others use Emplaster Diapalma, Divinum, and Cero­niacum.

If the Tumor imposthumate it must be presently opened, lest the matter retained corrode and cause a hollow Ulcer. Then Cure the Ulcer as we shal shew in Ulcers.

If there be an Epiphora from a wate­rish humor falling upon the eye-lids chiefly, The Cure of Epiphora. with redness, Heat, and Itching and pain, we must at the first stop the flux, and abate pain and itching with medicines mentioned in Oph­thalmy, and with those we must mix afterwards things that dry up moisture, which is plentiful in this case, and use eye-waters of Ceruss and Tutty there menti­oned.

When Epiphora lasteth long, and there is a weeping, itching and redness without burning we must use stronger Dryers.

As against Itching. Take Ant [...]ony prepared half a dram, Rose and Fennel water each two ounces; use it strai­ned.

A Pouder. Take Lapis Calaminaris a scruple, Tutty prepared a dram, Coral and rinds of Myrobalans torrefied or parched, each a scruple; make a Pouder for the Eye.

Or this. Take Antimony prepared half a dram, Tutty prepared a dram, Coral three drams, Pearl two scruples, the crystal humor of the Eyes of boyled fishes half a scruple: make a fine Pouder.

An eye-water of Blood-stone. Take Blood-stones, Antimony washed, each a dram; Tutty prepared two drams, Lapis Calaminaris a scruple, Aloes a dram, Camphire a scru­ple, burnt Stones of Myrobalans half a dram, Pomegranate­wine two ounces, Rose water four ounces.

To digest also. Take Antimony washt, Tutty prepared, each a dram; Myrrh, Aloes, each a scruple; Saffron half a scruple: dissolve them in Fennel and Eyebright water with a little Wine,

[Page 249]Use Fumes also of such things as dry without biting or sharpness, as of Frankincense, Pitch, and the like, but be wary.

A Fume of boyled Salt, drieth well, without any bi­ting.

Then are stronger drying eye-waters of sharp Juyces to be used, when the Epiphora is stubborn, and itcheth much, which is helped with sharp things which exaspe­rate pain in other Diseases.

As a little white Vitriol dissolved in Rose water, it is good in Itching, and Redness, and Heat, the Ger­mans call this Augstein, some apply a little of it in In­flammations, the Chymists use a drop of Oyl of Vitri­ol in Water, others the Salt of white Vitriol in Water.

Another. Take white Vitriol half a scruple or twelve grains, Tutty prepared half a dram, whites of Egs hard four, in a Clout bruise them, adding by degrees Rose water four ounces: make Philtration, use this Water cold to the eyes.

Another. Take white Vitriol half an ounce, whites of Eggs fifteen, water a pint: mix and boyl them, then in a Glass, add Camphire tied in a clout one dram.

Or thus. Take white Vitriol two grains, Camphire four grains, Tutty prepared half a scruple, white Pompholyx six grains, Rose water an ounce, Fennel water an ounce: make an Eye-water.

Or: Take white Vitriol two drams, Camphire half a dram, Tutty prepared one ounce, Aloes a dram, Sugar candy two drams: make a Pouder, mix it with Rose, Fennel, Ver­vain, Celondine water, and a little Wine.

If you fear burning add Narcoticks: as, Take white Vitriol, Tutty each a dram; Nutmeg half a dram, Sugar half an ounce, white Wine two ounces, Cel ondine water a pint: boyl, strain, and keep them for your use.

Or thus. Take white Vitriol half a dram, Camphire a dram, Tutty prepared two drams, Ginger, Cloves, each half a dram; pouder them, and add old white Wine in which a Gad of Steel was quenched an ounce, Rose water, Fennel, and Celondine water each two ounces: boyl or steep, and then strain and keep them for your use.

An Eye-pouder. Take white Vitriol half a scruple, Camphire a scruple, Tutty two drams, Pompholix, Ceruss, Lapis Calaminaris, Coral, Mother of Pearl, rinds of yellow Myrobalans each half a dram; Aloes, Myrrh, each a scru­ple; Sugar candy a dram, Ginger, Cloves, each a scruple: make a Pouder, and put a little thereof into the Eye.

An experienced Oyntment. Take Verdegrece twelve grains, Camphire a dram, Tutty prepared half an ounce, fresh Butter with Rose water boyled a little, six drams: mix them for an Oyntment, put as much as a Pease in the corner of the Eye. and anoynt the Ey-lids. This is a singular ex­periment against Epiphora and Itching.

A Verdegreece water very excellent. Take a Bar­bers Bason and anoynt it with Honey, and turn it with the mouth downward upon Sheeps Dung for fourteen daies, and keep ripe Bramble berries in a Glass close stopt in a Horse Dunghil, after fourteen daies wash the Bason with the Bram­ble berries, and strain the Berries, and mix with the Li­quor a little Camphire and white Vitriol.

Another. Take a Bason, put therein six ounces of Bramble berries, Salt two ounces, one above the other in rows, keep them in a Celler three weeks, then strain the Liquor from them, and let it settle til the Salt be at the bottom, and pour it off, and do the same the second time til no Salt remain, put this Water into a Tinn Vessel that it may be sweet kept for your use.

If the tunicle of the eye called Ad­nata separated from the Cornea raise a Blister full of Water, The Cure of the Bladder in the Eye. whence cometh also pain and redness, the pain must be abated, the humor stopt, and the Flux dried, as in Epiphora, and by the medicines mentioned in Ophthalmy. If it break and leave a Corrosion, it must be cured as a Corrosion, with medicines that dry without biting, mentioned in Ophthalmy and Epiphora, and such as we shal shew in Ulcers.

If after the tunicle of the Eye is taken off, The cure of rough­ness, and taking off the Tunicle of the Eye. there follow a roughness of the eye-lids, and there be also redness, heat, and pain, we use the same Remedies mentioned in Oph­thalmy, then we dry strongly if it cause no pain, with things mentioned in Ophthalmy increased, and shall be mentioned in Ulcers. Or with these.

Tutty prepared with juyce of Quinces and Vinegar and laid in Pouder upon the eye-lids, cures the Scabs and Roughness.

Or this Pouder. Take Tutty prepared a dram, Egg­shels steept in Vinegar half a dram; Cuttle bone a scruple: make a Pouder.

A third Pouder. Take Tutty prepared a dram, Pumice stone half a dram, Coral burnt and washed a dram: make a Pouder.

An Oyntment. Take Tutty prepared, Acacia, each a dram; Blood-stone and Antimony, each half a dram; mix them with Gum Traganth, or Honey, or Pomatum: a­noynt the Eye-lids.

Another: Take Tutty prepared, Ceruss washt, Mar­chasites quenched in Vinegar, each a dram; Hypocistis, Frankincense and Antimony, each half a dram; burnt Ivo­ry, Pumice stone and Cuttle bone, each a scruple; Pouder them.

After, use sharp Medicines.

The Remedy of Dioscorides. Take Juyce of Onions and burnt Ivory equal proportions.

Another: Take the Gall of a Tench, or other Fish, and Cuttle-bone equal parts.

Dioscorides useth the Milk of Figs, but because it ulce­rateth, Tutty and other Driers must be added.

Use also the Medicines mentioned in Epiphora made of Vitriol and Verdegreece.

Somtimes the Scab is taken away with a Rag or rough Leaves til the blood cometh and then we use Driers afterwards.

If a true Ulcer follows excoriati­on, The cure of an ul­cer in the Eye. or be left in an Ophthalmy after an Imposthume, then first clense, and after dry, and make a Scar.

Use gentle Clensers, if the Ulcer be not foul, and stronger, as Causticks if foul, or the Lips hard, such as as we shewed in films of the eye and weakness of Sight.

The gentle are such. Take Goats or Womans milk an ounce, Sugar candy a dram and an half, Myrrh a scru­ple.

Or: Take Honey water distilled an ounce, Sugar candy half a dram, Lizards dung half a scruple.

Water distilled from Turpentine is good.

A strong Clenser and Healer. Take Turpentine half a dram, a yolk of an Egg, beat them, and add Plantan and Rose water.

If you need stronger, use those mentioned in a Fistu­la of the Eye.

After all those use Driers mentioned in Epiphora, or the Oyntments to the Eyes and Eyelids.

A white drying Medicine. Take Ceruss washed in Plantane water a dram and an half, Starch a dram, white Coral and Harts horn burnt and washed, each half a dram; the mucilage of Comphrey half an ounce, with the juyce of the Grinding of the Stone Galactides, with Rose water: mix them.

[Page 250]A red drying Oyntment: Take juyce of Hypociflis, Dragons blood, each half a dram; Aloes a scruple, Myrrh half a scruple, barke of Frankincense half a dram, infusion of Gum Traganth in Plantane water half an ounce, the juyce of Blood-stone, ground with water of Horstaile, as much as is fitting.

A black drying Eye-water: Take the soot of burnt Pitch as much as a Hazel-nut, and Oyl as much, mix them with the yolk of an Egg. This Dioscorides approves against corroding of the corners of the Eyes.

Or: Take soot of burnt Pitch and Turpentine as for­merly and Acacia, each half a dram; the white of an Egg beaten half an ounce, with syrup of dryed Roses: mix them.

Another Eyewater: Take Sarcocol, Frankincense, each half a dram; Mirrh, Aloes, Lycium, each a scruple; Tutty prepared half a dram, Antimony a scruple, mix them Pou­dered with Honey of Roses.

A stronger: Take Tutty prepared a dram, Antimony a scruple, Brass, Lead, Coral, Hearts-horn, all burnt and washt with Horse-tail water, each half a dram, Sugar two scruples, mix them, with the white of a hard Egg.

Rhasis his Eye water of Lead, good in suppuration after Inflammation and in an Ulcer: Take burnt and washt Lead, Antimony, Pompholyx washt, burnt Brass, Gum Arabick, Traganth, each three drams and an half; Opium half a scruple and six grains, Pouder them, and use them in Rain water.

Eleiser, or the Eye water of Rhasis, good when we fear the Pupil will come forth, after an Inflammation and Ulcer: Take Antimony and Blood-stone, each five drams; Acacia a dram and an half, Aloes half a dram, mix them with juyce of Quinces.

Rhasis his Eye-water, called Polycrestum, that makes flesh in Ulcers, and keeps the pupil from coming forth and cleanseth scars: Take Tutty, Pompholyx, Ceruss wa­shed, Antimony, Frankincense, each a dram; Mirrh half a dram, Sarcocol two scruples six grains, Cinnabar, Aloes, O­pium, each half a dram.

An Ulcer after an Impostume in an Aegilops, The Cure of an ulcer in the corner of the Eyes. is to be cleansed and dryed, as we shewed in the Ulcers of the Eye, choosing the strongest meaus, because the water and filth still gathereth to the part.

This is done well by a Lixivium, to wash or squirt into it, though it come out at the Nose, any Lixivium or Lye made of Ashes or burnt bones, will do it, using stronger or weaker, as you may know by the sliminess of it.

Also use Urin used in the same manner.

A stronger Lixivium: Take Lixivium a pint and half, Rose-vinegar half an ounce, Pomgranate flowers and Galls, each half an ounce; Rue half a handful, boyl and use them.

Another: Take Lixivium half a pint, Allum half a dram, white Vitriol a scruple, these must be moderated, as you find occasion.

A drying cleansing Decoction: Take roots of Snak­weed, Tormentil, Moulin dryed, each half an ounce; Agri­mony a handful, Rue, Chamomil, each half a handful; an old Nut kernel, Pomegranate flowers and Galls, each half an ounce, boyl them in red Wine, add a little red Vine­gar.

A clensing Oyntment: Take Aloes a dram, Myrrh half a dram, Honey a dram, Gall and Saffron, each half a scruple; with Turpentine: make an Oyntment.

Another: Take juyce of Plantane and Agrimony, each an ounce; juyce of Rue, red Vinegar and Honey, each half an ounce; Oyl of Roses an ounce, boyl them thick, and with a little Turpentine, make an Oyntment.

An Oyntment to heal, a cleansed Ulcer: Take Antimony, Lead, burnt and washt, Tutty, Litharge, each a dram; burnt Allum two scruples, Verdugreece half a scruple, Blood-stone a dram, Dragons blood, Aloes, dissolved in Vi­negar, each half a dram; round Birthwort two scruples, burnt Ivory and Coral burnt, each a scruple; with Honey and Turpentine: make an Oyntment.

Or thus: Take filings of Iron a dram, and burnt Chal­cities half a dram, burnt Lead and Antimony, each two scru­ples; with Butter and white Wax: make an Oynt­ment.

A good Plaster to Cure the Ulcer: Take Bole a dram and an half, Dragons blood, Mummy, Acacia, Hypo­cistu, Frankincense, Mastick, each half a dram; Acron cups, round Birth-wort, Gall and Cypress nuts, each two scruples; with Ising-glass, infused in Vinegar: make a Plaster: apply a little Plaster to the corner of the Eye.

If there be a Fistula that weeps alwaies, The Cure of the weeping Fistula. then take of the Callus with that part of the bone that is foul, and then fill up the Cavity with flesh, with as little scar as may be.

Aegyptiacum takes away a Callus, put in often with a Tent. Or other Oyntments of Verdigreece, or a little qualified Aqua fortis, or sublimate water boyled, or sublimate it self put in, and the like, as here­after.

I have used my Caustick, which causeth no pain and it hath caused an Eschar. But an actual Cautery doth it sooner, if the bone be foul. Which you may know by opening the flesh with your Lancet. It must thus be burnt, first defend the Eye with a Linnen cloth dipp'd in whites of Eggs, and Rose water, and with a silver spoon, and then conveigh a red hot Iron with a round head, through an Iron quil, to the part, once or twice, til the Eschar fals off, use Mucilages with yolks of Egs and Butter.

Then increase Flesh: As, Take Birth-wort roots, Orris and Frankincense barke, each a dram and an half; Myrrh, Mastick, Sarcocol, Aloes, Lapis Calammaris, each a dram, with Honey and a little Verdigreece: make an Oyntment.

I have seen in this Disease, being old and above a years continuance, that a piece of the bone, with the stinking flesh hath fallen off, of it self, into the Nostrils and neither tears, nor matter, hath often come forth at the Eye. But through the Nose and the part hath been healed up.

If the Eye be hurt from a stroak or wound, you must presently use things to stop blood, dryers and healers. The blood of a Pidgeon, or Hen, or Turtle, put into the Eye stops bleeding.

And this: The Cure of Wounds in the Eyes. grind Brim-stone with Milk, put it into the Eye.

Or: Take the red juyce of Blood-stone ground with Milk an ounce, the white of an Egg beaten half an ounce, juyce of Hypericon a dram, Frankincense half a dram, add a little Opium, if then pain'd.

Then: Take the white of an Egge beaten, the Mucilage of Comfrey roots, each half an ounce, Ceruss and Tutty washed in Plantane water, each half a dram; Antimony a scruple, water of St. Johns-wort and Steel'd water, of each an ounce.

Then Cure the Ulcer, as we shewed in Ulcers.

CHAP. V. Of the Pain of the Ears.

The Kinds.

THe Kinds of inward pains in the Ears are from the diversity of the propriety, as there is any thing in them or not, we speak not here of outward pains.

Somtimes there is only an itching in the Ear, Itching of the Ears. such as the finger or an Ear picker can scarse allay.

Somtimes there is a pricking pain and beating, A pricking, bea­ting, shooting and burning in the Ears. more or less, with bur­ning, and pain on that side of the Head, and it is either increased or not, with things put into the Ear.

In these pains there is a Disease somtimes apparent, as redness to the whole Ear, or more inward to be seen by the light: or Exulceration. Often blood, matter, floweth out, of it self, or by pressing the lower part. We have seen water come forth in abundance, as in a Girle after a fal, first blood, then water with pain, and after blood and water, and then death followed, after a few daies sleep. Somtimes worms come forth. Somtimes pain is deep without these signs.

The Causes.

The Membranes only are sensible, The place affected. which are about the Cavities and the pain is from them, either from the Membrane most outward, before the drum, or from that within, be­hind the drum, being dilated by the Nerve; and then the pain is with noise. The Diseases that cause this pain in the Membranes are cold or hot distemper or Ma­lignant, a stretching, or manifest hurt of the Mem­brane.

A hot distemper causeth itching in the Ears, A hot distemper causeth itching in the Ears. but an Inflamation causeth pain, that is pricking, beating or shooting with burning. This pain is as the blood that flowes thither is hotter, or more inflamed. And they have a little feaver with shivering and with Head-ach. And when the Inflammation turnes to an impostume the pain encreaseth, and when it breaks the pain ceaseth, and bloody matter comes first, then concocted or discoulered: this matter retai­ned causeth itching and new pain, and corrupting caus­eth worms somtimes. We thought this matter had come from an Ulcer without the canal of the Eare, because the Ear being pressed near therto, it came forth. The cause of this hot distemper is either pains from outward injuries, that causeth the defluxion into the part: or fulness and heat of blood in the Veins, that flows upon the part, with a Feaver and Head-ach go­ing afore.

A cold distemper from cold Air outwardly or wind disturbs the Mem­branes in the outward Cavity of the Ear and causeth pain, A cold distem­per causeth pain in the Ears. or cold water in the Ear: It is somtimes in the in­ward Chamber of the Ear from the defluxion of a wa­terish humor, such as we see fall cold from the Nose, which distempers the inward Membranes.

An evil qualitie that causeth the pains in the Head and bony parts in the french Pox and other diseases, A Malignant quality causeth pain of the Ears. may hurt these Membranes in the Cavities of the Ears, and cause a pricking pain.

The itching in the outward part of the Ear or tickling comes often from irritation, Provoking or rubbing caus­eth itching of the Ears. or provokling, as from hot blood, boyling in the Vessels of these Membranes, or from matter, or chol­lerick filth in the Ear, or other things fallen into the Ears, which chiefly offend the outward Mem­brane.

A stretching by which these Membranes seem to be as it were pulled from the bones to which they are joy­ned, causeth a stretching pain in the Ears, this same thing is from wind, from which there is rather a strange noise, then a pain, as we shewed in the hurt of hearing, Stretching in the Ears, caus­eth pain. except it sil the inward Chamber of hearing so that pressing the Membranes it causeth a kind of pain. Or being bred under the Membranes of both Cavities internal and external (as wind, may bred in the whol body and is most constrai­ned between the Membranes) it cause a twiching and tearing pain, by drawing the Membranes from the bones. I have known this distension in the Ears with much pain by consent of the Membranes through the whol body, come from straining much in going to the stool, and in pissing forth a stone from the neck of the Bladder, and in great and loud Vociferation and whooping, and also in difficult Child bearing, as in one who had no pain during her travil, but in her ears. And she was dul of hearing all the time of her lying in and long after.

A manifest hurt from outward in­juries or things fallen in or thrust into the ears, A wound or other hurt causeth pain in the Ears. which prick or cut the Mem­branes causeth pain. And if there were violence and blood comes forth, there is a mani­fest wound; And Inflammation come, the pain is in­creased, and the more, if an Impostume follow, which being broken, matter cometh forth.

The Cure.

The Cure is divers, in respect of the Disease, as it is a hot distemper Inflammation or Ulcer, or a cold dis­temper Malignant, or other hurt.

If the Ears only inwardly itch from a hot distemper it goes of it self away, The Cure of itch in the Ears from a distemper. espe­cially, if the Air be cool, or by cold Me­dicines, which I shall declare; Or if hot blood remaining in the Vessels, cause the itching, it is cured by revelling that, and purging and cooling it. The Cure of Inflammation in the Ears. But if In­flammation cause pain, you must per­sently draw back the Flux of blood from the part, and stop it from retur­ning, allay the heat, asswage the pain, and discuss what remains. Or if it come to an Impostume and being bro­ken, leaves an Ulcer, you must proceed, as in that case. Thus,

We revel and derive the Flux of blood, by let­ting blood, by Scarifying and Cupping and by Hors­leeches, and by Friction, as in Opthalmy.

[Page 252]And we use the same Clysters and Purges if the body be bound as in Ophthalmy.

We give to drink things that cool and thicken to stop the course of the blood when hot especially, and things that by propriety asswage pain in the Ears, as they say the flesh of Dormice made up with Honey doth.

We use the medicines mentioned in Ophthalmy to the jugular veins and temples to hinder the Flux, and if there be Head-ach, we use Vinegar of Roses and o­ther things to oppose both pains.

Into the Ears we drop many Liquors, two or three drops, and if these fill the Ear, after they wet the sides thereof, that they may not longer hinder the Hearing, especially if strong, least they hurt the Drum, you must turn the Head that they may fall out of the Ear again. Or you must apply outwardly hot Cataplasms upon the Ear, so that they may fill the Cavity. or a Fomen­tation with a Spunge. or a hot Fume. and we use Al­layers of pain when it riseth, and things that repell or drive back at the first if there be a flux, and Coolers, and in the progress and declination we use Digesters, and if it imposthumate, we use Digesters thus.

To asswage pain, new warm Milk or the white of an Egg beaten to Liquor, Ducks or Hens Grease, Oyl of sweet Almonds and yolks of Eges, or Oyl in which Earth-worms or Snails have been boyled, which have been first taken out of their shels with the slime, or in which Hog-lice or Millipides have been boyled, or Oyl of Poppy, or Henbane seed, or the juyce of Poppy or Henbane.

Or drop these Compositions into the Ears. Take Womens Milk two ounces, the white of a an Egg beaten half an ounce; with Goose Grease two drams: mix them.

Another. Take mucilage of Fleabane and Faenugreek seeds, and whites of Eggs beaten, each half an ounce; Goose grease two drams: mix them with Oyl of Almonds and Milk; add three or four grains of Opium to make it stronger.

A third. Take Oyl of sweet Almonds two ounces, juyce of Mallows half an ounce, Myrrh half a dram, Saffron half a scruple, Opium three or four grains.

A fourth. Take Oyl of white Henbane seed a dram, as much Saffron and Castor as a Pease; mix them.

An anodyne Emplaster. Take crums of Bread a pound, boyl them in Milk, add flour of Line seed and Faenugreek each an ounce; Oyl of Chamaemel an ounce and an half, two yolks of Eggs: mix them, and if you add Opium it wil be better.

Or: Take Marshmallow rootts an ounce, Mallows, Nighshade, St. Johns wort, each a handful; flowers Dill, Chamaemel, Roses, each a pugil; Line seed half an ounce, Mallows, Marshamallows, and Poppy seeds, each two drams: make a Decoction in Water or Milk for a Fomentation or Fume: If you add Leaves of Poppy, or Henbane, or Man­drake roots, or Poppy heads when there is pain it will be better.

O: Take the faeces of this Decoction, and beat them with Hogs grease, Calves marrow, mucilage of Fleabane and Faenugreek, each an ounce; Oyl of Chamaemel and Violets, each an ounce; fresh Butter an ounce and an half, Saffron half a dram: make a Cataplasm.

To drive back and to ease pain. Take Oyl of Roses, and Violets, and sweet Almonds, each equal parts, add Earth­worms, Sows, Snails, and with a little white Wine, boyl and strain them.

Or: Take Oyl of Roses two ounces, Vinegar an ounce, Saffron half a scruple, Opium three or four grains, boyl them til the Vinegar is consumed, or in stead of Opium and Saffron, add Philonium Romanum two drams, boyl them in Oyl and Vinegar.

To cool and drive back, put in Oyl of Roses or Violets, juyce of Plantane, Nightshade, Willow, Venus navel, and the like.

Or this: Take Oyl of Roses an ounce and an half, juyes of Pomegranates and Plantane, each half an ounce; white Wine Vinegar two drams: boyl them till the Juyces are consumed.

Or this Fomentation. Take Plantane, Willow, Vio­lets, Lettice, each an handful; red Roses a pugil, Pomegra­nate flowers half a pugil, Pomegranate Pills half an ounce, boyl them in red Wine, and with a little Vinegar foment the Ear.

Or: Take the residence of this Decoction: add meal of Lentiles a pugil, oyl of Roses and Myrtles, each an ounce and an half; one raw Egg, make a Cataplasm for to be laid upon the Ear.

To discuss the Inflammation, mix hot things, and in the decrease use them alone, as Oyl of Chamaemel, Melilot, Dill, Lillies, dropt into the Ears, and other hot things inwardly and outwardly, such as shal be menti­oned when it proceeds from a cold cause.

If the Inflammation tends to maturation which is known by the beating and not ceasing of pain use things to digest as Basi­licon with Line seed Oyl into the Ears. The Cure of Impost­humes in the Ears af­ter Inflammation.

Outwardly apply this Cataplasm which asswageth pain. Take a great Onyon and white Lilly roots, roast them in the Embers, beat them, add Lineseed meal an ounce, Butter an ounce and an half, oyl of Chamomel and Line seed each half an ounce, Saffron half a dram: make a Cataplasm.

The juyce of an Onyon openeth a ripe Imposthume with Leaven dissolved in it.

If an Ulcer follow the Impost­hume opened first clense, The Cure of an Ul­cer of the Ear after an Imposthume. then add Driers, and heal it with the same.

Use the same Clensers as were prescribed for Hear­ing hindered. And these,

Sugar, or Sugar candy, or Honey dissolved in Whey or Barley water.

These are stronger, Honey of Squils, juyce of Smallage, Fennel, Beets, Onyons, Leeks, Horehound, Wormwood, Cen­tory, alone, or with Honey.

The Decoction of Lupines and Agarick do the same.

Wine clenseth wel, and also Lixivinm or Lie.

Turpentine with Honey and Wine doth the same.

Aegyptiacum is the strongest, for a sordid Ulcer, tem­pered with Honey if you please.

To heal and dry. Take Plantane, Shepheards pouch, and Shepheards rod, Scabious, Birthwort, Solomons seal, Fleabane, and the thickned juyces of green Grapes, Oyl of O­live and Hypocistis alone or with Wine Vinegar and Ho­ney.

Or the Decoction of Birthwort, Galls, Pomegranate peels, and other Driers in Wine or steeled Water.

Rust of Iron in astringent Wine and a little Vinegar is excellent or the Decoction of Litharge.

This is best. Take fine pouder of Steel half an ounce, Vitriol a dram: boyl them in Wine and Vinegar, or Vine­gar alone if you wil have it stronger, and strain it.

A good Liniment. Take Cinnabar and Litharge, of each equal parts, and with Honey or syrup of dried Roses: make a Liniment, drop a little into the Ear, or put it up­on a Tent.

Or this to breed flesh. Take Ceruss, Tutty prepared, [Page 253]each a dram; roots of Birthwort, Myrrh, Sarcocol, Aloes each half a dram; Orris a scruple, make a fine Pouder: mix them with Honey Or juyce of green Grapes.

It is stronger with Verdegreece and filings of Iron quenched and ground with Vinegar, especially when a Scar is to be raised.

You may use divers Waters for the Eyes here, and the strongest, because the Ear is less offended therewith than the Eye.

To Cure an Ulcer in the Ear, a Fume is excellent, because it gets through and drieth, as of Pitch, Turpen­tine, Frankincense, and other Gums burned, which are Driers. Or the Pouders mentioned white a little Cin­nabar which is very drying.

If Worms breed from the filth of the Ear and provoke, The Cure of worms in the Ears. you must draw them out or kill them, as was shewed in the Defect of Hearing from things fallen in.

Juyce of Wormwood is the best to kil them, and of Centory, Arsmart, and Peach Leaves, and of wild Cowcumber.

Or a Decoction of Lupins, Coloquintida, white Hellebore in Wine vinegar.

Or Beasts Galls.

Or bitter Oyls, as of Peach kernels, and bitter Al­monds.

Or thus. Take Coloquintida half a scruple, white Helle­bore a scruple, Aloes half a dram: with the juyce of Peach leaves make a Liniment.

In the Worms of the Ear for killing and drawing forth, as in the Worms of the Nose and Brain, the Oyntment of Capons Grease, and Oyl of Hazel, with a little Mercury precipitate or sweet is good, if it be put into the Ears with Cotton. And the Decoction of Hemp distilled.

If the pain come from a simple cold distemper, The Cure of pain in in the Ear from a cold distemper and distension. or with matter from Wind, then if the Humor or Wind be present, we use Cupping or Friction to revell it, and Cly­sters and Purges which do the same, and evacu­ate the humor. And we derive the matter by the Mouth and Nose, as is shewed in the Hurt of Hearing, from these causes, and we discuss with Baths and other Sudoroficks. If it be only a distemper, we alter it with heat and hot Diet, as with the flesh of Dormice as we shewed, which hath a propriety.

We use the same things inwardly and outwardly to the Ears, or these.

Take Oyl of biter Almonds, of Peach kernels, Chamomil, Melilot, Dill, alone or together.

When the pain is intollerable. Take Oyl of Henbane seeds half a dram, Castor half a scruple, Saffron six grains.

Or: Take a hollow Onyon and put into it Castor, Eu­phorbium, each half a scruple; Opium six grains, fil it with Oyl of bitter Almonds roasted in the Embers: strain and use it.

Or: Take a piece of a Snakes skin, boyl it in Oyl of Worms, add Sows or woodlice, and strain it, you may add a little Oyl of Scorpions.

Or: Take juyce of Pellitory, Horehound, each an ounce; Oyl of Bayes an ounce and an half, Ox gall a scruple, Hens grease a little: boyl them til the Juyces are spent, anoynt and drop into the Ear.

A little Spunge dipt in Vinegar with a little Salt is good to be applied close to the Ears.

This Decoction or the Fume thereof is good for the Ear. Take Organ, Pennyroyal, Rue, Baies, each a hand­ful; Wormwood half a handful, Chamomel, Melilot, and Dill flowers, each a pugil; Bay, Elder, or Ivy berries, each an ounce; Faenugreek seeds two drams, Carua seeds a dram: boyl them in Wine and Water.

Make Bags of these Driers.

Or thus: Take Panicum a pugil, Organ, Marjoram, each a handful; Chamomel flowers a pugil, Saffron half a dram: pouder them for a Bag.

Or: Take roasted Onyons and Leeks, each three ounces; beat them, add meal of Line seed and Foenugreek, each half an ounce; Peach kernels an ounce, boyl in Milk and stamp them, add Goose grease an ounce, Oyl of Dill, or Earth-worms, or Butter two ounces, Saffron a scruple.

They say it is good against pain to rub the Ear with Garlick, because it draweth the matter outwards: but the roots of Squils, Sowbread, Cuckow-pints, or Dra­gons, are stronger.

Some apply green Tobacco leaves to the Ears, and then dry them, and apply them again.

If an evil malignant quality as in a long Head-ach and French Pox produce pricking in the Ears with noise; The Cure of pain in the Ear from malignity. after long and strong evacu­ations by Sweat especially, it ceaseth with the Disease, and if any remain it is taken away by the Topicks mentioned in a cold cause and moist, in the Cure.

Provocations, Itchings, and other pains of the Ears, The Cure of pain of the Ears and Itching from Irritation or Provocation. if they come from filth in them, or that falls into them, we shewed you how they may be removed in the hinderence of Hearing.

The violent hurts which cause a Wound, The Cure of a pain of the Ear by a wound. are cured as other pun­cturs and wounds. First if In­flammation be feared, let blood, and repell it with things put into the Ears. Then drop in things that asswage pain, and stop the Flux, after use Driers and Healers, as we shewed in Ulcers.

CHAP. VI. Of Diseases or Griefs of the Nostrils.

The Kinds.

THe Kinds of Pains or Diseases in the Nostrils are divers.

There is an often Itching, Itching or tickling in the Nose. or Tickling, Sneesing follows it som­times, and the Nose droppeth.

Somtimes it is Burning, Burning in the Nose. and the Nostrils are hot, and red, and infla­med, with a tumor within, or In­flammation that obstructeth the passage.

Somtimes there is a pain like an Ulcer and blood is blown out, An ulcerous pain in the Nose. or hard flegm: Or Snot or stinking matter, and there is a stink in the Nose which the peo­ple presently perceive more than the Patient in that cal­led Ozaena. And there is a deformity of the Nose therewith, which spoileth the whol Face. The Voyce is hoarse, and as coming from a hollow place, the Pa­late is eaten through with a great hole, and the breath­ing [Page 254]is hindered, as we have seen alwaies in the Ele­phantiasis, often in the French Pox.

The Causes.

The Grief of the Nostrils, proceeds from a Disease, which is either Irritation or Provocation, or a hot dis­temper or solution of continuity.

The Nostrils being very sensible are easily provoked, The Irritation of the Nostrils, caus­eth itching and tickling. hence comes tickling or itching, and somtimes sneesing from the same Causes that we shewed, sneezing proceed, as externally from light and splender, strong scents, things put into the Nose that are sharp, or intetnally from thin blood in the Vessels, or from waterish and sharp blood, with tears that come from the Head and twitch the Nostrils. And Choler which is usually purged at the Ears, may be brought to the Nose and cause the same.

A great heat may cause burning in the Nose, A hot distemper and Inflammation of the Nostrils, is the cause of bur­ning pain. to which is joyned som­times a true Inflammation with tu­mor and obstruction, as may hap­pen from an outward hurt or inter­nal, when the cause is very pricking, from whence the Nostrils are usual­ly afflicted, as in Coryza, where the Nose is outwardly red and inflamed, as woll as inwardly.

A Solution of continuity, with­in or Excoriation, Excoriation, wound or ulcer, is the cause of ulcerous pain in the Nose. or Wound, or Ulcer, reacheth somtimes out­wardly. These may be from picking, as with the Nayles, or burning Errhines or Nose Medi­cines, such as we use in Cure of Polypus. Somtimes from a sharp defluxion that hath long passed that way, the Nose is ulcerated inwardly and outwardly, with the help of often blowing it.

There are in the spungy bones at the bottom of the Nose foul, stubborne and long Ulcers, somtimes such as corrode and creep on, somtimes they pirce the thick runicle of the pallate and eat of the bridg of the Nose which causeth it to fal. Often also the bones which are near the upper Jaw are consumed and leave a great space in the palate through which a stink hath passed that anoyed the whol room where we were. And it is manifest that worms have been bred of this filth and come forth.

These may be from the causes mentio­ned, Worms in the Nose. as if the Nose be deeply hurt, or the Ulcer neglected, or the remedies come not to the part by reason of its moy­sture and cannot have operation. These called Ozae­nae come chiefly from the Flux of burning or malig­nant humors sent by nature to the part and there are perverse and cancerous Ulcers and tumors. But be­cause this is not only in this part, but a malignant hu­mor and quality in other places, especially the Membranes, as in the Elephantiasis and French Pox, then they of the Nose grow together with other putrid and Malignant Ulcers which eate away the Nose and the bones, and produce other accidents.

The Cure.

If the itch of the Nose come from provocation, The Cure of itching of the Nose from provocation. remove the cause whether internal or external, and if it cease not, qualifie it. As we shewed in neesing which often followeth, and shall be shewed in defluxions and in Coryza.

If the Nose be hot or inflamed then there is redness heat and tu­mor external, The Cure of heat and Inflammation of the Nose. to be cured as we shewed in the greifes that come from diseases in the superficies of the body.

Ulcers of the Nose, The Cure of ulcers of the Nose. internal and sim­ple, without matter or stink, are cured with strong dryers, because the part is ve­ry moist. But matter must be first clean­sed, as it abounds. Or is stinking, or as the flesh grows rank, which is hard to be cured. Somtimes they are incurable and leave deformity. Before these topicks purge Excrements, if they produce these Ulcers or nourish them. If they come from evil and Malignant humors, you must use divers Evacuations of the whol body, as in Elephantiasis, especially by sweat in the French Pox, as shall be declared.

These are put into the Nose, snuffings or oyntments with Cotton, or Suppositories, or Fumes, or Pouders blown up. And if you will not have them fall into the mouth, through the Nostrils, hold cold water in the mouth, when you take them.

Other gentle clensers are made of Whey with Ho­ney, or red Sugar, or Wine and Honey, or Oxy­mel.

Lixivium and Urin cleanse more, especially if you add a little Allum, or if you keep them in a brass basin to gather Rust or Verdigreese.

The Decoction of Gujacum in a Lixivium, with Honey will clense more, but astringent Wine will dry more, especially in the French Pox.

The juyce of Ivy clenseth, filleth in the Nose, and is approved by Dioscorides.

A clensing and drying Errhine: Take juyce of Pome­granates and Plantane, each two ounces; Honey and Wine, each an ounce; with Allum and Vitriol: mix them.

Another Oyntment: Take juyce of Ivy and Plantane, each two ounces; Pomegranate, wine Vinegar and Honey of Roses, each an ounce; Oyl of Roses and Myrtles, of each an ounce and an half; boyl them, add green Wax, made with Verdugreese.

Aegyptiacum. if used in foul Ulcers alone, when you must clense much and when the flesh is foul.

You may with wariness apply Aqua Fortis, or Subli­mate, or Spirit of Vitriol, with a quil to the Ulcer. Or water of Lime quenched in it.

Make a dry and heating Errhine: Thus, Take Plan­tane, Horse-tail, Agrimony, Brambles, Solomans seal or Rup­ture wort, of each a handful; Pomegranate peels an ounce, Galls, Comfrey roots, each half an ounce: boyl them in Wa­ter and red Wine, and a little Vinegar and Honey.

Or thus, when the Gristle of the Nose begins to be corroded and the Nose bend: Take juyce of Plantane, Agrimony, Mouse-ear, Burnet, Roses and Smallage, each an ounce; Vinegar and Honey, of each an ounce; Allum two drams, Frankincense and Myrrh, each a dram; Chalcitis a scruple: mix them, for an Errhine to be snuft up.

An Oyntment for the same: Take Litharge and Ce­russ washt in Plantane water, of each half an ounce; Tutty prepared and Lead burnt and washt, each two drams; Myrrh and barke of Fraukincense, each a dram; round Birth-wort half a dram, with juyce of Plantane and Oyl of Roses, mix them.

Or thus: Take roots of round Birth-wort, Pomgranate pecels or flowers, of each two drams; barke of Frankincense, [Page 255]Myrrh, Aloes, Labdanum, Dragons blood, Gum Traganth a little parcht, of each a dram; Lime often slaked two drams, Allum and Chalcitis, each half a dram; Oyl half an ounce, Mucilage of Ising-glass, infused in Plantane water an ounce with Oyl of Roses, and red Wax, and Cinnabar prepared, make a Liniment, or thick Oyntment, or a Mass to put into the Nose.

A Pouder: Take Tutty prepared, Coral burnt and wa­shed, of each a dram; barke of Frankincense, roots of Birth­wort, each half a dram: make a Pouder, and snuff.

Many Medicines mentioned in the Ulcers of Eyes and Ears are good in the Nose.

Smoak which comes best at an Ulcer, when pro­found or deep, doth well to dry and to burn, if they be vehement and Malignant hold the breath while they are applied, and remove them, till breath be fetcht.

Thus they are made: Take Frankincense, Mastick, Labdanum, each two drams: Storax, Benzoin, Gum of Ju­niper, each a dram and an half; Sanders a dram, wood Aloes half a dram: make a pouder, sprinkle it upon live coals for to smoak.

In the worst Ulcers: Take the pouder afore said, add Myrrh a dram, Marcasites, red Orpiment, Cinnabar (in the French pox) each half a dram; make pouder for a smoak or fume, make Balls of them with Turpentine or Gum.

The smoake of Cinnabar with which the whol body is fumed in the French pox, coming to the Nose, doth not only Cure this disease, but other diseases of the Nose of the like sort, if the Head be a little held there­in.

There is a Candle made of red Wax and Cinna­ber, which if lighted and put out will smoake to the Nose.

Or thus, Wax as much as a Nut, add some of the first or second mentioned pouder, make it with your hands into a Candle with a wick; use it as the former.

Another that maketh much black smoake: Take Pitch and Rosin, each equal parts, with a little Brim-stone, dissolve them at the fire, and with a wick make a Can­dle, let it be lighted and the smoake pass through a fun­nel to the Nose, and be presently removed.

If there be crusts in the Nose that stick fast to the Ul­cer, take them of with Butter or Mucilage.

If there be proud Flesh, Cure it as I shewed in Po­lypus.

The wounds in the Nostrils are cu­red with the same means, The Cure of wounds in the Nostrils. as they in the Ears, with things put in that stop blood, then dry and heal, if they ulcerate, Cure them as others Ulcers.

CHAP. VII. Of Griefs or Pain of the Mouth.

The Kinds,

THe Griefs of the fleshy parts of the Mouth, as the Tongue, Gums, Cheeks and Palate, in any or all of them: come somtimes to the Jaws, of which we shall speak hereafter: they are distinguished, as they have sense of roughness, or heat, or burning, or prick­ing, or are ulcerated.

There is molestation in the mouth and tongue, Roughness of Mouth and Tongue. only with sense of roughness, be­cause the taste and Speech are offended, we speak thereof in the hurt of Speech and Tast.

I have seen some that have had burning and pricking in the sides and tip of the Tongue many years without any appearent disease. Pricking and bur­ning of the Tongue, when no Disease ap­peareth. Somtimes in this part only, som­times in the tips and other parts of the body, as we shall shew in pains of the habit of the body.

Somtimes the tongue is troub­led only with heat, A heat alone or with Tumor and burning and somtimes with clefts and pustles of the Tongue and parts of the Mouth. somtimes with burning also and a manifest disease. And then it is not exactly red as other parts that are white, but yellow and swels and is in­flamed, and is somtimes also ve­ry dry and rough and is cleft, and hath pimples somtimes, which so molest the Patient that he cannot speak without pain and stammerring, and the part near and the jaws are afflicted therewith, and there is a quinsie and the patient is in danger of suffocation. These are most in feavers; but not alone as I shewed in Feavers continual and malignant, cal­led in High-dutch Breune. Also this Inflammation of the mouth, may come from the use of quick-silver in the French Pox.

The Gums often swel and are hot, at the roots of the Teeth, with a tumor appearing outward, as in the Tooth-ach, and the pain is great, especially when the inflammation Impostumateth, as shall be shewed in pains of the Teeth.

Also the Checks and Palate by consent of the parts, and of themselves do swel and are inflamed.

There is somtimes such a pain with swelling and Inflamation in the loose flesh under the tongue, Frog under the Tongue. in the disease called the Frog, which extendeth also to the parts adjoyning, and being suppurated it turns to an Impo­stum. The stone under the Tongue. And I saw a long stone which came from thence after great pain. Con­cerning the tumor, without pain I shall speak elsewhere.

There is also in divers parts of the mouth a sharp pain, A pain in the Mouth and Tongue with an ulcer, excoriation or clifts. with burning or without: with Pustles in the tongue or Palate or cheeks or Gums, often in Infants by means of the smal Pox.

Somtimes it is with Excoriation after the Pustles are broken.

And with clefts in the tongue, long and cross, there is great pain, and that with dryness and Inflammation of the tongue. And this pain is increased by hot or sharp meats.

There is also pain with Ulceration, after Excoriari­on, or Rawness, or Pustles broken, or after an Inflam­mation impostumated, especially under the tongue, or at the root of the Gums in the Tooth-ach.

Little Ulcers are called Aphthae or Thrush, Aphtha or Thrush called Alcola by the Arabians. they are in the Cheeks, Sides of the tongue and root there­of, Gums or Palate, in one, two, or more places. These are in Children usually, and in the French Pox; they are at the first smal, as Lentiles round and white in the middle, and red about; infla­med and painful, they spread presently, if you prevent not, and infect the parts adjoyning.

[Page 256]From these neglected cometh a malig­nant Ulcer in Children especially, A Cancer in the Gums. or from other causes, it is in the Gums with little or no pain, Rhasis cals it the Cancer of the Gums. It is first white and mattery, then yellow, after black, it creeps on, and is hollow, and eats up the Gums where it is, and the Jaw-bone, and turns to a Sphacelus, And I have seen a piece of a rotten Jaw with the Teeth taken out which deformed the Face. And in two Chil­dren of a Merchant my Country-man, that bred teeth, I saw an Ulcer that eat up the upper teeth before, and another after the drawing of the tooth, that eat up the lower Jaw-bone, tongue, and palate, and at length af­ter great torment caused their Death.

The Tumor and Ulcer of the Gums in the usual Disease, The Scurvy or Scrobute. in Northern Sea towns called the Scurvy may be referred to this: In which the Gums swell and sweat blood, are rotten and so consumed that the roots of the teeth are bare. We shal only speak here of this Scurvy as it is in the Mouth; but in Diseases that foul the body, we shal speak fully of it as it infects the Feet with Spots, and Swellings, and Ulcers.

Somtimes there is a pain with a Wound made by a Prick, a Cut, or a Bite with Inflammation also. If this pierce the Cheek, it is in the number of outward Wounds.

The Causes.

The Disease which causeth these pains in the mouth is either in the Nerve, and appears not, or in the sen­sible parts of the Mouth mentioned. And it is either a hot Distemper alone, or with Inflammation or Soluti­on of Continuity.

There is a burning often of the tongue when no hurt appears from the Nerve afflicted, A Disease in the Nerves is the cause of pricking & burning of the Tongue with­out an apparent Dis­ease. A hot Distemper causeth heat only, but an Inflammati­on causeth Swelling, Burning, Clefts, & Pustles in the Toung and other parts of the Mouth. it is long and tedious. How this is caused we shal shew in Diseases of the habit of the body as we did in A­stonishment and Palsie.

A hot Distemper alone causeth only heat in the Tongue, if it be with Inflammation, it causeth heat and burning with swelling. And thence come Pustles, and Ex­coriation or Rawness, if it come from outward things that burn the Tongue. But these come commonly from an inward cause, as a hot Vapor in hot Diseases and Burning malignant Fevers, which flies up and infecteth, and if the inflam­mation of the, Tongue cause a flux of blood to the jaws with heat and pain, there is a Squinsie. The same may be from a bloody humor pure or impure that comes to these parts, and the Tongue and Gums may be infla­med chiefly. This may happen in divers Diseases, and in the French Pox.

If it flow to the loose flesh under the tongue it raiseth a tumor there with Inflammation, and that suppurated turns to an Imposthume. This Flux to that part is caused by a Stone bred there from a waterish humor which caused great pain, often from pain of the Teeth, as shal be there mentioned, there is a Defluxion upon the Gums causing an Inflammation and Swel­ling.

A Solution of continuity is the cause of an Ulcerous Pain, A Solution of Conti­nuity is the cause of ulcerous pain with ex­coriation, clefts, and ulcer in the Mouth & Tongue. with Excoriation, or Cefts, and ulcer in the Mouth and Tongue.

This comes from things put into the Mouth that wound it, but more usually from a mans biting himself by the Tongue or Cheeks.

Burning things actually or potentially raise up the Skin, and cause bladders and excoriation after they are broken. In a tender Mouth, as of an Infant, sharp things may cause it, they say the Aphtha or Thrush is caused by sharp milk or Bread guawn by Mice: If sharp things are also piercing they do it more, whereof I have observed in my self and others that if young Children eat green Nuts and Grapes together, their Tongues wil be cleft and pained.

Also where the Tongue is too dry from Causes men­tioned in the hurt of Tasting, it is cleft.

These Pustles or Thrush and Ulcers, somtimes ma­lignant. may come from hot cholerick melancholick sharp and salt Blood abounding, as in other parts of the body in these moist and tender parts.

And if such matter be in the spittle it may come from thence, as we have observed by the force of Quick-sil­ver the Spittle hath been so infected in fluxing for the Pox that Inflammation and Ulcers have followed.

Also these Ulcers come from a Disease that went a­fore, as from an Imposthume after Inflammation. A Wound or simple rawness by reason of the moistness of the part is easily turn'd into an Ulcer, and the Thrush neglected. In an Elephantiasis or Leprosie and in the French Pox though they use no Quick-silver, and in the Scurvy, by reason of their venemous quality (as shal be shewed) there are Ulcers in the Mouth and Jaws.

The Cure.

If Inflammation and preterna­tural heat of the parts of the mouth come from other Diseases, The Cure of heat & Inflammation of the Tongue, Jaws, Cheeks, and Palate. as Fevers, they must be first cured, as we shewed in Fevers, by let­ting blood for the Fevers, and Sweating, and by cool­ing the Heart, Liver, and Reins, restraining the cor­ruption, and preserving the strength. But chiefly for the Tongue when much afflicted, to prevent a Squin­sie and Death by the Inflammation going to the Jaws, open the Vein under the Tongue, although you have let blood before for the Fever and use diversions, by Cupping, Scarifying, Rubbing often, and things that heat and keep down foul vapors, and quench the great heat, not only for the Fever, but for the tongues sake: Examples of which we shewed in Fevers. In other Causes, use diversions, as in Fevers by bleeding and the like, as when the Gums are inflamed in the Tooth­ach.

Lest the mouth be inflamed by the use of quicksilver, before you apply it, wash the mouth often with Milk, fat Broath, Butter, or Oyl of sweet Almonds, and a­noynt the Tongue therewith.

If it be a simple heat, wash the mouth with cold things, and moisten it, if it be dry, and if you fear In­flammation Astringe, and Repell, adding Clensers, by reason of the slime in the Mouth, and somtimes Resist­ers of Venom, and then use Digesters and Ripeners. if it tend to an Imposthume.

We shewed in the hurt of Tasting what wil allay the heat and driness of the tongue.

[Page 257]When in the beginning of an Inflammation, we will repel and cool, together use these following.

Spring-water, and Rain water, astringe a little; and Wine Vinegar or Rose Vinegar added to sharpen it.

Also waters of Violets, Water-lillies, Night-shade, Purslane, Lettice, and these Astringents, Rose water, Plantane, Privet, Honey-suckle, and Myrtle water; chiefly water of Self-heal, used with Vinegar or other waters, for it cooleth not much of it self.

Thus: Take water of Prunella or Self-heal four ounces, Rose, Plantane, Straw-berry and Purslane water, of each two ounces; Rose Vinegar and Honey of Rose, each an ounce; with a little Allum, or a drop or two of Spirit of Vitriol, and then it will bind more.

Also sharp Juyces, as of Mul-berries, Bay-berries, Grapes, Cherries, Oranges, Limons, Citrons and Sor­rel with Vinegar or alone, and the juyce of Lettice is counted best, these may be chewed or the juyce taken often.

Or you may boyl the Fruits, and wash the Mouth with the Decoction.

Or give the Juyces with Honey or alone.

Or the syrups made of them, chiefly that of Mul­berries, may be mixed with Mouth water, or licked. In the French Pox, syrup of Violets, with the De­coction of Barley and Roses, cureth the Inslamma­tion.

The vulgar High-dutch use the distill'd water of that Liquor, in which they pickle Cabbages, called Sum­pistbren, or the liquor it self, if it be shaken together. To which you may add other juyces.

A cooling and repelling Decoction: Take Violet leaves, Lettice, Plantane, Prunella or Self-heal, Willow, Sorrel, Vine, Straw-berry, each a handful; red Roses, An­tirrhinum the great, Mallows, Barley, each a pugil; Gourd seeds two drams, Bar-berries a dram, soure Berries ten pair, soure Prunes six, boyl them in Water and sharp Wine, add a little Sugar and Honey of Roses, use ir so, or with Juyces, or Syrups.

Another more astringent: Take Mouse-ear, Privet, Self-heal, Plantane, Brambles, Myrtles, each a handful; red Roses, Water-lilly, Barley, Vetches, each a pugil; Prunes or Cherries, Cornil berries or Cervises or Quinces some few, Bar-berries dryed an ounce, boyl all in red Wine, add Ho­ney three ounces, syrup of Pomegranats two ounces, wash the Mouth therewith.

In the increase of the Inflammation, add Digesters, thus: Take Liquorish an ounce, Self-heal two handfuls, Plantane a handful, Hysop half a handful, Mallow flowers, red Roses, each a pugil; Sage and Rosemary flowers, of each half a pugil; Beans and Lentiles, of each an ounce; Fenu­greek and Linseed, each half an ounce; Acron cups six drams, Figs ten, Raysons not stoned twenty pair, boyl all in Water, add a little Wine and two ounces of Honey, syrup of dryed Roses an ounce, syrup of Mul-berries half an ounce.

Or thus: Take Self-heal two handsuls, Ground-sil, Cross-wort, Honey-suckles, Plantane, Hysop, Sage, Maiden­hair, each a handful; red Roses a pugil, Myrrh two drams, a little Saffron, and two ounces of Honey: boyl them in Wa­ter, add a little Allum.

Or thus: Take Water of Self-heal six ounces, Plantane, Rose, Sage and Hysop water, each two ounces; Honey of Ro­ses, and a little Allum.

I have done much in these Inflammations, with deep Ulcers, with Salt-peter prepared, called Lapis prunellae, dissolved in Sage water, washing the Mouth warm therewith.

In Inflammations ready to ulcerate. from the use of quick-silver, some anoynt with Treacle, Aqua vitae and Vinegar, or distil a water of them, and add Bole or other dryers, by this they believe the Poyson of the quick-silver, is taken away, and they also wash with a Decoction of Lignum vitae.

When Inflammations tend to Maturation: Take Marsh-mallow roots an ounce and an half, Figs twelve, Dates six, Tamarinds and Cassia with the seeds ten, Fenu­greek and Lineseed, each half an ounce; Mallows and Cha­momil flowers, each a pugil; boyl them in Goats Milk, dissolve the white of an Egg and a little Honey and Saf­ron.

If the Inflammation be not only in the Tongue, but in other parts, you may anoynt under the Chin, at first with repelling Oyls, as of Roses, after with discus­sers, as Oyl of Chamomil and Lillies.

If the Inflammation under the Tongue tend to sup­puration, make Cataplasmes of Marsh-mallow roots, Linseed, and other meats with Saffron, these asswage pain, and ripen, or boyl them in Milk and wash the Mouth. We shall shew the forms of these and such as open Impostums, in the treatise of Inflammations of the Jaws. If a quinfie be joyned with an Inflam­mation of the Tongue, or follow it, there are Medi­cines.

In solutions of continuity, Pustles, The Cure of Pustles, Raw­ness, clefts and [...]ers of the Mo [...]th and Tongue. Rawness, Clefts and Ulcers, if they come from an internal cause that must first be evacuated. If they come from other causes, yet if the body be foul or Plethorick, the Cure will be sooner done after purging. If the cause be malignant that must be first taken away, as in the French Pox, Leprosie and Scorbute. If that cannot be taken away, the Ulcers that come from thence can never be cured, these first done, apply Topicks for Pustles, Fis­sures, Rawness and Ulcers.

In Pustles, if there be an Inflammation, the Medi­cines there, are proper, if they are without Inflam­mation, they break of themselves and leave an Ulcer, which must be cured, as the Thrush. If they continue long and are troublesome, apply Leaven to ripen, or Starch with Urine, and a little Wine.

If there be an Inflammation, with Clefts, you must look to that first. If it be from dryness Cure it, as in Depraved tasting. If the Clefts are deep, dividing the tongue and causing pain, Cure them with dryers, as other Ulcers; adding some mollifying things, for the tongue which is naturally moist and soft: Such as shall be described in the outward Clefts of the Lips and Skin.

To which add this: Take burnt Allum half a dram, true Bole two drams, with Honey of Roses and Mucilage of Gum Traganth or Fleabane, make an Oyntment to anoynt the Clefts of the tongue.

In other Excoriations or Ulcers in the tongue and cheeks, or palate, or thrush, or ulcers of the Gums, creeping or other wise, corrupting, use strong dryers, by reason the part is moist: adding clensers, if there be soulness, and such as take down proud flesh. If there be Inflammation with the Ulcers, add cold repellers, as in the Inflammation of the Mouth was shewed: they bind and dry: Also if there be malignity, add things against it.

These are diversly applied, the Mouth may be wash­ed, or they may be chewed, or used in smoake, or ap­plied only to the Ulcers.

There are divers Mouth waters to be kept long where the Ulcer is.

A drying and clensing Decoction of Plants, sharp binding and clensing: Of Privet, Plantane, Mouse­ear, [Page 258]Agrimony, Horstayl, Sun-flowers, Blew-bottles, Olive leaves, Daysies, Honey-suckles, Golden rod, Bramble, Yarrow, Herb Robert or Crains bill, leaves of the wild Pear tree, Beech tree, Solomons seal, Rup­ture wort, Ceterach, Myrtle, Mastick tree, Hazel, roots and leaves of five leaved Grass, wild Plumes, Comfrey, Barbery barke and Pomegranate peels, red Roses, Pomegranate flowers, Acorn cups, Labrusca, Barberies, Barley, Lentils, Cypress, Myrtle seeds, Co­riander, Slows, Sumach, Mulberries, Seruises and Gals. If the mouth be slymy and foul, add Sage, wild Time, or Gum, wild Mints, Bay leaves and roots of Flower­de-luce, and in the Scorbute, Scurvey Grass, Water­cresses and Brook-lime, of these or some of these make a decoction with water that hath steel quencht in it, adding a little Wine, or Rose, Vinegar, or Honey or Sugar of Roses, or syrup of Roses, Myrtles, Mulber­ries, or juyce of the Plants aforesaid, or of Pomegra­granat, with Vinegar, Salt, or Allum, or Vitriol to make it a little sharp, or Bole, or juyce of Blood-stone ground.

It is excellent to use juyce of Oranges, Brook-lime, Water-cresses in Ulcers of the Gums.

Another Decoction to dry strongly: Take Bole an ounce, burnet, Plaster of Paris half an ounce, Allam two drams, Vitriol a dram; boyl them in white Wine.

Or make Mouth waters of Astringents, distilled wa­ters of Roses, Privet, Plantane, Honey-suckles, and the like, with things aforesaid dissolved in them, increasing their quantity, because distilled waters dry less then Decoctions.

Or: Take unripe Grapes three pounds, Purslane and Plantane, of each two pound; whites of Eggs six, Allum a pound, beat them and still them, wash Ulcers there­with.

It will be stronger, if before the stilling, you add a pound of Pomegranate peels, three ounces of Vitriol, and four ounces of Vinegar.

Or use this Allum water of Libathious: Take juyce of Plantane, Purslane and Allum, of each a pint; whites of Eggs twelve, stir them and distill them in Balneo.

For Ulcers in the French Pox, use this water to re­press Venom: Take Tracle with Aqua vitae and Vinegar and distill a water from them. Or use this Gargarisme: Take Rose and Plantane water, of each two ounces; Aqua vitae and Vinegar, each half an ounce; syrup of Mulberries and Honey of Roses, each three drams; Treacle, Bole or Earth of Lemnos, each half a dram.

Mouth waters of the juyce of Fruits, are made more pleasant, then of Herbs, and cleanse more, as Juyce or Wine of Pomgranates, or Wine that is sharp and red, or Rose Vinegar, or Vinegar of Squils alone, or mix­ed with other waters, Ulcers washt with these will seem as it were boyled afterwards; therefore to make the dryers work better, we first wash with these. Also juyce of Quinces, is excellent.

Some things chewed, leave their strength in the Mouth and heal Ulcers, as sharp Fruits, not ripe, as Mulberries, Cornil-berries, Quinces, Medlers and leaves of Privet, though not so pleasant, these eaten Cure the Thrush. And other Plants mentioned are good to be chewed.

Fumes are also good to dry, and those of Quick-sil­ver, though it cause Ulcers, when inwardly taken, yet the smoake taken in at the Mouth, doth Cure them.

These following are also good. The Chirurgions use to anoynt the Mouth with Honey of Roses and burnt Allum to clense.

Or with the juyces of Herbs mentioned, mixed with Honey and boyled thick, the juyces of Mulberries and green Grapes are the best, these heal, and when we will clense, we add Allum or white Vitriol.

Pouders made of Plants dryed are used, Honey, juyce of Grapes or Mulberries,

A drying Pouder: Take Myrrh seeds, Bay-leaves, burne Harts-horn or Ivory, of each half a dram; burnt Coral a dram.

Another stronger: Take Galls, Pomegranate peels, each a dram; Dates stones and Acron cups burnt, Cypress roots, each half a dram, red Roses a scruple.

This is strongest: Take Acacia, Hypocistis, of each a dram, white Vitriol half a dram, Sal Gem a scruple, Ange­lica roots half a scruple: make a Pouder.

A cleanser for the Gums ulcerated: Take Pumice stone two drams, Crab and Snail shels burnt, each a dram; Tutty prepared Allum and Tarter, each half a dram; Orris roots two scruples: make a pouder.

The Pouder of Briony for the Cancer of the Gums: Take Tutty prepared in rose water two drams, Gum Tra­ganth torrified a dram; Sarcocol, Morlick, Frankincense, each half a dram; Orris roots and Calamints burnt, of each a dram: make ponder and mix it with juyce of Briony, dry it in the Sun then pouder it again, and add more juyce of Briony, do thus five times, rub the Gums with this Pouder and Honey till they bleed.

Or use Aegyptiacum for fordid ulcers of the Mouth and Gums.

When the Gums begin to consume: Take roots of Comphory, Pomgranate peels, each a dram; Frankincense, Myrrh, each half a dram; Chalcitis burnt a scruple, wh ite Vitriol half a scruple: make a Pouder.

Touch Ulcers with strong Liquors and after wash the Mouth with Wine.

As with Inke, made stronge with Verdigreece.

Or with this green Water: Take Verdigreece a dram, Orpiment a dram and an half, pouder and boyl them in white Wine two ounces, to half. When it is cold, add Rose and Nightshade water an ounce and an half.

Or thus: Take Verdigreece, Orpiment, Niter, Allum, each a scruple, and Galls as much: boyl them in Rose and Plantane water.

A simple Decoction of sublimate, is made with a dram of Sublimate, boyled in Rose or Plantane water, touch the Ulcer gently therewith, or make it milder with an ounce or two of Nightshade water.

Or thus: Take Sublimate three drams, red Lead a dram and an half, Verdigreece, Vitriol, each half a dram; burnt Allum an ounce, Bole two drams, white Wine ten ounces, Rosewater two ounces; boyl them.

These Ulcers and the thrush, and Ulcers of the Nose are cured, by being gently touched with Aqua fortis.

Potential Cauteries, also of Lime and Wine Lees are good to touch Ulcers, if by art you can keep them from the sound parts: but an actual Cautery is more certain, if it be used suddenly, for an Eschar wil be made and when that is gone, the Ulcer will be cured.

CHAP. VIII. Of Tooth-Ach.

The Kinds.

THe Tooth-ach is any pain in or about the Teeth, and it is either a true Tooth-ach, or such only as a little disturbeth.

[Page 259]A true Tooth-ach, is in or about one tooth, Tooth-ach. only somtimes in more, seldom in the Fore-teeth, but in the sides, and com­monly but on one side, somtimes on both, somtimes in the upper, somtimes in the lower jaw, seldom in both, This is the proper Tooth-ach which is often and grievous.

This pain is in Infants that breed their grinders, Tooth-ach in Children which breed Teeth. which they declare by crying and restlessness, and it is known by the redness and hear of the Cheek, and when the teeth appear out of the swollen and open Gums, there is also a little Feaver known by hear and other signs. Somtimes convul­sions, but not so dangerous, as when they come from other causes.

There is also a tooth-ach which comes to people of all Ages, from which few are free, especially such as have hollow or broken teeth. This is often violent and lasteth long or returns often, with stretching and bea­ting, which they suppose they feel in the tooth it self, which is pained. The Gums are then very hot and red somtimes swollen with the Cheek, also which being swollen the tooth-ach abateth, somtimes there is an Impostum at the bottom of the tooth, and when that breaketh the tooth-ach ceaseth, and there cometh fotth foul and stinking matter. And the Ulcer somtime re­maineth long after, or turns hollow, peircing the lower Jaw and opening it self outwardly, sending forth wa­terish and somtimes thick matter for a long time.

Somtimes when these appear not, there is a great pain in the teeth, such as we use to feel at our Fingers ends in cold weather. In this the Patient spits much, and if the teeth be hollow, he seems to feel a cold Air coming from them, to his tongue, when he toucheth them there with.

There is a kind of tooth-ach, when a tooth is drawn, Pain of the Teeth when a Tooth is drawn. somtimes greater, som­times lesser: but usually it is gone after the tooth is drawn, except by the vio­lent motion of the part or hurt of the In­strument, or when a little part is only drawn out, there be a pain after.

There is a Molestation, rather then pain in teeth at the time of eating, Numness of the Teeth cal­led Haemodia. in the disease called Haemodia, this is a pres­fing of the teeth, when one is longer then another.

The Causes.

It is certain that that part is affected in in the tooth-ach which hath the sense of feeling and that most exquisitely, The part affected. because the pain is great. But we have shewed that the teeth want all senses, because they are all the hardest of bones neither have they a Periostum or Skin about them, as other bones have and there is no Nerve that goes into them. Therefore not the tooth, but that part which is sensible and which is near the tooth, must needs suf­fer, and the reason why the tooth is thought to ake, is because the part affected is so near unto it. The part is commonly a membrane, which compasseth the holes in which the teeth are fixed, and which is next to the roots of the teeth: to which the Fibers or smal bran­ches of the Nerves, which go to both Cheeks, are so joyned, that they cause an exact feeling, so that the pain seems not to lie deep, but as it were in the very tooth.

Also the Gums, and the Periostia, or Membranes under the Jaws, if they be hurt, seem to communicate pain to the teeth.

The Diseases, with which these parts affected cause a seeming pain in the teeth, are either a hot or cold distempers, or Irritation, or Solution of Continui­ty.

A hot distemper with Flux of blood and Inflammation also som­times, afflicting these Membranes, A hot distemper and Inflammati­on, causeth Tooth­ach. causeth the tooth-ach so called, not only by heat and stretching, but by swelling in a strait place, which causeth the teeth be­ing hard to press upon them, this is a stretching and beating pain, which though the beating be in the little Arteries, under the Membra [...]es, which beat upon the teeth, yet it is so manifestly felt, that Galen thought this beating and Inflammation also was in the tooth it self (which cannot be, because the tooth is a solid bone, having neither Veins nor Arteries, and therefore can neither be inflamed, nor beat:) though he wrote that he experienced this in himself. Moreover if there be a Flux of blood upon the Gums or Periostium under them, as is usual in the beginning or continuance of the pain which raiseth a new Flux, the pain is increa­sed, and the more if there be an Impostum, till it be broken and made an Ulcer and send forth matter.

The cause of this Flux is as of other Fluxes: Nam­ly fulness and heat of blood, or pain that was before from another cause, which raiseth the Flux and doubl­eth the pain: or other external causes.

A cold distemper by its enmity to the Nerves and Membranes, A cold distem­per, causeth Tooth-ach. afflicting these parts, causeth also pain, called also the tooth-ach, from the Vicinity or near­ness. It is so bitter and often, that it is no wonder the vulgar say that cold is an enemy to the teeth.

This comes from external causes, as Air, Meats or Drinks that are cold, that suddenly cool the teeth and make the Membranes adjoyning sensible thereof. And it comes sooner when the tooth is hollow or broken, and the cold strikes presently to the Membranes. Hence it is that bad teeth are soonest pained, and the pain is thought to be in the teeth, though they are dead and not as formerly, which no reasonable man will say can be sensible.

This comes also from a cold flegmatick Defluxion not upon the tooth which cannot receive it, but upon the Membranes underneath. And there is then a tooth-ach, without signs of heat, but of cold, as if cold wind come from the hollow tooth, as I shewed; Ex­cept the pain causeth a Flux of blood, and then heat, tumor and impostume may follow.

Also Irritation of this ve­ry sensible Membrane, Irritation or provoca­tion, is the cause of Tooth- [...]ch. may cause this pain called the Tooth­ach.

This comes to the Membrane from the proper tooth when it is broken, or discovered from its place, or o­therwise unuseful, then it hurteth the Membrane in chewing or keeps them from chewing on that side.

This also may come from pricking the hollow tooth or from hard meat gotten into it, in chewing, because the Membrane cannot endure the touch of a strange body.

And if the teeth be whol and yet there be a force to put them out of order, especially when pained, or of any thing be gotten between them in chewing, which sticketh close, because then the teeth are thrust at one side and the Membranes that grow to the roots of them [Page 260]are constrained there is also pain. Therefore men are very busie to pick there teeth when any things get ei­ther into the hollow of the teeth, or the spaces between them.

Moreover not only when the teeth are fowl or streight bound or forced a­side are these Membranes provoked: Roughness of Teeth, causeth Haemodia, or an edge upon the Teeth. but when they are exasperated and loose their smoothness; and then the Membranes feeling this roughness and unevenness are pained in chewing, as if some strange body were fastned to them, as we shew­ed in Haemodia, with a numness (as we shewed in the hurt of touching) from the coldness of those things, that make the teeth rough infecting the Membranes, so that the teeth seem to be num, by whom the Membrans are so affected (but this is but imaginary, for they are insensible.) this exasperation & cold comes from eating of some kind of fruit, or from some humor like such fruit or from some humors like such fruit, or from vomiting and first the teeth and then the Membranes, as when they are sower; by their binding and sharpness (which is an enemy to the Nerves and bones) they peirce and afflict the teeth and their Membranes. And the sooner when the teeth are soft and not grown hard with Age, therefore is this more usual in young then old peo­ple.

Also the Tooth-ach comes from a Defluxion of thin sharp, or salt slegm, which provokes the Membranes rather than cools them, & usual to them that are troub­led with such Excrements, and to such as the Flux fals thither from a loosness and weakness of the part through bad teeth, or the like. And to such that spit much, and have much humor come from their No­strils.

Solution of Continuity also causeth the same same, Solution of continuity, causeth Tooth-ach. as when a Tooth is drawn from the Membrane under it, and the Gums that grow to it, and it is the grea­ter pain when the Root is deeper, as in the great Teeth. And when it grows to the Jaw, so that some part of it comes away therewith, which causeth great accidents. As befel a Merchant my Country-man, of whom we spake in Pains of the Mouth, who had after the drawing of of a tooth an In­flammation and Cancerous Ulcer which tormented and killed him. This is thought to be easily done by the common Chirurgeons if the Dog or Eye-tooth be drawn.

Also in Infants while the teeth grow and pierce through the Gums, if they be great teeth especially this pain may be by stretching the Gums. And though this pain comes only fromthe Gums, yet it is called the Tooth-ach, as other pains mentioned from solution of Continuity, in which the sensible parts mentioned do rather suffer than the teeth.

The Cure.

The Cure is according to the diversity of the Cause as it comes either from a Defluxion of blood or other excrements, or from a cold distemper or provocation, from rotten teeth or other compulsion or exasperation, or from solution of Continuity when the Gums are pierced, or the teeth drawn forth.

If tooth-ach come from flux of Blood or Water, The cure of Tooth-ach from a hot distemper or cold, or from flux of blood or flegm. then take a­way the cause of the Defluxion by keeping the humor from fal­ling upon the part, and sending it another way, and consuming it, and correcting the distemper which comes from thence, and in the mean while asswaging the pain, by these means.

Blood-letting at first when it is from a bloody flux, and there is pain of the Head, is good to revell or draw away from the part.

Also Sacrification and Cupping in the Neck and Shoulders is good in all Defluxions: By these means at certain times used, the Vulgar prevent the tooth-ach. And to take it away, use Sacrification in the Wrist, or in the back of the Hand, between the thumb and fore­finger, on that side the pain is.

We divert these Defluxions also by Vesicatories and Cauteries as others. And apply Vsicatories to the Wrists and back of the Hand: as a head of Garlick stampt.

And we use Frictions and Ligatures, as in other De­fluxions.

And Purgers by the Nose in a flegmatick Defluxion to divert it from the part affected. By blowing the Nose often, and using of Errhiens or sneesings to the Nose, amongst whtch juyce of Brooklime and Mary­golds is accounted the most proper for the tooth­ach.

Also things that draw slegm from the Mouth which shal be after shewed: But this must be done after ge­neral purging, especially if humors abound, and are flowing, lest evacuations by the Nose and Mouth draw the humor more to the teeth.

We also purge by stool with divers medicines, as in other Defluxions.

And apply things to the temples in all humors to keep them from the teeth, using such things as were mentioned in Defluxtions of the Eyes, especially Pla­sters in the hollow between the Forehead and the tem­ples, upon the side pained night and day, which some­times retain the humor flowing, that the pain ceaseth, and cometh to the temples.

If the Defluxion be hot, in the beginning we apply to the teeth astringents that heat not, to repell it, but when it ceaseth to flow, we apply to the teeth things that discuss and consumes the humor. In a cold De­fluxion, at first we use hot things with Repellers, after very hot things alone. In all cases adding things that allay pain. These are of divers forms, somtimes to be held between the teeth, or otherwise applied to them, or put into the hollow, or us'd as Fumes or Smoak, they are made of the following ingredients.

When we astringe chiefly, and so stop the Flux, we make Decoctions to be held hot in the Mouth, as the Decoctions of Tormentil which is best, and of Ver­vain boyled in Wine, and of the inward bark of an Ash.

Or this compound Decoction. Take roots of Tor­mentil, Snakeweed, five-leav'd Grass, Mullein, each half an ounce; Cypress roots two drams; bark of Box tree, or Mul­berry and Capars, each half an ounce; Ivy, Vervain, Plan­tane, each a handful; Pomegranate flowers and red Roses, each a pugil: Cypress Nuts, Galls, and Acorn cups, each two drams; Coriander soeds, Myrtles and red Sanders, each a dram: boyl them in red Wine, add Vinegar, if you wil have it stronger.

Rose water is good to bind with Plantane water, red Wine and Vinegar.

Water of Mullein is counted excellent.

Or: Take filings of Iron a dram and an half, Vitriol a dram: boyl them in Wine and Vinegar.

After the Defluxion add some hot things thus: Take roots of five-leav'd grass or Tormentil an ounce, roots of Pellitory half an aunce, Cypress roots two drams, Leaves of [Page 261]Ivy, Sage, Hysop, each a handful; red Roses, L [...]ntiles, each a pugil; white Poppy seeds two drams, long Pepper a dram: boyl them in Wine.

Or thus: Take Sage, Hysop, Vervain, each a handful; boyl them in a pint of Wine: add two drams of Al­lum.

Or: Take Galls, Snakeweed roots, each two drams; Orris roots a dram, Hysop a handful, Frankincense, Sanda­rach, each two drams; Juniper berries an ounce: boyl them in red Wine.

Or: Take Mastich an ounce, Sage, Hysop, each a hand­ful: boyl them in equal parts in Wine and Vinegar.

Or this Pouder: Take Snakeweed roots a dram, Al­lum and Pellitory, each a scruple: make a Pouder, apply it or rub therewith.

When we wil heat chiefly, hold these Decoctions in the Mouth, so hot as may be, and take it in again as fast as it cooleth.

The Vulgar use roots of Pellitory, or Pepper, or Ginger boyled in Wine.

Another: Take Calamints, Organ, Pennyroyal, Hysop, Sage, each a handful; Marjoram, Bay leaves, each half a handful; Juniper berries half a pugil: boyl them in Wine.

Or this which hath often profited: Take wild Time' Sage, Rosemary, each a handful; Ginger a dram, Caraway seeds half an ounce, red Pease, Salt, each a pugil: boyl them in white Wine.

Or this: Take Pellitory roots half an ounce, Angelica roots, each two drams; add Garlick and Radish, Hysop, Sa­vory, Sage, Marjoram, Pennyroyal, wild Time, Rosemary flowers, and red Roses, each a dram; or a handful if they be fresh, long and black Pepper, Cubebs, grains of Paradise, Cloves, Mustard seed, Gith and Stavesacre, each half a dram; Salt or Niter, each two drams: bruise and boyl them in Wine, or infuse them, and use the strained Li­quor.

The Decoction of Coloquintida in Wine is bitter, but very profitable.

Sage and Rosemary distilled in Wine is also good.

Also Aqua vitae or Spirit of Wine or Juniper berries applied do work quickly and strongly.

Or this: Take Pepper, Ginger, grains of Paradise, each a dram; Cloves two drams, Cinnamon half on ounce: add white Wine, steep and distil them.

Or thus: Take Pellitory, long and black Pepper, each two drams; Mustardseed, Water-cresses and Gith seed, each a dram: pouder them, and with Aqua vitae use it as the other.

Or of the simples in the hot Decoction mentioned dried and poudered, make an Infusion and Distilla­tion.

The Oyl of Juniper berries, or Spike, or Spices di­stilled, and dipt in Cotton, and put into the tooth doth well.

Somtimes we use Bags to the teeth to be bitten by the tooth affected thus made: Take Sage leaves, and bruise them, and with a little Salt and Pepper, make a Bagg.

Or thus: Take Pellitory, Pepper, Mustard seed, Salt, each equal parts; pouder them for a Bag, dip it in hot Vinegar and apply it to the teeth.

Or thus: Take Pellitory, long Pepper, Stavesacre, each equal parts: make a pouder, and apply it in a Bag sprink­led with Aqua vitae.

Somtimes we give things that inflame the Jaws, as bark of Laurel taking of the outward rind that is hard, also the roots of Spurge and Crow-foot, according to Dioscorides, these are put between the teeth, lest they should burn the Jaws by touching them, but if you boyl them in white Wine they they are milder.

This latter Decoction is so used, made of Solomons seal roots, and white Hellebore, and bark of Laurel in Wine and Vinegar.

The Anodynes following are alwaies to be used, when the Defluxion ceaseth especially, because they work by propriety.

Hot Milk, Butter, and common Oyl, or Oyl of sweet Almonds are good to be held in the mouth.

Also Bread chewed and applied as a Cataplasm be­tween the teeth and Cheeks.

Also warm Broath and the Decoction of Marsh­mallow roots, Bread, and Lineseed in Milk.

Another that draws forth water. Take rooots of Marshmallows and Liquorish, each an ounce; Sage a hand­ful, Figs twelve, Faenugreek seeds an ounce: boyl them in Water.

A Decoction of Guajacum and Salt is commended.

Or Leaven applied with Vinegar in the Decoction thereof held in the Cheeks.

Or this: Take Sandarach or Varnish half an ounce, Wine or Vinegar, or both four ounces, or six: boyl them to the consumption of the third part, and hold it in the mouth, or dissolve Sandarach in Vinegar and apply it.

Gum Galbanum, Ammoniacum, Sagapenum, a­lone, or foftened with Aqua vitae and Vinegar put into a hollow tooth, or spread and laid as a Plaster to the teeth, cures the tooth-ach.

Or this: Take Camphire half a dram, Aqua vitae an ounce: boyl it til the Camphire be consumed, and apply it: or with Wine and Vinegar.

Also Camphire and Oyl of Cloves, or of sweet Al­monds, or Oyl of Camphire.

The pouder of Camphire with the pouder of Hen­bane root equal parts, suddenly taketh away the tooth­ach, the seeds of Henbane may be used for the root, and they wil be stronger.

A Snakes Skin also boyled in Wine and Vinegar, or dried in an Oven, or burnt to pouder and mixt with Oyl, to anoynt the teeth is commended, or the Skin of a Toad used the same way, is an excellent medicine.

Dioscorides writes that the prick in the tail of the Fish Pastinaca applied to the tooth takes awy pain.

In great pain we use Stupefactives with caution that they be not swallowed.

As the Opiate Antidotes fresh made as Philonium Ro­manum, Treacle, Mithridate, to rub the teeth, to a dram of which a scruple of Pellitory and Nigella or Gith seed, and a grain of Opium may be added.

A small pil of Opium alone put into the tooth pre­sently takes away the pain, and it is good to add a little Wax that it may not fall out.

Or this: Take Opium and Henbane seed, each four grains Smallage seed two grains, with Aqua vitae make Pils.

Or thus: Take Camphire a scruple, boyl it in an ounce of Aqua vitae til it dissolve, then add Opium three or four grains, dip a little Cotton therein and thrust it into the tooth.

Or thus: Take of spirit of Wine two or thre ounces, add Camphire two drams, set it in the Sun til the Camphire dis­solve, then distil it: apply this spirit as the other.

Other Stupefactives are made of Henbane seeds, Pepper, roots of Pellitory and burnt Allum equal parts made up with Aqua vitae into a Mass.

Or thus: Take Henbane seed half a dram, Pellitory and Ginger each two drams; Smallage seeds a dram, Mastich three drams, Roses a pugil: boyl them in Wine and Vine­gar to wash the Mouth.

Or: Take roots of Mandrake a dram, Henbane seed [Page 262]half a dragm Pepper, Cubebs and Stavesacre, each a dragm, Pellitory two dragms, bark of the root of Mulbery and Ca­pars three dragms. Boyl them in red Wine.

Or Take Henbane roots a dragm, white wine half a pint. boyl them.

Or use fumes with a Funnel to the teeth, made of wormwood, Savory, and the like hot herbs, in wine and water, and take the vapor hot, add leek seed to make it stronger.

Also a fume of Sandarake cast upon live coals, or leek or onion seed mixt with pitch and wax to make the fume thicker: the fume of burnt henbane seeds is accounted best, but it is best when the seed is first mix­ed with virgins wax.

Somethings are to be applyed to the cheek outward­ly, to take away pain.

An Anodine emplaster. Take Crums of bread the pap of apples, each three ounces: boyl them in milk, add line­seed, oyl of Roses or of Chamomile, each an ounce, Saffron a scruple.

Or use Treacle or other opiats for a plaister.

Another approved, Take the white of an egge, beat it with Rose water and spread it upon flax with a litle pou­der of Pepper, and apply it all over the cheek where the pain is.

Ot thus, Take the yolke of an egge with Aqua vitae and a litle Saffron, with some meal or flower: make a plaster to dissolve the tumor,

In a hot Cause. Take juice of Nightshade and Hous­leek each two ounces, Rose-water and Milk, each an ounce and an half, Oyl of Roses an ounce: stirr them and dip a clout therein, apply it to the Cheek.

In a cold cause thus. Take rosted Onyons three ounces, oyl of Dill and Chamomile each an ounce, flower of Foenigreek an ounce and an half: make a Plaster.

Or thus, Take Lilly roots three ounces, Mallows an handful, flowers of Chamomile, Melilot, Dill, each a pugil: Foenigreek and Lineseed, each half an ounce: Cabbage seed two dragms, Peach kernels or bitter Almonds an ounce. boyl them in wine, foment the Cheek without, heat the re­sidence of the Decoction, and with oyl of Chamoemel and Dill, made a Cataplasme.

Also apply baggs of Milliumor Panicum, Wormewood, Chamoemile flowers, Dill and Salt.

Juice of Garlick, Rue, Ivy, Daffadil roots: dropt into the contrary eare, Cures the toothach.

Also hot oyls as of Rue, Bayes, Costus, Earthwormes, with Castor boyled therein the distilled oyls are best.

Or five Ivy berries, boyled with oyl of roses and pomegranate peels, and the liquor dropt in doth it according to Diascorides.

A Clove of Garlick peel'd and put into the ear on that side the pain is, cureth.

Among Amulets the roots Lepidium hung about the neck, cureth according to Diascorides.

If a tumor arise on that side inwardly or outwardly, or on both sides, and the pain abateth: then it goeth a­way of it self, or with bags or hot oyls, very easily.

If pain increase with the tumor because then there is an Impostume, the Anodyne Cataplasme wil do wel to ripen it.

Especialy Barley meal boyled in milk and Oliba­num added in pouder, and applied ripens the Impos­tume.

Also hot milk held in the mouth in which roots of Marshmallows, Lineseed, Housleek and Lillyes are wel boyled.

The Impostume opened of it self inwardly, or by force turnes to an ulcer, which wil cure of it self: or with the remedies mentioned in the ulcers of the mouth, if it come outwardly it is easier cured as an­other ulcer: but if the teeth are rotten and the ulcer reach them, it wil hardly be cured til they are drawn, and there is comonly a disfiguring scarr left after the cure.

If the toothach come from a cool distemper from the matter flow­ing thither, The Cure of the Toothach from a simple cold distem­per. the cure is mentioned in a flegmatick defluxion by hot means: which cureth a simple dis­temper: Then take heed of al actualy cold things, as Air meat and Drink and medicines, because cool things are so averse to the teeth, that in a hot cause, actualy cool things are not good though they give ease, but after rather increase the pain.

If toothach come from rotten teeth, it will hardly be cured, and return easily, and if a defluxion be, cure it as we shewed in a defluxion.

If toothach be from hollow teeth: The Cure of tooth­ach from Irritati­on, from teeth rot­ten or bound. Take heed that nothing gets in, and chew upon the sound side, or chew wax or mastick afore to fil the hol­low, but experience teacheth that that may cause as much pain as the meat. And therefore that is better in stinking breath caused by meat corrupt­ing in the teeth as we shal shew.

When rotten teeth bring such trouble and pain, up­on every light occasion, and infect their neighbors, espe­cially if they be unuseful, they either must be drawn by the arts mentioned in corrupt bones, or the place under them must be made insensible: This is done by burning in the cavity with Aqua fortis or fig milk, or Spurge or Sory, as Diascorides, taken in with Wool or Cotten and stopt in with Wax from falling out, this done often breaks the teeth out, or burn the rotten teeth with a hot Iron, that the part under may loose sense, and the tooth fall out.

If any trouble follows drawing, because the teeth wil be bound by things that get in between them, use a toothpicker of mastick wood or juniper, use it gently in time of pain, for a litle thing disturbs, as only the motion of the tongue against them when pained, or picking with your fingers, and they who think to abate pain by picking, are mistaken, and increase it ra­ther.

If from the edg or roughness of the teeth you chew with difficulty, The Cure of Haemodia or teeth on edge. chew purslain til it be gone, it is a certain and sure remedy.

Crums of bread or tosted cheese or a yolk of a hard egge chewed hot, doth, it but not so quickly.

Or Almonds, or Nuts, or Wax and salt chew­ed.

If children feel pain when they breed teeth, The Cure of Tooth-ach in children that breed them. from the peircing through their gums, then anoint the gums with the brains of a Cony or Hare, boyled in Wine, or with sweet Butter and Honey, and other gentle mollifying things, often.

Mathiolus saith the stone found in the head of a Snail without a shel, wil do the same.

If the Gums are too hard, and hinder the teeth, which causeth great symptomes, as Convulsions, Fluxes, cal­led Diarrhaeas and Death, then presently cut them with a Lancet, this may be done safely without fear of infla­mation, pain or bleeding: By this means I saw a fa­mous Chirurgion cure many.

We shal shew the cure of other accidents in their pla­ces.

[Page 263]The pain that is while the tooth is drawing goes away when it is out, The Cure of pain from a tooth pul­led out or drawn. & that also that went before, for which cause the tooth was drawn. But if it be only moved or broken, it is worse, and the Patient must suffer again at the drawing of the stump. To stay bleeding is dangerous if it continue; and when an Artery is broken, the Cure where of shall be mentioned in Haemorrhages or Bleeding.

CHAP. IX Of Pain in the Jaws.

The Kinds.

THe Kinds of pains in the Jaws or Throat, either in the uper Jaw, which is the receptacle into which the two Tonsils meet like an Isthmus, and in whose middle there is a Caruncle or lump of flesh called Gargareon root, or Palate: or those pains which are in the lower Jaw joyned to the Neck, whether in one place or more, or these pains which reach to the parts of the Mouth mentioned: are distinguished first as they move divers Senses, Somtimes there is a roughness only or trouble­some imitation, somtimes a true pain, which is either stretching, or burning, or ulcerous.

Roughness of the Jaws is most hurt­ful to the Voyce, Roughness of the jaws. An irritation in the jaws. Falling the Gargareon U­vula or Palate and therefore decla­red in Hoarsness.

Somtimes there is felt an Irritation with endeavor to Swallow or Vomit. And then either somthing itches in the Jaws, or the Gargareon or Uvula being grown longer and thicker hangs upon the Jaws, and if it stop them any way, it causeth difficulty of breathing and speech. the enlar­ging of which is called Columella or [...] in Greek, or the falling of the Uvula.

A stretching pain in the inside of the Jaws, A stretching pain in the jaws with difficulty of Breathing. when a Cavity appears in the Neck by reason of the Verte­bra or bone thrust out, hindereth Breathing of which we spake in the defect of breathing. This from the likeness of a Squinzy, we called The sixth kind of Squin­zy, which is very seldom seen. There is often this stretching pain from a Desluxion (as we shal shew in the causes) without Burning or Inflammation, sometimes with straitness of Breathing: somtimes with hinderance of Swallowing and Voyce: sometimes with, somtimes without a swelling in the Jaws, or outwardly in the Neck. And this Disease is called A bastard Quinsie.

With the accidents whereof, the tonsils or Almonds somtimes swel in one or both sides round like a Ball, Paristhmia what. and appear open like a Spunge, This is called Paristhmia.

There is a Burning, Sharp, and Pricking pain, An inflaming pain in the Jaws with difficulut Breathing. A true Quinsie or Cynanch. also in the Jaws in the Disease called A true Quinsie with difficulty of Breathing, which is small and often, and fetcht with sigh­ing, sometimes that endangereth Suffocation, so that Breath cannot be fetcht but by holding the Neck upright, & men gape like tired or mad Dogs. This Disease is called Cinanch. In this swallowing is hindered, & Drink comes forth at the Nose, or it is swallowed with difficulty, & the endea­vor increaseth pain. There is often a Fever joyned with it, and the accidents thereof, as Heat, Redness of Face. Thirst seen also by the Pulse and Urin. There is som­times a manifest tumor, somtimes not, for which cause there are three sorts of Quinsies; for if there be no tu­mor nor Inflammation within or without, it is the first time in which are the worst accidents: But if a tumor appears in the straitness of the Jaws, it is the second kind and hath great symptoms, but if there be an out­ward tumor in the Neck, it is the third kind, and the symptoms are least.

There is a tumor with Redness and Heat in in the tonsils or Almonds, Antiades this is called An­tiades. Somtimes this pain is in the roof, Uva or Uvula. and is called Uva or Uvula when it swells or grows black with Inflammation. In these the accidents are mild, as in the gentler Quinsie, except that meet with it. If the Inflammations in these three places turn to Imposthumes, pain and other acci­dents increase, and when it is broken they abate and an Ulcer followeth.

Somtimes there is an ulcerous pain in the Jaws, ei­ther in the upper part of the throat, or in the Almonds or roof, with an Ulcer reaching to the Palate, and som­times the roof is consumed wholly in part, or this pain is felt below, or deep, Consumption of the Roof. and follows the Quinsie mentioned, and matter is spet forth. Or if it come alone, the pain reacheth downwards to the stomach with great burning, especially when they swallow, which is hin­dred: But when it is in the upper parts it hinders swal­lowing, breathing, and voyce also.

The Causes.

The Cause of these Diseases, The part affected. namely of Molestation with Irritation (we spake of roughness of the Jawes elsewhere) and of pains, with Distension, Inflammation and Ulcer, is either in hidden parts, as in the muscles of the Jaws and parts adjacent, or in the lower Glandules joyning to the rough Artery, or in the passages through the inside of the Neck, Oesaphagus or Gullet (for the Diseases of the rough Artery are described in defect of Breathing) Or is in manifest places of the Jaws, as in the tonsils roof or the tunicle by which it gets often to the Pa­late. The cause of all these pains is either a Flux of Blood or excrements, or solution of continuity. Of solution of Continuity, we spake in Defect of Breath­ing, how it comes from a Vertebra or Bone started in the Neck, which causeth sixth kind of Quinsie.

If Blood fall into the Muscles of the Jawes it causeth a true In­flammation or Quinsie, Inflommation of the Jaws, Tonsils, Roof, is the cause of a trum Quinsie, the Antia­des or Uvula. which is gentler or worse, as the Flux is more inward or outward, for if it fall upon the inward Muscles of the Larynx, Jaws, and bone cal­led Hyodes which serve for Breathing, Voyce, and swal­lowing, because the pain is great, and as it were suffo­cating, it causeth the first and worse sort of quinzy. But if it sal upon the outward muscles of the neck, it less hindereth those offices, and causeth a gentler quinzy, which manifesteth it selfe with an external tumor, [Page 264]which is the third sort. But if the Defluxion fall upon both inward and outward muscles, it is between both, & causeth the second sott of Quinzy, in which the tumor is not so hidden as in the first, but may be seen in the in­side of the Jaws: Thus we better distinguish Quinsies, than as the Defluxion falleth upon this or that Muscle for they being hidden it cannot be discerned by us up­on which they fal) to call them Cynache, Paracynanche, Synanche, Parasynanche. Moreover if the blood flow rather upon the Glandules on both sides of the rough Artery, which are easily inflamed by reason of the veins into which they are wrought, there is a kind of Quin­sie (and rather because the Muscles adjacent are also inflamed) better or worse as the Inflammation is spread in those muscle. If the Defluxion falls upon the upper Glandules or tonsils, or upon the Weasand, it causeth the Inflammation of those parts called Antiades and Uvula. these Inflammations spread to the parts adjacent, and are more usual than a Quinsie, because the Blood wil sooner flow to these lose Glandules that have many great Veins than to other.

If it fall upon the Gullet or Oesa­phagus, The Inflammation of the Gullet and its Causes. which is seldom, it causeth a far greater pain, especially in swallowing, from the beginning of the Gullet to the very Stomach, but not with such difficulty of breathing, except it extend to the parts adjacent.

The Cause of this Flux of Blood and Inflammation that cometh from thence is the same with that of other Inflammations, namely plethory or fulness of Blood, or Heat, or thinness of the same, which sends it self thi­ther rather than to another part by reason of the dispo­sltion of the place: this comes often from a Synoch Fever, when the Blood is first burnt in the Veins; and then a part therof is sent thither (as I shewed in Fevers) hence Quinsies and Instammations of other parts, as Gullet, Mouth, Tongue, are the symptoms of these Fevers; that begin with them; or come presently after them. Also Blood carried thither from other Causes may make Inflammations in the Throat, but a Fever is not joyned therewith, except it come from other Cau­ses. But it may come from the pain which these parts receive from other Diseases, or from Inflammation of the Jaws, by actually or potentially hot things, as Pep­per, Cuckowpints, Laurel, given in jest sometimes. Or from very cold Drink while the body is hot, by reason of the sudden repercussion, when the blood fli­eth back and returneth again with force, because the blood is stir'd up and sent out of the Veins; except it come from a Synoch, as we said: Also I observed that this came from too much straining in Child-bearing, the blood being driven to the upper Veins of the Neck in a Woman that died. And it is probable that it may come from other strainings, roaring, or holding breath at going to stool.

A Humor falling from the Head, A defluxion into the Jaws, Tonsils, Pa­late, is the cause of a Bastard Quinsie, fal­ling of the Almonds, and Uvula. under the tunicle of the Palate, if it be carried to the Mus­cles of the Throat wil cause a Ba­stard Quinsie: which is stronger or weaker, as the Flux is upon the inward or outward muscles, as we shewed in the Flux of Blood: and for that Cause wil cause a tumor more or less appa­rent, but if the Flux fall upon the upper Glandules or Tonsils, or the Palate only, which being a loose and soft piece of Flesh easily receive the humors, it will cause the Paristhmia and Columella.

The natural and efficient cause is the same with that of all Defluxions, the adjuvant or helping cause is a fitness of the parts to receive it, because they are close under the Head, or because they are loose or weak: and they are sooner hurt if they have formerly been of­tended from other Causes.

The Solution of Continuity causeth pain expressing the sense of an Ulcer. This is an Ulcer, An Ulcer in the Jaws Tonsils, or Almonds, Palate, Gullet, is the cause of an ulcerous pain and Consumpion of the Palate. an Excoriation, or Rawness, or Wound in the Jaws from divers causes. An Uulcer comes often after the said Inflammations of the Jaws, Tonsils and and Palate suppurated and turn­ed to an Imposthume after breaking. or from a sharp defluxion that first caused a tumor, or presently exul­cerated, there comes an Excoriation of the tunicle of the Jaws, Tonsils or Gullet, which infects the Palate, and eats upon other parts adjacent. Also it may come from a malignant matter which seizeth upon the mem­branes so much in the Leprosie and French Pox, hence come those stubborn Ulcers in the Palate, and Jawes, and Nostrils, that eat up the Glandule and Uvula. Al­so the Gullet may be cleft and excoriated from Vapors that are hot and sharp in malignant and sharp burning Fevers, from whence they may feel pain a long time after in swallowing, down to the Sto­mach. A Wound in the Jaws and Gullet, causeth an ulcer­ous pain in them. Also a pain in the Gullet may be from sharp and pricking things fallen by chance into the Jaws and Gullet, that would them, and the greater if there be an Inflamma­tion. If these wounds come externally they shall be spoken of in external wounds.

The Cure.

If these diseases come from a deflux­ion of humors upon the parts of the jaws, Praediction or Foretelling. and there is Inflamation in the first sort of a true Quinzy, it is very violent and kils in eighteen houres space, the other is sharp and is judged the second third or fourth day at farthest; The hope of Cure is more when the tumor is outwardly, and admits of applications, and may be better clensed when bro­ken. The third is less dangerous, because the tumor is outward. That which is in the lower Glandule is more or less doubtful of Cure, as it is joyned with any kind of Quinzy. The safest is the Inflamation of the Tonsills and Palate because they are more visible, or of the Gullet to which Remedies may be swallowed, ex­cept the Inflamations bring greater danger by spread­ing to other parts. But if a Defluxion of any other hu­mor cause a bastard Quinzy, it is not without danger if it obstruct inwardly, that is better which extends out­wardly and causeth a tumor in the Neck. That humor that fills the Almonds and Pallate is casier cur­ed.

As for the Cure, The Cure of a true and false Quinz [...], Paristhmia, Uvula Columella, or Gulet inflam­ed or swallow, by taking a­way the Cause. it differs as the Defluxion is of blood, or an Inflammation of the Jaws, or Almonds or Tonsill or Palate or Gulet the cure of which agrees in many things, or as the Defluxion is of another humor upon the Jaws in a bastard Quinzy, or upon the Ton­sills or Uvula or Guler, then the cure differs from the former. In al we proceed as followeth.

In every Inflamation of the Jaws, or any part of them a vein is to be opened when it is great, or to pre­vent [Page 265]it from being great, especialy when the body is plethorick, in a Quinzy especialy it must be quickly done, open a vein in the arm first for revulsion, that that which is most visible or the cephalike or head vein which is most usual, or that by the thumb, bleed foundly, and if need be often, Hippocrates perscribes the vein under the breasts to be opened for women, or that in the foot, if their courses be stopt. In women with child bleed also but sparingly, after revulsion open that vein under the tongue for derivation, the same day, or presently after, because the disease is acute. Archi­genes opens the forehead vein, others that in the neck. In a cold Defluxion if there be pain or streightness, bleed also.

Cupping glasses to the shoulders neck and under the breasts, do the same, especialy if they be placed in a Quinzy in the top of the neck upon the second Vertebra, that they may breath and swollow better and they are better with scarification, which is good also under the Chin and in the Cheeks, also Horsleeches may be ap­plyed instead thereof, and in great necescity, Vesicato­ries and Causticks, to the neck or head, this is done by way of prevention to those that are subject to this dis­ease, all these are good in other Defluxions.

Also Frictions and Ligatures and washings are good in al Defluxions, to cause revulsion.

We apply to the head things that stop fluxes, and strengthen it, after purging.

An Emplaster for the crown or hinder part of the head, Take Pitch two dragms, Frankincense, Mastick, Labdanum each a dragm, with Gum Ammoniak dissolved in Vinegar; Make a large round plaster.

A stronger drawer, Take Pigeons and Mouse Dung two dragms, seeds of Melanthium infused in vinegar a dragm, Frankincense, Mastick, each a dram and half, with Galba­num dissolved in vinegar and honey anacardine. Make a Plaster.

A Pouder for the Head morning and evening, after rubbing and combing: Take Mastick, Gum of Ivy each a dram and half, Citron peels, Galangal, red Roses, Organ, Gith seeds, and Coriander prepared in vinegar, Bay berries, red Saunders, each a dram, Nutmegs and Cloves each half a dram, grains of Kermes two scruples, Salt a dram.

When other medicines cannot be swollowed, use Clysters, before bleeding, and after if need be, to pro­voke stools and draw down humors.

If the Inflamation of the Jaws come from flux of blood, of what kind soever, give emollient and cooling Clysters as in Fevers, as this: Take the common Deco­ction, Cassia an ounce, course Sugar an ounce and an half, oyl of Violets three ounces, with a little Salt.

When you wil provoke more and draw down, Take Mallowes, Beets roots and all, an handful, Bran a pugil, boyl them; add Honey of Violets, an ounce and an half, Electuary of the juice of roses half an ounce, Hiera picra two drams, oyl of Violets three ounces, with juice of Mercury or Beets an ounce, and a little Salt, make a Clyster.

If a bastard Quinzy come from a waterish defluxtion, or swelling of the tonsils, or falling down of the Uvula, use Clysters prescribed in those Defluxions.

Or this, Take Mallows, Marsh-mallows, Arrach, roots and all, each an handful, Orris roots an ounce, Sage and Marjoram, each half an handful, Chamoemel Melilot and Lavender flowers and Bran each a pugil, Carna seeds two drams; boyl them, add Hiera Colocynthidos three drams, Honey of Roses two ounces, oyl of Chamoemile and of Nuts, each an ounce and an half, with Salt, make a Cly­ster.

we use Errhines to the nose to divert, Flegm from the tonsils and Palate, or masticatories that cut Flegm, and fetch it from the Jaws.

Somtimes instead of Clysters we give if they can swal­low liquid things, in Inflammations of Cassia, Tama­rinds, Manna dissolved in syrup of Roses, Violets and the like; as in Fevers. In other Defluxions stronger Remedies are given, as Hiera Picra commended in a Bastard Quinsie two scruples, in Pils, after a short Sup­per, they say it cured many of the Quinsie in Rome when it was deadly. Also a Decoction of a dram of Turbith with Liquorish, Manna, or Cassia is good if often given.

Prepare the humors with thickners if it be hot, as sy­rup of Violets, Poppies, an Emulsion of Cold seeds, Rose water, or Diacodium, and other things in a Ca­tarrh.

Or if the Defluxion be cold give things to correct it, as syrup of Maidenhair, Bugloss, or Scabious water.

Or thus: Take Liquorish an ounce, Maidenhair, Bug­loss, each a handful; Violets & Scabious, each a pugil; Raysons stoned, Jujubes, Sebestens, each six pair, Barley a pugil, the four cold seeds, each a dram and an half: boyl them, and in a pint and an half dissolve simple Oxymel and Honey of Roses each an ounce and an half; Sugar an ounce: make a Julep for three or four Doses with a dram of Diatragacanth frigid.

Also the Decoction and Water of Violets.

In a cold cause, give syrup of Hysop, Horehound, and Liquorish, with Colts-foot and Horehound Wa­ter.

Or thus: Take roots of Elicampane two drams, Liquo­rish six drams, Hysop a handful, Figs ten, Dates five, Anise seeds two drams, Rosemary flowers a pugil: boyl them, and in a pint and an half dissolve Honey of Rosemary two oun­ces, Sugar an ounce and an half; Sugar candy an ounce, make a Julep for some Doses with a dram of species Diareos.

To the place affected we apply To­picks inwardly and outwardly, The Topicks for a true and false Quinsie. in­inwardly Mouth-waters or things to lick, or Fumes, outwardly things to the Neck, as the part is affected.

In a Quinsie from what Defluxion soever, you must use Repellers at the beginning, while the matter flows, with Coolers if it be true; or without, if it be a false Quinsie. after a Defluxion add Concocters and Resol­vers, which we use alone at last, alwaies while there is pain and straitness, give Lenitives to asswage pain and dilate the passages with other things, and things which clense and cut tough flegm which useth to stick there in a cold Defluxion. the examples are as followeth.

At the first give Repellers. the first Gargarism. Take Rose, Plantane, Honey-suckle water, each four ounces; add Vinegar or Pomegranate Wine or the juyce of sour fruits, and two ounces of Diamoron or Honey of Roses.

Another: Take Plantane water four ounces, Rose water two ounces, Sugar of Roses or Honey of Roses an ounce, Allum a dram: boyl them a little or dissolve.

A third: Take Pomegranate peels, flowers of Pomegra­nates, Cypress nuts, each an onnce; and Teazle, Galls half an ounce, Lentiles, red Roses, each a pugil; Myrtle seeds half an ounce, Plantane seeds two drams: boyl them in Water and Honey and in ia pint dissolve Diamoron, sour Pome­granate Wine four ounces, add a little Allum to make it stronger, Repelling Pouders are blown in, as of Plantane leaves and red Roses and the like.

In progress of the Disease use Repellers and Dissol­vers together: As, Take water of Self-heal, Plantane, VVillow, each three ounces, Cassia, Diamoron, each an ounce.

Or: Take Liquorish an ounce, Cypress roots, peels of Pomegranates, each half an ounce; Pomegranate leaves two [Page 266]drams, red Roses a pugil, Figs six, Dates three, Raisons twelve pair, Jujubes and Sebestens, each six pair; Barly a pugil, Faenugreek and Lineseed, each half an ounce: boyl them, and in a pint, dissolve Diamoron compounded with Saffron and Myrrh two ounces, Cassia and Oxymel each an ounce.

The juyce of Ivy drunk from three drams, to half an ounce, is good to repel and digest. This Plant is so powerful in Diseases of the throat and Neck, that the Vulgar think Spoons made of Ivy do good.

At length use Resolvers, and Concocters and Clen­sers.

Thus a Gargarism. Take water of Dwarf-Elder and Self-heal water, each an ounce; Hysop and Rose water, each two ounces. Or this Decoction. Take Liquorish an ounce, roots of Dwarf-Elder and Radish, and Oris, each half an ounce; red Roses, Mallow;, Chamaemel and Elder flow­ers, each a pugil; Hysop half a handful, Radish seed two drams, Faenugreek seed half an ounce, Figs ten, Dates five, Bran a pugil: boyl and in ten ounces dissolve Sapa, Ho­ney of Roses, each an ounce and an half; Swallows nest, two drams, Myrrh, Mummy, each a dram; Saffron, Sal Ar­moniack, each half an ounce.

Or this: Take species of Diaireos a dram, Pepper half a dram, Saffron and Myrrh, each a scruple; Juyce of Li­quorish a scruple, with syrup of Hysop two ounces: make a Lenitive.

Or thus: Take Pepper half a dram, Saffron and Myrrh each half a scruple; Orris roots a dram, Honey three ounces, mix them. Or use the Eclegma of Scribonius Lar­gus.

A white Dogs-turd called Album Grecum finely pou­dered and blown into the Mouth, or mixt with these Eclegma's is excellent, or with syrups. A Goose-turd dried doth the same.

Also the pouder of salted and dried Swallows a dram, with convenient Water is good according to Di­oscorides.

Or a dram of the pouder of a Boars tusk with Linseed Oyl.

Or the Smoak of Amber taken in with a Funnel.

Or these Lenitives and Dilators when there is pain and straitness.

As a Gargle of hot Milk, Goats is best.

Another. Take Milk half a pint, the white of an Egg wel beat, the mucilage of Fleabane, Quince or Line seed each an ounce, Penidies half an ounce.

Bran or Bread boyled in Water and strained or Al­mond milk doth the same.

The common white Troches are good also to be held under the Tongue.

Or: Take species of Diapapaver or Diatragacanth fri­gid, each a scruple; with pulp of Tamarinds, make Tro­ches.

Or hold troches of Diapapaver or Diatragacanth frigid in the mouth.

Or this Eclegma. Take species of Diatragacanth and Diapapaver each a dram; with syrup of Violets and Jujubes make a Loboch.

Lenitives that clense the slime are thus made. Take Liquorish two ounces, pulp of Raisons two drams, juyce of Liquorish half a dram, with Gum traganth infused in Pop­py water: make a Loboch.

Another in the progress of the Disease. Take species Diapenid and Diaireos, each a dram; with syrup of Hysop make a Lohoch.

Apply outwardly to the Neck or under the Chin, or where a tumor appears at the first, not things that repel, but that draw forth, as these relaxing.

As temperate Oyls, of Olives, sweet Almonds, Vio­lets: or moderate warm, as Oyl of Chamaemel, Lil­lies, Orris, Wall-slower, and the like: anoynt the parts and dip Wool therein and lay thereupon. Dioscori­des commends Oyl of Frogs, or of Wood-lice, or Sows.

Also Oyntment of Marshmallows, and that which restoreth called Resumptivum, with those Oyls and a little Saffron.

Menstrual Blood with Vinegar is good against all Inflammations of the Jaws and parts adjacent. Also the leaves of Hors-radish.

Use Fomentations first before you anoynt, made of flowers of Chamaemel, Lillies, Melilot, Linseed and Faenugreek.

But when you desire not only to draw out the hu­mors, but also to dry, Consume and Digest, use the fol­lowing.

Make a Pultis of a Swallows Nest clensed and pou­dered, and boyled in Wine and Water, and strain or mix the pouder with the Oyls and Oyntments menti­oned. if you wil Digest, apply it with Honey.

Swallows dung in Pouder, or the Ashes of it burnt, mixed with the rest, or applied with Honey, or a dried Dogs-turd, or Birds dung, chiefly of Hens and Pigeons: For it is neither necessary nor decent to ap­ply Mans dung when other wil serve.

Also use Sows or Wood-lice dried and poudered with Honey.

Other Digesters. Take Aloes two drams, Ox Gall a dram, Pepper half a dram, Allum a dram, with Honey make a Liniment.

Another. Take juyce of Danewort and wild Cowcumber, two ounces, Ox Gall half an ounce: with Honey make an Oyntment.

Rhasis useth Honey Anacardine.

Another. Take juyce of Danewort two ounces, juyce of Ouyons an ounce, juyce of wild Cowcumbers as much (if it may be had) Oyl of Flower-de-luce and Lillies, each an ounce and an half; boyl them, add Swallows nest prepared half an ounce, Litharge a dram and an half: with Wax make a Liniment, or with Wax and Pitch make a Pla­ster.

Or this Cataplasm. Take Lillies and Onyons, of each three; roast them, ad half as much of a rotten Apple and a handful of Wormwood, boyl them in Wine and Water beat them, and with Bean flower two ounces, Oyl of Cha­maemel and Wall-flower, each an ounce and an half; Hens or Pigeous dung two ounces, make a Cataplasm.

If an Imposthume come in a Quin­sie, The Cure of an Imposthume in the Quinsie. as we may know by the pain and other accidents increased, and the hu­mor cannor be Digested or Resolved by the Remedies internal or external mentioned, use Maturatives or Ripeners inwardly and outwardly.

Inwardly we ripen with this Gargle. Take Lillies, Onyons, or Leeks, each two ounces; Liquorish an ounce, Hy­sop, Scabious, each a handful; Figs six, Raisons stoned an ounce, Faenugreek and Linseed, each half an ounce; Mallow and Colewort seed, and Swallows nest, each two drams: boyl them in Water and with Honey make a Gargle.

Outwardly ripen with these.

Apply a Pultis of Line-seed meal with Goats Milk.

Or thus: Take meal of Faenugreek and Line-seed, each two ounces; crums of Bread four ounces, with Hogs grease and Oyl of sweet Almonds make a Pultis.

Or this Cataplasm. Take Marshmallow, Mallows roots and all, Henbit and Pillitory of the Wall, each a hand­ful: green roots of Lillies two ounces, green Orris and Brio­ny roots an ounce, Chamomel flowers and Violets, each a pu­gil; Figs twelve, Dates five: boyl and stamp them, add [Page 267] meal of Line-seed, Foenugreek and Barley, each two ounces: with Butter and Hens grease, Oyl of sweet Almonds and Cha­momel, mix them.

If the Imposthume in a Quinsie break hot, you must endeavor to open it before it be perfectly ripe.

With this Gargle, hot used. Take juyce of Onyons or Leeks and Lemons equal parts, with Goats milk.

Or: Take of the Gargle mentioned a pint, add and boyl therein Pellitory roots and Mustard seed, each two drams; Myrrhe half a dram, Saffron a scruple, Oxymel simple an ounce.

This is stronger. Take of that Junket that is made of Mustard and Honey, dissolve it in Honey and Water, and with a little Vinegar make a Gargle.

Or: Take Mustard seed two drams poudered, Oxymel an ounce, Vinegar of Squils and Wine, each half an ounce: make a Gargle.

Vociferation or Roaring may do somthing to break it, but swallowing may do more, if it be with great force, and of somthing that is hard as a crust of Bread.

Or: Take a Spunge or a piece of salt Pork and tied to a thred fast, let it be swallowed down and drawn forth a­gain.

We open the Imposthume if it can be seen and reach­ed, with an Instrument, or with the Finger or Nayl, or a wax Candle, or other wooden or Iron Instrument that wil cut.

In the Inflammation of the tonsills and Uvnla, Remedies for the Tonsils or Palate infla­med, or for the Antiades or Uvula. we first use inward medi­cines as in the Quinzy, which are astrin­gent, after resolvers, and at lasT things only to be swallowed: alwayes mixing things that clense by reason of the slime that sticketh there, and that mitigate pain if it be great, so that many medicines mentioned in the Quinzie are here good, and such as are mention­ed in the Inflamations of the parts of the Mouth, or these.

An astringent and cooling Gargle, Take Rose and Honey-suckle water, Privet and Plantane water, each two ounces; Juice of Barberyes, or Pomegranates, or sower Cher­ries three ounces, juice of Quinces, Roses or Sorrel, each an ounce; syrup of Mulberies, Vinegar of Roses or green Grapes half an ounce. mix them.

An astringent and cooling Gargle Take sower Prunes dry twelve, sharp Cherries twelve paire, dried Pears five, Sorrel, Purslain each an ounce, red Roses a pugil. boyl them in a pint add juice of Currans and syrup of Mulberies each two ounces, Vinegar of Roses as much as fit.

When you wil bind more, Take roots of Mulberries an ounce and half, Acorn cups, Pomegranate Peels, each an ounce; Bramble tous, Plantane, Agrimony, Solomons-seal Shepheards purse, Harts tongue, each a handful and half, red Roses a pugil, Pomegranate flowers half an ounce, Galls two drams, make a Decoction, in a pint thereof dissolve syrup of Quinces and red Roses dried, Pomgranate wine each an ounce and half, with a little Allum. mix them.

Cardan comends this following remedy for al Infla­mations of the Jaws, driness and Clefts of the tongue.

Take a good quantity of Housleek, and to halfe a pint of the juice, add Salt Ammoniak two drams, put it in a moist place under the earth til the Salt be dissolved, then distil it in Balneo and wash the mouth in all Inflamations of the Jaws.

In the Inflamation of the Uvula, a Pouder is made of the stone called Ageratum by Galen or the blood­stone, this must be laid upon the Uvula, or blown in with a quil.

When you wil astring and clense also; Take Liquo­rish two ounces, Agrimony, Vervain, Coleworts each an hand­ful; red Roses and Mallows, each a pugil; Barley, Lentils leaves bruised, each half a pugil: Figs six: boyl them in red Wine and Water, and in a pint, dissolve Oxymel sim­ple three ounces, Dianucum half an ounce, juyce of Roses an ounce, syrup of Quinces an ounce.

You may make Lohochs to clense mentioned in the Q [...]insie, and Sugar'd or Honeyed Biskets.

When you wil Clense and consume the residue, or Digest. Take Liquorish two ounces, Calamus and Gal [...]n­gal half an ounce, Hysop, Pennyroyal, Savory, each a hand­ful; Rosemary flowers, Violets and Mallows, each a pugil: Barley a pugil, Raisons stoned two ounces, Dates six, Figs twelve, Myrrh and Frankincenss, each two drams; boyl them in red Wine with steeled Water, and in a pint, dis­solve Honey of Roses threo ounces, syrup of Liquorish two ounces, syrup of Hysop an ounce: make a Gargarism.

A Digesting pouder in the increase of an Uvula in­flamed. Take Orris half a dram, Frankincense a dram, meal of Orobus half a dram, Saffron a scruple: make a Pouder.

In the Swelling of the Almonds from a flegmatick Defluxion, Topical Remedies for the Paristhmia or swelling of the Almonds. the former Remedies are good: but you must use loss Coolers, and mix Clensers and Digesters.

In the loosness of the Uvula from a cold Defluxion you must present­ly use Astringents and Dryers to make it shorter, Topical Remedies for the falling down of the Palate or Columella. and bind it that it may not fall down, as those men­tioned or these following.

A Gargle. Take rooes of Celondine an ounce, Agrimo­ny, Harts-tongue, Self-heal, Golden Rod, Privet, each a handful; boyl them in red Wine, red Roses and Barley, each a pugil; Galls half an ounce, boyl them in red Wine, add a little Vinegar, and syrup of Mulberries an ounce.

Or: Take Pomegranate peels two ounces, flowers of Pome­granates half an ounce, red Roses, Lentils, each a pugil; Myrtle seeds two drams: boyl them as formerly, in the increase of the Infirmity, add a little Pepper, and Pelli­tory roots, and Chamomel flowers.

The Water of Phyllitis or Harts-tongue is a good Gargle.

Or Vinegar and Water.

Also juyce of Pomegranates and sour Grapes,

Troches to be held in the Mouth. Take Acacia Hypocistis, each a dram and an half; the best Bole a dram Starch two drams, Snakeweed half a dram, with Gum Tra ganth make Troches.

If you take fine pouder that is astringent in a little Spoon, or upon a Spatula, and depress the Tongue and touch the Uvula therewith, it wil presently be made shorter.

It is commonly made of Pepper, the long Pepper is best.

Or of Allum or Salt Armoniack burnt, or flour of Brass according to Dioscorides.

Or: Take as much Salt as an Hazel Nut, burn it in an Iron spoon til it be red, add long Pepper a dram, Ginger and Pellitory, each half a dram; make a Pouder.

Also burnt Snails shels, Dill roots and all, and Nut­shels burnt are good.

Or the Pouder of Sandarach.

Or: Take Galls, or Pomegranate peels a dram, Bole, Mastick Myrrh, Acacia or Hypocistis, each half a dram; Pellitory and Pepper, each a scruple: make a Pouder.

I have often found the Pouder of Lapis prunellae is a special Remedy against the falling of the Uvula, be­cause it sequeezeth forth the Humors that fils it.

As for the Cutting we have already spoken thereof.

[Page 268]If the Defluxion be only upon the Tonsils or Al­monds or Palate, we apply outwardly first things under the lower Jaw, as relax not, as in the Quinsie: for there is not such danger, that we need draw it suddenly forth; but such as dry the humor and astringe or bind the part.

They are made of Consumers of the Humors and Digesters, with some Astringents mentioned in the Quinsie.

Or thus: Take a Swallows nest prepared two ounces, dried white Dogs dung and Cypress Nuts, each an ounce; round Birthwort half an ounce, red Roses a dram, with Oxy­mel apply them.

Or: Take Swallow nest prepared an ounce, Litharge half an ounce, Aloes three drams, Allum two drams, Salt a dram, with Honey of Roses or Oxymel.

In the increase of the Disease, use only Digesters or Emollients lest it turn to a Scirrhus, as in the Scro­phulus, and if the tumor doth turn Scirrhus, then use things to be mentioned in Scrophulus.

If the Inflammation or Uvula turn to an Impost­hume of the Almonds, use Ripeners as in the Quin­sie.

And open the Imoposthume if ripe, which is easie, because you may come better at the part.

This may be done in the Uvula, and also before the suppuration to prevent it, by Scarification.

If the Uvula cannot be cured, but remains corrupt, and black, after the Inflammation, take off the cor­rupt part. Or if it remain longer or greater by reason of the Defluxion, take off the top of it, because it caus­eth impediment.

This is done best by a sharp pair of Sizers, this done stop the blood with cold and astringent Mouth-waters or Causticks, as we shal shew in Haemorrhages or blee­ding.

The same is done by an actual cautery, through an Iron quil, if you allay the pain after with Anodines, or Milk held in the mouth, but a potential cautery cannot be used so wel.

In the Inflamation of the Gullet, use Astringents at the first, then Digesters inwardly as we shewed, or these Lenitives.

Take Cream of Barley, Mucilages, the white and yolk of Eggs, Topical remedies in the Inflamati­on and Impost­hume of the Gu­let. and swallow them with Sugar.

Or Take Sebestens twelve pair, Quince seeds half an ounce, Fleabane and Poppy seeds each two drams, Barley a pugil: boyl them, and in the Mu­cilage dissolve Penides.

It is good also though the Gulet ly deep, to apply outwardly things, prescribed against Inflamation of the Jaws.

If there be an Imposthume after Inflamation in the Gullet, and break not, things swallowed against the Quinzie are good, and the Imposthume may be opened with an Instrument, such as we mentioned in the dissi­culty of swallowing, for drawing things out of the Gullet.

It is good in all Inflamations of the Jaws, and parts thereof, to put oyl of sweet Almonds hot into the cars.

Amulets are allowed as the head of a Viper hung a­bout the neck.

Or if you strangle a Viper in a scarlet string, and af­ter hang the string, about your neck, it wil do miracles, in this case, according to Galen.

Also hang Paeony roots about the neck.

Or Colewort roots for the diseases of the Uvu­la.

As for other accidents especially in a Quinzie, we allow a slender Diet; And Drink to allay thirst, if they can swallow with Barley, Raisons and Sugar.

we allow but little Sleep, and let the Ayr be pure and cool.

For fear of Suffocation, let the Patient ly with his head high, and apply other things to the cause of the disease, to preserve strength, and to take away strait­ness of passage.

If there be an Ulcer after an Im­posthume in the Quinzie, Topical remedies against an Ulcer after an Impost­hume, in a Quin­sie. known by the matter voided, take heed least it get to the Lungs, and swallow it not but spit it out continualy.

Therefore clense the Ulcer dili­gently, with Gargles of Wine and Honey.

Or with Milk, or warm Whey and Sugar.

Or with Barley, Lentile, and Figg water, with Honey of Roses.

Then use driers as Steeled Milk, or Milk with Comfrey roots boyled in it, or mixed with Bole, or other things to be mentioned in ulcers of the Jawes.

If the Ulcer come outward it must be cured as other external Ulcers.

If there be an Ulcer left after Sup­puration of an Inflamation of the Almonds and palat, The Topical re­medies for the Ulcers of the Al­monds and Pal­ate. or other extern­al causes, presently apply topical means. But if it come from evil hu­mors in other diseases, cure that dis­ease first as shal be shewed.

As if it came from a Defluxion, first purge the body for that and make other diversions as in other Deflux­ions, as we shewed in other diseases of the Jaws from Defluxions.

With the aforesaid topical Clensers and Driers be­ing strong, as we shewed in Ulcers of the mouth, we may cure these profound or deep Ulcers, or with these following proper for the Palate ulcerated or rotten.

As Goats milk, or Cows, or Sheeps milk, with Flints or Steel quenched therein, it will clense and heal the Ulcer.

Comfry, Agrimony, Plantane, Nightshade, and En­dive water are excellent.

Also juyce of Agrimony, Coleworts, Vervain, Shep­heards-purse and syrup of Mulberries.

Or the Decoction of Dogs-tongue, and Herb Robert Danewort, and Burnet.

To which Waters, Juyces, or Decoctions, add Su­gar or Honey of Roses to clense more; and they will be stronger with Oxymel of Squils and Allum.

Also apply to the Uvula Honey of Roses and Al­lum.

Also to dry strongly. Take fine Bole two drams, Dra­gons blood a dram, Ceruss, Tutty, each half a dram; burnt Harts-horn a scruple: with juyce of Shepheards-purse, make a Liniment.

Or boyl Frankincense, Sarcocol, or Myrth in Wine and wash.

Or use Allum water prescribed in Ulcers of the Mouth.

Or this: Take Sugar half a pound, Allum two ounces, Salt an ounce: distil a Water.

Or use Lime-water, that is Water with Lime quencht in it.

Or Sublimate Water to touch the Palate warily with them.

[Page 269]A Pouder. Take quick Sulphur two drams, Allum a dram, Mastick, Frankincense, Myrrh, each half a dram; Pellitory roots, and burnt Harts-horn, each a scruple: make a fine Pouder, to which add four ounces of sublimated Wine.

If the Ulcer in the Uvula cannot be cured, cut it off speedily before it eat off the Palate and other parts neer or burn it as we shewed.

If the Ulcer or rawness of the Gullet come from a sharp Defluxi­on, Topical Remedies for the rawness or excoriation of the Gullet. or a hot Vapor ascending, these must be first turned away if they continue, the Flux must be stopped, and the Jaws lenified, and the sense of feeling a little abated. Or if it be wounded from sharp things that stil stick there, take them out by the Art explained in dissicult swallowing.

Then Cure the Ulcer with Topicks choosing such in a simple excoriation which gently clense and dry and that may be swallowed down to the part affected without trouble.

Such as we shewed in Ulcers of the Jawes after a Quinsie, to Gargle with, which swallowed will cure a sore Throat.

If the Ulcer lie deep and be foul, you must use stron­ger Clensers and Driers: Also if it be wounded from things swallowed; use the Remedies prescribed in the Ulcers of the Tonsils and Palate made of fat Earths, Bole or Lemnos Earth, and drying fruits juyced, as A­cacia, green Grapes, and Dragons blood. Or those that are made of Gums, as of Frankincense, &c. and other Astringents and Driers mentioned in the Inflam­mation of the Jaws.

Also use such Fumes as are in the Ulcers of the mouth mentioned to dry.

And the outward means mentioned in Quinsie.

CHAP. X. Of the Griefs or Pain of the Breast.

The Kinds.

THe inward Greefs or Pains of the Breast, are either Molestations only in divers strait passages of the Breast following divers Diseases. Of these we spake in Breathing hindered, because the Breath is either hin­dered or depraved thereby.

Of true pains in the Breast, some are alone, others mixed. A false Pleurisie. A Pain alone, is when with­out other great accidents, there is a pricking in either side, especially in breathing, in some certain place, or moving; hence comes the false Phrensie, but not a true, because there is neither Cough nor Fever, except there be some other accident. If this pricking be great the breathing is little, and short, A pricking pain. because if it be great, the pain is increased, and therefore the Party breaths gently. Of this there are two sorts differ­ing in the Cause, the one is from Wind, the other from Flegm If they come outward with tumor and pain, they belong to external tumors to be mentioned in the habit of the body.

Of mixed pains, especially with a Cough or Fever, some are pricking, A true Pleurisie. called true Pleurisies, and are sometimes in one side somtimes on the other, in a certain place, especially in breathing, which is also little and short, and very hot. This pain is greater when they lie up­on the sound side, then when they lie upon the Back or the side affected.

Another pain in the Breast unac­companied with the aforesaid acci­dents is great, Peripneumonia. contracting as it were the Breast and Back, and drawing aside the Clavicle, with greater strait­ness than the other, with pricking of the Breast some­times before, or behind, or on both sides, this is called Peripneumonia, very like the Pleurisie in all things, but in respect of pain. And the liker if there be a prick­ing pain in the side, and then is a Pleurisie and Perpneu­monia mixed together.

There is a Cough in both kinds, more or less, which increaseth the pain, especially if it be pricking; by which at the first sooner or later, there is spit forth spit­tle mixed with matter or blood, sometimes which is rare, it is without, afterwards there is matter bloodish, and at length true matter white, or yellow, or green, or black, concocted or not, somtimes clammy, somtimes stinking, somtimes otherwise.

In both the Pleurisie and Peripneumonia there is a Fever with a pricking pain, and both Diseases begin with horror and chilness, and a Fever following, Re­spiration is increased and the pulse, and the Artery is hard and rough as a Saw when the pulse is touched, though some think that in Peripneumony the pulse is soft and wet. The Urin is high, and there is great thirst: and in a Peripneumony the Cheeks are very red, and the Fever continues so long, with exacerbati­ons or fits in the night til the disease declineth or chan­geth, as we shewed in Fevers.

There are other symptoms in both, from Diseases of the parts adjacent, as Doting, Swouning, and the like, but then these Diseases are mixed with others.

Besides these there is a pricking pain with burning in the side, A Pleurisie differing from the rest. with a Fever and Cough, like a Pleurisie, only in that there is no bloody or mattery spit­tle, but a foul and dry Cough, and in that the pain comes outward, and makes the Breast sore when it is touched, and somtimes there is tumor and redness. This being differrent from the other in respect of the part affected, as shal be shewed in the Causes, and we call it the Pleurisie of the Mem­brane.

The Causes.

These Diseases are in the inside of the Breast that cause these pains in the Pleurisie and Peripneumony, The place affected. and are either distensi­on or Inflammation.

The Distension of the Membrane that girts in the inward parts of the Breast, so great that the Membrane is lifted up and down as it were aside, if not torn or rent from the Ribs and Muscles, causeth that pricking pain in a false Phrensie. This may be from Wind or Humor.

When Wind gets into the spaces, Distension from Wind. be­tween the flesh and the membranes, it causeth the pain called windy. And in the Breast when it gets between the Intercostal or Mus­cles between the Ribs, it distendeth the Membrane [Page 270]and causeth the pricking pain of the Windy Pleurisie.

This Wind as in other Diseases comes from eating of crude and windy things; and it wil be sooner in the Breast, if there be outward cold; or it is driven to the Breast by straining, roaring, coughing, or the like, when the Muscles are stretched: hence it is that we have seen that after the Breath hath been exposed to the Air, or after great motions there have been pricking pains sudddenly, especially in bodies subject to wind; and they have abated by heat and rest.

A Water or flegmatick humor falling down into the spaces be­tween the Muscles of the Breast, A Defluxion of Rheum is the cause of a false Pleurisie called Flegmatick. and stretching them with its plen­ty, as it causeth external pricking in the Breast (of which in exter­nal pains) so if it be caried to the inward Membrane which is easie if it be thin, causeth these inward pains, which are outward also, not only in the Breast, but Shoulders, and that false Pleurisie which they call fleg­matick.

Besides which there is no other (as some hold) which causeth Inflammation and yet comes from flegm, for we shal shew that all Inflammations comes from blood.

An Inflammation of the Lungs somtimes, Inflammation of the Lungs causeth a true Pleurisie and Perip­neumony. and in the Membranes and parts adjacent together or a­sunder, as it is in this or that place causeth a true or false Peripneu­mony or Pleurisie, or that which is of the Membrane, either alone or mixed, how this is caused we shal declare.

It is the vulgar opinion that the Inflammation of the girding Tunicle causeth a true Plurisie and of the Lungs a Peripneumo­ny: The Inflammation of the Tunicle is the Cause of the girding Plurisie. But we wil prove not on­ly from anotomies wherein we have seen the Lungs inflamed after a Pleurisie, but by solid reasons, that the Lungs are inflamed in a Pleurisie, as wel as in a Peripneumony. Because the blood which they so soon spit cannot be (especialy so quickly) carried through the Lungs and their vessels, from the Tunicle inflamed, nor matter except the Lungs be ulcerated, but rather if it come from thence, it should flow into the cavity of the breast, and cause an Empye­ma. Therefore because Blood and Matter are quickly and plentifully set forth in a Pleurisie and Peripneumo­ny, they must come from the Lungs, and from no oth­er part, as also the other accidents in both diseases, shew that the Lungs must needs be afflicted. Only this is their argument, that the Lungs are not only in­slamed in a Pleurisie, because the pricking pain which is manifest in the Pleurisie, is obscure in the Peripneumo­ny or none, and cannot be from the Lungs affected, but in a sensible and membranous part, which the Lungs are not. But this is not enough, to evince that though these prickings come from the membrane, yet the Lungs are not inflamed in a Pleurisie, as wel as a Peripneumony: But this is all that wil follow, that if the Lungs are only inflamed (as the truth is) the peripneumony is in one side (because the Lungs are divided by the Mediastine or Midriffe) and rather inwardly then outwardly, when there is no pain. But if the Inflammation be in the outside of the Lungs, then the pricking pains are from the Tunicle, but gentle, because the Lungs are not altogether insensible. But if the Inflammation be extended outward so that the Lungs are stretched, especialy in breathing (at which time pain is only felt) and the Fibers and smal veins and Arteries by which they are joyned to the girding Membrane streined, they pul the Membrane from the breast, though there be no Inflammation, (as we shewed in wind,) and then the pain is in the side, and it is greater when the Membrane suffers by consent from the Lungs inflamed by Swelling and Heat.

We deny not but it may be thus, and that the girding Tunicle may be also inflamed, and also the Periostia or bone Tunicles near it, (but we wil not acknowledg that it can be inflamed alone to cause any other kind of Pleurisie, as some write, because it sticks so close to the girding Membrane, where it is covered with Ribbs) which being so, there wil not be the true Pleurisie, which is without the Inflammation of the Lungs, which hath bloody and mattery Spittle, because the girding Membrane cannot be disburdned thereof: But there wil be that kind of Plurisie, which we called pe­culiarly the Pleurisie of the girding Membrane. In which if there be great Inflammation, there must be pain increased from the pressing the breast, and it wil extend it self outwarly, because the Inflammation can­not be conteined in the thin Membrane or Periostia but must reach to the muscles joyned thereunto, and so may be felt outwardly, because the Breast is not so thick, (as we have known in the Inflammation of the Perito­naeum. And in this kind; If the Inflamation suppu­rate, the Imposthume wil rather be outwaad then in­ward, and there open: But if it break inwardly, the matter gets into the cavity of the Breast rather then into the Lungs, because it cannot be carried so quickly un­to them and pierce through them.

But as these Arguments prove, that this may be so, so it is probable that if the girding Membrane be in­inflamed together with the Lungs, and from them that that Inflammation in the Membrane wil be dis­cussed rather then suppurated, because the great quanti­ty of Blood in the Lungs at that time, cannot easily be in so thin a Membrane, or if it could be, it would ra­ther be carried outward, as we shewed, and fil those muscles, and there come to suppuration. And hence it is that after a true Pleurisie, though the girding Mem­brane be also inflamed and nothing appear outward, yet an Empyema seldome followeth.

And this is like to be also when the dividing or in­tercepting Membrane is inflamed with the Lungs, in which as being a different disease, especially when the Inflammation reacheth to the Capsula of the Heart and Diaphragma, there are grevious symptomes that seize upon the mind and endanger the life.

These Inflammations both in a Peripneumony and true Pleurisie, being in any part of the Lungs, or els­where, come from Blood, with which the Lungs a­bounding by reason of the many great vessels, and being hotter by reason of the Arteries and the nearness of the Heart, it is easily inflamed: And the Inflam­mations of the Lungs are more usual then of any other part. This Inflammation comes from Blood, (as o­thers,) when it is got into the substance of the Lungs, out of its vessels which are the Arterial Veins, and Venal Arterie, and not into the branches of the rough Arterie, (for otherwise there would be a spitting of Blood) this Blood therefore fils the Lungs, and lifts them up, causeth Heaviness and Compression and streightness of the Breast, and inflames the Heart more, that before commonly had a Feaver; And by the Cough which it causeth, when it is sent into the branch­es of the rough Arterie, it makes the Spittle sometimes mattery and after bloody, at length this Blood being ripened and concocted or suppurated, is coughed up, [Page 271]til it be all spent: The substance of the Lungs being unhurt, for if they be ulcerated a Phthisis would follow. As we have seen often Blood alone and other humors turnd into Matter, the substance of the part not being suppurated or ulcerated, both in the eyes and other parts and in other Excretions made from the Lungs, by other means. Also it may chance that from Inflam­mation of the Lungs, the Blood may fall upon the near side upon the girding Membrane and inflame it, but not usualy, because the Vessels are smal and few, and the vein to which the fault is laid called Azygos is only on the right side, and the Pleurisie is often on the left; As from the Inflammation of the Lungs in a true Pleuri­sie when the sides are attracted and the girding Mem­brane pulled aside, there may be a pricking. Hence it is that Pleurisies are more usual then the peripneu­monyes, because the inside only of the Lungs are not so often inflamed, as it is in a peripneumony, but the Inflammation reacheth outward to the side adjacent, in which the pricking is greater when they ly upon the sound side, and the Lungs hang down being Inflamed, and with their weight draw the girding Membrane, then there is more pain then when they ly on the sick side, and the pain is greater if the Membrane be Infla­med. Upon which if so much Blood fall, from o­ther causes and inflame it, the Lungs being sound, there wil be another Pleurisie differing from the true as we shewed, in which there is no such Spittle.

All these accidents in the divers kinds of pleurisies, are also in a peripneumony, which sometimes begins of it self and sometimes followes a pleurisie when the Matter is gathered inwardly, and because the Heart is then more inflamed they cause a more sharp Feaver, by which the Blood being heated also in the superior parts of the Body, there is a redness in the Face and Cheeks. This is counted the peculiar signe of this disease, and it may be more observed to be in Peri­pneumony then Pleurisie, and because this disease is more usual in old people, if their Cheeks be red it is looked upon as a strange thing.

According to the variety of the Blood, these inflam­mations of the Lungs are divers, for if it be pure, such as is in the veinous Artery it wil be a simple Phlegmon, in which Spittle is mixed with pure Blood; If the Blood be too thin or hot, as in the arterial Vein, there wil be a phlegmon with Erysepelas, in which the Feaver is great­er, as it is if the Blood cause an Inflammation, which is mixed with pure Choler, and then the Spittle is bloody and yellowish: Because this is usual, it caused some to write that Peripneumony comes from an Erysi­pelas of the Lungs. Also if melancholy be mixed with the Blood causing the phlegmon, there is blackness with the bloody Spittle. And if Choller joyned with Blood, be the cause of this Inflammation, then there is a Pleurisie, or tertian Feaver, as I have often observed. Oftentimes also without these Diseases, there is a dis­colouring of the Spittle, and it is not bloody, but yel­lowish, greenish, blackish, from cholerick humors; when the Blood is any otherwayes impure, and mixed with vitious humors it causeth an impure phlegmon. But if a phlegmon comes from a crude and waterish Blood, it wil be an OEdema, with gentler accidents, and the Spittle less discoloured; as in the Peripneumony, called therefore crude. Also from this diversity of Blood, If the Inflammation be in the girding Membrane, the Symptomes wil be greater or less.

Because no phlegmon comes from any other humor seperated from the Blood, we cannot make the Deflux­ion of Flegm, or other humor upon the Lungs, or the gathering of it there to be the cause of a true Pleurisie or Peripneumony, as some doe, and call it flegmatick for if these humors are in the lungs, they wil cause o­ther Diseases that hinder breathing, as we shewed in defect of breathing, and if they fall upon the Muscles of the breast or upon the girding Membrane, they will cause a false Pleurisie as I shewed,

The cause of this flux of Blood that causeth a phleg­mon, is often a Synoch Feaver which from the Blood inflamed in the Veins sendeth a portion into the sub­stance of the Lungs, which produceth the Inflammati­on accompanied with a Synoch from whence it came: And therefore the same causes of a Synoch (as we shewed in Feavers) are the causes of these Inflamma­tions. As Surfetting, Drunkenness, because they cause Fulness and make the Blood too hot, are the causes of Synochs in young and old men, that live delici­ously. therefore they are counted the cheif caufes of peripneumony and pleurisie, and therefore they prescri­bed Abstinence from Wine and sat Flesh and Fish as Eels: from whence they say the peripneumony com­eth, because the Blood groweth too fat, from eating of fat Meats and therefore may be sooner inflamed, ex­cept these fish have a peculiar force to inflame, as the Sea-Hare hath to ulcerate the Lungs. Hence it is that in Spring, and in the time when Synochs are rife, these Inflammations are most usual, in these ages especialy which are subject to a Synoch, not only with an out­ward Erysipelas, but that which produceth a peripneu­mony.

These Inflammations are sooner in the Lungs, then any other part, If with the causes of a Synoch, there be also a disposition in the Lungs to receive them, which disposition is the natural Heat and plenty of Blood, and thinness of Substance in the Lungs, as also a weak­ness accquired from a disease, which hath caused a Cough.

To which are added other causes which make them come out of the Vessels and flow to the Lungs, as a hot distemper, from Air, Anger or a hot Disease, as a Fe­ver, or an outward Cold by Air which pierceth the Breast and Lungs: hence it is that this may be when the Veins are astringed. Also vehement motion, or pain about the Breast, or other things that draw blood to the breast. As in that Woman which conceived with Child in old age when her breasts that were for­merly lank, grew great by the flowing of blood to them to breed milk, and fell into a Pleurisie. And I have observed that divers Women in the middle of their time of breeding, especially in the Spring after a cold Winter, from a sudden cold and moisture have fallen into Pleurisies by reason of much blood flowing to the breasts to breed Milk.

These Causes, except there be a Synoch scarse produce an Inflammation alone, but rather a spetting of blood. Or if they produce an Inflammation in the Breast without a Synoch asoregoing there will be only a sim­ple Pieurisie by reason of the Muscles affected from the girding Membrane. Or if the Lungs be also inflamed, in both, the Fever coming from thence will not be a Synoch which is the next cause of a pleurisie and pe­ripneumony, and begins with these Inflammations or goes before them; but wil be symptomatical, as we shewed in Fevers.

The Cure.

The Cure varieth as the Disease is divers which pro­duceth these pricking pains in the Breast. And it is ei­there an Iuflammation of the Lungs in a true Pleurisie [Page 272]and peripneumony, or of the Membrane in its pleuri­sie, or a distension from Wind or tumor in the two kinds of false pleurisies called Flatulent and Flegma­tick.

The Inflammation of the Lungs both in a Pleurisie and Peripneu­mony is dangerous, The Prognesticks of a true Pleurisie and Peripneumony. but most in a peripneumony by reason of the nearness of the Heart, both cause Death, either in the fourth or fifth day, or in the fourteenth or twentieth. When it tends to health it passeth the second or third week, and first the pricking ceaseth, then the Fever, and last the Spitting of Matter, but if it continue above the time mentioned, and the Fever ceaseth not, but is lin­gring, it is to be feared that it wil turn to an Empyema or phthisis.

These following rules wil declare how these Disea­ses wil end. If from the Lungs inflamed they present­ly spit mixed matter, it is good, especially if they Cough and expel it easily; if otherwise, it is bad. This if it be blood or matter such as cometh from the part inflamed which is the Lungs, it is allowed. But if from the beginning the blood flows plentifully, for some daies, or cease and return again, it snews great hurt of the Lungs. But the sooner they spit matter white or concocted, and the more easily and plentifully it is voided, the better it is; unless it be sent forth in such abundance (as I have seen in a man that had a perip­neumony und was ready to die) that it fill a Bason, this is a sign that the Inflammation is great and that a suppuration follows and also Death. Purulent mat­ter though yellowish is not bad till it be Yellow, that whch is green is worse, and black worst of all, that which is white, slimy, and cleer prolongs the Disease. That Inflammation that comes from pure blood, is more gentle, that which comes from cholerick or im­pure blood is worse and shorter; but that which comes from flegmatick blood is longer, but not so shatp. And that which follows other long and acute Diseases is harder to be cured. The peripneumony especially or the pleurisie in old people is deadly.

Great difficulcy of Breathing shews the greatness of the Inflammation, or a great collection of the matter; which suddenly flowing to the branches of the rough Artery, causeth mote trouble, and they breath with snorting, and if they do not presently spet and hawk it forth, it strangleth.

Cold of the outward parts, the Face sunk, and the pulse little, foreshew Death as in other Diseases.

If the Fever be strong with Heat, Thirst, and Watch­ing, the danger is more, if gentle, less.

If there be a Delirium or Doting, which useth not to be in these Diseases, nor from the Fever accompany­ing them, It is a mortal sign because it useth to come upon the distemper of the Septum or Diaphragma.

Bleeding at the Nose cannot be had in the beginning, both in respect of the Fever and also for Revulsion. But towards the end it weakneth, especially if much.

Plentiful voiding of Urin and Sweat, if they come seasonably, cures the Fever: and if they piss matter, they suppose the matter come from the Lungs, and the Diseases to be sent out of the way. But if matter can be carried from the Lungs by the hollow Vein which is more manifest rather than by the other obscure veins in the Breast which joyn to the Emulgent (which some men so diligently seek for, and bragg that they have found out) then in other Diseases there may be such a passage: but this is very rare, because in those that have been extreamly phthisical and empyematous no such thing hath been seen.

A Diarrhaea presageth Death, for, though some have thought otherwise, yet little of the cause of the Disease can be purged by stool. But if the Diarrhaea come at the first from other causes, and stay not long it may be harmless, especially if it take away any filth which may increase the Fever. And I have often seen Pleu­risies after I have given Oyl of sweet Almonds with pouder of a Bores tooth, to go away with a plentiful Diarrhaea.

The Method of Cure for both is, The Cure of a true Pleurisis and Perip­neumony. to divert the Blood that flows to this noble part, & so to prepare that which is flown to the Lungs and inflames them, that it may be coughed and spet forth, because, except Nature do it of her self, it is in vain to purge it by Urin or Stool. Also still abate the pain in the Pleurisie which is very pricking, and in both cases inlarge the Breast, and hold up the strength, alwaies having an eye to to the Fever, as we shewed in Fevers; therefore abstain from hot things, and use temperate things that incline rather to cold; all which are done as followeth.

The Defluxion of Blood to the part is diverted best by Blood-letting, and the heat of the Fever abated, therefore neglect it not, though the Patient be very young, for we observe that in other cases and bleedings by cuts and falls they can loose much blood without danger; and in this Disease they wil find much ease by it: nor let it be omitted in women with Child, or old People: nor when the Disease comes from impure and cholerick blood, nor when the pain goes down to the Hypochondria. But for these causes do it mode­rately rather than omit it. Blood-letting must be sud­denly while the matter is flowing, the first day, at what time of day or night soever it be: or if it hath been neglected do it the next or the third day, taking much at a time, or six ounces at a time, often, if the first blee­ding do not abate the Disease, bleed then thrice a day, or two or three daies together: after the third or fourth day, except you fear the increase of the Discase, or a Relapse from a new Flux of Blood (for which cause after many daies if there be strength you may bleed again) you must not bleed rashly.

You must open a Vein in the Arm (because the Veins are larger and neerer the part) either the middle Vein or that which most appeareth which is al­waies best. And what vein soever in the Arm is ope­ned whether it be on the right or left side the blood comes from the hollow Vein, from whose upper part above the heart the veins of the Arm come; and ther­fore by consequence blood is drawn from the right side of the Heart into which the hollow Vein is joyned be­fore it ascendeth: and so also blood is drawn from the Lungs by the veiny Artery, by which the blood flows from the right side of the Heart to the Lungs. Except, because the hollow vein is more on the right side, and sends blood into the right side of the Heart, and only sends out the vein without equal, or not paired to the right side only, you desire to open the Vein in the right Arm for a directer way of bleeding. which some think to be necessary in a Peripneumony and Pleurisie. Yet in a Pleurisie it is thought better to open a vein on that side that is pained, than on the contrary side (as the Arabians do who first open the contrary Arm for Re­vulsion and then for Derivation) not only from the right order and direct flowing of the Vessels on that side, because the same may be good in a Pleurisie as wel as a Peripneumony, the Lungs being (as I shewed) affected in both: but because in a Pleurisie, the veins on that side where the pain is are more swollen with [Page 273]blood. Therefore if the pain be on the right side, open the Vein in the right Arm if on the left, open the vein in the left Arm by reason of the Defluxion of blood caused through pain. And if the Vein in the Arm ap­pear not, open that in the Hand on the same side: by which if the blood come freely there will be a greater Revulsion, and if not, a less. Also it is good to bleed in the Foot, or by the Fingers, after bleeding in the Arm, especially in Women who have this disease from stopping of the terms.

Cupping-glasses to the Shoulders, Emunctuaries, and Groyns make Revulsion, and the more if there be Scarification: these help the other bleeding, or supply when the other cannot be.

Also Frictions and Ligatures of the outward parts cause Diversion: or a Decoction to wash and rub the Hands and Feet, but it must be such as doth not heat.

Some adventure to use a Caustick to the sids, but it is neither safe nor profitable, nor Cupping-glalsses to the Breast.

Clysters are given to loosen the Belly before bleed­ing, if it be bound, they are to be cooling and gentle, such as are mentioned in Fevers, and other internal In­flammations and Quninsie. And some advise clensing Clysters at the end of the Disease if the matter tend from the Breast to the Guts, lest it should hurt them, which they think to be possible.

Loosners are better than purgers, for it is not conve­nient in Inflammations of the Breast to give purgers: both because the matter cannot be purged by stool from thence, as also because they heat the body, and cause a Diarrhaea which useth easily to come with much hurt to the patient. These Laxatives must be good for the Breast, whereof Manna is the chief.

Next syrup of Violets three ounces, or Cassia, or simple Diaprunes two ounces, alone or with pectoral Decoction.

Or thus. Take sweet prunes, Raisons stoned, each an ounce; Violets a pugil, boyl and dissolve Cassia half an ounce, Manna an ounce: make a potion.

After the seventh day the Ancients used stronger pur­ges, the humor being first prepared: but these are best in a false pleurisie as I shewed; or if the true pleurisie ceaseth, they are good against accidents that remain, o­therwise they hurt more.

We give to drink things that cause easie Coughing and Spitting, because the Humor being fastned to the Lungs and not to the Membranes, girding them can­cannot be sent a better way. This is done by Leni­tives to the parts, and such as first thicken the Matter to stop the Flux of Blood if it be thin, and to make it more fit to be spit forth, and then by Concocters, Clensers and Cutters, if it be too thick and slimy. Or by things to ripen and cause matter to be spet forth lest it lying long there, the Lungs be corrupted by it, and a phthisis caused. Or if Nature endeavors to throw it out by stool or Urin (which is rare, and perhaps a meer Fansie) by such things as help Nature therein. These are done as followeth.

Lohochs to be swallowed by degrees, and so com­municate their Vertue better to the Lungs are the best.

As the usual tablets of Diatragacanth frigid and Di­a penidies without the species, held in the Mouth.

Or a Lohoch made of them with syrup of Jujubes or Violets to be licked.

Or this: Take the species of Diatragacanth frigid two drams, Penidies a dram, with the Syrup aforsaid make a Lohoch, adding half an ounce of the Diacodium if the Cough be great. others add Conesrve of Violets, but it is not so good to be licked.

Or this: Take Penidies an ounce, Pinenuts and sweet Almonds blancht, each two drams; the great cold seeds and white Poppy seed, each a dram; Starch half an ounce; juyce of Liquorish a dram, Gum Traganth and Arabick, each a dram; infused in Violet water while they swell, pulp of Raisons half an ounce, mix them for a Lohoch with syrup of Poppies, or a Diacodium half an ounce, and Mallow and Cotton seeds a dram.

In the progress of the Disease when the Fever de­clineth, give tablets of Diaireos simple, Diapenids without the species, Lohoch of Pine.

Or thus: Take Lohoch de pino half an ounce, species of Diatragacanth a dram, species of Diaireos half a dram, pe­nidies half an ounce, with syrup of Maidenhair and Liquo­rish make a Lohoch.

Or thus: Take Sugar-candy, penidies, each half an ounce; pine-nuts two drams, of great cold seeds, each a dram; Orris roots two scruples, Gum traganth infused in water of Maidenhair and mucilage of Quince seed half a dram, pulp of Figs or Dates, each half an ounce; juyce of Liquorish a dram, or roots of Briony and Nettle seed, each half a dram; with syrup of Hysop, make a Lohoch.

We use also stronger Expectoratives and cutting Me­dicines when they spet matter, especially if it be crude and slymy, and when the Fever is gone, and yet matter is voided. As Lohoch of Coleworts, of Coltssoot, Hore­hound, Lochsanum, and other other medicines used in o­ther diseases of the Lungs from Flegm and Matter.

Lohochs are made of fat things thus, to open the Breast, to mollifie and help spetting, as of Butter, Su­gar, or Sugar candy, or Sugar of Violets, used like a Lohoch, the German May Butter called Mehenmuf

The new drawn Oyl of sweet Almonds or Lineseed are good with Sugar to be licked and taken by degrees, or to be drunk in Broath, or any Decoction proper to allay the pains of the pleurisie to which some add juyce of Marshmallows. Oyl of Nuts also in the progress of the Disease concocts the matter and makes it fit to be expelled.

Of which make this Lohoch. Take Oyl of sweet Al­monds or Line seeds, or both Oxymel simple of Squils (if the matter be tough) each hvlf an ounce; with Sugar candy make a Lohoch.

Also Decoctions though they stay not long in the passage are good in respect of the Fever and Inflam­mation; give a draught once or twice a day, thus.

If you wil thicken and lenifie use Barley water which allaies thirst, and nourisheth if you increase the quantity of Barley. If you wil clense more make it of whole Bar­ley, with Raisons, Liquorish, and other sweet things as Sugar or syrup of Violets, Jujubes, and Maiden­hair.

At first if you wil thicken and expectorate. Take roots of Marshmallows an ounce, Violets and Bugloss flowers, each a pugil; Jujubes and Sebestens, each six pair: Barley half a pugil, the four great cold seeds, each two drams: make a Decoction to a pint, sweeten it with syrups or Sugar­penidies.

The Decoction of Corn-poppy made with Barley-water or Jujubes adding Sugar is good at first to stop a Defluxion and Inflammation: give three ounces at a time often, after boyl them in Scabious and Burnet­water to Concoct, or use the water of poppy instead of the Decoction, or give the dried flowers in pouder with Broath or Violet-water, or other Liquor. Nei­ther ought we fear its coldness, because the force it hath to attenuate and digest, which Galen imputes to the sharpness doth shew otherwise, as in the other Narco­ticks which we shewed in other places are not cold.

When we wil clense more, give Sugar and Water [Page 274]boyled twenty parts water and half a part Sugar, and if you clense more yet, use more Sugar and a little Cin­namon.

Another to clense and lenifie. Take Liquorish an ounce and an half, Violets, Bugloss flowers, each a pugil; Figs six pair, Raisons ten pair, Jujubes six pair, sweet prunes five, Barley half a pugil, Gourd and Melon seeds, each two drams: boyl them, add Sugar or Syrups.

When we wil concoct and prepare thick matter at the end, give boyled Honey with Wine, it is good in old people, or when the Disease is not very hot. Or Honey and Water, which may be made as strong and hot as Sack.

Also the Decoction of Carduus or Leucacanth, or white-thorn roots, or Anthemis flowers.

Another to concoct and prepare. Take Liquorish an ounce, Elicampane root two drams, Maidenhair a hand­ful, Hysop and Goats Organ (especially in a pleurisie) each half a handful; Violets, Bugloss flowers, each a hand­ful; flowers of Anthemis half a handful, Raisons twelve pair, Figs ten, Dates five, Melon or Gourd seeds three drams, Cotton seeds, Mallow and Foenugreek seed, each two drams; Anise seeds a dram: boyl them, and add Sugar, Honey or Syrups.

Syrups to thicken are of Violets and Jujubes, to clense, of Liquorish, and to concoct withall, of Mai­denhair and Oxymel if the matter be tough, two oun­ces at a time may be given in a Decoction or Water of Violets, Bugloss, Maidenhair, Scabious, Hysop, like Juleps, or give julep of Violets, or the Syrups alone to be licked.

Also Spinage, Carduus, or Milk-thistle water, or of Anthemis flowers, or wild Lentils in a peripneu­mony.

Or water of ground Ivy four ounces in a pleurisie four times a day, it is good to purge the breast from matter, and to desend from Peripneumony or Phthi­sis.

Or the following potions. Take Bores tusk or jaw of a Pike, Crabs Eyes, Buls pizle, in pouder, a dram or a dram and an half, with Broath or Wine, or Carduus water, or Vio­let or Barley water, these are better known by good expe­rience than by reason.

The tusk of a Bore poudered and given with Oyl of sweet Almonds or Line seed is an excellent medicine in pleurisie or Quinzy.

Or Lapis prunellae given with Purslane water, or of Bramble berries, or of Sorrel, with Coolers in a good quantity often, quickly makes men in pleurisies to spit easily.

The Vulgar give the water wherein a Butchers Knife hath been laid some hours to cure the Pleu­risie.

The roots of Daffodil or flowers, or of Dog-stones, Dockes, Goulden-hair, Lungwort, In Peripneumony, and seeds of wild Parsnepps and Carduus, pouder of Almonds or Nutshells, each, a dram, or a dram and an half, with the Liquors mentioned: are also good.

Also roots of Centaury, the great Birthwort, and Costus agallochus, Aethiopis, and three leaved Daffadill leavs and seeds, Myrrh, Bdellium, Asla foetida, are comended by Diascorides with wine and water. But he saith not in what kind of Pleurisie true or false.

It is known by experience, that these following are good and presently abate, or take away the pain in a pleurisie: Take a scruple of Bores Tusk, or a dram, with two or three or four onnces of Oyl of sweet Almonds, or with Lineseed Oyl, as in a Quinsie.

Another experiment: Take Nut-shels, red Corral, each a dram, make a pouder, give it with white Wine.

This is highly approved, Take Roots of long Birth­wort, Piony, Bay-berries, each halfe a dram; Stones of Medlars, a dram; Ivory shavings, Myrrh, each dalf a dram; make a pouder, give it with Tamarisck water or Wine.

Yarrow also bruised and given in Vinegar.

Also Turpentine any wayes taken alone, or with the Yoalk of an Egge, and Violet water, or the like, or in pills with Sugar, and pouder of Liquorish.

They say that pills made of melted Pitch open an Imposthume, and also Watercresses and Mustard seed.

The Chymists give flower of Brimstone alone, or with Salt peter, and Salt of polypody, or St Iohns-wore with Wine.

Instead of ordinaty Beer and Wine and Water to quench Thirst, give Barley water, a little warmed as all Drink must be least Spitting be hindred, and the Breast hurt. We allow Wine to refresh the weak, but not afore the seventh day, a little and mixed with Bar­ley water, and Sugar to cleanse.

Give a thin Diet for two or four dayes, and such as helps expectoration as Cream of Barley, and of Al­monds, thicker or thinner as you please; or sweet prunes or Raisons stewed with Sugar.

After use a fuller Diet, especially after the seventh day, or sooner if strength fail, as boyled bread, or Marshpane, or that of Almonds or pine nuts, and good Broaths and Jellies, as in the Hectick Feavor.

Or this. Take the Brawn of an old Cock or Hen, boyl it adding Violet or Bugloss water, or Scabious water, each two ounces; give the Broath with fresh Butter, and a little Salt, and it is stronger if you bruise the Flesh and and strain it with the Broath.

Or add to that Decoction three ounces of Crums of Bread, and to a pint of the Broath add Conserve of Violets, Bugloss, Maidenhair, to each an ounce, species of Diatragacanth frigid and Diaponides, each a dram; Dia­margariton frigid, half a dram; of the four great could seeds Cotton and Mallow seeds, each a dram; penidies two ounces, distil a Liquor, it wil restore.

To nourish more; Take a Capon prepared, and a peice of Veal, boyl them to a Jelly, give it alone, or with the former Liquoris. or give the juyce of a roasted Capon strained.

Also give according to Mathiolus, Snails in Barley water.

Also take of the top of a sweet Apple and hollow it, and fil it with Olibanum poudered, lay on the head again to cover it, and tye it together and roast it, give it to be eaten, this is thought good to cure and prevent a Pleurisie.

Or give an Apple roasted the same way, with Juyce of Liquorish, Sugar, and Starch.

Some give Diureticks at the end of the Disease, when Nature dischargeth it by Urine to help her.

Also the Decoction of Fennel, Sparagus, Knee­holm, Liquorish, red pease, Maidenhair, and the great cold seeeds. Such as we shewed in Fevers when we desire to carry away the matter by Urin.

Somtimes we give things to purge when Nature is willing that way to discharge the matter (which is rare) as we said of Clysters which open and clense.

Also it is good to apply things outwardly to the Breast, whether the pain be great as in a pleurisie, or little as in a peripneumony (although the Disease be not in the Breast, but in the Lungs properly) because the strength of these Remedies may reach thither. [Page 275]Notwitstanding we must not at the beginning, give hot things to try if the Pleurisie be true or false, for they wil inflame and make it worse, for a true Pleurisie is discerned from a false by other waies which are more safe. Nor must we use all those things which are com­mended against Inflammations which they thought was in the girding Membrane, not in the Lungs, or e­specially against the Imposthume which they thought was there also, and therefore they apply things out­wardly to suppurate and open: except the Inflamma­tion of the girding Membrane follow the Inflammati­on of the Lungs, or come of it self without them as we shal shew in the pleurisie of the Membrane. But we must apply outwardly to the part pained, things that mitigate it, and dilate or open the Breast that they may spit more freely, and such as digest the matter in the Lungs. This is done by Anodynes that are temperate, and but very little hot and loosning: or if there be no pain, as in a peripneumony, you may use cooling things also against the Inflammation, and after such as ripen and dissolve it. All these must be applied actu­ally hot.

A Fomentation is chiefly good when there is pain, and if it be only of warm water in a bladder, it wil mi­tigate and relax.

But more if these following be boyled therein: As, Take Mallows and Marsh-mallows with the roots, Pellitory of the Wall, each a handful; Violets, Chamaemel, Melilot flowers, each a pugil; Lineseed an ounce, Bran a pugil, Figs ten pair, Annise seeds two drams, boyl them for a Fomen­tation.

You may add Branck-ursine and Colewort, each a hand­ful; Foenugreek seed half an ounce, Mallow seed two drams, and in the progress if heat be not violent white Lilly roots an ounce and an half, and a little Wine to make it pierce. When the pain is violent the Leaves, Heads, or Seeds of Poppies allay it.

Also a Bag of Bran boyled, strained, and applied a­bateth the pain. To which you may add the things a­forementioned.

Also there are Anodynes and ripening Cataplasms made of the residence of the Decoction mentioned bea­ten with Barley meal, with Hogs grease and fresh Butter, each an ounce; Oyl of Violets two ounces, Oyl of sweet Almonds, Chamaemel or Dill each an ounce.

Or: Take Barley meal four ounces, Line seed and Foe­nugreek, each two ounces; Ashes of green Coleworts two drams, Sagapen a dram, with Hogs and Goose grease, make a Cataplasm.

Pellitory of the wall also beaten and fried with Oyl or Butter is excellent.

Or Snails boyled and bruised.

An Epithem of lenifying and cooling things may be applied to the breast, but hot, though there be no pain as in peripneumony.

Thus: Take a Decoction of Barley a pugil, Gourd and Lineseed, each an ounce; Violets a pugil, or you may use any Epithem mentioned in the Hectick.

In the beginning anoynt the side with Coolers and Loosners: As, Take Oyl of Violets and sweet Almonds, each an ounce; fresh Butter half an ounce, Mucilage of Quince or Line seeds six drams, with a little Wax.

You may add Oyl of Gourd and Line seed.

When the pain is great in a pleurisie. Take Oyl of sweet Almonds, Chamaemel, Melilot or Dill each an ounce; Duck or Goose, Hens or Capons grease, ca [...]h half an ounce; mueilage of Foenugreek and Lineseed, each six drams; Gal­banum, Turpentine, each a dram; Saffron a scruple, with Wax make a Liniment.

The fat Caule of a Beasts Belly laid hot to the side taketh away pain.

Also Unguents and Cataplasms as the Resumptive Oyntment, made of Fats, the Pectoral that of Marsh­mallows, or that of Zacharies son, or of Mesue.

It is good after anoynting to apply a Colewort leaf warm or anoynted.

Or to sprinkle the Ashes of burnt Coleworts upon the part anoynted.

It is counted also a singular Remedy against a Pleu­risie, to anoynt with Oyntment of Marsh-mallows, and to sprinkle pouder of Cumminseeds thereupon, or of Orris roots.

Let the patient ly upon the side pained, for so the pain wil be less, with his Head and Breast a little high, that he may breaths omewhat easier: And let him be­ware of all violent motions of Mind or Body.

For other Symptomes if there be watching, or want of Sleep, give things proper for Disease also, as Al­mond Milk, with Emulsions of cold seeds and Saffron, ormixing Syrup of Poppyes, or the like, as we shewed in Watching.

If there be a Diarrhaea, because it is dangerous you must use Syrup of Myrtles, with other Medicines, be­cause it both expectorateth, and stoppeth a Loosness, And anoynt the Belly and Reins, with binders, as we shewed in too much going to stool.

If there be an Inflammation in the girding Tunicle, The Cure of a Pleuri­sie, or Peripneumony, and the Pleurisie of the girding Membrane when they meet togeth­er. (which then extends it self to the in­ward Muscles of the Breast, we distinguish it from the true Pleurisie, mentioned by the name of a Pleurisie of the gird­ing Tunicle) and if it be with the Lungs also inflam­ed: Then we use the same way of Cure, as of a true pleurisie, being they are both together, and by reason of this Inflammation joyned, we use such Topical ex­ternal medicines as are proper to the Inflammation, when alone.

But if the side be only inwardly inflamed and not the Lungs, The Cure of the Pleurisie, which is only in the gird­ing Membrane. then we use revellers, and derivers, by bleeding, cupping, and scarrifying, and the like, as in a true Pleurisie, and Clysters, and Laxatives.

For the things given to expectorate in the Inslam­mation of the Lungs, when the Inslammation is in the girding Membrane, cannot reach the part affected, nor can the matter from thence come to the Mouth, to be spet forth as I shewed; therefore they will do more hurt then good by causing a Cough, and moving the pained Side, therefore let no things be given to cause Spitting, except other Accidents happen, but such things as help in a true Pleurisie, by a propriety, and such as are mentioned there against Thirst, and for Nourishment.

But the Topicks which we declared in a true pleu­risie, are good here, because they asswage pain, loos­en the breast, and concoct the Matter there fast­ned, and the rather because being applyed outward­ly to the pained side, they come near the part, and sooner and more directly spend their Virtue, then they can to the Lungs; therefore Fomentations, Cataplasms, Oyntments, and plasters, there menti­oned may be applyed here, especially because by re­laxing they draw the Matter outward, as I shewed in a Quinzy, and if the Inflammation be not great, and without a Tumor, they discusse and dissolve it.

And as they are used in a Quinsie, to draw Matter, from the streightness of the Jaws, so here to draw it from the breast, least it imposthumate there, & leave af­ter [Page 276]it is broken, an Empyema behind it. Therefore in both cases, we abstain from the beginning from all repellers, not because these hinder breathing, by astringing or binding the breast, as the Vulgar Opi­nion, which cannot be great, and if there were an Inflammation only outward, this could not hinder the use of them: but for the Cause mentioned that we may draw out the Matter, rather then strike it in by Repellers. Also we somtimes apply Cupping-Glasses to the breast, and other things that draw from within deeply, as Pitch malaxed with hot Oyl, with Rosin and a little Brimstone, or with black Soap dissolved with Oyls, these both resolve and concoct the matter attracted, and presently after we use Relaxers or Loos­ners. If the Inflammation will not cease by so do­ing, about the end of the Disease, we apply hot­ter Remedies to discuss the matter, that it suppurate not. Or if this cannot be done thereby but it doth Imposthumate, we apply to the breast outwardly things that ripen it, and that it may open rather out­wardly than inwardly, as a tumor enlarged useth to do, otherwise than we do in a true Pleurisie.

In the progress of an internal Inflammation of the breast after we have used the Anodynes and Loosners mentioned in a pleurisie, and when the pain begins to cease, but is not quite gone, we use these following to draw out and discuss the Reliques of the Inflam­mation.

We foment the pained side thus: Take Lilly roots four ounces, Mallows, Orris roots green, two ounces, Mallows, Horehound, Calamints, each a handful; Chamaemel and Elder flowers, each a pugil: Rosemary flowers half a pugil, Foenugreek or Line seed six drams, Carua and Cummin seed, each a dram and an half; Figs six pair, boyl them in Wine and Water.

Make a Cataplasm of the Residents of the Decoction beate with Bean flower two ounces, Ashes of burnt Coleworts two drams, Oyl of Lillies two ounces, Honey an ounce, with an ounce and an half of Doves dung it will draw more.

Or anoynt the side with Oyl of Lillies, Flower-de-luce or Wall-flower.

Or dip Wool therein and apply it, or a Cabbage leaf to draw: for which purpose they use only a Clout dipt in Sulphur.

Or this Oyntment which discusseth very wel. Take Oyl of Lillies two ounces, Oyl of Orris and Dill, each an ounce; juyce of Dwarf-Elder or Onyons an ounce and an half, Aqua vitae two drams, boyl them till the Waters are consumed, add Flower-de-luce root a dram and an half, Cummin seed a dram, Saffron half a scruple, Galbanum and Sagapenum dissolved in Aqua vitae, each a dram; Turpen­tine two drams, Hogs grease and Oesipus or grease of wool, each half an ounce; with Wax make an Ointment. Goats or Pigeons dung and Brimstone, each a dram, will make it stronger.

If you anoynt with Oyntment of Marsh-mallows, and sprinkle Cummin seed upon the part, it is as good here as in a true Pleurisie.

Also the Plaster of Diachylon with Orris.

But if after the use of Anodynes the pain abate not but rather increase, especially if the pain increase by being touched, and if a Tumor appear outwardly, then be­cause it tends to suppuration, apply things that may help it forward, such as were mentioned for the Quin­sie to be applied outwardly, or these.

A Fomentation: Take Marsh-mallow roots three oun­ces, Roots of Lillies an ounce, Mallows, Scabious, Glassweed, each a handful; Flowers of Melilot and Dill, each a pugil; Figgs six pair, Lineseed an ounce, boyl them in Water and Milk.

Beat the Residents, and with Flower of Lineseed, Muci­lage of Quinces, and Marsh-mallow roots, each an ounce; Butter two ounces, make a Cataplasm.

This ripens better and opens the Imposthume. Take Onions and Lillies, roast and stamp them, add six ounces of Marsh-mallow roots bruised an ounce, Pease flower two ounces, Barley-leaven, or of French Wheat called Spelt an ounce and half, Pulp of Figgs an ounce, with Butter and Hogs grease make a Cataplasm, if you add Goat or Pige­ons dung an ounce, and Mustard and Water-cress-seeds, each a dram; it will sooner open it.

It may be broken by violent Motion of the breast, as Roaring, Neesing, Vomiting, but not so safely.

If in a watery or windy pleurisie there be a stretching in the Membranes, The cure of a false pleurisie of wind and water. from a Humor or Water gotten thither, which causeth pricking, you must use things that stop the Humor, and turn it from the breast if it still flow, or if it be wind, give things that hinder the breeding of it, and keep it from the part. And in both cases apply to the part things that discuss, and digest, and consume Wind and Water.

Diversions are made by cupping, Friction, and wash­ing, and other things that stop Defluxions and carry wind other wayes: but you must not open a Vein but when by reason of great pain you fear Inflammation, and only in plethorick bodies.

Sharp Clysters revel also, with things to expel Wind, in which Hiera dissolved is highly commended.

And purges with preparatives first, not only gentle to revell, but strong to draw down and send forth wind and humors that produce it: these are better here than in a pleurisie from Inflammation (which some do use in the pleurisie called Flegmatick which they dream comes from an Inflammation) Therefore we rather use Rhubarb, Agarick or Scammony, or Coloquintida or Hellebore as the Ancients, especially Hiera of Coloquinti­da commended so by Galen against a pleurisie, here then in an Inflammation in which we can give no strong Purges profitable, but with great hurt.

These Purges are mentioned in Diseases from De­fluxions, here and there, and in palpitation from wind and in Rheums falling upon the breast.

And there you may find Altering Remedies also.

It is in vain here to give expectorating medicines as in a true pleurisie, except a Defluxion fall upon the Lungs. But some things there mentioned which work by a hidden quality or by drying or digesting may be given here.

As the Carduus waters (which some think cures pric­king pains because of the prickles) as that of the Blessed Thistle called religiously the Carduus of Mary, or their seeds, or an Emulsion made of them and of Hemp­seed.

The Vulgar Women keep a water for this made of Ice gathered in March.

There are also other Remedies that cure a pleurisie without causing Coughing, as that of a Bores tusk, and the like, which are good here. and many better for a false than a true pleurisie, for divers of them are hot and dry which cannot be good in Inflammations, but by a hidden quality, and those may work in this Dis­ease by a manifest as wel as a secret vertue. Especially those there mentioned of Dioscorides for pleuresies in general.

Also Oyl of sweet Almonds and Line seed given to dilate the breast, are good here taken in good quantities.

And Wine if nothing else forbid it, and other Meats and Drinks mentioned in Defluxion and Diseases of wind.

[Page 277]Apply outwardly things to dissolve and discuss wind and humors, and to take away pain.

As a great Cupping-glass to the part, with fire, which will draw out the Humor and Wind, by an attractive Vertue, not by Heat, (as some think) for Heat is not used to warm the breast, but to make the Glass stick.

Also actual Heat doth the same, if it be gentle, it qua­lifyeth the pain, if strong, it discusseth and consumes thin Humors and Wind, as the Heat of the Sun doth the Clouds. This may be done by any warm Cloths, or with warm Water, in a bladder or brass vessels, to keep the heat longer, made on purpose; Olive Oyl in a bladder hot, take away pain, But in a true Pleurisie it must be but luke-warm.

Also Fomentations of things actually and potential­ly hot, with a Spunge felt, or Wool, squees'd a little that it may not wet too much, or in a bladder rather then in brass, that the vertue may pierce sooner, and changed when cold.

They are made of Decoctions mentioned in Infla­mation of the Membrane.

Or thus: Take Marsh-mallow roots an ounce, Orris, Galangal, each half an ounce; Calamints, Wormwood, Or­gan, Thyme, each a handful; Chamomil, Melilot, Rosema­ry and Stoechas flowers, each a pugil; Caraway, Cummin, and Fennel-seed, each half an ounce; Foenngreek and Linseed an ounce, Bay-berries an ounce and half, bruise and boyl them in Wine and Water.

This is an excellent Experiment in all side-pains.

Take Spirits of Wine six ounces, Camphire a dram, boyl them till the Camphire is dissolved, add where it is hot Pouders of sweet Sanders a dram and half: wet Clouts, therein, and apply them hot.

Also dry baggs hot. As, Take Bran, and the whole Seeds of Milium, or Grumwel, or seeds of Panicum, and Oats, each two pugils; Salt an ounce, fry them, and make baggs to be shifted as in Fomentations. They are better, if you sprinkle a little Wine, or Aqua vitae, or white Wine­vinegar, to pierce.

This is stronger: Take Bay-berries a pugil, Juniper­berries half a pugil, Caraway and Cummin, each an ounce; Fennel-seed a dram, dryed Hysop, Savory, Thyme, Organ, Marjoram, each a dram; Rosemary and Chamomil-flowers, each a dram and an half; Orris roots a dram, Salt half an ounce, make a Pouder for a bag, as before.

The residents of the Decoction mentioned, squeezed between two trenchers, is also good.

Or Cataplasms made of them, as we shewed in the Inflammation of the Membrane, with Pouder of Cara­way and Cummin-seed, each six drams; Oyl of Rue and Orris, each an ounce; Pigeon or Goats dung half an ounce, with two Yolks of Eggs.

Also Oyls or Oyntments there mentioned, sprinkle the part after with pouder of Cummin-seed, which is excellent in all Pleurisies, to consume Humors and Wind.

Or this Cerot: Take Thyme a dram and half, Spike, Cloves, Sanders, each half a dram; Storax a dram, red wax an ounce and half, with Hogs grease make a round Cerot, and a dram of Orris pouder.

Also the Emplaster of Bay-berries malaxed with Oyl of Lillies, or mixed with the Cerot.

Or this: Take Opopanax, Galbanum, Serapinum or Sagapenum, each two drams; dissolve them in equal patts of Aqua vitae, and white Wine-vinegar, add pouder of Cum­min-seed half an ounce, Caraway, Seseli, Lovage-seed, each a dram; dryed Rue half a dram, Brimstone a dram, with Oyl of Rue, or Penny-royal, and a little Turpentine make a Plaster.

Another Plaister of Honey, and Oyl of Wormwood boyled, is good also.

And many outward Remedies mentioned in out­ward pains, from Humors or Wind.

CHAP. XI. Of Pain of the Heart.

The Kinds.

THe pain of the Stomach is com­monly called the Pain of the Heart, The pain of the Heart, is the pain of the Sto­mach. this is in the fore part of the Breast, in a soft and naked place, where the Ribs are parted, which is called the Hearts lodge, and reacheth to the left side, as far as the Back. In this place above the rest, there are usual pains and molestations, they differ in that they are either usual or not. The most usual, are such as come new from a new Cause, or a Disease of which they are a Symptom. Their kinds are as they are diversly mani­fest to sense.

A Compressing or stretching pain called Periodyna, A compressing or stretching pain of the Heart. is that in which there is felt a pressing or stretching in the lodge of the Heart, more or less, with loss of Appetite almost, and loathing some­times, and with belching, and somtimes vomiting, or purging.

This kind comes from some new Cause very often, and either stayeth a while, or comes after meat, and ends with concoction. Somtimes it is the Symptome of divers Diseases, so that there is scarce a person but hath felt it in a Disease, or at other times.

A knawing pain is called Heart-eating, A knawing pain of the Heart cal­led Cardi­ogmos. in which there is felt a biting, with prick­ing in the said region of the Heart, with Compression or Burning somtimes.

This is in many Diseases, and in sound men sometimes when fasting, especially some called Picrocholi, from sharp Choler, have it when they want their Dinner, and it is often with bitterness of mouth, and hindrance of sight.

Some have it chiefly before Supper, when they are given to writing, and lean upon their Stomaches, by which they loose Appetite. They who fear, this pre­vent it by sitting upright or standing, when they write.

Some have it in the morning before they rise, when they lye long waking, and after they are up, and have been at stool, or broke wind, it is gone. In others it comes as soon as they are up, and goes away with snee­sing.

Also this Knawing with Compression is after meat, when it is bad, or too much. Of which Bairus makes a private sort of Heart-ach, when they are cold after meat, with sense of this Compression and difficulty of breathing; this is called a turning of the Meat into Flegm: Of which Galen speaks.

This may be at all times, Cordiaca Fainting. and from other Causes, as it is afore Vomiting, and from outward Injuries and Cold, or from things swallowed that hurt the Stomach. And when any faint­ing comes with this Disease called Cordiaca, as we shew­ed in Fainting.

That pain which hath such Heat that it seems to burn, Heart-burning. is in sound peo­ple often, whether full or empty.

That is most usual, in which when they would belch [Page 278]they feel great burning, the flame as it were, being shut up in the Gullet, and not able to get out, especially af­ter meat, or violent Exercise: the Germans call it Boyling, Boyling of the sto­mach, or burning. we call it a Burning boyling of the Stomach, of which we spake in Difficulty of Belching.

Also this Burning is the Symptom of divers Disea­ses, of the great pain of the Stomach, where it is bur­ning, pricking, stretching and beating, and is increased by touching of the part, and reacheth to the Back, and girds the Body like a Girdle, and seems to draw down the Shoulders, and there is labour and pain to swallow and belch, and difficulty of breathing, being quick and little, and there is sometimes a continual Feaver, by which means the Pulse is quick, and Urin high, with Spitting of Blood or Matter. This is called the Infla­mation or Phlegmon of the Stomach from the Cause of it. And the Imposthume of the Stomach, though it is more properly so called, when it is turned to an Im­posthume.

Also a most burning pain, with vomiting, and other dangerous accidents, may come from another Disease of the Stomach, called Erysipelas, as we shall shew in the Causes.

The usual pain in the lodge of the Heart is called Cardilaea, Cardilaea. distinct from Cardialgia; this comes from a small Cause, and returns often. There are two kinds of it according to the di­versity of the Nature, in which they are known by this some are of weaker, and others stronger Appetite.

Such Natures as have weak Appe­tites and other accidents from weak­ness of Concoction, Weakness of the stomach is called a disturbance of the Heart. are subject to u­sual pains of the Stomach, compres­sing or stretching, and sometimes knawing, and are troubled from the least offending meat, and other outward things, especial­ly cold, from which they are forced alwaies to defend their stomaches. These pains come from Weakness of Stomach, and are there described, and are called by the same name.

Those Natures that have stronge ap­petites, A hot stomach is called a di­sturbance of the Heart. and eat greedily, and gorge themselves, have pains of the stomach, as shall be shewed in the Causes. They are from great excess, and also sharp, or salt Meats: these pains are called a hot distemper, and are described in a hot Constitution.

The Causes.

The place or part affected, is the region or lodge of the Heart, not the Heart it self, for it is not under it, nor is it sensible, as I shall shew, but the Stomach which is in that region, or some parts of the Colon or Midriff, that reach thither.

The Cause of this, is from the Sto­mach which is on the left side of this Region, The cause of Heart-ach is in the stomach. and is very sensible, especial­ly at the mouth of it, which hath very remarkeable Nerves, And this mouth of the Stomach is called Cardia, because it is next under the Heart, and there goeth through the Midriff, and joyneth to the Ventricle, and therefore the pains there­of are felt, as if they were in the Heart, and as it were communicated unto it, and cause a Swounding, if they be great; as we shewed in Cardiaca. All these pains in this region are called pains of the Heart, or Cardial­giae. And the pains of the Stomach are divers, by rea­son of its exquisite Sense, and often injuries by things taken in, and brought to it, and because it sticks out, and is so exposed to more danger. These pains are ei­ther primarily in the stomach of it self, from some cause afflicting it, as a Disease, which is either a hot or cold distemper, stretching, heaviness, twitching, or irritation, especially when there is a helping Cause, that is a Dis­position of the Stomach, from a weak or hot Constitu­tion. Or they are by consent in the stomach, from the nerves that are planted in it. These pains I have seen but seldom, but they were with much grief and mourning, and somtimes a little doting, and they alwayes ceased after vomiting, they are chiefly in Semitertians. Of these in their order.

A hot Distemper alone without mat­ter, doth scarce cause pain, A hot distem­per of the sto­mach, is the cause of heart­ach. because the stomach is delighted with hot things, and when it is very hot, from things ta­ken in, or hot Diseases, as in Feavers, Heat of the Liver, and the like, there is thirst rather then pain, except another accident happen as we shall shew in the hot Constitution of the Stomach.

The Stomach is somtimes so infla­med, Inflammation of the stomach is the cause of heart-burning that from the Veins abounding there, Blood is sent into the substance thereof, and then follows that burning pain, which we call an Inflammation. It is somtimes pure, somtimes with an Erysipelas, when the blood that flows to it, is very thin and hot, and then the heat is greater. An Inflmmati­on is seldom in the stomach, because it feeleth any hurt, and presently rouleth up and down; or never, except it be from great violence, as a contusion or stroak upon the Stomach being full, or from taking of very hot things actually or potentially, as Spanish-flies or Sub­limate. Also it may be from heat of the blood in the Meseraick Veins in Feavers or other Diseases sent to the Stomach, without any outward Cause. And this Inflammation is turned somtimes into an Imposthume and then the pain increaseth, and when it breaks, mat­is vomited.

A simple cold Distemper whether dry or moist (though some deny it) being an enemy to the Nerves, A cold distem­per of the sto­mach, causeth knawing of the Heart. causeth pain in the stomach, which is with knawing, and as it were Fainting.

This comes from exposing the na­ked stomach to the cold air, in lean people especially, when they go not warm cloathed, and are hot or sweat, and then open their breasts: From whence I have known great complaints of Heart-ach, with Fainting. This may come also from other cold things as Water, and the like.

The same may come from drinking cold Water or Wine, with Snow-water, or Milk, especially when the Body is hot, as often people do. From whence many grievous accidents have been to my knowledg.

The same may come from a cold Humor, suddenly falling upon the Stomach from the Head, which cau­seth Loathing and Compression, or from glassie four Flegm flowing to the Stomach, for that which breeds in it by degrees, moistneth and loosneth it, and rather causeth weakness then pain, except it cause Heaviness by the quantity, as shall be shewed.

When the Stomach is stret­ched, or burdned, A stretching, heaviness, or a compression of the stomach, is the cause of a pressing and somtimes of a knawing pain in the Heart. or pressed inwardly or outwardly, it hath a pressing pain, and somtimes knawing, this may come from [Page 279]divers following causes.

Meat rather then drink (which sooner goeth through, and as Hippocrates saith sooner filleth then meat) being taken abundantly, burdens the stomach and stretcheth it: Especially after a supper, hence the old saying ut sit nox Levis, sit tibi Caena brevis.

If you'l have a good Night.
Let your Supper be Light.

For they who feed too freely, hinder the free moti­on of the Diaphragma thereby, which causeth difficulty of breathing, so that they are in danger of Suffocation, as one whom I knew that eat bread for a wager, and a Virgin that had crammed her self with Chesnuts, were, and an old woman that died with eating of too much Meat and Eggs upon an Easterday. The same may be also when any hard thing is taken into the Stomach as when it is filled with Cherry stones, or other hard substance, as the Mountebancks, that eat flint stones for Money.

Wind filling the stomach, causeth a stretching pain, The inflation of the Stomach and the cause thereof. which is called the In­flation of the Stomach. This comes from crude, waterish and windy meats and drinks, or a humor of that nature. Or from crudity of the Stomack, or from want of Concoction, which being bred there stretcheth it, and if it be much in quantity, maketh it heavy. The same may come by a humor, that comes out of the Guts into the Stomach, which is rare, and then the belching is sower and as of roasted flesh.

If Air be taken into the stomach, as somtimes by greedy drinking, it doth the same if it be any quantity and remains there: but this is seldom, because after meat taken in, it is forced up again by belching. But if Wind or Air be mixed with meat, as we see in Pud­dings while they are filling, then it sooner offendeth and stretcheth the stomach.

A crude flegmatick excrementitious humor being in the stomach from crudity, or from the Head by De­fluxion, offendeth it by distemper, if it be cold, and by compression also, if it be much, and turns into wind. This crudity comes from weakness of the stomach, or want of Concoction. And if thereby crude flegm be produced, it causeth the disease called the turning of meat into flegm.

A hard preternatural tumor in the stomach, as a Call us after some hurt (such as I have seen in the stomach of a Swine that was wounded formerly there, and in the bladder of a Cow) or any other hardness or scirrhus that breeds therein, doth burden and molest it, and the more after meat.

Also the stomack may be afflicted by the parts adja­cent, when too ful or obstructed, or swollen, or hard, they press upon it, or inflame it. As by the Liver over it, or the spleen under it, or the Reins near to it, or the Diaphragma inflamed, or by the colon Gut growing to it, when it is stretched.

Also from the bending inward of the sword bone, when it is so confirmed, the stomach may be offended, when it is ful and stretched and hits against it. And it will be so, till the meat is digested, or the stomach fals off, by the patients lying upon his Back. This I have known in many.

The same may be from outward, hard and heavy things lying thereupon, not for guarding or keeping warm the stomach, but to make the body slender, which women much delight in, and therefore use busks and streight bodies. These offend the stomach, especially after meat, and they endure it patiently, for pride feels no pain.

Twitching and also tickling of the Stomach, Twitching of the Stomach, is the cause of the knawing of the Heart. causing straining and vomi­ting, and turning of the stomach (as they call it) produce the pain that goes before. This is greater and longer in those that cannot vomit, or with much difficulty do it. This is caused by all things that provoke loathing and vomiting, and is in all diseases that have the turning of the Stomach. Also by worms rather moving then sucking the mouth of the stomach, which is very sensible.

A strong provocation doth more turn and offend it, A strong irritation of the stomach is the cause of a knawing or burning pain of the Heart. as when vomits are given of Hellebore, Sribium, precipitat, which burn, knaw or prick the mouth of the stomack, or poyson taken, which offends both Stomack and Heart, and causeth both Cardialgia and Cardiaca.

Or sharp Food, as Onyons, Leeks, rotten Cheese, or burning food, as Water-cresses, Water-Parsley or the like, after the eating of which, they especially who have hot stomachs, feel burning and knawing. Also this pain may come from meat, which is not of it self sharp, but turneth so by corruption in some Stomacks which easily corrupt. as from sweet, fat and stinking meats, and moist; As Eggs, Milk, Cowcumbers, and other such fruits, these by corruption, do not cause a cold matter (as they suppose) but that which is sharp and cholerick. The badness also, and corruption of meats in hot stomacks especially, may cause the bov­ling of the stomach, as when the hot-burning juyce of the meat boyleth, in time of concoction, if there be a violent motion at that time, which disturbeth the sto­mach, and confuseth the meat therein, it sendeth forth a burning vapor like a flame, from the bubles that break. This vapor laboring to come forth by belching (as we have shewed in difficulty of belching) gets into the sensible streight passages of the mouth of the sto­mach, and then burneth it, and when it is discussed the pain ceaseth, and when a new vapor ariseth (as we see in the boyling of Hasty pudding) the heat returns, and so long till the concoction is finished, or some drink is taken to quench it, or to allay the sharpness of the juyce from whence the vapors arise.

The stomach is often provoked also from Choller yellow or green, or from Melancholly, and if it stick fast it knaws and burns it.

This choller breeds in the stomach from things eaten, which have evil juyce, or breed choller, or is sent into it by the gut called Duodenum and causeth knawing and biting, especially when the stomach is empty, in those called Picrocholi, or men of a sharp cholerick con­stitution. If this choller get into the substance of the sto­mach, the burning will be longer. As it may from the gall touching it, for that part of the stomach that lyeth upon the gal and close unto it, may be dyed yellow thereby, so that the staine may reach to the inside of the stomach, as we have often observed in Anatomyes of such, who had alwaies burning stomacks. This is usual with them, who have much choller in their Gall, which being washed, passeth through the bag that holds it, and infects all the parts near, inwardly and out­wardly, as I have often seen. And this is most in them, whose stomach is seldom empty, but alwaies gorged. Or in such who writing or the like bend their body, so that they violently press the stomach upon the gall, [Page 280]and as it were squeeze it, at which time also the bur­ning is greater.

Also the pian must needs be great and burning and dangerous, The Erysi­pelas of the Stomach. when there is an Erysipelas of pure choller, in the substance of the stomach. This is a sad disease with continual vomiting.

If the stomach be cut or prickt from swallowing of Thorns, Needles, or Grass, (as drunkards have often done) there is not only a knawing, but pricking and rearing pain.

The stomach is also pained from malignant and ve­nemous humors, in other diseases, and there is also fainting.

The weak constitution of the sto­mach called weakness of stomach, The weak consti­tution of the Sto­mach causeth the weakness thereof. (which others call a distemper which weakneth, and causeth not pain) be­cause it causeth slow concoction and crudity from thence, produceth di­vers Symptoms, as lost Appetite, loathing, belching, Cachexy and the like, mentioned elsewhere, and pains by reason of Excrements that come thiether, and the Cardilaea, or Imbecillity of the stomach.

This weakness of stomach, is from want of natural heat, either at the first birth, or by old Age; or from long diseases, by which the stomach hath been often weakned, or from great Evacuations and Venery, which have weakned the whol body and the stomach also. Or from coldness and moistness, which makes the stomach loose, or from dryness, by which it cannot fitly embrace the Food; This distemper may come from external or external causes or diseases that change the temper of the stomach to be cold, moist or dry, which causeth imbe­cility. Somtimes it comes from a fault in the Organ, or part it self. As when it is too thin from too much distention through gluttony or drunkness. For the thicker the stomach is, the better it concocteth (as we may see in birds, whose thick stomach concocteth the hardest things.

If the stomach be naturally hot, or by use of hot things in youth, The hot consti­tution of the sto­mach, causeth the hot distem­per. sooner then they ought to use them, or made so by a disease, which hath shriveled it though it be not a disease of it self, if it be rightly ordered, yet it is a cause why some meats sooner corrupt, and turn into choller and sharp humors, and so by accident causeth a Cardialgia, which comes from such humors. This disposition of the stomach, is known chiefly by thirst and delight in sour things, and distast of sweet. So that hot, sharp and salt things and wine they leave, and digest the hardest meat soonest, and the other easily corrupteth.

In almost all diseases, The cause of pain of the Stomach, is in the Nerves. with great pain the stomach suffereth by con­sent of the Nerves, of which the mouth of the stomach is ful. Hence it is that in the colick and stone and other pains in parts distant, as of wounds and contu­sions, we see not only the Appetite lost, but a pain in the stomach, so that if they receive a wound when the stomach is full, they vomit.

Also the stomach being of most exquisit sense, doth easily receive an injury, though never so smal, and is greatly offended at a great, by reason of the Nerves. So that there is often a Syncope or swounding, more­over by reason of this consent of the Nerves, in great passions of the mind, there is a Head-ach from the stomach offended, and other hurts, as loss of Appetite and the like.

The pains of the Gut called Colon, which is at the bottom of the Stomach, The cause of Heart-knaw­ing, is in the Colon. and joyned unto it by the Caule, are re­ferred unto Heart-pains also, because they are in the region or lodge of the Heart. As if the Colon be stretched by Wind and Excrements, it comes to pass that the pain seems as if it were in the stomach, yet it stops not long, but runs to the sides downwards. And in other pains of the Heart, we find that they go upwards, and are a­bout the stomach; so that some pains of the Colon seem to be pains of the stomach: Hence it is that when they lye long a bed in the morning, and sleep not, be­cause the Excrements which they use to void presently, when they arise being retained in the upper part of the Colon, not being able to go down while they are in bed, do pull and twich the Colon, and provoke the Stomach by consent, and there is Loathing and Heart­pain, which ceaseth when they are up, and the Excre­ments descend, especially if they break Wind down­ward, or go to stool.

And hence it is that after a purging Medicine, when it begins to work, and the evil Excrements pass through the upper part of the Colon, till they have a stool, they feel a noise and Heart-ach often, so that they swound and vomit, and the pain returns when they again to stool. All these things shew that the Cause is not in the Stomach, but the Colon: For if it were in the stomach it would have begun at the first taking of the medicine, and while it was in the stomach, and not a go long time after, when the Medicine was carried with the Excre­ments into the Colon, and laboured to get out.

When the Midriff is afflicted, which toucheth the stomach all over behind, The cause of pressing-pain is in the midriff. and groweth to it; there are pains in the region of the Heart, because the Midriff being molested with evil and many vapors, as in the night-mare, mother and the like, it causeth besides short breathing, a pain which girts the Body like a Girdle: And if the stomach consent, that condoleth. As a difficulty of breathing comes from a Disturbance of the Stomach by the Midriff.

The Cure.

The Cure is according to the Causes thus. First we must cure the Diseases of the Stomach, from whence come divers sorts of Heart-ach, hurt of Functions, and Crudities. The Diseases are these; Inflammations of the Stomach, or coldness, or stretching, or windiness, or heaviness, twiching, or irritation; or else the weak­ness and hot constitution thereof: Or a Discase by consent from the Nerves, and from the Colon and Midriff.

The Inflammation of the Stomach is seldom, The cure of in­flammation of the stomach. and never but from a vio­lent Cause, and is more dangerous, be­cause it is in a sensible and noble part, especially if it be great, for then there is a great pain and also Convulsion. And it is better cured by dissolving then by Suppuration; for so it wil turn to an Ulcer, which is a new Disease, and as dan­gerous as the former, hard to be cured, and which will leave a Callus or Hardness in the Stomach.

If it be beginning, your aim must be to hinder the increase, and abate the Heat, with respect to the Fever, and asswage the pain and fainting fits, which are usual and to dissolve the matter that is there, and if that can­not be done to bring it to Suppuration, and cure the Ulcer; thus.

[Page 281]At the first let blood in the Arm, for though the veins of the Stomach come from the branches of the Gate­vein, yet drawing blood from the branches of the hol­low Vein, is good against the Feaver and for Revul­sion.

Give also a cooling Clyster to revel and abate pain, for that will reach to the Colon, and communicate its force to the Stomach, under which the Colon lyeth.

You must not give strong Purges, for they going pre­sently to the part affected, will cause pain, and increase the Distemper by their Heat; but loosning temperate Purges in the progress of the Disease can do no hurt: As Cassia which also asswageth pain, and pulp of Prunes, and Tamarinds, and the like.

Medicines to alter the Distemper must be cold, both actually and potentially, and in the beginning while the Humor floweth must be a little astringent, and af­terwards moist, mixed with things that abate pain. Thus:

Those Sauces which are good in a hot constitution of the Stomach, and cooling, as we shall shew are good here.

Cabbage chiefly, and Rapes, and other Fruits, boy­led and kept in pickle, are good against heat.

And cold Spring-water, with Snow or Ice, is good drink in the opinion of some; but I think it not safe, for a sudden Repercussion is dangerous. It is better at first with a little Vinegar, and more pleasant with Sugar boyled like a Julep.

Cold Milk is good, and allayes pain.

Or an Emulsion of the cold Seeds to ease pain, and heat with Poppey-seeds.

Dioscorides commends the Water of wild Vetches, al­so Plantane, and Rose-water, and Vinegar, and Sor­rel-water.

And the Julep of Roses and Violets.

Or, Take Rose-water three ounces, Plantane-water two ounces, juyce of Sorrel or Pomegranates an ounce and an half, Sugar of Roses an ounce; boyl and strain them, give two ounces at a time.

Or the Decoction of Barley, cold, with Violets.

Or thus: Take Barley a pugil, Cowcumber-seed half an ounce, Liquorish an ounce; boyl and drink them cold.

This is cordial also. Take Liquorish an ounce, Ci­tron-peels two drams, cordial Flowers, each a pugil; Flowers of Water-lillies half a pugil, Barley a pugil, the four great cold Seeds two drams, Purslane-seed and white Poppey-seed, each a dram; Citron-seeds half a dram: boyl and sweeten them with Sugar, or these Syrups.

In the beginning give Syrups with spring or distilled Waters, those that cool and bind; as that of dryed Roses, Quinces, green Grapes, Ribes, sour Pomegra­nates, Bar-berries. In the progress that cool and moi­sten; as of Violets, Purslane, Water-lillies. And if the Liver be also hot, as it is commonly, and for the Feaver give Syrup of Succory, and Endive. And a­gainst Fainting, Syrup of Bugloss. And to asswage pain, Syrup of Poppies.

Or thus: Take Syrup of Violets, and Quinces, Syrup of Ribes, or Pomegranates, or of Endive, each half an ounce; Syrup of Poppies three drams.

Also the candyed or preserved and conserved Fruits abovesaid and of Citrons, Gourds, or Lettice, or Cole­worts.

This is cooling and cordial: Take conserve of Roses an ounce, conserve of Violets, Citrons and juyce of Ribes, each half an ounce; species Diamargariton frigid and Dia­rhodon and red Coral, each a scruple; with sugar of Roses, make a mixture.

To resolve the residue of the Inflammation, or the Imposthume of the Stomach use these at the end.

First, give Chamomil and Endive water, then six ounces of Chamomil water alone, often

Or: Take Chamomil and Endive water, each an ounce and an half; Sack an ounce, spirit of Wine a dram, with a drop or two of spirit of Vitriol.

Or this Julep: Take syrup of Endive and Wormwood, each an ounce; Mint and Elicampane water, each an ounce and an half, with Triasantalon half a dram, give it now and then.

Turpentine washed with Wormwood water, given twice or thrice, dissolves or ripens the Imposthumes of the Stomach.

Apply outwardly coolers and anodynes, with streng­theners.

As this Oyntment: Take Oyl of Roses an ounce and an half, Oyl of Violets, Rose Vinegar and juyce of Hawkeweed, each an ounce; boyl them till the juyces are consumed, add red Sanders, a dram, red Roses half a dram, Spike a scruple, Camphire half a scruple, with white Wax, make an Oyntment.

This Cataplasm is good for the beginning of the dis­ease. Take Violet-leaves, and Snakeweed, and Vine-leaves each a handful: Roses, Violets, and Comfrey-flowers, each a pugil; stamp them, add Barley-meal, or Bran.

In great pain. Take Chamomil, and Melilot-flowers, Roses, and Violets, each a handful; Wormwood half a hand­ful; boyl them in Milk, add Barley-meal six ounces, Co­riander-seeds and Sanders, each two drams; Oyl of Chamo­mil and Dill, each an ounce: make a Cataplasm.

Or this Fomentation against Inflammation. Take Rose and Plantane-water, each three ounces; Wormwood­water two ounces, Rose-vinegar an ounce, red Sanders two drams.

Or this Epithem against an Erysipelas of the Sto­mach. Take Rose, Sorrel, Nightshade, and Succory-water, each two ounces, Wormwood-water and white Wine, each half an ounce; Rose-vinegar two drams, Diarrhodon a dram, Coral and Ivory, each half a dram; apply it to the Sto­mach.

Use these to dissolve the Imposthume, as this with a Spunge. Take Wormwood, Mints, and Snakeweed, each a handful; Chamomil and Dill-flowers, each a pugil; Fae­nugreek and Bean-meal, each an ounce; Mastick two drams, Nutmeg a dram: boyl them in Wine for a Fomentati­on.

Then anoint with this: Take Oyl of Wormwood and Chamomil, each an ounce and half; Turpentine half an ounce, Mucilage of Marsh-mallows and Foenugreek-seed, each two drams; Mastick a dram and half, Cloves a dram, with Wax make an Oyntment.

Or this Cataplasm. Take green Wormwood a hand­ful, and Mints half a handful, stamp them, add Bran and Linseed-flowers, each an ounce; Roses and Chamomil-flo­wers in pouder, each a dram; Mace half a dram, add Oyl of Wormwood.

Or use Melilot-plaster dissolved with Oyl of worm­wood.

If the Inflammation do impost­hume, The cure of an Im­posthume of the sto­mach after Inflam­mation. ripen it with remedies in the Quinzie given at the mouth.

And with things there outward­ly prescribed, only ad some things that may respect the Stomach, being a more noble part.

As this Cataplasm. Take Orris and Lilly-roots, each two ounces; Wormwood and Mallows, each a handful; Cha­momil-flowers and Roses, each a pugil; boyl them in Wins and Water, stamp them, and add Wheat-flour four ounces, Lineseed poudered an ounce, yellow Sanders a dram, Saffron [Page 282]half a dram, Oyl of sweet Almons two ounces: make a Ca­taplasm.

Or use the Emplaister of Diachylon with Orris and Oyl of Mints.

To open the Impostume, use things mentioned in a Quinsie. Or this, Take Wheat flower four ounces, Pi­geons dung half an ounce, Oyl of Wormwood an ounce, Ho­ney an ounce, make a Plaster.

Also Roaring, Neesing, Coughing and rubbing of the Stomach and Vomit, will break the Impost­hume.

If they vomit matter, give Barley water and Sugar to clense, with Honey of Roses.

Then strengthen the Stomach, as in imbecility. The Cure of Car­dialgia, from a cold Stomach.

If coldness of stomach come from outward injuries or cold water drunk and produce Cardialgia, give and apply hot things actually and potentially so. And the pain will be abated.

Of which we shall speak in Imbecility of the sto­mach from cold.

And also of that cold that comes from a humor; for Imbecility, is the cause of both.

But if the cold be so great that not only the stomach, but parts adjacent suffer, & a Dropsie or Cachexy follow (which comes by drinking much cold water, when they are very hot (we shall speak of the Cure of that, in the hurts of the bowels.

As the cause is, so must Distenti­on, The Cure of Cardi­algia, from Desten­tion, Inflammation, and aggravation of the Stomach, by Wind, Meat, Hu­mor, Tumor or Bo­wels adjacent, or outward injuries. Aggravation or Inflammation of the Stomach be cured.

If it come from Wind, which proceeds from Meat, Humor or weak Concoction, it causeth a stretching pain: because there must be good dyet to hinder the bree­ding of Wind and Evacuation, and hot remedies used to help con­coction and discuss wind inwardly and outwardly, we shall speak of it in weakness of sto­mach, from crude humors.

If the Stomach be stretched by Air, taken in with drink, except it be belched forth again, we shall Cure it, as in the Cure of wind.

If there be stretching and heaviness, from plenty of things eaten, and compression after Concoction and Digestion, by excercise it will away.

But if it be great and will not yeild by reason of the quantity or quality it must be vomited up or purged & the stomach strengthened. All which are used against those causes that weaken the stomach, and because there is also weakness, we shall speak of it in Imbeci­lity of the stomach.

As also if this stretching or heaviness, comes from a crude humor, we shall speak of it there, because that is the cause of weakness, and this is the cause of that.

If it come from a hard Tumor, after a wound, or a Scirrhus, although it be difficult, and there will be al­waies some heaviness after meat especially, and weak­ness, let the Cure against weakness be sufficient: yet use Emollients, as soon as you suspect it, and consume it, if you can.

The best way is to give Turpentine pills with Gum Ammoniack and Mastick often.

Or these: Take Gum Ammoniack, dissolved in juyce of Orris, Mastick, each a dram; Storax, Myrrh, Lada­num, each half a dram; with juyce of Orris, make pills, give half a dram often.

Or give a drop or two of Oyl of Myrrh or Mastick with Sugar, or otherwise.

And apply outwardly things mentioned in the hard­ness of Liver and Spleen.

Or thus: Take Mallows or Wormwood, each a handful; Chamomil flowers a pugil, Schaenanth two drams, Figs twelve, boyl them in Wine, stamp them, and add Gum Ammo­nick and Bdellium, dissolved in the Decoction, and Myrrh, of each two drams; with Honey, make a Cata­plasm.

If the stomach be oppessed, by the Liver, Spleen, Reins, Colon, Midrife being stopt, stretched, swollen, hardned or inflamed, Cure it, as in these diseases, for the heaviness will not away, till they be removed, nor the difficulty of breathing, though they complain least of them.

If it come from the crookedness of the sword Gristle bent inwards and pressing the Stomach, it is incurable, and no rest can be, till the patient lye upon his Back, that the Stomach may remove from it: or till there is a compleat Concoction.

If it come from hard things, outwardly pressing, remove them, and if they have done any hurt, mend it.

If the twitching of the stomach cause loathing, rather then pain, The Cure of Car­dialgia, from twitch­ing and tickling of the stomach. Cure it, as in loathing. If worms cause tickling, expel them, and any other Disease that causeth it

If there be Irritation or rea­ching with pain, knawing, The Cure of Cardi­algia, from Irritati­on, or provoking, or from things swallo­wed, or from Medi­cines, or from poyson bad Dyet, or evil hu­mors. prick­ing or burning caused by things swallowed, that wound the Sto­mach; first remove them, if pos­sible, not by force, as vomiting (for so the stomach wil be closed and the things that hurt will stick faster) but by things that make way, and wash, and make them descend, that they may not hurt the entrals for they do not easily fix though sharp, but are cast down by the Stomach and Guts, as other hard things, and stop not, till they come at the straight passage of the Fundament. For we think it impossible (as some say) that they should pass through the Veins, by the Mese­raick and Gut out at the skin. Yet we have observed, from a Famous Chirurgion, from whose mouth I had it, with great admiration of the hearers, that a Needle swallowed, which stayed long in the body, came out at the Reins, by the right Kidney in an Ulcer. And I my self saw and handled a piece of Glass, which came out by Urin, by a strong Diuretick, after a great and sharp pain in the Uriters and fit of the stone.

These are washed away with great draughts, of fat things especialy, which relax the passages, as of broath, Milk, Oyl or Butter, which done, if by the pain we suppose that a Needle or a thorn be fastned, then we prevent, or Cure an Inflammation, as we shewed in Inflammations. If by reason of great hurt they vo­mite blood, we must stop it, as we shewed in vomting of Blood. If matter come forth, we must give clen­sers, as was shewed in Ulcers of the Jaws and Gullet, and then dryers to heal, as was there also shewed. But this is hardly done in this noble part ulcerated, and if it be done it leaves a Callus, which causeth weakness. Here we shall shew how these two last are to be done.

Whether it be from things swallowed or Choller, or evil juyce, vomiting is good, and though it come of it self, yet nature is to be helped, if it be not sufficient tocast out the offence.

The Vomits must be such, which wash the stomach, [Page 283]and make the vomiting easie. as warm water, Broaths or Drink plentifully taken; with Oyl, Butter or the like, which turn the stomach and allay sharpness; or with Honey and Sugar, which also clense. Also Bar­ley water is good.

In a cholerick sharp juyce, give things to abate it, as water, or the like, with Vinegar, syrup of Sorrel or Oxymel, and other Vomits mentioned in Fea­vers.

Also gentle Clysters to draw it out of the Stomach. And though the body be loose (as it needs must be by the provoking of the expulsive faculty) yet Cly­sters are good to take away pain in the Stomach and Guts, for they can get into the Stomach by the Co­lon.

Also Suppositories revel and do some thing thereby, examples of all these are in the Colick.

When there is choler, or sharp juyce, or any violent thing swallowed, whether Medicine, or Poyson, or o­ther things that hurts the stomach, it is good to purge, because nature tends that way. And there are many purgers of choler mentioned in cholerick Feavers, good in this case, if they be so ordered that they may not trouble the stomach: thus.

Take Cassia ten drams, or Catholicon ten drams, or three drams of the Electuary of juyce of Roses, or the like, as Dia­cydonites with Scammony alone, or with Sugar, or with Wormwood water, or of Endive, when you will temper choler; but when you will clense, with Barley or Pease broath. But when you will loosen more, with a De­coction of Fruits and old Cocks broath. Rondeletius commends Fish broath, or Whey, or Possets: or if bit­ter things will down, the Decoction of Wormwood, which is clensing, and is good against both choler and flegm.

Or give three ounces of syrup of Roses, or an ounce and an half of syrup of Roses with Rhubarb, or Senna, or that of suc­cory with Rhubarh, or of Wormwood.

Or this Decoction: Take sweet Prunes and Tama­rinds, each half an ounce; Endive a handful, Violets a pugil, Barley a pugil, senna half an ounce, Polypody six drams. Epithymum two drams, Annis seed a dram, boyl them, with sugar, syrup of Violets, or Roses: make a Poti­on.

Or this infusion: Take Rhubarb four scruples, Senna two drams, Wormwood a dram, Spike half a scruple, bruise and sprinkle them with white wine, and add Endive and wormwood water, infuse them, and add syrup of Roses an ounce, give it. You may mix with it the Laxative afore mentioned.

Another infusion in wine of wormwood, better for the stomach: Take Senna an ounce, Rhubarb a dram and an half, yellow Myrobalans three drams, wormwood two drams, Cordial flowers a dram, Spike a scruple, Fennel seed a dram, steep them, (being bruised) in white wine that is smal, twenty four hours. Give every day a draught.

Pills for the same: Take Aloes (which is good to clense both choler and flegm) a scruple, Rhubarb half a dram, Spike three grains, Scammony two or three grains, with juyce or syrup of Roses: make a Dose of Pills.

Or give a dram of Pills of Rhubarb, or scammoniate Pills, if need require.

If the stomach be provoked by a bad Medicine, or poyson, or burne, or be corroded; give things to alter by moistures to abate the force, or by slyminess to de­fend the stomach, and that will heal, and resist Poy­son.

As warm Milk, or Cream of Almonds, or Pinenuts, or of Cold seeds, or Barley Cream.

Or the milky juyce of Goats beard, Hawkweed, Sowthistle, Sycomore, in Corrosions are good.

Or the Mucilage of Lineseed, Fleabane, apples Pears or Quinces.

The Decoction also of Lineseed heals the Stomach, when it is corroded by taking of Spanish Flyes.

Or: Take Marsh-mallow roots an ounce, Comfrey roots half an ounce, Line and Quinceseed, each a dram; boyl them in Water, and add Sugar, drink often there­of.

Or oyl of sweet Almonds, in a good quantity, or the oyl of Sesamum, commended by Dioscorides.

If the stomach be poysoned, give Treacle and Mi­thridate and the like, which are proper to take away the cause and the pain. But after a violent purge, they do more by stupifying the expulsive faculty, then by the way of Antidote.

You may also give Antidotes, without Opium, which are contrary to poyson, by a peculiar quali­ty, or general Antidotes; such as are prescribed against the Plague, and biting, and stinging of venemous beasts.

If the stomach be burnt and reacheth from choller or sharp juyce, give things that moisten, and are sharp and cool, and will hinder the reaching, and also such as take the sensibility away, and asswage the pain.

As sour Fruits take away the burning of the stomach, Citrons, Limons, Orenges, Pomegranats, Apples; Plums, Cherries, Grapes, and Strawberries, and chiefly Currans and Berberries.

Also Lettice, Endive, Violets, Borrage, Sorrel, wood-Sorrel, Vine leaves and Berberry leaves in sallets, or otherwwise.

Dioscorides commends simples against the burning of the stomach and some of them are hot, as scordium, Pennyroyal, spicknard, smallage, flowers of Comfrey, sweet rush, Piony seeds, and wild Laurel, and juyce of Liquorish.

Also Flesh, or Barley broath, with cooling and moistning herbs, and Vinegar, or other sour juyces, or the Decoction of Wormwood, or the juyce of the Fruits aforesaid, or sharp Herbs alone, or with sugar, or syrups, if they be two sharp.

In a cholerick stomach, wormwood wine doth quick­ly help, by clensing flegm and Choler.

Or a sharp syrup alone, or with waters, or Decocti­ons, as of sorrel, or Vineger, or Oxysacharum, or of Pomegranate juyce, or of the syrup of them, or of Ap­ples, Plums, Limons, Citrons, unripe Grapes, of Cur­rans, Berberies, sorrel, or that of juyce of Quinces boy­led, or quidiney of Quinces with wine, or Vinegar to make it sharper. And so you may mix other syrups, that are too sweet, to beat down and suppress choler, which two sweet things will breed. Also syrup of Violets, Roses, or Juleps thereof, also of Endive, suc­cory and Water-lillies, and the like, well mixt with waters, or Decoctions, for so they suppress choler not only by cooling, but wetting, especially if they be sharp, to all which, add syrup of wormwood to clense choler.

Also Conserves and Candites of the same Fruits and Herbs are good, (but alwaies be ware of sweet, they will heat choler) and Conserve of quinces, Citrons, Gourds, Lettice, Colewort.

Also juyce of sharp fruits without sugar, as the an­cients did, or with Vinegar, usually they are without sugar, as of Currans, Berberries, unripe Grapes, or these.

Make Electuaries of these mixed, as that called [Page 284] Diacydonites of Quinces without the Spices, which is made of the Pulp of Quinces, boyled with Honey and Pouder of Diacydonites.

Or thus: Take Conserve of Roses and Sorrel, and Citron­peels, each half an ounce; Conserve of Currance an ounce, of Myrobalans candied one, the pouder of our Diacydonites, or Trionsantalon, or Diarrhodon a dram, with syrup of Sorrel or unripe Grapes make an Electuary.

And this: Take Citron-peels, candied Quinces, and conserve of Quinces, each two dramss juyce of Currance with­out Sugar, all well dryed half an ounce, the Pouder of our Diacydonites (which I shall after shew) Cinnamon, each a dram; with Rose-water and boyled Sugar make Lozen­ges.

Or give Crumbs of Bread steept in Juyce of Pome­granates, Lemmons, or the like, with Vinegar and Rose-water, to make it pleasant.

Or Barley-meal, with Capon-broath, and Juyce of Pomegranates, which is Hippocrates his remedy against the heat and reaching of the stomach.

Or Pine-nuts eaten, and Juyce of Purslane drunk af­ter, are good against burning of the stomach.

The usual Pouders for Choler in the Stomach are Diatrionsantalon, which hath no other spice but cold seeds, Roses, Gums, Starch, Juyce of Liquorish, burnt Ivory, and Camphyre, and Rhubarb. Also Diarrho­don Abbatis which hath all the former Ingredients, and other cold, and Mastich, and some spices of hot Seeds and Cordials.

The Pouder of Diacydonites without the hot Spices is added to this Electuary, when we will only cool, and is used after Meat, and Trionsantalon, Barbary, and Sorrel-seeds, Roses, and burnt Ivory.

Instead of which; Take dryed Quinces half an ounce, all the Sanders, each a dram; red Roses two drams, Sorrel and Barberry-seeds, each a dram; the Antispodium of Dios­corides made of Quinces half a dram, make a Pouder, mix them with Pouders after Meat, or Electuaries.

Also the Pouders of the Troches of burnt Ivory, Camphyre, Bar-berries, allay the heat of Choler (they all have burnt Ivory) and Antispodium of Quinces al­so.

Instead of all these Pouders for hot Stomaches, use this. Take dryed Quinces half an ounce, Citron-peels a dram, red Sanders two drams, white Sanders a dram, Liquo­rish two drams, red Roses two drams and half, cordial-flowers a dram, great cold Seeds two drams, small cold Seeds half a dram, Sorrel, Purslane, Barbery, Coriander-seeds, each a dram; white Poppy-seeds, Gum Traganth, and Arabick, each half a dram; Coral a dram, Antispodium made of Ivo­ry, or Harts-horn half a dram, and to please the Stomach Cinnamon and Aniseseed, each a dram; sweet Sanders half a dram, with Mastick make a Pouder: Give it with Sugar of Roses, or in Lozenges made with Sugar and the Waters mentioned, and a little juyce of a Lemmon or Vinegar.

A bitter Pouder easie to be made against Choler in the Stomach. Take Wormwood a dram, tops of Centau­ry, and Masterwort-roots, each half a dram; give a spoon­ful with Wine.

A Pouder against Burning of the Stomach. Take white Chalk half an ounce, Nutmeg a dram, Sugar an ounce: Give a spoonful.

Or this: Take Crabs-eyes two drams, Bole half a dram, red Roses a dram, Sugar of Roses half an ounce: Use it as the other.

In great Pains give things to abate Sense, as Anti­dotes to be mentioned in Imbecillity, which are good here if new made, though they have many hot things, and opiate Electuaries; as Philonium Romanum two scruples, in Pills or Electuaries of Juyce of Roses to purge Choler, or requires Nicolai half a dram, with Wine.

Or this Drink: Take Syrup of Poppies six drams, Sy­rup of Roses and Wormwood, each an ounce; give it with convenient Water or Wine.

If you leave out the Syrup of Poppies, and boyl in the other a grain of Opium gently, and give it with Chicken-broath, it is excellent.

In time of danger, give Narcoticks and that often, I have often with good success given my Nepenthe in a cholerick Vomiting from anger, when there hath been great pain and heat of the Body.

Outwardly of what cause soever in heat or corrupti­on, we use Astringents and Coolers, as to keep the flux of Choler from the Liver, adding alwayes some hot things proper for the Stomach, because outwardly they cannot do hurt, but strengthen, and cause piercing: they must all be used warm.

The usually cold Oyls of Roses and Omphacine, that is of unripe Olives, Quinces, Myrtles, Mastich, with hot; as of Mints and Spike, are used with Vi­negar to make them pierce, or Wine to strengthen, boyled in them till they be consumed.

A cooling strengthning Oyntment. Take Oyl of Roses and Quinces, each an ounce; Oyl of Myrtles, or Ma­stick, Wormwood, or Mints, each half an ounce; Vinegar of Roses six drams, boyl them till the Vinegar be consu­med, add when they cool Pouder of Citron-peels, Corian­der-seeds, red Roses, Wormwood, each half a dram; Coral a dram, Sanders red and white, each half a dram; Spike two scruples, Camphyre a scruple (to pierce rather then cool) with Wax make a Liniment, or with Labdanum two drams, Aloes a dram, and Turpentine make a Plaister.

Galens cold Oyntment of Roses, and the Cerot of Sanders, are good in Burning of the Stomach, and of other Bowels.

In a great Heat when you will cool more; Take Oyl of Roses omphacine two ounces, juyce of Sowthistle, Solo­mons-seal, Vinegar, each half an ounce; Pouder of Alaba­ster half an ounce, with Turpentiine wash'd make an Oynt­ment.

Or use the Oyntment in the Inflammation of the Stomach mentioned.

Or a Cataplasm of Purslane, Nightshade, Solomons­seal, Vine, Sowthistle, Harts-tongue, Venus-navel, Water-lillies, wild Vine, Roses, with Wormwood, and Mints, or Chamomil-slowers in pain, boyled in water, or Rose-water, or Horstongue-water, well beaten to a Pultis, with the Oyls aforesaid two ounces, Mastick half an ounce, Alabaster three drams, Horstongue poudered two drams, Sanders and Cloves, each a dram; make a Pultis.

If the pain be great, use an anodyne Cataplasm men­tioned in the Inflammation of the Stomach.

Or this: Take Toasts of Bread dipt in Vinegar of Roses half a pint, Pulp of Quinces so steeped also three ounces, add a little red Wine, and juyce of Quinces, and pouder of Ma­stick half an ounce, dryed Wormwood two drams, Chamomil­flowers and Mace, each a dram; Oyl of Roses and Chamo­mil, each an ounce; mix and apply them.

Or the Fomentation mentioned in Inflammation, or of the Herbs mentioned, or of the Oyls, with Vinegar, and Juyces of Herbs.

If there be pain: Take Roses, wild Vine, Chamomil, Melilot or Dill, each a pugil; Wormwood or Mints, each half a handful; Marsh-mallow roots six drams, Coriander­seeds and Myrtles, each half an ounce; Mastick two ounces, Cloves, Sanders, each a dram; with Water and red Wine make a Fomentation.

Or use an Epithem of Rose-water and Vinegar, with a Linnen-clout, or a toast of Bread.

[Page 285]Or, Take Rose-water two ounces, Harts-tongue, and Wormwood-water, each an ounce; all Sanders, or Diatrion­santalon two drams, Coriander-seeds, Antispodium, each a dram; mix and apply them. Or use that mentioned in Inflammation.

A Pouder for a bag, or to be sprinkled after anointing in Burning of the Stomach. Take Coriander-seeds pre­pared in Vinegar half an ounce, Myrtles, or Barbery-seeds, red Roses, Sanders and Citron-peels, each a dram and half; Wormwood, red Coral, each a dram; Sanders and Nutmeg, each half a dram; make a pouder.

If Choler rise from the Liver to the Stomach, apply Cupping-glasses to the Liver to draw it back, and it will ease.

Weak Constitution of the Sto­mach that hinders the Functions, The cure of weakness of the stomach from defect of Natural heat, distemper, cold, or moist actual cold, stretching, inflam­mation, loosness, or o­ther fault in the mem­ber. and causeth Excrements, and so Cardilaea or usual pain; If it come from want of Natural heat by birth or age, or by a Disease, and be inhaerent in the Stomach, be­cause it cannot be cured, we must provide that by decent Diet and Stomach-medicines, that bind gently and strengthen it, and heat, that it may be streng­thened, and the want of Natural heat supplyed. If this Weakness come from a cold or moist Distemper, and be fixed, it is difficult to be cured as the other (called the Coldness of the Stomach) and we must only keep it from growing worse as the former, and with hotter Medicines. The cold and moist Distemper that is ac­quired, is taken away with hot Medicines after the Ex­crements are removed. But when the Stomach is too loose and thin, though it can scarce be mended, yet by use of Astringents and hot Remedies in cold and moist Bodies, or of temperate in other Bodies, we must labor to bring it to its former state. If it be too strait and dry, we use Moistners to loosen it.

The Method of curing of which, and other Diseases of the Stomach, as Coldness, or Stretching, or Humor crude or cold; or Inflation from Wind, is as was for­merly shewed. Except the dry Distemper of which we shall speak in the Cure of Weakness, because it re­quires contrary Remedies. And the Medicines must be fitted divers waves, either by Diet, Vomits, Bel­chings, Clysters, Purges, Alterers, inwardly and out­wardly as shall be shewed.

First in these Diseases of the Sto­mach keep a good Diet, Diet for the weak­ness of the stomach because Meats goes directly into it, and must be digested by it, and we must have a care that it fail not therein, from whence most Diseases of the Stomach come, or are increased. This is done by a decent quantity and quality of Food.

In a weak Stomach, these are to be chiefly observed in the quantity, that they eat little at once, taking heed that they be not so filled to feel weight, or compression after Meat; and that they breath not shorter then a­fore Meat. In the manner, take heed of eating too greedily, but a little at a time, that the Stomach may cover it, not continuing so long at it till concoction be begun, which will be offended by adding more Meat. To refresh them therefore that have weak Natural heat, because they must eat little at a time, let them eat oftner then they that have strong Stomaches. They who have very cold and foul Stomaches, must eat most seldom, and not before the first Food is concocted, and they have an Appetite; therefore one Meal a day is sufficient for a foul stomach. And they whose stomach is pained for abundance of Food, must abstain till it is digested. And in a sit time as in the morning, five or six hours after sleep, and if they can eat twice or thrice a day, three hours afore sleep at night, after a Digestion and when there is an Appetite. And before they sleep after Supper, let there be a kind of Concoction, that the Vapors which arise at the first plentifully, may be partly discussed by waking, and may not go too much to fill the Head, by sleeping presently. This rule is not so strictly to be observed by old and weak persons, that sleep not the whole night, but they may sleep pre­sently after Meat at noon and night, as they desire, which refresheth them, and doth not hurt them, because the Vapors are not so many as in Youth, wherein more is eaten.

For the quality of Meats observe the substance and the Juyce. Let it be easie of Digestion, least while it is long a concocting, the stomach be grieved, or if it be not, or not sufficiently concocted, there be Crudities and Wind. As the Flesh of young Creatures, or slen­der, soft, and juycie Food which is easily concocted, when hard, dry, and tough, or slimy is hard, except it be artificially prepared, by roasting, boyling, mincing, and other wayes.: By which means somtimes good Meat is spoiled, as by smoaking, salting. Also it must be of good Juyce, that weak stomaches may be better, and sooner refreshed thereby, and fewer Excrements bred, which is required in all weak stomachs. This commendible Juyce is in all Nourishment from Beasts or Plants that are true, and have not a Medicinal vertue (which is distinguished by tast or scent) except by mustiness, rottenness, and the like, they be corrupted, or made so that they presently corrupt in the stomach, or breed Excrements or Wind by their moist and crude Juyce, which they have besides the good, or otherwise are hard of Concoction, by reason of their tough sub­stance. Meats that are easie of Concoction and of good Juyce, must have these qualities, and it would be too tedious to mention all. The Meat for Nourish­ment must be temperate, a little inclining to Heat in cold and windy Stomachs; as it may be made by sau­ces, which we use for medicine as well as for custom.

As for other things, namely the Motion of the Body and the Mind, Exercise is good afore meat for a weak stomach, and if it be much, and can be endured, it stirs up the Natural heat, and warms the Body, and makes it fit for other Functions, and gets a stomach. After Meat use not strong Exercise to disturb the meat in the stomach but walking or standing, that the meat may go to the bottom of the stomach, and be better concocted. Also moderate rest refresheth and helps the Stomachs actions. And it is better after meat then great Exer­cise, which may cause corruption or hinder Concocti­on. Rest by sleep may help Concoction by accident (not by the sleep but by the quietness of the Body and Mind) because we see that when the Animal Functi­ons are quiet, the Natural are most exercised. For the Concentraction or meeting of Heat in the Center which they say doth concoct in the time of sleep, can­not be true, because Heat comes outward more in that time, therefore they sooner sweat, and therefore if sleep help Concoction, it is from some other Cause, for in the time of waking, by reason of motion, as we shewed the Concoction and Distribution of Meat is sooner made. And if waking they find Crudities, it is from intemperance and eating of what is not fit, which hin­dereth sleep. Also there must be a Natural voiding daily of the Excrements to ease the Stomach from them, but too much Evacuation, especially by Venery, as it weakens the whole Body, so it doth the Stomach, and troubles of Mind, but recreation is good.

[Page 286]Vomiting is good in all fulness of the stomach, Romedies fit for to cleanse the stomach. for if it be pained by stretching it is presently eased thereby, if it can be which is hard, when it is much dilated, when breath is difficult. Especially vomiting is good, when there is heaviness from crude flegmack humors; And from weakness, in which it is good every month; otherwise, if there be no Excre­ments, it will do hurt, especially if they be unfit, or unacustomed to it. And in wind, when there is no other Humor, vomiting is not to be used rash­ly.

It is caused by tickling the Throat and rubbing the Stomach, or by gentle vomits, or such as clense and cure, if there be flegm that is tough. As Oxymels or syrup of Sorrel, with warm water, or Decoction of Radishes, Beets, Arach seeds, Asarum, and Agarick, or stilled water of Nuts and Radishes. In weakness we add hot and bitter things, and that Cut, As worm­wood Wine before, or Syrup thereof with waters, or Decoctions mentioned.

In all these Causes, belching is good, to take off the swelling and the Cause, if nothing but wind.

It comes of it self after meat, by bending, we may willingly hold, but not send out a bulch. For they which make such a noise like belching, do not break wind forth, but Air, that they first suckt in, and which they send from the Gullet, not the stomach.

And it is Caused by Fomentations and hot things actually and potentially, so as follow.

Clysters do well, when the Stomach is burdned with Meat or Humors, or stretcht with wind to stir up na­ture and open the lower parts and empty the Guts. And in weakness of the stomach, if the belly be bound, they may be somtimes given, especially if they work but little and are not Compounded. Of strong things, which are forbidden in weakness of the Sto­mach.

But we may use sharp Clysters to draw down, and such to expell wind, if it come from them, such as shall be prescribed in the colick.

If the stomach be desturbed by crude humors, or flegm, or wind from them, or from weakness, it is good to purge often, but with gentle things, that we offend not the stomach. Yet in necessity, we use strong purges, with correctors for such things as offend the stomach; and strengthenres. The forms whereof, we shall mention in relation only to those diseases of the stomach, which we have declared. Because there are purgers in general for the stomach, in other diseases mentioned here and there.

Pills are thought best for the stomach, by reason of the Aloes that is in them, which is thought the best purger for the stomach (though it stinketh and causeth loathing) and by reason of its bitterness and unplea­santness, can be very ill taken. This Aloes is a thick juyce, as it is brought to us, and the redder it is, the better it is, that is, if it be of a redlike yellow, and it is called Aloes Cuccotrine, or rather Succocitrine, from its Citron color. And when it is hollowed with­in like a Liver and Brittle, it is called Aloes Hepatica. But it may be made better by praeparation, when it is poudered and washt from its filth, by which means it is never the less operative in purging (though it be commonly thought otherwise) But it is stronger when it is poudered and infused in convenient liquor, and dissolved by steeping, and then juyce that swims at the top poured of from the residents, often, and then brought into a Body: If this liquor be Wine or spirit thereof, or other spiced Drink or Decoction, it will warm and strengthen the stomach the more: and if it be done in wormwood Wine, the cleansing and losning vertue will be the greater.

I am very much pleased with Aloe rosate with Rhu­barb, thus made: Take the purest succotrine Aloes three ounces, washt it nine times in the juyce of Damask Roses, and dry it as often, then add the pouder of red Roses three drams, Rhubarb a dram, and of the extract of Rhubarb half an ounce, Spicknard a scruple, with syrup of Worm­wood: make a mass for Pills,

Also the essence of Aloes is thus make: Take Aloes succotrine three pound or sour, pouder it, and put it into a glass, with Sorrel water five fingers above it, put it in Balneo two or three daies, then pour off the Tincture, which is reddish, and add again Sorrel water, but not so much, and put it in Balneo again, and pour of the tin­cture, do this till the water will take no more tincture, still all these tinctures in Balneo, till there remain in the bottom a matter like Honey, shining and reddish, let this be mixed by degrees with juyce of Roses and dry­ed so often, till three pints of the juyce be consumed. Keep this essence.

Of this preperation, we give a dram or half a dram, as often as we please, when we will gently loosen, and not hurt, but help the concoction.

With other juyces, they are made stronger and better for the stomach. Let Aloes be finely poudered and sprinkled with juyce of Roses and dryed, and then pou­dered again, and so thrice ordered, it will less heat, this is called Aloes rosata.

If it be done with juyce of Wormwood, it is better for the stomach, instead of which you may use thick juyce of wormwood, which they call the extract with the Aloes.

You may add other alterers to Aloes, to make it work to your purpose: as when we will heat the sto­mach, spices: when we will strengthen, Mastick, Ro­ses, Spike? when we will clense more, Asarum and Myrrh: when we will concoct, Saffron and the like: as in the Pills of Hiera simple and Alephanginae called Aromatical, from the plenty of Aloes; which we use chiefly in a loose and weak stomach, and are called sto­mach Pills, and the Pills called Asajereth, which have Myrobalans in them.

And we may add to it other purgers, when the sto­mach is very foul, but they must not be enemies to the stomach. Thus are the Pills to be taken before meat made, with Rhubarb and Aloes, called Aggregative the lesser of Mesue, and Pills of Rhubarb and Agrimony proper for the Liver, or those of Mastich, made with Agarick, or those mixed of both called de Tribus and imperial, which have Senna; or those which have Turbith called the Stomach pills of Turbith. These Pills are used divers waies, by themselves or mix­ed.

These we sharpen with stronger, when we will have them work more, and rather with those that have Scammony, then that which is more offensive to the Stomach.

In immitation of all which we may make new sto­mach Pills thus, only to purge the Stomach from Ex­crements, with Correcters, which help them, rather then alterers, which may be given better without pur­ging.

In a cold Cause, the most gentle, are these: Take Aloes prepared or extracted, with Wine Simple or Com­pound, as we shewed, half an ounce, Cloves, Nutmeg or Mace, each half a dram; Pepper, or Ginger a scruple, if the Head-ake not, else half a scruple, with syrup of Mints: make Pills, give a dram two hours afore Supper.

[Page 287]That they may work in half a dram, make them thus with Oyls: Take Aloes prepared, as was said, half an ounce, half a dram of Oyl of Nutmegs, by expression, of the distilled Oyls of Marjoram, Mints or Cinnamon, each three or four drops, with syrup, make Pills.

Or thus, to purge and strengthen: Take Aloes pre­pared with Wormwood juyce half an ounce, Mastick, Ga­langal, each half a dram; red Roses, Spike, each a scruple; with syrup of Wormwood, make Pills.

When we will Purge more: Take Aloes prepared with juyce of Roses half an ounce, Myrrh, Asarum, of each half a dram; Ginger a scruple, with Honey of Roses, make a Ma [...]s.

These are more purging; Take Aloes prepared half an ounce, Rhubarb and yellow Myrobalans poudered and sprink­led with Wine, each a dram; Mastick half a dram, Cloves, Spike, each a scruple; with the juyce of Wormwood: make Pills, give a dram or more.

They are yet stronger, thus: Take choise or prepared Aloes half an ounce, Rhubarb and Agarick, each a dram; Myrobalons, Chebs and Indian prepared, as abovesaid, each half a dram; Ginger and Cardamoms, each a scruple; Spike half a scruple, with syrup of Roses, make Pills.

They will Purge more yet, if to any of the former receits, vou add half a dram of Scammony prepared with juyce of Quinces, or otherwise that it may not hurt the stomach, or two drams of Turbith rectified.

When we will purge the stomach, a Physick wine is convenient, because the Wine makes the Medicines pleasant, which are generaly unsavory, and if Worm­wood be added, it will purge Choler and Flegm the better and take away the scent, and the stomach, will be less troubled, because wine is a strengthener: Espe­cially if we will purge strongly, Wine is better then Pills, in which we can not put gentle things, by reason of the smal quantity.

In cold humors and wind, thus we purge, Take Agarick or Mechoacan two or three drams, Senna six drams, dryed wormwood three drams, Marjoram two drams, Mints a dram, Fennel seed a dram and an half, Ginger a dram, bruise and infuse them in three pints of Sack, for three draughts.

In a loose and weak stomach, that is flegmatick, thus: Take Rhubarb two drams, Myrobalans, Citron and Chebs, each a dram and an half; Senna an ounce, dryed Ci­tron peels three drams, Galangal two drams, wormwood three drams, red Roses a pugil, Mastick two drams, Spike half a dram, beat and infuse them as former­ly.

When you will clense and purge more: Take Senna an ounce and half, Turbith two drams, Agarick three drams, Rhubarb two drams, Tartar an ounce, Asaram a dram, wormwood half an ounce, Marjoram two drams, Mints a dram, Galangal and Calamus, each a dram and an half; Fennel seed two drams, Ginger a dram, Spike half a dram, bruise them for four pints of Wine for four Doses.

Of Electuaries that called Hiera of Galen, made only of Aloes that purgeth, and called Picra, because of its bit­terness, is chiefest, but ill to be taken: because they must take an ounce to move the Belly, but Rhasis prepares it without Saffron.

It may be thus made pleasanter: Take wormwood a handful, red Roses a pugil, Schaenanth three drams, Cubebs, Carpobalsom, each two drams; Fennel seed and Siler moun­taine, each a dram; infuse them in a quart of wine and water: boyl them a little, and strain them, then add Honey or sugar a pound, boyl and scum it, til be like a Syrup; then add six ounces, of fine Aloes, Mastick two drams, Cinnamon half an ounce, Asarum roots two drams, Spike a dram, Saffron half a dram, make an Electuary: you may give half an ounce, somtimes more and som­times less. And if you add two or three ounces of Senna, to the infusion, it will purge more.

If there be obstructions, make it thus: Take Liquo­rish an ounce, Fumitory, Harts-tongue or Ceterach, each a handful; Agrimony half a handful, Cordial stowers a pugil, Raysons four ounces, Polypody an ounce, Senna six drams, boyl them in Fennel and Annis seed water, and add to the straining Aloes five ounces, strain and boyl them to an Electuary, and add Mastick a dram, Frankincense a dram and an half, or two or three ounces of senna, to make it purge better.

Or if you add Hiera Galeni, whose correcter is Aga­rick or Rhubarb corrected by Spike, it will be nimbler and work in a less quantity, which is very acceptable, and the better with Scamony prepared. It is not good for the stomach, to give Coloquintida.

There are other purging Electuaries, not so bitter, stronger or weaker, here and there mentioned, that less hurt the Stomach, as the Lenitive Electuary, Diaca­tholicon, Diaphaenicon, of the juyce of Roses, and the like.

Diaspoliticum described by Galen, is an Electuary, made of Salt peter, to purge the stomach from flegm and wind and to clense.

A pleasant and powerful Conserve, is thus made: Take Agarick half an ounce, Rhubarb an ounce and an half, Senna four ounces, Cinnamon half an ounce, Ginger a dram, infuse them in four pints of wine and a pint of juyce of Quinces, boyl them a little, then strain them adding pulp of Quinces and Sugar, each a quarter of a pound, boyl them to an Electuary, give two or three drams, if you will have it stronger, that a less quantity may serve, add the extract of Scammony, which will not hurt the Sto­mach.

A good Pouder to purge the Stomach, though bit­ter: Take Agarick and Rhubarb, each a dram and an half; Turbith four scruples, Tartar a dram, Ginger half a dram, Spike a scruple, Gentian, Zedoary, each half a dram; wormwood a dram and an half, tops of Centaury and Fennel seed, each a dram; make a Pouder, give two dragms with wine and a little Aloes, if the Patient will endure the bitterness. If it be quickned with Diagredium, it will work better and in a less quantity.

You may with Sugar dissolved in Wormwood, or Mints, or Cinnamon-water make Lozenges for the same.

A Stomach purging Potion. Take Rhubarb four scru­ples, Spike a scruple, infuse them in Wine, strain and add syrup of Roses, with the Infusion of Senna an ounce, syrup of Wormwood half an ounce, give it.

Or this Decoction: Take Galangal half an ounce, A­sarum roots a dram, Wormwood two drams, Mints a dram, Senna half an ounce, Fennel-seed a dram; boyl and infuse Rhubarb and Agarick as before.

There are other Purges for the Stomach, here and there mentioned in other Diseases.

All remedies given to the Stomach must be accepted of it by propriety and strengthen it, Altering reme­dies against the weakness of the stomach. and be hot more or less, according to the diversity of the Cause, and fitted against the Weakness of it through want of Natural heat, or its cold Distemper, or against its Refrigeration, or for the preparation of Humors, altering or expelling of Wind: And as the Stomach is moister or looser, they must astringe more or less, and if the pain be great, abate it. This is done divers wayes.

Among Drinks, sweet Wine and old, as Muscadel. [Page 288]Sack, Malmsey, either at meat or otherwise, when it is cold, if it be drunk warm.

Also they are good when they are spiced.

Or made of Herbs, by infusing or a little boyling, as that of Wormwood is most usual, but unpleasant to some. It must be made of such quantity as may give it bitterness and good scent; it is good in all Diseases of the Stomach from Repletion.

And Mints and Marjoram make it pleasanter.

Or thus make it: Take Roots of Masterwort, Galan­gal, Zedoary, each three drams; dryed Citron-peels and Wormwood, each half an ounce; Mints, Marjoram, Cori­ander-seed, each two drams; Cloves, Nutmeg, each a dram and half; Mastick two drams, Wine four pints, steep them if there must be greater Cleansing, as in a foul stomach and Obstructions, add tops of Centaury a dram and half. If they hate bitter things, leave out the Wormwood and the Centaury.

For a windy stomach give Fennel, or Anise-seed, Wine and the like.

Or this: Take the barke of Fennel-roots, and Roots of Calamus, each half an ounce; Mints, Marjoram, Spondi­lium, each a handful; Fennel, Caraway, and Seseli-seed, each two drams; Juniper and Bay-berries, each an ounce; infuse them in Wine, add a dram of Cummin-seed, if the scent be not disliked, if they love bitter, ad Wormwood.

Dioscorides teacheth that Melilot boyled, or infused in Wine, is good against pains of the stomach.

Also Wine is made of Infusion of Spices for the sto­mach, which may be sweetned and strained.

To make Hippocras sweetned. Take Cinnamon an ounce, Sugar a pound, wine four or five or more or less pints, as you will have it more or less sweet, add Pepper, Gin­ger and Cardamoms, each half a dram.

The Wine of Mountpelior called Pimentum, is thus sweetned. Take Cinnamon six drams or more, Ginger five drams, Pepper two drams, Cardamoms the great, Cloves, Nut­megs, each a dram; Honey five pints, Wine ten pints, steep and strain them.

A Claret artificial for the stomach. Take Cinnamon an ounce and half, Ginger half an ounce, both Cardamoms, round and long Pepper, each a dram; Nutmegs, Mace, Ga­langal, Cloves, each a dram and half; Spike, Schaenanth, each half a dram; Honey, or Sugar, or both a pound and half, Wine five quarts.

A spoonful or two of the Infusion of Spirit of Wine, is good. As, Take Cinnamon an ounce, spirit of Wine a pint, Sugar four ounces, set it in the Sun, and add Rose­water.

Or thus: Take Cinnamon an ounce, Pepper, Ginger, Cloves, each three drams; infuse them in a pint of spirit of Wine, add a spoonful or two of this to, Wine and Sugar, and it will be excellent against the Wind of the Stomach.

Another against Pains of the Stomach. Take Nut­megs two drams, of Wine two ounces, with Honey of Roses sweeten it: If it must be presently used, boyl it a little, give two or three spoonfuls: some boyl this till the spirit of Wine is gone, and make a Mixture.

Or infuse Wormwood in Aqua vitae, and mix some drops with Wine.

Or other Stomach-herbs.

Dioscorides teacheth that the Broath of an old Cock expels Wind.

Or make Broath with Pepper, Ginger, Cloves, Nut­meg, Mace, or the like, with a little Saffron.

Some boyle the stones of Bay-berries in Broath, to make it pleasant, and strong to expel Wind.

Or Herbs, as Marjoram, and other Pot-herbs, as Mints, Hysop, Savory-Broath; with Wormwood, is commended if it be not distastful.

If the scent may be endured, it is also excellent to boyl Chamomil and Melilot-flowers in Chicken­broath.

In a weak and windy Stomach: Take Caraway-seed a dram, whole Pepper ten grains, boyl them in Broath, with a scruple of Mastick.

The only Decoction of Mastick strengthens the sto­mach.

Syrups to prepare afore Purging, when we will cut. Take syrup of Mints, Hysop or Stoechas, each an ounce; Ho­ney of Rosemary-flowers half an ounce, with Mints and sweet water make a Julep.

When we will cleanse also. Take syrup of Worm­wood and Bettony, each an ounce; Honey of Roses, and syrup of Vinegar, each half an ounce; with Wormwood-water.

When we desire most to strengthen. Take syrup of Citron-peels, or of Nutmegs, or of Myrobalans an ounce, sy­rup of Mints, or Chamomil half an ounce: Give it alone, or with Wine, or Wormwood, or Marjoram-water,

A Compound Syrup. Take Fennel-roots half an ounce, Roots of Masterwort, Calamus, Zedoary, Citron-peels, each two drams; Mints, Savory, Hysop, Marjoram, Betto­ny, Spondylium, Sage, Rosemary and Stoechas-flowers, each a dram; Fennel and Anise-seed, each three drams; Caraway­seed a dram, Schaenanth half a dram, boyl them in wine and water, add Nutmeg half a dram, and to the straining of Sugar six ounces, boyl it to a syrup, give an ounce and half alone, or in wine.

Or, Take syrup of Mints an ounce, syrup of Wormwood half an ounce, drink it with Wine.

Or this to strengthen: Take juyce of Mints half an ounce, juyce of Wormwood two drams, give it with wine.

Juyce of Chamomil and Melilot, each half an ounce; gi­ven with wine takes away pain presently.

Stilled Waters to strengthen and heat the Stomach, are of Wormwood, Mints, Calamints, Marjoram a­lone, or with Wine, or with other Drinks, or after Ele­ctuaries.

Cinnamon-water is refreshing and healing, if it be made of Wine, with Sugar.

Or some drops of spirits of Wine or Aqua vitae, pre­sently do help a cold flegmatick and foul stomach, ther­fore it is so common, and if it be compounded with spices tis the better. Or with hot Plants, and then di­stilled.

Some Natural Baths drunk to help the old Weak­ness of the stomach, when it comes from too great moisture or foulness, especially those of Niter. Itali­ans commend the Porrectan-Spaws, and Germans have many as good.

Chymical Oyls also of Plants and Spices are excel­lent, but not given alone, but with distilled Waters, or Wine a drop or two.

As Oyl of Cinnamon or Cloves, the rest are not so pleasant, and burn too much.

Or the Oyl of Marjoram, or Mints, or of Anise-seed and Fennel-seed, proper against Wind.

Also Oyls by expression are good, as of Mace, and Nutmegs, and inflame less, if taken with Broath.

Or Oyl of Palma Christi, and bastard Saffron, expels Wind.

These are given in substance, Mints, Calamints, Greek Mints, Sage, wild Mints, Spikenard, Lavender, Tansey, Goats-organ, Penny-royal-seed, and Root of Lovage. Also Roots of wild Parsley, and sweet Cane to expel wind, according to Dioscorides.

Also Roots of Masterwort, Zedoary, Galangal, Ca­lamus, Ginger, are drunk in pains of the stomach, and Rhapontick by Dioscorides. Or Bithwort against the pains of stomach and guts.

Onyons eaten, take away the pain, and Pistacha's and Rocker, help Concoction. Also Pears and Quin­ces.

[Page 289]Or Mints fryed with Eggs. And Wormwood so fryed, is used at great mens tables, where I have been, they seem not so bitter to some whose stomachs delight therein.

Also Anise-seed, Caraway and Fennel, expel wind, and help Concoction.

Or seven or nine corns of Pepper whole, that they may not burn the mouth given with Wine, do quickly help a cold stomach, and also Ginger.

Or a dram of Pepper wrapt in a wafer wet in Wine, and three ounces of Wine after it.

Galen gives Pepper with wine presently after Meat, if it turn to Flegm, and the Patient be cold, with short Breath and weak Pulse. This case Bairus describeth, and saith it is rare, but it is all one with Cardiaca.

Nutmeg helps Concoction, and the Pouder given with Chamomil-water takes away pain of the sto­mach.

Also Cloves alone, or in Meats, with Cinnamon, and the like; Cubebs are highly commended against wind, and Galangal chewed, breaks the wind, as they say.

Or Mastich swallowed whole, or in pouder a dram, or some grains often taken to strengthen.

And Gum of Ivy so taken, is excellent against pains of the stomach. And Labdanum, and Castor, with Wine, and the polishing Stone.

There are divers compound Pouders for the same called Species, to be given as Meat or Medicine alone, or mixed.

When we will heat much, we choose the Burners, if pleasant, as the Peppers, Ginger, Cardamoms, or the less pleasant, when there is much Flegm, as Zedoary, Cubebs, Pellitory-roots. When we will strengthen and bind, or astringe the loose stomach, we give less sharp, but sweet things, as Nutmeg, Mace, Cloves, Galangal, Calamus, Cypress; or sweet things, as cin­namon, cassia, or sweet cane, wood-aloes, yellow San­ders, Spikenard, Schaenanth, with Saffron concoct. Of hot seeds these help concoction, and chiesly expel wind; as the Anise-seeds, Fennel, Caraway, Cum­min, Smallage, Parsley, Ameos, sesely, or wild Parsley­seed. Of Herbs, sweet and pleasant, Thyme, Cala­mints, Lovage, Mints, Marjoram, Savory, with the Roots of Elicampane, and Citron-peels. And when we will strengthen, they add red Roses often, seldom Mastich. And to these species, Liquorish is added to cleanse, and Asarum that is sweet, but in a small quan­tity, least it turn the stomach, and Galen mixeth Niter. In some compound Pouders they put Musk and Am­bergreese for the Heart, but some love not the scent of it.

Of these divers Pouders are made, some are for Meat and Broath to make them pleasant, as Cooks do.

These following are sold ready prepared for the cooks in Germany. Take Ginger two ounces and half, Pepper an ounce, Nutmeg, Cinnamon, each two drams; Saffron three drams, this is called the Aromatical saffron pouder.

Another more pleasant. Take Ginger four ounces, grains of Paradise half an ounce, Pepper two drams, Nutmegs, Cloves, each half an ounce; Galangal two drams, Cinnamon two ounces, make a Pouder; this is used alone, or with six drams of saffron.

A more pleasant pouder is thus made. Take Cinna­mon four ounces, Ginger an ounce and half, Cloves an ounce, Pepper half an ounce, Saffron two drams.

A sweet pouder for meat. Take Cinnamon two drams, Ginger three drams, Cardamoms the greater, Pepper and Nut­meg, each a dram; Sugar two pound.

You may also mix the other species or pouders with sugar.

There is also a Salt compounded to season Meat for moist and loose stomachs. Thus, Take salt parched an ounce, Galangal a dram, Cinnamon two drams, the Ashes of Hens guts half a dram.

Salt and Caraway-seed with a rear Eg, helps conco­ction, and keeps the Eg from corruption.

Pouders to heat and strengthen the stomach, and ex­pel wind and crudities, and cleanse flegm and filth, are made af the aforeseid mixed, to be taken alone, or with Broath, Wine, Waters, Juyces, Decoctions, with, or without sugar; somtimes with eight times as much su­gar if they be unpleasant, and Lozenges or Electuaries. We shall shew Examples of stomach-pouders.

Of Aromaticks alone to heat, we make pouders, the first; Take round Pepper a dram, long Pepper half a dram, Ginger half an ounce, great Cardamoms, Nutmeg, Mace, cloves and Galangal, each a dram; Cinnamon half an ounce.

The second is more compound by adding to the for­mer, the lesser Cardamoms, Zedoary, Wood-aloes, or yellow Sanders, Spike, each half a dram; Cubebs, saffrom, each a scruple.

The third: Take Cinnamon an ounce, Ginger half an ounce, great cardamoms half a dram, round Pepper a scru­ple, Nutmeg, Mace, Galangal, each two drams; cloves three drams.

Of this Pouder with sugar a pound, you may make Lozenges; some leave out the Pepper a [...] carda­moms; some add cubebs, and alter proportions.

Or we may use the species Diacinamomi of Mesue, which hath besides the other Wood-aloes, Saffron, Eli­campane, and Musk.

A fourth less healing and more strengthning. Take calamints, Mints, Marjoram, Thyme, savory, each a dram; Liquorish a dram and half, Roots of Masterwort, Elicam­pane, and Pellitory in flegmatick persons, each half a dram; Asarum-roots, dryed Citron-peels, each a scruple; with red Roses two drams, make a pouder.

A fift Pouder of seeds to expel wind. Take corian­der-seed, Anise-seed, each half an ounce; caraway two drams, cummin, (if it be not offensive) Ameos, sesely, filer-moun­tain, Lovage-seeds, each half a dram.

The sixth very hot: Take round and long Pepper, each half an ounce; Ginger a dram, Fennel, and Anise-seeds, and tops of Thyme, each half a dram; make a pouder.

Or use Diatrionpipereon which is hotter, if it be Ga­lens; or that of Mesue which hath also cassia-wood, Spike, Smallage and Ameos seeds, roots of Asarum and Elicampane.

Or use the species of the Electuary of spices, made by Galen.

Or the Diaspoliticon of Galen, which cutteth flegm best, it is made of Pepper, Niter, Cummin and Rue.

The seventh, not so hot as the first: Take Calamints or Mints, Marjoram, Time, Lovage seed and of siler mon­tain, each a dram; Pepper and Ginger, each half a dram; Cinnamon a dram and an half: make a Pouder.

Diacalamintha of Galen or Mesue, doth the same thing.

The eight Pouder, which is also a strengthner of the Stomach: Take red Roses an ounce, Cinnamon half an ounce, Cloves three drams, Nutmeg, Mace, each two drams; Galangal a dram, long Pepper, great Cardamons and wood Aloes, each half a darm, Zedoary and Spike, each a scruple; Liquorish two drams: make a Pouder.

The Aromatical species of Gabriel, so much used is like this, it is prepared with and without Musk, and the Aromaticum Rosatum of Mesue, to which is added Cubebs, Troches of Diarrhodon and Gallia Moschata. And [Page 290]the species Rosata Novella of Nicolas, which hath Storax, and the species of the Electuary of Citrons made by Mesue, and that of Musk.

The ninth Pouder for the same: Take Galangal six drams, Calamus, Cloves, Cinnamon, Mace, each two drams; Ginger, both Peppers, great Cardamoms, each half a dram; Spike, wood Aloes, of each a scruple; Fennel, Carva, Annis seeds, dryed Mints and Marjoram, each two scruples: make a Pouder.

Or instead thereof, use species Diagalangae of Mesue, which hath Lovage and Calamints also.

The tenth is stronger yet: Take Cummin prepared with Vinegar, or Annis seeds, or both, an ounce; Fennel and Carua seeds, each two drams; Ameos, siler mountain, Ca­lamints or Mints, Marjoram, Savory, Time, Lovage, red Roses, of each a dram; Citron peels dryed, Masterwort or Zedoary roots and Pellitory, each half a dram; Liquorish, Nutmeg, Mace, Cloves, Galangal, Cinnamon, each a dram: Pepper, Ginger, great Cardamoms, Cubebs, Schaenanth, each half a dram; Spike and Saffron, each a scruple; make a Pouder.

Or instead thereof, give species Dianisi of Mesue, which hath Mastick, Diacumini of Nicholas, or the spe­cies of the Electuary of seeds.

There are also other species, as that Diazingiber of Nicholas, which have spices and other seeds, Roses and Liquorish, also Rhubarb and Pistaches and pine Nuts.

Also Diaxylaloes of Mesue, which is also cordial, and besides many spices, hath Roses, Mastick, Bean roots, Rawsilk, Pearl, Currans, Amber, Citron leaves, Basil, Balm, Gallia-Moschata, Musk and Amber greese.

Also Pleres-Archonticon, is good for the stomach, like Diaxyloaloes and hath Camphire in it.

Also the species of the Electuarium Ducis of Nicolas, is good against crudities and Excrements and wind that breeds from them: and is a proper Medicine a­gainst the stone and colick.

The species called Diarhodon, is not given alone to cold stomachs, but mixed with others.

There are besides these, bitter pouders to be taken, a spoonful at a time in Wine, as that of Wormwood and centaury in a cholerick cause.

Or this: Take roots of Masterwort, Birthwort, each a dram and an half; Wormwood, Centaury, each a dram; cummin, caraway, Ginger, each a scruple; saffron five grains, make a Pouder; or add half a scruple of castor and make Pills with syrup of Wormwood, give a dram.

Of proper astringents, we make Pouders to be taken after meat, that the stomach may better imbrace and concoct them, and to hinder the breeding of wind, these are not too hot, least they digest too soon.

As: Take coriander seed prepared half an ounce, Fennel and Annis seed, each two drams; caraway seed a dram, cinna­mon two drams, calamus, Galangal, citron peels dryed, each a dram; red Roses half a dram, with sugar as much as all, make a Pouder to be taken after meat.

In the loosness and moistness of the stomach, we add greater astringents and dryers: As, Take Cinnamon half an ounce, sweet cassia two drams, roots of Galangal and cypress, each a dram and an half; dryed citron peels half a dram, dryed Quinces, red Roses, each a dram; Antispodium of Ivory, burnt Harts-horne, Hens guts burnt, of each half a dram, red Coral a dram, (or a dram of Diacydonium without specis) with sugar of Roses as much as all the rest, make a Po [...]der for after meat, to astringe the stomach. with F [...]kincense and Mastick it is better.

Gross Pouders to be chewed are divers, these are also given afore meat: and to astringe and help concoction after meat.

They are pleasant: As, Take Annis seeds an ounce, sweet Fennel seed an ounce, Coriander seeds three drams, Caraway seed two drams, Liquorish three drams, Cinnamon half an ounce, make a gross Pouder.

It will be sweeter, with Nutmeg, Mace, cloves and Gin­ger, each half a dram.

There is a Compound Pouder of this sort, called Priests Pasture, thus made: Take Ginger half an ounce, Nutmeg, cinnamon, each three drams; Galangal, calamus, cloves, of each two drams; great cardomoms a dram and an half, coriander, Fennel and Annis seeds, each half an ounce; caraway seeds two drams, Liquorish two ounces and an half, to these they add comfits of seeds and sugar, or su­gar.

Also Lozenges may be made of the ten Kinds of pou­ders mentioned, as of Diacinamomum, Diatriongipereon, Diacalamintha, Aromaticum rosatum, Novella, Diagalanga, Dianisum, Diacuminum, Diazingiber, Diaxylaloes, Pleres-Archonticon, Electuarium Ducis.

Or you may make the Gross pouders, as that called Priests-pasture, into Tablets, adding an ounce of sugar to a dram of the species, boyling the sugar with a little Rose water.

Or thus, when we will heat much: Take of the first, second or third Pouder, or Diacinamomum, a dram; of the sixth or seventh Pouder, or of Diatrionpipereon, or Diaca­lamintha half a dram, Ginger candied a dram, Oyl of Mar­joram two drops with sugar dissolved in calamints water: make Lozenges.

To strengthen the Stomach: Take of the eight Pou­der, or of Aromaticum rosatum a dram. of the ninth Pou­der, or Diagalanga half a dram, candied Citron peels, or conserve of Roses a dram, Oyl of Cinnamon four drops with Sugar dissolved in Mint water: make Lozen­ges.

In a windy stomach: Take of the tenth Pouder, or Dianisum a dram, Diacuminum half a dram, conserve of Mints, or of Marjoram a dram, with some drops of Oyl of Annis seeds and Fennel seeds and Sugar dissolved in Fennel water; make Lozenges.

You may make also many sorts of Lozenges, of Spices or Plants with conserves or Oyls.

Also of some drops of Oyl of Annis seeds, Fennel, Caraway, Marjoram, Cinnamon, Cloves, with boy­led Sugar, these are pleasant, if the Oyl be not added to the Sugar while it is hot, and so fly away.

Also there are conserves and candies, both dry and also moist, made of Sugar and Honey. And these conserves are most usual: conserves of Rosemary flo­wers, Mints, Marjoram, Staechas, and of Eryngus, ac­cording to Rondeletius and Dioscorides saith, that the conserve of Bettony made with Honey helps con­coction, or of Squils.

Also candied Ginger, or the Pouder of Ginger, boy­led with Honey two drops, or Icikles. Also Calamus candyed, or Nutmegs, Myrobalans, Citron peels, or Wallnuts with Spices prepared, as commonly they are.

Of these, some are given alone, or mixed with o­thers, or in forms of Electuaries or Tablets.

Also the confection of wisemen so called, is good, Take Calamus candied ten ounces, sweet Almonds blanched and Pine-nuts nine ounces, Pistachoes three ounces, candi­ed Eryngus nine ounces, the three Peppers, each three drams; Ginger, red Roses, Cardamoms, Mace, Nutmegs, Galangal, each six drams; Aromaticum rosatum half an ounce, red Sanders an ounce, clarified Sugar twelve pound, make a Confection.

Also dryed candied simples with Sugar, as Cinna­mon, Cloves, Ginger, Zedoary, Galangal, Calamus, [Page 291]Citron peels, cut in pieces and hardned with Sugar, al­so Roses and Marjoram, which by some are ingenious­ly confected with Sugar. Especially seeds to discuss wind, before and after meat, as comfits of Coriander, Annis seeds, Fennel and Caraway seeds, and can­died Quinces with these seeds sticking in them, are good.

You may make divers Electuaries of the tenth Pou­der mentioned, or the usual Species with Honey or Su­gar, boyled to a syrup, or syrup of Mints, Quinces, or of candied Ginger, or citron peels, or of pulp of Quin­ces.

Such did the ancients make up of Species or Pou­ders with Honey scummed into soft Electuaties, rather then otherwise. And the spiced conserve of Quinces, by Nicholas was made up with Pouders.

With Fruits and Roots, as Confection Diacydonites, which is made of Quinces, conserved and Pou­ders.

The moderne Authors use the Electuary of calamus, it is made of calamus, boyled in wine with Honey and spices. The roots of Acorns do as well, for they astringe.

There is also an Electuary called the Electuary of Sea Radish, made with honey and spices of Horsradish and Gentian.

From the divers mixtures of all these, you may make divers Electuaries, and add to them conserves and candyes, and the like.

As when you will heat: Take the Electuary of the three Peppers, or the Lozenges thereof an ounce, or a dram of the species, conserve of Mints, Marjoram, each an ounce; can­dyed Ginger half an ounce, with syrup of Staechas: make a mixture.

When you will strengthen: Take the Electuary of Aromaticum rosatum, or Diagalanga, or both, or the Tablets made of them an ounce, or the species of them, or our pouders a dram, conserve of old Roses, Citron peels candyed, Calamus candyed, each half an ounce; with syrup of Quinces: make an Electuary.

When you will chiefly expel wind: Take the Electu­ary Dianisum, or Diacuminum, or Tables, or Species, or our Pouders of the same, in the weight mentioned, and add conserve of Roses, Calamints, candyed Nutmegs, of each half an ounce; with syrup of Mints.

In loose and moist Stomachs, give dryers and bin­ders: As, Take Quinces candyed an ounce and an half, citron peels candyed an ounce, candyed Ginger half an ounce, one Emblick Myrobalan, of Diacydonites without the species made of burnt Ivory and astringents half an ounce, Aroma­ticum rosatum, red Coral, each a dram; Ashes of Hens guts, Antispodium of Quinces and Ivory, or shavings of Ivory, each half a dram; with syrup of Quinces: make an Electuary, take after meat as much as a Nut.

There are also dry mixtures: As, Take candyed Quinces half an ounce, conserve of Roses three drams, conserve of Marjoram, Ginger candyed, each two drams; Aromati­cum rosatum a dram, Cinnamon two drams, Cloves, Nut­meg, each a dram; with Sugar of Roses; make a mixture, give it in the mornings, or add Coriander, Annis or Fen­nel seed Comfits.

After meat to astringe the stomach, we use these mix­tures without the hot Spices: thus, Take candyed Quinces three drams, conserve of Roses and Citron peels candyed, each two drams; Cinnamon a dram and an half, the pouder of Diacydonium without species a dram, red Coral half a dram, Coriander seeds two drams, Annis and Fennel seed, of each a dram; red Roses and Marjoram, each half a dram; with Sugar or Seed Comfits: make a mixture.

Some Opiats take away pain of the Stomach from a cold cause, for Opium doth not cool, as some think, but rather heat by reason of many ingredients with the Opium in Opiats, as we shewed often.

Therefore in pain of the stomach, give Treacle, Mi­thridate, Asyncriton, or Philonium from a dram to a dram and an half, alone or with other things, and give Wine upon it to help the operation; or other Narcoticks with Spices.

Or this, Treacle with Citrons: Take candyed citron peels half a pound, old Treacle or Mithridate, each six drams; Smaragds prepared half a scruple, Electuary of Gems two scruples, sealed Earth a dram; with syrup of citrons, make an Electuary.

Some mix purgers with them; as Philonium with Diaphaenicon, when the stomach is pained from the Ex­crements.

Outwardly we anoynt or foment or Plaister the stomach to heat it and expel wind, when it is stretched, Remedies to be applied to alter the weakness of the stomach. or to astringe, when it is weak or loose, they must be proper and applied actu­ually hot

You must anoynt on the left side, where the lodg of the heart is before, but behind right against sto­mach, upon the spondils of the Back towards the left side, and spinkle the Pouder following there­on.

When you will heat, use Oyl of Mints, Spike, Jesa­min, Elder, or that of Nutmegs by expression, or of Mace which are pleasant, or the distiled Oyl of Spike, Mints, Cloves, and the like, when you will expel wind use Oyl of Rue and Bayberries, or the distil'd Oyl of Juniper berries in a smal quantity with the rest, or that of Fennel, Caraway, Cummin seed by drops with o­ther; when you will strengthen, use Oyl of Mastich, of Wormwood: when you will astringe use Oyl of Ma­stich, Myrtles, Roses, Quinces, and that made of pressed Grape seeds.

When pain is to be abated, use Oyl of Chamomil, Spike or Dill; which is good after pain from glutony. Or use Oyl of Herbs boyled.

To hear, expel wind, and strengthen: Take Ma­stick six drams, Calamus, Galangal, cypress, each half an ounce; Nutmegs, cloves, each three drams; Fennel and An­gelica seeds, of each two drams: with two ounce of Sack and Oyl, put them in a hot place, or boyl them a lit­tle.

VVhen you will strengthen more: Take Wormwood, Mints, each two drams; Sage, Rosemary, Lavender, of each an ounce and an half; red Roses three drams, cut them small; add Mastick an ounce, red wine four ounces, Oyl of Nuts three fingers above them; boyl and strain them.

This is best against wind: Take cummin, caraway, Lovage, Fennel seed, each two drams; Bay and Juniper ber­ries, each half an ounce; Rue, Lovage, Mints, Baies, each three drams; beat them and add Aqua vitae two ounces and with Oyl Olive or of Nuts; boyl as afore­said.

Of the oyls mentioned, you may make stomach Oynt­ments with spices, or the like: when you will chiefly heat: Take Oyl of Mints, Spike, of each an ounce and an half; Oyl of Wormwood half an ounce, Oyl of Spike, some drops of cloves, Nutmegs or Mace, each a dram; of wood Aloes and Sanders, half a dram, dryed Mints, Marjoram, Rosemary or Schaenanth, each two scruples; with Wax, make an Oyntment.

The same is good against wind; with Oyl of Rue or Bayes half an ounce, or some drops of distil'd Oyls, as that of juniper berries.

[Page 292]This is good in both cases: Take Oyl of Nutmegs by expression, of Mace or both two drams, Oyl of Cloves three drops, of Anise-seeds six drops, Gallia moschata half a dram, with Wax make an Oyntment; we may add Musk, or Ambergrease, or Oyl of Cinnamon, or Hiera picra.

To dry and astringe a moist and dry Stomach. Take Oyl of Myrtles, Mastick, Quinces, each an ounce and half; Oyl of Wormwood half an ounce, Galangal, Snakeweed, Ci­tron-peels, each a dram; Roses, wild Vine, Pomegranate-flowers, each two scruples; Hypocistis, Labdanum, each half a dram; Mastick, Frankincense, coral, each a dram; and Bole, and a little with wax make an Oyntment, ad­ding Allum and Vinegar.

If there be pain; Take Oyntment of Marsh-mallows an ounce, Mastick two drams, Oyl of Dill or Chamomil, each half an ounce; Seeds and Mints, each a dram; with wax make an Oyntment.

Cerots or Plaisters made like a Scutchion are lasting, they are made of the Oyntments mentioned, with more Wax for a Cerot, and Rosin for a Plaister.

Galens Cerot for the Stomach is good, made of Roses, Wormwood, Spike, Mastich, Oyl of Roses and Wax.

Or this instead of it: Take long Birthwort, Calamus, each half an ounce; mints, wormwood, red Roses, each three drams; Spike two drams, mastick six drams, with Oyl of Spike, and mastick and wax make a Cerot.

Or this Stomach-plaister: Take mastick an ounce and half, Frankincense and Labdanum, each an ounce; Storax half an ounce, Aloes two drams (except there be pain) Coral two drams, Galangal, mints, marjoram, wormwood, red Roses, each a dram; Cloves, Spike, Sanders, each half a dram, with Oyl of Spike, mints and Rosin, and Pitch and Wax make a Plaister.

When the stomach is loose, use Emplaster of Mastich. This is best corrected. Take Mastich two ounces, Fran­kincense an ounce, storax and half Labdanum, each an ounce: Hypocistis, Acacia, each three drams; Gallia or Alipta mos­chata a dram, cypress-roots and wormwood three drams, Mints, Marjoram, Rosemary, Myrtles, each two drams; red Roses half an ounce, seeds of coriander, cummin, Bar-berries, sumach, each three drams; cloves two drams, sanders, wood-aloes, schaenanth, spike, each a dram; Bole, coral, each half an ounce; with Oyl of Mastich, and spike, Pitch, Rosin, wax and Turpentine make a Plaister.

If there be Wind, use Emplaster of Bay-berries, Ma­stich, Frankincense, Myrrh, Cypress and Costus, with Honey.

Or this against wind, and to fix the stomach. Take Bay-berries an ounce and half, Juniper-berries half an ounce, caraway, cummin and Ameos-seeds, each two drams; Mints, Rue, each a dram; cypress, costus or Masterwort-roots, each half an ounce; Zedoary two drams, Mastich, Frankincense, each six drams; Aloes, Myrrh, each two drams; or two of Hiera picra, with Honey and Turpentine make a plaister, with Nard-oyl, and chymical Oyl of Seeds a little.

Hiera picra with Honey makes also a good Plaister for the weak stomach.

Cataplasms without Oyl (which are unpleasant) are better, but sooner dry, therefore must be repeated.

Wormwood, Mints, Sage beaten and heated are good to be applied also, or laid upon a hot tyle, and sprinkled with wine, and then applied. Or if they be dry, cut and poudered, and softned with wine.

Or thus: Take dryed Mints, wormwood, red Roses and chamomil-flowers, each half an ounce; toasted Bread two ounces, boyl them in wine, and with Mastich, or other Plaisters, apply them.

Or, Take Mastich half an ounce, Frankincense, Lab­danum, each two drams; red Roses, Nutmeg, Cloves, Mace, Cinnamon, each a dram; Barley-meal an ounce, with juyce of Mints, Wormwood or Marjoram, make a Paste, apply it watm to the stomach.

The same may be mixed with Quinces or sour Ap­ples roasted, or crumbs of Bread in Wine boyled and beaten.

In Wine, Take crumbs of Bread and Caraway, Cum­min Fennel and Bay-berries, each half an ounce; with white Wine make Cakes, bake them, cut them in the middle, and apply the round piece to the stomach, change it as it grows cold for the other part, in this form use other Emplasters.

If these be wet with Stomach-oyls, they need not be so often changed being dry.

Dioscorides saith that Mugwort beaten with Oyl is good.

Also the Emplaster of a Crust of Bread of Oyl of Mastich, Quinces, Bread-crust, Barley-flower, Mastich, Mints, Coral, burnt Ivory. And that called hot Dia­phaenicum Emplaster of Mesue, made of Oyls, Wax, pulp of Dates, Quinces, Bread and Stomach-pouders.

Also Fomentations with Spunges, and the like in time of pain, or before Oyntments are good to pre­pare.

In pain: Thus, Take Wormwood, Mints, wild Time, each a handful; Marsh-mallow roots six drams, Roots of long Birthwort half an ounce, Rosemary, Chamomil, Mililot and Dill-flowers, each half a pugil; Foenugreek and Line­seed, each two drams; Nutmeg and Mace, each a dram and half; boyl them in wine and water.

In a cold Distemper of the Stomach; Take Mints, Marjoram, Balm, each a handful; Galangal three drams, Cloves, Ginger, each two drams; long Pepper a dram, boyl them in Wine for a Fomentation.

The same is good against wind, and this; Take Pen­ny-royal, Organ, Calamints, Mints, each a handful; Flo­wers of Chamomil, Elder, Storax or Lavender, each a pugil; Coriander, Fennel, Caraway, Cummin or Ameos-seeds, each two drams; Bay-berries half an ounce, Stoechas, Spike, each two drams; Mace a dram: boyl them.

To strengthen; Take Roots of Calamus, Masterwort, each half an ounce; dryed Citron-peels three drams, Worm­wood, Mints, Marjoram, Balm, each a handful; red Roses and Rosemary-flowers, each a pugil; Cloves, Nutmeg, Ga­langal, Zedoary, each two drams; Spike, Schaenanth, wood­aloes, each a dram; Mastick six drams, boyl them in red Wine for a Fomentation.

For a loose Stomach: Take Citron-peels half an ounce, Pomegranate-peels two drams, Wormwood, Sumach or Myr­tles, each a handful; red Roses three drams, Pomegranate­flowers two drams, wild Vine tops a dram, Myrtle and Cori­ander seeds, each a dram and half; Galangal and Cypress­roots, each two drams; boyl them in red wine.

Or of Oyls against pains: Take common Oyl with the fourth part of Sack, or the tenth part of Aqua vitoe, and fo­ment after it hath boyled.

Use other Oyls above mentioned, in the same man­ner, or mixed with Decoctions of Juyces of Worm­wood, Mints, Marjoram, with Sack, and the white of an Eg well beaten.

Or use Pouders in baggs to the stomach, made of Scarlet-linnen quilted with wool, apply them warmed with the vapor of Wine.

These may be made of things mentioned in the cold Distemper and Weakness, because they rather heat then strengthen.

Or thus for both ends: Take Mints, Wormwood, each a handful; red Roses a pugil, Nutmegs a dram and half, Cloves ad ram, Mastick two drams, with red Coral make a pouder.

[Page 293]Another; Take Mastick half an ounce, Cloves, Nut­meg, Mace, each a dram; long Pepper or Ginger half a dram, Cinnamon a dram and half, Wood-aloes and Sanders, each half a dram; with Musk if it offends not, and Amber­grease, or species of Diomoschu, Diambra or Gallia moschata a scruple, make a Pouder for a bag.

When you will astringe more, use the things mentio­ned against a loose Stomach.

Or this: Take Mastick half an ounce, Frankincense two drams, red Coral a dram and half, Cypress-roots, Citron­peels, red Roses, Cypress-nuts and Pomegranate flowers, each half a dram; the spunge of sweet Dogs-rose, which the French call Eglenteria, Nutmeg, each a dram; make a Pouder for a bag.

Of the Fomentation-Medicines for wind, you may make baggs.

Or thus: Take Galangal half an ounce, Mints, Penny­royal, each two drams; Rue a dram, Fennel, Caraway and Cummin, each a dram; Spike, Schaenanth, each half a dram; with Spices make a bag.

You may make a Bag to ease pain of the anodyne Fomentations.

Or of this Pouder: Take Chamomil, Melilot, Dill, Roses, and Rosemary flowers, each a pugil; Wormood half a handful sew them in a bag.

Against wind and pain: Take Bran, Milium, each half a handful; fry them for to make a bag with Salt or Mints.

You may also sprinkle Pouders upon the hot Bread wet in wine, as I shewed.

As that of Mastich, with Cloves, Nutmeg and Roses.

Or sprinkle them after the use of Oyntments, upon the part anointed; or mix them with Oyntments.

Also keep the Stomach warm, from the Air or other things by warm cloaths.

And many sound people wear Stomachers to pre­vent Cold.

They are made of thick woollen dyed Scarlet, which is also cordial, or of double Linnen and Cotton basted in; or the Doublet is stuffed therewith.

Instead whereof, they who have weak Stomachs, or have caught Cold therein, use Skins and Furrs, of Fox, Hares, young Wolf, Lynx, wild Cats, slinke Calfe, and feathered Skins of Birds, especially Vulturs, to which they attribute singular Vertue.

And instead of Skins they use Pillows, which have no Quilts but Down, especially of Goose-feathers to the Stomach night and day, if it can endure them, for to help their weak concoction.

And when they are first made, that they may work better upon the Patient, they dip them in wine, or some proper Decoction or Juyce, and strain them, and then dry them before they are applied. Or they quilt into those Pillows, some Stomach-pouders mentioned, but we rather use Baggs, as we shewed in external Applica­tions.

Hollerius commends twice dyed Purple for a Stoma­cher, shaved or towed to raggs to stuff a Pillow instead of wool.

It is a good Remedy against a cold Stomach, to lay the stomach of a wife or husband, or of a child unto it all night (which was Davids remedy) or a warm hand.

Or a Dog which is better then another Creature for his Familiarity.

It is good also after Evacuation, to roul the stomach by degrees to keep it down.

Also to draw wind from the stomach, apply Cup­ping-glasses to the Navel.

If weakness come from dryness with­out heat (of which we spake in the hot Constitution thereof) when the Sto­mach is bound and hard, The cure of weakness of stomach from dryness. and cannot stretch, in regard this comes not but from some great Cause, especially to old folk, when the whole Body is dryed, or in a Hectick, in which the whole Body is extenuated, or long fasting, as in a melancholy woman which would take nothing for fear of being poysoned, because age cannot be cu­red, nor Hecticks easily, so in these Dryness of Sto­mach is incurable; in others it is hard, and there is no way but general moistning of the Body as in Hecticks: By Meats, Drinks, Conserves, and other things prescribed in Hecticks, which moisten and relax the Stomach. And that will cure if it come from long fa­mine, provided the Stomach be not too dry.

When the Natural Constitution of the Stomach is hot, The preserving of a hot to­mach by Na­ture, that it turn not to a Disease. though it be not yet a Disease, yet because it is apt to turn so from hot meats, which cause thirst and burning, and will easily be there corrupted and turn into Cho­ler, it must be prevented by good Diet.

They that are subject to this must abstain from meats that easily corrupt, as Fats, especially of Fishes, and Milk, and Eggs, which turns into Choler, and Spawn of Fishes, especially of Barbles, which the vulgar think do purge. And from other Meats and Fruits, which though of easie concoction, yet are hurtful in this Con­stitution: As other things are good which a weak Sto­mach cannot concoct.

Spiced Meats must be avoided and poudered, and Meats long kept, which are rancid, especially fat or mouldy, as wild flesh, or Venison, or rotten, or moul­dy Cheese. which are very pleasant to these Constitu­tions, by reason of their great Appetites, so that they count stinking, mouldy and worm-eaten Cheese full of Mites, for a great Dainty, which is their great enemy, while their Stomach is so burning hot. Also sweet Meats are too hot, and subject to crruption, and easily turn into Choler, which are Naturally or Artificially so, which are known by their Scent, as sweet wine and Fruits, Melons, Figgs, and the like; and such as have evil Juyce, and that will soon corrupt as Cowcumbers. Also Herbs as Water-cresses, wild Parsley, Onions, Leeks, Garlick after the eating of which they belch, Hiccup, and are burned.

Things that are temperate inclining to cold are good for them, as Lettice, Endive, Bugloss, Spinach and the like, and Fruits. Also cold water hurts not them as o­thers, alone or mixed with wine. Sour things are best, as sharp wine and fruits, and such as were mentioned in cholerick Stomachs, Thirst and Feavers.

Also divers medicines are good which are there men­tioned, when the stomach being hot, inclineth to a dis­sease.

The use of sharp Spaw-waters changeth often the Nature of such Stomachs and succession of Age, but by the use of hot things they will be then hurt, though not so much as in Youth.

If the Stomach suffer from the Nerves when other parts are pained, The cure of Car­dialgia from the Nerves. you must apply the remedies to the original of the Evil, rather then to the stomach.

If the stomach suffer from too exquisite sense, there must be more wariness, least it be quickly disturbed: And if it be, we must stupefie the Sense by Narcoticks.

[Page 294]And if the Heart suffer (as they say) which is of the stomach, from the Nerves in a passion of the Mind, the Nerves must be refreshed, and then the Cardialgia will cease.

VVhen wind or Excrements are retai­ned in the colon, The cure of a cardialgia, from the co­lick. and there is a Cardial­gia in the said region of the Heart, when they come away the pain ceaseth. If they come not away use Clysters, as in the Colick, as that of oyl Honey and wine, when the pain comes from a purging Medicine lying long in the colon.

If there be Heart-ach or pain in the said lodg of the Heart, The cure of cardialgia, from the Midriff. from the Midriff, be­cause there is difficulty of breathing, which is most troublesome, we shewed in Dyspnaea or difficulty of breathing, what is to be done.

CHAP. XII. Of the Pain of Hypochondria or Sides under the Ribs.

The Kinds.

WE call that the Hypochandriake pain, which is in the Sides of the Belly to the Back, or on either side, not in the outside fleshy, or Musculous part, of which we sake in Superficial pains, but deep under the Bastard or short Ribs, and thence are called Hypochon­driak. Of these Hippocrates often spake. The Empe­ricks mention these pains in the Diseases of the bowels under the short Ribs, and call it the pain of this or that Bowel. These differ first in respect of heaviness or burning, pricking or tearing.

A dull pain which is heavy, A heavy dull pain in the Hy­pochondria. which increaseth some times by stretching and pricking is in the right or left side. And there is either no hardness or tu­mor to be felt or seen, or both appear under the short Ribs, or between them. And the Ribs are bent outwards more then usually. And there is al­so a pressing pain of the stomach and difficulty of brea­thing, and other Symptoms, as want of Complexion in the Face, with palenese in a Cachexy, yellowness and blackness in the Jaundies: or a tumor of the Belly and Feet in a Dropsie. These accidents are more terrible then the pain, and therefore we shall here speak of them also.

Under the right and left Hypochondrion, by the Back bone, seldom on both sides, there is a heavy pain in the space between the Loyns, which groweth grea­ter, this is called the stone in the Kid­neys or Lithiasis. The stone in the Kidneys is called Lithi­asis. This pain increaseth upon motion of the Body, especially when the Back is bent with the body and at lying down, when the part is prest: and there is a numness of the Thigh on that side, to the Knee or sole of the Foot, with great pain, as I have often seen: with stoppage of Urin or pissing of Blood, after violent excercise, or riding. And the Sediment or bottom is black in the Urinal. This at somtimes is white and muddy, like Whey at the first, and after setling, the bottom is white as Chalk, and much somtimes. Somtimes it is gravely and white or scaly. This pain is also increased by new accidents.

There is somtimes a burning pain in the top of the Hypochondria, A burning pain of the Hypochon­dria, is from the Liver or Spleen. be­fore, on the right side, this is called the Inflammation of the Liver, which is the cause of it, or Hepatitis. Or it is in the left side backwards, and is called the In­flammation of the Spleen or Splenitis. Somtimes it is below in and about the Hip, and behind about the Back on either side, and it is called the Inflammation of the Kidneys, or Nephritis.

In all these kinds, there is a burning, stretching and heavy pain: also beating, especially if it be the In­flammation of the Spleen, on the left side. In which there is a tumor to be felt, and somtimes on the right, when the Liver is inflamed, which appeareth more, when the patient bends to the right side, but it is with­out redness, not as the inflamed Muscles are. In both these Inflammations, the pain reacheth to the Throat, and is increased by the lying on the contrary side: and it is more burning in the Erysipelas of the Li­ver.

In all kinds, there is a smal dry Cough and in the Inflammation of Liver or Spleen, the Hiccup. And in that of the Liver, choler is vomited, and the Mouth bitter, or voided by stool. Also from Inflammation of Liver or Spleen there is a Jaundies, and from the Liver, or Bloody flux somtimes, and there is often Pissing with heat, when the Reynes are infla­med.

There is with all kinds a Synoch Fever going afore, or following. With restlesness, thirst and dryness of tongue. Quick and little breath, swift and great Pulse. High Urin and somtimes matterish.

These ceasing, there is a heaviness in the part menti­oned, and other accidents.

Somtimes there is a pricking pain in sound people suddenly on the left side somtimes on the right, A pricking pain in the Hypochon­dria. The pain of the Spleen, falsly so called. which the Germans call Milkesteehen, pricking of the Spleen, falsly. It comes chief­ly after meat, upon riding exercise; with a Tumor like that of the Cramp from wind, it is pricking and very tearing, when breath is fetched, and lying upon the Belly abates it, and at length it goes away of it self.

In other Diseases of the right or left side, there is al­so a heavy pain, with greater Symptoms among which I shall speak of that. Those pains that are outward in the Hypochondria and about the Groyns in Ruptures, are refer'd to the Diseases causing them.

There is a cutting and stret­ching pain in the Loyns, A cutting and stret­ching pain in the Hy­pochondria, is from pain of the Womb. which is called the pain of the Womb, because it is caused, from thence, At the time of the courses, or when they are stopped. Som­times in great bellyed Women, often after child bea­ring and with other Diseases of the Womb, where it is described exactly.

There is often on one side, A twitching and grievous pain of the Hy­pochondria. Nephritis or Stone in the Kidneys. seldom on both, a twitching, tearing and pric­king pain most grievous in the Reyns, somtimes by fits, somtimes returning in a month or year, this is called Ne­phritis from the cause, which is the Stone or Gravel, it somtimes is fixed [Page 295]and somtimes goes to the Groyns and not the Belly, as the Colick. And the Leg on that side is benum­med.

At the first there is vomiting of flegm and choler and quick and little breathing.

At the beginning the Urin is with difficulty crude like water, then thick and after bloody, and there is red, yellow or white Gravel found at the bottom, growing together somtimes. Somtimes they are so little, they stick in the sediment and fat and fly up, or stick to the pott. All these last long, or the pain goes to the bot­tom of the Belly, and then departs in a moment: or there is some hurt in the part, as we shewed in stop­page of Urin. And this either is not, or ceaseth pre­sently, if one or more stones be pissed forth: the stone is somtimes sandy and brittle, red or yellow or white, long or round, smooth or uneven, greater or less: or hard and flinty and then white or dunne, somtimes of a strange shape.

The Causes.

The Diseases of divers parts in the Hypochondria un­der the short Ribs, cause divers pains. These parts are either the fleshy Bowels, as Liver, Spleen, two Kid­neys with the Ureters; or parts belonging to them, as part of the Porinaeum, or Caul, Stomach and Colon; The diseases whereof reatch thither and are felt under the Hypochondria.

Some diseases of the fleshy Bowels cause pains, these are manifest on that side, where the Bowel lyeth. If from the Liver, it lyeth on the right side foreward, the Spleen one the left side, under the Stomach, the Reyns one both sides with the Ureters, under the other two Bowels. The pain of the right Kidney, is known thus from the pain of the Liver, for when the Liver is afflicted, the pain is more on the right side foreward, where the greatest part of the Liver lyeth, or against the lodg of the Heart, where it lyeth, upon the Sto­mach: but the pain of the right Kidney remaineth fixed backwards, a little lower in the Back. But the pain of the left Kidney, is not so easily distinguished from the pain of the Spleen, because it is higher then the right Kidney. And contrary to the common opi­nion, the Spleen lyeth more backward, next to the left Kidney. Not on the left side so forward, as is sup­posed. Therefore the pains of these parts must not be distinguished by the Scituation, but by other signs.

The diseases that may happen to all these and cause pain, are Inflammation, Weight, Obstruction or Di­stension, from a Humor or Tumor, or from the Stone.

When there is Inflammation in these bloody Bowels, Inflammation of the Liver, Spleen, Reyns, is the cause of burning pain in the Hypochondria. Liver, Spleen or Kidneys, it is from pure or fowl Blood, and causeth a burning where the Bowel lyeth, on that side. For these Bowels have but dull sense of feeling, from the outward Tunicle, yet when the Inflammation reacheth to the parts adja­cent, which are very sensible and Membranous, the pain is great, and the Tumor more appearing, when the Inflammation is in the outward gibbous part of the Liver, or when the Spleen, which lyeth lower under the Ribbs, is swollen: and the beating is more, when the Spleen is afflicted, because it aboundeth with Ar­teries; and there are other accidents, as were shewed, When those Bowels that lye upon the Diaphragma are inflamed, for then Breath is hindered, and there is a Cough, and the stomach disturbed: And when the Li­ver is inflamed, Choler is vomited, or there is a loose­ness or Jaundies; and the Reins inflamed, make the U­rin sharp. And if an Ulcer follow an Inflammation in these parts (as appears by pissing of matter from the Kidneys, and we see in Anatomies in the Liver and Spleen) or if there be a hardness left from the Inflam­mation not well discussed, there will be accidents that will follow accordingly.

A stroak or contusion, or the like, made outwardly upon the parts, may be the cause of the Imflammation, as also very hot things taken in, may inflame the Liver and Spleen, as well as the stomach which lyeth near them. The chief Cause of Inflammation of the Liver is drinking much cold water in a great heat, which makes a sudden repercussion. And the Cause of the Inflammation of the Kidneys is the stone, which seeks a passage forth, and gets into the Vreters, and causeth great pain and flux of blood: This stone increaseth the Disease, by being together with the Inflammation. All these Causes of Inflammation kindle a symptomatical Feaver. But when blood is hot in a Synoch Feaver without these Causes, as we shewed in Feavers, and sent upon any of the Bowels aforesaid, it may cause these Inflammations which follow a Feaver as their cause. And it may be also from plenty of blood, when a Feaver goes not afore but follows after, which blood breaks out of the Vessels, and causeth an Inflammati­on. If this Blood, if it be in the Liver impure, and not well purged from Choler, causeth an erysipelated Phlegmon, and the great Heat that comes from thence, by which the Bowels seem to burn, whence comes the burning Feaver called Typhodes. And the same things happen, if there be a true Erysipelas, from pure Choler spread through the substance of the Liver from the Gall. And this may come also from the Causes mentioned, that produce other Inflammations.

If the Liver or Spleen be obstru­cted by a Humor, The obstruction of the Liver, Spleen, or Kidneys, causeth a blunt and heavy pain in the Hypo­chondria. so that they are more heavy, there is a weight in the sides. This is seldom from a Hu­mor in the Kidneys, but from a Stone or Gravel. This heaviness increaseth as if a weight lay there­on, if there be a hard Tumor, Scirrhus or Oedema in the Liver or Spleen. This may be in the Kidneys, from the same tumors with great pain and heaviness. The Causes of all these shall be mentioned in other great accidents: We shall not speak of Wind which some will have to be a cause of pain in the Liver or Spleen, because it cannot be in such quantity there, as to cause it by stretching, neither is the inside of those parts sensible, neither do we see how it can be in the Kid­neys.

From a Stone bred in the Liver or the Gall, or from sand or gravel, A stone and sand in the Liver or Gall, is the cause of heavy and dull pain in the Hy­pochondria. ga­thered and returned, there is felt a Heaviness as from a Tumor. This may be, as I have seen in Anatomies, and it hath been observed that much red Gravel like Blood hath been voi­ded in a Disease of the Liver; and by finding stones in the Livers of Beasts: We may collect that the same may be in a man. These hapning, cause this pain and other Symptoms, such as come from a stopped Liver, as we shall shew, we cannot affirm that Stones may breed in the Spleen, but from that general rule, that they may breed in any part of the Body, because we never saw nor heard of any.

[Page 296]Stones of divers sorts, The stone or sand in the kidneys, is the cause of hea­viness in the Hy­pochondria. and gravel in the Kidneys and Vreters, cause the Nephritick pain, which is either a Heaviness only in the Reins, gen­tle and dull, when the Gravel lyeth still, or the Stones sticks to the kid­ney; but the pain is greater when much Gravel is ga­thered there, or the Stones be great or many, with pric­king and cutting, and numness in the Leg on that side, from compression of the Nerves in the Loins, or pis­sing of Blood from great motion, which maketh the stone beat upon the substance of the Kidneys, and som­times of matter, and some part of the stone. These accidents are greater and longer, when the stone is long detained, and grows up in one place, and especially when it grows so that it fills the Reins and swells them, as we have seen great branched stones in Anatomies: Or when the substance of the Kidneys is worn away, and the stone is wrapt in the Membrane only, as in a purse where the Kidney was. Hence must needs be great pain; and I opened a Woman that in her life time complained for many years of such a pain, and often miscarried and found it so. Also I opened a wo­man that after a mischance pined away and died, in whom besides other accidents, I found both Kidneys eaten away, and full of matter, and two great square stones in the right Kidney, and two in the left, one like a cross, another like an almond, with many other little ones. This is usual, for others have told me as much. I saw also a stone in the outward Fat of the Kidney, that grew to the tunicle which was great, but caused no pain, because it was hollow and light.

If the Stone get from the Kidneys in­to the Vreters, A Stone and Gravel in the Vreters, is the cause of Ne­phritis the pain is greater, and hath the aforesaid Symptoms, first Vo­miting from the consent of the stomach, and because flegm is vomited, they sup­pose that the pain come from that, but that came from the stomach, because it could not so suddenly come from the Kidneys. The Urin is then waterish and crude, because the Choler is carried another way by vomiting and pain. That pain which is from the Stone, getting into the entrance of the Vreters, when it returns to the Kidneys again cea­seth, or is less; but it increaseth when it descendeth through the narrow passages of the Vreters, by stretch­ing them, and so it lasteth till it gets into the Bladder, and then it ceaseth suddenly. And this pain may come from Gravel that passeth slowly through the Vreters, especially in the strait passages, which have been so en­larged in some that I have opened, that they have pis­sed Stones and Gravel without pain.

The Cause that breeds Gravel and Stones is Flegm, according to the vulgar opinion, which is so dry by the heat of the Kidneys, that first it is Earth, then a Stone. But in regard Mudd or Slime is rather bred of dryed Flegm, and it cannot be further hardned by any Art or Nature, nor that that chalky matter which is found in the Joynts, comes from Flegm; as we shall shew in the Diseases of the Joynts, or if it come from it, it can­not be earthy. And if it came from Flegm, Stones should rather breed in the Stomach and Brain, and o­ther places where it aboundeth, than in the Kidneys to which that slimy Flegm they speak of, scarce cometh, or if it cometh, it cannot stay long, from these reasons and others, we cannot be of their opinion.

VVe shall rather make an earthy substance to be the cause of this Earthiness, which we have shewed may be in Humors distinct from Flegm, as in the serum or whey, by these arguments. For as water flowing con­tinually through the passages of the Earth and Chan­nels, and carrying a terrene or earthy Matter with it, which it leaves upon dry places, causeth Mudd and Sand, and the rather when it is impure and full of clay, or when it is Naturally salt, nitrous or vitriol, by which as we have observed in Spaw-waters, they have caused stones in the Channels, through which they have flow­ed. In like manner the Serum receiving a salt Juyce and earthy Matter, which is bred dayly of Salt in the first Concoction which a man alwayes useth, and other earthy things (as you may observe in Beasts which love salt, so that they lick the walls as Goats, in which when old, many stones are found) if the Serum have much thereof, it sticketh to the dry and strait parts, through which it passeth and affords matter for sand and stones. Especially in those parts where the Serum separated from the Blood continually passeth through the Kid­neys, therefore there Sand is first bred. These are red because they breed in the substance of the Kidneys, and grow into the Stones, if they continue long, and there increase by addition of new matter, or if they fall into the Bladder, and stay there, there they increase. And the older they are, the less red they are, but paler and firmer. And while the Serum is in the Blood, it may do the same in divers parts fitted for it: As was shewed concerning the Liver. And if it be mixed with other Excrements it doth the same, and the rather when it takes sharpness and dryness from the Choler. Hence it is that so often we find Stones in the Gall of the co­lour of Gold, or Silver, from the yellow Choler. And this is done in the Body by the Serum, so when it falls out of the Body, by tears it causeth Sand in the Eye­lidds: As was shewed in the Diseases thereof. Also in the Serum which is purged in the Bladder, namely the Urin, by which the stones that fall into the bladder are increased, the same may be observed. But it is more plain from Urine made in a Chamber-pot, for if the same Chamber-pot be used long and not scoured, there will be a sandy and gravely matter growing unto it, and and if it continue yet unscoured, it will turn to thick scales and stones. And as this may be done in time from any Urine, especially the saltest and sharpest, so may it be done speedily by Art, when the Urin is boy­led. Therefore the Chymists make Salt out of Piss and Lye that hath earthy matter. From which as we shewed that Sand and Gravel may come, so may they increase into stones, from a salt, sharp and sour Juyce mixed with the Earthyness which is in the Serum or u­rin, which fastneth and sends them (as the Stone-cut­ters use to make a hard Cement like Iron of Filings of Iron, and Juyce of Vitriol and Vinegar) this cannot be from Flegm as some say, which cannot so glew to­gether the earthy Bodies, that they may make a stone.

Neither can the heat of the Reins which they make the efficient cause of the stone, so dry the Flegm, and burn it, that it may be brought as it were to ashes; in regard stones may breed in other cold membranous parts. And that it should breed in certain places, the straitness of the part, to which the matter may fix lon­ger and better and the dryness thereof, where it may grow hard, is required and ought to be the assisting Cause. Therefore they who Naturally have dry reins as some Infants, which have in the Cradle stones in the Kidneys, with great pain, and piss them forth, as I have observed, especially in one who had a white clear Stone before it was a year old, which stuck in the Yard, and stopt the Urin, and at length came forth with much Urin after it, and the falling of the horrid shining Tu­mor in the Belly: Or they who have dry Reins from age or other causes, are most subject to the Stone. And [Page 297]if it come from the Parents, it is hereditary, and takes the children at the same years as it did the Parents. Fer­nelius (not explaining the quality) calls this a sandie Constitution of the Kidneys.

Some pains in Hypochondria come from the Perinaeum or cawl which is spread under the Belly before or behind, The stretching of the Perinaeum by wind, is the cause of a pric­king pain in the Hy­pochondria, Oedema, which some falsly call the pain of the spleen. and is broadest under the Hypochondria, sides and back. And when that is ex­treamly stretched, and drawn by the parts to whose Tuuicles it groweth, it is as it were pull'd a­sunder, and hence comes a pricking pain, if it be in one part only, or a tearing and cutting pain, if the largest part of it be so stretched.

The cause of this is often wind, which gets between the Cawle and the Muscles, and stretcheth, and causeth that pricking pain, which they which use Exercise after meat, are subject to in the same manner, as there is a pricking pain in the Breast in a false Pleurisie, from the Membrane or Tunicle succingent, or which girdeth it. The strong attraction of the Muscles of the Belly by strong motion presently after meat, doth bring this, es­pecially by riding when fitting in the saddle, they bear strongly upon the stirrups, and by forcing with retenti­on of breath, constringe the Muscles of the Belly. E­ven as we shewed in the Cramp, how it might come from wind in other parts of the Body, by the same kind of straining. For which cause, as in a windy Cramp the Muscles are lifted in the part pained, and cause a swelling which somtimes appears to the Eye. And if the sides be bound with a garter (as we shewed in the Cramp) and the Muscles drawn down by a contrary straining, as was exactly shewed; the pain ceaseth or abateth. So here is a kind of windy Cramp, and it may be referred to the Disease of the muscles and cawle pluckt asunder (as we shewed) This the vulgar calls the pain of the Spleen, because it is more often in the left then right side, which is by reason of the Stomach that lyeth on the left side, and because more Wind is bred in the left side, as in Hypochondriack Melancho­ly, yet it comes somtimes on the right side.

These pricking or cutting pains which come from other Causes under the sides, The stretching of the Cawle from the Ves­sels and Bowels that are joyned to it, cau­seth stretching or tea­ring pain in the Hy­pochondria. when the Perito­naeum or Cawle is stretched, are caused from the affliction of the Bowels, as Liver or Spleen, which are joyned to the Cawle, or from the Vessels of the womb which grow to the Back, and by the Cawle. Hence it is that pains of the Womb reach thither; or from the stretching of the Peritonaeum in a Tympany, or in Women with Child, there is a little pricking, or by continuance a great pain, as in the Her­nia or Rupture. The Causes of all these shall be laid down in other great accidents which befal.

The Stomach being on the left side under the Hypochondrion, A Disease in the stomach, causeth a Hypochondri­ack pain. is pained about the lodge of the Heart before, with a pain called Cardialgia, on the left side; especially in the Hypo­chondriack Melancholy, when there is rumbling and burning: As is shewed in Melancho­ly.

The pain of the Colon which is placed under the Stomach, The Colick causeth the Hypochondri­ack pain. from one side to the other, is also in the Hypochondrion, but stayes not, but runs about the Belly: As shall be shewed in the Colick.

The Cure.

We shall mention only here the Cure of those Diseases with pain in the Hy­pochondria. The cure of heavy, dul or stretching pain from the Liver, Spleen, Reins or Cawle. For the Cure of the Dis­eases of the Liver, Spleen, Reins, Cawle, which we mention here only for the pain sake, because the pain in them is dul, shal be shewed in other Symptoms, as Cache­xy, Jaundies, Dropsie, and the like, by which they are more manifest then by the pain. The cure of pains from the stomach, Colon, or Womb. Also if there be pain in the Hypochondria from the Stomach, Womb or Colon, reaching thither, be­cause the pains of the stomach are more in the region of the Heart, and of the Colon and Womb, more in the lower Belly where they lye, we have shewed the Cure of that in Pains of the Heart, and of those Pains in the Belly. And here we shall only declare the Cure of the Pain, where it chiefly shews it self, in respect of its cause, as it comes from the Inflammation of the Liver, Spleen, or Kidneys called Hepatitis, Splenitis, or Nephritis: Or from the Peritonaeum or Cawle, vulgarly called Spleneticus.

The Inflammations and Erysipelas of the Liver and Spleen, The cure of the Inflam­mation of the Liver, Spleen and Kidneys. are dangerous and often deadly, and if they imposthume, and leave an Ulcer, or be ill cured, and a Hardness or Scirrhus follow, they cause a Dropsie, and incurable Diseases. The Inflammations of the Kidneys are more easily cured, they are worst, when the Stone is there also: If they leave an Ulcer, it is also ve­ry stubborn, as shall be shewed.

The Method in the cure of all these Inflammations is the same as in others, that is while they are coming to divert the Blood another way from the part, or by re­pelling and deriving it, and to allay the Heat and Burn­ing, and to discuss the remainder, or if that may not be to ripen it. And if, there be Hardness, Scirrhus, or Imposthume, and after that is broken, an Ulcer, (which may be both in Liver, Spleen and Kidneys) we shall shew what is then to be done in other Symp­tomes, that come from thence. Against Inflammation, use the following Remedies.

Blood-letting diverts the Blood while it is flowing to the part another way, especially in the Inflamma­tion of the Liver or Kidneys which have great Bran­ches from the hollow Vein: And in the Phlegmon of the Spleen, also it must not be neglected, though it hath Veins only from the Gate Vein, for reasons shew­ed in Inflammation of the Stomach. Therefore in the Inflammation of all the the three parts, except any thing prohibit, open suddenly that Vein which most appeareth, on the same side, and bleed plentifully for Revulsion, and if there be great Plethory or Fullness, open the same Vein again, or that in the Hand on the same side, either against the Thumb, or little or middle Finger, according to Rhasis. And in the Inflamma­tion of the Kidneyes open the Vein in the Foot.

The Haemorrhoids being Branches of the Gate Vein if they be opened derive much from the Inflammation of the Spleen, and revell from other Inflammations.

Cupping Glasses to the Hipps and Buttocks, or that side, do revell and derive in the Inflammation of the Reins. The Ancients did use them the day after bleed­ing, [Page 298]to the right Hypochondrion, when the Liver was Inflamed after scarification, and applyed them the next day again to the same place others used them only at the Declination, to take away the residue without Scar­ification.

Also Ligatures and Frictions of the extream parts are good at the first, as in other Inflammations, to re­vell.

And Clysters before Bleeding, and when the Body is bound, as it useth to be in these Inflammations, or Suppositories are good.

And Clysters because they reach into the Colon, and come near to the part, and cool, are best at the first, and are as altering Topicks; such as are prescribed in Fe­vers.

A loosning Clyster, that a little provoketh. Take Mallows Roots and all, Beets, and for the Kidneys Pelli­tory of the wall, each an handfull; Violets, Bran, each a pugil; Lineseed an ounce, Anniseed a dram, boyl and strain them, dissolve Honey, Butter and Oyl, each an ounce and half; Pulpe of sweet Prunes, or Cassia an ounce, with a little Salt, make a Clyster.

A cooling Clyster. Take the emollient Herbs and Roots, Purslane, Gourd leaves, each an handful; Violets, Mallows, and Chamomile flowers, each a pugil; Linseed, six drams, four great cold seeds an ounce, Barley a pugil, boyl and dissolve, Honey of Violets halfe an ounce, Cassia, an ounce, Oyl of Violets, and Water-Lillies, each an ounce and half.

If they cannot take Clysters, give a Laxative, take heed of Purgers for fear of more Flux and Inflammati­on, Cassia therefore is not very safe.

But we give things that loosen without heat and pric­king, as Prunes and other loosning fruits, and Spinach, Mallows, Violets boyled in Broaths, Whey, syrup of Violets and Roses, and the like.

In the declination or after the fourth day when heat abates, to take away the reliques, when the Liver or Spleen are afflicted, we give a gentle Purge, because they can discharge themselves by the Meseraicks into the Guts. And the rather, when the Disease is in the hollow part of the Liver, into which the Gate-vein branches it self, and if Choler boyling in the Gall or sent out, causeth an Erysipelas. In these cases we may give Cassia, or some gentle Purger.

Or this Decoction which cleanseth and openeth. Take Liquorish two ounces, Grass and Kneeholm roots, each an ounce; red Pease a pugil, Senna an ounce, Polypody an ounce and half, Cordial-flowers a pugil, Anise-seed three drams, Fennel seed and Dodder, each a dram; boyl them, strain and add syrup of Roses an ounce and half, syrup of the two Roots an ounce, Cinnamon a dram, Schaenanth half a dram, for three or four Draughts.

Or this Infusion: Take Rhubarb four scruples, Cinna­mon, Spike, Schaenanth, each a scruple; sprinkle them with white Wine, and steep them in Endive and Maiden-hair­water, add syrup of Roses, with Senna an ounce, make a Po­tion.

If the Disease be in the Reins, because they have no­thing to do with the Meseraicks, these are not proper, except some other reason require it, for then it is better to provoke Urin, or when it is in the convex part of the Liver, which hath branches of the hollow Vein, then it is good in the declining to take away the re­mainder.

In the beginning of Inflammations of Liver, Spleen or Kidneys, we give gentle Astringers and Coolers, and which strengthen them, especially the liver and spleen. Then we leave out the Astringents, and mix Cleansers with Coolers, and then Openers, which take away the remainder by Urin or Stool. Such as were prescribed for the Inflammation of the stomach.

Or these following at first to repel. Take syrup of dryed Roses or Myrtles, each an ounce; syrup of Currance, or Bar-berries, or of Succory, or of Plantane for the Kidneys, each half an ounce; Endive, Rose and Plantane-water, each an ounce and half; red Sanders half a dram: Drink itin the morning, and make it again for the evening.

A cooling, cleansing and opening Julep in the pro­gress. Take syrup of Violets and Endive, or Sorrel or Bi­zantine, each an ounce; syrup of Purslane, and Water-lillies in the Inflammation of the Reins chiefly half an ounce, Straw-berry, Liverwort and Lettice-water, each an ounce and half.

Or this Decoction: Take Succory roots an ounce, En­dive, Succory, Lettice, Strawberry-leaves, each a handful; Violets, Comfrey, Succory-flowers, each a pugil; Barley a pu­gil, the four great cold Seeds, each a dram; sharp Prunes six, boyl them, strain and add Sugar.

We cool also with ordinary Drink, made of Water, and Barley, and Violets, and other four things, and with Conserves and Candyes, mentioned in Feavers and Inflammation of the Stomach.

In the Declination, when we will cleanse, and open and purge by Urin; We take syrup of Maiden-hair, of Bizant, each an ounce; syrup of Endive, and of the two Roots, each half an ounce; Water of Maidenhair, Agrimo­ny, Fumitory, each an ounce; Spike and Schaenanth, each a scruple.

Or this Decoction: Take Roots of Asparagus, Fennel, Parsley, Liquorish, each an ounce; barke of Tamarinds for the Spleen half an ounce, Maidenhair for both Liver and Spleen, Agrimony, Ceterach, each a handful; Cordial and Broom flowers, each a pugil; Chamomil-flowers half a pugil, red Pease a pugil, the four great cold Seeds half an ounce, A­nise-seed two drams, Parsley-seed and Agnus Castus, cach a dram; Raisons an ounce, boyl them, and in the straining dissolve syrup of the five or of the two Roots an ounce and half, with Cinnamon make it for three or four draughts.

Pills to discuss the reliques of the Inflamation. Take Turpentine two drams, Gum Ammoniack dissolved in Vine­gar a dram, Myrrh, Storax, each a scruple, Schaenanth, Spike, Asarum, each half a scruple; with Sugar make Pills, take two scruples, or a dram, with Barley, Pease or Parsley-wa­ter.

Outward Coolers must be applied at the first which astringe and repel; then mix Dissolvers therewith, and in the Declination, use Discussers alone to dissolve the remainder, or to ring it to Suppuration, if it will not be discussed. To all these you must add Strengthners, when the principal parts are inflamed. And these must all be applied, not actually cold, but temperate at the first, and warm afterwards.

A repelling Epithem to be used at the first. Take Rose-water four ounces, Plantane-water two ounces, Vinegar of Roses an ounce, Sanders a dram, Camphire a scruple (you may ad Juyce of Plantane or Violet-leaves, or of Pears or Quinces) Oyl of Roses half an ounce, or Rose-vinegar.

Then use this; Take of Nightshade-water, Water of Lettice, Violets and Water-lillies, each an ounce; Endive or Succory-water for the Liver two ounces, juyce of Nightshade, or Purslane, or of red Roses an ounce, Vinegar half an ounce, Sanders a dram, with Oyl of Violets make an Epithem.

Or dip Clouts in Juyce only of Nightshade, or of Endive for the Liver, and apply with a little Vinegar and Oyl of Violets, Roses or Water-lillies.

An Oyntment for the beginning of the Inflammati­on. Take Oyl of Roses, Quinces or My [...]ties, each two oun­ces; juyce of Plantane and Vinegar, each an ounce; or juyce of Endive or Succory for the Liver or Spleen an ounce, [Page 299]boyl them till the Juyces are consumed, add Sanders, red Roses, each a dram; with Wax make an Oyntment.

At the first use the Cerot of Sanders for the Liver or Spleen, and the cooling Oyntment of Galen for the Reins. And Oyntment of Roses for all Parts.

Or this Cataplasm when the noble Bowels are affect­ed. Take Quinces four ounces, Plantane and Horstongue, each an handful; red Roses a pugil, Pomegranate-flowers half an ounce, boyl and stamp them, ad Barley-meal three ounces, Oyl of Roses two ounces, red Sanders two drams, make a Cataplasm.

In the progress, to dissolve the Inflammation of Li­ver or Spleen. Take Oyl of Roses two ounces, Oyl of Wormwood, or Spikenard an ounce, Oyl of Chamomil, or Melilot half an ounce, Sanders a dram, Spike half a dram, with Wax make a Liniment.

An old Oyntment for Inflammation of the Liver, made of Poppy tops, Rue, Linseed and Schaenanth, is good at that time.

Or the Cataplasm of Galen, made of Quinces and Dates.

Or this Cataplasm: Take Figgs, Dates, Raisons not stoned, each three ounces; Wormwood, Harts-tongue, each a handful; red Roses a pugil, boyl them in Wine and Wa­ter, stamp and add Barley and Foenugreek-meal, or Line­seed, each two ounces; Pouder of Orris a dram, Oyl of Cha­momil and Lillies, each an ounce and half; Saffron a scru­ple, Spike and Schaenanth, each half a dram.

In the Declination, the Emplaster of Melilot, Marsh-mallows, or Dyachylum, with Orris, do the same, and also maturate.

In the Inflammation of the Kidneys, use relaxing and resolving Ovls, as that of Oyl of sweet Almonds, or in which Marsh-mallow-roots are boyled, Oyl of Cha­momile, Lillies, or the like, and Grease or Fats.

Or Oyntments of the same as that called Resum­ptive.

Also a Bath of Marsh-mallows, and Mallows, Lil­lies, Chamomile, Faenugreek and Lineseed, and the like, or a Fomentation for the Reins.

A Pain in the Reins from Stone, or Gravel, The preventing, and curing of Gravel in the Kidneys. is not only to be cured when it comes, but to be prevented, by hindring the breeding of Stones, when we fear it, by reason our Pa­rents had it, or are otherwise dispos­ed to it. Especially in those who pisse Sand, we must take heed least it cleave to the Kidneys, and breed a Stone. And if we suspect that there is a Stone from former pains, and present Heaviness in the part, we must prevent pain, hinder its growth, and labour to ex­pell it. This is by taking them of from things that breed the Stone, and heat and dry the Kidneys, and by giving cleansers to keep the Stones from growing to the Kidneys, and to break them and bring them down. But in curing of the pain of the Stone, which sticketh in the Passages, we must relax the passages, break the Stone, and labour to get it forth, all which shall be now related, as also the Diet and Exercise, and Purgers, and Clysters, and alterers and outward remedies.

There must be moderation and choise in meats and Drink, which must be of good juice, because the stone taketh its Original from them, Meat must be Tempe­rate, and very little salted, very salt and dry things must be forborne, for from these comes the cheif earth­ly Matter. Also very sharp and hot things that dry and heat the Kidneys, as Sawsages, and Spices, rather then crude glutiners, and things they thought, breed Flegme, for these cause a thick juice, which maketh Obstructions but not the earthly Matter, except there be some other cause, for that is layd aside in the serum, in which they are washed, as we shewed in the Causes Therefore Cheese which they forbid so earnestly, as the great Cause of the Stone, cannot do it but by its saltness, and sharpness; but fresh Cheese, Milk, and milkie meats, and other fresh meats though they be glutinous, cannot breed the Stone.

Modetate Exercise before meat is good to remove the Stone, which fixeth by Idleness. Therefore they void Stones more after exercise, then after Sleep, and the Urine made at that time, is best to judg by. There­fore when the Stone is little and sticks in the Kidneys, Moderate Exercise is good, but when great, it causeth pain by moving it, and in an old disease, strong and vi­olent motion of the Loyns, tears the flesh from the Stone, and causeth pissing of Blood, and an Ulcer. Nei­ther do some allow exercise presently after meat, least it be distributed before concoction, and carried to the Kidneys, to breed matter for the Stone, but this Cru­dity will rather breed Obstructions and other Diseases then the Stone, as we shewed. Immoderate Venery dries and weakens the Reins, and disposeth them for the stone, and if there be a stone, it stirreth it, and caus­eth pain. Therefore they who have lived long, with­out the use of Women, when they marry are subject to the Stone, which they never formerly perceived, being old men, as we have observed often. Also loos­ness of Body in orderly going to stool hinders the in­crease of Excrements. And not holding of the Urin when it urgeth, prevents the fixing of the Gravel.

If the Body be foul, purge Spring and Fall, and oft­ner to prevent, not only Flegm, which some think is the cause of the stone, but all humors. And to take a­way the cause of the stone, use gentle things that car­ry the salt and wheyish Matter from the Reins, and cleanse the Blood, as they say; such as shall be menti­oned for the Cure.

For when the fit of the stone is, we use Laxatives or Clysters to take away Excrements and Wind, then Purges, but not violent, that they may not meddle with the cause which is rather to be looked at in the time of prevention, then of cure. But such as may gently move the stone drawn, mixed with things that break it, as we shall shew.

Cassia is excellent to prevent, and in the fit also an ounce or more, with syrup of Violets or Sugar candy, or with the Decoction of Liquorish, or Sebestens, or convenient Waters, or seeds of Winter-cherries, or Gromwel, or a dram of Pouder of Turpentine, with Oyl of sweet Almonds to abate pain.

Also Turpentine two drams, with the yolk of an Eg, convenient Liquor, Sugar or Honey, or with Cassia.

Or with Benedicta laxativa, or two drams of the pouder thereof, with Sugar.

A loosning and cleansing Decoction. Take Liquo­rish an ounce and half, Raisons stoned an ounce, Sebestens ten pair, Prunes five pair, Pease a pugil, the four great cold seeds half an ounce, Anise-seeds three drams, Senna and Polypody, each an ounce; Violets a pugil, boyl them, and add Sugar, syrup of Violets or Roses for two draughts.

It is better to add Fennel and Parsley-roots, each an ounce; Saxifrage and Marsh-mallow roots, each half an ounce; Mallows, Maidenhair, each an handful: Dill-flo­wers a pugil, Alkekengi-berries two drams, and make the quantity of Senna an ounce and half, and to add Rbubarb and Agarick.

A purging Wine: Take Senna an ounce, Carthamus­seeds a dram, Agarick or Rhubarb two drams, Liquorish an ounce, opening Roots half an ounce, Violets and Mallows, each two drams; Berries of Alkekengi, Anise and Lovage-seed, [Page 300]each a dram; Currance four ounces, add Wine three pints, drink this to prevent the stone, and when it begins to purge.

A preventing Electuary, and to be taken in the fit. Take Cassia two ounces and half, Prunes and Sebestens, each an ounce; juyce of Liquorish two drams, with syrup of Vio­lets make an Electuary, give an ounce with things against the stone, and some scammoniate Electuary, as that of Juyce of Roses, Diaphaenicon, Elescoph, and Bene­dicta laxativa a dram and half.

Or give the gentle Electuaries with Rhubarb and Senna, as Catholicon and Lenitive, and the like, alone or with the Decoction mentioned.

Or gentle Pills, with things that break the stone.

Or these: Take species, Hiera and Benedicta laxativa half a dram, with Turpentine make Pills: Or a dram of Benedicta.

Or this Pouder: Take Senna an ounce and half, Rhu­barb two drams, Turbith three drams, Ginger a dram, Cin­namon two drams, Polypody three drams, Gromwel and Bur­dock-seeds, each a dram; Broom-seeds half a dram, Orris a dram, the four great cold seeds, each a scruple; make a pou­der, give two drams,

Clysters suddenly take away pain, by taking out the Excrements and Wind, which would increase it, by pressing upon the Ureters and Reins: And also by coming to the part being anodyne, and if they be nar­cotick especially, and which break the stone. Then do they help in a threefold respect.

As this against the Stone. Take the emollient herbs, roots and all, Pellitory, Bettony, Groundsel, Beets or Mercury, each a handful; Chamomil, Melilot and Dill-flowers, each a pu­gil; Liquorish two ounces, red Pease, Bran, each a pugil; Figs ten, Bay-berries three drams, Alkekengi-berries two drams, Gourd, Foenugreek and Linseed, each half an ounce; Fennel and Caraway seeds, each a dram and half; boyl them in Water and Wine, or Broath, strain and add Honey or sugar an ounce and half, Cassia an ounce, Benedicta or Hie­ra two drams, Oyl of sweet Almonds, Nuts, Olives or Butter, each an ounce; Turpentine two drams, with Salt make a Clyster. If the Pain be great, add two drams of Philo­nium Romanum.

Or you may use the anodyne Clysters for the Co­lick, adding things proper for the stone. Or thus: Take Oyl of Chamomil, Dill, Lillies, sweet Almonds, each an ounce and half; Oyl of scorpions, Goose grease and sweet Butter, each two ounces; Turpentine dissolved with the Yolk of an Egg an ounce and half, Saffron a dram, with Milk make a Cly­ster, add Opium half a scruple, if there be need.

Or this: Take Turpentine two ounces, dissolve it in white Wine half a pint, with the Yolk of an Eg, Oyl of But­ter, Almonds two ounces, Oyl of scorpions an ounce, Goose­grease two ounces.

Or this to help the stone to pass foreward. Take Lilly roots two ounces, Lapidium, Smallage, Purslane, Roots and all, each an ounce; Pellitory, Coleworts, Groundsel, sa­xifrage-roots and all, Bettony, St. Johns-wort, Water-par­sley, Crateva, Fennel, Dovefoot, Columbines, Beets, each half a handful or a handful; Lillies, Broom, Elder, Lavender and Stoechas flowers, each a pugil; Juniper-berries an ounce, Alke­kengi-berries two drams, Gromwel, saxifrage, Parsley, smal­lage, Cummin, Hally-berries and seeds, each a dram; boyl them in Wine and Water, strain and add juyce of Pellitory, St. Johns-wort, Fennel or Parsley, each an ounce; Benedicta laxativa or Indum majus three drams, Oyl of Dill, bitter Al­monds, Peach-kernels, scorpions, each an ounce; Turpentine dissolved with the Yolk of an Egg two drams, with salt make a Clyster. Add the Electuary called Justinum or Lithontridon.

Alterers are given also to cleanse away Gravel, that it stick not to the Reins, nor grow to the stone, they are good to prevent and cure, they open the streight passa­ges where the stone is lodged, and make them slippery And break the stone if it be crumbling or fastned to the Reins, but if it be old or flinty, it cannot be. Some do it by a cutting quality, and sharpness, or by cleansing which takes the Gravel from the Kidneys, and some­what alwaies from the stone; and the rather, when they are drying and earthy, which they do not by their hardness, as one stone wears another as they suppose. for they are not given whol but finely poudered, but by the clensing quality which is in these dry bodies; and by a propriety known more by custome then reason, as in other things, which do it by their similitude of which hereafter.

Good broath of red pease is approved, with Butter, Sugar, and Honey, or a little Salt, this is used to pre­vent, adding parsley roots, and Coleworts and topps of Sparagus, with Beans and Fitches.

Or Take; Red Pease a pugil, Parsley roots two ounces, Fennel, and Rest-Harrow roots and Liquorish, each an ounce; Colewort or Malowes, a few Melon seeds two drams, Aniseed a dram. boyl them in Cock Broath, til there be two mess­es of it streined, give it Morning and Evening.

Or the Decoction of Alisma, Chamomile, Marsh-Mal­lows, and of Corn Poppy, according to Diascorides, is good for such as make thick sandy Urine. Or the Decocti­of white Saxifrage.

To this Decoction of white Saxifrage, Orris, Prim­rose roots, Mallows, Venus Navel, and Holly, are added, also roots of Valerian, Musk; and wild flax may be boyled with Wine.

Some say that the Decoction of Lignum Vitae is good against the stone, by its cleansing and cutting qua­lity. And therefore they give it in the fit, and to pre­vent also, as ordinary drink for a long time together, with other clensers sometimes, as Liquorish roots, Rest harrow, and the wood of the Thorne Tree, with Sug­ar, or Honey.

Of these and others make this gentle and pleasant De­coction. Take Liquorish an ounce and half, red Pease a pugil, Raisons ten pair, Figgs five pair, the four great cold Seeds, Anise and Mallow-seeds, each a dram; Violets and Mallow-flowers, each a pugil; boyl and strain them, add Sugar or Honey a sufficient quantity for two or three draughts.

This is stronger; Take Marsh-mallow roots, Liquo­rish, each an ounce; Mallow-flowers two handfuls, red Cole­worts, Chervil, Bettony, each a handful; Melon seeds two drams, Foenugreek or Linseed a dram and half, seeds of Par­sley, Alkekengi and Gromwel, each a dram; Chamomil and Broom-flowers, each a pugil; boyl and sweeten it, and use it as the former.

Or thus: Take Roots of Asparagus, Restharrow, low Bramble, each an ounce; Pellitory, Bettony, Poli-montain, each a handful; black Vetches a pugil, boyl them in Rain­water, add Vinegar of squills an ounce, Goats blood prepared half a dram, Lapis Iudaicus a dram.

Or this Syrup: Take the five opening Roots, each half an ounce; Liquorish, Marsh-mallows, Dropwort, Burnet, sa­xifrage, Restharrow, Ground-bramble, Horse-radish, each an ounce; Roots of Valerian, Dittany, Madder, Nettle, Bayes, Orris, Elicampane, Birthwort, Piony, Vervain, each half an ounce; Roots of Asarabacca, Cypress, each two drams; Sea­onyon a dram, Roots of white Saxifrage, inner Rind of Ha­zel and Elder, each half an ounce; Mallows, Pellitory, Cher­vil, Lovage roots and all, Saxifrage of Dioscorides (which Dodon takes to be wild Time) Bettony, Pauls Bettony, Maidenhair, Ceterach, Rupturewort, Bupleurus, Ground-I­vy, [...]red Coleworts, wild Parsley, Sea-fennel, Celticknard, [Page 301]each a handful; Flowers of Chamomil, Lillies, Broom, Wal­flowers, St. Johns-wort, each a pugil; red Pease a pugil, Peach and Cherry-kernels, each an ounce; Juniper, Winter-cherry and Ivy-berries, each half an ounce; the four great cold seeds and of Mallows and Marsh-mallows, each a dram; the four great and small hot seeds, each half a dram; Foenugreek and Linseed, each a dram; Raisons stoned two drams, Jujubes and Sebestens, each five pair; make a Decoction, add to the straining Sugar or Honey six ounces, with a little Cin­namon make a Syrup: Take two or three ounces alone, or with convenient Water or Wine. Some boyl Lapis Judiacus and Lyncis in it, but in my Iudgement to no purpose.

Or the opening and cleansing Syrups, which are sel­dom given alone but with Powders and Electuaries that expel the Stone, as, Oxymel Hydromel, Syrup of Liquorish, Radish, or Byzantine.

There is also an Infusion made of Wine to ex­pel the stone, as winter Cherries, bruised and steept in Wine.

Or bruised Radishes, or Hors-Radishes steept twelve houres in Wine, which is very good.

Dioscorides commends Wormwood-Wine against the Stone.

And this is better; Take Liquorish, Rest-harrow, Burnet, Saxifrage, Lovage, Fenel, Radish, each an ounce and half; Bettony, and Pauls Bettony, Rupture-wort, Bup­leur, Maiden-hair, Ground-jvy, all dried, each three drams; Violets, Dillflowers, each a dram; Winter Cherries, Ivy ber­ries, each two drams; Parsley, Carua, Gromwell, and Broom­seed, each a dram; bruise them, and infuse them in two quarts of Wine.

Groundjvie infused in Aqua Vitae, is a singular expe­riment against the Stone.

Or divers Aqua Vitae's made of Herbs, and other things proper against the stone.

Or a Lixivium, or Lye, made of ashes of the same is good in four ounces at a time.

As of Vine ashes, or Bean stalk ashes, when Water or Wine is poured through them, so often til it be sharp.

Another strong enough in half an ounce. It is made of the Ashes of Bean-stalks, Pease, Coleworts, Vervain, Wormwood, Garlick, Ivy, Iuniper, Bayes, and Pali­urus, if it may be had. Taking as much of them as you can hold in your hand, and letting a pint of Wine, and four ounces of Aqua-Vitae pass nine times through them.

Some Juices break the Stone. (as Hannibal did the Alps with Vinegar) as thin white Wine, and Vinegar, and Water.

A certain man was drunk with white Wine, and held his Water forceably, and then voided abundance of stones and Gravel. And another of our Citizens of a good family, by drinking the diuretick Wine in the Blasine-street, voided often stones of half a dram in weight, and hath shewed to me many of them which came forth with a little pain.

Hollerius teacheth us that the same may be done by much cold water, when the body is hot and dry from the pain, and it is better with Vinegar, also the spaw­Waters that are sharp, are drank many dayes together against the stone.

Or an ounce of juice of Limons alone or with Sugar, or with three ounces of Wine, also juyce of Oranges, and the like.

Or the juice of winter Cherries, and Yarrow, or the Water of a Beet stalk, taken often in the same quantity, according to Mathiolus.

Or Take Juice of Fennel and Purslane, each half an ounce; white Wine an ounce. Drink it with sugar, or make a syrup thereof.

Or this Potion; Take Juyce of Pellitory clarified, an ounce and half, of Chamomile, Bettony, Honey, or Sugar each an ounce, drink it with Pease Broath or the like, or make a syrup thereof.

Another, Take; a Horse-Raddish, bruise it add the best Wine to make it three ounces, or four, strain it and add Blood of a Goat prepared a dram. this is highly commend­ed, to which other Juyces and Pouders may be added.

The Urine of a Goat of four yeers old, or of a rock-Goat, is highly commended.

Also distilled waters which pierce to the Reins, in a good quantity as Pellitory water a pint, or Mallow, or Marsh-Mallow water, or of Broomflowers, or Bean flowers, Rest-Harrow, Asparagus, Saxifrage, Parsley, Fenel, Osyris, or that of wild Parsley, sea Fennel, Rad­dish, Ivy berries, or winter Cherries, or that of Flix­weed called Osyris, or of Oak leavs, and Leavs and Roots of Brambles, and of Dogs tongue, also of ceter­ach, Vervaine, Chamomile, or that of Peach kernells or that of Turpentine which is oily. Mathiolus com­mends the Water of Mans Dung or Pigeons Dung. The spirit of Wine which is thin, breaks the Stone.

These all may be given alone, or with sugar, or with other Pouders, or distilled of divers simples mixed to­gether.

Or thus; Take the Roots, Herbs, Seeds, of which we make the Wine by Infusion, all dryed and bruised, and so much Wine, as it may be like a Pultes, and four oun­ces of Turpertine, draw a water by distillation from it: give it as the other.

Or add to the dryed simples that will keep their Virtue, Roots of Spargus, Smallage, Parsley, each halfe an ounce; roots of Asarum, Maddir, Valerian, each two drams; Pellitory of the wall, St. Iohns-wort, Chamomile, and Broom flowers, each two drams; Smallage, Lovage, Sparagus, and Raddish seeds, each a dram; distill a water with Turpen­tine as before.

All these are better distilled in Aqua vitae.

Or Thus; Take Peach or Cherry kernells, two ounces, Berries of Brambles, Strawberries, Winter Cherries, Ivy, each an ounce; Hors-Raddish three ounces, green Beans with the shales, Pellitory, each an handfull, wild Parsly, Sea Fen­nell, each a pugil. bruise and distill them.

Or this; Take of Peach kernells, four ounces, Sebesten, and Jujubes, each five pair, four great coldseeds, six drams, Winter Cherries, half an ounce, Gith, and Smallage seed each two drams, Hors-Raddish, half a pound, bruise them, add Turpentine and Honey each a pound, distill a Water, give three ounces alone, or with other Breakstone-Medicines.

Or, distill this Water of Juyces; Take Juyce of Raddishes, Lovage, each six ounces, Juyce of Winter Cherries two ounces, white Wine Vinegar two ounces, distill them give half an ounce.

This is an admirable Water: Take juyce of Radishes a pint and half, of Restharrow and wild Tansey, Saxifrage, Winter-cherries, Pellitory, Burnet, Bettony, Marsh-mallows, Gromwel, each half a pint, Roots of Fennel, Parsley, Eryn­gus, Restharrow, Orris, Elicampane, each two ounces; Basil, Gromwel, Burdock and Parsley-seeds, each half an ounce; Juniper berries bruised half a pound; infuse them, and stir them often two dayes, add a pound of Honey, and a pound and half of Turpentine, white Vinegar two ounces, distil them in Balneo, give two ounces, or two and an half, with as much syrup of Violets.

It is good to drink Oyls, for we may see them swim after upon the Urin, and therefore know that they pass through, and supple the Ureters.

Therefore in great Pains, when the stone is stopped in the passages, give Sallet-oyl, or Oyl of sweet Al­monds, or Linseed new drawn or well washt, alone, or in Broaths or Cream.

[Page 302]Some commend an ounce of Sallet-oyl with Wine, wherein Flints have been often quenched.

But some Oyls are proper for the stone, alone given, or with other remedies, as Oyl of Peach, or Cherry-kernels, or of bitter Almonds, or of Scorpions; or that of Citron-seeds, or Dock-seeds; or of chymical Oyls given by drops with others, as that of Turpentine, or the fat Liquors of Calcanthium, or Vitriol called Spi­rit of Vitriol.

Or this compounded: Take Juniper-berries four oun­ces, bark of the Roots of Ash three ounces, beat them, add Turpentine two ounces, Honey an ounce, steep them and ad Water, and so distil an Oyl: Give six or seven drops with any convenient Liquor.

Some Simples are good taken in substance, Raddish and Salt in Sallets, Horse-raddish beaten with sweet Almonds, Roots of Lovage boyled or raw eaten in a good quantity before bathing. Roots of Fennel, Par­sley, tops of Sparagus, Hops, Coleworts, Purslane, wild Parsley and Water-cresses in Sallets, Sea-fennel pickled called Samphire; also Lemmons, Raisons, Figs or kernels of Peaches, bitter Almonds, Cherries eaten with sugar, or made into Comfits. Also the Fruit of sweet Briar called Hepps, Hares flesh, especially the kid­neys, or Sparrows or Wag-tayls roasted, or Goats blood boyled or five or six ounces of Fox blood, with wine and sugar which is highly commended.

Some Simples of a Rosin quality pierce and cleanse the Reins, and make the Urin sweet as a Violet, and expel the stone and gravel in time of the fit, by provo­king Urin, as the best Turpentine alone not washed two drams and half in a Wafer, or with Liquorish, Pou­der or Sugar; and it is better dissolved with the Yolk of an Eg, and given with convenient Liquor; or boy­led till it may be poudered, two drams.

There are many other Simples for the same given in Pouder, in Wine, or the Waters mentioned, as Ditta­ny-roots, Bayes, Knotgrass, Rupturewort, Buphleu­rus called the Hares-ears, the seeds of Paliurus, Grom­wel, Broom, Xanthium, Winter-cherries and Ivy-ber­ries.

And pouder of Goats blood thus prepared. Take the blood of a young Goat fed with Herbs good against the stone, neither that which comes first or last, but in the middle of the bleeding, preserve it from putrefaction by a gentle fire, or by the sun, and give a dram in pouder with Wine. The blood of a Hare is as good.

Or the ashes of a whole Hare-skin, and all a spoon­ful in Wine

Or the ashes of a Wag-tayl.

Or these stronger Pouders of scorpions, sows or hog­lice, pouder of Earth-worms or ashes, which are very strong, and must be given warily, and in a small quan­tity; or of Grass-hoppers, Beetles, pouder or rather ashes of Spanish-flies, or of those Hog-lice or sows cal­led Onisci, which Hartman so commends in his Pra­ctise of Chymistry.

Or the fine pouder of Lapis Judaicus, or half a dram of Lapis prunellae, with the thin water of Vitriol, given twice a week in the morning. This is a great secret a­mong some.

Besides these, there are many Pouders and Electua­ries and Pills, made of Roots of white Saxifrage, Bur­net, Saxifrage, Dropwort, Restharrow, Valerian, Horse-raddish, Madder, Nettles, Lovage, Fennel, Parsley, Grass, Kneeholm, Sparagus, Bramble, Asara­bacca, sea-onyons, Orris, Elicampane, Birthwort, Pi­ony, Dancasonium, Horse-dock, Acorn-shells, middle Rinds of Hazel, the saxifrage of Dioscorides (called Ser­pillum by Dodon) the Capillars, Celticknard, Bay and Colewort-leaves, Feaverfew, Ground-Ivy, Penny­royal, Organ, Polymontain, Calamints, Hysop, Sou­thernwood, Germander, Bettony, Pauls-bettony, Groundpine, Leaves of Oak and Willow, Scordium and Empetrum, the Flowers of Royal Comphrey, Chamomil, seeds of Fennel, Anise, Caraway, Cum­min, Smallage, Dill, Carrot, Sesely, Parsley, Lovage, siler-mountain, Amcos, Parsley-pert, Coriander, As­paragus, Kneeholm, Basil, Raddish, St. Johs-wort, white Thorn, Nettle, Ash-keyes, Gith, Water-cresses, Burnet, Saxifrage, Lupins, Vetches, Bay and Juniper-berries, Medlar-stones, Peach and Cherry-kernels, sweet Almonds, red Pease, the spunge in the sweet Bryar, Cherry-tree and Plum-tree, Gum, Gum of the Walnut-tree, Vine, Gum Arabick Traganth, Elemi, Olibanum, Bdellium and Amber. Also the ashes an an Hedghog, Swallow, Asses-liver, Doves-feathers, and pouders of a Hares-kidneys, Mans-skull, Horse­hoof, Astragalus or Hare, Ivory, Picks or pickerel Jaws of Crayfish and Snails shells; or of Eg shells hat­ched; or of stones in Cray-fish, Crabs, spunges; or of stones taken from men, commended by Paracelsus, and Oyl of them taught by Hartman: Also pouder of Mouse dung. And of Lynx stone, Ocher the third Alcyon of Dioscorides, and ashes of Glass. To which we add things to enlarge the passages, as Liquorish, Marsh-mallows, Venus-navel, Violets, seeds of Mal­lows, Cotton, Marsh-mallows, Foenugreek, Linseed, the four great cold Seeds, sweet Almonds, Pistakes ashes of Nuts and Gourds. And things that help con­coction, and expel wind and obstructions, and spices that expel the stone, and make the Medicines pleasant; as Ginger, Galangal, Calamus, cypress, cinnamon, Wood-cassia, Wood-aloes, red Sanders, Nutmeg, Mace, cloves, Pepper, carpobalsom, cubebs, spike, schaenanth, saffron.

Give of these mixed a dram or two, with Wine, Wa­ter, Lye, Decoctions or Infusions; or with sugar make gross Pouders or Lozenges, with Gum Traganth, or with Honey or Syrup make Electuaries, with other conserves or candyes, given from two to three drams. Or if they be unpleasant make Pills with Turpentine, and give a dram, and after them give a convenient Draught of proper Liquor to help their working. Ex­amples of Pouders, Pills and Electuaries, are these.

The first pouder: Take dryed Coleworts a dram, Oak­leaves dryed and Acorn peels, each half a dram; Pepper and Ginger, each a scruple; make a pouder, give a dram or a dram and half.

A second: Take Peach kernels parched half an ounce, Melon seeds two drams, Fennel seed a dram: Give it with Parsley-broath.

A third: Take Gromwel seed and Winter-cherries, each a dram; Parsley seed half a dram: Give it in five ounces of Lemmon-water.

A fourth: Take Broom seeds half a dram, Amber two scruples, Sugar candy a dram: Give it with Wine.

A fifth pouder: Take stones of Medlars a dram, Pick­rel-jaws half a dram, Lovage seed a scruple: Give it as the other.

The sixth: Take Crabs-eyes and Astragalus, each half a dram; Broom and Basil seed, each a scruple: Give it at once.

A seventh: Take of the stones that have been voided by the same Patient or others, and Lapis judaicus equal parts, make a fine pouder: Give it with Hydromel or Water of Sea-fennel.

The eighth: Take the ashes of a Wag-taile or Hare a dram, Eg-shels hatched two scruples, with Sugar and Cinna­mon, make a Pouder.

[Page 303]The ninth: Take boyled Turpentine half a dram, Pou­der of Earth worms a scruple, burnt Harts horn two scruples, Lapis Iudaicus a scruple, Gum Traganth half a scru­ple.

The tenth: Take Goats blood prepared a dram, Jews stone half a dram, Ashes of Earth worms a scruple give it as the other.

The eleventh: Take Goats blood prepared or ashes of a Hare two drams, or of each a dram; the Spunge stone and Jews stone, each a dram and an half; Fennel, Parsley, An­nis seeds, Gromwel seeds, Medlar stones, each a dram; water­cress seeds half a dram, Mellon seeds a dram, Liquorish half an ounce, Roots of Burnet, Saxifrage half a dram, Cinna­mon a scruple, sugar two ounces make a pouder, give a spoonful or two; drink after it some convenient Li­quor.

The twelfth: Take Liquorish three drams, Rest-har­row, Dittany, Bays, Hors-radish, Burnet, Saxifrage and white Saxifrage, of each two drams: Asarum, Orris roots, each a dram; Dodons, Saxifrage called Serpillum, Mai­den-hair, Bupleurus, Rupturewort, Pennyroyal, each a dram and an half; Fennel, Seseli, Parsly, Lovege seed, Sea fennel, Radish Basil seed, of each two drams; Watercress and Gith seed, each a dram; Medlarstones a dram and an half: Peach kernels two drams, Plum tree Gum two drams, Crabs Eyes, Pickrel jaws, Egg-shels, Wolves Liver prepared, each a dram; Jews stone and Spunge stone, each a dram and an half; Oker and burnt Glass, of each half a dram: give it as the for­mer.

A thirteenth excellent Pouder: Take Mouse dung five or seven, Olibanum a scruple, Fennel seed half a dram, Cinnamon a scruple.

A fourteenth stronger: Take one Grass hopper of half a scruple, Crabs eyes two scruple, Cinnamon a scruple, give it with the Decoction of Juniper berries.

The fifteenth yet stronger: Take dryed Spanish flies four, Spung stone two scruples, Melon seeds a dram and an half, Sugar candy a dram, give it with the Decoction of Lineseed or Whey.

The great Electuaries of Nicolas, Lithontribon, Ducis or Justinus: are made of these, and that of Arnoldus de Villa Nova; and that called Nephrocathartike and Phi­lanthropos, and the Diuretick of Baptista and Montag­naria.

There is also an Electuary called the Queens Ele­ctuary, which hath Senna and Turbith in it.

And a red Pouder make thus: Take red Sanders and Cinnamon, each an ounce; Annis, Fennel, Parsley, Gronwel, Creta of the Sea, Winter-cherries, Melon seeds, of each two drams; Spunge and Jews stone and Lynx stone, each a dram; blood of a Goate prepared half a dram.

The Electuary of Ashes, by Avicen is prepared for the stone. Thus: Ashes of Glass, Spunge and Jews stone, Scorpions, Hare, Egg-shels, Pouder of Goats blood, Ashes of Coleworts, Calamus, Penny-royal, Parsley seed, Carrot, Marsh-mallow seeds, Pepper, Wallnut tree, Gum and Gum Arabick made into Pou­der and with Honey into an Electuary.

This hath been often used by me with good success: Take Liquorish, Bay roots, of each two drams; Rest harrow roots a dram, Winter-cherries, Paliurus seeds, Gromwell, of each two drams; Smallage, Parsley and Fennel seed, each a dram; Water-cresses half a dram, Gum of Cherry or Plum tree and Amber, each a dram; make a Pouder, with Cin­namon and a little Sanders: and to mitigate pain, Hen­bane seeds a dram and an half, give a dram with sugar or make Lozenges, or an Electuary, or Pills, with syrup that is proper, with Peach kernels and juyce of Liquorish, instead of Liquorish.

With Conserves, you may mix them thus: Take Conserve of smallage roots or Orris an ounce, Conserve of Broom flowers and Maidenbair, each half an ounce. The tenth, twelfth or thirteenth Pouder. Or the Electuary Ducis, Justinus or Lithantribon a dram and an half. Or if you will have it stronger, the fourteenth Pouder and juyce of Liquorish, each a dram; with syrups aforesaid: make an Electuary.

Agarick is somtimes added: Take Agarick a dram, Pellitory of Spain two drams, roots of Dropwort a dram, Gromwel seeds half a dram, Madder half an ounce, conserve of Maiden hair half an ounce, with Honey of Violets: make an Electuary.

Convenient Pills: Take seeds of Paliurus, Gromwell, Winter Cherries, each a dram; Saxifrage seed and Sea fen­nel, each half a dram; Mallow seeds two scruples, juyce of Liquorish a scruple, Gum of Cherry and Plum tree, each half a dram; Bdellium a scruple, Goats blood prepared a dram, ashes of Scorpions, or Mouse heads, Earthworms, Hog lice or Sows, each half a dram; with Turpentine, make Pills, give a dram.

F [...] pain, give Anodynes with the former.

An Emulsion: Take Peach kernels four ounces, Melon or Gourd seeds half an ounce, white Poppy seeds two drams, beat them, and with half a pint of Pellitory or Mallow wa­ter, make an Emulsion with Sugar or Honey, give four ounces.

A pouder again pain: Take white Poppy tops two drams, Henbane seeds a dram and an half, the four great cold seeds and Mallow seeds, each a dram; Gromwel seeds and Winter Cherries and Broom seeds, each half a dram; Liquo­rish two drams, Restharrow roots a dram, sugar two oun­ces.

It is good in pains to add white poppy seeds or Henbane seeds, as I shewed in my pouder.

Or to give Opiats, as Asyncriton, Philonium, Roma­num, with pouders against the stone, or others mentio­ned in the Colick.

And Narcoticks may be given with purgers: As, Take Asyncriton or Philonium Romanum two scruples or a dram, Diaphaenicon a dram and a half or species Benedicta a dram and an half or six grains of Diagredium with sugar make a Bolus.

Or thus: Take senna half an ounce, Carthamus seeds two drams, Liquorish, parsley roots, each half an ounce; white poppy seeds two drams, Mallows and Lineseed, each a dram; boyl them and dissolve Asyncriton or philonium a dram, Mithridate two drams, or half an ounce of syrup of poppies.

Or these pills: Take species Laxativum two scruples, Opium prepared and dissolved in sack two grains, Storax, saffron, Castor, each three grains; Oyl of sweet fennel seeds a drop with Turpentine, make pills.

We give Anodynes in Clysters also, as in the Co­lick.

And outward things to remove the stone, by dila­ting the passages.

Sitting in a moist and hot Bath takes away pain, if up to the Armeholes, in a Vessel made on purpose cal­led Lumbrorium.

In time of necessity, hot water alone will do well and better then potential heat, to take away pain, though things potentially hot, may be added to help the Decoction, and which loosen, expel wind, open and move the stone, such as Clysters were made of.

Or these, a Decoction of Mallows and parsley and Chamomil flowers in a straight Vessel, the less will serve.

Or adding Lilly roots pellitory and Violets.

Or a Decoction of Coleworts, Spinage, Arrage or [Page 304]Turneps, or Parsneps, or Scirroots, and Horse-radish, which is best.

Or of Marsh-mallowroots, opening Roots, and all three pugils, Foenugreek and Linseed a pugil, Smallage, Parsley and Caraway seed an ounce.

We add to the former some stronger things to expel the stone, which are mentioned in Remedies taken in­ward, and may be used outwardly, to remove it as some think.

Chiefly Madder roots, and sea-fennel, or Sisymbri­um, Columbines, Dropwort, Dovefoot, Bupleur, sou­thernwood, Mugwort, Broom flowers, and of Verbas­cum, Gromwel seeds and Winter-cherries, and the like.

For rich people we add Milk, Oyl, Butter to loosen more, and Wine to make it penetrate.

We make Fomentations (when baths cannot be u­sed) of the Decoctions aforesaid, with a spunge, stu­phes or bags, with Wine and Oyls.

Some use Embrochations or Infusions upon the pe­cten if the stone lodge there, to remove it; they are made of the aforesaid Decoctions.

Also to bath in, and to drink of sharp Waters, is good against the stone, as those of Sulphur.

After Bathing or Fomentation anoint the Reins, Pri­vities and Perinaeum, to take away pain, and open the passages warm, stroaking the Hand downward.

If there be heat of the Kidneys, this Oyntment will open and cool. Take Oyl of Violets and Water-lillies, boyl Marsh-mallows therem, fresh Butter, or Cream and Goose grease, each half an ounce; with white wax make a Liniment.

A stronger Anodyne: Take Oyl of sweet Almonds an ounce and half, Oyl of Chamomil, or Melilot, Dill and wall­flowers, each half an ounce; Conies grease six drams, Mu­cilage of Linseed or Fleabane an ounce, Saffron a scruple, with wax make a Liniment.

Or anoint with the Oyntment of Marsh-mallows, or that called Resumptive.

When we will drive along the stone: Take Oyl of bitter Almonds an ounce, Oyl of Peach kernels half an ounce, Oyl of Scorpions and Goose grease, each half an ounce; Tur­pentine a dram, with wax make a Liniment.

With Juyces thus: Take juyce of Pellitory and Marsh­mallows, each an ounce and half; wine an ounce, white wine­vinegar half an ounce, Oyl of wall-flowers and Earth-worms, each an ounce; Oyl of Scorpions half an ounce, boyl them to the consumption of the Juyces, ad Goats grease six drams, and with wax make an Oyntment, or with Turpentine.

Another stronger: Take Oyl of Lillies and bitter Al­monds, each an ounce and half; juyce of sea-fennel, Horse­raddish and white wine, each an ounce; boyl them and ad Grass-hoppers, or quick wood-lice, spanish-flies, scorpions dry­ed twelve, or more.

Or thus: Take Oyl of bitter Almonds, of Peach, or Cherry-kernels two ounces, Oyl of scorpions, or burnt Grass­hoppers half an ounce, with wax make an Oyntment.

A more compound Oyntment. Take Oyl of Cha­momil, Dill, Lillies, each an ounce; Oyl of bitter Almonds an ounce and half, of scorpions an ounce, Goat and Badgers­grease, each half an ounce; Mucilage of Foenugreeck seed an ounce, Madder and Asarum roots, each a dram; water-cres­ses, Raddish and Lovage seeds, each half a dram; Myrrh a dram, ashes of Grass-hoppers, or Beetles two scruples, ashes of Beech mast a dram, saffron half a scruple, Oyl of Amber half a scruple, with wax make an Oyntment.

Trallianus commends the blood of a Goat newly killed to anoint.

This Cataplasm is good to the pained part. Take roasted Lilly roots half a pound, of Pellitory of the wall heated upon the Tiles and bruised two handfuls, and of Groundpine so prepared three drams, Marsh-mallow roots bruised two oun­ces, Chamomil flowers and Dill tops, each a pugil; Flower of Foenugreek and Linseed, each an ounce; boyl them in milk, add fresh Butter two ounces, Oyl of Lillies and scorpions, each an ounce; saffron a scruple, make a Pultis.

Also the actual Heat of Bags made of dryed simples, or Chaff of Milium is good here, as in other pains.

Also Pillows, and Skins, or Furrs, Coney-wool, and Hares skins are the best.

Also some Stones tyed about the Waist prevent the stone. Great folks by a greenish stone like the Galacti­tes. It is called the Nephritical Stone, because it expels stones from the Kidneys, and also strengthens the Sto­mach.

It is good to apply a Cupping-glass, not upon the Kidneys, least it stir the stone, and cause pain which is not great, till the stone gets into the Ureters, and then apply the Cupping-glass still a little below the stone, and so remove it downwards, beneath the place of the pain, till you have brought the stone into the Blad­der.

The same may be done by chasing with the Hand or with Cloaths, and hot Oyls that loosen. Especial­ly after so doing you use a Cupping-glass, alwayes ta­king heed that we go not too high with these things to the part pained, which will increase pain.

Some rub the Leggs in time of bathing.

Moderate motion also keeps the sand from stopping in the passages; and it is good to stand upright, or to exercise a little to move it.

And if a stone from the Kidneys stick in the entrance of the Ureters, and cause pain, it is good to lay the leg so high that the stone may get back by a little motion, into the hollow of the Kidneys, this will soon take a­way pain.

Vomiting by its force in straining, doth help to re­move the stone, therefore at the first if it come not Na­turally provoke it, or provoke Neesing.

It is good in great pain, when the Patient is pletho­rick, to open a Vein in the Foot on the same side, least it run to the Kidneys by reason of the pain, and cause Inflammation, or when there is Inflammation.

The pricking pain which is vulgar­ly called the Spleen, The cure of the pricking pain, called the spleen but falsly. though it be sharp, yet because it comes from a cause that lasteth not long, as attracti­on of the Muscles and Wind, it goes away of it self, otherwise it must be cured.

If it come often or from little motion, rest prevent­eth it, and gentle Motion, and good Diet, not windy, but such as expelleth wind, and by keeping the side ve­ry warm. And if the Party must exercise or ride, let him not do it upon a full stomach, and then bind him­self about the waist with a Swathband.

When this pricking pain comes, also it is good to bind, with a Rouler as in a windy Cramp, of which this is a sort, and by so doing the Muscles will be drawn into their place, and the pain removed by expelling the wind.

If after rest and binding, or rouling, the pain yet re­main, you must use the same way of cure; as was shew­ed in the Cure of a windy Pleurisie.

First, use outward things that are hot actually and potentially that expel wind, and take away pain, as Fomentations, Bags, Oyntments, Plaisters and Baths dry and sweating, such as are described in the windy Pleurisie, and other outward Diseases from wind.

If for all these the pain abare not, you must use di­verters [Page 305]and Derivers, as Clysters and Cupping-glas­ses. And (as is there shewed) if the Body be foul, you must purge, provoke Sweat, and give Alterers, which by a hidden quality take away pricking-pain.

CHAP. XIII. Of Pain of the Belly.

The Kinds.

VVE call that the Pain of the Belly which is be­fore, where it is soft and covered with no bones; for we shall speak of other Pains in the parts adjacent, that are in Pissing and going to Stool, hereaf­ter. These in the Belly are first distinguished by their Seats, for some are in the Abdomen or Panch about the Navel; others below the Navel, or above the Pecten, or reach to the Hips and Loins.

There are pains often about the Na­vel. Colick and Iliack-pain. These are distinguished by Physi­tians according to the Gut affected, as we shall shew in the Causes, and one is called the Colick, another the Iliack-pain. These are the Symptoms.

The great pains are called Torments they are somtimes about the Navel, Torments. above or below, or on each side; somtimes they move with heat burning, and somtimes cold; some­times they are fixed under the Navel chiefly, and do as it were bore a hole through, but not in the Back, Groins as the Nephritick pains of the stone, or in the Hips, as those of the Womb.

There is also Rumbling of the Guts to and fro to be heard and felt.

Also the belly is bound, and somtimes there is an en­deavor to belch or fart, but in vain. And if not, or a Loosness follow, the Disease is cured. Somtimes there follows a purging of matter but not of blood, as in a Dysentery. In one sort of this Disease the urin is stop­ped.

There is also Loathing and Heart-ach called Cardi­algia, and Vomiting of Flegm or Choler, somtimes of the Excrements which is grievous. this Disease is called Iliacus from the Gut Ilion, Miserere mei, is a sort of Iliack­pain. or from the Greek Eleos or Eleenos, because it deserves pitty, and therefore called in Latin miserere mei.

There is somtimes also a Feaver going afore or com­ming after, or joyned with it.

Somtimes Convulsions and Palsies follow un­known to the Ancients. They are general or in some particular parts, as we shewed in the Hindrance of Motion.

Also there is a vehement pain be­low about the Pecten. A straining pain about the Blad­der. Somtimes stretching with stoppage of Urin; of which we there spake. Somtimes burning with pricking and tearing, A hot pain about the Bladder. with redness and tumor outwardly, this is called the Inflammation of the Bladder; and then the belly is bound, and Urin stop­ped, and a Feaver with its accidents, and Dotage also somtimes. After which follows pissing of matter, or hardness of the part.

There is another pain below that reach­eth to the Hips and Loins, Pain of the womb. mentioned in the Hypochondriack pain, called the Pain of the Womb; and it is twofold. Either it is stretching in the Belly and Sides, usually in Women be­fore their Courses break, or when they are stopped: And it is like the Colick, so that many times it is taken for it at the first. And it hath many sad accidents that follow in women, as we shewed in Suffocation of the Womb.

There is also a pain of the womb in women with child chiefly in the Groyns, like that of the Hips, only it is felt before and not behind, when the Leg is mo­ved.

There is another pain of the womb in women not in travel, The pain after Child-bearing is a kind of womb-pain. but after child­bearing, not in the Privities, but in the bottom of the Belly, stretching it some hours or dayes, this is called the after birth-pain.

There is another burning, pricking, A pain after Child-pain, with Inflama­tion. stretching, beating and tearing pain, called the Inflammation of the Womb before and after Child-bearing, it is like that of the Bladder inflamed, only it extendeth larger, with outward redness and tumor, binding of the Belly, and stoppage of Urin, and a Fea­ver, which leaves behind it a sharp pricking pain, with voiding of matter by the neck of the womb; and hard­ness somtimes, and Fainting, and other Hysterical ac­cidents: As we shewed in other places.

The Causes.

The Diseases of the Nervous bowels in the Cavity of the Abdomen, cause these pains, that is of the Guts, Bladder and Womb in Women.

The Guts fill almost the whole Belly, The cause of the pain of the Belly from the Guts. and they being very sensible, the pain is great. They are thick or thin Guts, and the pain is distinguished according to the Gut. That which is in the thick Guts which come from the Colon, is called the Co­lick, that in the Skin is called Iliack. And because the thin Guts are most about the Navel, the Iliack pain is more there. But because the thick Guts are placed a­bout them, and reach from the right side to the left, as high as the Hearts lodge, down to the Fundament, the Colick is chiefly in them. The Diseases of the Guts that cause these pains are stretching or cold, or fleg­mon Tumor, or burning, or disorder of the Guts, from their place.

Too much stretching of the Guts, Stretching of the Guts causeth pain of the belly. especially with irritation, causeth pain; this comes from excrements and wind, when they fill too much, or stop, and cannot pass.

Somtimes excrements and wind are in great measure carried to the Guts, which fill and stretch, Plenty of Excre­ments and wind in the Guts, cau­seth pain. and cause pain; but if the passages are open it lasteth not, but goes away with rum­bling, farting, belching or purging. This pain follows eating of raw Fruits, Crudities and taking of a Purge before it worketh. And it is worse when there is Cho­ler, or other sharp Humors; as we shall shew in Diarrhaea.

Somtimes the excrements and wind stop in the guts, and cause pain, which is fixed somtimes in the part [Page 306]stopped. Or else wandereth and is most where the Excrements and wind are most.

This pain is often in the thick Guts, Excrements and wind stopping in the windings of the Colon, cause the Colick. which are full of thick Excre­ments and wind, as in the great winding of the Colon on the left side in the begining of the straight Gut, when the Excrements stay in the crooked passage, and when they labor to get out the part seems to be bored or peirced, and there is a Tumor to be felt and the pain decreaseth when the Excrements go back, and increaseth when they return. This stoppage is from Excrements, which suddenly stop this crooked passage: or from dryness, hardness or toughness or slyminess of the same; which will not let them rise up, as we shewed in the causes of binding of the Belly.

Also in the Cells or hollows on the sides of the Colon that swel forth like a half circle, Excrements re­tained inthe cells of the Colon cause the Colick. when the Excrements are hardned and dryed therein, they cause pain not only by weight and stret­ching, but by stopping and hindering the others from coming forth; Especially if they have lien long. Also other hard bodies may do the same, if they get in, as stones of fruit or Chesnuts eaten (which have caused the Colick to my knowledg) with other hard meats, and binding of the Belly also. Also little bones taken from Hens Feet boyled, in one that eat many for a Diet, stuck long in the Guts of a Woman and caused the Colick, and after a Clyster, she voided abundance of them and was cured. Also I knew one that had the Colick from eating much Cheese, and voi­ded it by Clysters, and also Mites or Cheese worms by Urin. Also Fernelius saith that he hath found by dissection, that the colon hath been almost closed up with flegm (if it were not some other Excrescens) and caused the Colick. And he writeth that in a certain Embassador there was a hard body bored through, in the passage of the Colon under the stomach, as appea­red by the Tumor, which caused the Colick, which after six years he voided, being a foot long, and then was cured. This may come also from stones that breed in the Guts, which the same Fernelius saith he hath seen as big as Wall-Nuts or Chesnuts, and voided by stool. I once saw one Lump like a stone, so voided.

When the passage of the Excrements is stopped in the smal Guts, The Cause of the Iliack pas­sion, is the stop­page of the smal Guts. it causeth the Iliack pain, and this is rather in the straight passage over against the right Kidney, where they joyne to the thick Guts then any where else. Then there is that grievous pain called the Colick vulgarly, both in the right side, from the stop­page, and in the smal Guts about the Navel, from the Excrements, and there is Costiveness, till Medicines take it away, and it so continueth till the obstruction is quite removed. And if the Excrements retained are Cholerick, or Evil, or Corrupt by long tarrying, and grown sharp, or malignant, the Guts will be twiched and the pain the greater. And although they som­what provoke nature to void them by their sharpness, yet because they cannot be carried to the thick Guts, while the obstruction lasteth, the Belly continueth bound, but if the obstruction did not hinder them they being many, would cause a Diarrhaea or the Disease of Choler, or by sticking to the Guts a Dysentery rather then that Iliake passion, with costiveness. This they cannot do in the smal Guts, being shut up there, but they cause cruel pains, till the obstruction is removed. And from this choler long detained, come other great accidents as Jaundies, Fevers, and somtimes a Con­vulsion, from consent of the Nerves and the like (as we shewed) It hapens also from the total stoppage of the straight passage of the Gut, or from neglect, or from its stubbornness that will not yeild to Medicines, that the Excrements are so gathered, that they return back to the stomach, and are vomited up with much detesta­tion. Hence is the Disease called Ileus or Mise­reremei.

The cause of this obstruction, whether it be easie or hard to be opened, may be hard tough Excrements; And a natural narrowness of the passage or a continual use of hot things, which dry the Guts and make them narrow there: Or hard meats, or hard bodies that breed there, as we shewed. As Fernelius sheweth that a Maid that had taken a Medicine of Quinces was stop­ped found in the smal Guts that they break.

If the smal Guts are rowled toge­ther in any other passages, Rowling together or tangling of the Guts causeth Con­volvulus. so that the passage is stopt, then the Excre­ments stop and the Wind, and hea­ped together do stretch the Guts, and cause the Iliack pain called Con­volvulus, in which when it is not far from the Duode­num, they vomit their Excrements, and there is a wandring pain with rumbling about the Navil. The cause of this is Inflammation or wind when alone, or with other Excrements it fils the smal Guts, so that they are like puddings stretched and twisted, as we have seen. This can scarse be from wind alone, except there be obstructions from the causes mentioned, which hin­der its passage, whereby the Guts are filled and twisted. Also the rowling or tying of the Guts, especially the smal from over exercise or from a fall upon the Belly, when the Stomach and Guts are full of Meat and Ex­crements, if it be not carefully cured, will cause a dead­ly Convolvulus: as it did in a Cousin of mine, who leaping over a Ditch, fel with his Belly against the fur­ther banke, and the second day after vomited his Ex­crements and dyed. In whose Body I sound the smal Guts tied in knots, and stretched with wind upwards, but empty beneath, when the Guts were put into their places, the wind broak forth by great farts. Another twisting may be from the failing of the smal Guts out the Cavity of the Peritoneum into the Cods in a Rup­ture, when they stay long there and cannot be put up. The same Symptoms follow, only the pain is then in the Groyn, where the Peritonaeum or Caule is broken As shall be shewed in Ruptures.

Great cold in the Guts causeth tor­ments, as in the Stomach. Refrigeration of the Guts causeth pain. Either from outward cold, or from things taken in actually too cold, for the Stomach and Guts joyning to it, and colon that is adjacent. Also Clysters too cold, actually or poten­tionally, may cause the same. The same may come from cold wind that comes from cold drink or crudi­ties, which may cause pain by stretching, also if they be many. Also from a cold and crude humor, from sharp meats or fruits.

Although flegm be counted the chief cause of pain, yet it must be only that which is cold, as that called Glassie flegm, which being bred in the Guts, is very cold pierceth and knaws, other kinds of flegm can cause no great pain, either with their quantity or qua­lity.

Inflammation of the Ileon, Inflammation of the Colon causeth the Colick. or in the smal Guts, causeth the Iliake pain, in the Colick or streight Gut [Page 307]the Colick. And there is a fixed, inflamed, stret­ching, beating pain, inwardly in the part with a Feaver and other accidents of Inflammation, with Costiveness, though when the thick Guts are afflicted, The Inflamma­tion of the thin Guts causeth Convolvulus. there is a vain Needing If the smal Guts are inflamed and the tumor is great, then by reason of their rowling together, because nothing can pass, the Excrements are vomited, this is the usual cause of Convolvulus, in which Tumor I have observed a little blewness. And if the Inflammation, Imposthume and break, matter is voided.

The cause of this Inflammation is blood sent from the Meseraicks into the substance of the Guts, by rea­son of its plenty or thinness, or by reason of great pain or other hurt, wound or bruise.

Besides the flegmon or Inflamma­on of the Guts, A burning from choler in the Guts, causeth the Iliack pas­sion. there may be a burning in the smal Guts causing the Iliack ra­ther then Colick (though it be com­monly so called) which is violent long and hath bad Symptoms, when the choler is not in the space within, but in substance of the Guts, as I know by long observati­on and certain signs. And it infects them and corrod­eth and burneth, as we shewed might be in the stomach and have found upon dissection, by a yellow spot after death both in the Stomach and Guts. This is the cause that the choller staies so long and so fast, and brings such lasting pains, that return, when they are abated and they are worse, when the choller is worse, and is so hot and so much that it causeth Erysipelas. Hence come grievous accidents, because the Guts are very sensible, being Nervous, and the other Nerves suffer therewith, especially when the choler gets to the Back­bone and Marrow, where the Guts grow to it by the Mesenterie (as Fernelius saith he found it also Convul­sions and Palsies, that may come from Choler and evil Humors in the Guts obstructed. From whence, as we may gather, that Choler is the cause, so may we conclude it from other signs of choler in the Urin and the like. And this Choler sticking fast to the Guts, cannot so soon get down, as that which is there from obstruction, and causeth a loosness, as it doth when it gets into the lower parts. Therefore in this case, and in the former from obstruction, though it come from Choler, the Body is not open, as in other Diseases, but bound.

This Choler somtimes coming from the Gall, as it may offend the substance of the Stomach, as I shewtd, so it may also offend the neighbor Guts, to which it is naturally carried. It comes often from evil chyle or two much juyce, and is mixed with the blood in the Meseraicks, being not sufficiently purged in the Gall, by reason of the great quantity and obstructions: when it is carried with the blood to the Guts, through the Meseraicks and Guts into the substance of them, as an Erysipelas. This being gathered and retained in the Meseraicks, causeth divers diseases, and especially fea­vers (as we shewed) and being sent by nature to the Guts, except it be carried away by a Loosness or Diar­rhaea through the mouths of the Vessels (which is usual) or by the bleeding of the Haemorrhoids; causeth great pains by infecting of the Guts. These pains are joy­ned with other Diseases, when the Choler is in the Veins; as Iliake passions and other Diseases of Cho­ler and Feavers; as I shewed, in intermitting Fea­vers.

The Bladder lying in the lower part of the Belly before, causeth pain there, The cause of the pain of the Belly, about the Bladder, is from the Blad­der. especially when it is ful and stretched forth. We shall speak of the Diseases of the Neck of the bladder elsewhere, For they cause pain in pissing. The Diseases that cause pain in the Bladder, are either distention that is stretching or Inflammation of the same.

The Urin is the chief cause of stretching of the Bladder, The cause of the destending pain of the Bladder is the stretching thereof. which when it is in great quantity retained, causeth a pain in the lower part of the Belly, with a swelling and stop­page of Urin, of which we speak in suppression of Urin. This cannot come from wind, because it cannot get into the Bladder, though it may be bred there by the crudity of Urin long retained and cause a greater stretching. This Wind and Urin is sel­dom seperated, for the frothing of Urin, when it is rendered or made, comes rather from the external Air, then any internal wind. This stretching cannot be from the stone, because it cannot grow so big, neither doth a stone cause pain in the Bladder, till it gets into the Neck thereof. And then because it hindereth pis­sing, we shall speak thereof in the Chapter of painfull pissing.

If the Bladder be inflamed in the substance of it, The Inflamma­tion of the Blad­der, is the cause of the burning pain thereof. it causeth a pain in the Privities, with redness and tu­mor, also when the Bladder is wrap­ped in the Caule, and the tumor is greater, when the Excrements and Urin want passage. This Inflammation somtimes turns to an Imposthume, and then for the time, the pain is yet greater, and when that is broken there is an Ulcer, and painful pissing of matter. Also this In­flammation may leave a Scirrhus, such a one as I saw gtowing very large, in the Bladder of a Cow, that was broken by accident, and cured again. Also this In­flammation, if it be not well cured, turns to a Gan­graene. And I once saw a Bladder black within, when I opened a dead Fryar.

Some external accident, may cause this Inflamma­tion of the Bladder, or pain from the stone, or an Ulcer to which Diseases an Inflammation is somtimes joy­ned of the Bladder and Kidneys also, when the body is Plethorick and fit to receive it.

Because the Womb is in the same lower part of the Belly, The cause of pain in the Womb and the Vessels thereof. and lyeth under the Bladder, and the bottome thereof, espe­cially being stretched, reacheth into the Belly, the pains are alike in both. And because the Ligaments of the Womb, by which it hangeth, reach to the Hips and Loyns, they are pained also; and of them we shall here speak, but we have treated of the pains of the Neck of the Womb in its place. But all the pains of the Womb (in the bottom or Body or Ligaments thereof, some whereof reach to the Neck, as in the Bladder) come from stretching or from Inflamma­tion.

The stretching pain in the bottom of the womb, The stretching of the bottom of the womb, causeth the pain after Child­bearing. comes chiefly from outward Cold taken in after Child­bearing, while the inward Orifice of the womb is large and open, for want of keeping warm, by which means the Air gets in, and fills and stretcheth and weakneth it, and by cooling causeth [Page 308]pain. This is called the pain after Child-bearing. At another time this pain cannot come from taking in of Air, because before Conception, the womb is smal and thick, and the cavity which is to be filled with Seed in time of Conception is very straight, and after concep­tion also, when it grows bigger with the Child, the in­ward Orifice is close shut, and the womb full. Nor from wind bred in the Body, because if it get into the straight cavity of the womb or breed there, it cannot so stretch the womb to cause pain, because it is very thick. Neither can water cause pain for the same reasons. Though some suppose that the womb may be like a bladder inlarged, and have an Inflammation from wind and water, as they call it. For though the womb be larger in some women by Nature, or by much moi­sture which loosneth it, yet it cannot be so filled and stretched that pain may follow. And if the repletion be great, there will be rather a weight and heaviness then a pain, as it is when the Child is great, but the weight of the Child by stretching the Ligaments may cause a kind of pain, but it is in the Groins, and not in the Loins as we shewed. So then there is no other stretching pain of the womb but what is after Child-bearing, The stretching of the vessels, is the usual cause of pain in the womb. caused either from the substance of it, or from the Membranes and Vessels, by which it hangeth, but from Humors retain­ed, and then it may reach to the sides (as we shewed in Hypochondriack pains) as when the courses are stopped, or disordered or foul. This foulness comes from foul blood and humors in women of evil habit, that want their Courses; which do so fill, stretch or provoke the part they that cause pain, especi­ally when they are hot, and send up Vapors, and pro­duce other Accidents, especially the suffocation of the womb, as we there shewed.

The Inflammation of the bot­tom of the womb and neck also, The Inflammation of the bottom of the womb, causeth the burning pain there­of. causeth pain with divers accidents, as we shewed: This as that of the Bladder may leave an Impost­hume, Ulcer, Scirrhus or Gan­graen. And the cause external may be a Stroak or Bruise, or internal, abundance of blood about the womb, upon stoppage of the Terms, when they flow not into the neck, but into the substance of the womb, and cause Inflammation according to the diversity of the blood. The Cancer of the womb. And if the quality thereof be malignant it may cause a Cancer, which shall be mentioned in Diseases of the Neck of the Womb, be­cause it is commonly in that part. The womb is chief­ly inflamed from difficulty of De­liverance, The Inflammation of the womb after Child-bearing cau­seth the second sort of pain after child-bearing. great pain and straining, either while the child or after birth remain, or after they are gone, which causeth a Feaver. And this Inflammation is rather the cause of many womens death, then the re­tention of the after-burden, and the pain they have, comes from the Inflammation as well as from the Air that gets into it, and is then greater and more dangerous.

The Cure.

The Cure is different according to the part affected, and the variety of Causes, as the Bowels are stretched, cooled or inflamed by Blood or Choler. And is to be applied to the stretching or Inflammation of the blad­der or womb.

The stretching of the Bowels from what cause soever, The cure of the Colick & pain of the womb & Convolvulus, from stretching or cold. if it cause the Coe­liack and Iliack pain, must be cured the same way, as also when it comes of Cold. And if it come from the abun­dance of excrements and wind, with pain and rumbling; if they come forth as they use to do, by Fasting, Belching or a Flux, you must take the same course as in Diarrhaea.

If these Excrements cause a stoppage in the thick Guts, and so by stretching the Colick, it is easier cured then in the small Guts, especially when they are evil, and increase continually, for then Iliack passion which is so deadly, and hard to be cured, will return and cause Convulsions and Palsies, and the like, which though the pain cease, destroy the Patient. And if the stoppage be so hard that it cannot be opened, but the thin Guts are so full of Excrements, that they are sent back into the Duodenum, then follows the deadly con­volvulus, or Spewing up of Excrements; or Iliack, or knots or tanglings of the Guts.

In all which cases (except when the Guts are knot­ted, or an Iliack pain from a Rupture, for then you must rather look to the putting up the Gut, then to the Iliack Passion) the cure is by softning the Excrements, cleansing and bringing them forth, by loosning and ex­pelling wind out of the belly, and by abating of the pain. And if Humors be cholerick, sharp or evil, they must be purged and allayed, not with cold and sharp, but with temperate Medicines: And the pain chiefly respected, with Narcoticks to prevent convulsions, and the like. If the pain come from glassie Flegm that cools the Guts, it must be purged and cut, and the coo­led parts warmed; which will cure a simple Distem­per. These things are done by the following means.

Clysters are the best in this case, because they go straight to the Guts, for if the cause be in the thick guts, they go to them; and if in the thin, their vertue reach­eth thither by continuation and vicinity. They are made of Emollients to supple the hard Excrements, which cause pain by binding and holding in of the wind, and purgers that cleanse strongly, when there is great stop­page by glassie Flegm in the Guts; also of warm things that expel wind, and comfort the Guts. And when there is great pain, they are made of Anodynes, and at length of Narcoticks. The quantity of these Clysters must be from a pint to a pint and half, beginning with less at the first, while the Guts are small, and so enlarg­ing by degrees the Examples, whereof are these.

An emollient Clyster of a pint of Sallet-oyl and a little Butter or Grease, may presently be made.

Or this which provoketh a little. Take fat Broath of Tripes, or the like, and boyl therein Caraway seede, Bay or Juniper-berries a pugil, Butter or Oyl three ounces, Honey two ounces, with a little Salt make a Clyster.

Or thus; Take Mallows, Marsh-mallow roots and all, Spinage, Arach and Brank-ursine, each a handful; Lilly-roots two ounces, Chamomil and Melilot flowers, each a pu­gil [...] boyl them in fat Breath, add Butter or Oyl three oun­ces, Hogs grease an ounce, Honey two ounces, and a little Salt.

A stronger to expel wind also. Take Mallows, red Coleworts, Mercury, Beets, Pellitory, each two handfuls; Penny-royal or Organ a handful and half, Beet roots two oun­ces, Liquorish an ounce, Chamomil and Elder flowers, each a pugil; Bran a pugil, Foenugreek and Linseed, each an ounce; Caraway seeds half an ounce, Cummin seeds two drams, Figs ten; boyl them in Wine and Water, strain and add [Page 309] Honey and brown Sugar, each an ounce; juyce of Mercury or Beets an ounce and half, Oyl of Nuts three ounces, Tur­pentine dissolved with the Yolk of an Eg half an ounce, with a little Salt make a Clyster.

It is stronger in Cock broath, with Senna and Cartha­mus seeds, each six drams; Polypody two ounces, or Mechoa­can, or Briony, or Sowbread roots six drams, with Cummin-seed two drams, an ounce of Hiera piera, or Diacatholicon, or Benedicta, or Diaphaenicon, Jndum majus, Elescoph half an ounce, or an ounce of the juyce of Sowbread.

When the Obstruction or Binding is great, or when the Flegm is glassie and tough, stronger may be used, but not otherwise, least they increase pain; as three drams of Turbith or Agarick, and somtimes half a dram of Coloquintida in a clout, warily, least it burn the Guts, or three drams of Hiera Colocynthidos, Logadij, Rufi Her­metis.

The best cleansing Clysters against Flegm, are made of Turpentine two ounces, with the Yolk of an Egg, Honey and Wine, or Oyl alone.

Or thus against wind: Take Boys urin six ounces, juyce of Pellitory four ounces, thick boyled Wine three ounces, Oyl of Rue two ounces, with two Yolks of Eggs and a little Salt, make a Clyster.

Some make Clysters of Spaw-waters to cleanse.

Strong Wine healeth, expels wind and pain, as Hip­pocras and Claret a pint. If you fear the Hear, you may allay it. And if you will make it hotter, add two ounces of the Spirit of Wine.

Or thus to cleanse and abate pain. Take three quar­ters of a pint of the best Wine, Oyl of Chamomil, Dill or But­ter four ounces, Honey two ounces. This Clyster will set any purging Medicine a working; as we shewed in Cardialgia.

Or give true Hydromel, with Wine boyled and Su­gar, or Mead, which will heat less, and cleanse more.

Or make a Clyster of Onion broath, and Oyl.

Or this hot Clyster to expel wind. Take Lilly and Marsh-mallow roots, each two ounces; Elicampane half an ounce, Bettony, Southernwood, Wormwood, Calamints, Hore­hound, Rue, Organ, Penny-royal, Balm and Hedg-mustard three handfuls, Chamomil, Melilot, Rosemary, Lavender, Stoechas flowers, each two drams, Foenugreek and Linseed, each an ounce; boyl them in Wine and Water, add Honey of Rosemary two ounces, Oyl of Lillies and Sallet-oyl, each an ounce an half; Hiera picra and Electuary of Bay-berries, each three drams; with Salt make a Clyster.

In glassie Flegm it will heat more, if you add Roots of Pellitory, Calamus or Orris six drams, Centaury flowers a pugil, Gith seeds two drams, and an ounce of Honey of Squills, with two ounces of Wine, and a dram of Castor which is ve­ry comfortable to the Guts, or half a dram of Euphorhi­um, or Galbanum, or Opopanax, but Musk, Ambergrease or Civet, will not change the stink of the Excrements, and therefore are superfluous.

A special Clyster against wind. Take Organ, Rue, each a handful; tops of Rosemary, Stoechas, Lavender, each a pugil; Chamomil flowers two pugils, Bay and Juniper-berries, each an ounce; Caraway and Cummin seed, each half an ounce; Fennel seed two drams, Ameos, Parsley, Se­sely, Carot or Rue seed, each a dram; boyl them in wine and water, add three drams of the Electuary of bay-berries, Hiera picra two drams, Honey of Rosemary an ounce, Oyl of Dill and Nuts, each an ounce and half; with Salt, make a Clyster.

A pint of Oyl of Rue, with two ounces of Sack is good.

An Anodyne mollifying Clyster: Take roots of Lil­lies and Marsh-mallows, each two ounces; Mallow, Bettony, each a handful; Chamomil and Melilot flowers, each a pugil; Faenugreek and Lineseed, each an ounce; Crums of Bread four ounces, Caraway seed two drams, Aniseed a dram, boyl them in Tripe broath or Milk, add Butter two oun­ces, Oyl of Dill an ounce and half, Goose grease an ounce, with two Yolks of Eggs make a Clyster. Some say that Wolfes dung is good in Clysters six drams.

Or Oyl of Olives, Walnuts, Acorns, Almonds, Lin­seed, Jesamnie, or of Chamomil or Dill, are good Ano­dynes in a good quantity, with the Mucilage of Foenu­greek and Linseed two ounces, two Eggs, and half a dram of Saffron.

To cleanse and abate pain: Take Honey, Sugar, boy­led Wine two or three ounces with Oyl.

Or thus: Take Oyl of Chamomil, or Dill and Barley­cream, each half a pint; Sugar or Honey, or boyled Wine two ounces.

Narcoticks are given safest by Clysters; as Henbane or Mandrake leaves, or two drams of Philonium Romanum, or Requies Galeni, or Treacle and Mithridate, each half an ounce. And as you give Narcoticks at the mouth with Purgers, so you may add Philonium here to benedicta, and other purging Electuaries.

Six grains of Opium dissolved in Wine or Aqua vi­tae, is excellent in a Clyster to take away pain.

Or half a scruple of Opium, half a dram of Castor, and a pint of Oyl of Rue or Dill.

Suppositories are good to provoke, alter and abate pain. Some give them to expel wind, which they can hardly do.

The common are of Honey and Salt, adding Hiera, Mouse-dung, Coloquintida.

They say that a Snakes skin rub'd upon a brass Ba­son and burnt, is good to be put into the Fundament against the colick.

And to anoynt inwardly, with Juyce of Lettice and Opium; or with an ounce of Oyl of Dill, a scruple and half Castor, and a scruple of Opium, put in with wool, or any Suppository of Opium.

Purgers are useful, when Clysters are refused to re­move the cause, and open the Belly, when the cause is high, but beware of strong, which will increase pain; they are good afore clysters, to draw the Matter down, as I do in colicks.

Purging Wines are best for the Guts, when clysters are refused, for they fetch the Excrements out of secret places, better then clysters. And I had rather use them for the Wines sake, that correcteth the Purgers, that they offend not the Stomach and Guts: we give Ex­amples of them in the pain of the Heart.

This is best for the Guts: Take Grass roots and Fen­nel roots, each six drams; Roots of Calamus, Elicampane, Masterwort, each half an ounce; dryed Citron peels and wormwood, each three drams; Marjoram, Calamints, Pen­ny-royal, Groundpine, Rosemary flowers, red Roses, Chamo­mil flowers, each two drams; Bay-berries three drams, Cara­way and Smallage seed, each two drams; Fennel seed three drams, Senna two ounces, Agarick half an ounce, Turbith two drams (these are corrected by the wine) bruise and slice them for four pints of wine or more, give a Draught when the Belly is bound, of the Infusion or gentle De­coction thereof.

This wine is good against Choler or sharp Humors. Take Succory roots an ounce, wormwood half an ounce, Vio­lets and bugloss flowers, each a pugil; Aniseeds and Violet­seeds, each two drams; Polypody an ounce and half, Senna an ounce, Rhubarb two drams, Spike half a dram: Use it as the former.

Or make a Decoction or Syrup of the same.

The Broath of an old Cock with coleworts loosneth the Belly, with a little caraway or Fennel seed against the wind.

[Page 310]Or thus: Take an old Cock after sighting, unbowel and stuff him with Mints, Marjoram, Time, Savory, each two handfuls; Chamomil and Rosemary flowers a pugil, Annis, Fennel and Caraway seeds, each half an ounce; Ga­langal or Calamus three drams, Polypody, Mock-saffron, Senna, each an ounce; Tarter half an ounce, with Sal Gem or common Salt, boyl them in water to Halfes, as I she­wed in Asthma, drink a good draught.

Or give Turpentine half an ounce, as in the stone, with Hiera Benedicta, or the like.

Or Cassia with Annis, Fennel or Caraway seeds, to loosen.

Also these Electuaries, Catholicon, Diaphaenicon, Indum, Majus, Elescoph, Hiera picra, or of eight or of fifteen things, Benedicta or the like, with a De­coction of hot plants, with spiced wine.

Or gentle Pills of Hiera, of eight things, of Spices with half a scruple of Castor or stronger, if the binding be great, bewaring of coloquintida or Agarick or Tur­bith for they twitch the Guts, when given in sub­stance.

Two scruples or three of Tartar clenseth flegm, or cream of Tartar often washed and dryed again, as I use it, in the purging Decoctions of Senna, Bryony roots, black Hellebor, or the like.

Or that purging Pouder for the stone.

A Plaster of Sea spunge, seeds hulled and beaten with Wax, and laid to the Belly loosneth it.

To prevent; the Humors must be prepared before purging and to cure also.

They must be such as cut flegm, when it is cold and tough, as that with Glasses, as we shewed in Heart-ach, by Syrups, Waters, Decoctions.

Somtimes a Vomit prevents the Colick, and is good at the first, and in the Iliake, Choler-Vomiting, must not be stopp'd.

Oyl of Palma Christi drunk, doth the same and takes away pain.

Let the Dyet be thin and sparing in the fit and be­fore, bewaring of crude, windy, hard or binding meat, and in the fit when the cause is cold, give hot cutting and discussing Spices; and strong wine without water or at least Spiced water with Cinnamon and Pepper, as in Cardialgia and weakness of Stomach. These hot Spices are not good, when there is Cholerick Excre­ments. And wine must be given moderately, because it hurts the Nerves, and a Convulsion is feared; nor may sower things be allowed, though they temper cho­ler, because they cause pain. If the Excrements are still hard, give moist fat Meats and Oyls and But­ter.

When you fear the Convolvulus, give brown bread poyled and the water cast off, and made into a Pudding with Hogs grease or Butter.

Or a Lark roasted and eaten with Cock broath. Or the broath of an old Cock or of Snails.

Or Decoctions of Calamus grass, Elder, Calamints, Rue, Chamomil, Dill, Melilot or Rocket flowers, in Water or Cock broath, with Wine, Honey or Sugar. Some commend the Decoction of Southernwood, o­thers Pellitory in Wine with sugar or Wormwood with Cummin seeds or Horse-radish, Wine and Sugar, and Seeds and Spices, as Calamus, Galangal, Nutmeg, Cloves infused or boyled gently in Wine with a little Saffron and Sugar, or those for a weak Stomach men­tioned.

Also the juyce of Sulphurwort with an Egg.

Or blood of an Eele.

Or water wherein a Dears Pizle was washed.

Or four ounces of distil'd water of Herb Trinity, Dogs tongue; Elder or Broom flowers or flowers of Chamomil, Bean shales, or of Tizil, or of Cow dung, or a spoonful or two of Cinnamon water.

A Compound water: Take Ginger half a pound, Cinnamon, Cloves, Nutmeg, Zedoary, Galangal, each two ounces; Mastick half an ounce, bruise and infuse them in Wine, distil them and give two or three spoonfuls against wind, add two drams of Mints, Fennel and Anni­seed, each half an ounce.

The Compound Aqua vitae mentioned in Heart-ach, from a cold cause, is good.

Oyls do good also by slipperyness and mollifying the Excrements, as Sallet Oyl well washed, if it be old and rancid six ounces to asswage pain, or Oyl of sweet Almonds, Nuts or Lineseed taken alone in a good quantity, or with broath, to which Oyls you may add Sugar and Sack the third part, or two drams of Aqua vita, or other distilled waters.

An excellent Remedy: Take Oyl of sweet Almonds, or Salet Oyl for Poor people four ounces, of the best Sack an ounce and an half, syrup of Poppy half an ounce.

Oyl of bitter Almonds, and of Peach kernels are good against the Colick and Iliake, as well against the Stone to be drunk, also Oyl of Bayes, with some drops of the Chymical Oyls of Cinnamon, Cloves or Mace.

Some commend the Oyl of Turpentine or Vitriol, above the rest.

And six drops of the Sky colour'd Oyl of chamomil flowers newly drawn, which is better, when made of Roman chamomil.

There are also good pouders mentioned in cardial­gia from a cold cause, or from wind, or weakness of the Stomach, which are good in this Disease.

Dioscorides and others use a dram of these following in Pouder with wine, broath or otherwise, as of cala­mus, Orris, Masterwort, Sallowwort, Squils, with Dit­tany, Birthwort, Eryngus, Piony, wild parsley, Ros­mary roots, wild Mints, garden Mints, wild Bettony, Groundpine, herb trenity, wild Laurel, Sea purslane, Spiderwort, cudweed, Wintercresses, Fleabane, Rose­mary, pennyroyal, Laurel; also of the flowers of petty Mulline, also pouder of the seeds of Ameos, parsley, caraway, cummin, carrots, Annis, Fennel, Seseli, Lovage, Fennel-Gyant, Basil, water Mints, coleworts, Momor­dica, Almonds, peach kernels, Bay and Juniper berries and the pouders of all Spices and Saffron.

Also pouder of Orange peels, black Ivy seed and ripe Rose seeds and Sagapenum, or Wax given in broath, which is the experiment of Dioscorides and o­thers. Also pouder of Amber and Jet.

Also the stomach of a hedg-Hog or Hens Gizard, or Cocks for men, the inward Skin, Wolfs guts, Harts Pizle, Colt stones, and young Harts-horn, bones of Hogs feet burnt, white Hen dung, white Dogs dung, or Wolfs dung in pouder, with a little Cinnamon or Angelica root for the scent.

There are also Compound Pouders, besides those in Cardialgia or Heart-ach, made of the things men­tioned, with a little Pepper, Cummin seed. and Myrrh.

Also the Roots and Herbs mentioned are good in Conserves and Candies.

Also Horse radish candyed and given with Mulberry leaves, and the stones of Medlars.

Or two drams of the Electuary of Bayberries against wind, its made of Rue, Mints, Organ, Bayberries, Ameos, Cumen, Lovage, Caraway, Carot seeds, bitter Almonds, Pepper long and black, Castor, Sa­gapenum, Opoponax and Honey.

[Page 311]But the Castor and Rue, make that unpleasant, there fore give this: Take Bay berries an ounce, Mints, Mar­joram, Rosemary tops, each two drams; Rue, Organ, each a dram and an half; Fennel, Caraway, Ameos, Lovage seed, each a dram; Cummin seed half a dram, Pepper and Gin­ger, each a scruple; Sagapenum dissolved in Wine a dram, Castor half a dram, with a pound of Honey or Sugar, make an Electuary.

Also Diacuminum, Dianisum, Diagalanga, Diacala­minthes, Diatrionpipereon, and the rest mentioned in Heart-ach, are good here in Electuaries or Lozen­ges.

In great pain of the Guts, we give Narcoticks, that presently give ease, when all things else fail, and we repeate them as the pain returns. These ingeniously used do no hurt but good, by abating pain, causing sleep, and preserving strength, by which the Physitian is credited, moreover by provoking sweat (as I shew­ed) they take away much of the cause of the Dis­ease.

Also we give Antidotes called Opiates for the same, which do good in two respects, when the Humor is evil and venemous, as Treacle and Mithridate and Tri­phera Magna, and the like; the quantity of two drams, that the Opium may work: or we give a dram with a grain or two of Opium.

The Antidote of Philo the Physitian of Tarsus menti­oned by Galen, is the best, made of Opium, Henbane­seeds, with hot things, and correcters of Opium, as Ca­stor (instead whereof Galen useth Euphorbium) also with Musk, Pepper, Pellitory root, Spike, Saffron and Honey. To this composition, some add other hot things, to expel Wind and leave out the Musk; as Wood-cassia, Cinnamon, Zedoary, Costus, Doroni­cum, Smallage, Fennel, Carot and Alisander seed; this is called the great Roman Philonium. The Arabians as Hamech and Rhasis, add other things to expel wind, as Rue, Mints, Bay-berries, Ameos seed, Gith and cum­min seed, and Mandraks. We use this Anodine of Philo when there is great pain to be allayed, but Philonium Romanum, or of Rhasis when there is need of more heat to discuss wind; we give from two scruples to a dram, as we have the strength thereof by Experience. There is another Antidote to allay pain, called Requies. These work better with wine taken with them, or presently after them, which is Narcotick (as I shewed) and we mix them with other Cordials.

Many other Narcoticks are made with Opium, some are unpleasant with castor. The chymists commend their Laudanum: In making of which new, (because opium hurts not by cold, as some without reason suppose, but by a hidden quality, and by the great quantity by which the Brain and Nerves are stupefied) you must see that it be diligently mixed through the whole body of the Medicine, that one dose have not more Opium in it then another. And make tryal at first with a small dose. In this you must be more accurate then in the correction, by hot things (except the stomach be cold or windy) for if Opium stupefie by cold, those things will hinder its operation. Therefore, if leaving out those hot things, you only add to Opium those that correct its evil scent and bitter rast, and so give it in a small quantity, it is safe, as I have often experienced with good success. How this may be done, I shall give you some presidents.

Narcotick Pills instead of Philonimm: Take Opium a scruple, white Henbane seeds two scruples, Pepper two drams, Castor half a dram, Saffron a scruple, dissolve the Opium in Sack, and make a Mass; dry it, and then pou­der it, and make a Mass of it, with syrup of Poppies. First give half a scruple, and try it, then advance if you think fit, or decline in quantity.

An opiate Electuary for the Heart and Stomach al­so. Take species Diambrae, or Diamoschi, or Aromatici moschati two drams, Cinnamon a dram and half, red Sanders half a dram, Sugar four ounces, Opium dissolved in Wine two drams, Oyl of Cloves, or of Cinnamon some drops, with syrup of Quinces or Citrons make an Electuary: Give half a dram at first to try it.

You may make Troches of the same with Gum tra­ganth, and give the same quantity.

Or thus more pleasant: Take Opium two drams, in­fuse it in three ounces of Wine, after it is dissolved and of­ten stirred, and settled again, pour off the clear Liquor, and filter it, then add Sugar two ounces, Cinnamon two drams, Musk half a scruple, with Gum Traganth make Troches: Give half a scruple for a tryal.

Many other Narcoticks are good here also, as Syrup of Poppies, only we here speak of such as properly help the Guts.

We often mix Narcoticks with purging Medicines in this Disease, as in the Stone and Heart-ach, to loo­sen the Belly, and take away pain also, because one doth not hinder the operation of the other; as I have often experienced. Nor doth Treacle, (though Ga­len think otherwise) stop the purging of Medicines. Therefore Rhasis when he desired to purge and take a­way pain together, mixed Diagredium with his Philo­nium.

Dioscorides bids the Belly be washed with Sea-water in fits of the Colick; or with any salt water.

Or apply Aqua vitae with a clout to the Belly.

Or Oyl of chamomil, Dill or Nard, with a Felt.

Or sit in Oyl, or Oyl and Milk.

Or thus; Take warm Oyl and Butter half a pound, Tur­pentine dissolved with two Yolks of Eggs two ounces, Saffron a dram, with Stuphes or Clouts, apply it to the Belly.

Or in a Decoction of Anodynes and Expellers of wind, as we shewed in the Stone. As of Mallows, Marsh-mallows, Penny-royal, Organ, Calamints, Mints, Wormwood, Southernwood, Rue, Sage, Bayes, Chamomil, Melilot flowers, Dill, Elder, Rosemary, Stoechas, Lavender flowers, Foenugreek, Linseed, ca­raway, cummin, Fennel seed, Bay and Juniper-berries, more or less; with Orris root, citron peels, Mugwort and Rue seed, Gith, Seseli, Smallage, with cloves, Schaenanth, Spike, with Sulphur vivum and Salt-pe­ter. Boyl all in water and wine, with a little Vinegar to make it pierce, or Oyl to allay pain. Somtimes boyl it in water and oyl, or in Bath or Spaw-waters, if you have them.

Anoynt with Anodyne, hot Oyls, as of Olives, Nuts, Almonds, Bayes, chamomil, Dill, Rue, Spike, Lillies, Wall flowers, Elicampane; or with Oyl of Lillies of the Vallies, which is chiefly provided against pains in chil­dren, adding somtimes these hotter, as oyl of castor, Eu­phorbium, Pepper, Petroleum, Spike.

Or anoynt with the Grease of Mountain or Field Mice.

Or thus; Take Oyl of Chamomil and Rue, each an ounce; Oyl of Spike half a dram, Galbanum dissolved in A­qua vitae six drams: make an Oyntment.

Or thus: Take Oyl of Chamomil and Dill, each an ounce and half; Narde-oyl and of Rue, each an ounce; Oyl of Spike half a dram, Sack or juyce of Mints two ounces, Hens grease and Butter, each an ounce; Pouder of Galangal two drams, Cloves, Nutmeg, each a dram; Spike, Gith seed, each half a dram; with wax make an Oyntment. You may add other Spices, also Turpentine and Mastich, or apply Species to the stomach, as Diagalanga.

[Page 312]Or, Take Oyl of Nutmeg or Mace by expression, and mix it with Oyl of Cloves, or the like. Or for the rich with Civet, Musk, Ambergrease, or the Algalea of Holle­rius dissolved in Oyl de Been, or of sweet Almonds.

Or the Oyntment of Agrippa or Dialthaea.

Also the cawle of a Kid or Lamb or Calf or Heifer, broyled till it melt, and applied to the Belly hot; this is excellent for children: It is better fryed with Oyl of Rue, or the like, and sprinkled with cummin seed or cloves.

Some apply Leaven to the Belly.

Or Goats or Ox dung sprinked with wine, cummin, Bay-berries, and a little Honey.

Or an Emplaster of Soap, Butter, or Oyl and Salt.

Or the Plaster of Bay-berries made of Frankincense, Mastich, Myrrh, Bay berries, cypress berries, costus and Honey.

Or Wheat flower, or Barley, or Orobus, Foenugreek or Linseed, with Grease, Butter, or Oyl and Honey.

Or Pellitory, Celandine, the great Mints, Rue brui­sed with Honey and Wine, or boyled; and oyl and meal added for a Pultis, with Cummin seed.

Or Juyce of Henbane or Tobacco mixed with meals mentioned, or the Herb bruised or fryed.

Or burnt Nuts shells, and all added to the former.

Or apply bags hot and dry, or wet with wine or A­qua vitae. made of Milium parched, Bran and Salt, with Caraway seeds, Chamomil flowers, Bay leaves or bar­berries.

If from the great pain you fear Inflammation, open a Vein in full bodies, otherwise it is not good in this case, because nothing can be taken out of the Meseraiks thereby.

A great Cupping-glass that will compass the Navel, is good against wind, if applied with Heat to the belly, especially if it be first laid in hot wine, or anoynted with juyce of Garlick.

And in other cases, it is good to apply it a little be­low the pained part.

Wind also may be drawn out by a clyster syringe, and a clyster set on work by drawing it.

The Amulets are a Girdle to the naked belly, made of the guts of a wolf, or skin of a wolf girt with the hair next to the belly; or a Navel-stringe dryed and kept for this purpose.

Or apply a young wolves skin, or the dung of a wolf.

Or a Nut-shell fill'd with Quick-silver, and hang'd a-about the Neck to the belly, is good to prevent, or which is thought rare, the little bone of the outmost joynt of the right wing of an old Crow; killed in the time of his kawing.

Or Wolfes dung in a Nut-shell, and they say it is better when the string that it is tyed about the Neck which is made of buff, or a thread of sheeps wool, but this sheep must be first kill'd by a wolf forsooth. There are many more which we wilfully omit.

If the Iliack or Colick come from Inflammation, The Cure of the Colick or Ili­ack from Infla­mation, Bur­ning or Erysipe­las. Heat or Erysipelas of the Guts, or be in the small guts from blood, so that the Excrements are vo­mited up. It is deadly in old men, and in the thick Guts it is dangerous, when the Urin is stopt.

If the substance of the Guts be hot from choler or E­rysipelas, the Iliack is dangerous, and causeth convulsi­ons sooner, and worse then when the choler is in the cavities of the Guts obstructed. In these cases when blood or choler is carried to the substance of the Guts, proceed thus.

Let blood in the Inflammation especially if there be a Feaver in the Arm, but if the Inflammation be below and the Urin stopped, bleed in the Foot. And in an Erysipelas when the pain is great, a little bleeding can do no hurt.

A cooling Clyster also is to be given in great Infla­mations. As, Take Marsh-mallow roots two ounces, Vio­lets, Mallows, each a handful; Flowers of Chamomil half a pugil, water-lillies a pugil, Roses a pugil, Linseed and Flea­bane seed, each two drams; cold Seeds half an ounce, Aniseed two drams, add Cream and Butter an ounce and half, Goats grease an ounce, Oyl of Roses at first, or Violets after, two oun­ces Oyl of sweet Almonds against the pain an ounce, Honey of Roses an ounce and half, Manna or Cassia an ounce. Some boyl sour Apples therein, and in the Declination, they add Oyl of Chamomil, Dill, Lillies.

In choler thus: Take of the Emollients, each a hand­ful; Barley and Bran, each a pugil; Figs and Prunes, each ten; Chamomil and Melilot flowers, each a pugil, Linseed and Foenugreek seed, each half an ounce; Fleabane and Quince seeds, each two drams; Mallow seeds a dram, boyl and add Goose or Hens grease an ounce, Butter or Oyl an ounce and half, Oyl of Water-lillies and Violets, each an ounce; of Lillies half an ounce, Honey or Sugar of Violets an ounce and half: make a Clyster.

If you will have it purge, add Polypody an ounce and half, or Senna half an ounce, the Electuary of the juyce of Roses half an ounce, or Diacatholicon an ounce.

In both cases, use Astringents, as Plantane, Sumach, Roses, when you fear an Ulcer which follows an In­flammation or Erysipelas, the cure of this ulcer is men­tioned in Dysentery.

A Clyster of the Broath of an old cock, with the e­mollient Herbs is good.

And of new Milk with Sugar, with the white of an Eg, and Mucilage of Fleabane an ounce.

Or of Milk, or an Emulsion of Almonds, or Barley­cream, with sweet Butter, Sugar and Honey.

Or of Anodynes when the pain is great, such as were mentioned, being temperately hot.

Give only gentle Loosners, if Clysters may not be given; as Syrup of Violets, Roses, the Decoction of Fruits, Raisons, Prunes, Sebestens, Violets, with Rhu­barb or Cassia; and other Loosners not too hot.

Let the Diet be such as in Inflammations internal, and in cholerick Diseases, and give no Wine, for fear of a convulsion.

Let it be of things that properly help the Guts, which are not too hot; and Anodyne, and also Narcotick at last, mixed with Purgers.

In both cases anoynt with Oyl of Violets, sweet Al­monds, chamomil, Dill, with Butter and Mucilage of Seeds of Foenugreek and Line, Quinces, and with Fats.

Also use a sweet Bath and a Fomentation made of the clyster and Ingredients.

And a cataplasm of the residents of the clysters, and of Barley-meal, Lime and Foenugreek seed, with But­ter, Fats and Oyls.

It is good in the Iliack, to apply cupping-glasses with Scarification, in an Inflammation to the Groins.

And Amulets mentioned.

If from tumbling or leaping, The cure of the Iliack from Knots comming in the Guts. or a Fall upon the Belly the Guts be knotted, and the Excrements stopt, so that they begin to be vomited up, you must cut open the belly by way of Longitude, where the pain or tumor is, and so skilfully place the the Guts in order again. This is the last and only Re­medy.

[Page 313]If stretching of the Bladder and Womb cause pain, The cure of the stretching pain of the Bladder and urin: and of pains after birth. we spake of that in the Bladder in the stoppage of Urin, if the stone cause it: we spake thereof in painful Pissing.

If the Womb be stretched by wind or cold external after birth, let the woman be kept very warm, and bound with a rouler below.

If it continue, use Medicines for the womb that are hot.

But if the pains of the womb come from evil humors about the Vessels and Ligaments, such as go before, or follow the stoppage of the Terms; or such as is after, they cease by reason of age and foulness: Then first purge away the filth, and make the courses come, as we shewed. The remedies are the same for pains in the womb as for the Guts, when we desire to heat and expel wind. These hot remedies that expel wind and are anodyne, are mentioned in the Pains of the Guts, and are proper for pains in the womb, when they come after Birth, from cold Air, and continue long, or be joyned with other cold Distempers of the Womb. And because that the Womb and Guts are refreshed with hot things the things that provoke the Courses are to be allowed. Hence it is, that because they observed that hot remedies agreed with both the Womb and Guts, they supposed that these pains of the womb came from Cold, but they agree with the womb for other causes mentio­ned, and the rather, when those remedies which heat the Guts, and discuss wind, and asswage pain, are mix­ed with things proper for the Womb, otherwise the Womb-medicines differ little from those of the Bo­wels; but use them as followeth, and they will better help the pain of the womb. Hence it is that they cal­led the Pains of the Guts, the Pains of the Womb in both Sexes, Men and Women: And gave things that they observed good for the Guts, for the Womb. These remedies being hot, and expellers of wind, and Ano­dynes, are chiefly good against pains of the Womb, when they come after Child-bearing, from cold Air, and are joyned with other Diseases.

Bleeding will do little good, except in the Foot to provoke the Courses, or for other Evacuations in ano­ther part.

The same Purges prescribed for pains of the Guts, are good here. And because Turbith doth trouble the Guts, and cause pain, it must be given for the Womb, from a dram to four scruples in pouder, with a scruple of Gin­ger, and a little Cinnamon and Sugar, in Nutmeg-water.

Also the Clysters against Pains in the Guts are good here, whether emollient, pricking, heating or expellers of wind, because they go to the straight Gut, and there heat the Womb, which is joyned unto it, especially if you add some Womb-herbs thereunto.

As thus: Take Mugwort, Calamints, Penny-royal, each a handful; Chamomil and Melilot flowers, and Dill tops, each a pugil; Aniseed six drams, Foenugreek and Linseed half an ounce, Bran a pugil, boyl and add Honey of Rose­mary an ounce, Oyl of Wall flowers three ounces, Benedicta laxativa and Hiera simplex, each half an ounce; red Sugar an ounce, with a little Salt make a Clyster.

Another; Take Oyl of bitter Almonds six ounces, Goose grease two ounces, Turpentine dissolved with two Yolks of Egs half an ounce, give it in Chicken broath.

Mugwort-water is as good for the womb as the guts. And Oyl of bitter Almonds drunk in a good quantity. Some give Oyl of Scorpions. And the juyce of Horse dung alone, or with Wine.

Decoctions to be drunk hot alone, or with Sugar, or Honey and Cinnamon.

The first: Take Schaenanth two drams, boyl it in Mug­wort-water, give it hot at twice, or a Decoction of Spike, or two drams of both, for four times.

Another: Take Motherwort half an ounce, Nutmeg two drams, boyl them in white Wine: Give it at twice.

A third: Take Juniper-berries two drams, Anise and Ca­raway seed, each a dram; boyl it in Wine, give it.

A fourth: Take Motherwort six drams, Roots of De­vils bit half an ounce, Juniper-berries two drams, Aniseed half an ounce, Caraway and Carot seed, each a dram; Nut­meg half an ounce, Schaenanth and Spike, each a dram; boyl them in Wine, strain it, sweeten it, for three or four doses.

The Infusions mentioned for weak Stomachs, and others in Wine and Aqua vitae, are here good.

And the things given in substance, as follow.

Mints, or great Balm called Greek Mints, is good in Broath or Drink, or Cakes, and Juniper-berries.

Also Pouder of the Roots of Masterwort, Zedoary, Gentian a dram, or a dram and half with Wine.

Another Compound Pouder: Take Roots of Mo­therwort half an ounce, of Masterwort and Devils bit, each two drams; of white Dittany, Zedoary, Gentian, each a dram; Juniper-berries a dram and half, Aniseed two drams, Carot, Ameos, Cummin seed, each a dram; Schaenanth two drams, Mace, Spike, each a dram; Ginger, Pepper, each half a dram, Saffron half a scruple: make a Pouder, give a dram in Wine, or add a double quantity of Sugar, or make Lozenges, or an Electuary with Honey.

Diacyminum is good in pains of the Womb, and Dia­margaritum calidum, when there is Weakness.

A pleasant but good Pouder: Take Cummin seed in­fused in Aqua vitae and dryed a dram, Ameos and Ginger, each half a dram; Castor a scruple, give a dram with wine.

Or a dram of the Jaws of a Trout poudered in Wa­ter of Chamomil, is excellent when the pain is before the Courses.

Rondeletius saies that the Pouder of a dryed Secun­dine or After-birth, cureth the pains after Child-birth. And because other Beasts eat them, they have no such pains; and he saith that he took it from his Bitch after she had whelped, and she presently had pains.

Pills; Take Opopanax, Sagapenum, each a dram; Ca­stor, Gentian, each half a dram, Spike a scruple, Saffron half a scruple, with syrup of Mugwort make Pills: Give half a dram, or a dram.

In great Pains, give Opiats as in the Colick, espe­cially Triphera magna, proper for the Womb, a dram and half with Wine, or Mugwort-water, with Mace a scruple, and Saffron half a scruple in pouder.

Or give Treacle, and a little Castor therewith.

Foment, make Baths for the Feet, proper for the Womb, with Decoctions of Herbs, Seeds and Spices; as chiefly for the Womb, Mugwort, Motherwort, Bayes, Balm, Nip, Costmary, Grapes, Savin, great Celandine, Swallow-wort roots, Wall-flowers, Misle­to of the Oak, Carot seed, and the like.

Or bags mentioned in Pain of the Guts.

Anoynt also with Oyls, as that of Bayes, Wall flo­wers, Orris, Lillies, Water-lillies, Nard, Elder.

Or use Oyntments, with Oyls and Juyces of Herbs and Gums, or Plaisters, as that of Bay-berries.

Or Cataplasms of the Plants mentioned, and Lillies and Onyons boyled, mixing Oyls: or that of Cow dung, and Cummin seed, with Honey and Wine, or with Henbane, if the pain be great.

Use also Injections made of Decoctions and Juyces of Plants, but they reach but to the neck of the womb, and therefore cannot take away pain, nor Pessaries, ex­cept it be by provoking the Terms.

But Fumes or Smoaks go into the Womb, therefore they are better then Injections, if they be taken into the Body, from a Decoction.

Also sweet things of Musk and Ambergrease, put in­to the womb, refresh it.

And rubbing of the Feet from the Thighs down­wards: Cupping-glasses applied to the Hips cause di­version.

[Page 314]The Inflammations of the Womb and Bladder, The cure of the inflam­mation of the bladder and womb. if they cause pains in the lower part of the Belly, by reason of the joyn­ing together of these parts are cured alike, as we shall here shew.

Inflammations are very dangerous in parts so exquisitely sensible, especially in the womb, when it is inflamed from hard travail, which causeth many Women to die in Child-bearing. Also if an Inflammation be in the Bladder from an Ulcer or Stone, it endangers the Patient. In both, if there be an Ulcer or Scirrhus caused by it, the case is, difficult, and if a Gangraene follow, death is at the door.

The cure of both Inflammations is as of others, by revelling or drawing by the matter when it first flow­eth to the part, by repelling or driving back, and by a­bating the Heat, and presently (after the Flux is cea­sed) by consuming and discussing it. And if these In­flammations produce other Diseases, as is usual in the Neck of the Bladder and Womb; they shall be spoken of in their places: But you must do as followeth a­gainst the Inflammations.

First open a Vein in the Arm to revel, and then in the Foot to derive, in both cases, except there be any hinderance, as a Flux in Women in Travail, in or after a mischance.

Use Scarification and Cupping to the Thighs and Buttocks. But in the Inflammation of the Womb, if the Terms flow too much, scarifie and cup the parts a­bove.

Give Clysters to open the Belly, cool, and abate pain; and they are good at the first. For being given in at the straight Gut, they communicate their vertue to to the womb and bladder, to which they are closely seated.

They must be such Clysters as are mentioned for the Inflammation of the Kidneys and Guts: And such as abate pain, being made of Milk, to which when we wil cool to some purpose, we add Juyce of Nightshade, Violets, Mallows, and the like.

Apply outwardly Remedies before and behind, first Coolers and Repellers, but not strong Astringents, as in other Inflammations, least Hardness follow: After­wards in the increase, we add Dissolvers, which we use at the conclusion alone: And if it tend to Suppurati­on, we use Ripeners.

A cooling and somwhat repelling Cataplasm. Take Roots of Marsh-mallows, two ounces, Plantane, Shepheards­purse, Teazel, Vine leaves, and Violet leaves two handfuls; boyl and stamp them, add Meal of Barley and Lentils three ounces, Fleabane seed half an ounce, Oyl of Roses two ounces, make a Cataplasm.

Or eight ounces of the Decoction distilled Water or Juyce of the said Plants, with an ounce and half of Vi­negar, is a good Epithem for the same: And it will be stronger with half an ounce of Bole, or Sanguis Dra­conis.

An Oyntment: Take Oyl of Violets an ounce and half, Oyl of Roses, or Myrtles, each an ounce; add two ounces of juyce of Nightshade, or of the Plants mentioned, and an ounce of Vinegar, and boyl them in the Oyls, or make them up with Turpentine. You may add Bole also to make it more astringent.

A Cataplasm to be used in the increase of the disease. Take Marsh-mallow roots three ounces, Lilly roots an ounce, Housleek, Plantane, Nightshade and Endive two handfuls, Chamomil, Melilot flowers, each a pugil; Figs and Dates, each six pair; boyl and stamp them, add Bean flower, and of Paenugreek and Linseed, each two ounces; Oyl of Roses two ounces, Oyl of Lillies an ounce, Saffron a dram.

The Cerot of Galen made of Housleek, is good.

Or this Oyntment in the progress of the Disease. Take Oyl of Chamomil an ounce and half, Oyl of Lillies and Rosemary and Linseed, each half an ounce; juyce of Housleek and Sowthistle, each an ounce; Mucilage of Foenu­greek an ounce and half, Conies grease an ounce, Saffron half a dram, with Wax make an Oyntment.

You may use Fomentations also when there is pain, with the Decoction of Henbane, and other Herbs mentioned.

An anodyne Cataplasm: Take Crumbs of Bread half a pound, boyl them in Milk, add two or three Eggs beaten, Mucilage of Linseed and Fleabane, each an ounce; Butter or Oyl of sweet Almonds three ounces, Saffron half a dram.

In the declination of the Disease, use digesting Plai­sters, as of Melilot, Marsh-mallows, Diachylon, with Orris, and the like.

Or this: Take Bdellium, Galbanum, Opopanax, each half an ounce; Storax two drams, dissolve them in juyce of Motherwort and Chamomil, with a little Aqua vitae, and make a Cataplasm.

A Bath in the Declination to take away the residue, is made of Mallows, Marsh-mallows, Lillies, Flowers of Chamomil, Melilot, Elder, Rosemary, Seeds of Line and Foenugreek. And if the Womb be troubled, of Marjoram, Motherwort, Mugwort, Penny-royal, Wall-flowers, Agnus castus, Spike or Schaenanth.

If it will not be digested, bring it to maturation with this cataplasm. Take Wheat flower four ounce; Meal of Barley and Linseed, each two ounces; Figgs six pair, boyl them in Milk, and bruise them, add three Yolks of Eggs, and Hens grease two ounces.

Or use Ripeners mentioned against other Diseases.

Injections, because they come not easily to the blad­der in men, and cannot be without pain to both Sexes in the use of the catheter, cannot be in the time of In­flammation, but when the Urin is stopped, to open the passages of which we spake.

And because the body of the womb, by reason of the straight orifice, will not admit Injections; they are not profitable, except but by what they do outwardly to the neck or bottom of the womb, being inflamed.

And then use the Decoction of the Herbs mentioned for a cataplasm, or the waters, or Juyces of them, to re­pel at first, and in the progress, use the Decoction of the cataplasm, which we prescribed to be used in the in­crease.

Or make a Pessary for women, of the Herbs beaten up with Meal.

Pain chiefly requires Injections, as of Milk, and whites of Eggs beaten with Oyl of Henbane, or a little Opium, or of a Decoction of Poppy or Henbane seed, or Marsh-mallow seed, or the Juyce of it, or other nar­coticks mentioned in Pain of the Belly.

Or Triphera Saracenica.

In the Declination make Injections of things that take away the residue, and soften to prevent Scirrhus, as of Galbanum a dram and half, dissolved in Oyl of Lillies, or Wall flowers an ounce, Storax a dram Marjoram water four ounces.

Or: Take the Decoction of wild Time four ounces, and add the ashes of Mans bones, and two ounces of Balm-water: make an Injection.

Or this Pessary: Take Galbanum, Storax, each a dram; Labdanum half an ounce, Coney, Goose or Ducks grease e­nough, make a Paste, and put it in a silk bag.

Also a Fume of Sagapenum, Storax, Benjamin, will consume the refidue.

Give Lenitives in both Inflammations, as Prunes cassia, Syrup of Violets, Roses, Whey; and no stron­ger till the Declination.

Give coolers in Diet, as cool Herbs and Water, and Syrups, Waters and conserves that cool, mentioned in Feavers.

And things to provoke urin by a cleansing moisture, as Emulsions of the cold Seeds, Decoction of Pease or Whey.

CHAP. XIIII. Of the Pain of the Privities.

The Kinds.

THe pain of the Privities is divers, in respect of the Sex (we have spoken of the outward pains in their place.)

The pains inwardly in the Yard, being in the passage to the Bladder, The pain of the Yard. which is for the Piss and Seed, and chiefly in the time of pissing, with discharge of Matter, with great straining, shall be spoken of in things sent forth. And the pain in the Codds or Inflammation, be­cause it appears outwardly, shall be spoken of in the Ex­ternals, as if there be a pain and tumor from a Rupture in Ruptures.

The pains in the Privities of Wo­men, The pain of the Pri­vities in Women. are either where the two passa­ges of the Bladder, and neck of the womb appear, or deeper, and are divers, either with Heat or Ulcer.

This pain is either with Inflamma­tion only, The Inflammation of the womb. or with a Tumor, and that which is in the bottom of the womb is most usual, of which we spake in pains of the Belly. This Inflammation is apparent, and turns somtimes into an Imposthume, Scirrhus, or Gan­graen.

There is another pain with heat and tumor, The Cancer of the neck of the womb. in the Cancer of the womb, more usual and apparent, then that in the Body of the womb. In which there is a tumor at the first as in other Causes, with a lit­tle pricking onely, and then increasing by degrees, it grows heavy and troublesom with burning; and at length it ulcerateth, and turns to a Carcinoma, and then there is a venemous Humor and Blood flowing from the womb, with other great accidents.

The third Pain is called Condylo­ma, Condyloma in the Privities of women. and is with heat and swelling, or excrescens within the womb: It is worse when there is an Inflammati­on. This is somtimes both in the Privities and Funda­ment, and in the Fundaments of Men, of which in its place.

A tearing or pricking pain is called the Ulcer of the womb, The ulcerous pain of the Womb. and it is either inwardly, or more outwardly, and may be touched, and increased by Medicines, or Copulation. And then blood, or thin mat­ter comes forth: Or thick white concocted, not stinking, or it is crude, and waterish, or green, yellow, or black, and the same matter is sometimes pissed forth. And we have known it come forth of the Fundament, and Excre­ments come forth of the womb: and some have observed it is in the Bladder or Panch. What kind of Ulcer it is, whether Excoriation onely, or a profound deep Ulcer, whether creeping, or with swollen Lips, hard, or turned in; it may be seen or felt, or else if deep, seen by an In­strument. With this are divers other Symptoms. And if the Ulcer comes to the Orifice of the Bladder, there wil be burning, and often pissing. If it be malignant, the Vi­tal Functions are weakned, or if joyned with other Disea­ses, as the French Pox, there are many Symptoms.

The Causes.

The pains in the Privities of Women, come from Dis­eases of the neck of the womb or Privities, and they are either Inflammation, or Cancer, or Condyloma, or Ul­cer.

Inflammation being chiefly in the neck of the womb, or in the womb, Inflammation is the cause of burning pain in the womb. causeth pains with heat, burning or tumor, as it is greater or less, pure, or impure, or Erysi­pelas, where the heat is greater, and no tumor. The internal Cause of this Inflammation is De­fluxion of Blood, to the menstruous veins in the substance of the womb: Or difficulty of travail may cause it, be­cause the neck of the womb is very sensible, and the Ori­fice narrow. And somtimes there is an Inflammation of these parts from the Orifice, which is shut in Virgins with the Hymen or Membrane, when they are much pained at the loss of their Virginity, or at other times, when the wo­man is straight, and the man large. And it may come also from Pessaries, or corroding Medicines.

A Cancer in the hollow of the womb causeth pain, with burning, and pricking, and swelling, which somtimes turns to an Ulcer. And this is caused by a malignant Humor sent to the Neck of the Bladder. The kinds and causes of which shall be shewed in an external Cancer.

A Condyloma in the womb, causeth the pain above mentioned, and is in the Fundament: Also by reason of the same Causes to be mentioned.

An Ulcer in the Cavity of the womb, An Ulcer in the womb is the cause of an ul­cerous Pain. or the Privities, causeth ulcerous pains, and other accidents that are more, as the pain is greater. For if it be a simple Ex­coriation with the skin off, there will the pain be small, by reason of the exquisite Sense of the part. If there be a great hurt or wound, the pain wil be greater, and the blood come. If a simple Ulcer, the pain will be less, but with a Flux of Matter, if it be foul, the Ulcers be eating called Nomae, or when they are dee­per Phagadaenica, the pain is longer, because there wil be a Flux of Matter. If the Ulcer reach the Neck of the Bladder, there will be painful Pissing. If it eat through the womb and the strait Gut, there will be Matter by stool, and the Excrements that should have passed through the Fundament, come through the womb. Or if the Ulcer reach to the Neck of the Bladder, or the Abdomen, the matter will come forth there, and if it continue long, it eats away the neck of the bladder: As we have known in some Women, who have lost all the womb. And if the Ulcer be cancerous, there will be a Carcinoma, and more pain then in a Cancer not ulcerated, and the Lips wil be swollen, and turned in, and the matter wil flow, and somtimes blood, and that much at the time of the terms, in so much that some have been in danger of death there­by.

These Ulcers come from Hurts, as Inflammations, as in hard Travail, the first Copulation, or other that is vio­lent, by which a Vein is broken, as when they loose their Maiden-heads, some bleed from the Terms, by rubbing of the Veins or the neck of the womb, or from hurt of the o­rifice, which causeth an Ulcer. Some think it comes from the breaking of the Membrane Hymen, and take it for a sign of Virginity, though it happen not alwayes to Virgins at the first Copulation, but to such only whose Veins are easily opened, being tender, and are nigh their Courses at the time of Marriage, and then no Ulcer fol­lows. This may come also from outward Hurts, or use of sharp Medicines which corrode the neck of the womb, as we knew in a woman that lived long after the loss of the neck of her womb. Also Inflammations turn to Im­posthumes, and they into Ulcers, and some are very foul, and there is a sharp flux of the womb that causeth Ulcers. Also malignant Humors in the Terms in soul Bodies, and other Diseases, as in the Pox, and running of the Reins, may cause the same. And somtimes the Seed of a man that is foul long kept in the womb, may do the like. And in Women that have a dead Child, the womb may be cor­rupted, [Page 392]as I knew in two, who had the Child cut out with the Membranes and Perinaeum, or Cawle corrupted, and one lived long after.

The Cure.

The Cure is divers, as the Diseases that cause these Pains, which are Inflammation, Cancer, Ulcer. The cure of Condyloma shall be mentioned in Diseases of the Fun­dament.

When the Inflammation is in­ward and outward, The Cure of Inflam­mation of the Womb. also it must be cured as other Inflammations, with respect to the part, which is very sensible, to prevent pain.

Inflammations in the Womb only must be cured as other inward Inflammations mentioned, taking heed that it turn not to an Imposthume and Ulcer, or Hardness, or Scirrhus, or Gangraen, and corrupt the part. Outward things are best, as in the inflammations of the bottom of the womb as Baths, and Injections, and other things that come direct­ly to the womb. Revulsion, and Derivation, and things taken inwardly are also good; and we must prevent a Scirrhus when it tends to an Imposthume, and if a Scir­rhus be, it must be cured as scirrhous Tumors, without pain. If it gangrene, it is incurable, and must be ordered as shall be shewed in Gangraenes.

A Cancer of the Neck of the Womb, The Cure of a Can­cer in the womb. because at first it causeth lit­tle pain or hinderance, or is not known, or regarded, when it grows up, proves often incurable: Nor can it well or conveni­ently be cut in that secret part, therefore it ulcerates, and causeth death. But to prevent, you must use a palli­ative Cure, by which the Patient may live longer: Such as are mentioned in the external Cancer. As by Revul­sions and Derivations, by Bleeding, especially in the Ankle, and Purging, and strengthning, and by drying To­picks, and things that digest, as was there declared.

The Carcinoma, or Cancers of the neck of the womb must be pallia­ted also, The Cure of a Carci­noma in the womb. with respect to the part, and the medicines must be put in with the finger, or by Pessaries, or injected, or by Fumes, as in external Cancers.

All Ulcers in the Womb are bad, by reason of the tenderness and moistness of the part, The Cure of Ul­cers in the womb. of that a little skin off will require a great Cure. The eating ul­cers are worse, which if long lasting, and rooted, and large, are almost incurable, as Carcinoma, which destroy the whole womb, as I shewed: Venereal Ulcers are not cured, except the Pox be cured in general. The Cure dif­fers, in that some are to be applied as to cancerous and venemous Ulcers: Others generally as to all Ulcers.

The end in curing of all, except Carcinoma and Pox, is to cleanse the Body when foul, for Humors will flow to the womb, and moisten it, and make the Ulcers worse, es­pecially if they be mlaignant, and then they must be cor­rected by sparing moderate Diet, and Bleeding, and Pur­ging, and Sweating, which doth not only take Humors from the whole Body, but from the part affected: As we shewed in other Ulcers. And if the Ulcers bleed, the Blood must be revelled, as we shewed in the Menstrual Flux. And if in a deep Ulcer, the Matter fall into the Bladder or strait Gut, it must be cleansed as in Ulcers of the Bladder and Fundament.

These things first observed, for the Cure of the Ulcer, if it be only the skin off, or a simple Wound, or Ulcer, it must be only dryed with glutinating means, and the blood stopt with astringents, and the pain abated with Lenitives and Narcoticks, if need be. If the Ulcer be foul and deep, it must first be cleansed, then dryed and healed up, and if there be Corruption, use stronger, as followeth.

We give inwardly such as we give other internal ulcers of the bladder or reins, and such as we give in outward ul­cers, with respect to the part: As shall be shewed.

Or this Decoction to heal old Ulcers. Take Comfrey­roots an ounce, Plantane, Yarrow, Bayes, each a handful; Agnus Castus seeds a dram, white Wine a quart, Honey a pint: boyl and skum it, till half be confumed, give to drink often, and apply it to the parts, as I shall shew.

Dioscorides saith the Roots of Rhapontick, and small Centaury drunk, cure the Pains and Corrosions of the Womb.

Or Turpentine wash'd in Mugwort-water, or the like, as in Plantane-water, or Rose-water, for an Ulcer, or ta­ken with Honey or Sugar: Some add Pouder of Hy­sop.

New Milk and Sugar, or Honey drunk, doth the same.

Or a dram of Pills of Bdellium of Mesue, or a scruple e­very other day, cures the Ulcer of the Womb, and stops the Bleeding.

Or thus: Take Bdellium three drams, Myrrh, Frankin­cense, each a dram; Sarcocol, Storax, Amber, Chebs Myro­balans, each half a dram; red Coral two scruples, with Syrup of Poppies, and a little Opium, (if the pain be great,) make Pills: Give a scruple every other day.

For pain, the Troches of Alkekengi, with Opium, are good.

Or this Pouder to stop Blood, and heal. Take Aca­cia, Hypocistis, each a dram; Sanguis Draconis, Starch, Plantane, round Birthwort, each half a dram; Earth of Ar­menia or Lemnos a dram, Mastick, or Sarcocol, each half a dram: make a Pounder, give a dram with Milk, Shep­heards-purse, Plantane, Rose, or steeled Water.

Use warm Injections to cleanse, and dry after, and heal.

As, three ounces of Barley boyledin two pints of water or Whey, with Sugar or Honey, or of Hydromel alone, Honey and Wine, which is strongest.

Or a Decoction of Barley, Lentils, Beans, Smallage, Pellitory, Plantane, with Honey.

Against Foulness. Take Hydromel half a pint, Juyce of Smallage two ounces, Myrrh a dram.

Or use a Decoction of Orris, Birthwort, and Sowbread, Lupins, Orobus, Horehound, Wormwood, and Cen­tanry.

To cleanse, add Lye, Urin, and Wine, or a little Al­lum.

The Juyce of a Nettle, and Urin of a Boy, cures the Ulcers of the Womb.

Also the Gall of an Ox, Goat, Carp, with Honey, and Goats Milk.

Or Unguentum Apostolorum, or Aegyptiacum.

Or the like Cleansers used in outward Ulcers, and Dryers.

A drying healing Decoction is made of Comfrey, Snak­weed, Plantane, Agrimony, Shepheards-purse, Horstayl, Sanicle, Mousear, Pyrola, Yarrow, Knotgrass, wild Tan­sey, Bramble, Myrrh, Olive, Ceterach, Shrub, Sumach, Rose of Jerusalem, Wall-sage, Swallow-wort, Rock Com­frey, Roses, three handfuls or four, Grape, Plantane, and Myrrh feeds an ounce: boyl them in steeled Water for an Injection.

Or add Galls, Cypress-nuts, Acorn-cupps, Peels and Flowers of Pomegranates an ounce, which are good to stanch Blood, or red Wine, or Syrup of red Roses, or Ho­ney to cleanse.

You may use the Decoction mentioned for an Injecti­on.

Or Juyce of the Plants mentioned, with Honey.

Or half an ounce of the pouder of the Plants mentio­ned, with the Ashes of Reeds, Gourds, or Spunge, or of Eg-shells.

When we desire to dry exceedingly use Litharge, Tutty, Ceruss, Bloodstone, Calaminaris, Bole two drams, and Sanguis Draconis, Acacia, Hypocistis a dram, for once in­jecting.

[Page 393]Or this incarnative Pouder. Take Orris roots, Birth­wort, and Comfrey, each a dram; Myrrh two drams, Aloes a dram, or a dram of Frankincense, Sarcocol, Mummy, put into the Injection.

Or add to this Pouder two drams of Turpentine, with Plantane-water washed, and dissolved with Honey, and the Yolk of an Eg.

Or use Unguent of Pompholigos, Ceruss, or Lead, six drams for one dose in an Injection.

To allay pain, and heal also. Use,

All sorts of Milk to cleanse, heal, and abate pain. And they will dry also, if you quench Flints therein, and abate pain more, if you add Mucilage of Fleabane, Line seed, Quinces, and Infusion of Gum Traganth, and Arabick, and Whites of Eggs, and Yolks somtimes: And in great pain a little Opium. And if you will cleanse also, Honey or Sugar.

A Decoction to allay tearing and burning pain. Take Barley a pugil, Foenugreek and Line-seed an ounce, Fleabane, and Poppey seed, each half an ounce; the four great cold Seeds six drams, Roots of Marsh-mallows and Mallows, each a hand­ful; Dill a pugil: boyl them in Milk and Water, adding Honey and Sugar,

If you add Purslane an handful, Water-lillies a pugil: the Heat will be better abated, and the Pain less, if you ad half an ounce of Mandrake roots, and Henbane seeds two drams to be boyled therein.

Also Juyce of Purslane, Lettice, Nightshade, Plantane in Milk, or their distilled Waters.

Or the white Troches of Rhasis, with Opium dissolved in Milk, or the Decoction mentioned, take away pain, and heal.

Add Oyls if need be, as of Roses, Poppies, Henbane­seed; or of Lovage to astringe.

Also Fomentations and Baths are good, for their strength reacheth to the inward parts, and heals the Ulcers. They are made as the Injections, by choosing things proper to cleanse, dry, and take away pain as you please. And for drying, we add Metals, as Filings of Iron, and the like.

Also drying Baths of Allum, and Sulphur in old ulcers, and we send the desperate Women in this case to the Spawes.

Also we make Pessaries, and thrust them with the finger into the hollow of the Womb to cure Ulcers.

Or an Anodine of Goose grease, or Hens grease, or Hogs, or Dears suet, or Wool grease, with white Wax, and the Yolk of an Eg, and Mucilages, and Saffron, and Oyl of Opium.

Dioscorides puts into Pessaries, Leaves of Vervain, cream of Henbane seeds, and Juyce of Mandraks.

To cleanse; Take Turpentine washed with Juyce of Smal­lage half an ounce, Myrrh a dram, Birthwort roots two drams, Sugar half an ounce, make a Pessary, with Gall of a Beast, or Alium, it will more cleanse.

You may use Anodine Oyntments also.

Or Dryers mentioned, with Pouders, or Juyces, and with Mucilages, and Wax.

Or Fumes that pierce into the womb, and dry Ulcers, as in the Nose, for which are Fumes mentioned, and they which are strongest, and of worst Scent, may be best used here.

If these Ulcers come from the French Pox, they cannot be cured without a general Cure of the Pox. And then the Fume of Cinnabar doth all together. And the Oynt­ment of Quick-silver is good to be put into the part. All which shall be declared in the Cure of the French Pox.

CHAP. XV. Of Diseases in the Funda­ment.

The Kinds.

THe Diseases or in inward Pains of the Fundament, are such as are in it when closed in the end of the strait Gut and Muscles about it, we mean not the Clefts in the outward part, which shall be mentioned in external Cures with those of the Lips. The kinds of the Pains are from the Sense of the pain and swelling.

There is somtimes a pain there, A burning and hot pain in the Funda­ment. with Burning alone, or with a Tu­mor. And this is called the Infla­mation of the Fundament, when it is inwardly hot, swell'd, and red, and outwardly some­times. This pain is increased by touching, sitting, going to stool, especially with straining. The Belly also and U­rin are stopped, by the tumor and heat. And this Inflam­mation leaves somtimes an Imposthume, or the like in the Veins, which coming from other Causes, have an Inflam­mation. As also the Falling out of the Fundament hath; which also I observed in a Child of a year old, turned to a Gangraene, and caused death. All these may be known by touching and sight, when the Gut is turned out.

The pain in the Fundament with a swelling, The blind Hae­morrhoides. and no Inflammation but what is from pain, is called the Haemorrhoides, because it comes from the Veins so cal­led, and it is called blind, when they bleed not, but it may better be called closed or painful. In this upon straining there is a tumor appears; or else it lyeth deep, and is only felt by the Patient, This pain is sometimes great, from the Excrements going forth, with an Inflam­mation somtimes, which produceth bleeding, or open Hae­morrhoids, which are dangerous from their great Flux somtimes. As I have known in two Professors, which from a sedentary life, had the Haemorrhoids, and died of their great Flux and Inflammation.

A Pain in the Fundament with an uneven Swelling, The Tumor called Condyloma in the Fundament. like an Excretion that comes by degrees not suddenly as the Haemorrhoids, is called Condylo­ma, because it is like the Joynt of the Finger, this we shew­ed may be in a Womans Privities also, and the Funda­ment in both Sexes. It is more painful when there is In­flammation. If this Tumor appears outwardly, is called Ficus, being like a Fig, or Verruca, or a Wart, which hanging down is called Thymus: Somtimes it is like a Grape or Mulberries. I have seen it rough and hard, like a Cocks Comb. And it is either alone, or joyned with the French Pox.

A Pain with sense of an Ulcer in the Fundament is within, An ulcerous Pain in the Fundament. and differs from that which produceth a Tenes­mus or Needing, because there is not so much straining. In this being soul, there is Matter voided alone, or in the first Excrement at stool. Somtimes it is hollow, and a Fi­stula, as goes either to the Womb and Bladder, out of which parts it after floweth, and sometimes it is pissed forth. And when the Patient farteth, it cometh forth of the womb, if the Ulcer be there. Also Ulcers of the womb, and neck of the bladder, as was there shewed, have gone sometimes before, and ended in an Ulcer in at the Fundament. Hither are also wounds to be referred, which first bleed, and after turning to Ulcers, send forth Matter.

The Causes.

Diseases that Cause pains in the Fundament are either Inflammation, or Haemorrhoids, or Condyloma, or Ul­cer.

Inflammation causeth burning pain with swelling or without, Inflammation is the cause of bur­ning in the Fun­dament. and it is grievous, because the part is very sen­sible. And it may come from the same Causes, as a Tenesinus or needing when the streight Gut is ulcerated, and from other outward hurts, as a wound or stroak or from wiping the Arse with a paper that hath had Pepper in it, as I knew, or with the Hand that had Ginny pepper, as I knew in one that complained from thence of the fire of Hell, as he said.

The blind or painful Haemorrhoids, from the Veins in the Arse, which bleed in some, as the Veins of Womens Privities at certain times, is with a swelling, not that the Vein it self is pained so much, being not very sensible, but because the parts adjacent are stretched and pained which are very sensible: this is greater with inflammation when the part is extended. Therefore when blood is brought to the end of the Veins to be purged by the Haemorrhoids, if the mouths of the Veins be not open from whence the Haemorrhoids are called blind, or when they open with difficulty, the blood being stopt and in­creased and laboring to get forth, forceth and teareth the Veins more or less as it is in quantity And they feel most pain when the Hemorrhoids first break forth. Be­cause the Vessels were never opened before. And when the blood would get forth at some external Vein in the Fundament, It is hard to be opened, because the Mouth of the Vein is made hard by the hard Excrements. But it gets easier forth when it opens a Vein in the broad part of the streight Gut, where they are softer. But these mouths of Veins may be hurt also by hard Excrements or other straining, as we see in Women in travil, who have the Haemorrioids. This pain from the causes aforesaid is greater, when the blood stopped, is sharp or Malignant. And also the swelling Haemorrhoids have divers forms, according to the diversity of the mouths of the Veins and Flesh and Blood thereabouts.

Candyloma causeth pain in the Arse Privities of Women also, An evil Humor is the cause of Condy loma in the Arse and Privities of Wo­men. for the parts are alike Nervous. And we know the Humor to be Malignant, when there are Ulcers in the Privi­ties and Groyns, and also Candylo­mas in the Privities and Arse. This Humor being venemous is infectious and breeds Figgs or Warts or other Excrescences. And how this comes to pass we shall shew in the French Pox, Bubo and Can­cer.

An Ulcer of the Arse is somtimes the cause of pain and matter voided, An Ʋlcer or Wound in the Arse, causeth an Ʋlcerous pain. this comes from an Inflamation turned to an Impostum that brake, and ulcerated and when it is deep it is foul also: or from a foul Ulcer in a Tenesmus, or from the causes that produce Inflammation and Ulcer there mentioned. Or from an Ulcer of the Neck of the Womb or Bladder that eateth thither. Or from a wound by external or internal means.

The Cure.

The Cure is in order according to the Disease, the Hae­morrhoids, Condyloma, Inflammation and Ulcer are cured divers waies.

The blind Haemorrhoids (by which we mean a swolen Vein in the Arse that is stopt and ful of pain) if it be not well or­dered, The Cure of the blind He­morrhoids. will be inflamed and cause an Ul­cer and other diseases.

This may be prevented when it comes with ease and is not hindered at its usual time but furthered, as we shewed in stoppage of Haemorrhoids.

It is cured by turning away the blood which is the cause and nourisher of it, and allaying the pain to prevent Inflammation, and then by drying and discussing the Tu­mor. And if it Ulcerate, it must be cured, as other Ul­cers.

We must revel the blood that it may not flow to that part to stretch or inflame it, especially if there be then an Inflammation by opening a Vein in the Arm, and then derive it by opening a Vein in the Foot, Ankle, or Ham.

Or by Cupping the sides, to revel; and the Hips to derive.

Or by Leeches to the Fundament, if pain or Inflamma­tion forbid not.

The Belly must be kept loose that the Excrements may not hurt being hard, and by straining; With fruits and herbs in meat and broaths, or with Cassia, Manna, or the like. Or with Clysters, if they can endure the Pipe.

Or with the Decoction of Restharrow, consume them according to Dioscorides.

Or give the Pouder of Moulin with Milk, to abate the swelling alone, or with Barley meal as much, or fryed with Eggs and Butter for some daies, which is a se­cret.

Or the juyce of Moulin alone, or with Penidies, or in a syrup, or with Liquorish Pouder, make an Electuary thereof.

Also Bdellium and Galbanum sostned with syrup of Plantane or Mullein and made Pills give a dram.

Or Narcoticks in great pain.

Topickes are applied with a Tent, or if liquid by a Syringe, or by sprinkling, or blowing them in.

Anodynes abate pain and heat also, with Stupefactives, many whereof consume the Piles.

Boyl yellow Quinces, or Herb True-love in Oyl. Or make Oyl of Gourd seed, Poppy, Henbane, or yolks of Eggs, or Indian Nuts, or De-been, or Jesamin.

Or use this Liniment of Oyl of Roses, Violet water Lillies, Willows, or Lineseed, or sweet Almonds, with o­ther Anodynes, or fresh butter, the yolk of an Egg raw or roasted.

You may add Goose grease, or Hens, or Hops, or the grease of Goats, or Dears kidneys, or Marrow of a Veal bone, Pomatum, or Aesypus, or white Wax washt to make an Oyntment.

Mucilage of Fenugreek, Linseed, or white of an Egg.

Pouder of the rinds of Mandrake, Henbane and Poppy seed, and if pain be great to four ounces of the Oyntment a dram of Opium and half a dram of Saffron.

Or use Populeon with Opium, when there is heat, or Saffron.

Fomentations and injections, are made of Mallows, Marsh-mallows, Mulleine leaves and flowers, Chamomil, Melilot, Dill, Elder flowers, VVater-lillies, and Violets, and Faenugreek and Linseed boyled in water or fat broath or with Oyls.

And you may make Cataplasms of the residents boyled in Milk.

Thus: Take crums of Bread and Barley, or Spelt, boyl them in Milk and with Oyl of Roses, Violets or Butter and yolks of Egs, make a Pultis, you may add Papp of Ap­ples and Mucilages of Time, Fleabane and Althaea and Saf­fron.

Or fry Purslane, Nightshade, Poppy and Henbane in Oyl.

[Page 395]The Juyce of Veal is a good Anodine.

Give Digesters to consume them, and if they prevail not, then Dryers, that bite not, if there be pain.

Or make Cataplasms of Mullein, Clowns-All-heal, Plantane, black Hawkweed, Scabious, Crownwort, Yar­row, Shepheards rod, Dogs-tongue, Horehound, Leeks, Coleworts bruised or roasted in the Embers, and mixed with Butter or Oyl. Matthiolus commends the Oynt­ment of Scrophularia.

Or this: Take Lillies two ounces, Orris an ounce, Moullin, Scrophularia, each three handfuls, Flowers of Chamomil, Meli­lot Dill, St. Johns-wort, each a pugil; Dates ter, with Snails, without shells: boyl them in steeled Water, stamp, and add Foenugreek and Line-seed, each an ounce; Butter two ounces, Myrrh, Frankincense, each two drams; Sassron a dram, yolks of Eggs four, make a Cataplasin.

Or apply roasted Onions, or Leeks, with Oyl of Roses or the like; or with Dragons, or Cuckow pintles, and Oyl, least they burn, or alone, if they may be endured. All these may be mixed with the former Cataplasms.

You may foment with a Spunge, or a Bag, with the de­coction of the aforesaid, with Dates, and Snails, to nou­rish, and with such as consume and dry, as Sumach; Bram­ble, Pomegranate peels and flowers, Galls, Roses, Myr­tle berries, and the like mentioned in Ulcers of the Neck of the Womb, with steeled water, and red wine.

Or anoint with Oyl of Chamomil, Melilot, Dill, St. Johns-wort, Lillies, Olive, in which are boyled Raddish­seed, Spurge seeds, or Earth-worms, or Hog-lice, or Sows, or Wood-lice, or Horsleeches, or red Snails without shels, or with Oyl of Bricks.

Or make a Liniment of the Plants mentioned, with Smallage, or Parsley, or Yarrow, Juyces. Or beat them with Turpentine in a leaden Mortar, and wax.

Some fill a hollow Onion with Oyl, and Verdigrease, and roast it, and anoint with the Juyce.

An Oyntment. Take Frankincense, Mastick or Myrrh, each two drams; Bdellium, Lycium, or Juyce of Sumach, or Hypocistis a dram, Saffren a scruple, Mucilage of Fleabane, and Gum Traganth, each half an ounce; a Yolk of an Eg, with Oyl of Roses, make a Liniment. If there be pain, ad a dram of Opium, or Oyl of Henbane seed, which also con­sumes them.

To dry more, add Ceruss, washt Lead, Litharge, Tutty three drams, the Arabian Stone according to Dioscorides. And in a leaden Morter, with Mucilage, and white Wax, make an Oyntment.

It will be stronger with Vitriol, burnt Allum a dram, Verdigrease, or Rust of Iron a scruple, Camphire half a scruple.

Give a Suppository, or Suet, the Yolk of an Eg, white wax, and a little Opium.

Or make a Fume of the Decoction hot, or take in only the Fume of Moulin boyled, to ease the pain.

Or sprinkle the Pouder of Darnel, Moulin, Scrophu­laria upon Coals, or hot Bricks, or Iron, and take the Fume to dry. It is better with Brimstone, or with Honey anacardine.

Some say it is good to sit upon a Stool, made of Pine­tree, and anointed with Oyl.

When a Condyloma comes from un­clean Copulation without the Pox, The Cure of Condy loma in the Funda ment & Privities. then after purging, and bleeding, and sweating, apply Topicks, as in other malignant Humors. If it be in the Pox, then cure it as the Pox, by purging and sweating, and if they remain, the Disease is not wholly cured, and then use Topicks in the Cure, mixing things that are pro­per against the pox.

Use the same Topicks to digest and dry, as in the swol­len Haemorrhoids, especially the strongest, because these are harder, and the pain less, adding stronger Ingredi­ents.

Also the Cataplasms and Fomentations there mentio­ned, as Scrophularia, Moulin, Plantane, Bramble, Pelli­tory, Mercury, Winter-cresses, Savine, Horehound, Mai­den-hair, Rosemary, Time, Savory, Rue, green and brui­sed, or boyled with red Wine, or steeled Water, or water and Vinegar, or Lye, and applyed with a Spunge, or Bag [...] or ad Roots of five leaved Grass, round Birthwort, and Bay-berries, and other Dryers, as Salt, or Peeter, raw Quinces may be added according to Dioscorides.

Sheeps dung, or Hens dung, with the Gall of a Goat, Soap, and Vinegar mixed, are good.

Or dissolve Tarr, and Ammoniacum in strong Vine­gar.

Or use the Oyntments for the Piles.

To which add this: Take Juyce of Winter-cresses, Smal­lage, or Parsley, each an ounce and half; Oyl of Brick two ounces, Bole a dram, with Turpentine make an Oyntment.

Or, Take Oyl of Tartar half an ounce, Lapis Calamina­ris, Bloodstone, or red Lead two drams.

Or, Take Vine ashes, and Dill ashes, each a dram and an half; Gum Ammoniack dissolved in Vinegar a dram, Al­lum two drams, Bloodstone, or Minium a dram, Galls half a dram, Saffron a scruple, a Yolk of an Eg roasted, Turpentine a dram, with Oyl of Roses and Wax make an Oyntment.

This is stronger. Take Quick-silver two drams, Turpen­tine an ounce, Oyl of Nuts two ounces, red Lead two drams, Allum, Vitriol, each a dram; Verdigrease half a dram, with Wax make a Liniment, add a little Sublimate.

A Pouder to dry and consume it. Take round Birth­wort a dram, dryed Savine two drams, Ashes of Hermodacts, and Myrobalans, each a dram and half; Allum a dram, red Vitriol half a dram, red Orpiment a scruple, with Opium, and Mandrake roots make a Pouder.

Or use Sublimate boyled in Water, or Oyl of Vitriol, or of Antimony.

A caustick Oyl to consume the Condyloma, Fistula, Scro­phulus, and any Excrescens of Flesh without pain. Take Oyl of Bricks, Mastick, and Gum Arabick the best, and Tur­pentine, each three ounces; distil them in a Glass Alembick, and mix the first Water with Ashes of Ivy, and still it again, keep the Water.

Fumes taken in, do dry up a Condyloma, such as we mentioned for the Ulcers of the Nose. Chiefly of Cinna­bar, as in the French Pox.

Somtimes they are cut off, when they are hard, as warts, or if they be long, they are tyed with Hair or Thread to rot.

Inflammation in the Fundament a­lone, or with Piles, or Condyloma, The Cure of In­flammation of the Arse-hole. is cured as other Inflammations in Wo­mens privities, and if it turn to an Ul­cer, as an Ulcer.

Therefore we let blood in the Ham, to derive and cup to revel and derive, when we fear a Flux to the part.

We loosen the Belly that the Excrements may not hurt. Clysters are not easily given.

We alter with cold and moist Diet and Medicine. Dio­scorides commends the Water of Lens palustris to be drunk.

VVe use Anodines at the first, because the part is very sensible of pain, and we cool without binding much, least the part should be exasperated, with things against piles mentioned, that ease pain, and slupesie, and cool, as Oyntments, Baths, Fomentations, Cataplasms.

A cool Oyntment. Take Juyce of Purslane, Plantanc, Groundsoyl, each three ounces, Mucilage of Fleabane an ounce, the Yolk of an Eg roasted, with Oyl of Roses, and Violets,

A Pultis: Take Comfrey roots, Althaea roots, each an ounce; Plantane, Moulin, Groundsoyl, Sowthistle, each a handful; Melilot flowers, and Roses, each a pugil; Faenu­greek and Line-seed, each half an ounce; boyl and stamp them, add Flower of Lentils a pugil, Oyl of Willows, Roses, and Violets, each an ounce; Saffron a dram.

In the end, use Discussers, and if Hardness appear, Softners, and consume the reliquies as in other Inflam­mations.

[Page 396]An Ulcer or other Solution of Con­tinuity in the Arse-hole, The Cure of ul­cers and wounds in the Funda­ment. being a sensi­ble part, is very troublesom, and will scarce be cured in so strait and moist a part: If it first ulcerate, it is worse, and worse yet, if it cancerate. If it be a wound, cure it as a wound. If the Ulcer come from a wound or Inflamma­tion alone, or with the piles, after purging, by which a­lone Ulcers are fitter to heal; Do thus,

Drink Milk often and much, or such things as are good against wounds, when there is a wound, as vulnerary Herbs. Bettony is highly commended in this case, and Mullein any ways taken, is good in al Diseases of the Arse­hole, & other things mentioned in the Ulcers of the Womb, as pills of Bdellium. And if Blood flow from the wound, use the pouder there mentioned.

Topicks may be used as in Ulcers of womens privities, because the part is very sensible and tender, as they, and will not admit of other Cleansers and Dryers, then are there mentioned, except such Dryers as are mentioned for swollen Haemorrhoids: And if there be a pain in the ul­cer or Inflammation feared, use the things against pain, prescribed in Ulcers of the womb and Haemorrhoids, as pessaries and Fumes.

Besides which, the Roots of Carduus boyl'd in wine, cures the Ulcers in the Fundament: And Raisons beaten up with Rue, if they be foul and cancer'd.

Or Oyntment of Minium, Litharge, or Chalcitis called Diapalma.

And if there be a Flux of Blood, use such things as are mentioned for stopping of Blood in other Fluxes.

CHAP. XVI. Of Pain in the Habit of the Body.

The Kinds.

VVE call those Pains in the Habit of the Body which are within the Skin, either in the soft or fleshy, or hard, or bony parts. They are of divers sorts, some are greater, and others less then their accidents.

VVe shall mention only by the way those pains whose accidents are grea­ter, Of Pains in the Habit of the Body which have pre­vailing accidents that are greater then themselves. because we spake of them in their places. As in Hurt of the Functions, when there is pain joyned, as pain of weakned Motion, mentioned in Lazi­ness, voluntary, and after labour; this pain is ulcerated, inflamed, stret­ching, or beating. Besides, there are somtimes in some kinds of unmoveableness, as in that kind of palsie, where the Sense of Feeling remains, with a pricking, or vehe­ment pain. Also there are divers pains in the Cramp, especially when it is from wind: As we shewed concern­ing a moving pain in the Cramp of many years continu­ance. Also there is pain in Fractures and Dislocations of Bones. All these are spoken of in impotent Motion. And in Depravation of Feeling, there is a pain in divers parts from a false Sense of Cold or Heat. And we shewed in Feavers, that there might be pains, as if the Limbs were bruised or broken. Also pains inwardly may come forth as in the Head-ach, the pain may reach to the Eyes, and and other pains may come to the Neck, Breast, and Belly, as we shewed. And we shall shew how some superficial pains go over the whol Body. And others are from evil Conformity or shape.

Those pains which are in the Habit of the Body greater then their Accidents, Of painsin the Habit of the Body which are greater then their acci­dents. are chiefly distin­guished as they are in the Flesh, Joynts, or Bones.

The Germans call the pains in the fleshy parts of the Habit of the Body, die Fluze, Of Pains in fleshy Parts. from the cause that is Defluxion, Distillations, or Catarrhs. Of which we shall declare divers kinds, in parts not fleshy, from the Joynts.

These Pains or Defluxions are some­times in the Cheeks, Chapps, Of Defluxions or Distillations in the Habit of the Body. or about the Ears, with Swelling, or without.

Or in the sides, or behind the Neck, with difficult turning of the Neck, or a Creek, and Swelling of the Glandles. And if there be difficulty of swallowing, it is a bastard Quinzy.

Also there is a pain from Defluxion in the fleshy sides of the Breast, heavy, and tearing, that increaseth with tou­ching, or Motion of the Arms, and hindereth breathing. And if it be pricking, it is a bastard Pleurisie, if the breath be much stopt, it is to be referred to Dyspnaea, or difficul­ty of breathing.

These pains from Defluxions, are also on both fleshy sides of the Back, either above, towards the Neck, or be­low towards the Loyns. And are increased by Motion of the Back-bone, or by lying down, or pressing, but if they endure touching; they are spoken of in internall Pains.

These pains from Defluxion, are also in the fleshy parts of the Joynts, in the Arms, or Feet, and in the Nervous parts, if they are about the Shoulder blads, or fleshy parts of the Hipps, they are referred to pains in the Joynts.

A pain in the Joynts is called Arthritis. And it is either more general in many Joynts, as in the Feet, Arms, Hands, Hips, Pains in the Joynts, Ar­thritis, or Joynt-gout. Shoulders, reaching to the Back, and Neck, and somtimes to the Cheeck-bones, and Joynts. Or it is more particular in some small or great Joynts, The Sciatica, or Hip-gout. as in the Hip called the Sciatica. That in the Shoulder is called the pain of the Homoplate; when it is in the small Joynts, in the Toes, or Foot, Pain of the Homoplate, Podagra, Go­nagra, Chira­gra. or Ancles, it is called Podagra; when in the Knee, Gonagra; when in the Fingers, Thumb, or Wrists, Chiragra. This Dis­ease seldom is constant in the Shoulder a­lone, as in the Knee; and if it be there, it is called Arthritis, when other Joynts suffer also. Some of these kinds of Gouts have the same accidents.

Sometimes there is a great pain fixed in one or more Joynts. That which is in the Hip is first fixed, then moveth from the Thigh into the Foot, and that in the Shoulder, in­the Arm. In all kinds, the pain is increased by Motion of the Joynt, and touching, except in the Hip and Shoul­der, and then when the pain comes outward. These pains come suddenly unto some.

There is usually a Tumor with Redness, Heat, and bea­ting, in the Podagra, and Chiragra, first or last; and som­times in the Gonagra, or Arthritis, especially in the Joynts without Flesh. Somtimes it is an Oedema with­out Redness. But in the pain of the Shoulder and Hip in the fleshy parts there is no such appearance or tumor.

In continuance of time in the Podagra, and Chiragra, there will be knots in the Joynts of the Fingers and Toes. And when they are opened, there comes forth a thin or tough white Matter, or like Chalk. And somtimes they turn to hard uneven stones, which hinder the Motion of the Joynt. And I have seen sometimes such knots from the bending of the Arm to the Wrists, growing as it were to­gether, and when they have been broken, there hath come forth a white Pultis, and in one troubled with the Gout, it was in his Ear. And another Merchant long and grei­vously [Page 397]troubled with the Gout. The same kind of chal­kie Matter was all over his Body, and the very Eye-brows also, and it turned to knots, and then came forth.

As we shewed in Feavers, there is a Synoch in every ge­neral Gout, and often in the Podagra, Chiragra, and Go­nagra, and somtimes in the Hip and Shoulder-gout. It begins first with Chilness, and there is Thirst and Restles­ness, the Pulse is high, and the Urin red.

There are somtimes other accidents in Arthritis. And we have known a Cramp to follow the Joynt-gout which hath been worse then it self.

The pain about the great Bones (be­sides that which is in parts without flesh, Pains about the Bones. of which we spake in the Pain of the Joynts, and that without the Skull of which in Head-ach) is of two sorts. The one is chiefly about the Head bones, the other is about many other Bones.

There is a kind of pain about the Head or Forehead, An external Cephalaea. which is lasting, which is called an external Cephalaea, or Head-ach, differing from the internal mentioned. This is about the Bone, and is augmented by being touch­ed. It somtimes springs from an internal Head-ach, or is joyned with it, or is alone outwardly on both sides, or on the right or left, as a Haemicrania. Some­times it is like a Nail driven into one part, Clavus. and called Clavus. Somtimes it makes Nodes in the Forehead, like that in the French Pox, and in other Bones.

There is another kind of outward pain in the Head, Outward Heavi­ness of the Head. which goes before other pains from Defluxion, into the Joynts and fleshy parts. In which somthing seems to lye heavy upon the Head, and there is outward, as if the skin were flead off, and increaseth with touching of the Hair especially. And oftentimes there is a Swelling soft and oedematous, broad, and dispersed a­bout the Neck, and hinder-part of the Head, and other accidents, as in the Heaviness of the Head, coming with­in the Skull, especially when they meet together.

There is another kind of pain about many Bones from a Disease not known by the Antients that was brought from the Indiies, The French Pox or Neopolitane. first called the Neopolitane, then the French Disease: The contagious French Pox. And because it comes by Copulation, the Venereal Pox. Of which there are divers kinds, as I shall shew, and this pain about the Bones is one, and is called the contagious Pain or Pox.

This pain being near about the Bones, is chiefly in the middle Seat without the Flesh, either in Latitude or Lon­gitude, as in the naked inside of the Leg, and about the Shoulders, Homoplate, and Arms, and before, in the Breast, which bony part can scarce suffer from another in­ternal Cause. And therefore the Pox is known only by this sign somtimes. Also there is pain without in the Head, especially in the Forehead to the Eye brows, and about the Temples, sixed like an outward Cephalaea.

This pain is violent and implacable, pulling as it were the skin from the bones, and not to be touched. It in­creaseth towards night, and is not abated as other pains, but augmenteth by heat. And therefore in bed they are worse, and it comes by degrees, not suddenly as Arthri­tis.

Somtimes there are hard Tumors or Nodes in the Fore­head, Skins, and insides of the Hands, which are unequal and increase.

And other accidents, as Falling of the Hair, Spots, Pustles, and Ulcers, as we shall shew,

The Causes.

It is necessary that in all Pains of the Habit of the Bo­dy mentioned, that the sensible parts be affected as the Muscles, Membranes, and Nerves, from whence come stretching pains, or pains from compression, solution of continuity, simple distemper, congestion of Humors, In­fluxion, or evil Quality.

Vehement Stretching of the parts cau­seth this pain, Distention or Stretching, is the cause of pain, where o­ther Symptoms are greater. by immoderate Motion in Exercise and Labour: Hence comes the stretching lazy pain mentioned. And violent motion, when the Muscles are contracted with the Cramp: As we shewed in Spasmus. Also it comes from Extension of the Muscles by straining, which cause Bleed­ing, such as is in inflamed or ulcerated Laziness, or such as increaseth by touching and motion. This pain is som­times in the broad Muscle of the Breast, which moveth the Arm, coming from strong holding of the bridle in ri­ding; sometimes in the Feet and Knees, from riding in short Stirrups.

Or in the Back, from stretching of the Membranes and Ligaments, by the great Bowels, lying upon them; or by a Tumor, as in divers Diseases of the Liver, Spleen, Guts, Mesentery, and Womb, and in women with child, as we shewed.

Or it is from wind that is bred by moisture or weak heat, or coming from other parts, which lifteth up and stretcheth the muscles, as we shewed in windy Cramp. And if it be between the membranes, it is a pain like that from Defluxion, but not so fixed, but wandring, and stretching, and not long lasting. And if it come to the skin, the pain is with palpitation or beating, as we shewed.

Also Compression of the parts may cause pain without breaking of the skin which if it is, A Compression is the Cause of pain in which the Symptomes are greater. belongs to Diseases of the skin. As from long lying in a great Disease, when there is a pain in the Back, and in other sensible parts; and from external violence, as when from pressing of the El­bow, there is a numness and pricking of the two Fin­gers.

Or when the Bones are out of their places, and lye u­pon the Muscles, Membranes, or Nerves, there is pain, which is greater and longer, when there is Swelling or Heat, as when there is a great pricking pain, from a vio­lent motion of the Back or Neck, or from Bones out of Joynt, while they lye upon these parts, and hinder moti­on: As we shewed in want of Motion from a Disloca­tion.

The same pain may be from broken Bones out of their place, which tear the parts, and hinder motion, as we shewed in want of Motion from a Fracture. Or from the Spondils of the Back broken out, which cause Pain, Swel­ling, and Ulcers, before they come forth; as I knew in a Child of seven years old, who was born crook-baked, and had a Tumor in his left Shoulder, out of which came ma­ny small bones of his Back, with much matter.

Solution of Continuity internal in a sensible part, causeth pain, Rupture is the cause of pain in the Her­nia. as when the Membrane about the Belly is broken: Especially when the guts come forth, and there is an Hernia. As for other sensible parts, as Muscles and Nerves, they can scarce be broken without an external force. Of these we shall speak in the Diseases of the Skin.

Also Distemper causeth pain, Distemper cau­seth pain, with other Symptoms joyned. whether cold or hot. If it be outward, it is to be referred to Diseases of the skin; if in­ward, it comes from Defluxion, or con­gestion of Humors: as shall be shewed. And in the Fits of Agues, the pain felt in the Back and Members, comes first from Cold, and then from heat, be­cause the Cause lyeth in the great Vessels which are near the Back, and inflame the Nervous parts.

[Page 398]An Humor heaped, which is corrupt from evil Nourishment or Weakness of Concoction or crude, Congestion of Hu­mors causeth an ex­ternal Head-ach. causeth pain in the bloodless parts, about the Bones, Periostium, and Membranes; where by reason of Cold, they are more easily heaped up, and more slow­ly discussed. This is often in the Head, between the skul and skin, by reason of the plenty of Veins, which afford Excrements, which cannot easily be discussed, by reason of the thickness of the skin: Hence comes Cephalaea or Heach-ach external. This may be in other places upon bare Bones, like that in the French Pox, with Swelling, and Nodes, when the Nourishment of the part aboundeth, and turns to a Callus: as shall be shewed in external Tu­mors.

Also when these Humors are hea­ped without the Skull, Congestion of Hu­mors, causeth out­ward Heaviness. Congestion of Hu­mors causeth the Joynt-gout. there comes a pain external, which goes before De­fluxions, and Joynt-gouts.

The same Excrements about the bloodless Region of the Joynts, not flowing from other parts, may cause a kind of Joynt-gout. This comes by degrees, not suddenly, as that which comes from a De­fluxion, nor doth it cause great pain, and the tumor is only oedematous. This Arthritis or Joynt-gout seldome comes first, but follows the other, which comes from De­fluxion, when the part is weakned, from which Defluxions & new Excrements are gathered. Hence they are free from the Gout, but there is some sign of it, either from Deflu­xion or Congestion of Humors. Or if there be another kind of Arthritis from both, as a Sciatica: It lasteth long, and hath great changes.

A Defluxion of Humors causeth sud­den pains, A Defluxion of Humors, causeth the Joynt-gout and other pains. and they are either simple Defluxions, or Arthritical. The Hu­mors either flow from within the Ves­sels, or otherwise.

Humors congested without the Ves­sels that cause these two sorts of pain, are supposed either flegmatick or waterish, but a waterish Humor, or pure Whey flowing to these parts, causeth resolution or tumor without pain, rather then with great pam. And therefore it must be mixed with other Excrements, and then as it is more cholerick, sharp, or salt, or evil, it stretcheth and tearing the part more or less, and causeth pain accor­dingly.

The Original of this serous Humor comes from the Head, and flows downwards. And it is somtimes con­gested in the inward part thereof, within the Skull from the Blood which is plentiful in the Head, when it is crude or impure. And when any part thereof is unfit for Nou­rishment, and will not be concocted, there are Excrements in the Brain, which fall down, and cause pain. Before which there was a Heaviness in the Head, from the Mat­ter heaped up, and other accidents. Also excrementiti­ous blood sent to the Brain, comes from the weakness of the first or second Concoction, or from its Crudity, and the rather if the Brain be weak. Hence it is that though good blood be bred in the first Concoction, yet because it cannot be assimilated, or brought into substance in the third, there are many Excrements, and more when it is not at first well concocted, or mixed with Excrements. This cause of the weakness of the Brain, is either from the Parents, or from age and Disease, especially from Wine and Venery, the one stupefying, and the other spending the Spirits, and both weakning the Nerves and Brain, and taking away strength: Of the excess of which the Gout is the punishment. The plenty of this humor in the brain causeth it to flow down, or external cold wind, or moist­ness that pierceth the Brain, and straineth and squeeseth it, or heat of the Sun or Baths causeth Defluxions, rather by opening the passages, and stirring up the Faculty to expel, then by melting the Flegm, as they call it. Also great motion that shakes the Head, by Neesing, Coughing, or the like, causeth the abounding Humor to slow down.

And we have shewed that the same humor may be with­out the Skull, and flow down, and cause pain, before which was Head-ach, or Heaviness, and Swelling of the skin. And also we shewed the Cause why Humors are easily gathered there. And the same Causes that made the Humor flow which was internal, may move the exter­nal, as cold and heat; and sooner, as we ordinarily may perceive.

The Defluxion of this Humor, which is both within and without the Skull, is divers. For if that flow, which is in the Skull, it causeth Diseases in the Habit of the Bo­dy, and others also, as it falls into the bottom of the skull into the three cavities. For if it fall into the upper cham­ber next the Forehead, then it is strained through the holes of the straining Bone, and comes like clear water out of the Nose, and is called Coriza. If it fall into the middle Cell or Chamber, which goeth to the Pallate with many holes, it either passeth thin presently, or continueth, and turneth thick into Snot, and so is blown out at the Nose, or hawked out. Or if it flow towards the Eyes, it is turned to Tears: as we shall shew in things sent forth. But if it follow the passage of the Nerves, in the middle cell, or fall into the hinder Cavity of the Skull, which is lower and larger, through the great hole behind, which contains the the narrow, from whence come the pain of Nerves, it fals into the Habit of the Body, into fleshy parts or Joynts, and causeth the Gout. Also when the Humor gathered with­out the Skull, flows down under the skin, it causeth pains according to the parts, as we shall shew.

If it flow upon the fleshy parts, either inwardly or out­wardly, then it gets between the Muscles and nervous Membranes, or between the Flesh and Skin, and Glandles, and causeth Heaviness, when it is much, or stretching, or pricking, when it is of evil Quality, or a Tumor occult or manisest, like an Oedema, and if the pain be great, and cause a Flux of Blood, it causeth Inflammation, which somtimes is known by heat and beating pain. And if it be outward, there is apparent Tumor and Redness. These pains from Defluxions are usually in the Back and Neck, and Face, and Breast somtimes, and Joynts, as we shewed. And when these parts have been used to Defluxions, they are weaker and loofer, and more apt to receive them.

If this Humor from within the Skull, flows by the ways of the Nerves into the Joynts, or from without under the skin, as Fernelius saith it may, then as it is about the Lips, Shoulders, Knees, Arms, Feet, or Finger-joynts, Back, or Cheeks, in one or more places, it causeth divers kinds of Gouts. In which they suppose the Joynt to be the part affected, and some think the inward part chiefly, because the pain is felt there, or increased by motion. But in re­gard the moving Joynt is compounded inwardly, of two Bones, which have no Periostium in that part, but only a hard Gristle, and there is no Nerve there, and therefore they are all infensible, the pain cannot be within. Nor in the Joynt of the Thigh, where there is an insensible Liga­ment. Moreover in regard the Bones are so exactly joyn­ed in the Joynts, that there is no space between, and out­wardly are closed with Ligaments, so that nothing can get in, how can any humor get in to breed the Gout, when there is no passage nor Vein. Moreover the Ligaments without that bind the Joynt, are infensible, or if they have any feeling, it is from the Periostium to which they grow, and that is very little. How then can there be so great pain in the Gout, if it be there? Neither can it be from the Tendons, which have little or no feeling. Besides, the Tumor without, which is at a distance from the Joynt, and the pain which is remote, shews that the pain is not in the Joynt. Also the chalky Matter, and the Nodes in the Gout, are not alwayes found in the Joynts, but in the parts adjacent. And though they grow in the Joynt som­times, yet is not the pain therefore in the Joynts, or in the insensible parts whereof they are made. For they are [Page 399]from other Causes, and cannot cause pain, except it be by hurting the part adjacent, nor other inconvenience, but Deformity and Hindrance of Motion. For no pain can be but from a sensible part, which is not in the Joynts. Therefore the Gout-pain is not from the Joynts, but the parts adjacent, as the Nerves, Muscles, and Membranes. And the reason why the pain is so near the Joynt, is the meeting of the Nerves there about, where they are com­prehended in a little room, and bound about with Mem­branes, and Ligaments, and solded together to move the Joynt, when in other places they are free, and go straight along the Body. Hence it is that when any matter falls into these narrow and crooked places, it easily stays there, and afflicts the Nerves causing pain. Which pain, if there be a Humor, is fixed in the strait passages, through which the Nerves run; as in the Sciatica, where the pain is a­bove the Joynt, almost in the Loins, where the fourth Nerve goes to the Leg, and is bent outwardly, from the Cavity of the Hip, while the Humor sixeth, and when it removeth, the pain removeth to the Knee, to which the Nerve goes, or to the Foot; the pain is the same in the Shoulder. And when the Matter is much the pain is in di­vers parts, where it is fixed, and in those narrow passages, where the Nerves pass through the holes of the Bone, as in the Back-bone, where it easily stayes, and causeth pain, and chiefly where the net work of the Nerves goes from the Neck to the Arms, and from the Loins to the Thighs.

The Disease that causeth this pain, is either stretching from much Humor, such as when it falls in a fleshy part, differing only in that the humor in this flows to the Mus­cles next the Joynts, and causeth not so great pain, as when the Nerves are afflicted, and there is an Oedema in in the part. And if the humor be evil and infect the Nerves, the pain will be worse, and heat and redness will come from the Flux of Blood, and lastly a Swelling: as we shall shew in the Gout, from a Flux of Blood. Al these cease when the Excrements are consumed, and return u­pon a new Defluxion. And after many Defluxions, some reliquies remain not discussed, which if they be glutinous, turn by degrees into Chalk. And if they are earthy, as serous humors use to be, as I shewed in the Stone, they turn to Stones. This is chiefly in the Hands, and Feet­Joynts, because the humor can fall no further.

The Disposition of the part receiving, is a cause also why the humor goes hither or thither, as when the passages of the Nerves, and the places about the Joynts, are too loose. Or when there is haereditary Weakness in the Nerves or Brain, or when there hath been a Disease, or is a Deflu­xion constantly stretching the passages. Hence it is that the humor, though it be not in great plenty in these pas­sages so stretched, and made loose, as it is usually, when it causeth pain, yet it easily goes thither. And because it useth to go to the extremities by its thinness and the o­penness of the passages, rather then stop by the way; and not only loosen the place, but separate the parts one from another. Hence it is that the Podagra, of Foot-gout, and Chiragra, or Hand-gout, are more usual then the o­ther Gouts. And why after once, they come again monthy and yearly, and cannot be quite driven away. And the Sciatica, and other Gouts above, though the Matter stop in them, yet it is more seldom, because the matter descends, and the pain will not be so loosned as in the Hands and Feet, except there be a continual Defluxi­on. And a general Arthritis or running Gout, is not so usual as the other kinds, because the humor that causeth it, must be a great quantity, to go into almost all the Joynts. And because the seldom coming thereof wea­kens the parts but little, and also because (as I shall shew) it comes often from another Cause then a Defluxi­on from the Head.

When Blood in the Veins falls about the Joynts, it be­gets a hot Gout, with a Feaver, and Inflammation, and the like: as it doth Distention and Heat in any other part.

This is from the abundance of it, or when it is too hot, and causeth a Synoch Feaver, which usually presently follows the hot Gout, and attends it. And as an Erysipelas comes in a Synoch Feaver, from the Blood sent to the skin, so doth the Gout from the same sent to the Joynts, and they who are subject to the Gout, are subject to a Synoch, with Erysipelas. And the Patient hopes somtimes it will be but an Erysipelas, when he is subject to have both. Also the Blood being made more impure and thin by excrementi­tious Whey, may cause an Arthritis, with a smaller Fea­ver. And when the Gout is more general in many parts, and comes oftner, it is from Blood, which easily goeth through the Body, and not from a Defluxion from the Head, which is seldom the cause, but when it is in great quantity. Although a particular Gout, as the Feet and Hip, may be often from blood, with a Feaver. In these Gouts from blood, if it be very hot, and inflame the Nerves, the pain and burning is greater, with redness and tumor, (except it lye low, as in Sciatica) and with an erysipelated Phelg­mon. But if the blood be waterish, the tumor will be spread like an Oedema, and the pain less, and not very troublesom, but because it is in divers parts.

The cause of the heat and foulness of the Blood is men­tioned in Synochs, as the use of stronge wine excessively which weakens the brain by astonishment, and makes the blood increase, grow hot and thin, which is easily there­fore inflamed, to produce a Feaver, by which a part of it is sent to the Joynts. This is the cause and punishment of the Gout. Hence it is the rich mans Disease, who u­seth excess in wine, and spiced meats, that inflame the blood. And somtimes the poor mans from other causes, as is the Feaver with Erysipelas. It comes to all by the Disposition of the Part through weakness, and by loosness of the passages; as we shewed in Arthritis from Defluxion, especially if the Flux hath been often, which causeth grea­ter weakness.

Also Blood sent to other parts that are fleshy in Sy­nochs, as into the Emunctuaries of the Kernels there, may cause pain, with a Tumor and Feaver: as we shewed in Feavers. Or disturb by its plenty and thinness, when it goes to any part of its own accord, or by labor or pain.

An occult malignant Quality, as ap­pears by the effect, being external, An evil qua­lity causeth the French Pox. cau­seth the pain about the Bones, which is called the fourth sort of French Pox. This Quality comes from the Body of a­nother infected, whether totally or in part: Therefore Whores infected, though they walk abroad, and have not great accidents, may infect others. And somtimes a Whore takes it, and gives it to the next Customer, and clears her self. This Quality insecteth by touch, especially of the naked tender Privities in Copulation, and so it passeth from one Instrument of Generation to another, and so to the whole Body. Hence it is that it came from the In­dies to us. And it may come by insected Excrements o­ther wayes, as Sweat in Hankerchers or Shirts, or from Spittle, even as the poyson of venemous Breasts is com­municated by biting; therefore beware of Spoons and Cups, wherein they drink, and Kisses by which Nurses in­fect Children. For in my Fathers time in our honest Fa­mily, my Mother was infected with her Child that she gave suck to, by that means, through a Harlot that was infected, and her servant. And my Father with the help of a Chyrurgion, cured them both by ordinary means. It may come also from the touching of mattery Clouts. And a Midwise of sixty years old in Paris, delivering a woman that had a venereal Ulcer, had an Ulcer in her Hand, by which means she infected many honest Women, when she touched their Privities, as Lewisa Burgesia, the famous Midwife to the Queen of France, recorded in her Book. Few Bodies are thus infected, but Infants and very tender People often touched. Nor can it come by breath, for then more would be infected; although many to smoo­ther their unlawful Lechery, pretend it.

[Page 400]This Quality is in a Vapor or Humor, and goes from the Body to Body, and infects the Part it first toucheth, and seldom stayes there, but goes like poyson through the bo­dy, especially into the membranous parts; and if it be outwards, it is like an Elephantiasis, and causeth loss of Hair, Pustles, and Ulcers: As that shall be shewed in dis­eases of the Skin from the Pox. If it be deep in the solid parts, then it gets into the Periostium and Membranes, and causeth pain about the Bones, especially when there is no Flesh, and where many Membranes and Nerves meet in the Heart, Breast, Skins, and the like. These pains are increased with heat, and produce Nodes, after the Periostium is eaten away; as we shewed in Cepha­laea, from congestion of humors. And few other inconve­niences, but no great change in the Spirits and Humors, nor doth any thing appear of that Nature in the Urin, Ex­crements, and Hurt of the Functions, except accidents do arise from great pain, and long continuance, or violent medicines, which we must rather study to cure then the Pox.

There is also inwardly a secret Malig­nity, An evil ma­lignant quality causeth external malignant Head ach. which being an enemy to some parts, causeth pain in the Habit of the Body, like this, such as we shewed might come from the Pox, taken from with­out, or a Head-ach external without the Pox, when besides the distemper causeth pain, there is also Malignity, by which it lasteth longer. And some pains of the Joynts that come from Defluxion, A malignant Quality causeth a malignant gout. when the Hu­mor is malignant, may produce somthing malignant, and un­known, formerly in divers Diseases, which is often and la­sting, and hath its proper accidents, and can scarce be cu­red. And we may very well con­ceive that the pain in the Cramp, A malignant quality is the cause of the run­ing pain in the Cramp. which runeth through the Body, comes from a perverse quality that is offensive to the Nerves, by the wonderful and strange accidents it produceth for a long time, by the Nerves, through the whole Body, to the ex­tremity of them, where the pain is greatest. A malignant quality is the cause of pain in depraved Touching. And those Diseases which are called Colds and Heats, come from Malignity, as appears by their prodigious Symptoms.

The Cure.

When accidents are joyned with pains in the Habit of the Body, The Cure of pains in the Habit of the Body, when o­ther accidents are greater. and are greater we shewed the Cure thereof to be in the accidents that are most urgent. As when pain comes from Distention, and from too much motion, it becomes a stretching pain with Laziness, or a violent with the Cramp: The Cure of one is shewed in the Cramp, and of the other in Laziness. And if the pain increase from too much motion, and a Flux of blood be joyned, you must use the same Cure. And if the pain be chiefly in the Back from inward Diseases, it must be cu­red as the Symptom of these Diseases. If Wind cause stretching pain, cure it as Spasmus, or Cramp, or Palpita­tion. If the Members are weary, and broken by long lying and Compression, restore them as in Laziness. If any part is pained from Compression, the cause being ta­ken away, it ceaseth, except Inflammation follow, which requires a Cure by it self. If pain come from broken or dislocated Bones appointed for motion that press the parts: The Cure is shewed in Immobility. If it be in o­ther Fractures, that cause no loss of motion, because other internal and external accidents follow with Tumors, cure it as in Tumors. If pain come from a Rupture, see Rup­tures and Tumors from thence. The Cure of Head­ach from Humors, If there be evil Feeling from a hot or cold Distemper external upon the part, see the Diseases of the Skin. If from Feavers, see Feavers. If external Head-ach come from Humors, see Head-ach. If in a Palsie there be pain from a malignant Defluxion, see the Palsie.

We shall distinguish the Cause of Pains in the Habit of the Bo­dy, The Cure of Pains in the Habit of the Body which are greater then the accidents. which are greater then their accidents; as the three kinds, either such as are about the Joynts, or Flesh, or Bones, and cure them in respect of their Causes. But if the pain be from Flux of Blood, or Water called the pains of the Joynts: The Cure of Arthri­tis from Congestion of Humors. We shall cure it the same way. As if it be arthritis from the congestion of Humors, because it come from a Defluxion first. The Cure of external heaviness of the Head from congestion of hu­mors. And the same way of cure shall shew how a heaviness of the Head from congestion of Humors, that goes before an Arthritis and Defluxion may be cured, and they prevented. The Cure of Pain in the Habit of the Body from wind. And if pain like that from Deflu­xion, come of wind, because the same things that dissolve a flowing Humor expel wind: We shall use the same way to cure and prevent the breeding thereof. But pains from a ma­lignant quality, will have a particular Cure, as from the Pox, and the like, of which, when we have spoken of the Cure of Defluxions and Joynts.

Defluxions that fall generally into the Habit of the Body, Prognosticks in Defluxions in general, and in the Gout. though they are usu­al, and upon divers parts, molesting more or less, and comming from light Causes and returning, except they fall upon the inward parts, especially the Midriff, are not so dangerous, and are easier cured then the Joynts. And pain from wind, is more easie to be cured. All Joynt­pains are perverse and last long, and easily return. Among which, though the general Gout be the greatest pain, and somtimes dangerous, with other accidents, yet because the cause must be great, that must send it to so many pla­ces, it is not so usual, and it comes slower, and seldomer then the rest, and somtimes never returns. Podagra and Chiragra are most usual, and return monthly or yearly, and are hard to be cured when sixed, but kill not but by other accidents, for many have lived long with the Gout, and others by the Gout have been freed from greater Dis­eases, which the Defluxion using to fall before, upon more noble parts would have caused. The Sciatica and Shoulder-gout, are less usual then the Podagra, and more then the Arthritis, they return seldomer then the Podagra, and sooner then Arthritis, and somtimes are away some years, and return again, and last as long as an Arthritis, for some months, but with less danger. These things observed, we must make our Praedictions accordingly, especially in the Podagra fixed or haereditary, and not promise rashly to cure. But we must try if we can make it less, or come seldomer, and bring it to pass if possible, and comfort the Patient that age abateth the pain.

The Method of curing in Defluxions, The preventing and curing of Defluxions, and Arthritis, and its Kinds. and Joynt-pains, is to prevent, and take away the pain: We must prevent so that they may return less and seldo­mer. By hindering the increase of blood or water in the Head, or the whole Body, by Diet and Evacuations, and Correcters of Distemper and Weakness. We divert the Flux from the Joynts and other parts, with things that stop, or by deri­vation of the Humor. And we confirm and strengthen the parts, to which they use to flow, when they are loose and weak, that they may not receive the humors, and a­mend the distemper.

[Page 401]After the Defluxion is fallen, and in the time of pain, we cure by stopping at the Fountain, or straintning the passages, through which the Humor flows, and by Revul­sion from the part, and Derivation and Repercussion, and we allay the pain, and prevent a new Defluxion, procee­ding by degrees, especially after the Humor is fallen down to things that digest it, if it be Blood, and discuss, as in o­ther Inflammations. If it be another Humor, let the means be stronger, and if it lye deep, more attractive, and consuming or opening. And in the Declination, we strengthen the part, and consume the residue. These are done divers wayes, as the Defluxion is upon the Joynts, and Members, or Back, Breast, or Neck, or Face (of which in Tooth-ach) or as it is a general Arthritis, or a Poda­gra, Chiragra, Gonagra, Sciatica, or Shoulder-gout, cal­led Pain of the Homoplate, by Diet, or Medicine, by Eva­cuations, by Stool, Vomit, Spitting, Sweating, Pissing, Cutting, Burning: Also by Alterers inwardly taken, and outwarly applied, as follows.

The Diet must be to prevent Excre­ments and Humors, A Diet to cure the Arthritis, and Defluxions. or keep them from flowing. Let the Air be temperate and dry, for cold, windy, cloudy, and moist Weather and hot, provokes Defluxions, and the more when it suddenly alters from cold to hot. Let not the Patient wash his Hands or Feet in Water, for it is hurtful, whether cold or hot. And Wine is better, as we shall shew in strengthning the Joynts. Let the Diet be convenient in quantity and quality, with Exercise, Sleep, and other Motions of Mind and Body: As we shewed at large in Weakness of the Stomach, to prevent Excrements. If it comes from Blood, we must diet as in Feavers, espe­cially in Gouts, that easily return, as the Podagra, and good order of Diet-wine, and Women wil prevent, or abate the Gout: As when there is a simple exquisite Diet, only eating once a day, abstaining from wine, or drinking it sparingly, or with water. Instead whereof they may have Drinks made fit, or Meath. As for Venery, they must either give it over, or use it seldom, and not standing. And this may be the reason why Hippocrates saith that Women have not the Gout, before they have used Venery, and Eunuchs seldom have the Gout.

When the pain is begun, let the Diet be thin, and let them fast as much as they can; and use Medicines proper in their Diet, according to the accidents. In the Arthri­tis forbid wine. And if they be hot or feaverish, give steeled water, Juleps, and sharp Syrups, if the Defluxion be in its Course. If they be not hot, give the Decoction of Coriander, with Syrups, or Hydromel, and rub the whole parts, and the opposite to derive the Humor instead of Exercise.

To prevent Defluxions and Joynt­pains, open the Belly, The Cure of pre­vention of De­fluxions, and ar­thritis by Eva­cuations. and purge Spring and Fall, and at other times, if the Body be foul, as the Humor is wa­terish, which requires stronger means, or bloody, which requires less, with Praeparatives if need be: as we shew­ed. If a Podagra comes from Blood, we shewed the cure in a Synoch, with Erysipelas. If Defluxions and Arthri­tis come from water, there are Purges mentioned in Dis­eases of the Brain and Nerves. If the Humor now flow, they must be used warily, least the Defluxion increase thereby, chiefly in the Joynt-pains; not only from Blood, in which it is enough to keep the Belly open, but if from other Defluxions, because they are thin, and easily stirr'd, use gentle Purgers, with Binders, and divert the Matter rather then move it with strong Medicines. This must be observed at the beginning, in the Cure of Arthritis, in the Pains of the Joynts, it is best to avoid strong Purging, not only for the reasons shewed, but to hinder pain by vio­lent motion, use Laxatives first and after strong Pur­gers.

Thus, give Clysters to prevent and cure, for they open the Belly, and draw from the Joynts and other parts. Es­pecially in the Sciatica, and pain of the Back and Loyns, from Defluxions, because they come near to the parts af­fected, and abate the pain, and if they be strong, draw the Humor away: Let them be such as were mentioned in the like case.

Or if the pain come from blood, make a cooling and pricking Clyster of the Decoction of Polypody, Mallows, Marsh-mallows, Violets, Beets, Mercury, Bran, and cold Seeds, with Sugar, Honey, Oyl, Butter, Cassia, Yolks of Eggs, and the like.

In other cases of Defluxions and Arthritis, especially in the Hip and Parts adjacent, use this common loosning, pricking, and anodyne Clyster. Take Althaea roots two ounces, Orris an ounce, Mallows, Blues, Beets, Coleworts, Mercury, Bettony, Calamints, Penny-royal, each a handful; Chamomil, Melilot, Dilt, Stoechas, and Lavender flowers, each a pugil; Foenugreek, and Lineseed; each half an ounce; Caraway seeds, and Rue, each a dram; Bran a pugil, boyl and strain, add Honey two ounces, red Sugar an ounce, Tur­pentine, dissolved with the York of an Eg, a dram and an half, Hiera, Catholicon, or Electuary Indi half an ounce, Oyl of Lillies, and Chamomil, each an ounce and half; Sal Gem half a dram: make a Clyster.

Another that heats and discusseth. Take Orris roots an ounce, Calamus, Elicampane, each half an ounce; Hedg­mustard, Groundpine, Calamints, or Balm, Time, Marjoram, Bettony, each three handsuls; Flowers of St. Johns-wort, Staechas, Lavender, and Rosemary, each a pugil; Bay-ber­ries half an ounce, Cummin, and Sasely seed, each two drams; boyl them in Wine, and Water, add Honey of Rosemary an ounce and an half; Juyce of Rue an ounce, Sack two ounces, Benedicta Laxativa an ounce, Castor a scruple, Oyl of Rue three ounces, with a little Salt make a Clyster, if you add half a dram of Oyl of Spike, or a little Oyl of Time, Rosema­ry, Calamints, it will be stronger.

In the pain about the Loyns, give Oyl of Rue alone.

A sharp diverting and purging Clyster. Take Briony­roots, and Hermodacts, each six drams, Agarick, Asarum, each two drams; Hedg-mustard, Penny-royal, Wormwood, each a handful; Tops of Centaury a pugil, Rue, and Hedg­mustard seed, each two drams; boyl, strain, and add Honey an ounce and an half, Ʋrin of a Boy two ounces, Hiera Loga­dij, Rufi, or Colocynthidos three drams, Juyce of Water cres­ses an ounce, Oyl of bitter Almonds three ounces, with a little Salt make a Clyster. If you add a dram of Coloquintida, it will be better.

Also Decoctions mixed with the Pickle of Fishes, and u­rin alone, makes good Clysters. Some add Chymical Oyls

And others give Sory in Wine, which corrodes, and the Pickle of the Fish Silurus.

Suppositories also that are sharp, stir up Nature, and derive from the part. As, Take boyled Honey, and add a dram of Hiera, Esula half a dram, Sal Gem. a scruple, with Mouse dung make a Suppository.

All these Purges composed against the Gout and other Defluxions; if it come from Blood, give gentle things, as Syrup of Roses, Cassia, Manna, Catholicon, Diapru­nis, Tryphera Persica, and Broath of an old Cock, Dios­corides.

Or this: Take Rhubarb four scruples, Spike half a scru­ple, infuse them in Water of Iva, or the like, strain, and dissolve some of the forementioned therein. Or if you will have it stronger, two drams of Electuary of Juyce of Roses.

To cleanse the Blood. Take Hops and Fumitory, each a handful; Cordial Flowers a pugil, Sebestens six pair, Ta­marinds half an ounce, Liquorish three drams, Polypody half an ounce, Thyme, and Epithymum, each a dram; Senna two drams, boyl, strain, and infuse therein Rhubarb a drams Spike a scruple, Citrine Myrobalans a dram and half, strain them ad Syrup of Roses an ounce, or half an ounce of Catholicon, or Triphera: make a Potion.

[Page 402]Or this Decoction. Take the Broath of an old Cock, Capon, or Veal, boyl therein Bark of Lignum vitae, or the Wood two ounces, and insuse in the hot strained Liquor, Senna two ounces, let it cool by degrees twenty four hours, add Syrup of Roses four ounces. Give it four mornings, with a little Cinnamon-water, this draws Water from the part. And some add an ounce of the Water of Bears Ear to every Dose.

Or this Syrup. Take Myrobalans, Chebs, yellow and in­dy, each an ounce; Polypody an ounce and half, Raisons sto­ned twenty pair, Cordial Flowers two drams, Spike half a dram, infuse them in Wormwood-water, boyl, and strain, and add Juyce of Roses six ounces, Manna four ounces, Sugar two ounces, give three ounces at a time.

If it come from a wheyish Humor, give Hiera, Ale­phangina, Assaieret, or Pills of Rhubarb and Agarick.

An Electuary: Take Catholicon an ounce and half, Senna six drams, Tartar half an ounce, Anise-seed two drams, Rue seed half a dram, Roots of five leaved Grass a dram, Ginger half a dram, Cinnamon a dram, with Syrup of Roses make an Electuary: Give a bolus every week.

A Potion: Take Chips of Guaicum half a pound, Roots of Dwarse elder, Elicumpane, Hermodacts, each half an ounce; Senna four ounces, Agarick half an ounce, Ginger half a dram, with Honey, Wine, and Water, make a Decoction for six doses, every other third day, or twice a week.

A Potion: Take Agarick two drams, Rhubarb a dram and half, Myrobalans, Chebs, and Citrine, each half a dram; Aloes a dram, Roots of five leaved Grass, of Birthwort, Spike, Mastick, Myrrh, Amber, Cubebs, Ginger, each a scruple; with Turpentine make Pills: Give half a dram twice or thrice in a week, add Diagredium, if you will have it stronger.

Or these: Take Rhubarb, Agarick, each half an ounce; Myrobalans, Chebs, and Citrine, each a dram; Aloes two drams, Sarcocol, Rdellium, Sagapenum, each half a dram; Roots of Birthwort, Valerian, Meum, Gentian, Herb Iva, Germander, Tops of Centaury, St. Johns-wort, Parsley seed, each a scruple; Spike, Zedoary, Ginger, Mace, Sal Gem. each half a scruple; with Syrup of Coleworts make a Mass.

Pills of Hermodacts good in the Joynts, may be used to prevent. The Arabians make them of Hermodacts, Cum­min, and Ginger, with Honey; the Greeks add Cartha­mus seeds, Euphorbium, Myrrh, Mastick, Anise, Pepper. The strongest are these called the lesser, made of Scammo­ny, Hermodacts, Myrobalans, Aloes, and Roses, and are good in a hot Cause. Those called the greater, work strongest, and are best in a cold Cause, made of Hermo­dacts, Coloquintida, Turbith, Myrobalans, Aloes, Bdel­lium, Sagapenum, Opopanax, Sarcocol, Euphorbium, Castor, Rue seed, Agrimony, Smallage, and Saffron, with Juyce of Coleworts. Arthritical or Joynt-pills, are made of Hermodacts, Turbith, Agarick, Scammony, A­loes, Sal Gem. with Spices, Gums, and Seeds that break the Stone.

Or make Pills of Hermodacts, choosing alwayes the white, smooth, and easie to be beaten, that have a white Pouder, take heed of the Colchick poyson, whose heads are wrinkled, and are black within, and without, or dark red. Thus, Take true Hermodacts half an ounce, Aloes, Turbith, Agarick, each a dram and half; Rhubarb, Myro­balans, Citrine, and Chebs, each a dram; Mastick two scru­ples, Euphorbium a scruple, Ginger, and Cummin seeds, each half a dram; Saffron half a scruple, with Honey, or Syrup of Roses make a Mass, give a dram, add if you will make them stronger, Diagredium a dram, or Troches of Alhandal two scruples, and to two scruples, add a scruple of Rhubarb, and with the Juyce of Iva, Coleworts, or Roses make Pills.

Or thus: Take Aloes six drams, Citrine Myrobalans a dram and half, Turbith, Hermodacts, each half a dram; Rhu­barb a dram, Sal Gem. Ginger, each half a scruple; Dia­gredium; Troches, of Alhandal, each three scruples and an half; with Syrup of Roses make Pills.

In Defluxions for to purge strongly, give an Electuary of Citrons, Juyce of Roses, Elescoph (Amoron of the French King, is commended in the Sciatica) and sine qui­bus Pills, of Myrobalans, and Aggregative. We use also things to purge Flegm from the Head and Nerves, as Dia­phaenicon, Diacarthamum, Indy majus, Pills of Cochiae Aureae, Foetidae, and of Sagapenum.

An Electuary commended by Galen, and others to take a­way pain of the Joynts presently. Take Hermodacts, and Diagredium, each two drams; Ginger, Cloves, Cummin, and bitter Costus, each an ounce, with Honey boyled in white Wine three ounces, make an Electuary; give two or four drams in a Wafer dipt in Wine, or drink it in Wine.

Or this: Take Hermodacts, and Turbith, each two drams and an half; Agarick a dram, Aloes, Scammony, each two drams; Lilly roots, and Squills roasted each a dram and half; Tops of Centaury six drams, Olibanum, Galbanum, Ammo­niacum, each a dram; Mastick a dram, Anise, Fennel, Par­sley seed, each three drams; Cloves six drams, Cinnamon half an ounce, Cubebs, Spike, each two drams; Carpobalsom, and Wood-balsom, each a dram; three Peppers, each half a dram; Saffron a scruple, Castor half a scruple, make a Pouder, and with Honey an Electuary, give it as the other.

Or the Electuary of Zeno.

Tablets for the same. Take Hermodacts two drams, Turbith a dram and an half, Diagredium a dram, Rhubarb two drams, Spike a dram, Calamus, Cubebs, long Pepper, each half a dram; Sugar four ounces, dissolved in Rose-water, make Lozenges, give two drams.

Or thus: Take Turbith, and Rhubarb, each two drams; Carthamus seeds three drams, Diagredium a dram, Cinnamon, yellow Sanders, and red Roses, each a dram; with two ounces of Sugar dissolved in Rose-water, make Tablets.

Much may be done by Vomit to prevent, because it cleanseth and deriveth, if they who are used to it, vomit once or twice in a month, or more two days together, es­pecially presently after Meat, which if it were fat, and strong, and much, and the Belly rubbed, the Vomiting will be easier. In all Defluxions, and kinds of Gouts, Vomits, and Clysters, are better then Purges to divert. And in the Sciatica, it is good to vomit two or three days together.

Asarum and Broom are chiefly commended for Vomits in the Gout; as the Decoction of the Seeds or Roots of Asarum boyled in Water or Whey, or the Decoction of Broom flowers, and the Seeds of Ricinus in Broath.

Also the Decoction of Raddish seed, Atriplex, Dill, Water-cresses, Rocket, Dwarse-elder, in the broath of an old Cock, with Oyl of Olive, of Chamomil, or Oxymel, or Honey, and Water, and the like.

By much Spitting we draw Flegm from the Head, as the Fountain to prevent Defluxions, especially when by the heaviness of the Head, we suppose the Humor is ga­thered there; and when Nature doth not purge that way, we help her with Masticatories and Errhines.

Also Sweating is good to prevent serous humors, breed­ing the Gout, and they cannot be better sent from the whol Habit of the Body. And because the blood is there­by purged from water, it is good when the Gout comes from blood, to make it thicker.

They are continued a long time for four or five weeks, by a sweating Potion, in the Morning, and before Supper, made of the Decoction of Guaicum, Sarsa, or China, with Water of Iva arthritica, with a sparing Diet, with the Decoction of the same for Drink. And you may make Wine of the same; as we shewed in the French Pox. Also use Baths for a month, this will strengthen the Joynts.

Also it is good once a week, after Purging to sweat, to take away the Defluxion, by a dry bath, morning, and be­fore supper, or in bed, with Treacle, Mithridate, or Rob of Elder a dram, Syrup of St. Ambrose six drams. And with the Decoction of Rupture-wort. Or half an ounce of Dwarfe-elder roots, or four scruples of the Seeds infu­sed a night in white Wine, is good in the Gout.

Also you may sweat by Fumes.

[Page 403]It is not amiss to discuss the Matter, by sweating; as I at large shewed in impotent Motion.; In a Tub that hath had strong Water, and Jumper burnt in it, or in a Cradle made on purpose, with an Alembick under it with proper things.

Also after Purging it is good to sweat, especially if Na­ture move that way, when the Defluxion is but in the be­ginning of an Arthitis force it not, least the Humor being thin, flow the faster; but if Nature tend that way, give some gentle Helpers mentioned.

By pissing plentifully, the serous humors are carried from the Veins and whole Body, and it is good to pre­vent Gouts. And somtimes we provoke Urin in the Fit to derive, with the Decoction of Pease, opening Roots, Asparagus, Melon seeds, and the like in the morning.

We prevent Defluxions and Gouts, by opening a Vein in full and foul bo­dies, The preventing and curing of de­fluxions, & Gouts by cutting and burning. in Spring and Fall, especially when the Gout is from blood. And Galen saith that he prevented the Gout by purging, and bleeding, and tempe­rate Diet. Open the Arm-vein for ge­neral Evacuation; or that in the Foot, for particular, which is good in Women, when the Terms are stopt. And it is acknowledged a singular Remedy to prevent the Po­dagra to let blood twice a year in the Foot. And it de­riveth and preventeth, if it be done in the sound Foot. And some open the Vein in the Loyns by the Buttocks, to prevent the Sciatica.

For Cure of Defluxions and Gouts from Blood, it is good to bleed at first, for Revulsion in the part distant, as in the arm or hand, to draw from the feet, or to derive by the part, near where it is found. In the Sciatica from blood, open a vein in the arm to revel; Hippocrates ope­neth them behind the Ears; and the Arabians opened the Veins by the little Finger. This done, open the Vein in the Ham or Ankle within, to derive, or without, if it ap­pear most, which is called the Sciatica-vein, for its great benefit: This alone cures somtimes. This is done on the same side the Sciatica is, although we have known by ex­perience, that bleeding on the sound side hath cured. This bleeding in the Foot is good when the pain is not from blood, but then bleed not in the arm before. Otherwise you must not bleed rashly in particular Gouts from water, least you move the humors, except from the great pain, you fear a new Flux of blood, and then you may do it for Revulsion.

We use also Cupping and Scarification to prevent. of what cause soever it come, in the inside of the Leggs or Ankles: It is good in Podagra and Sciatica. It is chief­ly good every new Moon, to scarifie in the sole of the foot, under the great Toe, to prevent a Podagra. And in the beginning of Defluxions and Joynt-pains; it is good for turning the Matter another way, in the opposite sound part, as in the Sciatica in the Buttocks and Leggs, and in the Shoulder-pain in the Scapulae. And to bleed by Leeches, in the Haemorrhoids especially, where there hath been a custom.

Some teach that they can stop the Flux to the part, by opening and tying the Vein. And some have drawn yel­low Water from the Hands and Feet, by cutting, which Hippocrates alloweth. But when no certain Matter ap­pears, the way is doubtful and dangerous. And a light Incision is good when the Nodes or Knots strive to get out, and the skin is there.

Also the Flux of Humors is diverted by burning and blistering, this is the best to prevent, and to cure by draw­ing forth the matter; and is to be used chiefly when the matter lyeth deep, and will not be discussed by Medicines. as in the Sciatica, and Shoulder-gout, or other kind, or defluxion upon the Members, when the Cause of the Dis­ease sticks stoutly: This is the last Remedy to take it out.

The gentlest way is to apply things that make the skin red, only in the Hip, Shoulder, and other fleshy parts, upon the pain. As Sinapisms made of Mustard seed, and Vine­gar one part, and Figgs, or Leaven two or three parts, with Pigeons dung.

Stronger things blister and burn, called Vesicatories and Cauteries, these are applied behind the Neck to prevent, or to the arms to cure, to stop the Flux a little above the part, or when it is flown below it, as in the Joynt-pains, below in the Joynt, in the Sciatica, in the Instep, or to the Buttocks, in the Gonagra to the Ham, or upon the part.

These Vesicatories are Flamula, Crowfoot, Spargrass, Daphnoides, Capsicum, Dragons bruised, or Nettles, or Milk of Figgs, with Bran, and Vinegar.

Or apply a potential Cautery of Spanish Flies, and Lea­ven, and things that take away pain, mentioned in ope­ning Imposthumes.

This is done sooner and better, with a hot Iron, and they will not feel so much pain, if you clap first a Plate of cold Iron upon the part, to be burnt, which hath a hole in it, through which the Cautery Iron may pass, for by the Coldness of it, and pressing, and stupefying of the skin, the pain is not felt.

We give to prevent the Gout that re­turns so often, The preventing and the Cure of the Gout, and Defluxion, by things taken in. when it comes of blood things to cool and thicken it. Such as we shewed in Synochs, with Erysipelas, as sharp Waters and Spaws, by use where­of many have been kept free from the Gout. I knew a man that was troubled with the Gout, and lived many years after, by the use of a Drink made of Bar-berries, Prunes, Plumbs Apples, and four Pears, with a few Juniper-berries; and some have been cured by drinking of ashes, Milk; others with Vinegar, for di­vers dayes. Dioscorides commends Vinegar, and Honey; others Vinegar of Squills.

If the pain come from a watery Defluxion, then give things to consume it, and to strengthen the brain and Nerves, by which the Gout is prevented, if constantly u­sed. And the Podagra from blood, is so prevented by temperate things that consume the Serum, and make the blood purer and thicker, These are mentioned in a Pal­sie from Flegm, and Weakness of Stomach, and other Dis­eases from Defluxions.

Among which the Water of Groundpine, or Iva arthri­tica, is best, or the Decoction thereof, in Hydromel, Oi­nomel, or Honey, and Wine, Water, or Vinegar, called Oxymel, if often drunk; or a syrup of the juyce of it; or a Conserve, or a Pouder of the same; or of Primrose, or Cowslips. Also Bettony, Sage, and Stoechas.

These following taken many weeks together, dry up Defluxions, and are excellent.

As Decoction of Althaea roots, Grass roots, Aspara­gus, five leaved Grass, white Thorn, Echium, Corn-pop­pey, and Aethiop leaves, are approved of Dioscorides a­gainst the Sciatica, in wine, or wine and water, with Ho­ney and Sugar.

An Electuary. Take Conserve of Groundpine two oun­ces, of Primrose, Lilly of the Valleys, Broom, and Bettony flo­wers each an ounce and half, Conserve of Roses an ounce, Cinna­mon a dram, Cloves, Galangal, Nutmeg, each half a dram; Ginger a scruple, Spike half a scruple, Coral a dram, Harts horn, and Ivory, each half a dram; with Syrup of Bettony, or Groundpine, make an Electuary: Give as much as a Nut­meg, and drink Bettony water upon it.

Another: Take Seeds of St. Johns-wort, Leaves of Ger­mander, each two ounces; Groundpine an ounce and an half, Bettony half an ounce, round Birthwort roots an ounce and half, Sarsa an ounce, Angelica six drams, Sassaphras half an ounce, Asphodel roots, if they can be had two drams, Ivory, Harts horn, Amber, each a dram; red Coral a dram and half, Cinnamon two drams, Cloves a dram, Saffron half a dram, add to them poudered being an ounce, two ounces of Honey, give four scruples or a dram. If you would have Pills, mix the Pouders with Turpentine, and some proper sy­rup, and give half a dram.

[Page 404]Another to be used daily. Take Sarsa four ounces, St. Johns-wort seeds, Leaves of Groundpine, and Germander, each eight ounces; round Birthwort roots six ounces, Angelica three ounces, Cinnamon two drams, Cloves four scruples, Saffron two scruples, with Honey boyled in white Wine, make an Electu­ary.

Or these Pills: Take Roots of round Birthwort, and An­gelica, each two drams; Leaves of Groundpine three drams, Rupturewort a dram, Spike half a dram, Saffron a scruple, Ashes of dead mens Skuls a dram and half, with Turpentine, and syrup of Bettony, make Pills: Give a dram.

Sciatica pills: Take Pouder of Groundpine six drams, Gum Ammoniacum, and Opopanax, each a dram; Myrrh half a dram, Castor a scruple, Enphorbium half a scruple, with Turpentine make Pills.

A Sciatica Electuary: Take Groundpine, and German­der, and Ivy, each half an ounce; Rue, Sage, Mugwort, Sa­vine, Bettony, Thyme, each a dram; Seeds of St. Johnswort, or Ascyri, or Androsaemum three drams, wild Rue, and Sou­thernwood seeds, each a dram; Madder, and Monks-Rhu­barb roots, each a dram and half; Pepper, and Cardamoms, each half a dram; make a pouder, and with a pound of Ho­ney an Electuary, give a dram.

Or, Take the Pouder last mentioned an ounce and half, Roots of Xyris, Polemonium, and white Poplar barks, each a dram and half; of Heliochrys, Arctium, Chamaecyssus, cal­led Ground-Ivy, Dasy flowers, and Comfrey, each a dram; Cappar, and Ocimastrum seeds, or wild Basil, each half a dram; with Honey make an Electuary: Give it as the former.

An excellent Syrup against all sorts of Gouts. Take Sarsa two ounces, Calamus, and Roots of five leaved Grass, and Birthwort, each an ounce; Angelica half an ounce, Asarum two drams, Groundpine, Rupturewort, and Bettony, and Ger­mander, each a handful; Sage, Thyme, Mints, Marjoram, each half a handful; Primrose, and Comfroy flowers, each a pugil; Rosemary, Staechas, and Lavender flowers, each half a handful; Aniseseeds half an ounce, St. Johns-wort seeds two drams, Basil, Seseli, and Rue seed, each a dram; boyl them in Water, and the third part Wine, strain, and add Honey a pint, make a Syrup, with Cinnamon two drams, Cloves a dram: Give an ounce to prevent, alone, or with Water of Groundpine, or Bettony.

A Pouder of ashes to dry up Water. Take Ashes of a dead mans Skull an ounce, of a Bulls pizzle, or Castor half an ounce, of Swallows, Cuckow, or Kites two drams, of Harts­horn, and burnt Ivory, each a dram; of Amber half a dram, Pearl half a scruple, Cinnamon two drams, Diagalangal and Diamoschum, each half a dram; Sugar of Roses, and Sugar Candy, as much as all the rest: Give a dram and half, and drink wine with proper distilled water thereupon, or make Tablets with Sugar dissolved in Bettony or Ground­pine water.

In the Cure, give things to stop the Humor, when it falls. If it be blood, let it be cooled and thickned, with syrup of Violets, Water-lillies, Endive dryed, red Roses, Myrtles, Julep of Roses and Violets, with Water of Sor­rel, Plantane, Lettice, Roses, and the like. Or with a Decoction of Prunes, Sebestens, Jujubes, and the things mentioned in Synochs. To stop the Humor, use things mentioned in Defluxions and Catarrhs.

Somtimes give Narcotick Opiats in both cases, they are not dangerous, for they abate pain, and stop the Flux, as Treacle and Mithridate; and if the Defluxion be wa­terish, ad a little Bole. Also Philonium Asyncritum, and things mentioned in Colicks that heat, if there be pain and watching.

Adding as followeth, to stop Defluxions. Take Ma­stick, Frankincense, each a dram; Storax half a dram, fine Bole a dram and half, Ivory and Bedeguar, each half a dram; Spike half a dram, Saffron half a scruple, Opium five grains, with Syrup of Poppies make Pills: Give two mornings and evening.

We apply Remedies to the head and other parts, some at first, The outward cure of Deflu­xions, & Gouts and Preventi­on. others in the declination.

In a Defluxion or Gout, from Rhewm from the Head, after decent purging, we apply dryers and strengthners to the head out of the fit after the Defluxion, and in the fit, when we fear not the Return of the Defluxion; as we shewed in Diseases from Flegm.

As Lotions for the Head, of Sage, Marjoram, Bettony, Groundpine, Stoechas, Lavender, Rosemary, Agarick, and the like boyled in Lye of Vine ashes, with other drying things proper for the Head.

After washing, that it may not raise a Defluxion pre­sently, dry the Head with a fumed Cloath, with Amber, Mastick, or Sandarach, and then comb it well.

Also Pouders in Caps are good, or for the Hair, made of Head-herbs, and dryers; as Nigella, Mastick.

We apply to the parts receiving the Defluxion to pre­vent it, things to strengthen, and to consume the residue, and to confirm the Cure.

The Hand or Foot is to be often washed with a Lye of steeled water, and ashes of Beech, Oak, Juniper, Vine, Horse bones, and Dears bones, and the like, Rosemary, Bayes, Hermodacts.

To this Lixivium we add Wine, or Urin, or Salt, or Allum, to make it stronger, sometimes Tartar, and Brim­stone.

Salt-water whether natural or artificial, doth the same thing, alone, or poured through ashes, to which Myrth added, makes a good Fomentation.

Or the decoction of Juniper, or Salt, or of Rapes, or a Fox inbowel'd.

Or thus, when there is a loose Tumor in the declinati­on of a Disease. Take Roots of Dwarse-elder a pound, Groundpine a handful, red Roses, Chamomil, and Melilot flo­wers, each a pugil; Pomegranate flowers, and Myrtle seeds, each a dram; Earth worms many, boyl them in four parts of Lixivium, two parts of Wine, and one of Water.

Or this: Take Dwarse-elder roots, and Hemp two ounces, Sage, Wormwood, Bayes, Organ, Penny royal, Calamints, Mints, Thyme, Groundpine, Bettony, Hysop, Plantane three handfuls, Moulin, Rosemary flowers, and red Roses three pu­gils, Juniper and Bay-berries a pugil, Myrtle berries half an ounce, Cypress nuts an ounce, Pomegranate peels and flowers half an ounce; make a Decoction in Water, and the fourth part Wine, add Salt an ounce, Allum half an ounce, wash therein to astringe more, add Galls, Acacia, Hypocistis an ounce, and for the poor, Stones, Pears, Services, Medlars.

Oyntments to strengthen the weak loose parts, are. Oyl of Grape stones, with Oyl of Salt, and Oyl of Hazle-nuts, Cherries, de Been, Citrinum Oyntment, and that of O­range flowers.

A strengthening Oyntment. Take Oyl of Myrtles two ounces, Salt two drams, Myrrh a dram.

It is said that the ashes of a Kites head or bones, with Oyl, is proper.

Another: Take Oyl of Worms, and Froggs, each an ounce and an half; Oyl of Roses, and Goose grease dropt in­to Vinegar each an ounce; Acacia, and Pomegranate flowers, each a dram, Cow dung dryed two drams, Salt a dram, burnt Allum half a dram, with Wax make an Oyntment.

Or this: Take Bramble tops, Sumach, and Housleek, boyl them in red Wine, add of Barley flower not ripe and parched, called Alphitum as much, with the sixth part of Pouder of Pomegranate peels make a Cataplasm.

This is an excellent Remedy to strengthen and ease pain in the Gout. Take an old Boar Cat that is fat and black if it may be had, gut him, and flea him, cut off his Head and Feet, and put him into the paste following. Take Goose grease, that is the dripping of a Goose, which fell when it is roasted into a Dripping-pan half ful of Wine and Vine­gar four ounces or six, Pitch, Turpentine two ounces, Badgers grease, Dears sue [...], each two ounces; Virgins wax four ounces, [Page 405]Oyntment of Agrippa an ounce, Frankincense, and Mastick, each half an ounce; make a Paste, stuff the Cat therewith, and roast it, keep the dripping for an Oyntment.

It is good to strengthen weak Hands and Feet, to put them into the Wine-press, where there are black Grapes.

They say Sextus Pompeius was cured with Sweating in a Heap of warm Wheat.

Also Baths of Sulphur, Salt, or Niter, both sweat and strengthen. And bucketing of the Head therewith, as the Custom is, cureth the Disease at the Fountain. And the Mud or bottom of such Waters, applied to the parts strengthneth.

Or artificial Baths of strengthening Herbs mentioned, and the skin of a Dog are proper.

In the time of using all these, least the humors be stirr'd up by heat and moisture, and sent to the part which is weak, and apt to receive them, use the defensive Plaisters mentioned.

For Cure, at the first grudging, apply outwardly things to stay the Flux. In the Arthritis, especially apply them to the Joynt within, and bind them if you can, and rowle them.

Make them of Bole, the white of an Eg, and Vinegar, and apply it with Cotton or Linnen.

Or, Take Bole two ounces, Dragons blood half an ounce, Snakeweed roots, Acorn cupps, each a dram and an half; pou­der them, and with Vinegar, and whites of Eggs, apply them, you may add Pomegranate flowers, Spunge, Roses, Grape­seeds, and the like.

Or make it of Litharge, Bole, Vinegar, whites of Eggs, and Mucilage of Fleabane seed.

Add a little Oyl to keep it from drying too soon.

Or, Take Pulp of green Pears, Quinces, Services, Cornil­berries, Medlars, Dates, Olives, boyl them in red Vinegar, with Crumbs of Bread, and make a Cataplasm.

Or use the Plaisters against Rhewms in the Eyes, men­tioned in Ophthalmy.

Bind the part affected very hard: and the Thighs that the Humor fall not down.

Upon the part also lay (according to the time of the Disease, as it is in the beginning or progress, or as the Flux is flowing or flowed to the part) Repellers, or Anodynes, or Narcoticks, or Dissolvers.

At the first while the Cause floweth, use astringents and repellers, that bind and are cold, when it comes from blood, and there is Heat in the part. But in the Sciati­ca and other fleshy parts, where the humor lyeth deep, they profit little. These we use with anodynes somtimes and gentle dissolvers; Thus,

Hippocrates bids us use cold Water to repel and cool, or Snow, or cold Vinegar, applied with a Clout often.

Or three parts Water, and one Vinegar, or red Wine two parts, with Bran, and Lineseed boyled therein, or Lu­pins, when the disease is in the increase.

Or boyl Vinegar and Water in the same proportion, with Wheat, or Barley-meal, and Lineseed, to a Cata­plasm.

Or use Plantane, Lysimachia, Housleek, Violets, Pur­slane, Endive, Solomons-seal, Fleabane, Nightshade, Pel­litory, and Poplar leaves, of Gourds, Water-lillies, Lens palustris, or wild Lentils, with Oyl of Grease, first incor­porated with Meals and Vinegar.

Or Coleworts, with Fleabane seed, or Foenugreek, and Vinegar, or roasted Quinces, and Barley meal.

Or Plantane leaves bruised with Barley meal, and Crumbs of bread, and Oyl of Roses.

Or boyl Bran and Barley meal in steeled Water, with Roses, add Oyl of Roses, and at first Vinegar, and in the increase, Flowers or Oyl of Chamomil.

Or mix the Juvces of the Herbs with barley flower, Oyl of Roses or Violets, with the Yolk of an Eg, and Turpentine and Vinegar.

Or thus; Take Oyl of Roses four ounces, Juyce of Lettice, or the like, two ounces, Vinegar an ounce, with two Yolks of Eggs, and Barley-meal, make a Paste.

Or, Take Oyl of Roses, and Vinegar, each two ounces; Bole two drams, red Sanders a dram.

Or a little Ceruss, with Waters, or Juyces, and Vine­gar, or Oyl of Roses, or Violets, with distilled Waters.

Or the Decoction of the Herbs mentioned, with Vine­gar, for an Epithem.

Or use Galens cool Oyntment, the Countesses, or Oyntment of Poplar. These are also good when there is a hot Defluxion upon the Loyns.

Or a great pain, use Anodynes, such as by gentle heat, do rarifie and cherish, mixt with Repellers in the begin­ning, while the Humor flows; and after, when the Mat­ter is flowed or fallen; things that dissolve more: Thus,

Pour warm Milk thereon, or apply it with a Clout. And at first quench Steel in it, and to allay pain, boyl in it Foenugreek, or Lineseed, Hermodacts, or the like.

Or add an ounce of Sulphur, or Litharge, to a pint of Milk, it will discuss what is gathered to the part.

Or, Take an Eg, and beat it with Oyl of Roses, or Cha­momil, and Crumbs of Bread, and apply it with a little Saffron.

Or hard Eggs beaten with the fourth part of Myrrh, and Chamomil flowers, and Saffron.

Or foment with Oyl of Roses and Wool, or of Violets, in which Earth-worms are boyled, and after in the pro­gress, with Oyl of Chamomil, and Foxes, Oyl of Eggs al­layes pain.

Or, Take Lineseed oyl, Oyl of Earth-worms, and Elder, each half an ounce; Saffron three grains, Camphire two grains, anoint the part, and roule it up with a Rouler dipt in Boys urin,

Or make a Pultis of sweet Apples boyled, and Oyl of Roses, or Froggs, or Chamomil.

Or apply Cassia, with Barley-meal, and Fleabane seed, with Oyls of Roses, or Chamomil, Rose, Nightshade, or Plantane-water.

Or steep or boyl brown Bread Crumbs in Milk, and add to a pint three Yolks of Eggs, and six ounces of Oyl of Roses, or Chamomil. When you will cool and repel, leave out the Oyls, and add Juyce of Nightshade, Plan­tane four ounces, Vinegar two ounces, or boyl the Herbs first in Milk.

Or use Fleabane, and Lineseed bruised and boyled in Water to a Slime, with Water of Roses, Nightshade, and Housleek, and an Egg, while it is hot, add Mucilage of Lineseed, Wax, Oyl of Roses, or Chamomil, and Vine­gar.

Or apply Foenugreek bruised and boyled in Oxymel, or Vinegar, and Honey, or with Juyce of Coleworts, and the fourth parts Vinegar, or boyled in Wine, with the Pouder of Chamomil, and Melilot flowers, and Hermo­dacts, adding Turpentine, Oyls, and Mucilages.

Or add to the aforesaid, Bean, Lentils, or Barley flo­wer, Oyl of Roses, and Juyces of Herbs mentioned.

Or thus: Take Bean and Faenugreek-meal, each an ounce; Barley and Lineseed, each an ounce; Marsh-mallow roots, Chamomil and Melilot flowers, each half an ounce; Cummin­seed three drams, boyl them in Wine, Vinegar, and Honey e­qual parts, add Hens grease two ounces, Oyl of Dill an ounce; make a Cataplasm.

Or, Take Althaea roots two ounces, Turnips four ounces, Mallows, Coleworts, Henbane, each a handful; Pompion two ounces, Flowers of Violets, Chamomil, Melilot, and Mou­lin, each a pugil, boyl them in Water and Wine, add Flea­bane, Foenugreek, and Lineseed four ounces, Yolks of Eggs four, Hoggs grease three ounces, Oyl of Dill and Froggs, each two ounces; make a Cataplasm.

Narcoticks stupifie the part, and take away pain, and by their heat (as I proved) dissolve the humor, and are not dangerous. Alone, or with Anodynes, and other re­solvers: Thus,

The green Leaves of Henbane, Mandrakes, and Pop­pies bruised or boyled, or Oyls thereof, or their juyces, with Rose and Water-lilly water to foment.

[Page 406]Or Mandrake Roots, and Henbane seed mixed with Bran, or Oyl for a Cataplasm, or with Grease for an Oyntment.

Or thus: Take Henbane leaves two handfuls, Night­shade, Housleek, each an handful; Poppy tops a pugil, Man­drake roots an ounce, Chamomil flowers and Violets, each a pugil; Fleabane seed half an ounce, Henbane seed two drams, boyl them in Milk and Water, and foment, stamp the resi­dents, with Lineseed an ounce an half, Barley-meal two oun­ces, Duck and Hens grease, and Oyl of Chamomil, each an ounce; make a Cataplasm.

Another excellent against pain in the Foot-gout. Take dryed Elder flowers a handful, Leaves of Henbane wrapt in Coleworts and baked, four ounces, bruise and boyl them in Goats milk, or to a Pultis, ad Saffron a scruple, Yolks of Eggs two or three: make a Cataplasm.

Or use Opium and Saffron, with Milk, two ounces of Milk to half a dram of Opium, or two drams with the Plaister of Bread, or the like. Or with Oyntments, but it is of les­ser force. With Fats, it is best a dram of Opium, with four ounces of Aqua vitae, a little Saffron, and a scruple of Cam­phire, and safe.

Or apply Mithridate or Treacle, or Philonium.

Or the Skin of a Torpedo, or the Oyl of it causeth Stu­pefaction.

Use Resolvers to consume the Humor in the progress, when the Defluxion is stopped: Such as are gently hot, and rarefying, and discuss the Matter, if it be Blood, and hotter if it be Water to consume it, that it turn not to Nodes. And if it be deep, as in the Hip, use stronger Drawers and Consumers, adding things proper for the Joynts, Membranes, and Nerves, and that are approved. These are as follow, and are proper for other Deflu­xions.

As Oyl of Moulin flowers, mixed with Wine, and made in the Sun.

Or of Elder, or Dwarse-elder Flowers, or the Juyce or Oyl of Dwarfe-elder seeds thus made. Beat them being clensed to a paste, boyl it in Water, and take of the skum, put it in a long Glass, and set it three dayes in the Sun, till the Oyl which is green be at the bottom. Also that of the Seeds strained is good, or of Raddish seed, Indian roots, Nuts, and Acorns.

Or Oyl of Cyprian, Ligusticum, or Privet, or of Al­kanna, or of wild Cowcumbers, in which Flammula was boyled.

Or Oyl of Froggs, and Worms, and Foxes; or Oyl in which a Weezle hath been boyled, or a young Stork, or Swan, or the Livers of the fish Galeus, or Sows or Hog­lice, called Aselli or Millepedes.

Or Oyl of Mans bones; or Horse-jawes, when they are beaten, and burnt, and mixed with Oyl, and then an Oyl drawn by a retort, or the like. Some commend the Oyl of Deers blood.

And other hot Oyls mixed with them, as Oyl of Bays, Costus, Elder, Nard, Rue, Orris, Wall-flowers, Lillies, St. Johns-wort, Euphorbium, Castor, Bricks, Turpentine, Petroleum. Some add distilled Oyls to them, as of Spike, Juniper-berries a dram, to an ounce of the other. Oyl of Guaicum, and Sulphur, and Tartar, are also good. The Chymists use Oyl of Salt, made with red hot Bricks, and Oyl of Danwort berries. Others boyl Salt in Oyl, and anoint.

Or an Oyl made of the Marrow of Veal bone, and as much old Oyl, and Oyl of Worms, Groundpine, and Saf­fron gently boyled.

Another: Take Sallat-oyl, and of Bayes, and Turpen­tine, each equal parts; add Mastick, Myrrh, Frankincense, one part, draw an Oyl.

Or thus: Take Oyl of Turpentine a pound, Sage an hand­ful, boyl them in Balneo, take out the Sage, when it is cold, and add new three or four times, and add at last pou­der of Sage, Opopanax, and Ammoniacum, each four ounces; boyl and preserve it.

After you have anointed the Part therewith, lay on a Plaister of Tachamhaca.

An excellent Oyl against Sciatica. Take Oyl of Nuts six ounces, wild Cowcumbers, Flammula, or Iberis, or Sowbread roots bruised, or three ounces of the Juyces sliced, Earth-worms twenty, Sagapenum, Ammoniacum dissolved an ounce, Sack two ounces, Aqua vitae an ounce, boyl them till the Juyces be consumed, and strain it.

Or, Take Pellitory roots, and white Hellebore, each half an ounce; Hermodacts, Turbith Rue, Wormwood, each two drams; Coloquintida, and Euphorbium, each a dram; Salt a dram and half, infuse them in old Oyl, and add Wine, and Aqua vitae an ounce, set it in the Sun, and boyl it.

Or use Mathiolus his Balsom.

Unguents, as of Greases of Men, Goats, Sheep, Hogs, Calves, Geese, Hens, Ducks, Foxes, Bears, Cats, Ser­pents; also Oesypus, or Grease of Wool, and Marrows of Horses, Dear, Calves with Wine, and Aqua vitae, are also good.

Prepare Goose grease thus, and it is excellent. Gut a Goose, and fil her with flesh of a Fox or a Cat, and Ground­pine, Sage, Rosemary, Marjoram, Bettony roasted, re­ceive the dripping into Water and Vinegar, or stuff a fat Goose with Pitch, and the dripping is rate against the Sci­atica.

Another, take Dears suet, and Ox marrow, and add as much Aqua vitae, set it in a glass, in a Horse dung till fif­teen dayes.

Or dissolve Sagapenum and Galbanum in Oyl.

Or thus: Take Juyce of Dwarfe-elder, Oyl of Rue, each two ounces, Gum Ammoniack dissolved in Aqua vitae hal, an ounce; Mastick, Frankincense, each a dram; Castor hal dram, with Turpentine make an Oyntment.

Or, Take Juyce of Danewort, and old Oyl, each an ounce; boyl them, add Mummy half an ounce, Camphire a dram.

Or thus: Take Oyl of Roses, Lineseed, Lillies, Chamomil, each an ounce; Juyce of Smallage an ounce an half, Mucilage of Lineseed, and Goats grease, each an ounce; boyl them, and with Wax, and a little Saffron make a Liniment.

Or use the four hot Oyntments, of which Dialthaea is the mildest, Martiatum, Agrippa, and Aregon are stron­gest. Or use those proper for the Joynts, as Ebulinum, Di­vinum, Nervinum, Vigonis.

Or these: Take Roots of Orris and Birthwort, each three drams; Pellitory, Turbith, Hermodacts, each two drams; Bay-berries a dram and half, Coloquintida a dram, Pepper, Nutmeg, each half a dram; Saffron a scruple, Storax half a dram, Frankincense two drams, Bdellium a dram, Euphorbi­um and Castor, each half a dram, pouder them, and add Oyl of Bayes, and Goose grease, and an ounce of Turpentine, Oyl of Spike half a dram, and Cow dung; make a Paste.

Another against the Stiatica. Take Oyl of Lillies two ounces an half, Wall flowers, Worms, Fox grease or Goose, each an ounce an half; Juyce of Elicampane three ounces, Gum Ammoniack dissolved in Aqua vitae an ounce, Sowbread roots a dram and half, Pellitory, Orris, Mustard seed, each a dram; Hermodacts, Castor, Euphorbium, each half a dram; with Turpentine make a thick Oyntment.

Or this Plaster: Take roots of Elicampane, Costus, Orris, each half an ounce; Sowbread and Cookowpints, of each two drams; Hermodacts, Piony and Misletoe of the Oak, each a dram; Mustard, Rocket and Rue seed, each a dram and an half; Cummin seed and Bay-berries, each a dram; Pepper, Mace and Cloves, of each half a dram; Saffron a scruple, Myrrh, Frankincense, Storax, each a dram; Niter and Vi­triol, each a dram and an half; Euphorbium, Castor, each half a dram: make a pouder, add Ammoniacum an ounce, Bdellium, Galbanum, Opopanax, Sagaponum, each an ounce; dissolved in Vinegar and Aqua vitae, add Storax liquid a dram, Labdanum, Laserpitium, each a dram and an half; with Oyl of Lillies and of Rue, Turpentine, pitch, Rosin and wax, make a plaster and wrap it in a sheeps Skin.

Another: Take black pure and shining pitch, Rosin, each half a pound; Sheeps sewet, Goose grease, each four ounces; [Page 407]Olibanum half a pound, add to it cold Cummin seed two oun­ces, Pepper half an ounce, Oyl of Spike half a dram, make a plaster.

Or: Take the Marrow of Veal, Oyl of Roses, of each two ounces, burnt Salt a dram and an half, anoynt the feet, add dryed Ox lungs two drams, and it will be better.

Or thus: Take Oyl of Nuts, Goose and Fox grease and Calves marrow, of each two ounces; Frogs ten, Earthworms washed in wine two ounces, Hog lice thirty, Salt half an ounce, Sack three ounces, juyce of Danewort, Elder, Ivy or Ground­pine two ounces; boyl them, and add Turpentine and Wax, for an Oyntment.

Or use, Diachylon, to a pound add Sulphure an ounce, Chalcitis half an ounce.

Or this: Take old Oyl a pint, Litharge three ounces, Brimstone a dram, Chalcitis half an ounce, boyl them, and add Mucilage of Linseed and Hogs grease, each two ounces; make plaister, or Oyntments.

Or use Apostolor.

Or: Take Oyl of Bayes two ounces, of Worms and Bricks, each an ounce; Soape an ounce and an half, Calves marrow an ounce, Turpentine half an ounce, Ammoniacum, Opo­panax, Galbanum, all dissolved in Vinegar, each a dram and an half; Myrrh, Frankincense, Mastick, of each a dram; Birthwort roots half a dram, Litharge, Sulphure, each a dram; Verdigreese and burnt Salt, of each half a dram; with Wax: make an Oyntment.

Or thus: Take Oyl of privet, Elder or Dane wort two ounces, Oyl of Turpentine and Ox grease, each an ounce; Glew dissolved in Wine, an ounce, Frankincense a dram, Niter and Lime, each half a dram; some add the stone Asius.

Or use plaster of Frogs by Vigo: in strong Defluxions and Sciatica pains, with more Quick-silver and Euphor­bium; of which we shal speak in the French pox.

For the Sciatita wash with Sage, Lavender, Balm water, and the like, with as much Aqua vitae.

Or dissolve black Sope in Aqua vitae and anoynt: it is a good remedy in all cold Defluxions.

Or boyl urin of a boy till it be as thick as Honey. Or anoynt with Womens terms, as Dioscorides prescribes.

Or with Ashes of a Weezle, Beans, Cole-worts, with Vinegar or Grease.

Or with juyce of Nettles, Rue, Sage and Coloquintida or Indian Nuts.

Or use pouders of Snayles shels burnt, or of rust of Iron Jet, with juyces prescribed.

Or make remedies of other plants, as of Moulin, Net­tles, Rue, Mugwort, Smallage, Sun-flower, Scordium, Wall-flowers, Mouse-ear, Comfrey, Moss, Sesami seeds and roots, Hemp, Birthwort, Dittany, wild Cowcumber, Daffodil with Honey and Vinegar, or boyled in water and wine, or their juyces with meal.

In the Sciatica bruised Iberis and warmed is good, or Cardamine, Water-cresses.

Or Elicampane bruised or boyled in wine.

Or wild masterwort, like Danewort, which is called Goutwort, for its vertue.

Dioscorides applies Balm and salt.

Or to the Sciatica, Sage, Rue, Juniper berries with wine and Boys urin.

Or Linseed and Chamomil flowers, boyl'd in a bagg in wine.

Or hot bread made of Secaly and Carway seeds.

Or Bran boyled with Sapa and Salt in the Knee Gout.

Or use Bean, Barley and Lentil meal boyled with Oxy­mel.

Or Bran flower boyled in wine, adding Aqua vitae and Butter.

Or Raysons stoned, with Opopanax.

Or Sea moss, or Pulmo, or Fucus marinus green, or Androsace.

Or Agarick beaten with Goats Milk and Barley meal.

Or Dwarf-Elder, or Elder bruised, or fried in Butter, or Hogs grease with Plantane roots.

Or Rue and Bettony with Hogs grease and Salt.

Or Motherwort with grease and Vingar against a De­fluxion.

Or Briony roots beaten with Aqua vitae and Hogs grease, or Briony and Cookowpints, or Dragons, or Fig leaves with Cowdung and Honey.

Or: Take Nettles bruised a pound, Oyl of Bayes two ounces, Petroleum half an ounce.

Or Coleworts bruised with Marjoram and Bdellium, dissolved in Aqua vitae, or Vinegar and Coloquin­tida.

Or: Take Turneps roasted a little, and then boyled a pound, Fenugreek meal two ounces, juyce of Dane-wort two ounces with Honey.

Or Pouder of hermodacts Barley and two yolks of Egs, and Honey.

Or: Take Fenugreek and Lupine meal a pound, Pouder of Darnel, Althaea roots, Chamomil and Melilot flowers three ounces, Cummin seed an ounce, boyl them in Honey and Wine: make a pultis.

Or: Take roots of Althaea, Lillies, Briony, Dwarf-Elder each two ounces, Sage, Ground-pine, Wormwood, Marjoram, each a handful; Chamomi [...], Melilot flowers and bran, each a pugil; boyl them in Ale, bruise and add Barley, Lime, and Fenugreek meal two ounces, Mastick an ounce, Oyl of Bricks three ounces, Saffron a scruple.

Or thus: Take dryed Penny-royal, Sage, Savin, Bay-berries, Hermodacts, of each a dram; Mastick half an ounce, Storax two drams, Turpentine three drams, with Honey, make a plaster.

Or: Take pouder of young Nettles a pound, of Sage half a pound, bay Salt a pound, pickled Hering-Rows half a pound, spirit of wine a pint with Benjamin three or four ounces dissolved therein, make a pultis and repeat it if it ease pain, if not, take four ounces of Rose water instead of spirit of wine, with an ounce of Fleabane seeds and with Aca­cia and Oyntment of Litharge: make a Cataplasine.

Against the Sciatica: Take leaves of Iberis, Water-cresses, or Elicampane, each two handfuls; Calamints a handful, bruise them, or boyl them in wine, add Lupine meal three ounces, Honey two ounces, or Grease and Oyls, or Vingar, or Aqua vitae to make it peirce.

Or: Take roots of wild Cowcumbers and Bryony, Orris and Elicampane a pound, boyl them in wine and Honey, bruise and add Lupine meal two ouncer, Cummin-seed an ounce, Goats dung three ounees, make a pultis.

Another: Take roots of Althaea, Briony, wild Cowcumber, each two ounces; of Orris and Elicampane, each an ounce and an half; Pellitory, Hermodacts, each an ounce; Ibery, Le­pidium, or Flammula, Calamints, Rue, Penny-royal, Time, Balm, each a handful; Sage, Rosemary, Staechas, Lavander, Chamomil flowers, of each a pugil; boyl them in wine add Honey, Faenugreek, Lupine four ounces, Bay-berries two oun­ces, Rue seeds an ounce, Goose grease two ounces, Oyl of worms three ounces, Sulphure an ounce, make a Cataplasme.

Or thus: Take Orris, Pellitory roots, of each two drams; Dwarf-Elder and Dragons, each an ounce; Bay-berries an ounce, Cummin seed an ounce, Sulphure six drams, Niter two drams, make pouder, add Barley meal two ounces, with Vi­negar, Honey and Turpentine: make a plaster.

Dioscorides commends Scammony boyled in Vinegar and mixed with Barley meal, against the Sciatica.

Or: Take Pitch two parts, Sulphure one part, pouder them and lay them upon a paper dipt in Aqua vita, lay it on after bathing especially, let it stick while it fal off of it self.

Or: Take Tar half a pound, white Hellebore and Sulphur vive, each an ounce and an half; Euphorbinm half an ounce, Aqua vitae an ounce, incorporate them with the Aqua vitae last, and stirring continually, apply it warm.

Or apply Frogs spawn, or boyl it in a covered Pipkin and apply the fat that swims.

[Page 408]Or apply Snailes, bruised with their shels.

Also put whol live Snails shels and all, into a strainer, a handful, and a handful of salt, and thereupon a handful of Danewort seeds, and then snailes again, and after that salt and seed, four or five laies on upon the other, and hang the strainer in a Cellar and take the Liquor that drops out which is glutinous, and put it in a glass to the sun for four dayes and then anoynt the part.

Or apply the flesh of Cray-fish, boyl'd and beaten with Briony roots, and Aqua vitae.

Or boyl beaten Harts horn, with white Wine, till it be thick, and apply it.

Or a pickled Herring.

Or Wolfes Flesh, or Veal half roasted.

Or the Skin of a Dog.

Or hot Cow dung, it will presently ease pain, to which add Oyl of Roses at the first, and in the declination, Oyl of Chamomil, or Honey.

If there be a Tumor. Take Cow dung a pound, Sapa an ounce, Bean and Foenugreek flower, each two ounces; Cum­min an ounce, with Oxymel.

Or thus: Take Goats dung and Bean flower, each equal parts; make a Cataplasm, with Wine and Oyl, add Salt when the pain is abated.

Or white Dogs turd, and Pellitory boyled in strong Vi­negar.

Also apply Stuphes, or Spunges, or Baths in the Sciati­ca and Knee Gout and other Defluxions made of Calamus Elicampane roots centaury and to strengthen, of Cy­pres Nuts, Calamints, Ground pine, Germander Wormwood, fouthern-wood, Bettony, Prim-rose, sage, Marjoram, Rose-mary, Pennyroyal, Mints, Chamomil, Melilot flowers and of Dill, Staechas, Lavender, boyled in water, adding wine, lie or urin. When you will dry more, add an ounce of Sulphure vive and of sal Niter, and sal Gem, each half an ounce.

Or with a Decoction of Turneps and Sowbread, Fo­ment.

Or with distill'd water of Moulin and red wine, or Ox Galls, or Soap distil'd.

Or: Take Sage, Rue, Groundpine, Wormwood, and others mentioned in Sciatica for Fomentations, four handfuls; Sulphure, Salt, each two drams; Wine two measures, distill a Water and Foment.

Another: Take green and white Vitriol, each an ounce; Camphire two drams, Aqua vitae and white wine, each a pint; Foment with clouts dipt therein.

Or with Salt and Vinegar, Sulphure and Vinegar, wa­ter and Niter.

Or quench Lime in urin and soment, or in Vinegar.

Or: Take Lime and sulphure, each three ounces; and with Oyl made of Bole and wild Cowbumbers, make an Oynt­ment, use it hot.

Or hath the feet in a Lie made of Hemp.

Or make bags of the dry Herbs mentioned.

Or of Milium and Bran and salt and Chamomil flo­wers.

Or rowl the Knee with scarlet spread with salt.

Fumes are good also again the Defluxion and pain and to strengthen, out of the fit, and to dry up the humor, especially in the declination.

Made of a Decoction of proper Plants, as of white Dittany, Pennyroyal, Wormwood, Rosemary, staechas, Chammomil flowers: boyled in Water, Wine or Lie. In the Sciatica, put green Sage in a hollow Tile red hot and stir it that it burne not, and sprinkle it with Vinegar and and apply the Tile, so that the vapor may come to the Hip.

Or use these drying Fumes with Cotten wooll or clouts as of Mastick, Frankincense, Myrrh and Amber, Labda­num, Benjamin, Storax, Gallia, and dryed Herbs, as Rosemary, and the like, with two ounces of Cinnabar, and half a dram of Orpiment, made into Troches, with Turpen­ [...]ne, in the Sciatica.

If the fourth sort of French Pox, The Cure of the French Pox. which is with pain about the bones, come from an evil quality, because the Cure is as the other by divers great evacuations and alter­ations, as in the Pox with Ulcers, and the like, there­fore we shall refer the Cure of it thither.

If there be pains about the bones, The Cure of an outward Head­ach from a ma­lignant quality. from an evil quality, or external Head-ach as in the Pox, you must cure it as an old Head-ach, and if that will not do, use stronge Evacuations and Topicks, as in the French Pox, as those of Quick-silver, which cure this malignant pain, when all things fail.

If the humor falling down and causing Arthritis hath perversity in it, The Cure of a sort of ma­lignant joynt Gout. it will not be cured, but with strong things and topicks, that have Quick-silver, as Emplaister of Vigo.

As for the malignity, The Cure of pain coming from malig­nity when feeling is depraved. which de­praveth the sense of feeling, in regard it is in the humor that is fallen down, such as causeth numness and palsie, it must be cured as they are, with strong means. And therefore we shall not here lay down any new Method of curing the same.

CHAP. XVII. Of Pains in the Superficies of the Body.

The Kinds.

VVE call those Pains in the Superficies of the Bo­dy, which are in the skin and part adjacent and near it: of which there are divers kinds: differing in this respect, that some are alone and others have other appearent diseases with them.

Among the solitary pains of the super­ficies of the Body, A tickling in the superficies of the body without any other dis [...]a­ses apparent. without any other dis­eases, the first is tickling, which though it seems pleasant, yet if it be much it is ve­ry troublsom, as in the soles of the seet, under the Arms in the pits, or in the sides, and the like.

Hereunto belongs the Itch in the skin, Itch. without other manifest sign: such as goes befor the skab and as is in the parts with Hair, as the Head, Privities, from divers causes, which shall be declared, so troublesome that it causeth scrubbing and tearing the skin with the Nayles. By which means they are so refreshed and plea­sed that they feel not the pain or hurt.

There are other pains in the superficies of the body without other manifest disease, Pain from heat. that come from outward causes, as from heat and excercise, without Inflammation of the skin, but with heat pricking and itching: to which the heat in the palms of the Hands and soales of the Feet, may be referred.

Also there is a tearing and biting pain from cold in the superficies, Pain from cold. especially at the fingers end.

To this may be referred the Molestation that comes from touching an uneven and rough body: Pains from tou­ching of rough bodies. Pain from com­pression and de­stention. Which is felt with­out any manifest hurt, while the skin is pressed and streatched for a time.

[Page 409]There is somtimes great pain from a bruise by a Fall or Stroak, Pain from Contu­sion or bruise. without apparent hurt that pricks and tears; but because usually there is a Tumor or Wound with this pain, we shall speak of them toge­ther.

Other Pains that have other Diseases joyned, are di­stinguished by Redness, Swelling, Pustles, Ulcers, or Cor­ruptions.

Redness and pain without swelling, is called Erysipelas. Erysipelas. This comes to many by fits. In this the superficies of the skin, in the Shins somtimes, or Face, or Neck, or other parts hath a broad Redness, which being pressed with the singer, flies away, and presently returns, and then turns yellow after some time, and after pale, and so vanisheth. It is with burning also, therefore it is called holy Fire. And because it is pricking, Holy Fire. Avicen calls it the Thorn. After all these Itching use to be and the skin is cleft either of it self, or by rubbing; besides, there are in the parts near, for the most part Glandules or Kernels that swell, and are pained, as in the Groyne and Neck. And as I shewed in Feavers, there is a Synoch therewith, that begins with shivering, and turns hot for a day or two. And somtimes it is without it, or but very little.

Besides this simple Erysipelas, there are two compound kinds thereof. An Erysipelas with a Phlegmon One is like the simple, only there is a little rising that is dispersed, and not colle­cted into a true tumor, this is called Erysipelas Phlegmono­des. This ends as the other, but is lon­ger. An ulcerated Erysipelas. Somtimes there are Pustles in Ery­sipelas, and Blysters about, blew or black, which breaking, produce matter, and the part is ulcerated, this is called Erysipelas ulcerate. And it ends often in a preverse spreading Ulcer, that Gangraens if not well tended.

There is another kind that is less hot and red, An oedematous Erysipelas. but higher and broader, called Erysipelas Oedematodes, with Blisters som­times also, that are whitish, which brea­king, send forth water or matter. In this kind, though the Eryfipelas cease, yet the Oedema remains long, and falls into the Leggs in some.

Also if there be Erysipelas in the Leggs that were formerly oedematous from an evil Humor, Erysipelas in the legs of them which have the Dropsie Ascites. especially from the Dropsie Ascites, which is easie, then it turns into a true Inflammati­on, which will gangraene, except it be carefully tended.

We have seen sinall Erisipelases in the skin, Small Erysipelas. with broad, red, burning Spots, not filled up.

Diseases with Tumor in the Superficies of the Body, The Humors in the Super­ficies of the Body. are some more usual, and come of themselves, and are in divers parts without difference: or in certain distinct parts external: And are called Tumors in general: Or imposthumes, because they follow Tumors. Others are unusual, and come seldom and are called Cancers of which in order.

There are painful Tumors indifferently in any part of the Body, Phlogoses. that arise of themselves without any manifest Cause, that are raised and deep, and red, with heat, burning, stretching, and beating, called Phlogoses.

One kind hereof is spread as an Erysi­pelas, Phlegmon or Inflammation. but more swollen, and lifted up, collected, extended, and deep fixed, and is called Phlegmon or Inflammation in general. In this after the redness and pain, the skin is yellow, blew, with Sugillations or Markes, till the tumor quite vanish. Somtimes with increase of pain, it turns to a greater Tumor or Imposthume, and that broken into an Ulcer, and leaves a Scirrhus or Gangrane, as shall be shewed.

Besides this simple Phlegmon, there are two Compound kinds, Phlegmon ery­sipelated. the one with a larger tumor, but else in all things like an Erysipelas called Phlegmon Erysipela­todes. The other with a larger tumor, but less hot, red, and burning, called Phlegmon oedematodes.

This Phlegmon whether simple or e­rysipelated or oedematous, Phlegmon oede­matous. may be in a­ny part of the Body. If in the Face, it dissigures the Look: If in the Neck or Jawes, it hinders breathing, and makes an outward kind of Quinzie. If in the Breast, and be deep, it is a kind of false Pleurisie; if in the Belly, and deep, it hindereth go­ing to stool: If in the Hands or Feet, it pains and trouble them.

There is another sort of Phlegmon more collected, Tuberculut or Pustle. and acute, or pointed, like an Inflammation in other things in any part, which because it is less then other Inflammati­ons is called Tuberculum, rather then a Tumor. One kind most usual, which is like a Wall [...]ut, which ends usually in an Ulcer These are in divers parts alone, or many to­gether, swelling and red, with tearing and burning pain, which pain increasing, they end in an Imposthume, which opens, and is an Ulcer which hath either white or bloody matter. And if instead of matter there be a lump of flesh, Furunc [...]lus, Cla­vus, or little Can­ter. they call it Furuncu­lus or a Nail, because it is fixed in the flesh, and the German Chirurgions cal it Crebstin, or a little Cancer.

Contusions are referred to Tumors in the Body, Tumor from Con­tusion. and are so called from the Cause, which is a stroake or fall, in which there is either a gathered or spread Tumor, lifted up more or less, with, or without Inflammation of the same colour; and somtimes blew, and yellow, with markes, vanishing, or turning to an Imposthume, and so into an Ulcer. If this Contusion hath a Wound, it be­longs to Wounds. And if there be pain in Contusion without Tumor or external appearance, it shall be spoken of in Pains in the Superficies of the Body.

There are often Tumors in the Glanduls that are the in Emunctuaries, Tumors in the Glanduls or Kernels. especially im­mediately under the skin, which somtimes are lifted up with the skin, with pain and heat, and somtimes Inflammation. And if this be, and dissolve not, it imposthumes, and then ulcerates. This Tumor what soever it is, if there be Inflam­mation is called Phygethlon and Panus, Phygethlon. Panus. Phym [...]. Parotis. and if it be less, and plainer, or evener, and not so red and painful, it is called Phyma, which sooner increaseth, and imposthumeth. There is the like tumor somtimes behind the Ears called Parotis, that grows somtimes very great. Some­times it is in the lower Jaw, and is called Panus, it comes often in Synoch Feavers, and it is called in high Dutch Kervunkel, though it be not alwayes red, when it is under in the Arm-pits, it doth not so easily imposthume, it is called Panus also and Bubo: And so it is called in the Groynes. Bubo venereal and pestilential. Some of these are simple Buboes: Others are from the Cause called Venereal: Others malig­nant from the Feaver and pestilential, they are small at the first, and then grow great, and have often an Anthra [...] or Carbo with them.

Also in the glandulous parts of the Superficies as the Papps and Stones, Tumors in the Papps and Stones. are outward Tumors as in the Glan­duls mentioned, when they are inflamed, swollen, hot, red, and pained. This is called Inflammation of the Papps [Page 410]and stones which turnes often to a scirrhus. Or somtimes these pars swel, without a manifest Instammation and are stretched and pained as the breasts with milk and the stones in the colick.

Also these kinds of Inflammations are in other spungy parts of the body, Tumors with Inflammati­on of divers parts. as in the heels when they swel, are rough and hot and then ulcerate and are often lost, or in the Glans or head of the yard; whose In­flammation somtimes makes a great tumor so that the praeputium or foreskin streight binds it at the root. This is likewise in the prepuce and in womens Pri­vities and in the Fundament. And in the Mouth and Lips and Eyebrows with great pain, by reason of exquisite sense; and it often turnes to perverse ulcers and Gan­grens.

Also in the gristly parts in the superficies, as in the No­strils and Ears there is Inflamation, and the gristles are made foul thereby, when it increaseth and the Nose fal­eth.

But Inflammation in the joynts is with greater pain and hurt: as in the Arms and Legs. And this is often in the joynts of the fingers and toes about the roots of the Nayles, Paronychia Pannaritium and this Inflam­mation is called Paronychia and Pannari­tium, which a Sphacelus often followeth, and corruption of the outward bone and somtimes of the inward bone of the finger, whereby it laid bare or lost and the Nerves and Tendons hurt, this is called the worm: because pain seems to creep while it is inflamed and turns to an impostume. There is another Inflammation be­tween the Thumb and forefinger with a tumor called by the Germans Grippelen or fork, because it is between the fin­gers. Fork or Grippelen.

An Impostume, Apostume or Impostume. is a tumor which fol­lows other humors in the superficies, it is called Abscessus, because the skin comes from the flesh: This may come from all sorts of Inflam­mations except they be insensibly dissolved; as from a flegmon in general, or from Tuberculum whose Im­postum is called Furunculus. And from Phygethlon whe­ther it be a Bubo or Parotis, and soonest from a Phyma. Also it may come from swelling of the paps and stone and other spungy parts, or gristly, inflamed. And from the joynts inflamed, which are very troublesome; and that from the Paronychia or Inflammation in the finger, if it Impostumate, is perverse and deep and corrupts the Nerves and bones. All these Impostumes coming from divers Inflammations, are divers. If the Inflammation be only superficial the humor greater or lefs shining and hard at first, and after grows soft and pointed, which is called the Eye, out of which the matter labors to get forth, which you may perceive by the motion of it being tou­ched, it is of one sort. And it is of another sort when it comes from an Inflammation that lyeth deeper for then it is not so eminent, somtimes it is almost wholly hidden, till by a pustle breaking, which the Chirurgions cal Exi­tura, or outlet, it appears. This is of the same color with the skin and makes a doubt whether there be an Impostume or not, Exitura or outlet of the Chirurgi­ons. we conclude that there is mat­ter, because pain is still felt there and because it is wet like dew, and being pressed with the finger the matter seems to go back and there is a hollow. When an Inflamation turns to an Impostume the pain doth not abate, but increase rather, and creaseth not till it be ope­ned and it itcheth when the matter labors to come forth. Nor doth a Feaver with Inflammation cease, but increas­eth with the pain while the Impostume or matter breedeth according to Hippocrates. The matter in an Impostume is divers as pus, or sanies or flesh, which comes from the ulcer.

A Cancer is a tumor which cometh of it self in the superficies of the body that hath more malignity then pain, Canter. for which cause the Chirurgions cal other perverse Tumors and Pustles, as a Furuncle and Car­buncle by the name of Cancer, as that under the Eye, and the Polypus in the Nose and the Gangreen of the Gums, and Ulcers of the prepuce. And they call an Elephantiasis, with Tumors and Ulcers, in divers parts, a Cancer also, as we shew'd. From these a true Cancer called Carcinos differs much. Wolf or Noli me tangere. Which is called also Lupus or Wolf, because it devours the flesh and Noli me tangere or touch me not, because it will not endure sharpe Medicines. This may be in any part, Hips, Legs, Knees, Arms, Neck, Face and Breasts often, and in the privities, and in the Mouth and Lips. It begins at first with a little tumor scarse to be seen, then it is as big as a pease, then as an Hazel-nut, then as a great Apple, hence it is called Cancer from creeping on and resembling a crab; not the Astacus, or Crayfish, to whose Legs the Veins are compared, but the true sea Crab called Gallus marinus, which is round as this tumor is, uneven and with tubercles or little swellings and full of Veins swollen about blew and black, hard also and with a crust like a crabs shell, and sticking close to the part; And Archigenes saies it is so called, because it holds whatsoever it catcheth. The pain is little or none at the first, which causeth the neglect, but it is known by the pricking of the skin like a needle, which increaseth with the tumor.

At length this tumor is laid naked, by the opening of the skin, A Cancer ulcerated. and then it is called Carcinoma or a Cancer ulcerated: out of this comes filthy Sanies, or thin matter, stinking, yellow, green first and then black. Carcino­ma. The flesh is uneven and corrupt and grows out like Ice­sickles, with hard and inverted Lips, which are somtimes so big, that they have covered a great part of the face, and made the Ear seem to grow thereto, as I have seen. When this Carcinoma or Cancer ulcerated, is naked, it bleeds, by which through want of strength, with a gentle feaver comes death, which I observed in a Dyer in little Basil in 1552. whose right Cheek was swollen to the great corner of his Eye, with Ulcers, with Lips tur­ned in and stinking in the hollow all over, which bled often very much and after great misery with a gentle fea­ver brought his much desired Death.

The chief kinds of Pustles are scabs, Pa­pulae and Carbuncles, Pustles in the superficies of the body. which have divers kinds under them, these are less then Tuber­cula, yet they itch with burning and Infla­mation and somtimes without, with pain and knawing or ulceration of the flesh.

Scabies or Scabrities is so called, be­cause it makes the skin rough and with a crust, and is moist or dry. The common moist itch and scab. The moist is with Pustles that have sanies and Pus, one is called vulgar, in which many Pustles called Ephelides do arise, from which broken sanies or thin matter cometh; if they be a little inflamed and red, they impostume and are covered with a dry crust made of the dryed matter, which is blew or black or otherwise Colored. The itch goeth before this scab, which caus­eth pustles by scratching, which break when the skin is broak, there is after a cutting pain, and if the pustles be inflamed, there is burning pain. This scab or itch is so frequent, that scarse one is freed, but in his life time hath it.

There is Another moist scab less usu­al then the former, The Cruel scab called Agria or Fera, in Dutch Herbrolen. but worse with lit­tle pustles out of which cometh a rough humor like Honey alwaies moist and covering the parts, with a thick white, green or black scab. Some call this [Page 411] Fera or Agria. The Germans call it den Herbroten, or Harbroten, when the part affected is like a toast covered with hairs. This is often in Infants heads, seldom in a­ged, somtimes it is in the Eye-brows, Cheeks and Face, very noysome, and in other parts.

There is another kind of scab, pe­culiar in the Head, Running Ʋlcers of the Head called Tinea, Achores or scald. which with many sinal holes peircing to the Skul, out of which come glutinous matter, that being dried causeth a crust or scab: therefore they are called sordid run­ning Ulcers, by the Greeks Achores, and because the skin looks like Moath-eaten cloth, it is called Tinea a Moth. And the English call it the running scab of the Head and the scald. And if the holes be large and the matter like Honey, Favus. it is called Favus from the likeness it hath to a Honey comb. This is perverse and usual in children spoyling the roots of the hairs, which are white and thick, when the hair is pulled off, and after it is cured, it leaves many bear places in the Head, which is ill favoured to be seen.

There are other pustles, which may be referred to the moist scab which have a dryness at the top and sweat and moisture. Some whereof are with greater Imflammation and Ulceration, as those called Terminthi, because they are as big as Lupines or Pease. Terminthus The Germans call them Huntsblatern, they are black round and red and inflamed about, very bur­ning and quickly dry: and when the scurfe is taken off, or lifted up matters comes forth. They are most usually in the feet and many together, Galen desicribes them to be most common in Women, and some say they are a kind of Phyma. Epinychtis is not unlike this, it is as big as a Terminthus, Epinychtis. blew and very red round about and burns very much at night, and turns to an Ulcer and sends forth s [...]ymy matter.

Also there are waterish pustles called Phlyctaenae that being broken have a scurse and are painful: Phlyctaenae. they are smal as bubles or greater like bladders, which broaken send forth clear wa­ter, with pain, and a crust: they may be in any part. There is another kind that hath yellow transparent bladders, Herpes Phly­ctanodes. which being whol, itch and burne, and being open yellow water comes forth with great burning and Inflammation and a running Ulcer: it is called Herpes Phlyctanodes.

The dry scab or Scabrities is so called in dis­tinction from the moist, The dry scab. which hath dry pus­tles without matter and makes the skin rough and itcheth much. It is of two sorts, one is in the extremity of the skin with little pustles dry red and corroding, more or less sweating moisture forth, with intolerable itch called Prurigo or in Greek Cnismos of some Impetigo and Psora or Scab, And Rubrica, it is about the Emunctuaries in the Groyns and Arm-pits, Prurigo or Cnismos. and bending of the Knees and Arms, and most usual in the Neek.

The other kind of dry scab is worse, The foul scab. called foul, and in high Dutch Mager, because it makes the body lean and dry by degrees: it comes of it self or from a Herpes not cured. And is at first greater then Prurigo, making the skin rough and dry: the Greeks call it Lichen, it is chiefly in the Legs and Arms: somtimes if the scabs creep and make the skin more rough, hard and swollen, with chous, and being rub'd bran fals off, and then the Greeks call it Psora. It is not only in the Feet and Arms, but in other parts, espe­cially the Neck and Face and Head, in the Hair like a scurfe of Clay or Chalk, from which a dry scale falls and it is horrible to behold. If it last long it corrods and makes clefts in the skin, and there fals thick scales yellow or blew, this is the Greek Leprosy, not the Elephantiasis of the Arabians, Greek Leprosy. though they are taken one for the other, but this is more incura­ble, and returns again, and is as horrible as Elephantiasis, especially if it eat off the Nose. We call this the worst Scab.

Papula or Herpes comes forth with little Pustles, Papula or Herpes of the Greeks. first with itching, and then burning, but with Inflam­mation or Feaver; and though the Pustles dry, new come about them, as if they were begotten of the former. Some are like Millium seed called Herpes mi­liaris, which creeps but sooner stayes. Herpes miliaris.

Others are dry little Pustles, and are deeper in the skin, and break into Ulcers with one Mat­ter, and when cured, returns with new dry Ulcers, broad and high. This is called Estheomenus, or in high Dutch Den worm, from its creeping and corroding; if it last long it turns to Impetigo, and then into a Psora, and after into the Greek Leprosie, but not into Elephantiasis. When it ulcerates, it is like Erysipelas ulcerated, and call'd the holy fire or wild fire but Erysipelas comes suddenly with Inflamation, Redness, Holy or wild Fire. & Feaver, and being ulcerated hath greater Pustles or Bladders, and after them a moist Ulcer, which is not so in Herpes, but dry and without matter.

The Carbuncle or Anthrax in Greek hath many Pustles, Carbuncle, An­thrax in Greek or Persian Fire. smal like burnings very hot, called thence Persian Fire, with a black Crust like a Cole, and thence called Carbo or live Cole, be­cause of the redness round about, under which after sup­puration there is no matter but a blak Lump of Flesh fast­ned to the Roots, with a Feaver and great weakness. Like this is the Anthrax of the back between the shoulders, with many Pustles together red, which broken, there comes matter forth, as from a spunge which turns to a hollow Ulcer, over all the upper part of the Back, with lumps: This I saw in the year 1530.

There is another Anthrax or Carbun­cle pestilential, The pestilential Anthrax. as we shewed in pestilen­tial Feavers, with one or more Pustles like Phlyctaenae or Clavus red round about, afterwards blew, green, or black, ending in a black Crust, and a lump like flesh like the former. The pain is not in this so great as in the former, at first there is itching and a little burning, and after corruption, the skin and flesh mortifie as I have often observed, and there is no feeling, and at length it falls from the sound flesh, and leaves a hollow Ulcer. There is somtimes a Bubo with it, near to the part, as we shewed in pestilential Feavers, where we shew­ed also that a Pustle came at the beginning of the Car­buncle, without a Feaver from the Contagion, and pre­sently vanisheth.

The Diseases with Ulceration by which with Hippocrates, Ʋlcers in the Su­perficies of the Body. we under­stand all Solution of Continuity, are so in the Superficies, dividing and hurting the skin, as a Cleft, Excoriation, or Burning; o­thers are deep in the flesh, as a Wound or Ulcers: Of which in order.

A Cleft or Fissure or Chinke in the skin, is more or less gaping, Clefts and Fis­ures called Rhagae. according to the deepness thereof. They are chiefly in the Palms of the Hands, and Fingers, and Soles of the Feet: And if they be in the thick skin, the Lips are hard and swollen, they are also in the Mouth, Fundament, and Womens Privities, and Nip­ples, and in the Praepuce, and Eye-brows, and in the Tongue: As we shewed in the inward Diseases of th [...] Mouth.

There is another kind of Chapps or Clefts which are high, Pernio or Chi­metlon. by reason of the thick skin, with hard Lips, and end in perverse Ulcers, it is called Pernio or Chi­metlon, it comes from great Cold in the thick skin of the [Page 412]Soles of the Feet, especially in the Heel; somtimes in the Palms of the Hands, and Nostrils, and Ears, as shall be shewed in the Causes.

Excoriation, Abrasion, or Attrition, is called Intertrigo, Excoriation or Intertrigo. when the supreficial part of the skin is separated from the quick, with pain when it is touched. It differs from a Wound, because that is deeper, it is from divers in­ternal and external Causes, especially from Riding, when men are galled; or from long keeping in bed; and in Chil­dren from piss, and the mattery Pustles in the Privities, are Excoriations which itch so grievously.

When the scarfe skin only comes off, and the true skin is not bare, it causeth no pain, but falls off like Bran, and is called Furfur or Scales, as in the Palm of the Hand.

Ustion or Burning is when the scarfe skin, or skin, Burning. or flesh also is hurt by actual or po­tential Heat. And it differs chiefly, in that some is more superficial; others deeper, raising a Blyster, and then there is pain, or burning the true skin, and ma­king a Crust or Eschar, after which is an Ulcer: Or the skin and flesh also are burned and consumed. And then the pain is greater with Inflammation somtimes and Sup­puration, leaving a great Ulcer.

A Wound is the Solution of con­tinuity in the Body, Wounds in the Super­ficies of the Body. from an out­ward Cause, it is simple or Com­pound.

A simple Wound not accompa­nyed or changed into another, Plaga or Cut. is by a Cut, it is greater or less, even or uneven, Puncture. or deeper. A wound by a stab is a Puncture or prick, it is with a great or little Orifice. Gun-shot. Gun­shot is of a sudden, with great or small Orifice, deep, dividing, unequal, bruising and break­ing the parts, and somtimes taking off.

All these may be in divers parts, and wound the Skin, Flesh, Membranes, Nerves, Vessels, and Bones, making lame, and reaching inward to the Brain, Lungs, Heart, Stomach, Guts, Bladder, Liver, Spleen, &c. and cause divers Accidents following.

In all three kinds of Wounds there is bleeing first, large if it be great, or where the Veins are large, or in the Arte­ [...]ies, but little when small, or in the little Vessels, or a nar­row prick, through which somtimes, little or no Blood can come. And when the Puncture is large, it may also come to pass that no blood may come forth, because it all falls inward.

When bleeding is stopt, there is Sanies, or Blood, and Matter, and then it grows foul after, like an Ulcer, into which it turns, as we shall shew.

Somtimes other Matter comes forth of a Wound, as Meat and Drink, when the stomach is hurt, and Excre­ments, when the Guts are wounded, or Urin, when the Bladder is wounded, or some part of the Body comes forth, as the Brain, Lungs, Liver, Spleen, Guts.

There is pain in all more or less, and the greater as the part is more sensible.

The part somtimes swells without Inflammation, or withers, or is otherwise deformed or lame.

And the Functions are hurt, as when there are Convul­sions, Resolutions, Cramps, and Contractions, from Wounds, and when the inward parts are hurt, they are worse.

A Contusion is from a stroak or fall, not only with a Tumor, A comused Wound. but without, and with pain only, as we shewed in Tumors, and is with a wound, in which the skin and sub­ject parts are more or less unequal, bruised, and cut, with little or no bleeding, and a tumor round about, and co­lour'd as a Contusion with a Tumor only, and it is more easily suppurated, and turned to an Ulcer.

There are also Wounds partly bruised, partly cut and pricked; these are when the edge is blunt, or from a bite when the wounds are many and deep, according to the length of the Teeth, and the flesh bruised by the broad Teeth: These are easily inflamed, and turn to perverse Ul­cers.

There are also uneven wounds with Saws and Instruments, Uneven Cuts. which cause per­verse, and somtimes incurable Ulcers.

There are also Compound wounds, as when there is an Inflammation with a wound, A Wound with a Phlegmon. then it is called a Wound with a Phlegmon: This is oftnest from a Pun­cture or Gun-shot. And there is then a Tumor with an Ulcer and new pain, and it may gangraene.

When a Wound grows foul with matter or humors, A Wound vlcerating. it changeth its Nature, and is an Ulcer.

And the Ulcer is Compound when the wound is is with a bro­ken bone. A Wound with a Fra­cture or bone-hurt.

Others are venemous from a poysoned Sword or Bullet, Poysoned wounds. or from biting of Beasts, as a mad Dog or Serpents, and then there are great accidents and dangerous. Also men fast­ing, especially if they be cholerick, or come from fury, are venemous, if they bite.

To these may be referred the stinging of Bees, Wasps, and Spiders, Stinging. in which though there is no wound, yet there is pain, redness, and swelling, especially if the Breast be venemous, as the Phanlangius Scorpion.

An Ulcer is the foul solution of continuity, Ulcers in the Su­perficies of the body. that divides the skin and flesh also, this comes not at first as a wound from an external Cause, but from a Pustle, or Tumor, or a Wound, or of it self. We spake of Ulcers, with Tumors or Pustles, in Cancer, Car­buncle, Herpes, and Scab. Here we shall speak of Ulcers after Inflammation and Imposthumes, broken with mat­ter or flesh, or after an Erysipelas, when the Blysters are broken: Or of such as come from foul Wounds or Hu­mors. They are all simple or Compound.

A simple Ulcer is when there is onely foulness, when it is not hollow, Simple sordid Ulcers plain and cavous. it is called a plain Ulcer, when there is hollowness from lost Flesh, as when it follows an Im­posthume, and is round, it is called a ca­vous Ulcer. If it be long, or like a Burrough or Chan­nel coming forth, it is called sinuous; and if the passage go strait, a fistulated Ulcer. All have filthy matter, but the hollow most; A sinuous Ulcer. it is white of a mean consistance, called concocted, sweet, and equal: Or discoloured, waterish, or crude, unequal, or stinking. There are also thick sli­my Matter about Ulcers and Wetness. The pain is not so great in them as in Inflammations or Imposthumes breeding, only it is lancing and increased with touching or tenting. And if Ulcers be in the parts ordained for motion or go to the Bowels, they hurt the Functions.

Compound Ulcers are divers, espe­cially that with proud Flesh which would be ill cured, Compound ulcers. if before it be re­moved.

Other Ulcers are sinuous and girt a­bout with a Tunicle within, Growing ulcers without flesh. fending forth no humor from the flesh which is not naked, and cannot be cured till the Cavity be filled with flesh. Fistula. They are called Fistulaes, especially if they be large and strait; as I have seen one that began at the neck and went down the Back to the Hip, voiding much mat­ter. And I have seen many little Fistulaes in the Perinae­um that when to the Bladder, through which the Urin al­wayes dropt. And I saw in my Fathers dayes in a Pala­tinate Begger a horrid Fistula in the lower Belly, with ma­ny [Page 413]holes that sent forth matter like seed. And 1652. I saw a Woman with a Fistula in her Privities and strait gut, with a Tumor and many Holes, who went to a simple bragging Chirurgion who by Causticks caused Inflamma­tion and Death.

There are also Ulcers with hard Lips called Callous, Callous ulcers. and cannot be cicatrized or healed, these are called Dysepulota. And they which are malignant shal be spoken of hereafter.

There are other to be cured called Ca­coethe, Ulcers of evil Habit. not of themselves, but by reason of the part to which they cannot be fixed as a corrupt or rotten Bone, as we shal shew there.

They are worse when there is Inflam­mation or Erysipelas, Phlegmonous Ʋlcers. with Redness, Tu­mor and Pain, if the tumor be an Oede­ma, it swells with less pain, but is harder to be cured.

The corrupt Ulcers whose flesh is white like Bacon are worst, Erysipelated oede­matous Ʋlcers. and when it is soft and swollen, and when clear water comes forth. These Ulcers come from wounds in the Joynts, Corrupt Ulcers with water. where it is membranous and nervous without Flesh. The German Chiru­gions call them Glidwasser or water of the Joynts, and fear least it gangraene, by reason of the pain, Contraction, and Corruption. Of this sort is Paranychia or the Inflammation in the Fingers end that corrupteth the Joynt, Paronychia ulcerated. as we shewed in In­flammations.

To these are referred Ulcers with stin­king Flesh, Foul ulcers. and such as corrode when the Flesh is yellow, A vermi­nous ulcer. green, or black, with stin­king Matter, and Worms, called Verminous; these somtimes gangraene.

Besides these, Perverse ul­cers. Eating Ul­cers. Nomae. there are Ulcers from ma­lignant Humors or other Ulcers, or from Erysipelas ulcerated; these eat and are hollow called Nomae, and when they eat the skin only Phagedaenica, and because they spred Serpentia or creeping, when they are hard to cure, Phagadaenica they are called Cacoethe.

These are in divers parts, but especi­ally in the Leggs, Perverse Ulcers in the Leggs. which are apt to re­ceive Humors and Erysipelas, above the Ankle, they use to be broad there, and to eat the flesh away. This may be lasting for many years in old men full of Humors, which wets mens clouts, and bleeds upon the least occasion, and is full of pain, with Heat, Redness, and Tumor round about, and somtimes with an oedematous Swelling. Somtimes the Vein upon the Ulcer is swollen and blew, A varicous Ulcer. which comes thither, with many windings in the Leggs, and feeds it: this is called a varicous Ʋlcer from Varix, a Vein dilated.

Eating Ulcers that are malignant from the French Pox, A malignant pockie Ʋlcer. A Cancer in the Yard. besides those in the Jawes, Nostrils, and Privities of Women, are in the Praepuce and Glans of Mens Privities also, which destroy the Yard: this is called Cancer. And that is a leprous Ulcer, Leprous Ʋlcers. which is in E­lephantiasis, in the Jawes, Nose, Soles of the Feet, and Palm of the Hand and Arm-pits, and o­ther parts of the Arms and Feet, which are Phagadaenous that is devouring, and have swollen hard Lips without pain, as we shall shew in Elephantiasis.

Corruption in the Superficies is either in the Flesh or in the Bone. Corruption in the supersicies of the body

Corruption in the Skin, Flesh, Membranes, Nerves, and Com­pound Vessels is called a Gangraen, Gangraene. usually it follows Inflammations, somtimes it comes from other causes. In this the part begins to lose its natural color and wax blew suddenly, or by degrees and then black, with swelling of the part and pain very great before a total corruption from which poyson constantly flows, that wets the skin and flesh and makes it softer, which being corrupted, either opens of its self and ulcerates, or with Scarification, by which we labor to cure. The wounds lye deep and swell with lips, and at last, if it be not prevented, the part is destitute of all natural heat, pulse and sense, and is very stinking and hollow. Sphacelus, Syderation. And then it is called Sphacelus and Syderation.

If there be foulness of bones, they are either corroded in parts and made rough and uneven, Corrupt bones Caries. or corruption is so manifest that the part is black and comes from the sound and quick part, or corrupts the whol bone, as in Paronychia, the joynts of the Fingers and mortifyeth, and is called the Caries of the bone. This corruption of the bones is with an Ulcer in the skin and flesh, from which it cometh for the most part and through which it is to be seen, being deep and to the bone. And therefore though of it self, a corrupt bone feel no pain, yet the Ulcer joy­ned thereto and which cannot be cured whiles the bone is foul, may be painful. Of which as the shape is divers, we shall speak in Deformity.

The Causes.

The Causes of all pains in the superficies of the Body. (as tickling, itching pains of cold or heat, compressions, roughness, contusion, all without an appearent Character also of redness or Erysipelum, Tumors, Inflammations, Impostumes, Cancers, Pustles, Scabs, Clefts, Corrosions, Wounds and Ulcers, in which there are signs, which are the disease it self) are cold, or hot, or dry distemper of blood, or other Humor gathered in those parts, or Solu­tion of continuity.

When the parts are not used to be touched, as the soals of the Feet, sides, Want of usual touching causeth tickling. Arm-holes and Privities, they are sub­ject to ticklishness, or when any thing toucheth the Face gently, or creepeth, there is tickling, or titillation.

A cold distemper, Cold causeth pain. causeth the cold pain in the superficies of the Body, from Air, Wind, or Water, or Snow, or Ice, and not solution of continuity, by freesing that presseth forth, the thin moisture. This pain is greater, when the part is Nervous, or not used to cold, or Air. There­fore the Face, because it is not covered, though it be very sensible, yet it is not so sensible of cold as other parts, that are usualy covered. Also cold is very grievous to Ulcers or wounds that have the skin off. And this pain is greatest, when there is a sudden change from very hot to very cold. If this happen to the Hands as it is usual, there is that great pain in the the Fingers ends, called in high Dutch Kuneglen.

A hot distemper causeth a hot pain, from the Air, Heat causeth pain. made hot by the Sun or o­therwise, or from water, or the like, when there is burning in the body and not In­flammation. Also this hot pain may come from too ma­ny cloths, which disturb and cause sweat. Also the body is inflamed with excercise. And there may be preterna­tural heat in the Hands and Feet, from internal causes, which some attribute to the heat of the Liver. Also in hot diseases, especially Feavers, there is a perplexing heat internal and external.

Dryness of the skin causeth that roughness, which offendeth the touch, Dryness is the cause of pain from touching of rough things. in tender people especially. This roughness may also come from external [Page 414]Air that is dry, or from the touching of dry and astrin­gent things. When the skin is made hard by labor, it rather diminisheth the sense of touching, Dryness is the cause of clefts. then depraveth it. Somtimes the skin is extraordinarily cleft; as in the Hands, Feet, Lips, Fundament, &c. This dryness may come from the causes mentioned, or from cold or heat, as in Feavers we find the skin cleft and the Lips, from the heat of breath. And there may be clefts in the Hands and Feet, from cold Air and water. And in extraordinary cold that is long, when it beats upon a part where the skin is thick, there may be great clefts, which turn to Ulcers, they are called Perni­ones. As in the soals of the Feet and Palms of the Hands and in the Ears and Nostrils, because they want flesh to defend them. This the cold doth by astringing, drying and wrinkling the Skin. And if it extinguish the heat, it is most dangerous.

Blood flowing to any superficial parts, as to the Skin, Flesh and Glandules, causeth divers diseases; When it doth not only moisten the parts, which is natural for nou­rishment, but fil and inflame them. And if blood flow to the skin, except the scarf skin which admits no blood, it causeth Erysipelas, in which there is redness from the blood, shining through the scarse ski [...]: Blood flowing to the skin is the cause of Erysipelas and its kinds. and before it is sixed or swol­len, the part being pressed the red­ness flies away and returnes again, as we see in other parts, it comes to pass from the blood coming and go­ing in the Cheeks. But if the blood be hot, the burning is the worst pain, and it is as the blood is. For if it be thin and hot, there is a simple Erysipelas which comes and goes sooner. If it be thick, there is a great Erysipelas Phleg­mon, if waterish, there is Erysipelas oedematous: this is gentler but longer. If the blood be Cholerick, the Ery­sipelas turns yellow, and burns more, and eats off the scarf skin. If the choller be green or black it is seen by the color and ends in perverse Ulcers, or malignant if it be infectious.

If the blood be gathered in the flesh and skin, Flux of blood to the skin and flesh, caus­eth Tnmors and In­flammations. it causeth swelling and Inflammation with redness and pain from distention and heat, and when the blood is discussed the Tu­mor is gone. If it suppurate or grow ripe, Suppuration, causeth Impostumes. it is an Impostume, which breaking makes an Ulcer, and the matter is more, when the blood is much and the substance of the part corrupted. And if the Inflammation increase and the humor be per­verse, and corruption follow, espe­cially a wound in the Nerves, Slidwasser, from a corrupt wound. Corruption of the part, causeth Gangren. Natural heat extinct, causeth a Sphacel. that pernicious Ulcer, called in high Dutch Slidwasser, which gleets with Water is begotten, and the Nerves being corrupted, there is less of motion. But if the Inflammation increase and there comes no suppuration, but corruption of the natural heat be extinct, a Spha­tel.

If blood flow upon the flesh rather then the skin, as up­on the Muscles outward in the belly, breast, neck or back there are Inflammations, but not red or manifestly swol­len, as in other, as in the Pleurisie and Quinsies. If the blood flow to divers places there will be pustles, as I shewed. And if it be in the pores, there will be many little scabs.

These Inflammations are divers in respect of the blood, if it be pure, the Inflammation is simple. If thin and not only gathered, but dispersed partly upon the skin, it caus­eth a Phlegmon with Erysipelas, if thick the Inflammation will be blewer called a Scirrhus, which rather follows, then accompanyeth an Inflammation. If the blood be waterish, the Phlegmon wil be Aedematous, in which the Serum sent further into the skin, makes an Aedematous tu­mor about: as we see blood doth, when sprinkled upon linnen. If other humors, as choller, yellow, green or black, or sharp and malignant, be in the blood, the In­flammation is worse, and the heat of the blood, when the Inflammation lyeth deep, will make the rotten flesh part from the sound, in a Coate which will be in the tumor, when opened, as in furunculus,

If Blood flow upon other parts di­stinct from the flesh and skin, Flux of blood upon the glandules, caus­eth the Bubo, Pa­rotis, Phygthlon, Phyma. and ga­thereth together, it causeth a hot tu­mor and inflammation: as when it fals upon the kernels or glandules in the Emunctuaries. This is usual be­cause nature sooner dischargeth her self in ignoble parts, especially being spungy and placed by the divisions of the great veins. Hence comes the pain and hot tumor in Bubo and Parotis behind the Ear, and Inflammation and sup­puration in Phygethlon or Panus: as we shewed. These differ as the blood is pure or impure, thin or thick, crude, simple, or mixed, with other crude humor or waterish, from whence come Phyma, or with pernitious and in­fectious humors, from whence comes the Pestilent and Pocky Bubo.

If Blood flow into other parts, Flux of blood into other parts, caus­eth Tumor and inflammaoions in them. as in­to the breasts or stones, into which it easily floweth, by reason of the plenty of Veins, or into the spungy parts, as the Privities, Fundament and Mouth, or into parts that have gristles, as the Nose and Ears, or into the joynts: it causeth hot tumors and Inflammations in them, which differ as the blood is pure or impure, and as the parts are more tender, nervous and sensible.

The efficient cause of blood thus flowing into the su­perficial parts, is the expulsive faculty, when it is troub­led with it, either offending in quantity or quality. The helping cause, is the disposition of the blood being apt to flow, and the readiness of the parts to receive it. These causes whether one or more come from these follo­wing.

As Plethory or abundance of blood, which is burthen­some to nature, and therefore sent by her, both to inward and to outward parts. Sometimes it flows of it self and somtimes from some light cause. Therefore young peo­ple that grow, have swollen or waxing kernels, from a­bundance of blood; and by handling, they break into Bu­boes. Or when the blood is too hot or thin, it is apt to flow, and being much it stirs up the expulsive faculty to send it forth, and then it causeth Erysipelas or divers In­flammations, according to its nature. So in a Synoch Fe­vers, Erysipelas, as comes from hot blood sent from the Veins into the skin.

Also another humor or quality offensive to nature, may provoke her to send out blood, while she expels the hu­mor: and thence tumors may be. So when the cause of the disease is sent from the Veins with the blood in the Crisis of a Fever: there is a tumor in the declination of the disease. And when the Pestilent quality is sent to the Emunctuaries with the blood in a Pestilent Fever, there is a Bubo Pestilent: and when the poyson of the Pox is sent to the Groyn, there is a Venereal Bubo: as we shewed.

Pain causeth Tumors and Inflam­mation, (not by attraction, Pain is the cause of divers Tumors and Inflammatio­ns. as it is usually thought) but by stirring up nature to expel the cause, by which means the blood floweth: this is in the outward parts, when they are pressed, strook or b [...]uised, by which is pain. Or if pain come from any disease, and if the Inflammation be increased a new by the pain, if there be Impostume, Pustle, Wound, burn Ulcer or Inflammation therewith, or with any other dis­ease [Page 415]causing this pain. Also Pustles inflamed from scrat­ching come from pain which follows, though at the first it seems pleasant. Also it often comes to pass, that not on­ly the part pained swelleth, but the adjacent parts if they be apt to receive Defluxions, as the Kernels in the Groins, Arm-pits, and behind the Ears, when there is any pain from the Causes or Diseases montioned. And a trouble­som Scab in these parts, hath commonly a Bubo accompa­nying it. And the pestilential Bubo comes as I shewed, not so much from the Plague, as from the burning and pain of the Carbuncle near it.

Also these Pains are longer and worse, when the blood easily and constantly flows thither, and the part is conti­nually pained. As when there are swell'd Leggs in a Dropsie, if the skin be open, there is a constant Flux of water which by its corruption through long abiding in the Body, is pernicious and corroding; And also of blood being thin, which causeth the perverse and ulcerated Ery­sipelas which so easily gangraenes.

When outward heat doth long or much afflict the skin, External Heat causeth Erysi­pelas, or Phleg­mon, and their kinds. it doth not only make it thin, but inflames it, and the blood near to it, and makes it flow, causing Erysipe­las or Inflammations, especially in tender and sanguine Constitutions, and such as are subject thereto. As when they sit too long by the sire and burn their Shins, or inflame them­selves by long suning. As I did by riding in a hot day when I was young, my Boots were so hot that they made my Leggs burn, and look red two dayes after. This I have had often, and it came at first with red Spots, which tur­ned first blew, after yellow, and then vanished. They may also come from hot water, and after bathing, as the pustles called in high Dutch Eyssen, when in the time of the Bodies being hot, they use cold water, which causeth a sudden re­percussion, so that the Blood flies back suddenly and returns with pain. Also other moderate heat may cause Itch, and that scratching, and so pustles. Also Inflammation of particular parts may cause them, as of the Roots of the Nails. Then they are called Paronychiae, as when Maids by washing their Hands in foul hot water often, do cause their Nails to be crooked, and the Roots inflamed.

Also other excrementitious and pre­ternatural Humors thrown to the skin, Flux of Humors causeth pustles. and there fixed cause pustles, as blood dispersed into divers parts, and these may grow greater, and turn into Ulcers, small or great, or corroding, or venemous, as the quality is.

Humors that have an occult quality that is malignant, produce a little swelling or pustle, according to their Ve­nom.

A venemous Humor so infecteth the parts, A pernicious and venemous quality, causeth the Cancer. that somtimes at first there is a little Tumor which only causeth a little pricking, but is most dangerous, in that it will not away; because while it is nourished with the other parts of the Body, it makes the Nourishment like unto it self, and converts it into Venom, and so increaseth by degrees, and grows broader and deeper, and at length becomes a Cancer, consisting of a fleshy substance full of Veins, with no In­flammation or Tumor, but Blood in the Veins, which itcheth and pricketh, which shews its malignity by its constant increase, till there is an Ulcer, and then it goes no further but with its Claws that come from the Body it creeps on, we know the whole to be malignant, because if it be not taken out by the Root, it cannot be cured, and the least portion remaining will grow again.

It is a hard thing to know whence this Matter and Poy­son first comes, or to describe the Nature of it but by the effect. But that it came by Touch and Infection, because the Elephantiasis whose Cause is the same with that of the Cancer, and therefore is called the gene­ral Cancer comes from Contagion, but the Cancer is worst, because the Humors are all in one place. And as there are few that have Cancers, so are there sew Lepers, for the Venom lyeth lurking in the Veins, and comes to the part infected with the Blood, and when the Cancer in­creaseth, it weakneth the Body by degrees. And this may be an argument, that there is a Contagion in the breeding of a Cancer, because I knew two Women that attended u­pon two other that had Cancers a long time in their Breasts, that consumed them which were themselves infect­ed with Cancers, and perished therby after long torment, the one being near of kin to her Mistriss. But we cannot yeeld that it comes from Melancholy, for these reasons: For if it comes from Natural Melancholy, which they say is the Dreggs of the Blood, there would some signs thereof appear, and such blood would be there gathered out of the Vessels, if there should be a Tumor or Inflam­mation, which are not. And if it come from preternatu­ral Melancholy, there would be at the first coming a bur­ning, corroding, and blackness, as in the Carbuncle which is not so, but a Cancer is like Flesh, and not very painful.

A pestilent Pustle comes from poy­son of another Nature, A pestilent Poy­son causeth Car­buncle and pesti­lent Bubo. which we call a Carbuncle, with venemous force, and with little burning, but with itching and pricking, only as I said of a Can­cer; somtimes with Inflammation round about, and a Bubo hard by, which corrupteth the part, and mollifieth till it falls out back from the sound.

This poyson comes from that pestilent Poyson that got into the Body, and caused a pestilent Feaver by its destru­ctive quality and heat, as I shewed when it gets outward. And we shewed in pestilential Feavers, that I and others have been infected with pestilent Pustles taken outward­ly.

Some Humors cause Scabs, Itch, and Carbuncles, Cholerick, salt, and sharp Humors cause the Scab, and cree­ping Itch, Carbun­cles, and Phlyctenae by a manifest qua­lity that corrodes and burns, and Pu­stles with Ulcers; these are either preternatural, yellow, and green, and black Choler, or salt, sharp, or ma­lignant, and go the Superficies of the Body, with the blood and serum, and cause pustles and in­flammations, if they come with blood or pain; or they come without this Flux from the Veins by sweat, accord­ing to the diversity of these Humors, are different Scabs, Itch, and Carbuncles, as we shall shew.

If in the common moist Scab, there be Itch and corro­ding without great burning, the Humor is not so hot but salt, and gentle Choler, or tempered with water, is fallen from the Veins upon the skin, when there is no redness or Inflammation: But if there be, they shew it come with blood moved by scratching or pain, as also may appear by the suppuration that follows. When those things are as in the worst Scab, with yellow or green Matter, it comes from thicker and worse Choler, as the colour shews, as in Terminthis and Epinyctis, the pustles are very burning, with Inflammation and Suppuration following. Especially in a Carbuncle are the pustles very burning, which shews that they come from very hot Choler, and the Feaver shews they come from Blood, and their sudden appearing shews that they come from Defluxion. And we cannot gather that black Choler was the Cause, by their black­ness, because others are black when they are dry. But from the great Heat that burns and corrupts the skin, and makes it black, and will not let them suppurate, we may conclude that either black Choler or green was the cause.

This [...]ews that the pustles in Herpes come not from a Flux of Humors, but from a Collection made there, be­cause they come by degrees without Inflamation. And if the Herpes be called Miliaris, there is great Heat and Pu­stles dry, and therefore the Choler was yellow, milder, and thinner, and went to the Superficies of the skin. If it be Herpes Esihiomenus the Choler is worse and green, and [Page 416]it is deeper in the Flesh. The malignity appears by its corroding and creeping on, and when it creepethno far­ther, it causeth Impetigo.

In that kind of dry Scab which is called the Itch, be­cause no moisture appears, we conclude that the Choler is pure, but thinner then in Herpes miliaris: Or that the Humor is salt and dryed, the skin shews which grows red by scratching. And the like Humor is in Impetigo, deeper and broader. This by continuance turns worse, and causeth Psora, which cometh from salt water that is infectious and corroding, as appears by the constant sweat, which vapo­ring away, wet not but rather dry the skin. This Venom may come from a long continuing Scab, which infecteth the skin when it turneth the Nourishment into corrupt Humors; this is the worse sort of Scab called the Greek Leprosie or Arabian Leprosie, which cannot be cured by reason of the fault in assimulation or nourishment.

As for Phlyctaenae, it is plain that they come from wa­ter carried under the scarse skin, which divides it from the true skin and maketh Blysters, because water comes forth when they break. If this water be pure, there is no pain while they are whole but when they break, and the true skin is hurt.

But if the water be salt as appears by itching, or mixed with Choler, as appears by the yellowness, when they o­pen, the heat is greater; and if this Humor sweat forth long, they creep, and then it is called Herpes phlyctae­nodes.

These salt, sharp, cholerick Humors which cause the Herpes and Carbuncles, come from Diet when it is apt to breed such or turn into Choler, as we shewed in Feavers. For if in the first or second Concoction they are not sepa­rated from the Blood, but lye long in the Meseraicks, they grow worse, and either get into the hollow Vein, with the Blood and Serum, and [...]o to the Superficies of the Body, or there they are heaped up. Therefore intemperate Li­vers, and such as use bad Diet, and are Chacochymical, are subject to these. Also the same Excrements may be gathered from Distemper of the Bowels, or be derived from the Parents: And some think they come from the menstrual blood. And they go to the skin by Natures benefit, which expels them when they are bound, and by other Causes, as heat and motion. As we shewed speak­ing of Tumors from Blood.

Solution of Continuity causeth divers kinds of pains in the Superficies of the Body, with Ulcers, as Excoriations, and Wounds, and Clefts, or without Ulcers; as the cause was internal or external.

The external Causes of Solution of Continuity, Compression, Di­stention, and Con­iusion cause pain. are Compression, Disten­sion, or Contusion, with outward hurt, but inward separation of the smal Veins which causeth pain, which we call Distention or stretching, as from a stroak or weight or pulling the Hair: Hence comes the Rhagades or Clefts in the Fundament from hard Excrements.

When the skin is scratched off there is Intertrigo or Rawness, Friction is the cause of Scabs. this comes after riding as galling, or long Diseases and lying, and from scratching with the Nails. And the moist Itch is when the skin is most scrat­ching, and Humors that are salt or cholerick come forth, and it is worse when there are little Tumors from rubbing and they break. Intertrigo or Pustles of the Privities come so, from cholerick sweat which putrefieth in these parts easily, and causeth itching.

Cuts, Pricks, Stroaks, cause Wounds, all these when they suppurate are ulcers. Outward Cuts, Pricks, Contu­sions, cause Wounds. Of poysoned Wounds. These are with a sharp or blunt Tool. If the Instrument be infected with poyson, the Wounds will be venemous, or rusty, or if the weapon be toucht with Garlick, or a bullet dipt in grease, or if a sword or tool be otherwise poysoned, the wound will be venemous.

Taking off the skin by Medicines or the like, ulcerateth and inflameth, Corrosion of the skin. and also sharp Urin doth the same in Childrens Hips.

Burning separates the scarse skin from the true skin, Of Burning. and causeth a bladder or blyster, which breaketh and leaves the skin bare; when it is deeper it causeth an Ulcer or Eschar. This may be from heat of the Sun, which blysters the naked Body, or from hot or sclading Oyl and Water which takes off the skin, inflames and brings perverse Ulcers; or from Fire which makes Blysters and Ulcers; or from burning Me­dicines, Vesicatories and Cauteries, among which some mortifie, and cause an Eschar without pain. Also a Net­tle sends in fire with its prickles, which causeth first Heat, then Blysters.

Biting of beasts causeth uneven and deep wounds, Biting or sting­ing of venemous beasts. which suppurate and turn to ulcers; and these are worse when the spittle is venemous, as in some beasts. And it is known that the biting of a man hath caused dangerous wounds by his spittle, especially when he hath been fasting and angry, because the spittle is most cholerick, as appears by the same. I knew a Fisher-mans Wife that was bitten by her angry Husband in her right hand, and dyed of a venemous Ulcer caused thereby with a Feaver. And I knew two more that lay long sick, and were with great difficulty recovered of Feavers, by bites given by their fellow-drunkards in their fingers. There is from biting of a mad Dog or other Beast, not only a ve­nemous wound, but other horrid symptoms: As we shewed in Hydrophos. Also if the bite be very small, if the Ve­nom of the spittle get in, as of a Weezle or Mouse, there may be a perverse wound, or of a Viper or Serpent, or the like, the whole Body is poysoned.

When beasts by their stings or other­wise make wounds, The stinging of beasts causeth venemous wounds. though solution of Continuity scarse appear, yet because there is a burning or evil quality sent in­to the part, there is a great pain, inflam­mation, and tumor; as we see in stinging of Bees or Waspes, when they leave their horny stinges in the wounds: If they come from worse Creatures, as from the crooked stinge of a Scorpion, then the poyson infects the whole Body. And as Nicander and Dioscorides shew the same may be from divers other venemous beasts, whereby the Body being only prickt in one part, may suffer in di­vers. These we shall not speak of, because they are not troublesom in our Countrys: As also we shal not speak of the Harms, stinging of Flies, Gnats, and Fleas, which are only itching, with a red spot.

The internal Causes of these Solutions of Continuity, The Humors which cause ulcers that follow Impo­sthumes, and are joyned with pustles. are Humors which while they cause tumors and pustles, do also cor­rode and ulcerate: Or those Tumors ul­cerate, and cause it as we shewed. Name­ly how matter bred of Inflammations sup­purated, produceth Imposthumes and then Ulcers, which with other Humors coming to them, grow worse, as by blood inflamed, or by other malignant Humors, malignant. And also how from this pernicious Matter breeding a Cancer, it may be ulcera­ted, and how a hollow Ulcer may follow the burnt and corrupt Flesh, that falls out of the pestilential Carbuncle. And how from cholerick Serum and sharp Humors that produce Carbuncles, Herpes, and Scabs of all sorts, there may arise malignant Ulcers, as in Carbuncle, and corroding as in Herpes, and foul with Matter as in the moist Scab, and dry with Clefts, as in the dry Scab: And also how the skin comes off from the Serum that causeth Phlyctenae.

Also without Pustles or Tumors go­ing before, Humors cause Fissures or Clefts the skin may be cleft by a sharp, salt, drying Humor, when the part is tender or spungie as the Lips, [Page 417]Fundament and Privites. Hence come the Rhagades or clefts, which by reason of the exquisite sense of those parts are very painful and burning.

When a thick Salt humor is gathered between the thick skin of the Head and the Skul, Humors that cause Tinea Favus or scald Head. and there long kept till it pu­trefie about the roots of the Hairs, and eates through the skin in divers places, there is a Tinea, Favus or scald Head. And the Humor is Malignant, because it is infectious in Children.

Corroding Phagadaenical Ulcers breed and are nourished with sharp and malig­nant waterish Humors. Humors that cause Corroding and Varicous Ulcers. Which are cheifly in the Legs, by falling down of the Hu­mors. Also these Humors carried with the blood to some Vein near to an Ulcer and enlarging and washing the Ulcer; keep it from hea­ling, as we shewed in a Varicous Ulcer. The Original of these Humors, is as of those that cause Herpes and Scabs.

When the Privities are infected by Malignant Humors, Malignant hu­mors, cause Ma­lignant Ulcers. from unclean Co­pulation, there are Ulcers, as in the Glans and Praepuce. And the Ulcers in the French Pox and Leprosie are a­like. But the nature of these humors are known only by the effect, being infectious.

The Cure.

The Cure of solitary pains which have no Character external but themselves, as itch and tickling, ho [...] and cold pains, or roughness of Skin, because they are not great, nor last long, but depart with the cause removed, is not hard. As thus.

If tickling come of it self it is not long, but if it be by outward force it is a torment into­lerable and it weakneth and causeth convulsi­ons, Cure of tickling. which must be cured.

A light Itch will cease of it self, Cure of itching. if you be patient and forbear scratching. If it be great, it is cured by a pleasant scrubbing. If it con­tinue or return and the cause be external, as Lice &c. It shall be cured as in them. If it be internal from a humor, because it hath with it commonly scabs or pustles, it shall be spoken of in them. But if it be without other mani­fest disease in divers parts and continue, use Evacuations, Baths, as in the scab. If it be in Womens Privities, you must put Oyntments or the like into them.

If pain come from cold Air, Wind, Water or Snow, The Cure of pain from cold. and cease not when they are gone, you must by degrees bring the body to a natural heat, least the sudden change, from extream cold to extream heat, bring incon­veniences, or that called in high Dutch Runeglen or pain in the Hand. It is good to come into a temperate room, or to exercise violently if the feet be cold from riding, or beat the Arms like Watermen, or to apply skins, furrs or feathers, or put the Hands into the Hair, or wash them in warm water before you come to the fire. If after these the native heat be weakned, use Fomentations, Baths and hot Oyntments, as in astonishment and Palsie, as Oyl of Euphorbium and Peppers: Or take Pellitory of Spain, Pepper, each two drams; Euphorbium a dram, Oyl of Wall­flowers and Wax and Oyl of Spike and Spices with Musk, Amber and Civet.

Oyl of Nettles, or wherein Nettles are boyled, is a sin­gular remedy: and to preserve the Hands against cold, and also Goose grease.

If a hot pain come from heat of the Sun, or motion, The Cure of pain from heat. or baths and cease not, the cause being removed, you must not sudenly cool which is dangerous, as we have known some who in violent heats have staied long in Cellars un­der ground and caught Feavers and dangerous De­fluxions and Apoplexies. Therefore it is best to go first into some temperate place or Arbor. If the heat conti­nue to Inflammation or Synoch, Cure that. If it be in the palms of the Hands or soals of the Feet, because it comes from internal causes and foresheweth or accompa­nyeth diseases, Cure them.

If there be roughness or hardness of the Skin, The Cure of pain from touching of rough things. which hinders and troubles touching in dainty people, use moist­ners, as in Deformity. If there be clefts see Ulcers.

If there be pain from pressing or stretching without manifest solution of continuity, it ceaseth with it, The Cure of pain from compression and distention. but if you fear Tumor or Inflammation, we shew you how to prevent them in a Phlegmon.

The Cure of pains in the superficies, that have manifest diseases, is as Erysipelas, Phlegmon and Tumors from contusion or glandules, or as Impostumes from Inflamma­tion, or as a Cancer, or as Pustles, as Carbuncles, Herpes, Scab, or as Ulcers, or corruption of parts, as Gangreen, or foul bones.

If an Erysipelass be without a Feaver from an external cause, The Cure of Erysipelas and its kinds. or if the Feaver be little, only Cure the Erysipelas. If a Sy­noch follow look first to the Feaver, as in Feavers first you must be sure to pre­vent the Carbuncle, if it be customary, as in old people. And after you must regard the Feaver, if it be not preven­ted, by sweating, bleeding, purging, altering heat, and o­ther accidents.

But as to Erysipelas as alone, when it burns not much, it must not be over much cooled, but kept warm to dis­perse it with gentle means, by wrapping it in Linnen that is soft and a little unctious, as some think.

Or wrap it in a Saffron clout: Take Saffron a dram, Plantane, Privet, Night-shade, Roses, each an ounce; Rose vinegar half an ounce: let them stand warm till the water is dryed, then dip a clout in it, apply it wet at first and warm. Or apply scarlet, which doth dissolve and streng­then the part.

Or Fume the part with Mastick, Frankincense, Amber, or Juniper or Sanders burnt.

These gentle remedies are most usual, because the pa­tient feareth strong and moist means.

When an Erysipelas with a Phlegmon or alone, is very burning, or hath Pustles or Blisters. Take heed of an Ulcer, which is dangerous, at first stop the Flux of blood from the part allay heat and abate pain, and then by de­grees consume and digest the matter.

At first to repel and allay heat, use coolers with a little astringents, by Fomentations. This is approved of others, but ours will not wet the part and think that wet, causeth all accidents. They are deceived from hence, because they hear that a Gangreen comes from a cooled Erysipe­las, that suppose it is from moisture. But the Refrigera­tion in a Gangreen, is rather a Mortification and Extin­ction of the native heat, from two great Inflammation, then from the introducing of a cold quality.

Therefore cold water with the third part Vinegar, may be used as in Arthritis from blood, with a clout or wooll. Dioscorides bids use Vinegar alone with the white of an Egg to allay pain, or Juyces, or distil'd waters of Plants, or Vinegar of Roses.

Apply these Herbs green, bruised, or heated, or boy­led, or with Bran and Vinegar, as Plantane, Nightshade, Shep-heard purse, Knot-grass, Purslane, Sorrel, Housleek, Vine leaves, Endive, Lettice, Grundsill or Lens-Palustris, Cotyledon, Liver-wort, Lonchytis, Willow Ieaves, Alder, Reeds, Privet, Cypress, Myrtle, Bramble, Sumach, Flea­bane, flowers of Roses, Violets, Water-lillies, the great Antirrhinum and of Ras-berries.

[Page 418]Or use the juyces with Plantane and Rose water, as an Epitheme or Vinegar and red Wine, the white of an Egg, Camphire and red Sanders.

Or the Decoction of the five-leaved-Grass, Plantane, Housleek, Purslane, Vine leaves, Privet, Myrtles with Barley▪ and in the increase, Chamomil, Melilot slowers, Roses, Fenugreek, Oyntment of Roses, with Camphire and Galens cool Oyntment, or that of Housleek, Oyl of Violets, Goosegrease and Saffron.

Or: Take Oyl of Roses two ounces, of Water-lillies or Vio­lets an ounce, juyce of Plantane and Nightshade, each an ounce and an half; Vinegar of Roses an ounce, Camphire a dram with the white of an Egg, or Mucilage of Fleabane an ounce and an half, and Turpentine.

Plates of Lead are good to repel.

When you fear an Ulcer, add dryers to your coolers, as Oyntment of Ceruss, Album made of Ceruss, white Wax and Oyl of Roses with the white of an Egg and Camphire, or with Ceruse and Oyl boyled, and Ly­tharge.

Or: Take Litharge an ounce and half, Ceruss two drams, juyce of Plantane or Nightshade two ounces, Vinegar of Roses half an ounce, Oyl of Roses two ounces, mix them well in a Leaden Mortar, dip clouts and apply them, or with white Wax, make an Oyntment.

Or thus: Take the white Troches of Rhasis two drams, Sarcocol a dram, Lytharge burnt and washed Lead, each a dram and an half; Oyl of Roses two ounces, juyce of Plantane an ounce, white of an Egg and Mucilage of Quince seeds an ounce, add half a dram of Opium to abate pain.

Or to allay pain use Cowcumbers, Anguria, deadly Nightshade, Herb true-love cut and bruised, or pulp of Cassia.

Or Henbane leaves or Tobacco, crude or roasted; Pop­py heads, roots of Mandrakes with Bran and Vinegar to repel. Dioscorides useth juyce of Hemlock, we use juyce of Henbane.

Half a dram of Opium with half as much Saffron, may be added to the former. And this is the cause why the Chirurgions use Treacle in Oyntments.

Populeon cooleth and easeth.

Or thus: Take Populcon an ounce and an half, Oyl of Henbane, Mandrakes or Poppy seeds half an ounce, Muci­lage of Fleabane seeds an ounce, Saffron a scruple, and a lit­tle Opium.

Or this Epithem: Take Milk three ounces, Oyl of Roses an ounce and an half, white of an Egg or Mucilage of Flea­bane seed an ounce, Vinegar half an ounce, Opium half a dram, Saffron a scruple.

In the progress when the heat abates, to dissolve, when the part looks not so red and is yellowish, or at first if the heat be little: Use Coleworts, Pellitory of the wall, Mal­lows, white Lillies, Mulleine, also leaves of Ricinus, Stra­tiotes, Acinos, Fetherfew or Parthenium, roots of Al­kanet and Lychopsis, and of Clowns-Allheal with the square stalk, which is so highly commended: bruise and apply them.

Or dip clouts in Oyl of Roses and Wine, and squeeze and apply them to ease pain and discuss.

Or boyl Oyl and red wine: thus, Take of them equal parts, cover them in a close Vessel, boyl them gently till they make no noise.

It is good to discuss, to anoynt with hot blood, especi­ally menstrual, as saith Dioscorides.

Or with Urin to stop itching and to dry. Dioscorides useth the Sediments, or fetling thereof, adding Vinegar and Eggs.

Dioscorides also commends Goats or Sheeps dung boy­led in Wine or Vinegar.

Others commend Inke, but it is too sharp without cold waters or juyces. And I knew an Impostor that concealed a Gangreen thereby. Dioscorides useth rust of Iron and burnt Vitriol, or Chalcitis, or Salt and Vine­gar.

These strong Medioines are best in ignoble parts, not in the Face and Nerves: when there is need of great dry­ing.

Dissolve the residents with Fomentations and Oynt­ments, and strengthen the part as we shewed in Arth [...]itis, as with Lyes of divers sorts, and Spaw waters to p [...]e­vent.

Wash the Feet with water wherein Vitriol, or Oak, or Ivy leaves, or red Roses, or Sloes, or Grapes are stee­ped.

Or put them into the Wine press, or into Grapes stampt with Iron water and Vinegar.

If there be Erysipelas in the Face, wash it often with red Wine, Rose, Plantane and Nightshade water, and Vine­gar.

If the Legs have an Oedema after the Erysipelas, use things as in Oedema, if it ulcerate or grangreen. See them.

Phlegmon or Inflammation is of di­vers kinds, The Cure of divers sor [...]s of Inflammation. but we shall speak only of them, which differ not much. Such as are in the skin, as Phlegmon with Erysi­pelas or Oedema. Or with little Tumors, or Pustles that ulcerate and turn to scabs. Also of In­flammations in spungy parts, as Privities, Paps, Funda­ment, Mouth, and in the Gristles of the Nose and Ears. And of those in the joynts and ends of the Fingers called Paronychia, prescribing to all their particular remedies. Of the Tumors and Inflammations of the Glandules, we shall speak hereafter, and of the Impostume that comes from all Tumors.

Of these phlegmons the greatest and fullest of pain are the worst, and they which are in noble parts, or near to them, as in the Face, Organs of sense, or in very sen­sible parts, as in the Fundament, Yard, or Womb, or in the joynts, or Fingers. Many of these Impe­stumate, and then ulcerate, and hurt the noble part, other gangreen and cause loss of parts or deaths. Others turn into a Scirrhus, which hinders the bending of the joynts.

Blood-letting, is the chief remedy against all, if there be plethory, both to prevent and cure. Also it revels and derives from the part, and helps the Feaver if it be there.

Also we revel and derive with Scarifications, Cupping, Ligatures and Friction. And it is good in plethory, when the Terms or Haemmorrhoids bleed, and to di­vert.

If the body be foul, loosen the Belly and purge to pre­vent, especially when people are subject to Inflamma­tion. And the Cure will be the easier when the body is clean. Also some Laxatives do revel the blood slowing to the part, they must not be strong to stir or inflame the Body.

Also use alterers against the phlegmon and Feaver in meats and Medicines that cool the blood.

Topicks are to be used in all, first they must repel the blood flowing to the part, and abate heat and pain, and then dissolve the matter; and if it tend to suppuration, they must Cure the Impostume and Ulcer. And they must be chosen according to the Inflammation, as it is great or little and according to the part.

We repel the humor flowing with astringents and coo­lers, choosing the strongest when the heat is great, especi­ally in Furunculus; And if the Flux be great and the In­flammation also, and in the Face, or Joynts and noble parts. In the other we use more gentle repellers. Espe­cially if the Inflammation be about the Jaws or Breast, least it cause a Quinsie or pleurisie. To these repellers, when the Defluxion abateth, we add gentle resolvers and anodynes, if there be pain: Thus,

Actual coolers are vulgarly used, if we sear Inflamma­tion, from a stroak, or bruise, to prevent swelling, as a cold Stone, Iron, Lead, or Ice: Or cold water. This [Page 419]must not be done, but at the first, least the blood congeal and will not after be discussed.

Some commend the putting the Finger presently in cold water, in Paronychia or Fellon: or in hot Vinegar, but boyling water is best.

Make repellers of green Herbs, that are both potenti­ally and actually cold, as of Plantane, Nightshade, Hous­leek, knot Grass. With Vinegar, Oyl of Roses, Myrtles, Quinces and Barley meal.

Apply Acrons bruised and Sloes.

Or Bran fryed in Vinegar, or Rice, and Water of­ten.

Or red Rose Cakes, with red Wine and Vinegar, or Roses.

Or: Take the Juyces of the Herbes mentioned six ounces, Rose vinegar and red Wine three ounces, Oyl of Roses, Myr­tles, or Privet an ounce and an half, with pouder of Bistort roots and Pomegranate peels, each a dram; Mrytle or Barberry seeds, Bole three drams, after you have stir'd them in a Lea­den Morter, make an Oyntment, or with Vinegar and whites of Egs and Barley meal, a Pultis.

The usual defensative against Inflammations, is of Bole Vinegar and whites of Egs and Oyl of Roses. You may add Sanguis Draconis, Blood-stone, and rust of Iron and sealed Earth, Coral and Camphire.

When there is pain, repel thus, add the fourth part of red Wine Vinegar to Milk, Bole, and the white of an Eg.

Or wash with Vinegar and Water.

Three or four pound of Quick-silver allayeth heat and pain, being in a Bladder and applied.

So doth Juyce, Decoction and distilled water of Herbs, with pouders aforesaid.

Or foment with Oyl of Roses, or Violets, and rowl the part.

In Paronychia or Fellon, make a Bath for the Finger of five leaved Grass, Wormwood, Agrimony, Straw-berry leaves, Myrtle-berries with Wine.

A repelling Oyntment: Take juyce of Plantane, Hous­leek two ounces, Vinegar an ounce, Oyl of Roses two ounces and an half, Vinegar an ounce, Bole half an ounce, with the white of an Egg, and a little Turpentine, afterwards to digest, add Ceruss, Cadmia and Litharge.

Or: Take juyce of sower Pomegranate [...] two ounces, of Nightshade and Rose water, each an ounce and an half; Cam­phire a dram, anoynt; add Barley flower to make it stick. This is approved in Inflammation of the Nose.

As in Etysipelas, so here you may use Oyntments of Roses, Poplar, and Ceruss, and plates of Lead also.

In great Inflammations, and when they are parts ex­quisitely sensible, use chiefly things to asswage pain. As Anodynes that cherish with their temperate heat. Or Narcoticks that dull the sense. These are not to be used alone, when we sear suppuration, but in case of necessity, because they digest, but at the first, add repellers and in the progress resolvers. But when you desire to digest, you may use Narcoticks alone, safely.

The same Narcoticks and Anodynes may be used, as in Erysipelas and these following: As Snayles not beaten, with the shells, least they be too rough; but taken out may be applied

And leaves of Henbane and Mandrakes baked in the Embers with Hogs grease and a little Saffron.

Or use this Cataplasm: Take white Bread or Flower a pound, boyl it in springe Water and Proper stilled Water and Milk with Mucilage of Fleabane two ounces, three Egs, Oyl of Rose three ounces, Hogs grease an ounce, Saffron a dram.

This is proper against a Paronychia or Fellon: boyl crums of Bread in Milk with the white of an Egg and a little Turpentine, and to ease pain, add Mucilage of Flea­bane seed, with Barley meal, Opium and Camphire, and after to heal, add Pouder of Galls

Or this Cataplasm against any Phlegmon: Take the Emollient herbs two handfuls, Althaea two ounces, flowers of Chammomil, Melilote, Roses, Bran, each a pugil: boyl and bruise them, add Oyl, Butter, Grease and Saffron.

Or bruise Fleabane, or its seed, with Oyl of Roses and a little Vinegar, and apply it, or boyl it with Milk and Althaea roots and add fats.

Or use the Mucilage of Fleabane with the white of an Egg, Juyces and sats.

The Plaster of Diachylon the less by Mesue made of Mucilages of Fleabane and Henbane easeth pain and di­gesteth.

Oyl of the Apples of Strychnodendron, and of the fruite of the Balsamine tree called Momordica, is an appro­ved remedy, and so is Oyl of Henbane seed.

The Chirurgions ease pain with an Egg raw beaten with Oyl of Roses and Bole to repel.

And to digest also they use Oyl of Roses, yolks of Egs and Ceruss.

There is an Oyntment called Anodynum, made of Oyl of Lillies, Dill, Chamomil, Ducks and Hens grease to take away pain.

Or this; Take Juyce of Henbane, Tobacco, Hemlock, or Poppies, Mallows, or Marsh-mallows, each two ounces; Oyl of sweet Almonds, and Roses, each two ounces; boyl them, add Mucilage of Althaea, or the like two ounces, or of Muci­lage of Henbane seed, which is best, Butter an ounce, make an Oyntment.

The Water of Frog spawn is highly commended, and Juyce of Hemlock applied with a Clout, also raw Cray­sish.

Also we must dissolve or discuss the Humor which is flown to the part, least by continuance it turn to Matter, and stink; which though Nature doth of her self, if it be thin, yet if she be slow in her work, she must be helped with dissolvers, which in the beginning of the increase of the disease mixed with Repellers, does it rather by dryness then heat; and after they must be used alone, and the rather if the Phlggmon be o [...]dematous, especially towards the De­clination, when the heat ceaseth, adding Emollients to gentle Healers, that may discuss the Reliques, and pre­vent a Scirrhus.

This is done by Herbs mentioned against Erysipelas, as Pellitory, Mallows, Marsh-mallows, Orage, Coleworts, Henbit, Coltsfoot, Vervain, Moulin, Scarlea, Bindweed, Elder, Dan-wort, Penny-royal, Feaversew, Achillea, Wormwood, Sesamum, Nettles, Lilly roots, Orris, Brio­ny, wild Cowcumber, Asphodel, Lyris, Docks, Rhapon­tick, wild Hemp, Chamomil, Melilot, Dill, Elder flowers, and Water-lillies, Foenugreek, Lineseed, Barley, Wheat, Lupins, Orobus, and Flower of Millium Panicum.

You may apply one or more of them bruised or boy­led, as Pellitory and Scabious; or lay the whole Leaves thereon, without the Stalks.

Or make an Anodyne Oyntment of Dwarf-elder to a­noint the part inflamed. Thus, Take Dwarfe-elder cut small, put it in a Glass phial, roule it in Dough and bake it, then take out the glass, and you shall ffnd a thick redish Oyl, a­noint therewith.

The Herb called Paronychia is good against a Felon from whence it had its Name, the Felon is an Inflammati­on at the Root of the Nails; as also five leaved Grass, or the skin of an Eg shell, or Dandelion, milkie Stalks, roule about the Finger.

Phlegmons may be wash'd with Juyces, Decoctions, or still'd Waters of Herbs; as that of Moulin which is best, with Rose-water.

Aqua vitae doth so dissolve, that it takes away Tumor and Inflammation presently, allaies pain: when Labourers hurt themselves, they use it.

Dioscorides commends the Lyes of Wine in all Inflam­mations, it is good to dissolve and to asswage pain.

Also use Oyl of Chamomil, Lillies, Orris, sweet Al­monds, or Roses, or Fats, as Oesipus of Wool or Propo­lis.

[Page 420]Or bruise or boyl the Plants mentioned, with Vinegar at first, then Wine, Honey, Oyl, Fats, Turpentine, and Brans, or Meales.

Or apply Raisons as in Furunculus, with Salt, &c.

Or chew Wheat or its Flower, with Water and Honey, or with Leaven.

Or Rose cakes boyled in Lye to dissolve, adding Oyl of Chamomil, or Dill.

Or Smallage, and Henbit beaten with Tartar, and Oyl of Chamomil.

Or this Cataplasm. Take Roots of Althaea, Docks four ounces, Lillies two ounces, Pellitory, Vervain, Coltsfoot, each an handful; Feaversew, Wormwood half an handful, Chamo­mil flowers and Roses, each a pugil; Barley meal, and Foenu­greek four ounces, Figgs five pair, boyl them in Water, bruise and add Oyl of Roses, Chamomil, each two ounces; Hens grease an ounce and half.

Or make it of Bran or Wheat flower a pound, Pease, or Lupine flower two ounces, boyl them in Water and Honey, ad pouder of Orris, red Roses, each two drams; Myrtle seeds a dram, Saffron half a dram, Oyl of Roses and Chamomil, each an ounce and half.

A Cataplasm to digest more, and to be used in the De­clination: Take Lilly roots three ounces, Orris, and Briony roots two ounces, Mallows, Moulin, Bindweed, Dane-wort, each a handful; Chamomil, Melilot, Elder and Rosemary flo­wers, each half a handful; Meal of Lupins, or Orobus and Foenugreek, each two ounces; Dates six, boyl them in Honey, and Water, add Oyl of Lillies and Orris, each an ounce and an half; of Roses an ounce, Hogs grease an ounce and half, Oesi­pus an ounce, with Saffron half a dram, make a Cataplasm.

Or this of Juyces. Take Juyce of Pellitory, Coltsfoot, Plantane, each two ounces; Mucilage of Mallows, Foenugreek, or of whites of Eggs three ounces, Honey an ounce, Oyl of Roses two ounces, anoint and add Brans, Litharge, Ceruss, Saffron, or apply the Ashes of Box tree, with Honey.

Or, Take Cow dung half a pound, Juyce of Housleek, or Nightshade two ounces, Oyl of Chamomil and Roses, each an ounce; Bole half an ounce, anoint or apply it with Meals or Bran.

Or apply Olibanum, with Foenugreek, Meal, Rosin, and Honey.

In Furunculus, especially anoint with Scammony, Ho­ney and Oyl, or with Juyce of Thapsia, or of Mulberry­roots.

Or with Sandarack, and Grease, or Earth Cimonia, and Vinegar, or make Plaisters of the Stone Asius, with Pitch and Rosin, according to Dioscorides.

Who commends Earth Cimolia, Samia, Burning Stone, Ostracites, Alabaster, and get also the pouder of a Whet­stone, when it comes off by whetting Iron alone, or with Honey.

Dioscorides commends pouder of Ivory for a Felon.

And Hartman commends Balsom of Sulphur, with a Clout to be used before and after Suppuration, and ope­ning for the same.

You may also add Urin, Lye, and white of Eggs, to the Juyces mentioned.

Or use a Decoction of Litharge in Vinegar, with whites of Eggs added, and Ceruss.

Or the Oyntments of Ceruss and Litharge mentioned in Erysipelas.

Or Diachylon magnum, or Ireatum, or Diapalma, or Colcother, or Plaister of Calcitis of Avicen to digest, or Triapharmacum, of Litharge by Mesue.

Dioscorides saith that the Root of Lyons foot is a good Amulet against Furunculus.

If there be a little Tumor from a Con­tusion, The Cure of a Contusion with Inflammation, or with Tumor not inflamed. without a manifest or great wound, (for of wounds with contusion and inward Fractures we spake else­where) it goes of it self away, or by dis­cussers, and the blewness vanisheth. If it be great, and an Inflammation seared, or come first, use Repellers, then Discussers, not as in Phlegmon, but with respect to the bruised Flesh and congealed Blood. And if it will not be discussed but suppurate, then use Ripeners as in Imposthumes, and after cure it as an Ulcer.

To hinder the Flux of Blood at the first after Blood-let­ting and other Revulsions mentioned in Phlegmon; If you will use Repellers (when the flesh is bruised and hath much Blood, you must not cool as in a Phlegmon, and bind) but apply them to the circumference of the part con, used, not upon itt least the blood by them by congea­led and stopped.

Therefore apply Repellers and Discussers also, such as are prescribed for an Inflamation in the progress; as Oyl of Roses and Myrtles, with whites of Eggs, or Mucilage of Fleabane, with astringent Pouders of Myrtles, Roses, Pomegranate flowers, Snakeweed roots, Tormentil, Dra­gons blood, Bole, Mastick.

Or thus: Take Lentils two ounces, Myrtle seeds, and Po­megranate flowers, each two drams; Roses, Sumach and Ta­marisk, each a dram; Acacia, Mastick, each two drams; Frankincense, Aloes, Dragons blood, each a dram; with Oyl of Roses, Turpentine, and Wax, make a Plaister or Lini­ment.

If there be no fear of Inflammation, discuss the congea­led Blood, though no Tumor appears but pain only, for then to be sure the matter lyeth deep. And give internal Potions if you fear any part to be broken, or blood to flow into the Cavities or part contused, and there to congeal. These internal Potions do cure alone very often in that case, when there is pain, and little or no tumor. These shall be spoken of with vulnerary Potions, but these following are the external Remedies.

Cataplasms and Emplasters of Wormwood, Chamomil, Melilot flowers, or Roses boyled in Oyl and Wine, ad­ding Bean flower, or Mummy, Sanguis Draconis, each a dram to a pound.

If the Head be bruised, add Bettony, and Head herbs, but not too hot, if you fear Inflammations from the pain.

Or use pouder of Wormwood, with the white of an Eg.

Or Bran boyled with pouder of wormwood, and Vine­gar, adding Oyl of Roses or Chamomil.

Or Lilly, Dragon roots, with Honey, and Goats dung.

Or Bean flower, with Oxymel and Tar, if the Nerves be bruised, or Orobus meal.

Or Snails bruised, with Foenugreek or Bean flower.

Or Cow dung, and Oyl of Roses.

An excellent Cataplasm to take away blewness in con­tusions. Take pouder of Comfrey roots, boyl them in water and Honey to a pound, add Juyce of Rue and Wormwood, each an ounce and an half; Cummin seed two drams.

Or, Take Comfrey roots in pouder a pound, Pouder of Chamomil, Melilot flowers and Wormwood, each an ounce; Bean and Faenugreek meal, each three ounces; Butter and the Oyls mentioned two ounces, Saffron half a dram, make a Ca­taplasm, add Juyces and Cummin seeds. This dissolves the contused mortified Flesh.

Anoint with hot Oyls, as of Chamomil, Dill, Lillies, Elder, Dane-wort; or add Repellers, as Oyl of Myrtles.

Or, Take Capons grease and Turpentine dissolved in Ho­ney and Aqua vitae.

Or use the Oyntment made of a Goose in Podagra mentioned, with a little Cummin and Wormwood in pou­der.

Or use Dialthaea, with Oyl of Violets, Earth-worms, Rue, Chamomil, Goose grease, Butter and Mummy; and it is best when after anointing, you sprinkle upon the part pouder of Cummin seed.

Or Oyntment of Alabaster, Agrippa, Ceruss, or Oxy­croceum.

Or a Lixivium of Vine ashes, with Vinegar, Salt and Honey.

Or the Asnes of Vines applied with Vinegar.

Or wash with Urin or Aqua vitae, applied with a clout [Page 421]hot, and quickly after will hinder the swelling, and dis­cuss the blood.

At the conclusion to dissolve the matter, foment with the Decoction of Dwarf-elder roots, Osmond, Sanamun­da, wormwood, Penny-royal, Mousewort, Chamomil, Melilot, Elder flowers, and Roses.

Or wrap the part in a hot Sheeps skin new flead off, or in an Ox skin, or put the part into a hot Dunghil.

In the conclusion of the Ears, Dioscorides anoints with Sulphur, Honey, and wine, and applies Onions and Bran.

If the Glanduls swell or be inflamed, or the Stones, you are instructed what to do in the Tumors of the Glanduls.

The Swelling of the Glanduls with pain, The Cure of Bubo and Parotis, with Inflammation which is called Panus & Phyma. chiefly in the Groyns and Arm­pits, or behind the Ears called Parotis. If it be without Inflamation with pain, as in young people that are growing, or when they swell from scabs and pains in the part adjacent, they are not much to be regarded. But we must prevent the Flux, and keep them from being handled, as Children do, and use revellers and derivers, if need be.

If the Tumor and pain be great or the Inflammation is begun or in being. And comes from pure blood, it is cal­led Phygethlon or Panus when great, if it be less and from impure blood it is called Phyma, Bubo or Parotis. And these either come alone, or with long acute and malig­nant Diseases, or in the French Pox or Plague, with, or without, Inflammation. And then first of all we evacuate, revel and derive by Blood-letting and purging, in respect of the Disease accompanying the Tumor, by which means alone, the body being handsomly purged, Veneral Bu­boes are cured somtimes.

As for Topicks at first, if there be great Inflammation by reason of the pain, you must use Narcoticks and Ano­dynes. But you must not use repellers, as in other Inflam­mations, except there be an Inflammation in the Adenes, from an external cause, because the venemous humor, which causeth the Diseases, is commonly purged forth by these Emunctuaries. Therefore this motion of nature is rather to be helped and the tumors to be drawn forth with loosners to make it flow, and gentle heaters that a­bate pain. And you must use stronge and very hot dra­wers, when the Bubo, or Parotis are Pestilential; these things being applied at the first, you must then mix things to resolve the Humor gathered, or to ripen it, mixing in Pestilential causes things that attract poyson and abate its force and work by a certain propriety. Also in the pestilence to draw poyson out of the Body, we use Scarifi­cations and burning. And when there is an impostum, you must cure it, being broken, as an Ulcer.

As for the remedies, if the pain be first to be cured, use the Anodynes mentioned in phlegmon and the Narcoticks which also dissolve, as I shewed, as Herbs Narcotick, A­qua vitae and Lees of Wine.

As for other remedies to Relax, Attract, Dissolve, Ri­pen, Open, and Correct, and Resist malignity by potenti­al or actual propriety: They are as followeth.

The greasie wooll of Sheep, that hath Oesypus, may be applied to the Bubo, Parotis, behind the Ears, which re­pels by its filth, and so not only abateth pain in Inflam­mations, but repels and relaxeth, especially if it be first dipt in relaxing Oyls.

A common relaxing Oyl to ease pain: Take common Oyl, or Oyl of sweet Almonds and fresh Butter two ounces, Hons or Hogs grease an ounce, mucilage of Fleabane, Line­seed or Althaea half an ounce, with the yolk of an Egg.

Another to digest, also is made of Oyl of Chamomil, Melilot, Dill, Elder, Wall-flowers, Lillies, Orris, Jesamin, bitter Almonds, with Hens, Duck or Goose grease, with Mucilage of Fenugrek and Saffron.

Or make a Relaxing, Attracting, Digesting, Fomenta­tion of the Decoction of Mallows, Lillies, Camomil flo­wers, and Melilot, as the Inflammation of the Papps and Stones. Also you may apply often a hot Spunge boyled in Wine and Water.

Or Althaea, Mallows, Pellitory, Lillies, Chamomil, Melilot, to relax and dissolve the Bubo and Parotis; or the Roots of Daffodil, Swordgrass, Rue, Bulbus, and Perso­nata, or Aster Atticus, which is called Bubonium, or Ingui­nalis, because it is proper for Buboes. Or Scabious, which is siugular in the pestilential Bubo. Or Moulin roots and and all Maidenhair, Plantane, Arage, Brooklime, Elder, Yarrow, Haresfoot, Sclarea, Southernwood, Galiopsis, Acinos, Isatis or Wood, Coriander, Onobrychis, Cony­za, Pycnocomum leaves, of wild Olive, or the Flowers of Panax asclepias. And when you will dissolve and attract more, Rocket and yellow Crowfoot, and Leaves of Con­siligo, Nut-tree bark, and black Briony, bruised and boy­led in Water or Wine, or Oyl and Water, with Vinegar, Honey, or Oyl of Roses, Chamomil or Fats. Dioscorides applies it beaten with Salt; or with Treacle or Mithridate, when the Bubo is pestilential.

Or with Meal of Barley, Pease, Lineseed, Foenugreek, Lupins, Darnel made to a Cataplasin.

Or the Brans alone, with the Liquors mentioned, with Oyls and Honey often applied warm.

Or make Cataplasms of Onions, Lillies, Althaea, and Briony roots, and Orris, with Butter, Grease, or Oyl, and with Figgs, Foenugreek and Lineseed.

Or in the Plague with Treacle, Mithridate, and other Antidotes; or cut the top off from an Onion, and fill it therewith, then cover it, and roaste it, and bruise it, and lay it on, with Vinegar, Juyce of Citrons, or Pomegra­nates, Oyl of Scorpions, St. Johns-wort and Saffron.

Raddish is good in the plague, if it be sliced and laid on after, with a hole in the middle, to let out the Venom.

Or apply green Crab-apples in the plague.

Or a Pomegranate sliced and boyled in Vinegar, ad­ding Juyce of Scabious, or Sorrel, or the distilled Waters thereof.

The Yolk of an Eg and Salt, draws and dissolves the Juyce of Scabious. And if the Bubo be pestilent, with Antidotes, or salt Bacon.

Or black Soap, with Lye and Ammoniack, dissolved in Vinegar, to discuss a Phyma.

In the venereal Bubo drink and wash with Water of Celandine.

A Cataplasm to attract, dissolve, and ripen. Take Lillies, Onions, Althaea roots, Raddish, all peeled and clean­sed four ounces, Mallows and Scabious, each a handful and an half; Chamomil and Melilot flowers, each a pugil; Figgs five pair, boyl and stamp them, add Foenugreek meal two ounces, Gum Ammoniack and Galbanum, each six drams; dissolve them in Wine, and with Oyl of Lillies and Grease make a Cataplasm.

It will be stronger, if you add Mustard seed, pigeons dung.

This is an admirable Cataplasm in the plague. Take a great Onion, and make it hollow, and fill it with Treacle, roast it in the Embers, take off the outward Skins, and bruise it with Meal of Secalis, Honey, Yolk of an Eg, Goose dung, and a little Turpentine, apply it hot.

Emplasters to attract, and then dissolve, that must be cut in the middle to let out the Vapors, are Diachylon mag­num, and Ireatum, or Melilot, or Althaea, with Rosin, Galbanum and Ammoniack.

Or apply Galbanum alone to the Groyns, when the pockey Bubo appears, and then vanisheth, to draw the Venom to the part.

Or, Take Galbanum, Ammoniacum, Bdellium, Opopa­nax dissolved in Vinegar of Squills, or Aqua vitae, and with Oyl of Lillies, and half an ounce of pouder of Orris to four oun­ces thereof, and two drams of Scabious, or a dram of Euphor­bium or Cantharides, if you will have it stronger.

Or Treacle, with spirit of Sulphur, and Oyl of Juniper is good to draw out Venom.

[Page 422]Another proper for a Phyma: Take Labdanum, Bdelli­um, Ammoniacum, dissolved in old Oyl with an ounce of Proplis, or other dissolver, Turpentine half an ounce, Ho­ney and Hogs grease, of each an ounce; with Pitch and wax, make a Plaster.

At the first in the Plague, especially use these to draw out venom.

A Cock, Hen, or Cicken, or a Puppy, or a Frog, or Toad, which is best divided, or Sheeps lungs hot and bloody, often applied.

The Chymists in the plague, take Toads and make a hole in their Heads and hang them in the Air to dry, and keep the dry being beaten flat. These they lay upon the Bubo to suck out the venom, for they will swel, being laid on, as if they would break. See Paracelsus in his Book of the plague.

Or take a Cock, Hen, or Pidgeon, make the rump bare and cast Salt thereon, and hold the bill fast, that as the vulgar suppose they may suck the poyson in back­wards.

A Cupping-glass with great slame, is good also to at­tract poyson, applied upon the part, or about it.

Or Housleeks to suck out venemous blood.

Somtimes we scarifie or cut a pestilent Bubo, to make way for the poyson, or use an actual or potential Cau­tery.

Some cut it clean off. These are dangerous re­medies to be used with deliberation, for they draw not much out of the body, and endanger the patient, especial­ly if there be Inflammation.

If Tumors be in the Breasts and Stones without a true inflammation, The Cure of Inflammation of the Paps and Stones. from abun­dance of Milk, there is rather a distenti­on with pain in the Breasts, this is to be refer'd to magnitude increased, or when the Stones swel without Inflammation, as in the Colick, it ceaseth with the Colick.

But if there be a Tumor in them from other Causes and Inflammation be feared or begun. Which causeth per­verse Ulcers, often in the Breasts, and hardness or Scirrhus in the Stones. The Cure of them shall be shewed, as in the Inflammation of them.

If blood flow much to them, presently open a Vein, if the paps be inflamed in the Arm, and then in the Foot, especially if Terms be stopt. If the Stones be inflamed, first open a Vein in the foot, then in the Arm to revel and derive, and apply Cupping-glasses to the Arms and Hips with Scarification and Repellers to the part, and Ano­dynes. Then dissolve that which is flowed to the part, least it turn to matter and cause an Ulcer, which in those parts is not easily cured.

Use the repellers mentioned in Phlegmon and the dige­sters also, such as have meals in them.

Or thus: Take Plantane, Groundsoyl, mallows, each a handful; boyl them, and add at the end water of Night­shade and Roses, stamp, and add Barley, Rise, Bean and Pease meal, each three ounces; Oyl of Roses two ounces, Oyl of Chamomil an ounce, make a Cataplasm with Bdellium, dissolved in Vinegar half an ounce.

Also take remedies prescribed in Phlegmon against pain such as are Narcotick and digest rather then Anodynes, which will cause Suppuration, which must here be pre­vented.

And use dissolvers as in Phlegmon adding the roots of Coriander and Dasies.

Or apply Coriander, Raysons and Honey beaten.

Meal of pease and Beans is best here, if boyled in Wine or dissolving Oyls mentioned in Phlegmon with Honey, Vinegar and Cummin seed.

Or mix Mucilage of Althaea, Foenugreek, Linseed with Farines or Meals and Oyl.

Dioscorides commends Wallnuts, with Rue and Ho­ney.

And you may use Raysons stoned, or Figs and Dates, boyled in Wine, or the pulp thereof a pound with pease and Bean. Meal, each two ounces; Faenugreek half an ounce, with digesting Oyls, Orris pouder half an ounce, and seeds of Irion a dram, Honey two ounces, to discuss Better.

Dioscorides applies Vine leaves and Salt.

And Leaven with Organ and Salt.

Also dryed Cow dung, boyled with Honey and Wine, is good.

Or Treacle with Saffron, Honey and Oyl.

Or Foment, as in Flegmon, with Althaea, Mallows, Wormwood, Orris roots, wild Cowcumbers, Melilote, Chamomil, Rosemary, Elder, Staechas flower, Roses, Foenugreek, Linseed, common Figs boyled in Wine, add­ing Honey and Vinegar.

Or dip Wooll in digesting Oyls, and apply it.

Or this Oyntment: Take Oyl of Chamomil and Lillies, each an ounce and an half; Galbanum and Labdanum, dis­solved in Vinegar, each half an ounce; Cummin seed a dram, dryed Cow dung two drams, Saffron half a scruple, with Wax.

Live Crabs, or unboyled Cray-fish, bruised and applied are highly commended.

If the Inflammation of the Paps, or Stones tend to Sup­puration, Cure it as impostums.

Imposthums coming after Inflammati­ons, are a like Cured in all parts. The Cure of Impostums. By ripning, and opening, and curing the Ul­cer.

An Impostume must be ripned as soon as it comes, as when the matter flowed in the Phlegmon, cannot be dis­solved, that so it may be turned to Pus or Quittor and voi­ded by an Ulcer. Such an Ulcer is not very difficult, if well looked to, but when we know and perceive that an Inflammtion tends to an Impostume, we must help nature, and the more, when it is apt to suppurate presently, as most little Pustles do. And we must be more diligent, if the suppuration be difficult and long, as in Furunculus, in which instead of matter there is a lump of flesh that is long fixed, and especially in parts of most concernment, or noble, where the matter may prejudice by being long kept in, as about the joynts and in Paronychia or Fellons except the matter be presently concocted, and get forth the bones in that place, and the Nerves grow foul. This Maturation or Suppuration, is commonly done by the benefit of Nature only, which concocts the Humor, and therewith some part of the part afflicted, in which the blood is without any putrifaction, only it turnes to a white matter. Which stinks not, for putrefaction differs much from Suppuration, and follows it when nature ceaseth to Maturate or ripen, or doth it slowly or imper­perfectly, as in Furunculus, therefore to help her, the Physitian applyeth Suppuratives or ripeners, which are temperate or gently hot, and Emplastick, which by nou­rishing the natural heat, makes Maturation. This is done by Anodynes, which after the same manner, as I shewed, cause Maturation. And many Suppurative Medicines, would be Anodyne, if the breeding of matter did not cause new pains.

Also many dissolving Medicines, being not too hot or dry, but gently hot, when they cannot dissolve matter, by reason of its incapacity and unsitness, help Suppurati­on, when nature tends that way, or at least hinder, if not. All these maturating or ripning remedies, being actually warm and gently hot, doth thereby hasten Suppurati­on.

Also concocting remedies ripening or Suppurating are applied, that they may better operate in forms of Cata­plasms or plaisters, as Triapharmacum Galeni, made of Wheat floure, Oyl and Water boyled to a pultis, and colored with Saffron to make it concoct the better.

Or instead thereof, use this: Take wheat flour, or of Zea, or Maizi; (which are outlandish grain privatly commen­ded) or crums of Bread, boyl them in water, or fat broath [Page 423]not salted, or milk if there be pain, and to a pound, add Oyl or [...]utter, or Hogs grease, of each an ounce and an half; two yolks of Eggs and mucilages, if you please.

Or make it of crums of bread or flower, with Lillie roots, Onyons and Milk, adding Butter, Oyl or Grease. You may boyl also Mallows, Althaea roots, Ground-sill Figs.

Or: Take Marshmallow roots and Lilly roots, each two ounces; Bryony roots an ounce, Emollient herbs, Groundsoyl, Coleworts, Eryngus three handfuls Violets a pugil, Figs six pair Raysons stoned ten pair, wheat flower or Bread three ounces, pon­der of Faenugreek or Linseed two ounces, boyl and bruise them, add of the fat mentioned two ounces, Oyl of Lillies, Violets sweet Almonds an ounce and an half, Saffron half a dram, make a Cataplasm.

Or: Take a white Onyon (which because it is not so sharp as the other sort, doth more maturate or ripen and digest) and Figs sliced, boyl them, mix them with Butter or Oyl and flower, yolks of Eggs and Turpentine.

Or: Take Figs two ounces, Labdanum, Frankincense, each a dram, Storax Liquid and Turpentine, each half a dram, with Flower, Oyl and Hogs grease, make a pultis.

Or roast Henbane leaves in the Embers, and apply it with sats and digesters, for the sats being temperate, will moderate their Heat.

The roots of Dogs Tongue bruised, is good against the Plague, and suppurates well.

Some apply Bird-lime, others liquid Vernish.

Dioscorides applies Birdlime, Wax and Rosin, equal parts.

Or Bird-lime with Mallows, Wormwood, Linseed, Ho­ney and Oyl boyled,

Or sweet Butter and Wax.

Or Pitch, or Wax, or both with Oyl, Turpentine and Frankincense.

Others apply yolks of Eggs or with the whites, with Oyl or Butter, or Suet, or Marrow and Turpentine, with Frankincense and Saffron.

Or Mucilage of Althaea roots, Faenugreek and Linseed with Oyl of Butter or Grease, and yolks of Eggs.

The usual Maturating plasters, are Tetrapharmacum Galeni made of Pitch, Rosin, Wax and Cows grease, or Oyl, if there be pain, and then it is called the little Basili­con of Mesue. Also common Diachylon: or the little Dia­chylon in pain. Or the great, which digesteth most, and if it will not be digested, it will help maturation, if there be much Oyl, and you use other mollifiers, as Oyntments of Althaea resumptive and Aureum. Aetius useth Un­guentum Macedonicum, to ripen the Furunculus.

Or soment with Water and Oyl, or Oyl alone, or apply it with wooll, before you use other application.

The juyce of Colewort, or the mucilage of its seeds, is good.

Or Flesh, or Fishes, or Cravfish, cause Suppuration, or a warm hand often applied. Therefore we prohibit hand­ling of any Tumors, when we will not have them Sup­perate.

When the Impostume is ripe, it must be opened, that is when there is matter, which you may know by its soft­ness and point, as we shewed.

Somtimes it must be opened, before perfect maturation when it is about the joynts, or noble parts, least the mat­ter retained should hurt them. And when the Bubo is from a pestilent or mailgnant humor.

Nature or things that ripen do open, when the Skin, Flesh and Blood are concocted, and made more tender and soft by boyling as it were.

Or we open by violence and cutting or breaking the skin, with potential or actual openers.

They which potentially open, are some milder, which ripen and open, also these we use when we defire to open by degrees, others are stronger and suddenly corrode, burn or pierce the Skin.

Leaven added to the above mentioned maturatives, or ripners, or yolks of hard Egs and meal, or Grease and O­uions, will mature and help to open.

Scabious, Coleworts, Daffodil roots, Bugloss, ony­on do the same.

Also rotten Nuts, and Watercresses, and Smallage, which are sharp, bruised and applied with Figs, Meal and oyl.

Or Danewort bruised with Hogs grease, is good, if of­ten applied in the Impostums of the breast.

Or rotten Apples, ripe Bramble berries, or ripe ber­ries of Herb-true-love open impostums, or an Onyon, or Garlick.

Or ashes of Colewort roots, Figtree with Vinegar o­pen strongly, but gently with grease.

All dungs are approved to ripen and open impostums, as Ox dung, especially fodder. or Goats dung for the parotis, Goose dung is highly esteemed in the Fellon, or Paronychia, being new and hot, for it presently breaks it. In other Impostumes, use [...]ow dung, Hogs Goats and Dogs dung. And when you will open quickly and force­ably apply Pidgeons and Hens dung. All these may be applied alone, or boyled in Wine, adding Vinegar or dis­solved in Oyl and mixed with meal.

The Cataplasms made of the things mentioned, will be stronger. If you add to the Plants bruised or boyled, as much Leaven and the part of Doves dung with strong Vinegar, which will boyl the skin, and make it open. And they will be stronger yet, if you add Mustard half an ounce, or Niter and Sulpher vive, each two drams.

A Plaster that presently breaks all Impostums though venemous and pestilential: Take Load-stone half an ounce, Turpentine and Oyl of Scorpions, of each an ounce; Mastick, Amber, Myrrh, Sarcocol, Ammoniacum, Cantharides prepared, each two drams; Rosin four ounces, wax half a pound: make a Plaster, spread it upon Leather, or new cloth, and apply it hot.

Or mix Honey Anacardine, with Pitch and apply it.

Or Euphorbium boyled a little in oyl, because it burns, add dungs and a little Ammoniacum.

Or use Sal Armoniack with Leaven and yolk of an Eg, Saffron and a little opium.

Or quick Lime with Soap Honey or fasting spittle.

Potential cauteries open the skin sooner by burning, with pain, but without when they mortifie and black the skin. And though the escar staies long, yet round about where it seperates presently from the same skins there is passage for the humor, till it fall off. These are appli­ed in that part of the Impostum, where it is softest, or pointed in a plaster having a hole in the middle, where they are placed, least they should spread and inflame, and if there be pain it must be after asswaged, and the part must be defended round about with the defensive oynt­ment mentioned in phlegmon

Galen prescribes many as Caustick balls of Polydas, Andro, Musa, Dytinus, made of Calcanthum and Allum and the like. Also the two caustick oyntments of Andro­machus.

The Arabians have many. Falopius and Paraeus menti­on the chief, which work quickly without pain and with­out Opium, which is used but to little purpose, as I ob­serve.

Among which that is wholly without pain, which is made of Capital Lye boyled by degrees to a stone. This Lye is made of three parts of unsleaked Lime, and two parts of Wine Lees burnt, with water poured on, and of­ten strained or boyled, and it is stronger, if instead of wa­ter, you use a Lye of Bean stalks or Oak.

And it will burn the skin sooner, if you add the fourth part of sal Armoniack or Allum, or Calcanthum to the Lime and Lees of Wine, but then it is more painful and therefore they add Opium.

You may boyl up a Caustick stone also of Soap, Lye with Chalcanthum, sal Armoniack or Allum.

Sublimate made into a past with Populeon to abate pain, and Blood-stone to allay Inflammation, doth the same.

[Page 424]Or Cantharides, with Leaven and Vinegar, and Verdi­greese, or Chalcanthum, or a little Orpiment; which wil work sooner, and the pain will be less.

Some wet the part with Aqua sortis, and six parts Wa­ter.

A caustick Water: Take Vitriol and Arsnick, each two ounces, Sublimate half an ounce, Juyce of Briony six ounces, pouder of Cantharides two drams, distil them, and apply one drop to the place to be opened.

Or a drop or two of Oyl of Vitriol: This is the way of Nicolas Massa.

Actual opening is quickest, with a Knife or Lancet in the place that is soft and pointed, where we feel the mat­ter thrusting it in til they come forth, and let the Orifice be large enough. If it be about the bendings, observe the wrinkles, that you may cut according to the lines of them.

When the Imposthume is deep, especially about the Joynts or other parts, where the matter remaining may do hurt, you must open it presently before the parts be corrupted, before the matter is concocted, or the Impo­sthume appear manifestly. Therefore in Paronychia or Felon if there be great pain, though Suppuration appear not, yet cut it open from the fingers end on the side of the Nail, to the Bone, down to the Joynt, for so shall it pre­vent the corruption of the bone from the matter.

A ripe Imposthume is somtimes opened with a hot Iron either burning through the skin, or making only an Es­char as a potential Caustick doth, but sooner. Also in a Felon we burn the corrupt bone, as shall be shewed in Ul­cers.

A Cancer being a Tumor differing from a Phlegmon, The Cure of a Cancer. growing by degrees without Inflammation, and of a fleshy substance deeply fixed; and when it is ulcerated differing from other Ulcers by its fixed lump of Flesh, and the claws and turning in of the Lips, hurting by its venemous quality rather then by pain and heat, hath a different Cure from other Tumors and Ulcers.

First you must prognosticate, for if it be newly begun and be little, it is not to be known but by skilful Physiti­ans, and it is usually neglected: And therefore you must declare that the growth thereof is hard to be hindered. And if it be grown, it is worse, and if it be at the height, it can never be cured; and if it be ulcerated, it is deadly, except it can be taken out by the Roots.

Therefore at the first beginning there is hope, when it is confirmed, there is less or none, especially if it be ulcera­ted, therefore palliate it thus.

And in regard we have no certain known Antidote a­gainst the malignant quality and matter that produceth and nourisheth a Cancer, we cannot resist it: For if that were known, we could cure it as other tumors, but it will not be discussed. And if we should go about to soften and suppurate it, as unlearned Chirurgions do, we should make it worse, and sooner ulcerate. Therefore let us en­deavor by al means to hinder its growth, while it is grow­ing, and after to keep it from an Ulcer, and if it be ulce­rated, to keep it from corruption while it may be, or let us at first while there is strength, utterly root it out, or af­ter when it is desperate. In the mean space all the time, let us keep the Body clean, and preserve the strength, and oppose Symptoms.

To hinder its growth while there is strength in the be­ginning, and when the Body is plethorick, let blood sca­rifie, and cup in the parts distant, or near to revel and de­rive. Against this also the Flux of Haemorrhoids and Terms, is a good help.

We purge also from the beginning, to take away the plenty of Humors, and hinder the growth of the Cancer, than to abate Melancholy, which is thought to be the cause of the Cancer; for purging cannot take away the venemous quality thereof, as of others, as in the French Pox, wherein we purge strongly to cure it, therefore in a Cancer the Body being weak, it is not safe, nor profita­ble. Forms for Purges are described in other Diseases, therefore we shall not here repeat them.

The Patient must be refreshed with very good Diet as in Hectick Feavers, chiefly with Meats made of Cray-fish or Broath thereof, which hath a propriety as they suppose, from the Name rather then thing, for it is nothing like a Cray-fish in the shape. They must forbear salt and sharp meats, that it may not ulcerate: wine is good for them. And they must have Cordials inwardly given and outwardly applied, as in Hecticks. Especially such as resist Venom mentioned in pestilent Feavers, and such as shall be men­tioned in venemous Ulcers, they are better then vulnera­ry Potions, which are ordinarily given in this case of a Cancer ulcerated. And they highly commend that of Pyrola and ground Ivy, boyled in Wine against Cancers in Womens Breasts,

As for Topicks while the Cancer is whole, we labour to hinder the growth and ulceration thereby, by Dryers and Astringents, which have a propriety to fix and harden it.

This is done by many Repercussives mentioned in Ery­sipelas and Phlegmon, made of Plants and their Juyces, besides the Anodynes and unctious Medicines.

Polytrichum is the best Herb in this case, and Herb Ro­bert which is called divine, and Cancer-healers. Also Ceterach, Coriander, Agrimony, Polygonum. And Moulin, Plantane, Endive, Nightshade, Shepheards purse, Comfrey, Sanguisorba, Dock, Galiopsis, Housleek, Moon­wort.

These are to be bruised and applied, with Vinegar, or Juyce of green Grapes.

Or thus: Take Roots of Moulin and Docks, each two oun­ces; Polytrichum two handfuls, stamp them with Vinegar, add pouder of burnt Cray-fish half an ounce, make a Cata­plasm.

Another: Take Meal of Lentils, or Pease a pugil, Ker­nels of rotten Nuts, or parched, bruised six, boyl them in Vi­negar,

The Flesh of Sea-crabs which are more like a Cancer, or Cray-fish, or Snails, or Froggs, is good boyled and ap­plied.

You may apply the Juyces of the Herbs mentioned, with Vinegar.

Or thus: Take Juyce of Plantane, Nightshade, Endive, Housleek, and of the rest two ounces, Rose-vinegar an ounce, Oyl of Roses, or Myrtles two ounces, Turpentine half an ounce, stir them in a leaden Mortar, add Pomegranate and Citron peels, each a dram; Bole two drams, burnt and washt Lead a dram, Camphire half a dram, anoint often therewith.

A Plate of Lead is good to keep down a Cancer.

In an ulcerated Cancer we dry and a­stringe more, The Cure of a Cancer ulcera­ted. to abate the stink and pu­trefaction, and constant gleeting of blood which bring death. And if any part be corrupt, we must endeavor to take it off with Medicines, and to root out the Cancer by manual Operation.

The Plants mentioned are good to dry, and now in an Ulcer, add Nettles, Rue, St. Johns-wort, Danewort, Sca­bious, Knotgrass bruised.

Or use the Juyces or Pouders, with Oyl of Roses.

Pouders also, or Ashes of Cray-fish, or Crabs, Snails, Froggs, Weezles brains, Mans dung dryed in an Oven, and other Dryers, as Stones of Myrobalans, or Olives, or Shoo-soles; or of the Herbs mentioned, or of old Willow Psithia, Pomegranate flowers, Seeds of Irion, Galiopsis, pouder of Harts horn; also of Lead burnt and washt, of Ceruss, crude Antimony, Tutty, Pompholix, Litharge: Also of Bole, Milstone, Gypsum burnt, and the rubbing of Whetstones. These may be mixed with Juyces, or stampt Herbs, and applied.

Or apply stampt Raisons, and Rue, and Coleworts boyled in Milk, with Sugar to drive away the stink, or lay on Bay leaves.

[Page 425]A good Oyntment. Take Juyce of Moulin, Herb Ro­bert, or Polytrichum an ounce, Honey three ounces, pouder of burnt Stones of Myrobalans two drams, Ashes of burnt Crabs a dram, make an Oyntment.

This is better: Take Juyce of Plantane, Shepherds purse, Agrimony, and Vinegar five ounces, Oyl of Roses, or Myr­tles four ounces, Turpentine an ounce, stir them in a leaden Mortar, add Litharge half an ounce, Lead burnt and washt, Bloodstone, each two drams; crude Antimony a dram, Coral burnt and washt two scraples, [...]earl a scruple, Camphire a scruple, Ashes of rabs a dram, make an Oyntment, to which you may add the pouders above mentioned, espe­cially that of Mans dung.

Also use Oyl of Eggs stirred in a leaden Mortar.

Or Diapompholygos or plaisters of Lead, to dry a can­cer ulcerated.

Keep it clean washt with Vinegar and Juyces of Herbs, or with stronge Lye of Fig-tree ashes, or Willow, or Juni­per, or with Urin: They will be stronger if you add Vi­triol.

The distilled Water of Mans dung and Coriander, is highly commended.

This following pouder preserved an old Man many years in a Cancer, from putrefaction, stink and bleeding, it was all over his Cheek and Neck. Take Galls and Pomegranate peels, each an ounce; Gypsum burnt two ounces; Bole an ounce. Litharge and Cademia, each half an ounce; round Birthwort three drams, burnt Lead two drams, pouder of Crab shells a dram, make a sine pouder, or a plaister of them, with Honey and Turpentine.

We use Sal Gem or Allum, to take away corrupt Flesh, with an equal part of pouder of Earth worms.

Or mix therewith Juyce of Briony, or Dragons.

Or Aegyptiacum to resist putrefaction.

These are stronger, Orpiment and Tartar, equal parts, steep them in Vinegar, and make a pouder.

Or, Take Crystal, Arsnick two drams, Cookowpint roots, an ounce, make a pouder.

Or, Take Orpiment a dram, Verdigreese two drams, white Wine a pint, infuse them, pour of the clear, and boyl it till the third part remain, use it with a little Rose-water.

Or, Take Sublimate a dram, Rose, Plantane, and Night­shade water four ounces boyl it a little.

The last Remedy is cutting it forth by the roots, if strength will permit. It is in vain to try when it is deep, and grows to the Flesh, Membranes, and Veins; for if a portion remain, it will grow again. And if it be great, and near great Veins. there is danger of great bleeding, which is dangerous, if it be not presently stopt. But som­times it may be wholly cut out, with a part of the sound flesh: As when it is in the Thigh or Arm. And if you cut a great space above the Cancer, and take it away, it will grow again; as I observed in a Maid who had a can­cer cut from her Knee. The Cancer in the Breast is ta­ken away with cutting the breast clean off: But if any Root remain in the Ribs, it will return.

Give me leave to relate the Cure of a Cancer, which was told me by a Friend. Take white Arsnick [...]inely pou­dered one part, Roots of Cookowpints poudered four parts, Chim­ney soot as much as will make it grey or ash coloured, keep this pouder for your use, the older the better, it will last five years. Sprinkle this pouder as thick as the back of a knife upon an ulcerated Cancer, taking heed that it touch not the sound flesh, lay it thickest in the middle, because the middle Root of the Cancer is commonly biggest, then lay thereon a pledget wet with spittle, that it may stick with the pouder, otherwise it will not work. The Pa­tient must be dressed thus after meat, and touch not the the cancer, but with wooden Instruments. There are some cautions to be used in the application of this pou­der, by reason of its divers operations; for in some it cau­seth pain, in other; not it pierceth to the Veins or Roots of the cancer, and there it sticks fast, so that it cannot be taken away without breaking of them. It must therefore be used but once, because its force remains till it takes all away with it. And no other medicines must be applied but round about in the circum [...]erance as broad as two [...]in­gers, you must lay De [...]ensives or Repellers to hinder In­flammation. As, Take Bole, Arsnick, Oyl of Roses, and Vinegar. Also there is a great flux of blood sometimes from the piercing force of the medicine which breaks the Veins, with yellow and sharp matter, apply then nothing but dry double clouts, as often as they are wet, for it will be but a day or two, and will take away all pain. This done, expect the Cancer to fall from the sound flesh of its own accord, within eighteen or twenty dayes; for if the least Root be broken by force, before that time the cure is dangerous to be begun again. The separation being made of the cancer from sound flesh, use this pouder to the Ulcer. Take fine Olibanum, Mummy, Mastick Myrrh, Aloes, Sarcocol, each a dram; Opopanax half a dram, wash them in Plantane, and Rose-water, and make a fine pouder, you may increase the quantity of Mastick, Olibanum, Myrrh, and Sarcocol to make it sharper. After you have laid this pouder thick upon the Ulcer, use this Oynt­ment upon a pledget. Take Litharge of Gold two ounces, Mummy an ounce, Oyl of Roses an ounce and half, with a little Rose-vinegar, stir them in a leaden mortar, and make it a soft Oyntment, with Oyl of Roses. It is sufficient to cure the Ulcer, if you apply these two once a day, at first there will come forth a slimy, white, thick matter, which must be dayly wipt away till the Cure is by Gods assistance compleat.

A Carbuncle or Anthrax if it be not pestilent, The Cure of a simple An­thrax or Car­buncle pesti­lent. weakneth and is difficult and dangerous, when it is near the Heart, when it is dry or sends out venom and not mat­ter, with great Inflammation. A pesti­lent Carbuncle destroys by the pestilent Feaver which goes with it, and hurts the Joynts, and de­stroys if it be in the noble Parts.

For cure of both, cleanse the whole Body, and use alte­rers when it is pestilent, look to the Feaver rather then the Carbuncle, and let blood according to the part it is in: As we shewed in pestilent Feavers. In other Carbuncles bleed and purge in respect of the Plethory, and Cacochy­my, and Inflammation to revel and derive. Use coolers agreeable to the Feaver; and Cordials inwardly and out­wardly, and a refreshing Diet, and cause sleep if it be wan­ting, though in a carbuncle it is forbidden, least thereby ve­nom should be drawn to the Heart; but by heat external and sweat in time of sleep, we see the contrary that the heat goes outward: Therefore keep them not from sleep, as is usual.

When a Carbuncle is not pestilent, we use Topicks to repress the Inflammation; when it is we attract the Ve­nom, we open and ripen it in both cases, and then cure it as an Ulcer.

In an Anthrax not pestilent we only lay Repellers round about where the Inflammation is, and that at first; such as are in Phlegmon mentioned, as the Defensive of Bole, and that of Juyces or the Oyntments, as that of Ceruss.

Or we use the Emplaster of Arnogloss to cool and con­coct at first, or all a long the Cure, it is made of Plantane, Meal of Lentils, or brown Bread, adding Galls at fi [...]st to repel more, and to concoct more, Meal of Orobus, and Beans, and Honey.

In a pestilent Carbuncle at first we attract poyson, as in a Bubo pestilent as we there shewed; with a Cock cut in two, or a Pigeon, or Frog, or Toad, or with the Rump of a Cock or Pigeon; after the part is scarified, or with Cupping-glasses, or Horsleeches, or with the mouth of a desperate Fellow to suck it, or with the Instrument by which Womens breasts are drawn.

We open both sorts of Carbuncles to let out the venom or humor at first, by scarifying and in the progress, espe­cially when it waxeth black with deep cuts, least they gangraene, which will cause death, and wash them with salt Water.

[Page 426]We also use Causticks to attract the venom, in both. And when it begins to corrupt, we use an actual Cautery with Gold, or Steel: or potential, as in Impostums, as the part of Galen, or Cantharides. It is usual to lay Sub­limate or Arsenick upon it, in the middle of a plaster with a little hole in it; Or take four grains of it with a spoonful of the white of an Egg well beaten, and so touch the Carbun­cle therewith.

We Maturate or concoct it both, as soon as the flesh where it is, begins to corrupt, so that a part of it being turned to matter, where it is joyned to the sound flesh, the rest may come forth whol, or by piece meal. You must choose things for this, that are proper against poyson or malignity.

As Scabious and Comfrey of both sorts, which are chiefly commended: After them Mullein, Dogs tongue, Mous-ear, Yarrow, Horstayl, Shep-herds purse, Goats rue, Coleworts, Althaea roots and Lillies. And accor­ding to Dioscorides Motherwort, Savin, Cypres, Privet, Hercules, Panax stampt and applied with Salt, or their juyces,

Also Garlick, Leeks, Lilly roots and Radishes, Rocket, Water-cress, Nettles with Salt and Pepper.

Also Pomegranates sliced, and boyled in Vinegar, and bruised, do take off putrifaction and malignity from a Carbuncle.

Or the ripe berries of Herb-true-love, cut or bruised, are good in the plague, and ripe olives dryed are good in both.

Or dried Figs, or Raysons, or kernels of Wallnuts, or sinal Nuts, which are rotten with Salt and Leaven.

Dioscorides commends Raysons and Rue, with Honey and Pitch, to take away the Carbuncle round about.

The yolk of an Egg with a dram of Salt, doth the same, to which you may add Honey, Figs, Meal, and juyce of Scabious: or dissolve the yolk well salted in Vinegar and other proper juyces.

A convenient plaster: Take two cloves of Garlick, Rue, a pugil, Figs four, Leaven half an ounce, Salt a dram and an half, Pepper half a scruple, stamp them.

Or thus: Take roots of wild Cowcumbers or Bryony two ounces, sal Niter a dram, the Gall of a Hog a little dryed half an ounce, meal of Lupines a dram, with Turpentine.

Another: Take Mustard seed half an ounce, meal of Lu­pines, or Orobus two drams, Figs an ounce, Gum Amoniack dissolved in Vinegar three drams, with Turpentine.

Also the dung of Hens, Pidgeons, Sparrows, Sheep, Oxen, are good to ripen alone, or with Honey, Vinegar, meal or yolks of Eggs, or Leaven: Somtimes we mix Soap, Dung and Vinegar. If you will use mans dung, which is so highly commended, let it be dryed and mixed with the rest.

Also soot of the Chimney, Leaven, yolks of Eggs and Salt are good, or Charcole of oak. Or this oyntment: Take Allum two drams, sal Gem half a dram with Ho­ney.

Or use Niter and Turpentine.

Or juyce of plants mentioned, as Scabious, Comfrey, Mullein with meal, or yolks of Eggs.

Or oyl of Nuts, or Roses with Salt, Honey and Vine­gar.

Or Gum Ammoniack dissolved in Vinegar with oyl of Lillies and Wax, dissolves a Carbuncle and draws out his poyson.

Or you may use Treacle or Methridate alone, or in a roasted Onyon, or with other herbs, to draw out poyson in the Plague, or to ripen in both.

Some affirme that the Saphire stone bound upon the Carbuncle, doth good.

They say also that if you bind Scabious bruised to a sound part, and lay Athanasia upon the Carbuncle, it will remove where the Scabious is.

The Ulcer left after a Carbuncle, shall be cured as other Ulcers.

Herpes miliar is somtimes goes away of it self, by drying up, or with little help, The Cure of Herpes milia­ris and Esthi­omenos. as fasting spettle, as also Phlyctenodes. Esthio­menos is more hard to be cured, and through neglect turns to Impetigo or Psora.

The cure of these coming from a Cholerick, Salt and sharp humor, is much a like, As for Evacuations they must be such as purge those humors that cause them. First gentle to drive out the Excrements, and then stronger to purge the blood of its filth. These are to be given by way of prevention to them that are subject to these Dis­eases. The forms of them are mentioned in Cholerick diseases and Fevers, and we shal speak more of them in the scab. As for Blood-letting it will not be necessary, ex­cept other Circumstances invite.

We correct the heat and sharpness of humors, by alter­ers mentioned in Fevers and with good Diet, and we use Topicks in both sorts of Herpes, from the beginning, which are very dry, and cool the sharp humors. By which a miliaris is easily cured, and some times Esthiomenos, but if it creep on, we use stronger dryers and things that clense the foul flesh, or eat it off from the sound, that it may no further corrupt it,

To dry and abate sharpness, use Plantane, Polygonum, Agrimony, Shep-herds purse, Bramble leaves, Privet, Vine leaves, Nightshade, wild Lentils bruised.

Or thus: Take Agrimony, Plantane, or Myrtle, or Olive leaves two handfuls, stamp them, add Sumach and Pomegranate peels, of each an ounce and an half; Barley or Lentil meal two ounces, boyl them in sharp Wine, or Wine and Vinegar, bruise them for a Cataplasm.

Or use the Emplaster of Arnogloss, or Lambs tongue mentioned in Carbuncle with Galls, Pomegranate peels, round Birthwort in [...]erpes Miliaris, or them of the three Pomegranats,

Or use the juyces of the plants mentioned, or of pome­granats alone, or with the fourth part Vinegar, or the distil'd waters of them, with Rose water and Vinegar, with two drams of Camphire, to half a pint.

Acacia and Hypocistis, dissolved in Juyces or Vinegar, do dry and astringe excellently, and hinder creeping.

Or the liquor that comes from green wood while it burns, as from Vine or Oak, to which you may add other dryers.

These following dry more: Take juyce of Plantane, Po­lygonum four ounces, Vinegar an ounce, with Barley meal, make an Oyntment.

These dry better, if instead of meal you add the pouder of Galls or Pomegranate flowers two drams, Bole half a dram.

Or thus: Take juyce of the herbs mentioned with Vinegar, Oyl of Roses and Myrtles, of each four ounces; let them boyl till the juyces be consumed, then add the pouders mentio­ned, or of Pomeganate peels, or Acron cups, of each two drams; Birthwort a dram, and with Wax make an oynt­ment.

In Esthiomenos to dry more and keep it from creeping, use this: Take the juyces mentioned with Oyls, boyled or not, for juyces are strongest then, add Litharge half an ounce, Tutty burnt and washt, Lead, Antimony, Blood­stone, Cadmia, each two drams; burnt brass, or rust of Iron and Aloes, each a dram; Coral and Spodium, that is burnt Ivory, stir them in a Leaden mortar with the juyces and Oyls, and a little Turpentine, or if they be boyled, add a little wax for an oyntment.

A strong clenser: Take juyce of wormwood, Celandine the great, or Pellitory, or Elicampane, or of Rue three ounces, Myrrh two drams, Frankincense half an ounce, Salt a dram, with meal of Lentils, make an oyntment; or with meal of Lentils, Beans, or Barley, or an ounce of Oyl Omphacine, to take away putrefaction more powerfully.

Or thus: Take Letharge two drams, Sulphur two drams, Niter or sal Gem a dram, Verdigreese half a dram, with Ho­ney, make an oyntment.

[Page 427]Or make an oyntment of Allum and Wine Lees.

Or use Ink to dry, because of the Allum, Vitriol and Galls.

Or Pompholygos, white oyntment of Rhasis, with dryers, as Allum, Niter.

Or wild Goats dung, as Dioscorides prescribes, or Cow dung with Wine and Vinegar.

Or pouder of the heads of salt-fish, as Herrings, or wooll and Leather, and pine tree bark burnt to a pouder dry well, when they are sprinkled upon a Herpes or Teter or mixed with oyl.

Or: Take two drams of those burnt pouders, roots of round Birthwort, Pomegranate flowers, Myrrh, each a dram; Oli­banum a dram and an half, sprinckle it upon the Teter, first rubbing it, and anoynting with Oyl of Ash tree. Dio­scorides commends the pouder of Snayl shells.

A good somentation for both sorts of Herpes or Teter is a distil'd water of Dock roots sliced and steep'd in Vine­gar a day or two, or of Citron peels with Allum.

Or thus: Take of plants mentioned three handfuls, with myrtle leaves or Olive, Dock roots or Birthwort, each an ounce, Pomegranate peels and Galls, each six drams; Lupine seeds an ounce, myrtle seeds half an ounce, Acacia, Hypocistis, each six drams; boyl them in Forge water with a little sharp wine. to wash the Herpes Esthiomenus, add Frankincense and myrrh, to cleanse more, half an ounce.

Or wash with Lye and old Wine, wherein the things mentioned have been boyled.

Or with Vitriol dissolved in Vinegar and Water.

Or: Take Sublimate a dram and an half, Lytharge two drams, Borax half a dram, Camphire a scruple; boyl them in two ounces of proper water and wash the Teter: or we stop the eating thereof with things that shall be mentioned in corroding Ulcers.

Or: Take Dock roots three drams, great Celandine a hand­ful, Allum, Sulphur, each an ounce; Salt a pugil with Wine and Vinegar, boyl them and let the vapor be received, so that it touch the Tetter.

Or apply plates of Lead after the Tetter is anoynted and steep them first in Vinegar, Salt, or Allum water.

In the Tetter called Esthiomenus, it is good to rub it til it bleed. And then the clensers appled, will work the bet­ter.

Or burn of the corrupt flesh, with an actual or poten­tial Cautery, as in Carbuncles.

The Scab is of many sorts, as the moist Scab, The Cure of the com­mon Scab, Itch, Scald, Terminthus, Epinyctis, Impetigo, Prurigo Psora and Greek Le­prosie. which is either ordinary, or feirce, spreading, as Tinea or Scald, Terminthus, Epi­nyctis: or the dry Scab, as the Itch called Prurigo, Impetigo, or Psora, or Greek Leprosie, we shall speak of the Cure of all together, in the Cure of the Itch. The Phlyctaenae are blisters, when the scarf Skin is seperated from the true, and are cured as the corrosions of the Skin.

Of moist Scabs the vulgar is most gentle and easie to be cured, but when it often returns it is stubborn, and if not cured will turn to a worse sort. The next called Fera is worse, but curable, and if neglected, it turns to a worse sort. That which is worst is called Manans, or spreading, it is difficult to be cured, and is insectious in Children, and deformeth the Hair by eating it off. The Terminthus and Epinytis are easily cured. Among the dry Itches Prurigo is easiest to be cured, and Impetigo more hard, and Psora is most difficult, and they are turned from one into another if neglected, and easily return in Spring and Fall. And at length they turn to the Greek Leprosie, which is incurable, though it cease, it will return with an ugly crust consuming the patient and itching. And it is taken for the Elephantiasis, by them that cannot distin­guish.

Also those may be cured alike, as for general helps, Evacuations and Alterers, because they come from Cho­lerick, salt, sharp and malignant humors (as in the Cau­ses) they must be purged, and let blood, and the alterers must be greater or less, according to the disease, with re­spect to the constitution, and the Excrements abounding, as followeth.

In the moist Itch you must let blood, if Age or other things forbid not, because the Anticedent cause is salt serum, which is cholerick and sharp in the blood, and this will partly come forth by bleeding. Which must be ra­ther done, when there is Plethory or fulness, which caus­eth pustles. The Vein opened must be for general or particular Evacuation of that Member, which is most in­fected. In the dry Itch, though there be not such moist pustles, yet because the blood is very unclean, you must bleed also, especially if the skin be red, as in Prurigo, which shews heat. This must be done before purging often, and every month you must Cup and Scarifie, or apply Horsleeches. And the Terms and Haemorrhoids must be provoked, in them that are used to them, as we shewed in the want of them.

In all kinds of moist or dry Itches, you must purge of­ten, when the body is foul, and in Psora, which is worst, if every day, or every other day, for a long time, especi­ally Spring and Fall. And this must be by fit Medicines, that purge cholerick, salt and sharp humors, from the Guts and Meseraicks and so from the Mass of blood, adding alwaies things that resist sharpness of humors. And choosing such as inflame not the body too much.

These purges are to be found in other diseases of chol­ler and melancholly stronger or weaker. Especially in intermitting feavers and continual putrid. As well such as are prescribed before bleeding to cleanse the Excrements in the belly, as strong purges, and the preparatives to be taken before them. As that Apozem mentioned in a Sy­noch with Erysipelas, and the purges prescribed against Melancholly: or these.

Let them drink whey morning and evening, especially of Goats Milk, so much as may purge, this is pleasant for Children.

Or dissolve some pleasant things therein, as Manna or syrup of Roses, or Violets, or of Peach flowers; with a little Diagredium, if need be. Or give some other pur­ging syrup therein, that may be taken.

Or give of Roses, Fumitory, Hops, and of Bugloss, Docks and Apples.

Or make a little at a time, because it will soon decay, as of whey or old Cock broath two pints with Mercury, Beets, Fumitory, Hops, Elder flowers or Danewort buds, Senna, Polypody, Epithymum, Damask Roses, with a lit­tle Sugar or Honey.

Or give usual syrups to purge unclean blood, as the gentle syrup of Roses, Violets, Peach flowers, made of their infusions or juyces with Sugar or Honey. Juyce of Fumitory, or Hops, or Mercury, or Rhamnus solutive, or the juyce of its berries. Thus: Take the grains, or seeds of the drying thorn called Merla, through ripe, bruise them, and keep them in an Earthen vessel eight daies warm: take a pint of the juyce and as much fine Sugar, mak a syrup with Cinnamon and Ginger, of each six drams; Cloves two drams. This syrup, is not good only for Scabby people, but Gouty, and such as have flegmatick and serous hu­mors.

Or give syrup of Roses with Rhubarb, of Eupatorium with Rhubarb, of Apples by King Sabor, of the juyce and Senna, or that of Fumitory, Epithymum, Polypody, My­robalans, Tamarinds, Cassia of Epithymum compound: or that of Fumitory, Myrobalans, Tamorinds and Aga­rick, of Succory with Rhubarb: of Diasereos, and the like.

Or that of Apples and Hellebore. Thus made: Take Bugloss and Borage roots and all, each two handfuls; Fumi­tory, Eupatory, Chamaepytis, or Groundpine, Germander, Madenhair, each a handful: Bugloss, Borage and Staechus flowers, each apugil; Raysons stoned an ounce, tops of Time [Page 428]and Epithymum, each half an ounce; Senna an ounce and an half, Polypody two ounces, black Hellebore steept in white wine three drams, Schaenanth two drams, boyl them, and add to the straining Juyce of sweet Apples twelve ounces, Sugar two pounds make a syrup.

Another by Montanus made of Senna, Rhubarb, Myro­balans, Epithymum, Polypody, bark of black Hellebore six drams, with an ounce of Cloves, and four ounces of Liquorish boyled to five pints.

Or this purging Decoction for five or six doses. Take Dock roots three ounces, Grass, Asparagus, Kneeholm, Eli­campane, Liquorish, each an ounce and half; Fumitory and Mercury two ounces, Polypody four ounces, Succory, Dandeli­on, Sowthistle, Bugloss, roots and all Scabious, Fumitory, Hops, Mercury, Maidenhair, Eupatorium, Endive, Liverwort, Sor­rel, Violets, Lettice, Balm five or six handfuls, Cordial flow­wers, Water-lillies, Moulin flowers four pugils, Budds of Hops tops, of Thyme and Epithymum, each a pugil; Aniseseed two drams, Seeds of Dodder, Melons and Sorrel, each a dram; Carthamus bruised three ounces, Raisons stoned two ounces, Prunes six pair, Sebestens or Jujubes eight pair, Tamarinds an ounce and half, infuse the Seeds and Roots in a pint of white Wine, then add as much Water with a little of the Decoction of Lignum vitae, or Wormwood-water, boyl and strain, ad sugar and Cinnamon, give it often as Ishewed

If you will have it work more, infuse three ounces of Sen­na or four, or make it into a syrup, with half a pound of Su­gar, give it as you find it works, or mix it with Water of Bu­gloss, Fumitory, Maidenhair or the like, or with Pulp of Cassia or Tamarinds make an Electuary, you may add also Diagredium to make it stronger.

You may also boyl Soldanella, with the Decoction of Senna or for the stronger people, three or four drams of black Hellebore, and add an ounce of Myrobalans at the conclu­sion, rub'd with Oyl of Rhubarb, or Agarick, or Mechoa­can, with their Correctors, and after straining, add Sugar to make an Apozem or Syrup, and it will be better.

Or add to the Decoction Syrup of Fumitory, Docks, Hops, Apples, Bugloss, Roses; or take a good quantity of the Juyces of them, and infuse therein Senna, Rhubarb, Agarick, or make a Syrup.

Or, Take Juyce of sweet Apples four ounces, Juyce of Roses three ounces, Juyce of Fumitory and Plopps, each two ounces; Juyce of Dock roots and Beets, each an ounce and an half; Juyce of Mercury, Borage, Bugloss, Sorrel, each an ounce; boyl them with as much Sugar and with Cinnamon make a syrup: You may if you please add Senna and Rhu­barb.

A purging Wine for five doses. Take Dock roots, or Monks-Rhubarb two ounces, bark of the Roots of Tamarisk, or Ash and Danewort, each an ounce; Fumitory, budds of Hops, Mercury, Agrimony, Maidenhair, Wormwood, each two drams; Peach, and Cordial flowers, each a dram; Anise­seeds two drams, Senna two ounces, Thyme, and Epithymum an ounce, Mechoacan, or Briony roots half an ounce, Ginger a dram, bruise them for five or six pints of Wine, and steep them therein, you may ad Sodanella and a little black Hel­lebore, which is safest in Wine.

Or, Take eight measures of new Wine, add twelve ounces of Senna, Mechoacan, Sarsa, Sassaphras, each three ounces; Wormwood two handfuls.

Another Decoction for other Diseases, and the Scab to be taken thirty dayes, it prevents and cures. Take Gu­aicum an ounce, Sarsa six drams, Roots of Succory and Liquo­rish, each half an ounce; boyl and strain them, and for one dose infuse Senna half an ounce, Mechoacan a dram, Ginger half a dram, strain and add Syrup or Juyce of Roses half an ounce, Balm water an ounce: Give it at once.

An Infusion or Decoction of Hellebore is good as in o­ther stubborn Diseases, made of the small Roots of Helle­bore, that which is called black Astrintia, or that with a green or purple Flower, which are greater then the white Hellebore, though this may be used in strong Bodies, take off the Bark and cast away the Pith, which may be soft­ned in Wine, if it will not come off. Take a dram or four scruples of this bark, two drams of Senna, infuse them in wine or Oxymel, if it be white Hellebore or Aniseseed water, add Cloves, Cinnamon, Ginger, boyl gently, and strain them, add the Decoction, or Raisons, and Prunes, or Syrup of Poly­pody, or of Roses. Or you may make an Extract of black Hellebore by often Infusion, and give a little thereof.

A certain Emperick cured all Scabs and other stubborn Diseases, with the Decoction of Stibium calcined and Sar­saparilla.

You may also use Potions and Electuaries, as of Tama­rinds, Cassia, Manna, Lenitive, Diacassia, Diaprunis, Dia­catholicon, or stronger with Scammony, as Diaprunis so­lutive, Diasebesten, of Juyce of Roses, Diaphaenicon, Troches of Violets, or Electuary of Lapis Lazuli, Con­fectio Hamech, Diasenna, Pills of Fumitory, Agrimony, Rhubarb, and Pills of Lapis Lazuli, or of the five Myro­balans.

After Purging sweat to send out the sharp Humors in both moist and dry Itch, for though it dries the Body more, yet it takes away the cause. For Nature in Impe­tigo and Psora tends that way, as we may observe.

Therefore use not only hot Houses often, but when the Itch is stubborn and returns, continue them a month, with Decoctions of Guaicum and Sarsa as in the Pox, but not with such slender Diet, least by drying the Body with­in, you sharpen the Humors, alwayes Purging every third day, by which we have often cured them.

Use Alterers to amend the Constitution, and a sparing Diet, but not so as to exasperate the Humors. Let the Diet be of good Nourishment, temperate and moist rather then dry, and cold rather then hot. Take heed of salt, sharp, and spiced Meats, and Wine that inflames the Body too much. Let the Air be good, the sleep temperate, and let them exercise often to breath out the Excrements by in­sensible Transpiration.

Medicines must be given to alter the sharpness of the hu­mors that are cold and moist, to correct the Distemper of the Liver, and open Obstructions: As Conserves, Can­dyes, Syrups, Waters of Bugloss, Violets, Roses, Succo­ry, Water-lillies, Maidenhair, Citrons, Pouder of Trion­santalon, and Diarrhodon: And others mentioned in hot and melancholy Diseases. Also give sharp Spaw-water for many dayes; or Troches of Vipers, with Conserves in Psora and Elephantiasis, and a dram of Gum Lac, with three ounces of the Decoction of Myrtles, is good to pre­serve against Impetigo.

Many in Psora and other stubborn Scabs, use Chicken­broath, and Vipers flesh boyled therein, and made into balls, with Crumbs of Bread, and gilded with Gold.

Let the topical Remedies be such as draw out the Hu­mors fastned in the skin, and abate their sharpness, and dissolve them, and that purge the skin from matter, crust, scurfe and scalds; and heal it, and take away the Inflam­mation. They must be drying, and cleansing, and hea­ling, mixed with cold and sharp things, in both moist and dry Itch, to abate cholerick and sharp Humors, and Itch­ing and Inflamation; as in the vulgar Itch, or that which is called Fera, or Cruel, or Terminthus, or Epinyctis. Also add Emollients to take away the Scabs in the wet Itch, and the scurfe and scalds in the dry. Thus scratching is delightful, till the skin be torn to let out the itching Hu­mor, but it ends in tearing pain; and though it so hur­teth, and is the first cause of the scab breaking out, yet be­cause it allayeth the Itch, and brings out the Humors, it is not amiss, if it be with distinction of the parts, and not so much in some places as in others.

Baths are much used against the Itch, both natural and artificial, dry and moist; and if it be in a particular part, they must be used to that alone.

Among Natural Baths it is good to swim in fresh water, which allayes the Itch by its coldness, and mollisies the scurfe by its moistness, and by its earthy quality, which I shewed in the Causes of the Stone, to be in all Waters, it [Page 429]dryeth. And the rather if the Water be muddy, or have any chalk-like substance in it when it is boyled. Such are in divers places, although they are sweet and seem pure and clear, and are good against other Diseases as well as the Itch. Hot Water doth all things better, if the Patient continue long in it, and go in often, for thereby the Hu­mors are better drawn forth and purged; and by the use of it not only the small Itch but the stubborn Scab, hath been often cured.

Sulphur-waters or such as are salt or sharp, which by the bitumen swiming at the top, and by their scent declare they are from Minerals, are the best baths. That of Sul­phur which is hot upon which Bitumen swims like grease, is best against all sorts of Scabs, because it dries, cleanseth, and digests, and mollifies by its fat, therefore it is good a­gainst dry scabs as the last remedy. Salt Waters hot or cold are best for the moist scab, for they dry strongly. And all other Mineral Waters are good.

Or Artificial Baths, such as are called dry or hot Hou­ses to sweat in, by which the humors that cause the scab sweat out with the serum, which takes away the scab by its moistness, and the heat dries up the Excoriation. These do it alone somtimes, but moist baths or other applicati­ons when the Pores are opened, do better being joyned therewith.

You may make moist Baths to sit in, to cleanse, dry, mollifie and cause sweat of Herbs, Roots, and all, as of Docks, Scabious, Elicampane, five leaved Grass, Snake­weed, Tormentil, Plantane, Fumitory, Moulin, Fern, Dwarf-elder, Mugwort, Dill, Oak leaves, Ivy, and Wil­low tops: tops of Briony, Dragons, or Cookowpints, wild Cowcumbers, and to dry more, of Sorrel, Soapwort, Pel­litory, Beets, Mallows, Borrage, Marsh-mallows, Lillies, Organ, Sage, Chamomil, and Rosemary flowers, Beans, Pease, Vetches, Lupins, Barley, Bran, Foenugreek, Gourd and Lineseed, and the like. Boyled in fresh Water, or Salt, or mineral Water, adding Lye, or Smiths Forge-wa­ter, or Sulphur, Salt, Allum, Vitriol, Tartar burnt, Gyp­sum, Bole, and the like.

Thus: Take Lapathium, and Briony roots a pound, Eli­campane four ounces, Dragons, or Cookowpints two ounces, Sca­bious, Plantane, Fumitory, Pellitory, Mallows six handfuls, Bean and Lentil meal four pugils, burnt Gypsum a pound, Sulphur half a pound, Salt four ounces, with Water to fill the Vessel, boyl it and add Lye.

In a dry Itch when by use of Oyntments the skin is dry. Take Mallows, Violets, Docks, Beets, roots and all, Pellitory, Scabious six handfuls, Line, Faenugreek, Bran, Pompion seeds an ounce or more, Chamomil flowers three pugils, Brimstone a pound, boyl them.

Another for the same. Take Sulphur two pounds, Salt a pound pouder them and mix them with two pints of Oyl, boyl them gently, put them into a hot Water for a hath, let him sit and sweat there, and after that sweat in his bed, do thus three dayes, and be cured.

It is good once or twice a day to rub and anoint before and after bathing, the Pores being open.

Rub the Body with Dock roots boyled in Vinegar, in both Itches; or bruise Dock roots, with Salt and Vine­gar, and rub in the bath therewith, that he may be washt after this is a common remedy.

In Impetigo use Briony and Gentian roots, after the same manner, with Dragons and Cookowpints.

Or stamp these Plants, Roots and all, with Vinegar, Salt and Brimstone, as Elicampane, five leaved Grass, Snak­weed, Tormentil, Alkanet, wild Cowcumbers, Daffodil, Coleworts, Bugloss, black Charlin, Crowfoots, black Hel­lebore, Plantane, Scabious, Fumitory, Agrimony, Elm­leaves, lesser Celandine, and against Itching, use Potamo­getum and Mercury.

Add Meal of Lupins, Darnel, Pease, Barley, Juniper, and Bay-berries; or wild three leaved Grass, and Water­cresses, with Honey according to Dioscorides. or Cori­ander, Wormwood, Rue, Cowcumber leaves, and Leeks, Rhus, Coleworts and Plantane, with Bran, Raisons, Ho­ney, against the Epinyctis.

Or an Apple called Adams-apple cut in two, sprinkled with sulphur within, and then roasted in brown Paper un­der the Embers, is good to rub with, or an Orange.

Mustard-seed, Turnep, Rocket, Nigella, Staphisager, Briony, Tamarisk, with Vinegar and Oyl, or Glans un­guentaria, with Urin or seeds of sunflower, are used by Dioscorides against Epinyctis.

You may rub the Plants mentioned, adding Grease, as with Dock or Gentian roots, bruised or boyled with bit­ter Grease, Oyl of Bayes, and Ginger.

Or, Take Roots of Docks, Elicampane or the like, two oun­ces, Dragons, or Cookowpints two drams, slice and boyl them in Vinegar, bruise and add Hogs grease, or Butter three oun­ces, with Salt and Brimstone. If you add a little Quick-sil­ver or Sublimate, it is excellent in Impetigo and Psora.

Or, Take Roots of black Chamaeleon two ounces and half, bruise them with fine Hogs grease, or Oyl three ounces, add Sulphur half an ounce, Allum two drams, Vitriol a dram.

Or boyl a pugil of Juniper-berries, and a spoonful of salt bruised in fine Hogs grease or Oyl, and strain them for an Oyntment.

Or use Juyces of Herbs mentioned, or of Mercury Xy­ris, Agrimony, Southernwood, with salt, sulphur and Vi­negar; or Juyce of Oranges, Lemmons, Citrons, Oyl omphacine and Acacia, or Juyce of Sowbread, Thapsia, Fig milk is used by Dioscorides. Juyce of Henbane takes away Itching.

Or Vinegar made of the Infusion of Oleander, Olive­leaves.

Aloes dissolved in Vinegar is good against Impetigo.

Storax with Vinegar and Oyl of Roses, cures the scab.

Or Turpentine, or Gum Arabick, of Plum-tree, Al­monds, Vines, with Vinegar and Oyl.

Dioscorides applies Bird-lime, with a pledget to the E­pinyctis.

Or the Water that comes out of burnt Olive, or Cot­nil-tree, or the Tears of Vines, when they are cut off, or pruned.

Or sheeps or Goats dung with Vinegar, cures the Epi­nyctis according to Dioscorides.

Or the Gall of an Ox, or Blood of a Goose, takes a­way itching.

Or fasting Spittle, the Herpes and Impetigo.

Or Oyl of Yolks of Eggs, or Wheat or Nightshade­berries, or Oyl in which live Coals have been quenched. Dioscorides commends Oyl of Cedar, or wild Olives, and Ovl of Rocket, Tamarisk, Ash, Juniper, or Oyl of Hen­bane seed, Populeon oyntment. Some use Petroleum in the Scab Terminthus, or Oyl of Tartar, with a little Oyl of Vitriol.

A Liniment usual against the Itch. Take fresh Butter, or Oyl of Roses four ounces, Turpentine dissolved with Yolks of Eggs two ounces or three, Salt six drams, mix them well, you may add Sulphur, or which stinks less, six drams of Ceruss, or an ounce of Juyce of Oranges or Lemmons.

Or, Take Oyl of Roses, Violets, Nuts, Lineseed, Lillies, Bayes four ounces, Juyce of Docks, Scabious, Plantane, Fu­mitory, Oringes, Lemmons, with a little Vinegar four ounces, Turpentine three ounces, Salt six drams: Or boyl the Oyls and Juyces till the Juyces be consumed, and with Turpen­tine and Wax make an Oyntment, but the first is better.

Or make an Oyntment of Sulphur and Litharge, Oyl and Juyces aforesaid; or with Juyces and Vinegar with­out Oyls.

Or use the common Oyntment of Litharge or Ceruss, made of Oyl and Vinegar, or without Vinegar; or use Unguent of Roses, or white Oyntment, with Camphire, adding Litharge and Sulphur.

You may quickly make an Oyntment of Gun-pouder which consists of sulphur, Niter and Charcole, with Oyl or Grease: This is the soldiers Oyntment against the Itch.

[Page 430]Or: Take Litharge, Sulphtr, of each six drams; roots of Dragons or Cookowpints two drams: mix them with the for­mer Oyntment, And half an ounce of Storax.

Or: Take Ceruss, Tutty or Pompholyx, or Cadmia, Li­tharge, Bole or Chalk, each two drams; Sulphur three drams, Tartar a dram and an half, Gum Sandrack or Sarcocol or Mastick, each a dram; make a pouder with burnt Lead and Antimony and mix it with the oyntments mentio­ned.

In a stubborn Itch, add Chalcitis or wine Lees burnt half an ounce, or a dram of Oyl of Tartar, a scruple of Oyl of Vi­triol, or half an ounce of Quick-silver, dissolved with Tur­pentine with is excellent, or as much Sublimate.

Oyntments for Rich and dainty people, are made of Unguentum Citrinum, which makes the skin fair, and it is best in the face: and Lac Virginis.

Or: Take Ceruss half an ounce, Borax two drams, Tar­tar a dram and an half, Gersa Serpentaria a dram, Frankin­cense, Niter, each half a dram; with juyce of Limons, make an oyntment.

For the worst Itch: Take Calcanthum, or Misie, or Chal­eitis each half an ounce, scales of Brass two drams, or Verdigreese half a dram, Allum three drams, Sulphur an ounce, Aloes, Frankincense, Myrrh, each a dram and an half; Acacia a dram, with infusion of Gum Arabick in Vinegar. Galens adds Amurca or Lees of Oyl and Rosin.

In Tinea, which is the spreading scab or scald: Take Tartar, Niter and Allum, each half an ounce; Litharge an ounce, Sulphur vive six drams, both Hellebors three drams, Orpiment two drams, pouder them, and with Soap and juyce of Docks or Sowbread, make an Oyntment.

Or: Take Litharge an ounce, Allum, Niter or sal Gem, Tartar and Sulphur, each half an ounce; ashes of Nuts with the shels and Garlick burnt, each three drams; Soot whose blackness doth no hurt to the Hair, two drams, both Helle­bores and Staphsagre, of each a dram; make a pouder, and with Honey, strong Vinegar, and three heads of Garlick and two drams of Ivy or juniper berries: make an Oynt­ment.

Or with Oyl of Nuts, Juniper or Bayes, and if you boyl the Oyls with juyce of Garlick, Centaury, Docks, Oranges and Vinegar, to the consumption of the juyces, it will be stronger.

This Oyntment for a scald Head will be stronger, with half an ounce of Quick-silver, dissolved in Turpentine or with Cinnabar, or red Lead, or with red Chalcanthum, or Chalcitis, or yellow, which is called Misy, or three drams of Verdigreese, or a dram of Orpiment, or Sublimate, and if they be mixed with the Oyntment made of Honey and Vine­gar without Oyl, it will be stronger, because unctious things abate the force.

Many scald Heads have been cured with this: Take the Oyntment that Carters grease their wheels with, called in Dutch Rarensalve, a pound, leaves of dryed savin an ounce and an half, Bay berries half an ounce, white Hellebore two drams, sulphur an ounce, Quick-silver half an ounce, dissolve it with Turpentine, and make an Oyntment.

Add the ashes of a Hedghog, or Hippocampus, or ashes of Juniper and Ash, pouder of Earth Cimolia, Adarces and Cardamom and Camphire, they abate the Itch­ing.

To take away the stink of the Brimstone and the rest, add Storax liquid, or Oyl of Spike, or Juniper, or pouder of Orris.

Or let it be made with flower of Brimstone and besides Storax, add flower of Belzoin, which are sweet and clense and dry.

A Cataplasine for a scald Head: Take three ounces of Garlick, Rue, Savin, Ivy, Nettles; each a handful; rot­ten Nuts five, Juniper berries an ounce and an half, Pi­geons dung an ounce: boyl them in strong Vine­gar.

Or mix meal of Faenugreek with Pumice stone and juyce of Garlick and milk of Figs.

I have known poor people cure the scald, with the fat Earth that lies about spaw waters, laid all over the Head.

Or use pouders aster you have anoynted the Head with Honey and Oyl aforesaid.

Dioscorides sprinkles on Niter and Frankincense.

Or: Take Pumex stone three drams, Borax two drams, Salt, Allum, Chalcitis burnt, of each a dram; Frankincense and Myrobalans each half a dram; Galls, Cypress, Nuts burnt a dram and an half: make a pouder.

You may take of the scab and the Oyntments with De­coction of five-leaved-Grass, Docks, Scabious and Meal of Lupines.

Or with the Decoction of Hens Dung, sheeps or Goats dung, adding Docks, Plantane, Agrimony, Mallows, Bettony.

Or dissolve burnt Gypsum in Forge water, it cures all scabs, for besides drying it mollifies, and the Hands will not be rough when they are washt therewith, but soft as we see when work men use it, for making Plai­ster.

Common Salt, or Allum, Niter, or Gem, or Armoni­ack, dissolved in Vinegar allaies itching, or Tartar, or burnt Allum, you may if it be too strong add water of Myrtles, Roses, Docks, or the white of an Egg, and Oyls.

Or thus: Take burnt Gypsum a good quantity, Bole pou­dered three ounces, Salt two ounces, Allum an ounce, vitriol a dram with vinegar and Wine, make them as a Lye, or boyl them, wash the mangie parts.

Lac Virginis made of Litharge and Vinegar and Salt or Allum water with juyce of Limons, Oyl of Tartar doth the same in the Face best.

For a Scald wash the Head with Lye or Forge water, wherein are boyled Mallows, Beets, Pellitory, Southern­wood, Wormwood, Horehound, Centory, Bettany, Mai­denhair, Savin, Bramble leaves, Pease, Vetches, Beans, Lentiles, Lupines, Faenugreek, Juniper and Ivy berries, Mustard seeds, Cypress Nuts and both Hellebors, adding Vinegar.

In a stubborn scab and Impetigo: Take Litharge of Gold half a pound, Allum an ounce, juyce of Plantane, Docks and Limons, of each an ounce; Vinegar a pint and an half: boyl and filter it off, it is stronger with three drams of Quick-silver, or half an ounce of Chalcitis.

Or boyl Litharge, sublimate, Ceruss, Vitriol, equal parts; in Plantane, Dock or spring water.

Or dissolve sublimate in Aqua fortis and mix a spoon­ful thereof with Rose or plantane water, try the strength first upon some part and then use it.

Or use the distil'd water of Docks mentioned in the Tetter.

Or: Take juyce of Docks four ounces, of Plantane two ounces, of Limons an ounce, Rose water an ounce and an half, pouder of Sulphur and Salt, each an ounce; Litharge half an ounce, Ceruss two drams, Sublimate a dram.

Or: Take Dock roots three ounces, Bryonie, Elicampane, Gentian roott, each an ounce; Sulphur an ounce and an half, Quick-silver half an ounce, Vinegar eight ounces,, distil a water.

A Lixivium cures the scab, if it be used in time of ba­thing with soap, this is best in the scald, to get the scabs from the Hair and other filth. It is best made of vine and colewort ashes and of Bean stalk, juniper ash with unslea­ked Lime, adding Forge water, Urin, vinegar or pickle, salt, Allum, sulphur, Calcanthum.

Or wash with stale Urin, that hath stood long in a brass pot or that which is red and is made by a cholerick person.

Some commend that Water found in the cavities of Oaks.

Or use Medicines mentioned in the Elephantiasis.

Or use a Dropax, that is a plaster of pitch laid on, and forceably drawn off, to pluck out the Hair by the [Page 431]roots which hinder the cure of a scald Head this is the last Remedy: make it of Pitch, Rosin and oyl dissolved, one Plaster over the whol Head is better than many.

Excoriation, Clefts, Wounds, and Ulcers are cured alike, The Cure of Ulcers in general. when the skin, flesh, and o­ther parts divided grow again together: this is Natures only work, and the Physitian doth only remove the impediments by actual or potential means: and because Driers are chiefly used they say all Ulcers are cured thereby; but they vary accor­ding to the sorts of Ulcers, as we shal shew, first we shall speak of the cure of superficial abrasions, and Fissures, or Clefts, then of Burnings, then of deeper Wounds and Ul­cers.

Abrasions called Intertrigines or Galls by Riding, The cure of Abrasions of the Skin, Chaps, or Gall cal'd Intertri­go, and of Fissures or Clefts, or Perniones, Kibes or Chiblanes. long lying, Piss­ing in Infants and Pose or Coryza in the Nose, or from Phlyctenae, or Bladders broken, also Fissures or Clefts, or Chinks, or chaps called Rhagades in the Hands, Feet, Lips, Fundament, Paps, Privities, Prepuce of Men, Eye-brows, Nostrils, Ears, come from Heat or Cold, or Driness, or salt and sharp Humors, as Perniones or Kibs and Chilblanes use to be in the Heels in time of great Cold. they are cu­red alike, and when Kibes turn to Ulcers, they are cured as Ulcers.

First take away that which caused them, or hinders the Cure of them, as by removing outward Causes, and clen­sing inward, as salt and sharp Humors, and preventing their Increase, as we shewed in the Scab, if the cause can­not be wel taken away let it be abated, if it come by rid­ing, mend the Saddle, if by long lying, lay soft things un­der, and if Children be gall'd by Urine, defend the part.

As for the rest of the Cure, although Nature by Nou­rishment wil make new skin, and glew up Clefts or Chaps, yet because the torn skin grows rough round about where it presently drieth, especially where it is thicker then ordi­nary, and moysture falls thereon, which hinders action, you must apply Topicks to mollify the hard and dry Cir­cumference, and things that dry gently without biting, and moisten and so dry as it is rough or wet more or lesse, Thus.

All Suets lenifie and heat, the chief are Dears, Kids and Goats. You must anoynt a Clout and apply it.

Candle droppings are good against galling by riding, and they are better when they are dropt into Water, or white Wine, this oyntment is called Candle-droppatum, it is easie to be had for Travellers.

When you wil Lenifie more, use Goose, Duck, Hens Grease, or Oesypus which is Grease of Wool, or use Bears Grease, against Kibes or Chilblanes.

Or oyl of Roses, Myrtles, Quinces, bitter Almonds, or yolks of Eggs, for chapt Lips or Nipples, or oyl of a burnt Nutshel, or of Wheat, the oyl of a roasted Turnep cures the Chilblanes.

Or the oyl of Sowbread or Daffadil roots made hollow, and then roasted, or oyl of Nettle seeds, or of Nettles, boyled in oyl with Salt.

Or Mucilage of Gum Tragacanth in Rose-water, or of Quince seeds, or the white of an Egge, Glew, or Size, made of Leather shreds boyled, cures the Chaps of the Nipples and the Grease thereof also.

The Valesians use the Gum, that comes from the Bark of the Larch tree called Drambech in Dutch, or Turpen­tine.

Pomatum made of Kids Suet is Good for all Chaps, and it is sweet for the Lipps and Nipples.

You may of those sewets, and oyls, and white Wax, make an oyntment with Mucilage, and a little Turpen­tine.

Or make oyntment of hard yolks of Eggs, with Goats sewet, oyl of Roses, and Grease that is sweet.

Or for the Chaps of the Lips, use Honey, or Syrup of Roses, or Sugar pellets, or Sugar of Roses, or Diatraga­canth frigid made into a Liniment.

To dry more use juyce of Plantane and Turpentine, with the oyls mentioned wel mixed together.

Or with Starch and Infusion of Gum Tragacanth, with other driers.

or juice of sweet Pomegranates, with Starch, and But­ter; when there are Chaps in the nostrils, from Coryza or Pose, or Use the Emulsion, of the four great cold seeds.

Or Use the iuices of Comfrey, Cotyledon, Elder, Rue, made as the rest into an oynument; or juyce of Goose-Grass, against the Chaps of the Nipples, or Acacia against Kibes or Chilblanes.

Or Juyce of Briony with Salt, is good against Clefts.

Or leaves of Beech, or Briony, applyed to chapt Lips cures them.

Or a roasted Leek, or Onion, with honey and oyl, or a Squil or Sea onyon, with oyl or Rosin, against Chil­blanes.

Or add Starch to the Mucilages, or to oyntments, of Sewet, or of Yolks of Eggs.

Or Pouder of Galls, or Turpentine, and Honey.

In Chaps and Kibes, add Ashes of Bran, Squils, Figgs Asses Hoof, Horse-tayl, Cray fish, to Honey of Roses, suets, or oyls.

Or burnt Shoe soals, or Paper with suet, or Tallow, is good, or to be added to Candle droppatum, for Galls by Riding, being at hand.

Mastich, Frankincense or Pitch poudered and mixed with oyl of Roses or Grease and Wax make a good oynt­ment.

Or thus. Take Sorrel, Sarcocol, Mastich, each a dram; Gum parched half an ounce: pouder them, and with Oyntment of yolks of Eggs mentioned two ounces, or with that of Mucilages for chapt Lips make an Oyntment.

Sulphur and oyl mixed cure the Chaps of the Hands, or if you tie Sulphur in a Clout, or the flour of it, and boyl it in common oyl, or oyl of St. Johns wort or Mou­lin.

Or Litharge with the white of an Egg, or Mucilage, or oyl, or Grease stirred long in a Leaden Mortar, cures the Excoriations by Piss and other chaps.

Or mixed with the oyntments made of Juyce of Plan­tane: also Ceruss, Tutty, Starch, and oyl of Yolks of Eggs.

Or thus. Take Litharge, Myrrh, Frankincense, each [...] dram; Galls or round Birthwort half a dram, Camphire a scruple, Oyntment of Suet two ounces.

Or use the usual oyntment of Litharge, Ceruss, Pom­pholyx, with Allum or Unguentum Citrinum.

When the chaps are stubborn, use stronger Driers. Take Litharge, Ceruss, each a dram; Allum, red Lead, each half a dram; Sublimate four grains, with white of an Egg make a Liniment.

A Water for the same. Take Tartar three drams, Allum half a dram, Sublimate four grains, [...]eruss, Litharge, each a dram; Frankincense, Mastich, each half a dram; Pomegra­nate flowers two scruples: boyl them, mix them in twelve ounces of Rose, Plantane, Limon, or Mouse-ear water till a third part be consumed, wash therewith.

Or wash before anoynting with Decoction of Lillies, Mallows, Henbane, Poppy, Violets, Purslane, Groundsil, Housleek, Chamaemel, Melilot flowers, meal of Foenugreek and Line seed with Sheeps suet, let it be of Milk or Water.

It is good to wash chapt hands in their own Urin.

For Kibes and Chilblains foment with a Decoction in Wine and Water of sharp Herbs, as Dragons, Sowbread, Crowfoot; or Clensers, as Turneps, Beets, Orrobus seed: or Astringents, as Myrtle, Verbascum the less, Arction and Pomegranate peels. Also Allum water is good against Kibes and Chilblains.

Or: Take Melilot a handful, red Roses a pugil, pulp of Quinces two ounces: boyl and stamp them, add meal of Len­tils [Page 432]an ounce, Pomegranates peels half an ounce; with Oyl of Roses, Frankincense and Ashes, make a Cataplasm.

I have seen the thick lips in a kib'd Heel stitched toge­her, that it may heal the better.

You may cure chaps in the Hands and Feet with ordi­nary Glew spread upon a Clout.

You may use against Burning, things against Blisters and Excoriations from them, being broken.

Burning, whether it be from any thing red hot, or from flame, or from Gun-powder (for a Bullet cannot so quick­ly grow hot as to burn as some suppose) or from scalding water and the like, or from potential Causticks or Nettles the narrower and shallower it is, the sooner and easier it is cured; if otherwise, it is difficult, and leaves an ugly scar, and I have seen Gun-powder stick in the skin after the Cure. That Burning that is in or about noble parts or the Face, or which is very large from falling into the Fire is dangerous and often deadly.

If the skin be burnt by a Cautery, we labor to keep it open, by cutting the Blyster and taking off the Eschar, and use nothing but things mentioned in Flegmon against pain and Inflammation, and they may be used against o­ther Burnings with Blood letting.

As for the place burned that is hurt and pained, first we take out the Fire, which is thought to be done by hot things, and therefore the Vulgar hold the part to the Fire, but they are most agreeable which have moderate heat and are therefore called Anodynes, and dry without Biting, and digest without great heat, and which hinder the Bli­sters from breaking. this done at the first, we must use stronger Driers, and such as heal Excoriation and Ulcera­tion. such as are against the skin flead off, and mentioned in the Itch. But if it turn to a deep Ulcer by suppurati­on, it must be cured as an Ulcer. and if the Weapon or Instrument made a Wound also you must first use things against Burning. and then cure the Ulcer. against Burn­ing use these.

Plants bruised or boyled in Water, Wine-vinegar, or Oyl, or Hogs Grease are good, as Leeks, Onions, Daffa­dil, Hemerocallis, Lillies, Danewort roots, Hemp, Alka­net, Thorn roots, or leaves of St. Johns wort, Androsae­mus, Pellitory, Althaea, Mallows, Ivy, wild Verbascum, Mulberry, Myrtles, Poppies, Hounds-tongue, wild Rue, Sesamus flowers, of Spear-grass, Ivy, Cistus, Typha, or apply Beets roots and all.

Or anoynt with the Juyces especially of leaves and Ber­ries of Ivy, Onyons, Turneps, Nightshade, wild Lettice which hath a milky juyce according to Dioscorides. with Allum or yolks of Eggs, Mucilage or Gum Traganth or Cream.

Or: Take the juyces mentioned three ounces, Oyl of Roses, fresh Butter, Hogs grease, each an ounce; slaked Lime half an ounce, mucilage of Quinces an ounce: with Turpentine make an Oyntment. or boyl away the Juyces and put Wax to it.

The Vulgar apply Elder leaves, but the middle rind is better.

Or: Take the middle rind of Elder an ounce and an half, the juyce of Elder buds an ounce, Lineseed Oyl two ounces, Oyl of Roses and Hogs grease, each an ounce; Wax an ounce and an half, Frankincense an ounce,: boyl them in Water a little and when it is cold, take of the Oyl at the top. Mathiolus useth liquid Varnish: but we Line seed Oyl.

Or apply the root of Fennel stampt with Cream, but first take off the black skin or coat.

Or the middle bark of the Tile tree, which in Rose wa­ter makes a Mucilage which is excellent in Burnings.

Or use Oyls by Infusion of the fruits of Momordica or Nightshade, Apples, or of red Poppy leaves. or by De­coction the Oyl in the hollow roots of Daffodil, or Ivy boyled in Oyl and Wine til the Wine be consumed. also Oyl of Elder, Quinces. or by expression, as Oyl of Gourd seeds of Nuts or yolks of Egs.

Or Oyl of Whelps and Worms which is approved a­gainst Gun-shot fire.

Or Hogs Grease wel clensed and dropt into Water, with the application of a hot Iron. others stick Straws into Ba­con and set them on fire to make it drop: but it is better to wrap them in a double paper that is larger and set on fire, and so let it drop into water, thus they season roast meat instead of Larding it. Bacon alone so prepared cu­reth Burnings, and easeth pain with Cream or Yolks of Eggs.

Against Gun-powder fire, use Butter or Hogs Grease dropt into Frog-spawn water, or of Cray-fish, or Earth­worms boyled.

When there is an Ulcer, use pouders, or otherwise a­nointing first the part that they may stick, with Oyl, Mu­cilage or Milk. as Ashes of Gourds, Coleworts, Barley, Shoe soals, shels of Frogs, or as Dioscorides, pouder of Ci­nabar and Cimolian Earth.

The Vulgar wet the part and apply meal to take out the fire.

To abate pain use whites of Eggs and Oyl of Roses with Lint. or with white Wax make an Oyntment, adding mu­cilage of Quinces and Hogs Grease or Barley meal, and in an Ulcer Bole and Frankincense.

Or: Take Leeks or Onions roasted, stamp them with yolks of Eggs or Elder Deers or Goats Suet and Turpentine: make a Plaster.

Or use the Oyntment of Quick Lime, steep Lime in wa­ter til it dissolve, pour off the water and add fresh, seven, ten, or twelve times: keep the Lime in the bottom dry, or use it presently.

This washt Lime with Oyls of Roses, or fresh Butter and white Wax makes an Oyntment. or with whites of Eggs, mucilage of Quinces or Fleabane, Ceruss with Milk and a little Camphire. or Citrine oyntment, Pomatum or Populeum, for the Face.

Or mix this washt Lime with Hogs Grease, with Oyl or Lineseed and Barley meal for a Linunent.

Oyl of St. Johns wort with washt Lime is excellent e­specially in Gun-shot.

Or it is good to mix the water of washt Lime with Oyl of Roses; and apply it.

Or use this Lime water against Gun-powder fire. Take Flints burnt to Lime, pour Water upon them in a wooden Vessel, and there wil be Fat swimming at the top. use this upper Water with Oyl of Roses and a Clout hot.

Some use Sope against Burnings.

Dioscorides saith that Glew dissolved in hot Water hin­ders Blysters.

You may make Oyntments of the Ashes, Pouders, Oyls, Hogs Grease, whites of Egs, and Mucilages aforesaid. ad­ding seeds of wild Rue, St. Johns wort, Acacia, fine pou­der of Glass, Phrygian Stone according to Dioscorides, who applieth also Stimmi with fresh Grease.

Or Ashes of Myrtles and yolks of Egs, as also Salt peter and Oyl of Roses, hinder Blysters from rising.

Or Ceruss and oyl of Roses washt with Rose water, the white of an Eg and Camphire. or the white oyntment of Rhasis, or of Ceruss.

Or Sheeps Dung, Hen or Pigeon Dung, with Oyl of Roses or Line seed. the Vulgar take out Fire with Cow dung.

Dioscorides saith that Salt and Oyl prevent Pustles. o­thers uss Niter and Oyl of Egs.

Dioscorides useth Milk and Water.

Or Foment with Coleworts or Cabbage Broath, or with that of Turneps. or use the distilled Water, lay Cole­wort leaves on to hinder the Inflammation and discuss.

Or use the Decoction of Ivy, Privet, Plantane, Henbane seeds to cure Itching.

Or distilled Water of Flowers of Verbascum, Plantane and Henbane seed to hinder Pustles from rising with red Sanders and Camphire.

Aqua vitae is good against Bruises, and also Burn­ings.

And cold Water hinders Blysters from rising.

[Page 433]And so doth Juyce of Fennel and white Wine.

You must not forcibly pul off an Eschar from a Burning, for the pain and bleeding wil increase and the hurt wil be larger: but with Lenifiers and Ripners applied, let it fall off of it self. we can scarce get it off in eight daies, and then we take it off with Forceps with little cutting.

Butter spread upon a Colewort or Mallow leaf makes the Eschar fall off.

Or the yolk of an Egg, and Butter or Oyl of Roses, or Hogs or Hens Grease. you may add Althaea roots, or Colewort leaves stamped, or other Emollients.

Or: Take Colewort leaves, and Althaea roots and other Emollients crude or boyled.

Also Triapharmacum Galeni, and Tetrapharmacum are good to make an Eschar fall off.

A Wound is larg, or narrow, or both, The Cure of Wounds in divers parts, made by Cutts, Blows, or Gunshot. or venemous, of these kinds we shal shew divers Cures. We shal speak hereafter of a Wound compounded with a Phlegmon, which may happen to an Ulcer: First then of the large Wound, whither by a Cutt, or Prick called a Puncture, or by Gun-shot, or the like or by Con­tusion, we shal speak together.

Among which, that which is broad and dividing the part perforating, and laming, the more superficial and aequal it is, and hath less hurt the part, the sooner it is cured. that which is otherwise is more difficult, especially a Contusion, for in that the flesh bruised, and Blood flowing thither presently suppurateth and ulcerateth. and a wound in the Membrane, and Nerves, about the Joynts, and when the Nerves, or Great Veins, or Arteries are divided, these are dangerous by reason of Bleeding, Resolving, or Contraction. They are commonly deadly with pain, through the Scull, and to the Brain, and Membranes, or through the Breast or Belly, to the Bowells, yet we have cured Wounds in the Lungs, and Guts, and Bladder, and Womb, leaving it open below, for Dung and Urine to pass out, and some say they have cured Wounds in the Brain, and other noble parts.

For the Cure; Let the Diet be such, as may keep the Body clean, the Belly be kept open, and a Vein opened if need require, and the Strength preserved, and the acci­dents removed, as Bleeding, in large Wounds, and loss of Parts, or Inflammation from Gunshot, or Bruise, or great pain. this is don by Blood letting, and other Revulsions, and things mentioned in Wounds with Inflammations, and by binding Plasters, and Blood stanchers. And in respect of a wound, if there be any thing within that hurts it, it must be removed first of all, and then if the lips of the Wound be farr distant, they must be united, and lastly you must labour to make them grow together, Thus;

If any part or peice of a Sword, or other Instrument, or Bullet, which often falls deep▪ or peice of Glass or Splin­ter, it must be taken out with Forceps with Teeth, or a Cranes bill, and if you cannot lay hold of it as being a Bullet, open the wound to come at it, so you must also do by broken Bones that are loose. And if any part be so cut away that it cannot be united to grow together, it must be cut off, afterwards if the wound be in a hairy part, it must be shaved off, that it fall not into the wound, and all dust or Filth must be wiped or washed away with a clean Sponge dipt in red Wine, which will repell and glutinate, you may for a shift use hot water.

When parts cannot grow together, we joyn them toge­thet, nor in smal wounds, when the Lips are not farr as­under, and when the Skin grows to the parts beneath, though it be cut; Therefore in Head wounds there needs no stitching, nor in longe Cutts, as when a Stone is ta­ken out of the Bladder: In other parts the remote lipps of the Skin that is divided, also the Muscles and Tendons, and whatsoever is at distance, must be joyned together, and so kept some dayes: This is the first business for a Chyturgeon, in dressing of Wounds.

Sometimes by Ligatures alone, sometimes by Plasters also, we joyn and keep the lips of wounds together by a Rowler made of old soft Linnen, not so streight as to cause Pain and Imflammation, which sometimes Gan­greens, nor so loose, that the Lips may not exactly meet together, according to the Longitude, and Latitude of the Wound. The Chyrurgeons make a threesold Liga­ture, the first is called retentive, which is made in those parts, where we must not bind hard, as in the Neck and Breast, or in Wounds that are so full of pain, that they cannot abide it. This is done by a single Rowler, which is laid at the end upon the Wound, and sewed on the otherside. Another Ligature is called glutinating, or incarnative, with a double rowler beginning at the part against the Wound about the middle. where it must be be streighter, and sowing it, rather then tying a knot. The third Ligature, is called expulsive, this belongs to hollow Ulcers, and shal be mentioned in them.

The Lipps may be joyned together for a time, with little Buckles or Hooks, but they sall of too easily, and therefore cannot be sufficient for the glutinating of the Wound, which requires some time.

When Wounds are long, and their lipps farr divided, they must be joyned, for otherwise it cannot grow well together, without an ugly Scarr and Desormity, and if then the Tendons can be stitched together, the motion wil be less hindered. And if the great Veins can be stitched, there will be less danger of Bleeding, and want of Nou­rishment to the part, this is done in the skin as other stitches, by drawing a needle through both Lipps of the Wound, and drawing a Thred through, and tying it, in distant stitches and knots: The Silk must be slender, but strong and even without knots, and the Needle sharp, long, and three square, with a stitching quil, but when Veins and Arteries are stitched, or the Guts, or other in­ternal membranous parts: then you must make the Glo­vers stitch, bringing the silk often about the lipps of the Wound.

Sometimes we joyn the lipps of wounds with Needles, by passing them through and fastning them about.

You may cure wounds also by Conglutination, and the Scarr will be less then by stitches, this is for the face. and there are two sorts of Conglutination, the one is by two Plasters on both sides of the wound, stitching them together when they stick fast, they are made of Glew, Gum Tragacanth, whites of Eggs, and Chalk or Pitch.

The other is by joyning the lipps together, and laying upon it a sticking Plaister, that wil not fall of till they grow together. they are made of Blood-stanchers, and Glutinaters, and you may stitch the skin withall, at the first while it bleeds, These plasters are made of fine pou­ders, whites of Egges, and Gum Traganth or arabick, or Izinglass dissolved in Wine, adding the Furr of a Hare cut smal, or the downe of a Willow or Reed flowers, or of Grunsel, or dried Mushrooms, or Spiders webs, apply them with Linnen and a Boulster.

The Pouder of which this Plaster is made, is of Bole three parts, Frankinsence or Sarcocol, or Varnish, one part, with half a part of Dragons blood, and Hares, as I shewed.

Or of Quicklime, and sine Flower with the rest.

Or of Lime alone, and the white of an Egge, and Mast­ick, to keep it from burning, or of [...]arpenters Glew, o­ver all the wound, or a plaster of Pitch.

Other Plasters that are more proper for Ulcers, shal be mentioned there.

Though nature attempts the Consolidation of Wounds by bringing nourishment to the part, and glutinating smal Wounds her selse, yet because though there be no Ulcer, there is in many a continual Moisture, which hinders Glu­tination, we must use things to suck it up and help Nature by removing her obstacles (which a Dog doth only by licking) and applying glutinating Medicines. These be­sides their drying qualities, mult astriuge and make the [Page 434]lipps of the Wound grow together by sticking, they are for this called Glutinaters though other wayes they can­not do it. And the demonstration that Comfrey boyled in a pot with peices of flesh gleweth them together, cannot prove it to be otherwise.

These also stop bleeding, so that we need no other ex­cept the wound be in great vessels. by the use of these glutinaters, flesh and skin also will grow in Wounds, so that nothing will seem to be lost, except they ulcerate, nor need we use any other Medicines to breed flesh, or make a Scarr, as in hollow Ulers. Moreover those Medi­cines cause a Glutination of the Callus, which Nature makes a nutriment of Bones, when any thing is lost by Wounds or Contusions. These Glutinaters are outwardly and inwardly applied in smal great and deep Ulcers, in these formes.

Some are Plasters such as we mentioned to hold the lips together, or of Pouders following with whites of Eggs and Hares Furr and Downs, at the first.

As: Take Frankincense, Myrrh, each equal parts, Aloes twice or thrice as much, with Sarcocol.

Or thus: Take burnt Bones washt with Rose water, to two ounces add Pomegranate peels and Hors-tail pouder, each two drams; Allum and burnt Vitriol, each a dram: make a Pouder.

Or: Take Galls, roots of Birthwort, Comfry, Pine barks, or roots of five-leav'd Grass, each two ounces; Sideritis, Goose-grass, Sumach, Myrtle berries or Grape stones, each two drams; burnt Spunge or wool a dram, make a Pouder for an Emplaster. you may add pouder of stones of Myro­balans, red Kermes, Molochit is stone or Milstone.

Or: Take Colophony, Mummy, Dragons blood, each half an ounce; Ceruss, Litharge or Tutty, each two drams; Lead two drams, Blatta byzantinc, Moloch stone or Galactites, each a dram; fine flower an ounce, with white of an Eg make a Plaster.

In moist Wounds, use Emplasters of Mastich, Mummy, Aloes, and some of the aforesaid with Turpentine.

Or this usual. Take Birthwort roots half an ounce, San­guis Draconis an ounce, Gum Elemy two ounces, Rosin three ounces, with Turpentine make a Plaster.

Or: Take Bitumen, Colophony, Frankincense, each an ounce; red Lead, Sulphur, Ceruss, each half an ounce; burnt Allum two drams, Coral a dram, Barley flour an ounce, with Gum Traganth or Izing-glass in water of Hors-tail, or Plan­tane and a little Vinegar: make a Plaster.

Also Oyntments: As, Take Mastich, Sarcocol, Frankin­cense, Aloes, each two drams; Saffron a dram, Turpentine six ounces, Rosin two ounces, Wax three ounces.

Or use Ʋngentum Aureum made of Frankincense, Ma­stich, Colophony, Turpentine, Saffron, Oyl and Wax.

Or: Take Bole an ounce, Sanguis Draconis, Comfrey roots, each half an ounce; Mastich, Frankincense, Gum Arabick, each two drams; Mummy three drams, with Oyl of Roses and Rosin make a Plaster.

Or: Take Aloes, Sarcocol, Sagapen, Ammoniack, Gal­banum, Bdellium, Mastich, Frankincense, Pitch, Bole, San­guie Draconis equal parts; with Turpentine and Oyl & Blood of a red haird man, boyl them to an Oyntment.

This is a great Drier. Take Turpentine and Wax, each half a pound; Oyl of Juniper and Bayes, each an ounce; Oyl of yolks of Egs an ounce, Frankincense two ounces, Mastich an ounce, Lead stone and Calaminaris, each half an ounce; Vi­triol and Allum, each six drams, Ceruss and Litharge, each half an ounce: with Rosin make a Plaster or Oyntment.

Oppodaldoch. Take Litharge a pound, Cadmia three ounces, Colophony four ounces, Wax a pound, Oyl a pint and an half, boyl them, and add Ammoniack, Galbanum, Edellium, Sagapen, Opopanax dissolved in Vinegar an ounce and half, Oyl of Bayes and St Johns wort, or Worms, an ounce, Tupentine half a pound: boyl and stir them, when they are taken off from the Fire, add Mastich, Frankincense, Myrrh, Mummmy and Asphaltum each an ounce; with Oyls, Cro­cue Martis and flour of Antimony, each half an ounce; Am­ber and Lead stone to draw out things fixed an ounce, make a Plaster.

Or: Take both Comfreys roots and all, five-leav'd Grass, Plantane, Shepherds purse, Mous-ear, Burnet, Yarrow, Ver­vain, Dogs-tongue, Bettony, in all six handfuls; Earth-worms thirty: cut and bruise them, add red Wine a pint, Aqua vitae an ounce: boyl them to the consumption of the Wine, strain and add Gum Elemi, Frankincense, Mastich, Sarcocol, each an ounce and an half; Izing-Glass, Sanguis Draconis, each an ounce; Myrrh half an ounce, Turpentine two ounces, with Pitch and Wax make a Plaster.

Or thus: Take Birthwort roots, Comfrey, five-leav'd Grass three ounces, Hors-tail, Cypress Nuts, Myrtle berries, Galls, Pomegranate flowers, red Roses, St Johns wort flowers each two ounces, Gum Elemi, Sarcocol, Pine, Galbanum, Am­moniack, Mummy, Opopanax each three ounces, Colophony, Sanguis Draconis, dried Goats blood, each an ounce; Oylof Roses omphacine, Olive or Myrtles, Grease of a Badger each an ounce, with Rosin, Pitch, and Wax, make a Plaster.

Oyntment of Tobacco. Take green Tobacco Leaves eight ounces, Plantane four ounces, fresh Butter six ounces: In­suse herbs bruised, in red Wine all night, in the morning boyl them with Butter at a gentle Fire till the Wine and Juyces be consumed, add pouder of Gentian half an ounce, with Wax make a Saffron colored Oyntment.

Another good in Nervous parts: Take Comfrey roots two ounces,, Birthwort roots an ounce, Sulphur-wort roots half an ounce, Plantane, Bugloss, Vervain, Burnet, Yarrow, Dogs­tongue, Anagall is with the red flower, Agrimony Hors-tail, each a handful; cut, and bruise, and boyl them in Sack till it be thick, stamp them and heat them again, adding Wax, Rosin, Pitch a pound, stir them til they dissolve, boyl them, and when they are off the Fire, add Mastich an ounce and an half, Galbanum dissolved in vinegar an ounce, Turpentine a pound: stir them til they be like a Plaster.

The Plaster made of Worms. Take six handful of the herbs mentioned roots and all, Earth-worms half a pound, boyl them in Wine and Oyl, strain them, and add Gum Ammo­niacum, Galbanum, Opopanax, each an ounce and an half; Pitch and Asphaltum, each two ounces; Turpentine half an ounce, Stags Suet eight ounces, boyl them again to an Em­plaster add Mastich and Frankincense each half an ounce.

Against the Tendons cut. Take roots of Daffodil an ounce, roots of Calamus half an ounce, Costus two drams, flow­ers of Chamoemel, Roses, Lavendar, Stoechas, St. Johns wort, Sage, each a pugil; Earth-worms, thirty, boyl them in Wine and Oyl, adding Oyl of Indian Nuts, strain them, and add Labdanum an ounce, red Storax and Calamita, each an ounce: with Wax make an Oyntment.

Pouder of Earthworms and Honey is good in wounded Nerves.

And pouder of burnt Bones, especially of Men, with pouder of burnt Lead is good also to be sprinkled on, or with Honey.

Or Snayls stampt with Frankincense and Myrrh.

These following are good in wounds of the Head.

Emplaster of Bettony, or Cerot of Nicolas made of Bet­tony, Mastich, Frankincense, Mummy, Rosin, Turpentine, Wax.

Or the same composition, except Mummy, with Bur­net, Agrimony, Sage, Pennyroyal, Yarrow, Comfrey, Gallitricum, Orris roots, Birthwort, Gum Elemi, Oyl of Fir tree and Vine.

Or an Emplaster of the juyce of Bettony, Wax, Rosin and Turpentine.

Or de Janua Mesues made of Juyce of Bettony, Plan­tane, Smallage, Rosin, Turpentine, Pitch, Wax.

Or Gratia Dei, or Cerot of Nicolas called Divine good for all wounds, made of Bettony, Vervain, Burnet, Ma­stich and Wax.

Or that of Peter de Argelata, that besides the last hath Comfrey, Centaury, St. Johns wort, Hedg-hysop, Oliba­num, Myrrh, Ammoniacum, Galbanum, Birthwort.

Or Catagmaticum of Andromachus by Galen is good a­gainst broken Bone in the Head, or the Emplaster of Squils by Crito.

[Page 435]They know if the Skull be broken, by laying a Plaster of Frankincense, Labdanum and Wax, after the Head is shaven upon the Contusion, if it be dried in any part, there is the fracture.

These are the usual Plasters for wounds in the Nerves.

Nervinum of Vigo made of roots of Madder, Bettony, Rosemary, Hors-tail, Centaury leaves and seeds, of St. Johns wort, Earth-worms, Litharge, red Lead, Mastich, Gum Elemi, Sagapenum, Galbanum, Amoniacum, Pitch, Rosin, Turpentine, Calves Suet, and Goats; Oyl of Chamaemel, Roses, Mastich, Turpentine, Linseed, Vinegar and Wine.

Galen mentions also Aegyptiacum of Andromachus and that of Philogonus.

And the green Plaster of Dinus, and that of Machaeron. And Avicens Plaster of Flax, and that of Minium by Vigo and Massa.

If the Bones be hurt any waies, Oxycroceum is good, as that of Nicolas made of Ammoniacum, Galbanum, Myrrh, Frankincense, Mastich, Colophony, Rosin, Pitch, Wax, Vinegar, Saffron.

Or the Oxycroceum of Leyden that hath besides the former, Litharge, Bole, Allum, Storax, red and li­quid.

Vigoes Oxycroceum is made of Litharge, Minium, Bole, sealed Earth, Myrrh, Frankincense, Mastich, Rosin, Suet, astringent Oyls and Juyces, Ash, Myrtle, Com­srey.

Or the Sparadrap of the Chirurgeons for hurt Bones, which is Linnen dipt in Oyl and Wax, Ceruss and Lab­danum, Litharge and Myrrh, Allum and Camphire, or Sanguis Draconis, Mummy, Minium, Mastich.

Or Natural Balsom, or that which is like it, which is of excellent virtue to heal wounds.

Or Artificial Oyls with Lint or Tents to keep the wounds open called Balsoms by the Chirurgeons.

Oyl of Nut, being greasie wil rather hurt than heal used alone: except it be old, and mixed with Wine and Salt Also Oyl of yolks of Egs is good, or Oyl of Myrrh and Rosins which are good alone.

In great wounds, use Oyls with these drying Glutina­ters, as Oyl of St. Johns wort, Adders tongue, Moulin, Sanicle, Lemmons, Pauls Bettony, Pyrola, wild Sage, Fruit of Monordia, Olive, Lineseed, Roses omphacine, Myrtles, Mastich boyled and mixed with Turpentine and Wax.

Or make this Balsom of Pouders of Herbs. Take Com­frey roots, bark of the root of Elm, each three ounces; tops of St. Johns wort and Centaury the less with the flowers, each two handfuls; Self-heal, Bettony, Yarrow, each a handful; red Roses a pugil, Earth-worms ten, Sack four ounces, Tur­pentine two ounces: let them Infuse hot, or boyl and strain out the Oyl, or still out a Liquor.

Or add Hors-tail, Celondine, leaves of Arbutum and Elm flowers, of Chamaemel and Verbascum, and in Head­wounds Sage, Rosemary a handful, Nutmeg half an ounce: with more Wine and Turpentine and Oyl: boyl or distill them.

Or: Take flowers of St. Johns wort in Oyl and Wine: put them in the Sun, then in a Horse Dunghill fourteen daies, add Turpentine, Myrrh, Mastich: let them boyl, strain out the Oyl: this is Balsom of St. Johns wort so ex­cellent in Wounds.

Or take the Ingredients of the first or second Balsom, and mix them with the following, and make an Oyl by boyling or distilling.

Or thus: Take Frankincense, Myrrh, Galbanum or Bdellium, Gum Elemi or Ivy, Myrrh, Aloes poudered, each half an ounce; Oyl a pint, Turpentine two ounces, Aqua vi­tae an ounce and an half, boyl them gently, and strain off the Oyl, if at the conclusion of boyling, you do add half an ounce of Verdigreese, it wil be green and beter.

Or: Take the pouders above mentioned, and with as much Rosin of Turpentine, distil a Water first, then an Oyl.

Or: Take the pouders aforesaid three ounces, add Mummy, Gum Arabick, Sagapenum, Sarcocol, Sanguis Draconis, O­popanax, each half an ounce; Labdanum, Benjamin, Storax Calamita, each two drams; Amber six drams, Spike three drams, Storax liquid two drams, Turpentine as much as all: distil them. This Balsom will be better with Verdi­greese.

Some add Spices, that Balsomes may be good in cold Diseases, and pleasant, as Nutmeg, Cloves, Cinnamon, Galangal, Cubebs, Wood Aloes, Zedoary, which do little for wounds: also Musk, and Ambergreese, others ad Castor and Euphorbium, for cold Causes.

So make a Balsom of Rhubarb, oyl of Roses, or Worms with Frankincense, Mastick, Opoponax, Camphire by boyling and straining. Or Take: old Oyl a pint, Wine half a pint, juice of Daffadil, and Sideritis, each three ounces; Turpentine two ounces, Gum Elemi, Frankincense, Mastick, each an ounce and half; Sanguis Draconis, Aloes, each an ounce; Roots of Comfrey, and Birthwort, each six drams; flow­ers of St Johnswort, halfe an ounce, boyl them gently, and strain out the oyl.

Or, Take Common Oyl, or of Linsced, eight ounces, Oyl of Bayes two ounces, Oyl of Turpentine an ounce, Oyl of Juniper berries distilled, or of Spike, or Petroleum, half an ounce, Tur­pentine, two ounces, Colophony, Mastick, each an ounce; Aloes, three drams, burnt Brasse two drams, white Calacanthum, a a dram: Set them hot in a brass Vessel stirring them till they are green, strain it, or boyl it and add Verdigreace three drams, add Oyl of Cloves.

Another Balsome that cures presently, Take Liquid Storax, Myrrh, Sanguis Draconis, Carpobalsome, Gum A­rabick, Sarcocol, Bdellium, Opopanax, Aloes Hepatick, each a dram; Oyl of Mastick two drams, Venice, Turpentine, as much as all, digest them eight dayes in a hot place, then distill them.

The Chymists Balsamum: Take flowers of Sulphur thrice calcinated, two ounces, Camphire, a dram and half, pouder them, add Oyl of Turpentine, four ounces, distill an Oyl.

Liquid Varnish is added such as Joyners use; A Bal­some, Take, Oyl of Linseed a pint, Gum of Varnish, Mast­ich, each an ounce and half; Frankincense half an ounce, Li­tharge an ounce, Chrystal poudered or burnt Bones, half an ounce, white Calcanthum, three drams, boyl them gently, add Turpentine, oyl of Spike or Petroleum, each half an ounce; and strain it adding Verdigrease two drams, this is our Bal­some and it is excellent.

Turpentine with Yolks of Egges, and Honey, cures smal Wounds.

Or use Juyces of Herbs, with Honey, Yolks of Egges, and Turpentine, with drying Pouders mentioned.

Or, Take Juice of Roses, Plantane, each two ounces; Vi­negar an ounce, Oyl of Roses Omphacin, three ounces, Oyl of Yolks of Eggs and Turpentine, each an ounce; boyl them to the Consumption of the Juyces, add Litharge, Ceruse, Tutty, each two drams, Allum, a dram, Omphacium, three drams, and a little Wax.

Or use Juice of Tobacco, with oyl, and Turpentine, Pitch, and wax boyled, this is in great request.

Juice of Nettles and Urine cures wounds wonderfully.

For Head wounds, Take, Juice of Bettony six ounces, Oyl of Roses, Turpentine, Wax, each two ounces, Womans Milk, or Butter, Wine, or Vinegar, each an ounce and half; boyl them to an oyntment, or with Rossin make a Plaster.

Another for the Head, Take Topps of smal Centaury, Leavs of woodbine, dryed Bettony poundered, each two ounces and an half; Steep them in Wine, boyl them, and add Honey two ounces, Milk an ounce, Turpentine and Wax, each six ounces, boyl them till the juices are gone, add Frankin­cense, Mastick, Gum Arabick or Elemi, each an ounce, and with Turpentine, make a Plaster.

If the Skull be broken, Take Juyce of Vervain, Bettony, Burnet, Periwinkle, Celandine, Smallage, each an ounce; Turpentine, four ounces, wax two ounces, boyl them til the Juyces be consumed; add Comfrey roots, and round Birth­wort, [Page 436]each half an ounce, Orris roots, two drams, Sarcocol, Myrrh, Mumy, Amber, each a dram and half, make a Plaster,

Or Take, Honey of Roses two parts, Oyl of Roses or of Eggs, one part, Turpentine half a part, mix and dip a Scarlet Silk therein, and put it into the Fracture, the Chymists use Oyl of Turpentine, and Oyl of Myrrh.

Some use the inward bark of the Tile Tree, to roul the Wound, or Paper wet in Wine.

Or Sponge.

Or Spiders Webs to glew smal Wounds, and stanch Bood.

Or Puffoyst which drieth, and glutinateth.

Or boyl, or steep a Rowler in Allum water.

Or Bruise Herbs with Meal.

Or thus, Take, Comfrey roots and Alkanet, Celandine, Centaury, Acrons, beat them with Oyl of Roses, and Grease.

Fomentatations are made or Injections of Comfrey, Bugle, Selfeheal, or Saracens consound, Rock Comfrey, Sideritis, St Johns-wort, Pyrola, Adders tongue, Crow­foot, Yarrow, Achillea, Mousear, Dogs tongue, Burnet, Agrimony, Horstaile, Vervain, Strawberry leaves, Pauls Bettony, Hedg-Hyssop, Scordium, Woad, five leaved Grass, Centaury the less, Eupatorium, Lysimachia, Ground­pine, great Celandine, Tobacco, also of Birthwort, Tor­mentile, Snake-weed, Smyrnus, Lycopsis, Centaury the great, Poterium, Daffadil roots, bark of Elme, Tile Tree, Pine; Leaves of Cypress, Myrtles, Oaks, Elm, Medlars, Cornil, pear tree, Sumach, Cistus, Helianthemum, Ver­bascum, Shepherds purse, Plantane, Lonchitis, Moon­wort, Vitex, Polyenemus, wild Coleworts, Anagallis, Solomans seals, Polygonum, Goosgrass, Clymenus, Ar­gemone, great white Bottles, Herb Trinity, Balsam, Cony­za, Erigerus, Goats beard, Bettony, Sage, Polymontane, Rosemary, and Roses, Flowers of Labrusca, Myrtle seeds, Juniper Berries, Acrons, Dates. Boyl them in Water or Wine, adding Vinegar, and drying Pouders and Allum.

Or wash Wounds with the distilled water of them.

Or distill this, Take, Juice of Plantane, Agrimony, St Iohns-wort, twelve ounces, white Wine, three ounces, Allum, three ounces, Mastich, Frankincense, each half an ounce, Orpi­ment a dram, whites of two Egges, Destill a water.

Or you may still a water with a strong Fire out of pou­der of Bricks, and Wax washed often in Wine.

Some use the water that is in the Leaves of Elme.

You may make fine Pouders with Allum, to sprinkle upon Wounds of the Ingredients, for the Plaster.

Or for the Head, especially if the Skul be broken, of Orris, Birthwort, Flower of Orobus, and Frankincense, Myrrh, and Sarcocol, or Aloes and Sanguis Draconis, or of bark of Pitch tree, and of All-heal roots, and Capers, and Cypress roots, and when there are scales of Bones, in the wound, use scales of Brass, Pumice stone, and Crocus Martis in pouder, and for the Head, grains of Kermes, Saunders, Cypress nuts and Myrtles, and when you will dry more, Tutty and Antimony.

If the Brain appear, Sprinkle Aloes alone.

Mans Blood, or Goats dryed, is a good Pouder to glu­tinate wounds.

Or the red Liquor of the Blood-stone, rubbed upon a whet-stone, or the white Liquor of the Galactitis dryed.

There are also Potions to cure wounds, called Vulnera­ry, good not only when they peirce to the Stomach, and parts whither they can reach, but for wounds in the Breast, and other parts; and some say these Potions are of that sorce that they wil sweat out at the wound, and they wil be under the Skin, til it is opened to let them out, if they be given to men not wounded, this mistake came from some Humor, that they saw like the Potion about the Wound, but experience teacheth us, that they are of great force to heal wounds, but how we doubt. but it is pro­bable they do it by a drying quality, which though it comes more easily to inward wounds, may come also to outward.

These Decoctions are made of experienced Plants, boyled in white Wine, and taken Morning and Evening, or as much of the Pouder as you can take up with three fingers, in white Wine boyled to the third or fourth part, or in Ale, Honey is usually added, and they may be made into Syrup.

The Decoction of Pyrola alone is the best, or with Sa­nicle, or Saracons consound, or Ladies-mantle.

Or of wild Angelica in Wine used inwardly and out­wardly, which is good against Ulcers.

Or: Take Saracens consound, Sanicle, Mugwort and Bur­net: boyl them.

Or Saracens consound Beets, wild Angelica stalks Sanicle, Ladies-mantle, Pyrola.

Or: Take Comfrey, Tormentil and Madder roots, Pyrola, Ladies-mantle, Srawberry leaves, Agrimony, Yarrow, Hors­tail, Dogs-tongue, Avens, Bettony, Periwinckle, Burnet, Mous-ear, Golden-rod: boyl them.

Or add to them Consolida the less, Adders-tongue, Knot-grass, Solomons-seal, Herb-trinity, Birthwort, Snakeweed, white Dittany, roots of Costus, Sun flower, Valerian, Sowbread, Balsamina, Lungwort, wild Tanfie, Solsequium, Bears-ear, Moonwort, Sion Craterae or wild Parsley, Moutain-sage, Nep, Hysop, Pennyroyal, the les­ser Centaury and Gentian, some boyl Cray-fish there­with.

Or: Take Pyrola, Saracens eonsound, Beets, wild An­gelica, Carduus, Agrimony, Bettony, sprigs of Savin: take a spoonful of these in Pouder, boyl it in Wine, drink two ounces thrice a day fasting. this wil drive away any thing out of a Wound, and cures Ulcers.

This is approved by the Italians. Take Comfrey, Plan­tane roots, Dove foot, Dogs-tongue, each a handful; Burnet, Mous-ear, Avens, red Coleworts, Agrimony, each half a handful: boyl them in red Wine, add Honey, strain and drink thereof every morning.

Or thus: Take red Coleworts, Madder, Herb Robert, Plantane, Hemp, Southernwood, Tansie, Rocket seed, Smal­lage, Parsley and Fennel seed: bruise and cut them: boyl them in Wine, add Honey; give it morning and even­ing.

Another: Take the stalks of red Mugwort, leaves of white Daisies, Sanicle, Pyrola, Ladies-mantle, Bettony, Sage, La­vender, Mummy half an ounce: boyl them, some add Castor with great success.

A ra [...]e secret experienced in Gun-shot. Take Bay­berries, roots of round Birthwort, each a dram; Cray-fish drieed in an Oven a dram and an half, Self-heal dried half an ounce: make a Pouder, boyl it in three pints of white Wine, to the consumption of one pint, drink an ounce thrice a day, and wash or inject into the Wound.

Another against Gun-shot when the bones are broken: Take Comfrey roots an ounce and an half, Birthwort an ounce, Sowbread and Serpentaria roots, each half an ounce; Selfheal and Herb Robert, each a handful; Savin half a handful, Mummy two drams, Crabs Eyes half an ounce, Galangal two drams: boyl them in white Wine.

In Head-wounds use the the Decoction of Bettony, Lil­ly of the Valleys, Pauls Bettony, Celandine, Persicaria, Periwinkle, Centaury the less, Nutmeg, Mace and Ga­langal.

For wounds in the Breast, boyl five-leav'd Grass, Avens, Comfrey, Madder, Pauls Bettony, Burnet, Mugwort, Pel­litory of the wall, Hemp, Cressio, red Coleworts, Cha­maemel flowers, Violets, purple Aramanthus or Marjoram, Raisons.

In wounds of the Stomach, give things to stop blood and heal, as Bole, Comfrey, Galangal in red Wine.

In Wounds of the Intestines, give Hors-tail roots and all, and Ground Ivy, boyl them in Water according to Dioscorides.

Mathiolus gives Heifers dung, and the hair under the belly of an Hare boyled with Honey the quantity of a Bean, often.

[Page 437]You may give the Juyces of Herbs mentioned, or steep them in Wine or Water, as Comfrey roots and the like, adding Honey.

Or stamp red Coleworts and Hemp in Wine and drink the straining.

Stilled Waters are not so strong but they do something especially a draught of Water of St. Johns wort, or Sara­cens consound, morning and evening.

Or six ounces of the water of Horf-tail or Sowbread with Sugar for wounds in the Intestines according to Ma­thiolus.

You may put pouders into the Decoctions mentioned, as of Hedg-hysop a dram, Crabs Eyes half an ounce, Spermacaeti six drams, Nux Vomiea a dram and an half, with Zedoary Macs and Galangal.

In Breast wounds give pouder of Egshels, and Crabs Eyes with Poppy water.

When the Entrals are wounded, give a spoonful of pou­der of Momordica.

You may give also every morning half a dram of these Plants conferved with Honey.

Or Oyl of Juniper in Drink to cure inward wounds.

Or Oyl of Crocus Martis and Essence of Coral, each a scruple; with water of Frog-spawn is given by Quercetan to stanch inward bleeding.

This red Oynrment is excellent to be drunk in internal wounds. Take Sanicle, Pyrola, Agrimony, Horehound, each two handfuls; Tormentil roots two ounces, Comfrey roots, Castor, each an ounce; Alkanet roots half a pound, fresh Butter six pound, red Wine twenty two ounces: boyl them ac­cording to Art, and add Sperma caeti two ounces: make an Oyntment.

Here we may speak of Drinks against Bruises, by Stroaks or Falls, which are to dissolve congealed blood, and to begin at the first, when there is a wound, or only a tumor from the Contusion, or a pain without any appearance, as we shewed in Tumors and Contusions. They are made of the following ingredients.

Ashes of Tile tree with Mummy, or mummy alone.

Or: Take Mummy two drams, Rheubarb a dram and an half, or Monks Rheubarb or Centaury rinds, of citrine Moro­balans, Madder roots an ounce: make a Pouder, give two drams with the Broth of a black Chicken boyled with the Feathers on after, it is gutted.

When we suspect clotted Blood to be about the mesara­icks, Stomach or Guts, then we give a dram of the Pou­or four scruples with Cassia, Diaprunis solutive an ounce, some add Agarick.

In fear of a Fracture and Bleeding to five drams of this we put a dram of Bole, Sanguis Draconis or sealed Earth, with half a dram of Sperma caeti. or pouder of Snake­weed, Tormentil, flowers of St. Johns wort, great Cyanus or White-bottle, Crabs Eyes a dram, with a Decoction of Wine, and Nutmeg, Fennel seed and Sugar.

Decoctions also of Comfrey roots, Birthwort, Madder, Vincetox, Snakeweed, Tormentil, Baccharus or Ladies-Glove.

Or Yarrow, Self-heal, Sanicle, Bears-ear, Cyamus ma­jor or White-bottles, Mousear, Shepheards-rod, wild Tan­sie, Ladies-mantle, Ophris, Moonwort, Plantane.

The pouder of Vinca pervinca or Periwincle and Mug­wort are approved with Angelica and Coleworts if a Rib be broken.

Some boyl wound herbs in fresh Butter and a little Wine, and give a dram of it strained, in hot Broath or Ale, and anoynt the part pained with the same.

And Waters of Plantane, Sowbread, Comfrey and Bet­tony.

Discorides gives a dram of the Juyce of Gentian.

A small wound with a little orifice is a puncture, The Cure of small Punctures in di­vers parts, and in the Nerves. and must be cured as a Wound, if it be only in the skin and flesh it is less difficult, but if it be in the Nervs or Membranes, or any nerv­ous part very sensible, it is worse, be­cause it easily causeth Convulsion, and hurt of motion. If a Nerve be pricked it is seldom because it is little and round and gives way, except the Puncture be in the back parts, where the Nervs are larger, as in the Arms, and Leggs, therefore Chyrurgeons say that wounds behind are harder to be cured then before: But if a Puncture be in the great Muscles, or the Heads thereof, Punctures may be oftner then in the Nervs alone, but these are cal­led Punctures of Nervs also. When Punctures reach into the Belly or Breast, they are dangerous or deadly, if they hurt the Entrails as we shewed in large wounds, and not only so, but by reason of the blood falling into the Cavi­ites of the body, and congeals and putrisies and therefore the Chyrurgeons say it is an evill Signe to bleed inward­ly.

For Cure you must use Evacuations, and Revulsions, by bleeding, if need be as in large vvounds, and keep the body clean by a good Diet.

The Method of curing a Puncture, is if any thing stick there to take it carefully away presently, or by degrees, or to draw it out by applications, and if they be deep in, they will not come forth til there is suppuration, and then they will come forth with the matter. Then you must not close the Orifice, as in large wounds, but rather en­large it, and keep it open, least the blood that flows thith­er being in a streight place, should cause Inflammation, or the moysture or Excrements reteined, should hinder the Cure, and cause Accidents, and that whatsoever remains, may come forth more easily: Thirdly you must consoli­date with driers that consume the moist humors, and so help nature, which wil as I shewed cure all wounds alone, if Impediments be removed; these are called Glutmaters, neither need you use such strait Ligatures as in large wounds, let the Medicines be Emplastick and Unctious, to keep open the Orifice, til it be cured; For if they be bad dry and binding, they would too soon close the Orifice, and hinder the cure: And with these Remedies, we may mix things that draw things out, they are as followeth,

We pul out things by Mannual operation, and Instru­ments, as Thorns and Darts, and the broken peices that stick in the body, by pricking the skin and forcing them out with some of the flesh, and then suck the wound: by this means the Vulgar cure all small ordinary Punctures.

And if the things stick fast and deep, and cause great pain and fear of Inflamation, and other mischeif, we cut the Orifice larger.

If the wound will endure it without pain, keep the O­rifice open with a small Tent armed with Medicines.

Punctures are commonly cured with Plasters alone, which Mollifie the swollen Lipps, and Orifice, and dry it by degrees, and keep it open til it fall away of it selfe, after the wound is healed: These plasters must not dry so much as in great and foul wounds, but keep their strength and not be so often changed, but one may serve many dayes, and I have known that same plaster to cure a second wound, and if the Puncture pass through the member, a Plaster must be before and behind.

There are Emplasters a purpose for Punctures which dry and draw out things that stick in them, the Germans call them stitch plasters. we shall tell you the best and easiest way to be made, Take, Frankincense, Mastick, Myrrh, Colophony, Mummy, each an ounce, Camphire two drams, Saffron a dram, Thymalus grease an ounce, Wax four ounces, Pitch an ounce, melt the three last, and add the rest, and make a Plaster.

Or, Take Litharge a pound, Cadmia four ounces, Oyl Olive, a pint, Oyl of Bayes four ounces, boyl them to a thickness add Gum Galbanum, Ammoniak and Bdellium, each two ounces boyled in Vinegar til it be consumed, Wax and Tur­pentine, each half a pound; fat of the fish Thymalus an ounce: stir them hot, and add by degrees Frankincense, Mastich, Myrrh, each an ounce; make a Plaster.

Or: Take Wax, Pitch, Rosin, Turpentine, Oyl, each four ounces; Oyl of Bayes or worms or Eggs, fat of Thymalus, each [Page 438]an ounce and an half; melt them, and while they are hot, add Galbanum and Opopanax dissolved in Aqua vitae, pouder of Colophony, Bitumen, Mummy, Mastick, Frankin­cense, Myrrh, each an ounce; Litharge, Ceruss, each six drams; Lapis Calaminaris, Load-stone, Blood-stone, Coral or mother of pearl, Bole or sealed Earth, Chalcanthum, Cam­phire, each half an ounce; roots of Birthwort, Comfrey and pouder of Earthworms, each two drams; Saffron a dram, moisten them with fat of Thymalus: make a Plaster.

Another to draw out splinters that are fixed: Take Li­tharge Sulphur each an ounce; Minium and scales of Brass, each six drams; Allum, Chalcitis, half an ounce; Load-stone, red Coral, each two drams; sealed Earth a dram and an half, roots of Birthwort, Dragons, Sowbread, Juniper berries and Nettle seed, each a dram; Galbanum dislolved in Vine­gar an ounce, Amber six drams, Frankincense, mastich, myrrh, mummy, Opopanax, each half an ounce; Propolis an ounce and an half: with Turpentine, Pitch, and old wax make a Plaster, if you add Oyl of Turpentine, Myrrh, Sulphur, Am­ber, it wil be better.

The Plaster of Andromachus draws out things, as A­vicen with other things hath the head of a Lizard, milk of the Mulberry tree, and Berries found in the Palm­tree.

Half an ounce of Verdigreese makes these Plasters stronger, or two drams of Oyl of Juniper, Spike, or Cloves.

The black Plaster for the same is made of Olibanum, Myrrh, Mummy, Sanguis Draconis, Corals, Load-stone, Ceruss, Roman and white Vitriol, Earth-worms, Cam­phire, Oyl of Roses and of Eggs, of Spike, Juniper, grease of a Hen or Thymalus, Colophony, Turpentine, Pitch, Wax.

Against Punctures in the Nerves and Nervous parts at first: Take Bean flower or of Lentils, pouder of Althaea roots each three ounces; Daffodils, two or three roots, Lilly one root, boyl them in Wine and stamp them with Turpentine dissol­ved with the Yolk of an Eg half an ounce, Honey two drams, Saffron half a dram, Oyl of St. Johns wort and wax, make a Plaster.

Or: Take St. Johns wort and Centaury the less, each two handfuls; Bettony, Rosemary, Self-heal, Plantane, mous-ear, each a handful; Chamaemel and Dil flowers, each a pugil; Daffodil, Comfrey and madder roots, each an ounce: slice them, Earthworms washt in Wine twenty, Oyl of Sack, each a pint and an half: boyl them, strain off the Oyl, add three ounces of Deers, Goats, or Sheeps Suet, Turpentine three ounces, mastich two ounces, Gum Ammoniack, Galbanum, Sagapenum dissolved in Aqua vitae, each an ounce; Litharge an ounce and an half, with wax make an Oyntment, or with Pitch an Emplaster.

Or use Guido's Plaster of Worms or Diarrhaea.

Or Oyls and Punctures of the Nerves.

If the pain be great, pour in hot sallet Oyl, or of Cha­maemel, Dil, Rue.

Or drop or lay on with a pledget Oyl of St. Jhons wort, Turpentine, Worms, Mastich or Savin, or if the pain be great, Oyl of yolks of Eggs, or the fruit of Momordica.

Or Oyl of Lovage with Grease of a Lyon and Wax makes a rare Oyntment.

Or Oyl with Turpentine, Rosin, Opopanax, Sagape­num, Euphorbium or Sulphur vivum dissolved in it.

Or other Balsoms mentioned in Wounds.

Or apply Turpentine with the yolk of an Egg and Saf­fron.

Or Leaves of Groundsil, with Frankincense, according to Dioscorides and leaves of the lesser Dracunculus with Coutchineel.

When the puncture is by a Thorn or Needle, make a Pultis of Hemp leaves with the white of an Egg and Vi­negar.

To draw things fastned in a puncture, use the Plaster of Garlick by Aetius made of Garlick, Niter, Pitch, marrow of a Deer, Wax and Oyl.

Or Leaven and Propolis with Honey and wax.

Or Snails taken out of their shels, and Earth-worms bruised or boyled in wine, and mixed with meal.

Ordinary Flies bruised and applied draw out splin­ters.

When a Thorn is drawn out, wash with the Decoction of red Pease, or with old white Wine when the vein is pricked.

Or apply pouder of Crabs Eyes, Harts-horn and Earth­worms, with Honey and Turpentine.

Or give the Wound-drink mentioned, for they work so strongly that they wil not only expel from inward but outward parts.

If a puncture suppurate, cure it as an Ulcer.

If there be Inflammation, cure it as a wound with In­flammation. If a Convulsion or Palsie, or Contraction follow, cure it as is shewed in them.

Wounds or Punctures poysoned from a Sword, weapon, Dart, The Cure of venemous and poisoned wounds Strokes and Bites. or Bullet poy­soned with evil juices, or otherwise: or from biting of Serpents, weasels, mad Dogs, of which in Hydrophobia or fear of water, or from Scorpions, Spiders, are according to the Venome better or worse: As when it is from a Scorpion, it is most dangerous, or when the wound is great which cause great Accidents, and leave stubborn Ulcers, some have only Heat, and a little Pain, and are not so bad except that cause inflammation, and so a stubborn Ulcer, such come from our Snakes and Spiders, which are not so dangerous as these from Vipers and Pha­langies; And the stinging of Bees is such, in all which, though the Hurt be small, the pain is great.

If the Venome be great you must labour to draw it out, and then cure the wound; Thus.

Give Antidotes suddainly, to resist poyson, and proper, as Treacle, Mithridate, Antidote of Esdras: Also that of Skinkey, Bloods, Earth of Lemnos, mentioned by Ga­len. The Electuary of Asa by Mesue, and others mentio­ned by Dioscorides and Nicander.

Or that of Mathiolus, and that so much comended made of Laurel called the Saxon Antidote, and others mentioned in the Plague and in Madness. And in a pois­oned wound, if you use Bole, earth of Lemnos, and Mummy, they both resist Poyson, and heal.

Or this Decoction that heals and tesists poyson, made of Roots of swallow wort, Valerian, Tormentil, wild Angelica steept in Vinegar, and Leavs of Scabious, Net­tles, small Valerian, Flowers of Conval Lillies, and Per­wincle; boyled in wine.

Or Juice of Dittany, Scorzonera, and Gentian.

Some say that Cocks or Hens dung boyled, expels poy­son.

That rare Oyl of Scorpions of Mathiolus to anoynt the pulses and Arteries, resists all poysons as he saith.

Divers things are applied outward to draw forth poy­son, as we shewed in pestilent Carbuncles, and when we spake of the biting of mad Dogs, and against stinging of Scorpions and Spiders, Burning, Cutting, and Cupping are good.

And things applied that resist Venom.

As this plaster. Take Pigeon or Hens dung an ounce, pouder of Dittany two drams, Niter a dram, with Hares grease Oyl of bitter Almonds, and VVax make a Plaster.

Or this: Take juyce of Scaboius, Rue, Onyons roasted, each two ounces; juyce of Anagallis with the purple Flower, Sowbread, each two drams; great Spurge seeds a dram, Galba­num dissolved in Vinegar six drams, Oyl of Amber, Sulphur, each half an ounce; Oyl of Saffron a scruple: with Treacle, Mithridate and Turpentine make a Plaster.

Galen mentions divers plasters for venemous wounds and punctures called Icosij, their Ingredients are to cure wounds.

But this plaster called Diadictamnum is more proper to draw out splints and poyson, and so is Ʋnguentum Mace­donium.

[Page 443]You may find in Dioscorides and Nicander specifical me­dicines against particular Venoms, as a bruised Scorpion or the Oyl thereof against the sting of a Scorpion. of bi­ting of mad Dogs we have spoken.

In other Bites or stingings which cause burning rather than, Venom with tumor and dolour, you must use things accordingly. for stinging of Bees, use Potters Earth and herbs that abate tumor mentioned in phlegmon, and things mentioned in Burnings are good against stinging.

For Biting of Fleas and Gnats they cause but a little itching, and a spot and small tumor, therefore we shall o­mit them.

In wounds with Saws or rugged wea­pons the torn flesh must be cut away pre­sently or taken away with an actuall or potential Cautery, The Cure of wounds une­qually divided. and the wounds made even and cured as others.

If an Ulcer come frm a wound or an Im­posthume which we call sordid, The Cure of plain, hollow, filthy, lousie, eating, sprea­ding and ma­lignant Ʋl­cers. whether it be plain, hollow or sinewous, and not covered over, or putrid, lousie, or that sweats out water, or follows a paronychia or Felon; or comes of foul Juyce and nou­rished therewith which is eating, or sprea­ding, or malignant, as in the French pox and Elephantiasis, they must be cured alike because in ma­ny things they agree. afterward we shal shew the cure of Ulcers that have a Callus or covering, or flesh, or preterna­tural tumor.

We shewed the cure of Ulcers with Cancer, Carbuncle, Ring-worm and Scabs in the Cure of Tumors and pustles.

Those Ulcers which come from wounds or Imposthumes the less hollow they are the sooner they are cured. Foul & lousie Ulcers are hardest especially in Nervous parts that gleet water, because they make the joynts unmovable or Gangraeene, or the Fellon-ulcer that eats off the Joynts of the Fingers when they are nourished with evil Jnyce, they are worst; as Eating, corroding or spreading Ulcers, these last long, and are somtimes incurable, especially if they be in a part depending, as in the Foot so that the hu­mor descends continually to them, and when they are nou­rished with a vein adjoyning, they either must not be cu­red, lest the humor being stopt cause worse accidents, or cannot. And such as take off the skin, as rotten bark of a tree, are dangerous by reason of the Bones or Gristles which they foul, as in the Nose and Ears which destroy the parts. Also malignant Ulcers in Womens privities or Mens yards are long a curing, and somtimes consume the part. They which from the French pox are not cured til the Pox is cured, Ulcers in Elephantiasis continue, in­crease, and are desperate, as the Disease is.

For Cure of all these you must thus proceed, first with general helps, as Evacuations when the body is full or foul, by bleeding or purging. then you must look at the Cause, whether it be a salt, cholerick, or waterish humor, and give things particular for that. as particular Purges often in stubborn Ulcers, as in the Scab and other Diseases from evil juyce. sweating is good to through out the hu­mors, and cures the French pox and the Ulcers also. And a spare Diet as shal be shewed in the Pox. If a Vein di­lated called Varix do nourish an Ulcer it must be opened to bleed. or the Vein cut off which is more necessary, as we shal shew. In all sorts of Ulcers keep a good Diet and the body, clean that it may cure the better.

Topicks are to be used to remove impediments, for Na­ture alone must cure as in other excoriations and wounds. these Impediments are either moisture or filthy humors, these removed, Nature nourisheth the part and heals it up. some medicines that remove Impediments are Clensers or Driers up of humors more or less, the gentle Driers breed flesh, the strongest make an Escar. we shal speak first of them that breed flesh, next of them that make the skin grow.

Medicines that breed flesh are Clensers and Driers that purge the matter that fouls the Ulcers or eats it a­way.

The next are dryers, which suck up the moysture which remains in Ulcers after they are cleansed, these put it into a condition fit to be cured, and breed flesh, these are cal­led breeders of flesh, as if they did it, as we shewed in wounds; for the Impediments removed, Nature makes flesh of the same Nourishment, which fils up the Ulcer.

Others are stronger dryers, which destroy the evil Hu­mors that corrupt the Ulcers, and make them spread; these are seldome used alone, but with clensers, that also kill Wormes if there be any, so that we shal not mention a private Cure for Wormes.

To these Cleansers we add Dryers, which are so mode­rate that they take away that Gleeting which remains in Ulcers, after they are cleansed, and make it fit to produce new flesh. these are called incarnatives, as if they did of their own force breed it, when Nature did it by being freed from the Impediment of Moysture, and making a Glew of the Nourishment of the part which is hurt in a Wound, and flesh in a hollow Ulcer, that grows to the sound part and so fills it up by degrees, and unites that which was divided. These Incarnatives must not dry so much as to dry up the Nourishment with the moysture, that is the Impediment, as when they are to consume a foul Humor, or make a Scarr, nor must they clense nor bind as in wounds, for Ulcers must be filled up with flesh, and not united as wounds, but of some that cleanse not much nor bind but dry, Incarnatives may be compounded and one and the same Medicine may cleanse and heal, more or less, as we shall shew.

Unguents or plaisters which are applyed or put into Ul­cers cleanse or dry, strongly or moderately, and are as followeth.

The oyntment of the five Meals is the chief cleanser for Ulcers, that is of Lupines, Orobus, Beans, Wheat, Bar­ley, with Honey, or Sugar, and Vinegar, if you will clense more.

Or this of Smallage, Take Juice of Smallage one part, Honey of Roses two or three parts, with Turpentine dissolved in the Yolks of Eggs: make an Oyntment.

Or boyl the Juice with Honey and Beanflower, to an Oyntment.

Of Milky Juyces, as of Endive, Succory, Dandelion, Sow­thistle, with Juice of Smallage, Beets, Plantane, Roses, Pellitory, Avens, you may also make cleansing Oynt­ments.

Or this of bitter Juyces, as Horehound, Wormwood, Centaury, or sharp as Arsmart, Celandiue, Orris, Onyons, or Squills, with as much Honey of Squills, Turpentine, and Meal.

To these three you may add Myrrh and Frankincense, to cleanse more, and when it begins, to be clean; Sarco­ocol, or when you will cleanse more, Allum, or Calcan­thum, or burnt Virriol.

Or of the Juyces mentioned, you may make Oynt­ments with Oyl as much, with Honey and Vinegar, boyling them with other Clensers, til the Juices are con­sumed, and adding Pouder of Gentian, Birthwort, Myrrh.

Aloes with Beasts Gall, and Honey, is a great Clenser in corrupt Ulcers and lowsie.

You may make clensing Oyntments of Plants thus: Take Radishes, Onyons, each an ounce and an half; Gentian and the green bark of Dwarf-Elder, each an ounce; bark of Capars and Hermodacts, each half an ounce; Wormwood, Horehound, Celandine, Smallage, each a handful; scape and bruise them, boyl them in white Wine then bruise them a­gain and boyl them in a pound of Butter or Oyl with the fourth part Honey to an Oyntment.

Or: Take green Orris roots, Colewort leaves and Rue: bruise them, add Faemigreek meal, Salt, and Honey, and Vinegar.

Or boyl Colewort leaves with Bean flowrs for Ulcers in [Page 440]the Breasts, or apply the roots of Asclepias or Swallow­wort, or Clensers bruised.

Or Herb Robert roots and all, in pouder boyled in Wine and Oyl to a Cataplasm is good in watery Ulcers. or Rose-cake, or Hors-dung.

Of the Astringent pouders following and Honey you make Oyntments with Vinegar and Oyl, or wax and Oyl of Roses.

Or when you wil clense more: Take roots of, Orris, Briony, Sowbread, Dragons, and use them as before.

Or use Oyntment of Agrippa made of Briony, wild Cowcumbers, Squill, Orris, Fern, Dwarf-Elder.

Or this: Take the pouder of the roots mentioned half an ounce, meal of Lupins, Frankincnese, Aloes, Myrrh, each a dram and an half; Oyl omphacine two drams, Honey of Squils an ounce, Oyl of Mastich an ounce and an half, Oyl of Turpen­tine half an ounce: with Wax make an Oyntment, add to make it stronger, Tartar and Verdigreese.

Or thus: Take Briony roots three drams, Cuckowpint or Dragon roots a dram and an half, Galls, Savine or Pine bark burnt, a dram, Verdigrease half a dram, with Honey make an Oyntment.

Or this green plaster. Take Verdigreese three drams Myrrh, Frankincense, each half an ounce; Wax, Rosin, Tur­pentine, each four drams; make a Plaster, or with Oyl or Suet an Oyntment.

Or boyl Tartar with Honey.

Or Verdigrease with Honey and Vinegar. or use Ae­gyptiacum which is best in filthy Ulcers.

Or Oyl of Antimony to clense, which because it cures wounds almost incurable, is called the Wound-oyl, it is thus made. Take Aqua vitae rectified three or four ounces, Glass of Antimony, Mastich, Frankincense, Aloes, Myrrh, each an ounce: pouder them and let them stand in a warm place in a close vessel, til they putrifie them, distill them by an A­lembick increasing the fire by degrees. first you wil have a stinking spirit, then a sweet, keep them close stopt.

Or mix burnt Sal Armoniack with Tartar, Verdigreese and Honey.

There are Oyntments called Incarnatives which heal Ul­cers when they are clensed, Sarcocol and Honey is the chief, to produce flesh by drying.

Or you may make five sorts of Oyntments of the five incarnative pouders mentioned, and of other greater Dri­ers, with Honey of Roses and Turpentine, or Oyl of Ma­stich, Myrtles or Roses, with wax and Rosin.

To these you may add Colophony, Pitch, Bitumen and Opopanax as much as any of the rest.

Or you may mix the flesh of Snails with the second and sixth pouder, to cloath the bare Bones with flesh again.

Or use that of Nicodemus by Mesue it is made of the first and second pouder of Aloes, Myrrh, Sarcocol, and Honey and Wine, or the great Basilicon of Mesue; made of Fran­kincense, Myrrh, Pitch, Turpentine, Rosin, Wax. That called Aureum of Mesue is so called made with Colopho­ny and Saffron, and that called Unguentum Fuscum of Ni­colas is like them, which hath Galbanum and Sagapenum, and the Tripharmacum of Mesue, and Tetrapharmacum of Galen with Myrrh, Sarcocol, and Orris added, or you may use Ceroneum made of many of the same ingredients and of Litharge and Allum.

You may use other Plasters and Oyntments which glu­tinate wounds by drying, choosing the least astringent or those that hinder fluxes of humors which make the Ulcers ill habited.

As, Take Galls, Pomegranate flowers, each half an ounce; Frankincense, Aloes, each two drams with Honey.

If Ulcers are wel clensed you may cure them with Plants.

Thus: Take Daffodil and Comfrey roots, each two ounces; Vervain, Burnet, Mous-ear, St. Johns wort, and small Cen­taury, each a handful: or other Wound-herbs, boyl them in Wine; then take of the thinnest part after they are well stampt six ounces: add Honey and Turpentine, each two ounces; of the first, second or third Pouder an ounce and half; make an Oyntment.

Or thus: Take Burnet, Bettony, Vervain, each a hand­ful; cut and boyl them in Wine to the consumption of two parts, strain it, add Rosin half an ounce, Goats suet two drams, Wax five ounces, boyl them thick. when they are cold, ad pouder of Mastich two ounces and an half, Aloes half an ounce: make a Plaster.

Or thus: Take juyce of Agrimony Vervain, Plantane and Daffodil roots four ounces, Wine two ounces, Oyl of Ma­stich two ounces, Oyl of Roses an ounce, Honey an ounce and an half, Turpentins an ounce: boyl them a little, add the se­cond or third Incarnative pouder half an ounce, Gum Elemi a dram: make an Oyntment.

There are others that clense and dry more or less, which alone cure not only small, but foul and malignant Ulcers. As,

These following dry more than clense. the gentlest is made of Litharge and Ceruss with Oyl of Roses or Myr­tles, stird in a Leaden Mortar, with a little Camphire and Gum Traganth infused, if there be pain.

Or of Litharge a pound, Oyl and Vinegar two pints boyled to a Plaster, or an Oyntment, this is cal'd Galen's Oxeleum. If you take Wine instead of Vinegar, it is called Oinelaeum, if Water, Hydreleum.

This dries more. Take Litharge and Oyl, each a pound; Cadmia an ounce: boyl them, add Gum Ammoniack and Bdellium, each an ounce; Galbanum and Opopanax, each half an ounce; dissolve in Vinegar, Wax half a pound at last, add roots of Comphrey, round Birthwort, Frankincense, Mastich, Myrrh, each an ounce: make a Plaster.

Or: Take Litharge an ounce and an half: boyl them til they are a little black, add Galbanum, Ammoniack, Bdel­lium, Opopanax dissolved in Vinegar, each half an ounce; Colophony Myrrh, Mastich, Erankincense, each two drams; Tartar a dram, with Wax make a Plaster.

Or use the Plaster of Lapis Calaminaris made of Cad­mia, Litharge, Tutty, Ceruss, Frankincense, Mastich, Myrrh, Camphire, Turpentine, Suet.

Or the Oyntment called Ʋnguentum Rubrum, thus: Take red Lead three drams, Litharge two drams, Ceruss a dram and an half, of both Cadmias, each a dram; Oyl of Roses three ounces, Turpentine half an ounce, Camphire a scruple.

Another of Dogs Dung: Take white Dogs dung two oun­ces, Litharge, Ceruss each an ounce; Bole six drams, Fran­kincense, Mastich, each two drams; Bean meal an ounce, with Honey, Goats Suet and Vinegar make a Plaster.

Or: Take Tutty prepared two drams, Litharge, burnt Lead, Blood-stone, each a dram; Aloes a dram and an half, Sanguis Draconis, Sarcocol, Galbanum, each a dram; with Oyl of Roses and Wax make an Oyntment.

Or: Take Litharge, Cadmia, or Tutty, Ceruss, burnt and washt Lead or Antimony, each a dram; Pumice stone two drams, Sarcocol, Myrrh, Colophony, each three drams: with Honey or Suet make an Oyntment.

Or the Oyntment of Lead made of burnt Lead, Anti­mony, Litharge, Ceruss, Oyl of Roses; is good in malig­nant Ulcers.

For a venemous Fellon: Take Antimony a dram, burnt Lead, and washed Ceruss, each half a dram; Tutty prepared half an ounce, Oyl of Mastich, and Omphacine, each two oun­ces; white Wax and Rosin, each an ounce: make a soft Pla­ster.

These Plasters wil dry more with two drams of burnt Brass, Verdigreese a dram, or burnt Vitriol.

These clense more than dry. Take Litharge boyled in Vinegar two ounces, burnt Brass a dram, Bole two drams, Ro­sin, Wax, each two ounces; with Hogs grease four ounces, make an Oyntment.

Or: Take Oyl of Roses an ounce and an half, Oyl Ompha­cine half an ounce, Cadmia and Tutty, each a dram and half; rust of Brass and Vitriol, each a dram; with Rosin.

[Page 441]Or: Take Cadmia, Litharge, Ceruss, Mastich, Frankin­cense, mother of Pearl, Coral, Vitriol, each alike; to four oun­ces, add five ounces of Wax, Colophony, or Turpentine four ounces: make a Plaster.

Or: Take Oyl of Antimony, Wax, Myrrh, digest them in Balneo fifteen daies, it is a good Balsom against malignant and perverse Ulcers.

A Brain-drying Oyntment. Take Oyl, May-butter, Deers suet, marrow of Ox bones, Turpentine, each two ounces; Litharge, Cadmia, each an ounce and half; Antimony, burnt Lead and burnt Brass, each an ounce; Load-stone, Mastich, Frankincense, Myrrh, each three drams; pouder of Earth­worms two drams, or other drying pouder, add wax if need be.

Or: Take of the pouders mentioned a dram, Pomgranate peels, flowers of Labrusca, Fennel seed, Aloes, Myrrh, Aca­cia, each a half dram; Bole, Cadmia, burnt Brass, each a dram; Oesypus or grease of wool, Infusion of Gum Traganth in Plan­tane water, each half an ounce with Oyl of Roses, Wax, and a scruple of Saffron make an Oyntment.

Or of Plants thus: Take roots of Orris, Birthwort, Tur­merick, each two drams; Pomegranate peels, or flowers, and Galls, each a dram and an half; flowers of Labrusca, Rose seeds, each a dram; Gourd peels, Savin and Earth-worms burnt, each a dram; Sanguis Draconis and Bitumen, each two drams; rust of Iron three drams, burns Allum and Chalcitis burnt, each a dram and an half; burnt Coral two drams, Oyl and Suet, each six ounces; Rosin three ounces, with wax make a Plaster.

Or: Take the Wound Herbs mentioned, Roots, Leaves, and Flowers: boyl them in Wine and Oyl: take six ounces strained; add Honey and Rosin: and boyl them again a little, when it is thick, add Powders mentioned, Litharge six drams, burnt Brasse or Rust of Iron two drams: with Wax make an Oyntment.

Quick-silver makes these Oyntments better against a­ny Malignity, especially the French Pox. Or: Take Quick-silver an ounce, Turpentine an ounce and half, Hogs Grease three ounces: stirr them well, then add Cadmia, burnt Brass, each two drams; Sulphur vive three drams, rust of Iron half an ounce.

Another excellent Plaster with which I have often cu­red perverse Ulcers in the Legs. Take Litharge, Cadmia, Ceruss, each two drams; Frankincense, Mastch, each a dram and an half; Birthwort roots a dram, rust of Brass, Sublimate, each half a dram; Quick-silver three drams: with Turpen­tine an ounce and an half, Honey half an ounce, Oyl of Roses and juyce of Plantane, each two ounces: make a Plaster.

When an Ulcer is clensed, heal it with Quick-silver, Turpentine, Sarcocol and Honey.

Apostolorum of Avicen is the ordinary Clenser and Dry­er, and it is better mixed with Aegyptiacum, or with a little Allum or Vitriol when the Ulcer is very soul, it is made of Verdigrece, Litharge, Birthwort, Gum Ammo­niack, Bdellium, Galbanum, Opopanax, Myrrh, Frankin­cense, Rosin, Oyl and Wax.

Apostolicon Mesue is the same with Aloes and Sarcocol added.

Apostolicon Nicolai is of the same Ingredients with burnt Brass and Scales, Lapis Calaminaris, Dittany, Sar­cocol, Mastich, Mummy, Colophony, Propolis, Birdlime, this wil draw any thing forth of an Ulcer.

The Emplastrum called Gratia Dei or Divine made by Nicolas is like these to draw out things fastned, it is made of Litharge, Verdigreece, Birthwort, Blood-stone, Oliba­num, Myrrh, Bdellium, Mastich, Oyl.

Some add Galbanum, Ammoniacum, Opopanax, and Load-stone.

Diapalma also clenseth, it is made of Chalcitis, Litharge Oyl and Grease.

There are more Clensers and Driers made of Scales of Brass, Ashes, Verdigreece, Allum, Vitriol, by Galen; as the red Greek Plaster, or the black Aegyptian Isis, or Plaster of Asclaupius, Melium of Serapio, Diabotonon of Critonis, the Plaster of Terentinus, the Green Plaster of Andromachus or Panacea Hiroe and other Arabian Plasters, and the Oyntment of Guido against corroding Ulcers: They must be looked for in Dispensatories.

There are also strong, drying and clensing Oyls, as that of the wild Olive, of Wheat, Acorus, Spurge seeds, Radi­shes by Dioscorides. and others for wounds which wil cure cleansed Ulcers, they are called Balsamelaea. that of Mant dung is commended by some, and that which comes from a Linnen Rag dipt in Oyl and burnt.

The stronger are Oyl of Myrrh and Sulphur, or a Pla­ster of Myrrh, Colophony, and Wax mixed with them.

Or Oyl of Tartar by deliquium or melting is a great Clenser, and against eating Ulcers, Oyl of Vitriol Anti­mony and Talcum.

Or this: Take crude Antimony two ounces, unslaked Lime a pugil, Tartar an ounce, boyl them in Lye, then add Vinegar and the Oyl will swim, this is good in foul Ul­cers.

Balsom of Sulphur is a mighty Drier and Clenser thus made, Take Brimstone a pound and an half, boyl it in spi­rit of Wine, digest it some daies in a Limbeck, take it from the Fire and put it in a strong vessel, add Vitriol in pouder an ounce and an half, Tartar an ounce, it makes a red Balsom. Ruland makes Balsom of Sulphur thus. Take Oyl ompha­cine a pint, spirit of Turpentine two ounces, Sulphur six drams, digest it in hot Embers til it be Red, strain and keep it.

There are also Washes, Injections, Fomentations, and Bathes to clense and dry Ulcers.

Old Wine is a good Clenser.

Or Vinegar and Water and Wine is a gentle Clenser.

So is Whey wherein Barley is boyled, with Honey or Sugar.

Posset Curd applied warm is good against the weeping Ulcer, called in Dutch Slidwasser.

Water of distilled Honey or Turpentine clenseth, and more if they be stilled together with Vitriol.

Or a Lye of many Ashes, as of Vine stalks, or Fig-tree or Savin, adding Lime before you strain, or boyl the Lye with Wine and Honey.

The Lye of Soap clenseth more, called Soap-water thus made, of Vine Ashes three parts, unslaked Lime one part, boyl them to a consistence for an Oyntment, use a little, and let it lie til the Ulcer be clean, and then heal it with other things.

This Soap-Lye is made stronger with Sal Armoniack.

Water wherein Quick-silver hath been often quenched, taken clean from the Lime, wonderfully clenseth filthy Ulcers, especially that which is made of burnt Flints, of which we spake in Burnings.

A pound of Vitriol and a good quantity of Water is a good Fomentation in the weeping Ulcer, called in Dutch Slidwasser.

Or Urin, especially if old and stinking.

Or distilled water of Urin, with Allum and Tartar dis­solved therein.

Also all salt Waters, with salt Armoniack especially, al­so Brine or Pickle.

Or Allum water and Camphire, which is good against Ulcers in the Privities.

The Water found in the cavities of old Oaks is thought to cure Ulcers.

There are divers Decoctions of Plants for Fomentations or Baths to clense and dry Ulcers. such as are mentioned for wounds, some are applied green, and bruised or boyl­ed. The chief Decoctions is of Agrimony, Yarrow, Ivy, Avens, Ladies-mantle, Hors-tail, Strawberry leaves, Bur­net, Bears-ears, Pyrola, Pauls Bettony, Sun-flower, wild Tansie, Vervain, Carduus, Spondylium, Solomons seal, Woad, Personatum, Anagallis, Butterbur, Housleek, Car­rots, Colymbades, Hemlock, Plantane, Shepheards-purse, Scabious, Gallitricum, Dogs tongue, Celandine, Worm­wood, Centaury, Horehound, Smallage, Polymountain, Mugwort, Nettles, Cypress, Savin, Oak leaves, wild [Page 446]Olive, Mastich tree, Rhamnus, Barberries, Sumach, Ce­terach, Coriander, Roses, Maudlin, Costus, Aesculapius his Allheal, Pomegranate flowers, Comfrey roots, Birth­wort, Orris, black Chamaelion roots, Allheal, Sulphur­wort, wild Parsneps, Astragalus, Fern, Anemone, Thali­ctrum, Alkanet, Daffodil, Pomegranate peels, Ash leaves and Beets: Also Guajacum, which is proper in pocky Ulcers. also bark of the Palm tree, also Galls, Acron cups, Cypress Nuts, Myrobalans, Lentils, Barley, Myr­tles, Roses, Barberries, Plantane, Coleworts boyled in Wine and Water, and water with Vinegar in soul Ulcers, to Dry and clense, with Acacia and Hypocystis to dry more.

To these Decoctions when you wil clense more. Take Smallage, Plantane, Agrimony, each a handful; Wormwood, Centaury, each half a handful; boyl and dissolve in a pint thereof Honey of Roses four ounces, or in hollow foul Fistu­laes and Ulcers, add Orris, Hellebore, or Cuckowpint roots boyled in Lye or Ʋrin for to inject or wash.

Or this Injection. Take Gentian roots an ounce, Hermo­dacts six drams, Hellebore three drams, Wormwood and Cen­taury, each a handful; boyl them in two pints strained, dissolve Honey of Roses three ounces, Aegyptiacum an ounce: add pouder of Orris and Birthwort, each half an ounce; Aga­rick, Myrrh, each two drams.

Or: Take Smallage, Sage (which allaies Itching in Ulcers) Bettony, Horehound, each a handful; Radishes an ounce and an half, Onyons an ounce: boyl them, and to two pints add Allum half an ounce or Salt of Tartar two drams, Honey of Roses three ounces.

To dry and heal. Take Comfrey, Plantane, Shepheards­purse, Horstail, Ceterach, Jews herb, each a handful; Agri­mody and five-leav'd Grass, each half a handful; Galls, Cy­press Nuts, Pomegranate flowers, each an ounce; red Roses, Barley, each a pugil; boyl them, and to two pints of the straining, add Frankincense, Mastich, Sarcocol, each two drams; Honey of Roses three ounces.

Or: Take Litharge a pound, boyl it in Vinegar and dip Clouts therein for Ulcers of the Legs.

Or: Take Cadmia or Litharge two ounces, Mastich, Fran­kincense, each half an ounce, Camphire half a dram, Saffron a scruple: boyl them in Vinegar.

Or, boyl Allum, Tartar and Mastich in Vinegar, or Tar­tar and Aloes in Vinegar.

Take white Vitriol, Allum, Bole a pound, Camphire an ounce, boyl them in an Earthen vessel, keep the third part of the Water, boyl the rest til it may be poudered, to an ounce of which, add a pint of water, strain it, use the Water.

In Ulcers of the Leg. Take Chalcanthum, Vitriol, Al­lum, Ceruss, eaqual parts, boyl them in Vinegar til they are hard, dissolve a little in Water or Lye and Wine and wash the Ʋlcer.

Take Allum half an ounce, Tartar two drams, Camphire a dram, Verdigreece, half a dram: beat them, and dissolve them with Aqua vitae eight ounces, and three Yolks of hard Egs, strain them, this is good in Ulcers of the Privi­ties.

Take Pease, Wheat, Salt, each a pugil; Wine a good quan­tity: let them stand in a brass Kettle, and stir them some daies, add Verdigreese an ounce, white Vitriol, Aloes, each half an ounce; stir them some daies, and then strain off the Liquor.

Or: Take Litharge, Lapis Calaminaris, each half an ounce; Salt, Allum, Vitriol, each an ounce; boyl them in Water, Wine, or Lye: add Sulphur, Ceruss, Sanguis Draco­nis and an ounce of Verdigreece.

You may use distilled waters to dry Ulcers, or the Juy­ces of Plants with Allum and whites of Egs, before it is di­stilled.

That of Docks and Vinegar mentioned in Tetters or Herpes cures Ulcers after an Erysipelas.

This is better in pocky Ulcers, if the Dock roots are oyled in Guajacum water.

Pouder for hollow Ulcers which cause flesh by drying, and are therefore called Incarnatives, or stronger Driers when the Ulcer is very foul and eating.

The Incarnative pouders are first: Take Frankincense, Myrrh, Aloes, to glew as in the first Wound-plaster.

A second: Take Sarcocol and Myrrh.

A third: Take one of the former pouders, add as much Sanguis Draconis, Orris, and Birthwort.

A fourth: Take of the first or second pouder one part, add meal of Orobus, or Lupines roots, of Sulphur-wort, All-heal, Centaury the less as much.

A fifth: as much Litharge, Cadmia, filings of Iron, and Pumcie stone to the first or second pouder.

The sixth that wil cloath naked bones with flesh again is made of Orris, Daffodil, Sulphur wort, All heal roots, Frankincense and Myrh.

There are other glutinating Incarnatives.

When you wil dry more in moist Ulcers, use pouders of drying Plants, as of Savin, Cypress, Horehound, Vervain, Groundpine, Germander, Juniper berries, Pomegranate peels, Cypress Nuts, Bediguar, Goose-grass, Parsneps, Securidaca, Coriander, Rosemary, Sage, Myrtle leaves, or pouder of Coral, Crystal, Bole, sealed Earth-Eretria, washed Lime, of the stone Aesius, Earth-worms, and Hog­lice, rotten Posts, and other Driers.

Or Ashes of burnt Southernwood, Dill, Cypress, Savin, Tamarisk, Hemp, Gourd peels, Olives, also of Shoe soals, Paper, Silk, Purple, shels of Oysters, Hedghogs, Snakes, Snails, Corals.

To all these pouders, add Frankincense, Mastich, Pitch Gum of Nu [...] tree, Almonds, &c.

The white troches of Rhasis with Camphire, Aloes and Myrh cures Ulcers in the Yard.

Or this experienced. The pouder of Barba sylvatica, with half a part of Mastich and Frankincense, and a fourth part of Cuttle Bone.

When you wil dry more use pouder of Capar roots, Restharrow, Fern, Birthwort, Gentian, Hermodacts, Or-Cuckowpints or Dragons, Briony, Celondine, Hellebore, Agarick, Dogs dung, these clense Fistulaes also, especial­ly if you add Chalcitis or Verdigreese.

The pouder of Snails is good against the gleeting Ulcer cald in Dutch Slidwasser.

Or this to dry and clense. Take flowers of Pomegranate or peels half a dram, burnt Bones or Cural a dram, Aloes a scruple, Salt or Allum a dram and an half, make a Pouder.

Or mix silings of Iron or Brass with fat clay washt with Allum water, and burn it to pouder.

Salt of pickled Fish, or flower of Salt is good against moist Ulcers.

Or Tartar, or Borax, with Crabs-eyes.

Or burnt Allum, or parched Salt, or burnt Brass.

In a Fellon called Paronychia when the flesh is foul: Take Sal Armoniack half an ounce, Verdigreese two drams, make a Pouder, add Aqua fortis, dip Cotton in it, and dry it, and apply it to the root of the Nail.

Dry Lint is good in moist Ulcers often changed.

Or Sparadrap, which is good also in the French Pox in the Privities, thus made. Take Guajacum pouder four oun­ces, roots of Gentian, Birthwort, Masterwort, each an ounce; Rhubarb half an ounce, Centaury tops, Scordium, Bettony, each a handful; Rosemary flowers and Roses, each a pugil; Bay and Juniper berries, each half an ounce; Myrtle ber­ries and Fennel seed, each two drams; Allum three drams: boyl them in red Wine, strain them, and to a pint and an half, add Mythridate an ounce, dissolve it in three ounces of Aqua vitae, dip a Pledget in it often and dry it again, apply a bit of it.

Somtimes we open the Ulcer that the matter better come forth in the lower part, and rouling it above, and wounds also, when we fear the Bones wil be infected, and in the Fellon we open the Imposthume at the first before the bone is foul.

Or we take away rotten flesh with an actual Cautery, [Page 443]or a potential, especially in that malignant gleeting Ulcer called Slidwasser in Dutch, a Corrosive must presently be applied to that.

You must use the expulsive Ligature to hollow Ulcers to retain things put in, and let the matter come forth not­withstanding.

Remedies to heal up and make a scar are in wounds with loss of flesh and skin.

And the last of all when the Ulcers are fil'd with flesh, and the Superficies only bare they cure them.

And though Nature doth breed this skin of nourish­ment that feeds the skin, as it doth breed flesh in hotter Ulcers, yet because a preternatural flux of moisture hin­ders her, we must use Driers that Nature may do her work and make skin. This Scarf-skin differs from the true, because it is neither sensible nor porous, not made of seed as before, but of nutriment that sweats from the true skin and grows to the flesh, and then it is not called a true skin but Callus, and Cicatrice or Scar, and the medicines that cause it are called Epuloticks.

These must be stronger driers than Incarnatives to make the superficies better turn into a skin or Scar, and they must be more, and therefore are to be used in a dry form rather than a moist and unctious.

Therefore Incarnatives which astringe not so much must not be used when the Ulcer is healed but changed, lest they make proud flesh, for skin they cannot make, nor Glutinaters except some of the chiefest Driers and Binders, which when they have glewed the lips of a wound heal with a smal scar without any more ado, as Cicatrizers called Epuloticks do glutinate small wounds.

Pouders are best for such strong drying, if very fine and sprinkled upon the superficies, and better when burnt and not washed, for things that corrode lose their force by being burnt if they be after washed. The pouders fol­low.

The first: Take Galls, Pomgranate peels and Birthwoort, burn them and they are stronger.

The second: Take one part of the first pouder with as much Cypress Nuts or Acorn Cups, Roses, Hors-tail, Contau­ry, burnt Spurge.

The third: Take one part of the first pouder: add as much Tormentil roots, or of Snakeweed, or of Pine bark, or Elm, or Oak, or Sumach, or burnt Paper, Clouts or Leather, Bones or Eg-shels.

The fourth: Take one part of either pouder, add as much of bark of Frankincense and Sanguis Draconis.

The fifth: Take any of the former with as much Litharge, Cadmia or Lapis Calaminaris burnt, with Bole or Chalk.

The sixth stronger. Take Litharge, Tutty, burnt Lead or Ceruss, each half an ounce; burnt Allum a dram, half an ounce of the first pouder, and a dram of burnt Pumice stone.

The seventh which is strongest. Take Brass burnt and washed two drams, Chalcitis burnt and washed a dram and an half, an ounce of any of the pouders aforesaid.

Or use the following alone, or with the former, as Pou­der of burnt Rosemary, or drying plants, barke of Goards, Plantane roots, Caper barkes, Cypress, Oak, Pear-tree, Myrtle, Fruits of the Aegyptian Thorne, or pouder of burnt shells, Coral, Ivory, sealed Armenian, or Cimolian earth, Bloodstone, Jews stone, Loadstone, and Asius.

Or Use Crocus Martis, which is a strong dryer.

Machiolus comends Tartar burnt, with the pouder of Plantane roots, others Sulphur vive.

Of these pouders you may make Oyntments with ast­ringent Wine or Honey, or oyl of Roses, Myrtles, or Sew­et, but they will dry less, except you use the sixth or se­venth Pouder.

Or Thus. Take six drams of the sixth Pouder, add An­timony, Scales and Flowers of Brass all burnt and washt, each two drams; Chalcitis or Borax, and Vitriol, each a dram, with Honey make an Oyntment, or with Oyls, if you will have it gentler.

Dioscorides useth Verdigrease with Oyl and Wax.

Or use this of Juices. Take Juyce of Plantane, Ver­vain, Agrimony, Pears, or Quinces, four ounces, add red Vi­negar, two ounces, Acacia, half an ounce, Aloes two drams, Litharge an ounce and half, Honey an ounce: boyl them to a thin Oyntment.

Oyl of Vitriol in Water makes a Scarr, by strong dry­ing.

The usual Epulotike Oyntments and Plaisters, are nutri­tum, or triapharmacum, or that black of Avicen made of Litharge, Oyl of Vinegar, or Litharge and Ceruse, of the oyntment of Quick-Lime, often washed, as we shewed in burnings, or the white Oyntment with Ceruse, and Litharge, or the Citrine Oyntment, that of Tutty, or of red lead, or that of Lead, or the plaster of Lapis Calamina­ris, mentioned in Glutinaters, or Emplastrum Diacadmiae, of Gallen.

Before you use these Epuloticks, wash the wounds or Ulcers with Wine by Urine or Allum water, or Decoction of Sumach, or Currans, Rhus which thickens their Leath­er, and dryes, and thickens the Skin.

You may further the Cure of Ulcers, as well as Wounds by Wound Drinks, for they cleanse and drie, they are men­tioned in Wounds.

These following are best in hollow Ulcers, or in Fistu­laes, which be most dryed, therefore they are good in all foul Ulcers: Thus made.

Give Agrimony boyled in Wine, with Solomons-seal, Feather-wood, Burnet, Spatula foetida: to drink some daies.

Or Wine of red Coleworts, with the Seeds and Mad­der.

A Water called the Mother of Balsom, for hollow Ul­cers. Take; distilled water of Rosemary and Sage, steeped in white wine one pint. give it with Sugar.

Or add Turpentine two ounces, Gum of Ivy, Frankicense, Mastike, Myrrh, Aloes, each half an ounce; Cloves, Cin­namon, Nutmegs, Cabebs, Galangal, each two drams; Saff­ron, a dram. give the distilled water to drink.

An excellent water made of Pyrola roots and all and and ground Ivy, cutt small and steept in old Ale, two daies, with as much Album Graecum as an Egg, distill a water, and add it to the dreggs, and still it over again, give three spoonfull a morning, before Supper, and at bed-time.

In hollow ulcers, in the Perinaeum under the stones, when they pierce to the bladder. Take Comfrey roots, Fennel, Liquorish, each an ounce and half, Birthwortt, half an ounce, Sanicle, perfoliata, or through wax, Saracens Con­sound, ground Ivy, Betony, each a handful; Hyssop half a handful, winter Cherries half a pugil. boyl them in wine and water each a pint, give it with Sugar.

A Fistulated Ulcer whose inward cir­cumference grows together, The Cure of a Fistula. by a skin or tunicle, with Hollowness called a Fistula, is thus cured. it must be filled again with flesh, and therefore the tunicle must be taken away, and then you must use the means mentioned to be­get flesh, and a Scarr, or Skin; and give things menti­oned in Ulcers, to keep the body clean, that the Cure may be the easier.

Therefore for taking away of the Tunicle, use cleansers which may take it away, with the thick Excrements while it is soft and slimy. but when it is grown hard, it cannot be taken away, but with strong cleansers, all the kinds of which were mentioned in Ulcers. If the Tunicle be hard and confirmed, eat it away with things that consume proud flesh as in Ulcers, applied with Tents which will keep it open.

These are the cheif takers away of Skin in Fistulaes.

Of Juyces, that of Orris is sharp and burning, and that of Dragons Cookowpints, and Spurge, and Juice of milk­y Figgs, they may be corrected with milder Juyces, or mixed with Vinegar or Honey.

Oyl Omphacine cleanseth, and more with Juice of Spurge, or the like.

[Page 444] Paracelsus his balsom for Fistulaes. Take Oyl of Bricks two ounces, Oyl of Turpentine six ounces, Oyl of Cloves half an ounce, infuse Mastik, Myrrh, Frankinceose, each two ounces; Mummy three ounces, distill them, pour it in twice a day.

The Chymists commend in Fistulaes, Oyl and Sugar of Lead, or Oyl or Water of Mercury.

As strong Vinegar consumes Egg-shels if they be laid therein, So doth it Fistulaes, mixed with Oyl omphacine, and Labdanum, as Dioscorides, and with other Oyntments to avoid corruption.

Or use Aegyptiacum dissolved in lye with a Tent.

Or this Infusion: Take Verdigrease three drams, Allum an ounce and half, Sugar half a pound, with Wine, boyl and use it.

Or Take Orpiment a dram, Verdigrease half a dram, boyl them in half a pint of wine, and four ounces of Plantane water, Or use the green Water mentioned against Ulcers of the mouth.

It is excellent to dissolve a little Orpiment, in Plantane Rose, or Nightshade water.

Or to use a little Sublimate with Populeon, to abate its force, or Orpiment and Honey.

A Fistula-water to take away and cure. Take Frankin­cense, Mastike each half an ounce; Verdigrease, Orpiment, each to drams; Allum two ounces, Honey and Turpentine, each an ounce an half; wine a pint and half. distill a Wa­ter.

Or distill a water of Euphorbium dissolved in Juyce of Plantane, with Myrrh, and Frankincense.

Or use the distilled water of mans Dung.

An Oyl to eat away Fistulaes. Take Antimony two oun­ces, Sublimate an ounce, Honey four ounces, distill an Oyl by a retort.

Orpiment alone thus prepared cures all Fistulaes. Take yellow Orpiment, an ounce, calcined Tartar two ounces, pow­der and calcine them in a crucible twenty four hours, powder it upon a Tile, and boyl them in water, till it is evaporated, there will be a white Chalk in the bottome, which is Orpiment prepared, the pouder of it doth cure Fistulaes to a miracle.

This white Orpiment so prepared, and put into a Glass, and set in a moist Cellar, turns to an oyly Liquor, which put into Fistulaes, is excellent.

An Hellebore root put into a Fistula, takes away the Tunicle.

We put a dried Spunge tyed or waxed into Fistulaes, or a root of Gentian or Birthwort, as a Tent to enlarge the Orfice rather then to clense, and the stretching makes the Callus thinner and sooner come of.

If you burn a Fistula with an actuall or potentiall Cau­tery, there wil be an Eschar, and that falling off, the Tuni­cle is gone.

If after this, quick flesh appears in a Fistula, it must be cured as other Ulcers, by Incarnatives injected, and then by Cicatrizers.

They say that Fistulaes are cured by Drinks mentioned in Ulcers, but they mean hollow Ulcers not yet covered with a tunicle, for when there is a skin grown in a Fistu­la they cannot send their vertue so far as to eat off except at the first while it is warm, or work upon the Fistula when the skin is off.

Paracelsus commends this Drink against fistulated Ul­cers. Take Sowbread two handfuls, Sanicle a handful, So­phia Chirurgorum half a handful, boyl them in Wine, to the strained Liquor cold, add Oyl of Cloves distilled an ounce and an half, give it thrice a day shaking it first that the Oyl of Cloves may be in evey draught three or four ounces at a time.

A Callus Ulcer with hard Lips must be mollified and clensed. The cure of a Callus [...]lcer.

This Cataplasm doth both, made of Dock and Comfrey roots boyled in Water, bruised after and mixed with Butter.

Or use a plaster of Ammoniacum with strong Vinegar.

Or this Oyntment. Take Gum Ammoniack, Bdollium or Galbanum dissolved in strong Vinegar two ounces, Turpen­tine half an ounce: dissolve it with Oyl of Roses, add two drams of Verdigreese, and three drams of Allum.

Or use other strong Clensers or Eaters mentioned if the Callus be hard.

Dioscorides saith that Spurge boyled in Honey or pie­ces of Sphondilium laid upon the Callus take it away.

Cut with a Knife or Lancet, and it will more easily heal.

An excrescent Ulcer is when the flesh which fil'd the Ulcer grows out for want of soon making a Scar or Skin, The Cure of an excrescent Ʋl­cer. hanging forth and deforming, this must be made even.

By taking away Plethory if that be the cause, by spare Diet and bleeding, and using of medicines outward that cause a scar as soon as the flesh riseth. these by drying cause a skin and hinder flesh from growing, but if the flesh is grown out, you must not use them, left it cause deformi­ty, because they wil not consume it. but then use stronger Dtiers and Clensers, or things that take away flesh, called Cathereticks, such as we mentioned for Fistulaes, and these are good in Fistulaes.

Pouders are carried in Borax pipes for the same, as pouder of black Hellebore and Hermodacts, of Birth­wort, Galls, Ashes of Date stones, Wooll, Spunge, Salt Fish, Smaris and Sea-Hedghog, Purple shels, and Shails burnt.

Or sprinkle small cut Hemp thereon.

Or the yellow pouder of dregs remaining after the di­stillation of Honey.

Or pouder of Borax.

Or of Pumice Stone, Okar, Aetius Stone, Diphryges.

Or of Allum, Chalcitis burnt, or not mixed with other weaker.

As, Take Allum burnt three drams, with Pomegranate flowers and Bole as much.

Or, Take Vitriol half an ounce, Allum two drams, Pome­granate peels and Galls, each two drams; Myrrh, Birthwort burnt, each a dram; make Troches for your use.

Or you may add burnt Tartar to other pouders.

A Corrosive pouder. Take Vitriol four ounces, Allum and Verdigreese, each half an ounce, Vinegar six ounces, cal­cine them in a luted Vessel.

Or make it of red Arsnick, Allum and Galls boyled in Vinegar strained and pour upon as much quick Lime, dry the Lime with the residence of the Decoction till it may be poudered.

Or make quick Lime into Troches with Honey, and then burn them.

To make Precipitate or Sublimate to consume flesh with­out great pain, Take one part of Quick-silver, two parts of Aqua fortis, let it be stir'd in a great Alembick with a great Receiver and hot Fire under, till the Water is gone, and the Alembick broken, leave that which is white and yellow, and take it in the neck of a Glass, pouder it, and se [...] it upon the fire till all the fume be gone.

The Troches mentioned in Cauteries to open Impost­humes, and many things that burn the skin, are good here.

And Troches of Vigo made of crums of Bread, Subli­mate, red Lead, and Rose water.

Aegyptiacum is the best Oyntment to take away flesh.

Or this, Take Hermodacts or Agarick, black Hellebore, burnt Spunge and Pumice stone, each two drams; burnt Brass and Allum, each a dram and an half; Verdigreese and Chal­citis, each a dram; with Honey and Oyl of Tartar an ounce, make an Oyntment.

Or thus: Take Antimony and filings of Iron, each two ounces; Allum, Sal Armaeniack, Sulphur vive and Chal­canthum, each an ounce and an half; Verdigreese and Orpi­ment, and Quick-silver, each an ounce; strong Vinegar, and [Page 445]Lye of Barbars, with Lime each two ounces: calcine them in a Potters vessel, and keep the Pouder close stopt in a Glass.

Anacardine Honey anoynted doth the same.

Or Oyl of Sulphur, Tartar, Vitriol, with Liquor or up­on a Plaster.

If nothing wil help, cut or burn away the flesh.

My Caustick doth it wel and quickly.

We have mentioned compound Ulcers with tumors and Pustles, we shal speak now of such tumors as do presently follow both Wounds and Ulcers when the tumor is red, as Phlegmonous erysipelated and Oedamatous Ulcers.

Phlegmonous or erysipelated Ul­cers or Wounds which are so from flux of Blood caused by pain or the like, The Cure of phleg­monous and erysi­pelated Ʋlcers. must be so ordered that blood be first revelled as we shewed in a Phleg­mon.

Then use repelling Defensatsives about the Ulcers and after Digesters as in a Phlegmon.

The Driers that are put into Wounds or Ulcers must first cool, also as in the Repellers in Phlegmon such as have Litharge, Cadmia, Ceruss.

Or thus against Inflammation and Ulcer. Take Juice of Dogstongue, Plantane, Willow, Night shade, or Housleeke, four ounces, Juice of Pomegranates, an ounce, Vinegar, half an ounce, Oyl of roses or Myrrtles, three ounces, Ceruse half an ounce, Lead burnt and washt, two drams, Camphire half a dram, with Turpentine make an oyntment.

You may use dryers onely when the Inflammation is gone.

The black Cerot of Vigo. Take Litharge, red Lead earths, Rossin, Camphire, Oyls, and Greases, with Poplar oynt­ments, wine of Pomegranates, Decoction of Myrtles, Barley, Plantane, Nightshade, wood-lime.

In Gun-shot, this Plaster is good at the first. Take Bole two ounces, Sanguis Draconis, an ounce, Ceruse, or Lith­arge, halfe an ounce, Barley meal an ounce and half, pouder of Earthwormes, half an ounce (especially if the Nerves be hurt) dried Centaury two drams, Sewet dissolved in oyl of Roses an ounce, with Turpentins, make a plaster, you may add white Diachylon to it.

Or this, Take Juyce of Plantane, Nightshade, Housleek, tach an ounce, Vinegar half an ounce, Oyl of Violets, Roses, water-Lillies, and Turpentine, each an ounce; boyl them till the Juices be consumed, add the Pouders of the Plaster a­fore mentioned.

Against a Prick with a Thorn. Take Juyce of Plantane, Shepherds-purse, Nightshade, Oyl of Roses, each four ounces; boyl them till the Juices be consumed; add Litharge, Ce­ruse, Cadmia, of both sorts, each half an ounce; Lead burnt and washed, Scales of Brass, each two drams; with Turpentine six ounces and an half.

In an Inflammation of the Puncture of a Nerve, use this Plaster. Take Barley and Lentil Meal, each two ounces; Bean or Lupine, or Orobus flower, each an ounce, boyl them in wine Vinegar and Honey, or Oxymel to a plaster. Then add things against pain, and proper for a Punctures as was there shewed.

For Ulcers of the Leggs with Erysipelas, use Unguent of Roses, Turpentine, and yolks of Eggs, with Oyntment of Line.

Against Pain in Ulcers or Wounds, from Inflammation, or Medicines, you must use Anodynes round about, as in Inflammations, as that of Cow Dung, and Narcoticks if need be. In the Puncture of a Nerve, wee shewed what was to be done against pain from thence.

If there be fear from the Puncture of a Nerve of a Con­vulsion, as often there is, it is good, to prevent Death, to cut in the place pricked or a little above.

If a wound or Ulcer be Oedematous, we must labour to drye up the Moisture about them which causeth tumor, The Cure of Oedematous Ulcers. with the strong­est driers, and then apply about things, a­gainst the Oedema.

A Gangreen is the Beginning of the Corruption of a Member: The Cure of a Gangreen. and is hardly cured. Sphacelus is a perfect mortification so that the part is dead, and must be cutt of, least it insect the quick, and cause death.

While there is any hope, and there is Pain and Sense scarrifie quickly, with many and deep Scarrifications.

Or use Horsleeches, or apply them after Scarification.

Let the part scarified be fomented with hot water thrice a day.

Or with strong lye of Barbers of Decoction of Lupines, or Lye of Fig-tree ashes.

Or with Sea, or other Salt water.

The Chyrurgeons use suddain Fomentations before or after Scarification, as follows. Take roots of Briony, Rad­dish, each two ounces; Leavs of Galeopsis, and ground Ivy, each a handful; Juniper topps a pugil, boyl them in Wine, add Vinegar for a Fomentation with Syrups.

In a Gangreen in the Privities, foment with Decoction of Mugwort, Wormwood, Violets, Strawberries, Althaea, in Wine, it hath made the Corrupt Part fall from the Sound.

Or Take ground Ivy, and Juniper topps, boyled in Milk it is a rare experiment.

Dioscorides useth boyled Coleworts, with Honey or Let­tice beaten with Meal of Darnel.

Old Wallnutts, or the green Rinds, are also good.

Or Galeopsis and Briony roots and all.

Or Agrymony and Roses beaten with Vinegar, of Raddishes and Salt.

Or flower of Orobus, Darnell Pease, Barley, with Ho­ney and Salt.

Or this Cataplasine. Take Meal of Lupines, Lentils, Beans, six ounces, Pomegranate peels two drams, dryed Roses a dram, Bole, Myrrh, each half an ounce; Salt an ounce, Juyce of VVormwood, or Nettles, ground Ivy, or Pomegranates three ounces, Vinegar an ounce, with Honey and Turpentine, and three Yolks of Eggs, and Oyl of Nutts, or Roses, that it dry not to soon.

Or add to the residence of the Decoction, for a Fomen­tation, Old Wallnutts kernells an ounce and half, Meal of O­robus and Pease, each two ounces, Honey an ounce and half, Salt half an ounce; make a Pultis.

Unctious things as Oyls and Oyntments are not so good, for they cause putrefaction, except it be a little to di­gest and keep the Pultis moist. An experienced Plaster is made of Savin pouder, with Leaven, oyl of Lineseed, Nuts or Yolks of Eggs, or of Tartar.

After washing, lay on Aegyptiacum with Allum.

Use Causticks as Milk of spurge, if putrefaction con­tinue.

Or mix Arsenick, with the Pouder of Mans Bones and Mandrake roots are added, to prevent Pain, I suppose o­thers add roots of five leaved Grasse.

After the foul flesh is gone from the sound, cure it as a wound.

You may use strong cleansers, and that take of flesh mentioned in excrescent Ulcers.

When the Bones are corroded Ca­reous or black, The Cure of Caries or foulness of Bones there is Cares or rot­tenness of them in evil deep and hol­low Ulcers that reach to the Bones and defile them, and it hinders cure of the Ulcer and hurts the member if it con­tinue. To take it away at first you must thrust medi­cines to the bottom of the Ulcer, opening it first, if it be strait by a dry tent, which when it is moistened from the wound will swel and dilate it, as with a Gentian root, which also clenseth, or with a spunge bound hard, first take a Suppository or the like, or open it by cutting.

This done put in Clensing medicines and Cathereticks or Eaters that wil take away corruption from bones as wel as corrupt flesh.

The chief Scaler of a Bone is Oyl of Vitriol and Anti­mony, Aqua fortis and Aqua Regia, all these I have used [Page 446]with happy success in foul bones and venemous Ulcers with foulness of bones, and in the French Pox.

But if this cannot be taken off, as when there is rough­ness upon the bone, we lay the bone bare and make it e­ven with a sharp Instrument for that purpose, or we cut off that which is above til the bone be smooth and clean again.

Somtimes we burn the foul bone with actual Cauterys and then the burnt part fall off, from the sound of it self. This is done in divers parts where the bone is foul, and also in the end of the Fingers where the bones use sud­denly to be corrupted by Paronychia or Fellon, it must be done presently that the foul joynt being taken away the next may be preserved.

This done, and the Bone made clean, you may cure the Ulcer with its proper Remedies, as the nature thereof re­quireth.

FINIS.

THE THIRD TOME IN TWO BOOKS; Which are the FOURTH and FIFTH OF THE Whole Work.

A TREATISE OF HUMANE INFIRMITIES.
THE FIRST BOOK Containing the Infirmities, or Diseases of the Body.

THe Infirmities of the Bo­dy are called Organical, Symptomatical, or such as cause Diseases; and many of them are to be seen and felt. Some destroy the shape and fashion of the Body: Others change the colour thereof, and are known either by the enlarging and increasing, or by Pollution and Infection, or by the decrease and Consumption of the Bo­dy.

The Diseases which destroy the shape com­prehend all Organical Diseases, which are called either Diseases that abound in respect of number, as when the Parts are too many, or the Body is double, or any Part is doubled or trebled; as when there are six Fingers, too many Teeth, &c.

Or they are called Diseases where number is wanting, as when any Part, Tooth, Hair, or Nails are wanting, when there is Bald­ness, or the like.

Or they are called Diseases in respect of magnitude increased and augmented, as when Nails, Hair, or the whole Body, or a­ny part thereof is over large, the Orifices too wide, or the Flesh, as Breasts, and the like, grown too large.

Or they are called Diseases in respect of Magnitude diminished, as when the Orifices are too little, or the Body, or any Parts there­of decreased and grown less.

Or they are called Diseases in Respect of unseemly Figure and Proportion, as when any Member is deformed.

Or they are called Diseases in respect of the Division of Parts, as a Hare-Lip, broken [Page 500]Teeth, falling of the Nails, Clifts or Fissu­res in the Hands, &c.

Or they are called Diseases in respect of the Separation of Parts to be united, as when the Gums are separated from the Teeth.

Or in respect of Concretion when an O­rifice is closed, or when parts which should be asunder grow together, or are joyned together, as matted Hair.

Or in respect of the evil Scituation or Po­sition of Parts, as when crook backed, or the Eyes stand too far out, the Teeth or Nails, loose, &c.

All these Diseases shall be explained in the Chapter of Deformity, which is the first Chapter, Page 501.

Secondly, Diseases which change the co­lour comprehend under them, Cachexy or e­vil Habit, Jaundies, Redness, Paleness, Blackness; Spots, Discolourings, and all sorts of Blemishes, and among these are the rosie Drop called Gutta rosacea; Itch, Infla­mation, or Erysipelas, small Pox, spotted Feavers, blew Eyes, spotted Nails, diverse coloured Hair. These shall be spoken of in the second Chapter, which treats of Disco­louring, Page 513.

Those Diseases which come from the in­crease and augmentation of the Body, com­prehend under them, the Dropsie, Swelling with Wind, the Ascites, Tympany, the Swelling of the Belly by a Mole, or Reten­tion of the Terms, Wens, proud Flesh, Ruptures, Polypus, Swelling of the Yard, Condyloma, or Tumor in the Anus, Gums swollen, Epulis, Encanthis, Oedema, Phy­sodeis or windy Tumors, swelled Feet, by Wind or Water, Codds swollen, Head swollen with Water, Swellings in the Groins, Hydromphalon, Bronchoceten, or in the Throat, Phlyctaenas, Hydroas, Breasts swollen, Warts, Cirsocolen, Aneurism or Swelling of a Nerve, Glanduls, Scrophu­la's, Struma's, both Swellings in the Throat, Buboes in the Emunctuaries, Parotis in the Ears, Stones, Hardness, external and inter­nal Hardness of the Liver, Spleen, Womb, Steatoma, Atheroma, Meliceris, these three sorts of Tumors which shall after be descri­bed: the Frog under the Tongue, the Te­studo, Garglio or Wen, Mole of the Head, called Talpa, Nodes in the Bones, Joynts, Callosity of Bones, Nails, Skin, Scars, Extension of the Navel, Warts, Moles, Cornes, Hordeoli like Barley Cornes in the Eye, Grando, or like a Hail-stone in the Eye-brow, Ruptures and Herniae. Of all these we shall speak particularly in the third Chapter of Diseases in Extuberance or Swelling by Accresion, Page 540.

In the fourth Chapter of Defoedation, Page 580. Or Diseases that come by In­fection, when many Distempers or Infirmi­ties come together. We shall speak of Ele­phantiasis, which is a kind of Leprosie so called; the Pox, and the like Infections.

The Diseases which manifest themselves by a decrease or decaying of the Body, are Leanness, Consumption, Tysick, Maras­mus, Colliquation or Melting of the Body, Atrophy or want of Nourishment generall, or particular, in any Member, shall be treated of in the fifth Chapter of Consumption, Page 598.

CHAP. I. Of Deformity.

The Kinds of Deformity.

BY Deformity we here mean, the Destruction or Perver­sion of the Naturall Form of the Parts of the Body; and this comes to pass, when the Parts of the Body are divided either in respect of Quantity, as number and magnitude, or of quality and uncomly Figure, and so be­come deformed by these organick Diseases. As to disco­louring we shall speak of that in the Chapter of disco­loration. But if the parts swell any other way, or any thing groweth unto them, or if they be consumed, these shall be described in the proper Chapter of Extuberance and Con­sumption; but if these be within the Body, as Galen writes of a double Porus cholidocus, others of one Kidney, of the want of a Liver or Spleen, or the like Diseases in Number Magnitude or Figure, by which the Body is over large or decayed, if they be within the Body, and not be seen they shall not be spoken of, in this Chapter of Deformi­ties, but in the Chapter of Actions hurt, and though ex­ternall Deformities do often hinder these Functions, yet because they appear more to the Eye we shall speak of them in this Chapter only.

Many Deformities are in the Body from number abounding, A double Body. some come from the Birth which if they are great are called mon­strous, as when two bodies are borne knit together in divers parts. I have seen a Man which carri­ed with him another of the same bigness compleate in all his Members, except the Head which was as it were graf­ted to the Neck into his Breast, and he lived so from his birth a long time in very good health. The like unto which Stumpifius in his Helvetian Histtory saith he saw. I also upon the fourteenth of August Anno 1645. saw na­ked in mine own house, another, who had his Brother hanging a little below his left Pap, fastned unto him by his breast, he had a great Head, with much curled Hair, his Eye-brows moved, but never opened, his Mouth was open and alwayes full of stinking slimy Flegm, his hinder part of his Head fell down to his. Brothers belly, his Face being upwards his Breast was crooked and the Ribbs plain to be seen, and bent like the Keele of a Ship outward, his Shouders were very deformed, both his Arms trembled and were bent backwards his left Hand had the three last Fingers; his right, a great Thumb and two Fingers, that next to the Thumb was least and grew thereto, from his left side his left Thigh hung downwards bowed, with a short crooked Foot, and onely four Toes, his Heel being turned outwards, you might plainly have perceived his right Foot to be inclosed in his Brothers left Thigh, as if he had two thigh bones, between the Thighs were the But­tocks and a cleft but not open, his brother cloathed him with a shirt doublet Breeches and Stockings. This Mon­strous man, was very active, of good Habit of body, well coloured, witty, long winded, he told me he was Son to a noble Merchant of Genua, his Fathers Name was Baptista Collaredo and Mothers Belerina Fraginetta, of the Family of the Forum Julianum; and because his Parents and the Priests saw that he was a double Man, he was baptized by the Name of Lazarus and John Baptist he was then twenty eight years of Age, when I heard from him and saw these things.

Histories also witness that some are born with double Members, Heads, Arms, Double and treble Parts. and Feet and other lesser parts, it is usuall to see six Fingers upon a Hand, Six Fingers. two Thumbs one lesser growing to the greater; somtimes six Toes upon one Foot and seven upon a­nother, some have three Stones one Cod, Three Stones. (these are called Triorcheis) and this is very probable to be as well as in other parts of the body: but this I have found by Experience, to be a hard excrescens growing to the se­menaries being insensible, but like a stone.

The Teeth do not alwaies keep the same number, some have two ranks of Teeth beneath which doth not deform or hinder.

Hairs because numberless, are disorderly when they are in places improper for them and so are a Disease in num­ber increased; but when they abound they are a Disease in magnitude increased, where we shall treat of them, be cause then hairs do not grow anew, but they which were before in the Pores, (for there is no Pore but hath a hair in it) hidden and concealed, do then grow manifest.

The greatest and most usuall Desormities are in the deficiency of number, The Want of Parts. as when some Instruments are wanting in the birth: as we have seen some monsters wanting both Arms, who have written and done other things with their Feet instead thereof, as I saw Anno 1652. Nov. 29. a Woman born without Arms, which gave her Child such and car-, ried it like a Nurse, making also divers things with her Feet and with more dexterity then many could do with their hands. Her Name was Maudlin Rudolphs of Thuinbut, in the chief City of Sweedland being above sorty years of age, and the year after February 20. I saw one that way a crooked Dwarf born without Arms, that exercised all things with his feet which were to be done with hands with dexterity to the admiration of the Beholders, his Name was Theo­dorick Stieb of Vienna an Austrian. These are rare, but the number of the parts is more usually by chance then by birth, as by imputation which happens to parts that are most extended, as have Feet, Fingers, Nose, and Ears, or when the Eyes are put out or flesh is lost from them, which is called Rhyas. Hither may be referred gelding, Rhyat. which though it be not in an apparent part and brings no Desormity apparent, yet because when both Stones are cut out, other Deformities follow, especially if it be done in Youth, which will declare them to be Eunuches, as a womanlike voice, want of a beard, so it causeth Deformity apparent.

The Teeth are often defective in number, not only in age which is common to all, Want of Teeth. but many loose their fore teeth, which is an un­comely sight when the Mouth is open, but this is no defect in Children for they will have others suc­ceed. The grinding teeth are also often taken out for Rottenness by which their number is fewer.

We have observed that the whol Nailes both of Toes and Fingers have fallen off of their own accord, Fall of Nailes. and sometimes others have grown up and sometimes not, these are difficultly ta­ken of by force.

[Page 501]The loss of Hair is usuall, especially in the Head, Want of Hair. where being longest they cause the grea­test Deformity being wanting, as when there is Baldness all over, this is ordinary to old and sometimes it befalls young People.

The Disease called Alopecia, is a falling of the hair from some long and violent dis­ease aforegoing, Alopceia. leaving the head bald in divers parts or equally about the hinder part of the Head and the Temples when it comes from the Pox, Ophiasis. or when two bald places reach on both sides from the hinder part of the head to the fore-head as in Ophiasis.

The same happens to the Beard, the hair falls off inor­dinately and leave it thin or the Chin bare, and this is when the hair of the Head falls most usuall, and it is so with the Eye-brows and Eye-lids: and especially in an E­lephantiasis or Leprosie, the same sometimes befalls all o­ther hairy Parts.

The Deformity which is from magni­tude increased hath two kinds, The over larg­ness of the whole Body. first the in­crease of parts beyond their prescribed bounds which is commonly originall and this sometimes happens to the whol bo­dy, not when one Man is bigger then any in that Coun­try with Proportion and strength agreable without impe­diment, this is not I say preternaturall, but when the body is so excessive long or big as the party is burdened there­with and cannot exercise his functions, deforming rather than setting forth the structure. Such monsters are somtimes seen and I saw a wench in Durner in Basil, not five years old bigger then any ordinary fat Woman.

The parts also of the Body are often bigger then ordinary and so bring De­formity and hinder action; Over great parts and over large Orifices. some are born with too big a Head, some where­of we find to be fools, some have Necks, Feet, Fingers disproportionable, a long Nose, broad Ears, great Eyes, long and large Teeth, especially when one Tooth groweth into the cavity of the opposite Tooth whith is lost, hitherto belong the over large Orifices a wide Mouth, Nostrils, and other parts too large, these are Deformities but not Diseases except they hinder actions, as when the Tongue is so big they cannot speak, and Nayles so thick that they cannot take up small things; be­sides which fault if they grow too long they are inservicea­ble, this is rather from neglect of cutting then any other thing. The like may be said of Hair if it grow too long for want of trimming, The too great increase of Nayles and Hair. either in parts where it usually or not usually groweth, as when it covers the Forehead which is vulgarly counted more comely when bare; especially it is counted very unseemly for a Woman to have a beard, in which places if the hair be shaved yet the roots remaining it will grow a­gain and shew the Deformity, sometimes one are more hairs growing in a Wart, deform the Face, if they grow where hair should not be, as upon a womans Chin resem­bling a beard.

The other kind of Deformity from magni­tude increased, Too much Flesh. eomprehends Carnosity and Fatness, and this is when from the aboundance of flesh or fat, the Body or any parts thereof are so increased, that it lookes not onely unseemly but is slow, heavy and unwildy to perform duties, these are for the most part idle sloathfull and drowsy, and if they be so when yong they live not to be old, as Hippocrates saith fle­shy Men are shorter lived then lean: this may be in some parts so that a Deformity and an impediment may arise, as when the belly is so fat that it extends it self without mea­sure, Great Breasts. or when the Papps are too large, and cover the whole Breast and would go far­ther if not restrained, and hinder brea­thing by their weight: such are those fat Men who have great breasts; and which is more preternaturall, those which have breasts grow very large as well as Toats being men not grown or other wise dispto portioned.

Hitherto may be referred the Sarcomata which are not other but the same Flesh over grown as rank Gums, the Caruncles of the Eyes too large which is called Encanthis. But because these are like the other Sarcomata, they are described in the Chapter of Extuberances.

A Deformity arising from magnitude diminished hath two kinds, as that of magnitude increased. The first whereof if when the wholl body is little from the birth and they continue all their lives like pigmyes, are main­tained in Princes Courts for admiration being unfit for any imployment by reason of the weakness of body.

The second is when the parts are di­minished as when the Head is too little as is seen in fools often: Smalness of Be­dy and its pens with narrow O­rifices. when the breast is too straight, by which means they are short winded; and other parts which from their originall have not a due pro­portion with the rest, if they bring any Deformity or im­pediment.

Hitherto is referred the straightness of Ori­fices, Phimosit as of the Womb the Skin of the Yard (in that Disease which is called Phimosis) when it is too straight so that the Glans cannot be uncovered by reason of the straightness of the praepuce or foreskin.

The greatness of parts is often made less, when some is taken off, Lent Parts. and the Members are partly lamed, which brings the more Deformi­ty, by how much it is more visible as in the Nose and Ears; and the action is most hindered when it happens in a necessary part as the Fingers, which being quite taken off there is a hurt which belongs to those that are in number defective.

Hitherto belongs the want of Papps in Wo­mens breasts, which is not only unseemly, Breasts consumed. but hindereth their giving suck.

The consuming of the Gums is under this Head, when the Teeth are bare at the Root, Gums rotten. causing them to be loose and fall out.

Hitherto may be referred those Teeth which are shorter then the rest in the same rank, Short Teeth and Hair. and Nayles when shorter then the flesh, for then they cannot take up small things.

Hairs also when they are so thin and short, Wool­like Hair. as happens when they grow again after fallen off; so that they look rather like wool then Hair. Beard long grow­ing. Or if in those parts where they ought to be thicker and longer in due time, as the chin where mans beard should grow hair come forth slowly and make them who are men seem still Children, this is a kind of Deformity: Want of beard in Eunuchs. es­pecially if by reason of Gelding before the beard grew, it never come forth; and they re­main beardless, it is uncomely and makes them wrinkled in the face as years increase, and as the Comae­dian saith look like old Women.

The second kind of diminished magnitude is Slenderness, Slender­ness of Bo­dy. which is opposite to Fatness and Fleshiness, and this is seen in those parts which should be fleshy and are not; and it happens some times to the whol Body, not when it decayeth of which we shall speak in the Chapter of Consumption nor when it is naturally small, for then it is not out of order since lean folks as we shewed from Hippocrates are longest lived: but when it is so lean, that it is ugly to be beheld, and causeth weakness, especially when the Thighs and Arms are withered, Senderness of Limbs. the Cheeks fal­len, the Shouders blades stick out, and the Belly shrunk in. Hitherro is referred the thin­ness [Page 502]of Womens breasts which is a Dosormity, not when they are little, Soft and lank Breasts. for that is accounted an ornament, but when they are lank and hang down this in young Women especially is ac­counted unseemly.

That Deformity which comes from the undecent figure and proportion of parts is manifold. The first is when the Figure is altered in number and magnitude, chiefly from inequality: sometimes from the Birth sometimes by acci­dent. As when the Head is too sharp poin­ted or otherwise deformed, The indecent Figure and shape of Parts. the Forehead wrinkled, the Nose crooked the Mouth and Lipps awry, or any other part is dispropor­tioned. To describe all these punctually would be very superfluous, and ask much labour.

Hitherto may be referred the over curling of Hair like black Moors, Hairs too curled. which if a little cur­led is an ornament, and hair hanging straight down is unseemly; also Nayles if wrinkled and standing forth are ugly. Nayles un­even.

The second kind of the Figure of parts de­formed, is when that continuity by which they ought to be united is divided, Division of parts which ought to be [...]nited. or the connexion dissolved. This we spake of con­cerning wounds and ulcers, but if after Cure the same Division and separation remain which spoils the Figure and Proportion, that may be referred to this Head.

As also the which comes from the birth. The divisi­on of the upper Lip or hair lip by nature. A­mong which is the hair Lip when the upper Lip is divided originally called in dutch Ha­senscharten from the hare, whose Lip seems na­turally divided as if cut, this deformeth the Mouth by making the Teeth alwaies appear.

Hitherto may be referred the inequality of Teeth when they are broken and rotten, The Rot­ienness and breaking of Teeth. by which Women seem uncomely. To this the Poet alludes in his Remedy against love.

If Teeth shee want then cause her often to laugh.

This is worst when the teeth are black, and when there are only stumps remaining.

The Nayles having continuity divided bring Desormity, The Rot­tenness, roughness clifes and dividing of Nayles. especially in the hands be­cause most visible, and this is worst if it go not away as the Nayles grow and are cast off; Roughness and corrosion is worst when the Nayles are black and blew or too thick; to this head may be referred, the cleaving or clifts of the Nayles when they are divided long wayes or transverse, these are the signs of Elephan­tiafis French Pox and the like.

Also the fissure or cleaving of hair in the head or beard is uncomely, Fissures of the Hair. because it causeth ine­quality and folding, especially if many be so cloven.

To these are added those deformities which proceed from the scarse Skin separated from the Skin, Dand­rough. not as they cause pain but uncomli­ness, of which we speak concerning excoriation and gal­ling: they are called Furfures because they fall off as dan­drow from the Head scratched or combed. This if usuall, and falling thick upon the cloaths, is a Deformity especial­ly if it fal from the beard or Eye-brows, or from other pla­ces where hair groweth not.

Hitherto, is referred the Disease in French called Pelatella, The Scalos in the palm of the hand called in French Paelatalla. as when the skin is unequally divided in the Palm of the Hand, and full of Scales, which though it itch not they are alwaies pic­king which is noysome.

Those Deformities which come from the dissolved connexion of The separation of the Jaws from the Teeth. parts, if thereby the part be wholly taken off, they belong to the Diseases of number deficient: but if they still stick to the Body, they belong to this kind, as when the Teeth are loose and bare at the Root and will not be sastned to the Gums.

The third kind in which the Figure and proportion of parts deformed, The continuation or growing toge­ther of parts that should be divi­ded. is when parts that should be divided, con­tinue and grow together as comes to pass by birth as well as by accidents di­vers waies, by which the Functions are hindered, as when any Orifices are clo­sed as the Nostrils, Lipps, Eye-brows, Fundament. Womb, the hole of the prepuce, when either by birth or other ac­cident, breathing, eating, seeing, evacuation or generati­on is hindered. As also the glewing together of some parts, though it be not hurtfull, it is ugly, as when two Toes grow together, which often is from the birth, but it is less offensive then the growing together of the Fingers.

To this preternatural continuation of parts, An indecent and firme conjunction of parts. may be referred that by which the parts are conjoyned, so that they cannot be separated. As when from a Convulsion the Mouth continueth clo­sed, which because it rather hinders and takes away acti­on then deformeth, shall be mentioned in hurt Action. Hitherto belongs the mutuall and close intrication of hair which cannot be separated, but is like a love-lock which the Germans cal Scherletin Sopf because it is supposed to be done by the fayries and the incubi.

The fourth kind of Deformity in Figure, The Deformity of scitua­ation from luxations and fractures. is when the scituation of a part is perverted or transmu­ted, and one part inclined or translated into an other, by which the continued Figure of the Member is destroyed.

Such is that which happens to the Feet, Vari crooked Leggs. when they bend inward or outward. And that in the Toes, which are continually used to straight Shoes, and so in time are bent awry, and some­times laid upon the Foot. As also abreviation, elongation and crookedness of Members from luxations and breaking of Bones in divers parts belong hereunto: these spoil the Figure of the part as well as hinder the Functions.

But chiefly Crookedness of back which destroys not only the shape of breast and back, Gib bout or croo­ked Backs. but makes the whol bo­dy short, crooked and unhansome, brings Deformity to Mankind.

Hitherto may be referred the Rupture or Falling of En­trals into the Cod, or other parts, causing Deformity. But because then the tumour and falling forth is rather to be thought upon then the desormity, it shall be spoken of in Diseases of Excretion, in Extuberances, Tumors, or things thrust forth of the Body.

Also to this Deformity which comes from the perversion or altering of the scituation of parts; belongs, Eyes sticking forth, Gogle Eyes. or prominency so called, when the Eyes are too much outward; and yet without offence or hurt, but yet uncomely whether it be from birth or accident. Also here we may comprehend the looseness of Teeth especial­ly those before. Loose Teeth. We have seen some who could bend the whol row of Teeth before, foreward.

Also Teeth hanging forth, though fix­ed, are unseemly, Teeth hang­ing forth. and when they are not placed even, and Nayles also when out of place or moveable, though they presen­tly fall not, yet are a Deformity. Loose Nayles.

The Causes of Deformity.

All the immediate Causes of the Deformities mentio­ned, depend either upon adherent, as adventitious causes; [Page 504]those are inherent which come from the birth, as we have declared and they consist either in number or magnitude abounding, or deficient; or in uncomly shape, when parts are not rightly proportioned or divided, or when they are continued or grown together.

And this comes chiefly from the seed of the Parents, The indisposition, plenty or want, commission or permutation of the pa­rents seed is the cause of Diseases naturall in number, magnitude and figure, in the Body or members as in the Teeth Nayles, Hair. of which all parts are made, and Child­ren sometimes resemble the Fa­ther somtimes the mother in like­ness and sex; and if the seed be unclean, not only the externall members of flesh and skin receive the same, but also the hair and the Nayles; because as I have shew­ed in my Anatomy, they are carti­lagenous parts, neither do they come from Excrements, as is the vulgar Opinion of hair: but from that seed in the first procreation, as is to be seen in Infants or Embryons. But after what manner the Father or Mothers seed should propagate these Deformities to their Children, is a hard Question, nor otherwise to be defined, but from some in­decent indisposition of the Seed, which coming from all parts, it receives from the corrupt; and as they offend in figure, magnitude or number, so doth it impress the same in the Childs formation, in the same parts, producing ei­ther the like in part of the same Deformities. But this doth not alwaies happen, that when any parts exceed or are defective in number or magnitude, the Child should have the same, for often children have their Members com­pleat, which the Parents have wanted by birth or by am­putation; though in some they are weaker. But in the hair of the Head and beard, we see often that they are more or fewer, thinner or thicker, and of divers colours like their Parents in the Children, as we shall shew in the Chapter of discoloration. And it is plain that it comes from the Seed, and is hereditary because black Moores have black and curled hair all by Nature, and the cause is the Seed which produceth an obliquity in the Pores of the Skin, so that the hairs which comes through those Pores not directly but obliquely, are curled, so doth the Seed cause these matted locks which some have by the formati­on of the Pores, when many oblique Pores are joyned to­gether in the skin, from whence grow more hairs in a lit­tle place, being curled and wound together, and they are born so.

It may also come from the plenty of Seed, that more and greater parts then are needfull be produced as the contra­ry from the defect thereof which as it may be in any part, so in the Teeth and Hair that they may be more or fewer. Also the Child may have an unnaturall shape from some other transmutation and commixion of Seed, as by the commixion of two seeds conceived, and their mutuall concretion in certain places, (except they be separated) it may chance that two Children may be brought forth of divers figures: which permutation and commixion of seed, as it may come from divers causes, so from some im­pression which the Mother conceives either in time of con­ception, or when she was great with child, from fear or o­ther affection, or from strong meditation or imagination. As she which being great with child and longeth for some kind of meat which is not fit, produceth a Child which deformity either in number, magnitude, or figure. By which means sometimes it hath as it were new parts resembling others, or something resembling the thing described; ad­hering to the body from the birth. And among others, we have seen a child have hairs like those of a Mouse upon the Thighs, because the mother being great, strook upon that part with her hand when she drove away a mouse. Many monstrous births have been by these means, which happened from imagination divers wayes, so that Chil­dren are many times unlike their Parents, because in the time of conception, and when the Woman is great, they have thought upon other people.

This diffimilitude or unlikeness is more incident to be from mankind then any other creature, because it is sub­ject to more intent and strong meditation and phansie, o­ther creatures only exercise their senses or things before their Eyes in the time of copulation, and so cause a resem­blance in shape and colour: as we shall shew in the Chap­ter of discoloration.

Some originall Deformities may arise from the Mothers blood be­cause the child is there with nouri­shed while it is in the womb; The Mothers Blood is the cause of some Dis­eases naturall in mag­nitude increased or di­minished or indecem Figure. not such as are in number of parts in­creased or diminished; (because e­very part proceeds from the seed,) but such as are in magnitude exceeding or defective, or in uncomely figure or shape. These Deformities come from the Mothers blood either being too much or too little, or from the change or commixion of the same, as we shall de­clare when we speak of internall causes.

Divers kinds of deformities come from externall causes as when any hurt or wound divideth the continuity of parts and so spoils the shape, if it be in a sensible part and causeth pain: we have spoken to them in the discourse of pains. Also an unseemly figure may come from an out­ward force which dislocateth the parts, or breaketh them in regard that there is then a loss of motion in the part, we have spoken thereof in the Chapter of immobility where we spake of Luxations and Fractures.

Other deformities of this kind which are in number magnitude and figure come from divers causes either in­ternall or externall.

The distempers and faults of the parts which produce deformity from exter­nall causes come after divers manners: A wound or an Ulcer is cause of the lameness or taking off of a part, or separati­on or division. as when by a wound they are cut off or lamed, either by chance, or by chyrur­gery through necessity for preserving life, as when the parts are consumed by an Ulcer, by exulceration, or often rubbing or when the dead part is cut off in a Gangren; or when in a Rupture the Stones are cut off as sometimes they are, or when the continuity is dissolved by wound, and the wound healed there remains a separation of the parts, or when by exter­nall force, the Teeth either through pain, Force externall cau­seth falling out of Teeth, or looseness or treating of them, the fall of hair, and gogle Eyes. or other affliction are pulled out. The hair falls either by acci­dent externall or by industry, or by Disease called Tinea. The Eyes by violent passion, sometimes thrust forth themselves. Or when by ma­stichation and biting of hard things, especially if of long continuance, the Jaws are separated from the Teeth; by which the Roots of the teeth being made bare, they are less firm then before; and sometimes fall forth, especially the Foreteeth, having but one Root, when others will scarce fall out except there be an attenu­ation of the Roots, as we see in dead mens Skulls the Teeth firm and unmoveable when all the flesh is gone. The teeth also are broken by strong biting of Bones cracking of Nuts, &c. It often falls out that they which pick their Teeth with a Kinves point from a foolish custome, very often, do not only take away their smoothness, and make them rough, but wear away their substance by continuall scraping.

As the other cause was violent, An outward vehe­ment heat is the cause of loose Teeth, or falling off them out, or breaking of them. so may often use of very hot Meats, so burn the teeth that they may be dryed up at the Roots and be no longer firm, but very loose in their places, and then they offend in scituation, or in number if they fall out from that cause. Or, if by the same Heat of meats the hard substance of the teeth be over dryed, and at length burnt they fall out, or some part crumbles of, and the rest remains broken and weak, or [Page 505]they become hollow.

And this is the usuall cause that young people have so many hollow and unsound teeth, especially when they eat very hot meats and broaths, which least they should burn their mouths they commonly blow upon first. This is the chief cause why our Germans which love hot broaths so much, have sooner bad Teeth then other people: which is imputed through ignorance to defluxions of Rheum when as we shewed in the pain of the teeth, defluxions cannot fall upon the substance of the teeth. The swallowing of hot meats and presently drinking cold Drink thereupon while the teeth are hot which many have used from their Infancy, causeth teeth to rot and fall out, before they are old, or at least by the sudden change of heat into cold to turn back.

From the like Heat the Roots of Hair being dryed and extenuated, Great heat the cause of falling of Hair. the hair can no longer stay in its Pores, but fall out by the least combing; this is caused by hot water or fire coming to near, therefore when they have killed a Swine they use hot Water to take off the hair, and to take off the Feathers from Poultery, by which means the Roots of the Quills are so dryed that the Feathers fall off; and some loose their Hair after the same manner, provided that there be not such a heat as to stop the Pores and astring the Skin so that they must come both off together; as it often befalls them that dress Hogs with too hot water, this mistake is called in dutch Berbruen, these are the causes, neither can hair fall by moistning the Skin and opening the Pores only, except the water be ve­ry hot, though it be long used with a moderate heat it will not do the like, and after the other way the teeth will al­so come forth.

Also Nayles and beasts Hooses with greater heat will come off.

The tender parts may be consu­med by knawing and rotting Medi­cines as the Jaws and flesh in the Eyes &c. Corroding and putre­fying Medicines are the cause of consuming of the parts and fal of Hair. and there are things cal­led Psilothra or Depilatoryes which take away hair by Art; these do it rather by consuming the Roots of the hairs then by opening the Pores.

Some of the Deformities mentioned come from internal causes namely, from divers Humors and Diseases or by one part forcing another, as I have shewed, as by Blood, since the parts are not only nourished and augmented by it so long as a Man groweth, but after whatsoever is consumed is restored by the same. And this consuming of parts comes from the Blood divers waies, either in respect of its Quantity and the Fatness of the parts; if the Blood a­bound in quantity it makes the parts too fleshy by too much Nourishment, and this is not only when Bodies are growing but af­terwards, Plenty of Blood is the cause of much Flesh. and then they grow exceed­ing fleshy, and if this come not heredi­tary from the seed and blood of the Parents it must needs come from Blood. Hence it is that plethorick Bodies are so carnous or fleshy, of which Ple­thory or Fulness as there are divers causes, so often and plentifull feeding is not the least. This Appetite is stirred up by exercise of body, because by that Meat is quickly distributed; therefore Men that exercise moderately grow fleshy and gross, as it was with the wrestlers in old time. Rest also which is the contrary may cause the same, for they which are idle and sedentary, and given to much eat­ing, seeing they spend little of the substance of their Bo­dies, and still are devouring grow very big and gross. This grossness may also come from the suppression of Na­turall Evacuation of blood. Hence Women at that time when their courses leave them, although formerly when they had them constantly and nourished their Children they were lean and slender, grow very corpulent and gross. From these causes you may gather that as from the aboundance of Blood flesh is pro­duced so by the want hereof there is Leanness and Slenderness. The want of blood cause of leanness.

But as the blood causeth flesh to be more or less so it maketh some parts to be greater or lesser, as when the Juyce made thereof, is more proper or less agreeable to such a part. This is so in that time wherein peo­ple grow as then both soft and hard parts as bones in­crease, but after only those parts increase which are decreased by externall injuries, The aboundance or want of nourishment is the cause why some parts are bigger then others as Nayles, Hair which grow thick and long or fall. as in the teeth Nayles and Hair, but after a di­vers manner, for in the Teeth if one be not worn away by ano­ther which is opposite, in chaw­ing, then the nourishing juyce a­bounding makes the tooth that hath no opposite to grow longer then the rest; but in the Nayles and Hair if they have too much Nourishment, they grow not only soon longer but thicker. The cause of Nayles growing so, is strong motion about the Roots thereof, when the Hands are often violently exercised and there is an extraordinary attraction of Juyce, hence is it that labouring Men have thickest Nayles. This also may come by often paring, especially if before they be bathed in warm water, for then the juyce attracted makes them by degrees more thick. The same is in hair which when it first comes forth like down upon the Chin if it be often shaved growes apparently thicker and longer. It may also happen that from the defect of that juyce which nou­risheth Nayles and Hair, that that which growes after cut­ting is thinner then the former. But it is more usuall that they should fall from the dryness of the Roots for want of Nourishment, especially hair, wherefore when Medicines are made for growing of hair they attract juyce by their heat, as we shall shew in the Treatise thereof, by which the Root is mantained, for the want of juyce is the cause of baldness; for though hair grows upon the Skin of the head and continue some time there, yet after some long before aged, some at the aproach of old Age grow bald, because the Head grows less fleshy and is made up of bones, skin and membranes, therefore that part is soonest dry, and so becometh bald. This may come also from ex­ternall injuries which dry the body, as from internall Cares, from which Histories mention that Men have not only become gray suddenly by drying the hair, but also bald by drying up the Moisture. In other parts of the Body, as the Nayles if from the same juyce which nouri­sheth other extuberances arise, in regard they are tumors we shall speak of them in their order.

There is also another Fault in the figure of parts from the aboundance of Nourishment, The nourishing juyce sweating forth is the cause of uniting the parts. for by the nourish­ing juyce, some parts that ought to be disjoyned are united; for if the Skin be taken off, and parts by Na­ture separated be laid together, the juyce which cometh forth from both will unite them: for this like Glue, conjoyneth wounds and bones.

If the Blood be fat the body is sat, Fatness in blood is the cause of fatness in bo­dy and the contrary. if lean it is lean, for seeing all blood consists of a fat matter, as Milk of a buttery matter, and that by sweating from the Veins in the membranous parts and not by congealing through cold as it was supposed, in regard the Body is alwaies actually hot inwardly, but of its own Nature grows together, being separated from the Blood, and so joyns to the Members as Glue increasing the sub­stance of the Body; as there is more or less of it in the Blood so there is more or less of it gathered together for the increase of the Body, from which cause rather than from Flesh are bodies greater or less: but this happens not to the whol Body but to those places in which Natu­rally fat is used to be more then in others, as in the Belly [Page 506]and breasts of Women &c. The reason why there is more or less fat in Blood is from the quantity of blood, for in much blood there must be much Fat, and hence Bodies grow more fat and fleshy, or more lean and thin. But if Blood, not only in regard of its aboundance hath much Fat in it, but also of its own Nature, though it abound na­turally in quantity, be over fat, which appears by that which swims at the top after it is taken out, which the vul­gar Chyrurgions call Flegm, then those Bodies are more fat than fleshy, which Fatness comes not only from the constitution which is inclinable thereunto, but from eat­ing fat Meats with which some are much affected.

Also divers kinds of Deformities proceed from Humors and Diseases, Evil ulcers are causes of consum­tion of parts. as Diseases of number deficient, if not from externall causes, as in Ulcers some parts are consumed by suppu­ration and corruption; The Gravel of the Teeth makes the Gums sepa­rate. which as in other parts, so in the Eyes and Nose, and Gums, which usually are separa­ted from the teeth by the gravell that grows underneath upon them, and by which they are hindered from uni­ting together. The cause of loose Teeth is a defluxi­on into the places where they are set. Also the Loosness and Falling of teeth, comes from a De­fluxion into the the holes where they are set, which moistneth and loosneth the Fibres and Membranes by which they are knit. And also when any corrupt Humor is in the places where they are set, it causeth them to fall out by corroding of their Roots. As we have observed in great Diseases, Also a corrupt Hu­mor about the Roots of the Teeth causeth their loosness and falling out. that the Teeth have afterwards fallen out. And in the Pox by the use of Quick-silver af­ter a Flux of spitting, the teeth have been loose and sometimes fallen out.

Also the Falling of hair come from Diseases and evill Humors, A Feaver causeth Hair to fall off. when the roots are dried or made less and consumed thereby. This comes from burning Feavers, which do not onely dry the Body, but the Roots of the Hairs which are soft, and so they are attenuated and con­sumed, as we may observe in the declination of Feavers; In the Alopecia and Ophiasis, when evill Humors are gathered about the Pores of the Skin, An evil humor a­bout the roots of the Hair causeth it to fall off. they eat and con­sume the Roots of the hair, and make them fal: this they do by their sharp­ness and maglignity; and not by loos­ning them with their moistness as some suppose, because such Humors as are only moist and not malignant and sharp, do never cause Falling of Hair. Which Humors as they may come from divers causes so especially they be sent thither by an acute Disease, and by Heat the Root of the hairs may be dried, which may cause the Falling of hair. And it is manifest that this comes from malignant Humors, because in those Diseases which are venemous and fix more upon the Skin then upon other parts, and produce divers Deformities thereon, as in the Elephantia­sis and French Pox, the hair chiefly falls away in those places whereunto the Humors have most resorted.

In the Nayls also, as we have said since they are of the same cartilagi­nous Substance with the hairs, The heat of a Feaver is the cause of impre­ssion upon the Nayls and of their loosnese. and stick only to the Skin as they do, the same thing may happen: and may suffer from the same causes, with the hair, and fall wholl off from the Fingers, but more sel­dom, because they are Naturally more firm: yet somtimes from the heat of a Feaver they grow dry about the Roots, or partly consume: and after when the Feaver is gone they grow again with an Impression upon them and a kind of separation.

Also from an evill quality such as takes away hair in the Elephantiasis and French Pox, An evil Humor is the cause of the cor­rosion and filthiness of the Nayls. the Roots of the Nayls may be infected, and receive such a blemish, by which though they fall not off alwaies, as hair doth, or be consumed, yet they may have such a filth that they may appear ugly and deformed thereby.

Also the number of parts is dimi­nished by another part thrusting off the former; as in the teeth, The teeth and nayles throw themselves or by new. which in young people grow up by degrees till they throw out the old. This is also but seldome in Nayls, a new growing will cast off that which is above, and this is from aboundance of Moisture.

The Cure.

That Deformity which ariseth from number abounding if it come from the Birth, The abounding of some parts. either in the body or any Member and cause no impediment, in regard it can­not be cured but by cutting off, must not be attempted, except it may be taken off without danger of life or lame­ness, But if it hinder not much and may be taken off without danger, then you may adventure; as when there is a Tooth too many, which hinders chewing, which is sel­dom, you may pull it out. A sixth finger being yet small and weak may be taken off with a Raysor or Pincers, which done, The taking off of the sixth Finger. as we said in wounds, you must presen­tly stanch the blood, and cure it ac­cordingly.

If any parts be wanting either from Birth or chance, The cure of the want of some parts as of the Stones. as when the Stones are cut out, they can no waies be re­stored, neither in Man or Beast, as they may in Plants whose branches being cut off grow a­gain, Nature doth this but not Art. Therefore here is no need of a Physitian but for the preventing of the perishing of a limb by keeping off external injuries, and diverting of other Causes.

Yet there are some who rectifie Deformities, The artificiall repara­tion of parts lost as a Foot, a Hand, an Arm, a Nose, an Eye. by artificiall Instru­ment, to supply parts that are lost; make new Feet, Arms, Hands ar­tificiall, which are sometimes so flexible by Joynts that they afford some use for going and holding. That horrid deformity of a lost Nose, is repaired by a painted one: and I have seen an Eye so artificially made of Ivory, to be taken out and put in again without pain, and constantly to be worn so that none could imagine it to be other then a true Eye, on­ly it moved, not and the place was moister.

The teeth falling by chance or other­wise, in Infants, while the Roots remain, The Cure of Teeth lost. or by Reason of new Teeth which thrust out the first which are without Root fast­ned in the holes, but held by only a membranous Sub­stance, in Children about six or seven years of Age, and in Horses and other Creatures, about three, four or five years of age by which we know their Age, is repaired by Nature and others come in their Rooms: but if this chance to people in years, when the Roots are fixed, which are also carried away when the tooth falls or is drawn out, or if any stump remain it is unprofitable, and they cannot grow again. I knew one who is now alive, who is as a rare Example, being a Man, that had two new grinders in the place of teeth that were before plucked out. And although while they are sound, the teeth grow as they are worn a­way: yet when they are rotten and taken out, they will not grow again. Yet this defect, when one or two teeth are wanting, which causeth Deformity if from before, may be supplied with artificiall teeth made of bone, which I have [Page 507]known some constantly to wear; and they have not been discoverable from true.

The want of Hair, being a Disease in number deficient, The Cure of Nayls fallen off. when the Roots are gone cannot be repaired, because it is impossible to restore any part of the Body being quite taken away. Also when the Pores of the Hairs grow together, that defect cannot be cured. Wherefore in a true Baldness, and Scar in the Skin, or when the Pores any waies unite, or in an Alopecia, when the hairs are gone at that Root, to labour to restore them is to wash a black More white.

But in the want of hair, when they are so fallen that none appear, The Cure of the Beard fallen off. yet if the Roots and Seeds remain, then they may be restored by Art, or grow a­gain of themselves. But if this defect be in magnitude wanting, as we said, when the hair grows no more, as in Eunuchs, or slowly the Pores being little, as in some, this cannot be cured by Art; in others it is difficult to be at­tempted, though divers things are used, yet the success is slow and not before Nature attempts it of her own accord.

In the Cure of these defects, a prognostick being alwaies presupposed, leaving that which is desparate we must be­gin the Cure of the rest at the cause which is first to be re­moved, whether externall or internall if it come from e­vill Excrements which must be evacuated by purging, or by the habit of the Body; then we must proceed to topi­call Medicines to the part fit for the Generation of hair.

If it come from evill Juyce the cause must be purged a­way, and that which is in the Blood must be clensed, and the evill Concoctions amended, and good Blood be produced for nourishing the wholl Body, and also for the Hair; which purges if they be often and strong, by draw­ing from the Habit of the body, the cause that corrupts the hair, and the malignant quality in the French Pox, will cure both the falling of Hair and the Disease that causeth it.

Purges are to be administred according to the Excre­ments that abound: and because these sharp and salt Hu­mors are carried with blood and water by the Veins to the Pores of the Skin, where they destroy the Roots of the hair, let the Purge be proper for these Humors: such as is given against Scabs, Itch, and the ring Worms, in treat­ing whereof we have shewed divers Forms; as when an evill quality in the French Disease, hurteth the hair, you must use the same Purge which is good against that. Evacu­ation by the Habit of the body, doth more directly throw off that filth which lyeth at the Roots of the hair; and sweating or breathing by insensible transpiration doth it: but first purge, then sweat, principally in the falling of Hair in the Po [...] which comes from Venom, you must cure it by the habit of the Body, and so you will cure the Pox also as we shall shew hereafter, where we shall prescribe divers Sudorificks by things taken in, we can hardly pro­duce Hair, although it may be done by some things which throw the Excrements to the Skin and this is the judge­ment of those who think the hair proceeds from Excre­ments: and therefore they prescribe such things which may effect that. As Figs which by a proper Faculty do send Excrements to the Skin; they conclude them so from the vulgar Opinion that Figs beget Lice which they say come from filth in the Skin caused by Excrements driven thither by the Figs, when the filth that produceth Lice, comes ra­ther from externall things cleaving to the Skin. The cause of this opinion was; because the seeds of Figs in shape and multitude resemble Lice, and they also crack in the teeth and between the Nayls; others for the driving of Excre­ments to the Skin to produce hairs give Treacle, by rea­son of the troches of Vipers which is in it: supposing that Vipers flesh taken into the body, can cast off, as Vipers do their Skins and throw the Excrements to the skin for producing of hair.

It is certain that Treacle by causing sweat, doth rather throw out the Excrements that are about the Skin than bring them thither. And if Vipers flesh can throw off a skin, it will rather drive Excrements from the Body, then lodg them there, as we have showed in the Cure of Ele­phantiasis. Lastly, since it is certain as we have shewed at large, that Hair is not nourished of Excrements or Va­pors unknown, much less are they made of the same; but they rather fall away by Excrements when they come to the Roots, and they as other cartilaginous Bodies and Nayls are nourished from the Blood with a Juyce proper for them, we cannot perswade our selves that Excrements being driven to the Skin can produce Hair, but contrary­wise you may produce Hair better by removing of Excre­ments and throwing them out of the Body. The chief end in curing fallen hair by the French Disease, is to expel that Venom outwardly by sweat, and so you must do if you will cure any kind of Baldness which comes by congestion of Excrements.

The hair of the Head, Beard, Eye-brows is to be resto­red by things outwardly applied to the part; such which increase hair by an occult quality as are many things fetcht from living Creatures and known by Experience; or such as be drying and astringent, as most are which are used for this purpose; and the reason is because they dry and make thicker the Juyce that is brought to the Roots of the Hair which makes it a more fit Nourishment for them. Or by such as raise Blisters by drawing the juyce to the Superficies, and apply to the Roots of the hair to nou­rish the same; of which either single or mixed you may make Medicines for growing of hair.

In the beginning of hairs to fall, to prevent it, and pre­serve what remains if it be far gone we must mix very strong astringents with the other that the Pores may be closed. And we add stronger dryers and digesters to these, when evill Humors lie about the Roots to destroy the Hairs; some teach that the hair may be preserved from falling in a venemous Disease as the French Pox by using Lenitives as Milk which tempereth the Venenosity. All these Medicines of what kind soever, whether they bring hair again or produce and preserve it, are applyed divers waies, or they are used as washes and Fomentations many made of Plants are diversly applied, as the Root of Wa­ter lilly, Leaves of Beets, and Coleworts, with Salt, the Daf­fodill Root, with Vinegar, the Dogs tongue leaves with Swins Grease or the like: and when you will bring Nourishment to the Hair, mix Onions, Garlick Squills and Raddishes, or the Root or Leaves of Crowfoot, or Watercresses, or wild Mustard and the like.

The Pouders of divers Plants are mixed with Honey and Oyls grease, Pitch and Rosin: sometimes to be anointed and sometimes applied Plaisterwise: as the Bark of Reeds, or Roots of Maiden hair, leaves of Godlylocks, Southernwood, Mirtles, Wormwood, berries of Myrtles, Juniper, and Myro­balans; and to draw them out, the pouder of the Roots of Asarabacca, Hellebore, Thapsia, Rue, the seeds of Mustard, Staphsager, Watercresses, Rocket, Rue, Henbane seeds, with Oyl, of Flower-de-luce, are said to bring hairs on the eye­brows and Chin. Also the ashes of some of the aforesaid Plants calsined do the same being made into the Form of a Liniment, as the ashes of Hazel Nut shells, also of Southrenwood, Maiden-hair, Goldilocks, Reeds barks or Roots: the Barks of Pine-tree, Roots of Daffodill, Sowbread, Garlick, leaves of Myrtle, Wormwood, Misceltoe, Cypress-Nuts, Date-stones and Line-seed, burnt with Straw, also Barley.

The juyces of Plants either are used alone or mixed as when you will attract, of Onions, Garlick, Squills, Raddish, Thapsia or of Sowbread. When you will dry. The juyce of Reeds, Southrenwood, Docks, Myrtle or Willow-leaves: and of other Plants aforesaid.

Also Aloes dissolved in Wine is very good. Also the Liquor that comes from the stock of a Lenden-tree being cut, is very good: the Milk of Gumsuccory will fetch hair upon the Eye-brows saith Dioscorides.

The water of Honey distilled, sepecially that which is [Page 508]made of the comb with the Bees in it, adding, Ants and Hog Lice that are sound among stones, is good as also A­qua vitae. The Mucilage which is expressed or strained from the Roots of an Elm which are first boiled is good also: Honey they say also will bring hair especially honey Anacardinum.

Divers Oyls are for the same use, as that which pressed out of Nuts, Almonds, Peaches, or Nut-kernells, or let Nut. kernels be bruised and applied; also old Oyl Olive or lamp Oyl, or rap Oyl, or that which is distilled of Ju­niper-berries or Spike; or Oyl of Myrtles Roses in which Southernwood or Coloquintida, have been boiled, and also sort of hot Oyls are used by practitioners, To make hairs longer some have privately used Oyl in which the Roots of Osiers and Embick Myrobalans have been boiled of Gums Labdanum is the best dissolved with Honey, or when hair is to be fastned, with oyl of Myrtles or of Roses or with old Wine and juyce of Myrtles to which somtimes Myrrh is added; also Frankincense, Mastich, Sandarach is and other Gums with Rosin, and when we will attract, we add Euphorbium.

Divers things taken from living Creatures are used to bring hair, as Bees with their combs stamped, or the pou­der of them or of Waspes; the little Cantharides, which are red and have black spots, and are black bellied which the French call Gellines de nostre Dame, and are found upon the stocks of Trees, being dryed, poudered, and mixed with Oyl of Spike are very efficacious. The pouder of the Cantharides in the Shops are attractive but you must mix them with Oyl of Violets or Almonds, least they ulcerate.

Use the Pouder of Lizards their head and tayle taken off, with Oyl of Yolks of Eggs. The dung of a Mouse with Vinegar, and also other dungs are very attractive. The filth that comes from Bee Hives and the pouder of Bees half or wholly burnt are good with Honey and Oyl of Spike, Juniper or Myrtles or the like; or with Grease of a Bear or the like, or with Pitch and Wax, or with Wine and Vinegar; also ashes of Waspes, Cantharides, Grass­hoppers, Flies, Hog-lice, of Moles, or of their skins of Mice or their heads, of Hares head of Lizards, Froggs, Horse-leeches, of a Sea-horse, or Sea-vrchin, the Hoofes of a Mule, of Goats, of Bears skins, of a Fox, of a Hedghog, of Snaks skins, of Mans hair, of Bears or Hogs bristles, of Mouse or Goats dung.

Grease is commended especially of a Bear, then of a Mole, of a Spike fish, of a Duck, Goose, Hen, Goat, Hog, Coney, Dioscorides Anoynts, with Oesypus or Grease of Wool. They say that Oyl of Worms increaseth hair, al­so Oyl of Egs, or that in which Lizards have been boiled. The Mucilage which come, from Snails bruised with some Bees and Waspes: and that Water which runs out when Snails are pricked brings hair upon the Eye-brows. The blood of a Sea-turtle a little dried is commended, also the Galls of Hogs, Goats and Bulls: of earthly things. The Froath of the Sea made hard with the Sun, mixed with Vi­negar, or the ashes of it; also salt Peter, quick Brimstone, Oyster shell, the pouder of a Grindstone mixed with some sharp Juyces. The Armenian stone or Lapis Lazuli bea­ten applied with some Liquor fit, brings hair upon the Eye-brows, Lead filed and Antimony mixed into pouder and applyed with Grease is good to bring hair upon the Eye-brows, if not, it doth by blackness keep the want of it from beeing seen, others commend burnt Stibium of com­pound Applications, to bring hair or to cause a Beard these following are the best: a good Liniment. Take Oyl of Myrtles, and sweet Almonds, of each one ounce and an half, or the barks of the Roots of Canes or Reeds or of Colwort stocks burnt, of Maiden hair or Goldilocks, and of Southern­wood burnt each two drams, of the heads of Mice burnt and Bees burnt with their Combs one dram and a half, of Labdanum two drams, of Honey one ounce: make a Liniment.

Or take of Oyl wherein Southernwood hath boiled two oun­ces, of Honey one ounce, of the ashes of Mole skins and Hedg­hoge one dram, of the ashes of Bees and Waspes half a dram, ashes of Nut shells two scruples, Mice dung one scruple, of Bears Grease one ounce, of Labdanum three drams: mix them for a Liniment. To which add Gallia moschata for the sent, or Musk or Oyl of Cloves. Or,

Take of Oyl of Nuts and Bays each one ounce and an half, Oyl of Juniper-berries ot Spike half a dram, the juyce of Docks and Southerwood or of Myrtles leaves each one ounce: boyl them a little add one ounce and an half of Honey, pouder of Bees half a dram, of Labdanum half an ounce, of liquid Storax a little: it will attract more strongly if you add the ashes of red Cantharides, with black spots half a dram, of the pouder of Cantharides of the shops one scruple. To draw Nourishment to the hair you may make it thus. Take of the Juyce of Raddish one ounce, Juyce of Onions half an ounce, of Honey one ounce and an half, Labdanum two drams, Myrrh one dram, Euphorbium half a dram, of the Sea Foame one dram, or instead thereof one dram, of Samon salt or of salt Peeter, of Pitch or Ro sin be dissol­ved in Wine six drams: mix them for a Liniment.

When the Eye-brows or Beard salleth this is experienced to restore the hair. Take of Henbane seeds two drams, of Mouse dung one dram, of the pouder of Goldilocks and Nigella seeds each half a dram, of Spikenard half a scruple, of Oyl of Juniper as much as will make an Oyntment: you may make many Oyntments of the aforesaid Simples for the same use.

To preserve the Hair from falling when you are afraid thereof use this. Take of Oyl of Myrtles or of Mastich two ounces. of Labdanum and Hypocizstis or Acacia dissolved in sharp Wine or Vinegar two drams, of Allum or Salt two drams, of Wax as much as will serve to make an Oyntments, or; Take of Oyl of Roses and Quinces each one ounce, of Labdanum dissolved in Verjuyce two ounces, of Mastich one dram and an half, of the pouder of Galls, Cyprus Nuts and Myrobalans each one dram: mix them for an Unguent to these you may add, the ashes of Filbirds, Nuts, and Bees and other dryers above mentioned. If you desire hair to grow again or to come forth, we may use Fomentations, with Liniments before and after or alone; and they are made of the De­coction of Southernwood, Maiden-hair, Goldilocks, Hore­hound, Vervain, Myrtle leaves, sour Docks, Rosemary flowers-Chamaepyts or Groundpine, Rosemary topps, and Sage: if the Head be to be washed, Take the Roots of Reeds or bark of an Elme, the herb Ferula if you can get it, Linseed, torrefied and Spikenard according to Dioscorides. And if the Hair sall by reason of bad Humors, we must add those things which clense them away, as Senna, Guiacum, roots of Briony, Wildgourd, Snakeweed, Spinage, Lupins, Beans, Bran, boyl­ing them to a Lixivium, or make a Lixivium or Lye of the ashes of Juniper, Southerwood, Horehound, Nuts, Almonds, Snails, sometimes adding other ashes as before, and boyl­ing other things aforementioned in the same; sometimes Fomentations are made of stilled Waters, as of Southern­wood, maiden-hair, Goldenlocks, with distilled Honey, which you may use with ashes of Labdanum. Also a Water of Lard and Honey with other proper Plants is good. There is another of boys urine, Wine and Milk, distilled in equall parts, to which add Southernwood, and other proper herbs, and sometimes Mustard seed to make it stronger. The ashes of To­bacco boyled first in Boys urine do cause hair to grow, and kill Lice wonderfully. The urine of a Cow or Mare in which Faenugreek seed hath been boyled is also used. To prevent the Falling of hair, make more astringent Decocti­ons in sharp Wine or Lye, or ironed Water, leaves of Myrtles, and berries of the same, Elme barks, red Roses, Galls, Cypress Nuts, with other things.

The Falling of hair from the French Pox is cured by a Fomentation of Milk, as we shewed, adding Butter, the Oyl of sweet Almonds and the like Lenients, to attemper the acrimony of the Humor; besides these externall Me­dicines. That soote which comes from Pine-tree burnt or Frankincense or other Gums especially Storax, which sends a sweet sent, doth cause the growing of hair in the Eye-brows often and hard rubbing of the part while it grows red with the Figg leaves or rough cloaths, helpeth [Page 509]to cause hair by drawing forth the moisture: or rubbing with sharpe Juyces as of Raddishes, Onions, Garlick, Squills and the like. If the down be first shaved off or the thin hairs very often, it helps much to make them thicker and longer. This will cause the nourishing moisture to come to the part, and the hairs come forth better, this is the best way to produce a Beard, and when hair falls it will grow stronger; the smoothness of the Eye-brows is amen­ded if with blacking or Soote, with Oyl of Nuts and ver­nish you make a paint.

When the Body or parts thereof grow too big, The Cure of the over largeness of the body of magnitude of parts increased, of over­large Orifices. or the Orifices too large, if they be originall from the Birth, they cannot be cured: nor can we cut off any thing from a part too large or sew up large Orifices, or conglutinate them, for then they would loose their use, which is of more concernment then Deformity. Yet for to astring some Orifices if they be not too wide by Nature, but caused by Force without Rup­ture, Women have some Medicines for the externall Orifice of the womb, The Cure of the mouth of the Womb being too large. to make them conceive the better, and to conceal the loss of Virginity, by often applying astrin­gents which make the parts straighter. A Fomentation or Incession is used for this purpose made of the Decoction of Galls, and Pomegranate peels in Rain or Smiths Water, with red Wine, Vinegar, and Allum: sometimes they add Com­frey roots, leaves of Sumach, Plantane, Oak, Cypress Nuts, Pine barks and other astringents and sweet sented as Cy­press, writing Inke applyed with clouts doth strongly a­string or this following. Take of Pomegranate flowers half an ounce, Mastich or Frankincense and Dragons blood each two drams, of Asphaltum or Mummy Arabick in red Wine and Juyce of unripe Pears or Sloes make a past and apply it, or sprinkle on the pouder of Bole, Galls and Mastich, to which add Antimony and Scales of Iron. To strengthen the Pri­vities, and help Conception this water is most proper: Take of the great Comfroy roots, Galbanum, Roman Vitrioll, Pine-gum, Ammoniacum, sweet Almonds, Cypress Nists, grains of Sumach, Terra sigillata each equall parts,: pouder them and mix them with Sloe-water, boyl them a little, and with water being warm foment the Privities with a linnen cloath. This following is of the same if not greater Vertue. Take of the leaves of Myrtles, Swine-cresses each four handfulls, of green Medlars, Sloes and Pears each two pugils and an half, of Hens Gizards thirty, distill them in Balneo mariae, and let the Water be put into the Privities with a lock of Wool often. If the Nayls grow continually thick it cannot be cured, The Cure of Nayls that are too thick or too long for if you shave some from them the next wil be as thick.

But when the Nails are too long, although it be Naturall, in regard they bring Deformity and hinder, they must be cut to the quick, so that they be even with the flesh for to cure long hair. This is done by trimming according to the custome of the Country: but when they grow too long in a place they should not as in the Forehead, The Cure of hair growing too long. or in the upper Lip of a Woman which is usu­all or upon her Chin which is mon­strous; or when they are too many in the Privities, then they must be taken and prevented from returning which is most difficult; but it is to be done by outward applications a preparative going before; either by pulling forth, or cutting them off or burning the skin, when there is a Plethory you must prepare by letting blood, if you intend to burn them off, to prevent Inflama­tion and pain: you must also purge. Some use sweating be­fore either in a dry Bath or with hot Water, that the Pores being opened the Medicines applyed may have the better Operation. But this is not so necessary because it will be done without; but they do well after to clense the skin from the Liniments and filth especially when they stick fast in the Privities: Topiks are divers, to make the skin clean from hair called Psilothra; this they do by a caustick Power by burning, and if they burn strong as we said of hot water the Roots will be taken off and a Scar will be in the Skin, so that they never will grow again. This is to be done warily and if the place be burnt, cured as a burn. Some Medicines work otherwise then by caustick or burn­ing, by a secret propriety; which are mixed with causticks to keep hairs from returning: besides these there are some which have an astringent Faculty by which they hinder hair which do drive back the Nourishment. And cheifly to keep hair from growing again, they use Narcoticks or Stupefactives, supposing that they repel them by their great coldness, but they being not cold must do it by another way of Digestion, which we have shewed to be their pro­perty, or they are used to take away the pain by Causticks, so they were used, mixed with other things at first, and af­ter they were supposed to be applied for the hindering of that groweth of hair. These Medicines which take of Hair or hinder it from growing, either by way of Oynt­ment or Pouder are made of the Simples following. First from Plants, as the Roots of Osmund-royall, of Cypress, take off hair according to Dioscorides: the Meal of Lupins with Oyl and Vinegar: the red Berries of Briony take a­way hair, hence the Plant is called a Psilothron, to which you must add Vinegar when they are bruised, least they cause Ulceration. The juyce of Spurge doth it excellent­ly, but it inflameth easily, therefore it must be mixed with the white of an Egg or Oyl: the Juyce of the wild Cow­cumber doth the like: other Juyces keep them from grow­ing as of Fumitory, Coleworts, especially Narcoticks, as of Henbane, Hemlock and Poppies. The distilled Water of the same doth the like, as also the Water of Stonecrop and Housleek: the water that drops from a Vine that is burnt is good also: also Gum of Ivy dissolved in any pro­per Water is much commended.

From living Creatures these are good the sea Hare and the Urtica, beaten and laid on saith Dioscorides. Also Ants beaten together with their Eggs are commended if applied. Also Ants Eggs with the Milk of a Bitch or meal of Lupins with strong Vinegar, Moles, green Froggs and Horsleeches poudered, or burned, and applied with Oyl or Grease are also good: also Salamanders and Glow­worms mixed and beat together with Ants Eggs are of much force: also Swallows Dung and Vinegar: also Batts blood, Ftogs blood, Snails with Vinegar, Moles with Vi­trioll, Bitchs Milk, Ox Gall, black Chickens and Dogs piss. The Decoction of a Mole with salt Water, till the water be almost gone, takes away hair but brings white in their stead.

Dioscorides commends the Oyl wherein a Salamander of the Sea hath been boiled. They say Salt often thrown upon the Head takes away hair; and the crocus of Iron with Oyl. Of Compounds this following is the best. Take of quick Lime one ounce, of Orpment one dram or one dram and an half, add a little of the white of an Egg and Barbers Sudds anoint the place with your Finger, and a quarter of an hour after wash it with the Sudds, if they go not off, in­crease the quantity of Orpment, and so continue till you have done it; some mix these with French Soape. The Turks have a thing called Rusma, it comes out of the Earth and is like skales of Iron, but lighter, black and as it were burnt, which is best of all, and the Women use it much as Belloniuc saith, because it makes the parts smooth without burning, leaving no sign of hair; they take the half of this Pouder & half of the Pouder of quick Lime, and steep them in Water and wash therewith, and afterwards in the Bath they wipe the part and the Hairs comes off. This Rusma is a kind of Shoemakers black or vitrioll called Sory or Melanteria, it is like it by Description: other things to take off hair are made thus. Take of unsleked Lime one ounce, of Orpiment half a dram: pouder them and boyl them in water or Lie, then use it: others use the ashes of Harts-horn with as much Orpi­mens boyled in Rain-water: the Pouder of Orpiment mined [Page 510]with juyce of Henbane takes off hair and they will not grow again, and the Juyce is to prevent pain. Another; Take of Orpiment one dram, of Gum, of Ivy five drams, of Ants Eggs bruised one spoonefull and mix them with Vinegar; you may add the blood of a Bat or of Froggs, or Juyce of Henbane, least they should grow again; some use the Decoction of Spurge in Vinegar with Quick-lime, and least they should excorias they boyl Mallows therewith or add Milk. This water takes off Hair and keeps it from growing again; Take of salt Peeter eight ounces, of Allnm six ounces: beat them together and distill a water with which wash the part, and when it is dry wash it again. A Lye in which Nettle roots have been boyled, and a rusty Horse-shoe steeped doth the same, if after the part be shaved you wash the place there with thrice every day. To hinder their growing again this is the chief Medicine. Take of the Juyce of the Narcotick herb afore mentioned two ounces, of the blood of a Bat half an ounce and add thereto Gum of Ivy, or half an ounce of the Mu­cilage, of Fleabane, or of pouder of Ceruse and burnt Lead each one dram. or; Take of Opium half an ounce, of Sanguis Dra­conis one ounce and an half: boyl them in Vinegar, adding the Juyce of Henbane, a distilled Water of Henbane, Poppy, Hem­lock, Housleek, and Stonecrop with the bloods afore mentioned and Allum and Vinegar is approved. Hair cannot be pul­led off, otherwise many together would cause pain, and one by one require much time; therefore a very sticking Plaister laid some time upon the part, and drawn off, will do it; for this purpose. Take of the Rosin of the Fir-tree or of the Larix-tree four spoonefulls, of Mastich poudered as much as a small Nut; dissolve and boyl them a little, alwaies stirring them, and then powr them into cold water and make a Plaister.

It is otherwise made with Colophony and a little Gum Ammoniack or Galbanum, for so the Skin being mollified and enlarged the hairs come forth more easily.

If you add something which will pull hairs forth it will work both actually and potentially as Gum of Ivy or thus,

Take of Pitch half an ounce, of Mastich or Gum of Ivy three drams, of Orpiment one dram and an half: with Rosin make a Plaister.

You may take hairs off with Scissors, but better with a Raysor, first washing with warm Sudds, but then the Roots will appear, and arise suddenly again, and the oftner you shave, the thicker they will grow; therefore shaving will but palliate and not take away this Deformity.

The skin must be a little seared, not to take away the hairs, because they may better be cut away, but to hinder their growth, for so the Roots will be consumed, and the Pores stopped: which as we may do it with Medicines so may we with an actuall Cautery; and this is done with a Plate of Gold burning hot suddenly clapt on, for so though there be a burn, yet after the healing thereof no Scar will remain.

It is better to prevent then take a­way grosness of Body which is bur­densome, The Cure of the car­nosity and fatness of the Body and parts thereof. because a Body that hath been great when made less will be wrinkled, uneven and deformed; as the Breasts when fallen are lank and flaggy, so the Cheeks, Calfes of the Leggs and Belly, if formerly distended, will wrinkle when they are fallen.

But to prevert this burdensome flesh, or to stop it that it proceed no further, we must hinder the increase of that fat which is Naturall in the Blood: first by a more spare Diet, or such as nourish little. But if a more sparing Diet only be used then formerly and it be of good Juyce, there will be rather an increase of better Blood, then a less quan­tity, which will little avail for abating of flesh. And though a sparing Diet doth abate, in regard men will not long endure it, we shall do little by that means. But if we prescribe a Diet of little Nourishment of Herbs rather then flesh, and water instead of Wine or very thin Wine or other Drink, they shall so grow lean, and this is the best way: great and constant Labour taketh down the flesh and Fat of the Body in time, especially if the Diet afore mentioned be used; but ordnary Exercise makes a better Concoction, and rather increaseth then diminisheth the Flesh.

Great and often Evacuations by which the Blood and nourishing Juyce is taken away from the parts and their increase or groweth hindered, as great Sweats by strong Exercise, or Baths or the like are very proper as Blood­letting and Cupping which Scarification and often Pur­ging; which as they are prescribed with good advise, so by chance when there is a Flux of blood, or of Seed by much Venery, or of the Belly, or an acute Disease, corpu­lency is taken away and the Body made lean. And this will be so also by old Age.

It may also be done by altering Medicines which keep the Body hot and dry constantly, this way will prevent and diminish Corpulency, and the constitution may be thus al­tered by Diet as well as Medicines, Decoctions are chiefly commended for abating corpulency, as of the Huskes of Fil­berds boyled in Wine, Roots of Polypody, Avens, wild Cher­vill: Rosemary with a little Ginger.

Or the distilled Water of these often drunk.

Also Vinegar often drunk doth the same thing.

Pouders made of these things following and taken in Wine are said to do the same, as the seeds of Ash, Hil-wort or Pol-montane, Parsley.

Also Tartar or Wine-leaves often taken, or Gum Sandarath half a dram, with Oxymel, also the Salt of Vipers.

It is said that Pepper often used will cause Leanness.

Pills of bitter things taken every morning half a scruple are good, as of Birthwort Roots, Gentian each one dram, of Mad­der roots, and tops of the lesser Centaury each half a dram, of Al­lum one scruple, with Juyce of Polypody or Avens make a mass.

Women which desire to be handsom labour much to hinder their Breasts from being over large, The Cure of too great Breasts. they affect to have them little for Ornament, and fear they will be unhandsome when they are big.

This is done not only by using such means as extenuate the whol Body (which we have declared) but by outward Applications: which by repelling, cooling and binding, or consuming the Nourishment by a digesting and drying Quality, keep the breasts comely.

The same Medicines which we spake of in the Chapter of Milk over flowing, which hinder the coming of it to the brests, or dissolve that which is there, being applied to the breasts will also make them less.

A Fomentation often repeated with a Sponge or Lin­nen clout, and left at the Breasts till dry will do it. This is made of red Wine, Vinegar, Ladies mantle, Horstail, Myr­tles, Plantane, Roses, Balm, Mints, Galls, and other astrin­gents.

Or make it of Sal ammoniack and Allum boyled in Wine.

Stilled Water from the foresaid may be also used with Allum; also a Water distilled of green Pine-nuts: also that which is made by Distillation of Eggs, Allum, and Pouder of Chalk.

Quinces, Apples, green Pears, Medlars, Service-berries, Sloes beaten together with Vinegar, or boyled in it do the same; or boyled with Oyl of green Olives and Galls.

Hemlock fresh gathered beaten by it self or with Vinegar, Henbane leaves, Mints and Balm do the same.

This Plaister following is also good. Take of Mastick and Frankincense each half an ounce, of Galls and Cypress nuts each two drams, of Bole or Fullers Earth or red Okar three drams: pouder them and mix them with the white of an Egg and Vinegar or Honey and so apply them. or,

Take of Pomegranate peels three drams, of Acacia hypocistis or Conserve of Sloes half an ounce: mix them with Vinegar and the Mucilage of Fleabane seed.

Or this Oyntment. Take of Ceruss three drams, of Alaba­ster or white Wax two drams, of Camphir one dram, of Borax half a dram, of the Infusion of Gum dragant half an ounce, of Oyl of Mrytles as much as will make an Oyntment.

They commend the Pouder of two Whetstones rubbed to­gether mixed with Vinegar, Dioscorides saith that the Cy­pruss Whetstone called Naxia, keeps Breasts from growing a Squate or skale Fish laid to the breasts doth the same by astriction.

[Page 511]When the Body or any part is too small by Nature, it cannot be cured, nor a Member restored by an artificiall Instrument, or by making the like, this is a Disease in num­ber deficient; but that which is deficient in magnitude may be supplyed in some.

When any part of a Member is lost, The Cure of a smal Body or smal Limbs, and of such parts are lame. instead thereof new flesh may be added, which may be fashioned like unto the former; which divers ingenious Chirurgions say they can do when part of the Nose is taken off: first they take away the skin in the extream part of the Nose, then they make a wound in the musculous part of the Arm of the Patient, into which they place the re­maining part of his Nose having the skin cut off as afore­said: first putting a Tent in each Nostril, then they bind his Head to his Arm, and so let it remain till the flesh groweth to the Nose, this done they cut off as much of the Arm as is fit to make a Nose, and fashion it like the former and then take the Tents out of the Nostril, and after heal it up. If this may be done by a Nose, why not by other Members, and though this new flesh should serve for no use, yet it would take away Deformity.

To make new Breasts and Papps so that the Child may suck: The Cure of breasts consumed. women use to apply an Acorn cup or half a Nut shell filled with Rosin of the Larix tree: to the place where the Niple is wanting and let it stay on some time.

The Gums being naked as it were without a thick Skin, The Cure of Gums consumed. being worn away may be restored. This is done first by taking away any thing that is rotten a­bout them, then rubbing them often with Vinegar of Squils, or Oyl and Honey which is stronger, with the pou­der of Dragon roots and Honey or with Aegyptiacum and Wine, and the like clensers and resisters of putrifaction mentioned in the Ulcers of the Mouth.

Afterwards let them often rub the Gums with drying things that breed flesh and glew the same to the Teeth, as with this Pouder. Take of Orris Root one dram, of the Meale of Oroby two drams, of Frankincense or mastich one dram, of Sarcocol half a dram, of burnt Allum one scruple, of Angeli­ca Roots for to give a Sent or Cipress roots as Dioscorides will have or Cloves, or of Mosch or Ambergreese a little, so make a Pouder.

Birthwort roots may well be added, but they are bitter, and Mirrhe but it is unpleasant, therefore instead thereof: Take Benzoin or Storax, Sanguis Draconis is good to be mixed therewith and also Blood stone.

The ashes of Pennyroyal are good according to Dioscorides, burnt Harts horn or Ivory and things aforesaid which six Teeth, especially when they are loose by reason of the con­suming of the Gums: there are also things to rub the teeth mentioned in the Rottenness of teeth, that are good.

Calcine Frankincense and Mastich, and mix them with Ho­ney, a little pouder of Coral with Salt and Allum, and rub therewith.

The Troches made of Orobus and Honey are used.

The Ponders may be made up with Honey or Oxymel of Squills into Troches, and so dryed and kept for use.

The straigtness of Orifices as of the Womb and Praepuce or Foreskin if it be such, The Cure of straight Orifices. as doth not only bring De­formity; but hinder Action, is to be dilated by incision. This may be done safely in a Phimo­sis by cutting off the Foreskin which is usuall in Circum­cision.

When the womb is too narrow, a divi­sion made by Infection hath been often practised, The Cure of Phimosis. though it be more painfull and difficult then the other.

Therefore first you must begin with the safer way of pra­ctise, by somenting the part with things that loosen moi­sten and mollifie, as Fomentations and Baths, Oyntments or Pessaries such as are prescribed in the hardness of the womb; which while you use you must put in a Tent som­what large made of a dry Gentian root or a Sponge tyed close together, that as it swells it may enlarge the Orifice, by often use.

That Leanness which is not by a Consumption but Naturall; The Cure of the Leanness of the Body and its parts. is seldom altered. Otherwise flesh or fat may be caused by things that increase blood and nourishing Juyce; as good Diet and rest, Natural Evacuations, Motions of Body and Mind; these will bring a better Habit to the Body.

When Breasts are lank and hang down, they are unseemly, The Cure of lank and loose Breasts. and wo­men that love to be neate, desire their Cure; this is done by applying things that make them harder and firmer, such astringent and drying things which we said would hinder the growth of Breasts.

When parts are disproportioned and cause Deformity, The Cure of the un­comely Figure of parts. besides what is from number or magnitude, of which we have spoken, as a Head, Nose or Mouth imshapen, if they be so Naturally, they are incura­ble as also the Teeth and Nayls.

If the Hair be too curling and much, we cut it off, The Cure of over curling Hair. if little pluck it out; but this being not very unseem­ly is not to be tampered with, except it be troublesome, as when in the Eye-brows and from thence they bend into the Eyes.

These hairs are to be rectified by often touching them with the slime of a Snaile, or with Glew.

They say they will grow again when pulled out if the Pores be anointed with Oyl in which a Lizard hath been boiled; or with Frogs blood, especially if it be mixed with the pouder of Laurel root or the ashes of Organ.

Some desire their Hair may curle, Things that cause Hair to curle. and this is done by the use of strong a­stringents such as were mentioned a­mong those which black the hair, as the Decoction of Galls, Pomegranate peels, Cypress Nuts, Pomegranate flowers and the like made into a Lixinium, to which they ad things that cause curling as Daffodill roots, and Dwarfe Elder roots and Leaves with the seed of Henbane.

Also Oyntments made of the same are used, as: Take of Oyl of Myrtles and Mastich two ounces, Oyl of Henbane half an ounce, Juyce of Myrtles and Vinegar each one ounce: boyl them, then add the ashes of Chestnuts, Hedghog and Pine nuts each half a dram, the shavings of Pams horns, Gum Arabick and Draganth each one dram, Myrrh half a dram, Honey at much as will make an Oyntment.

They say Mucilages boyled in Water or Lye will do the same, if made of Marsh-mallows roots, Linseed, Foenugreek and Flea­bane seed, and Gum Arabick, this they beleeve will so sof­ten the hair that they will be fitter to curle or the Pores be­ing loosned thereby and made larger, the hairs will come forth more crooked. Others add Fern-roots, Beets and Ly­thargy, and when the hairs are dry anoint with Oyl of Myrtles. Some anoint with the Roots of Dwarf Elder mixed with Oyl. Women do more certainly with crisping Irons; and when they go to Bed, they twist them, and with great pains put them under their Head geare, and in the morning being combed out, they continue curled the whol day.

If there be a Division of any part which should be united whe­ther after the Cure of some wound, The Cure of the se­paration of parts which should be uni­ted at of the hare Lip. or Naturall, if it be in a fleshy part it may be united; as that of the up­per Lip which Children are born with called a hare Lip in Dutch Hasenschart, it will be united if it be cut on both sides, and after the Lips be joyned together with Needles wrap about with Silk or with sowing and a Plaister laid [Page 512]over till it be cured; this you may try in any other part where there is Deformity or Hindrance, and in fleshy parts it will be done, but scarsely in other parts. Also these may be artificially united, if you first take of the skin upon each side, and apply sticking Plaisters to the sides with double or treble Clouts and Buttons, with which and good Liga­ture, the parts divided will be drawn together and united.

If the Gums be separated from the Teeth by biting hard things, The Cure of Gums separated from the Teeth. you must chew upon the sound side; if from gra­vel upon the Teeth called Tophi, they must first be taken off, otherwise flesh will not grow but being taken off the flesh will grow at the Roots of the teeth, and so be united unto them. Therefore the Remedies are such as clense, of which we spoke in the Foulness of teeth, and of things that breed flesh in the con­sumption of the Gums, for it is done by clensing, breeding flesh and drying which causeth Glutination.

Mouth waters which dry and astring are good as: Take of Comfrey roots, five leaved Grass, Orris each one ounce, of Birthwort and Alheal each half an ounce, of Angelica and Cypress roots each two drams, of Burnet, Vervain, St. Johns­wort, Pennyroyall each one handfull, of red Roses one pugil, Pomegranate flowers two drams, yellow Myrobalans three drams, Oroby seeds two drams, Mastich and Frankincense each one ounce: boyl them in Wine and Honey adding a little Vine­gar of Squills and Cinnamon, let him wash his Mouth often therewith, you may also add a little Allum.

When teeth are broken or divided or hollow and rotten, The Cure of broken hollow and rotten Teeth. they cannot be repaired, and therefore if they offend must be pulled out; but if they be usefull in regard the next Teeth are gone you may keep them provided that you prevent far­ther Corruption.

This is done by washing the Mouth often with the De­coction of Capar leaves, the leaved Grass, Birthwort, Cypress, Leaves of Mints, Galls, Nigella seeds, Bay berries, made in Wine and Vinegar, or with Smiths water.

The Decoction of Spurge root in Vinegar is the best, and if Allum be added it is the stronger.

Or let him wash his Mouth with Sage or Rosemary Water mixed with Salt and Wine.

Or with Vinegar of Squills if it be not strong enough.

Rub the corrupt Teeth with the things mentioned, for clensing in that Chapter, which by drying take away Cor­ruption or this Pouder. Take of Cuttle-bone two drams, burnt Coral and Harts horn each one dram, Mastich and Al­lum each half a dram: make a Pouder.

Or with the ashes of Organ, Rosemary and Pellitory of the wall mixed with Honey and Salt.

We put into a hollow Tooth the pouder of Galls roots, of Sulphur-wort, Staphisager, Penny-royall and sometimes Bo­rax.

To take away Teeth when unserviceable, the Cyhrurgi­ons use Paces and the like Instruments among which that like a Goats hoof is best: some are so active that the stan­ders by, think they do it without Labour, and they are wondered at, and go about deceiving the people with ex­pectation of far greater things which they profess; some cannot be drawn out as easie as those that are loose, espe­cially when they are broken or rotten.

This may be done by Burning for so the Roots become dry, or the Teeth broken, so that they may easily be taken out. And this is done by an actuall Cautery or potential, or Aqua fortis or Milk of Spurge, Sory, as in the pain of the Teeth is mentioned: Dioscorides saith that the Root of Ranunculus, or Juyce of Sowbread doth the same.

And other things though they are not caustick as the Root of the black Chamaeleon, the Juyce of Celandine, the Lyes of Oyl, the Liquor of that comes out of the Cedar, and the pric­kie of a Forkefiish.

They suppose that a Tooth will fall out, if you put Gum of Ivy into it, the fat of a green Frog or of a Cookow, or with the blood of a Lizard.

If you deffend the other teeth with Leaven or wax and ap­ply to the nollow Tooth, the pouder of the root of a Mulbery tree which hath been first infused in Vinegar it will full out.

Also the Root and Leaves of black Henbane, laid hot to the Teeth.

Also wild Coloquintida infused in Vinegar then poudered and boyled with Honey. or,

Take the grease of Froggs, Juyce of Celandine, and Aqua vitae in equall parts, and apply it.

Or the Juyce of Celandine and Mugwort with Vinegar.

The Colewort worm applyed doth the same, and the water of Sal Ammoniack.

The teeth will fall out if rubbed with the pouder of Net­tle seed and Galbanum equall portions.

Though the ruggedness and clefts of the Nayls cannot be made even and smooth, The Roughness and clefts of the Nayls. yet as they grow they may va­nish, which that it may be better done, and the like not succeed, first use gentle means.

As Pitch, Wax, Rosin melted and applyed, also Mastick, Colophony, and Turpentine dissolved, adding sometimes Sulphur or Brimstone.

Also Raisons by themselves or with Opoponax.

Dioscorides commends Dock roots in Vinegar, and the les­ser Celandine and Cypress.

Also Watercresses and Linseed are approved.

To which add Cummin, Costus roots, with Honey and the Pulp of Raisons or Grease, sometimes Allum and Salt.

The stronger Medicines are the Roots of Crowfoot.

Arsnick with Bird-lime, or Gum Serapine, or Wax or Sue; or Oyl.

Or Cantharides with Oyl of Roses, or the like.

If the hair be not all cleft it is usually neglected, but to cure, The cleaving of the Hair. you must pluck a­way that thin part and anoint the ends of the remaining Hairs with the Gall of a Beast: and then use a Decoction to cause Hair, of Southernwood, Capill [...] herbes and Cane roots, and others aforementioned.

They spend time in vain who joyne them together with Mucilage, or Bird-lime or Glue.

When the Dandrough falls not but with Rubbing it is neglected, The Cure of Dandrough. or it falls away with only combing, rubbing and washing with Soap; But when it abounds and falls continually u­pon the cloaths, as when it is to be seen in the Beard then it must be cured; first by purging, if it comes from Excre­ments, or the Disease cured that causeth it.

The Topick Medicines are to be such as consume and clense filth which causeth it, and they must be strong or weak as it is fixed, alwaies mixed with Lenitives, least they exasparate the Skin too much.

Washings are divers, first common Lye or Barbars Sudds with Soap and Rubbing.

Or Sudds with Juyce of Beets and a little Vinegar; also Honey and a little Gall of a Beast.

Or Urine, or salt Water, or Wine alone, or with the things mentioned.

Washing with hot water, will asswage the smarting of the Skin after the use of clensers; if afterwards you wash with water in which Mallows and Foenugreek have been boiled.

The Decoction of Willow leaves, and bark is commen­ded.

Or the Decoction of white Spinage, Coleworts and Roots or of Mallows, Pellitory of the wall, Sopewort, Lupines, Beanes, Foenugreek, Melons, and berries of the Spindle tree, also Roots of wild Cowcumbers and Squills.

Divers Oyntments are used, as this. Take of the Oyl of bitter Almonds or Nuts two ounces, of Oyl of Violets, Flower­de-luce or Wall flower each one ounce, the juyce of Spinage two ounces and an half, Vinegar half an ounce: boyl them a little and add the gal of an Ox three drams, Brimflone two drams, Vi­triol one dram, Niter half a dram, make a Liniment, which will be stronger with half a dram of Coloquintida. or,

Take Almonds and Nuts rosted at a fire each one ounce and an [Page 513]half: beat them into a past, or the Meal of Lupines and Foe­nugreek with half an ounce of the Pouder of Brimstone, of Bole or other fat Earth two drams, of Dreggs of Wine one dram, Ox gall one ounce, as much common Honey, or Honey of Squills as will make a Liniment: you may add one dram of Mustard seed or Stafesacre.

The ashes of Lilly-roots or of Garlick with Honey.

The Pouder of yellow Myrobalans, with Juyce of Spinage and Vinegar.

The white and yolk of an Egg powedup on the Head after washed, doth qualifie well after the use of sharp clensing things.

Pomatum keeps the skin from chopping.

A good Water is made of the Tops of St. Johns-wort, Groundpine, Pellitory, or Soap-wort each one handfull and an half, the Meal of Lupines and Foenugreek each one ounce, Brim­stone, six drams, Tartar three drams, Niter one dram, red Wine one pint, Vinegar two ounces, Rose-water one ounce.

Rub the Head with Salt, Niter or the Meal of Lupines.

By combing Dandrough will fall.

The Scales in the Palmes of the Hands called Palatella, The cure of the scales in the Hands. in French, is cured as Dandrough with Clensers and Emollients.

The growing together of parts which should be assunder or of Orifices which should be open coming by Birth or chance, The Cure of parts to be divided and Orifices that are closed when they should be open. cannot be but by force. There­fore if they hinder not actions, let them alone with a little Deformity: but if they hinder the Functions as closing of the Anus, womb, and the like, then Section must be used or Cautery, by reason of the Necessity: and this is easier done, if there be only a concression by a Membrane inter­posed or Flesh not thick.

A shutting only of the Orifices without growing toge­ther of them as of the Mouth in a Convulsion of the Mouth, which hinders actions, we have shewed how it should be opened formerly.

Another Conjunction is less seemly and that's in the folding of the Hair is cured with combing: The Cure of matted hair. if they bring only Defor­mity, and no impediment ought to be o­mitted, because it is not easily discerned, and if cut off, they will come so again: and they who have such matted hair, take little pains therewith, but think them an Orna­ment and Sign of Manhood.

The Deformity which is in perver­ting of the Scituation or position of the Body, The Cure of Scitua­tion of parts disor­dered. if it hinder the Function or be painfull as in Luxations, Fractures and Ruptures. We spoke of their cure before, as also of Crookedness, which deformeth most of all.

When the Toes are awry, since it cometh from the shoes as we have shewed, first they must not be too straight, and that will prevent that Deformity which can after scarce be cured.

The starting forth of the Eyes too far if from the Birth is incurable: The Cure of Gogle Eyes. but when it comes from a strain, when that ceaseth they return, so that they need no astrin­gents; for if they should be astringed gently they could not be put back; if strongly they would more hurt the Eyes by wrinkling them. And since neither wind nor any Moisture by filling the inward parts of the Eyes can thrust them forth, we shall in vain apply Topicks as some do to consume wind and water.

To cure the position of the Teeth alte­red by motion, The cure of loose Teeth. and fix them again in their places, and to prevent their falling forth, we must use Dryers and Astringents; such as do not black the teeth as some do, and add things that have a gratefull scent.

Washes for the Mouth in this case, are made of Roots of five Leaved grass, Snakeweed, Capars, Moulin, Myrtle leaves and Mastich tree and Olive leaves, Bindweed, wild Tansie, Strawberry leaves, Medlars, Cornil tree Service, and Rose leaves, Pomegranate flowers, Galls, these black the Teeth, Elm barks, Acorn cupps, Spunge, Mary Thistle, Moss grow­ing upon trees boyled in Rain water, Iron water, red Wine and Vinegar.

If Allum be added the Decoction will be stronger.

To take away the Moisture which is common there, you may boyl with the rest the Roots of Pellitory of Spain, and make a good sent, Angelica roots, Topps of Rosemary and Sage and some Spices. Some boil Gums therein from whence there is but little astriction, as Mastick and the like.

Other washings are made of Allum, Vinegar and Honey.

Dioscorides commends the Pickle of Olives, and Sory.

Also Waters of Roses, Horse tayle and Vinegar are good to wash the Mouth.

Some things being chewed do the same as Elicampane, and Berries of bloody Red, and Barberries also Mastich chewed.

Dioscorides teacheth that the Oyl of the wild Olive tree kept in the Mouth fixeth the Teeth.

Pouders are made to rub the Teeth and Gums, for the same purpose, as of Coral and other dryers, which we des­cribed in the whiting of teeth, adding Salt or Allum, which being burnt doth more astring, sometimes they add the ashes of burnt Rosemary, Sage, Myrtles, Mastich tree, Olive­tree, also of Dates stones and Cray fish or other astringent Pou­ders as of Cypress roots, Nuts, Sponge, Mary Thistle, Roses, Hypocistis acacia, or of Sloes and Mastick, Bole or any fat earth also Spices as Cinnamon, Cloves and Lignum, Aloes.

When loose Nayls cannot be fastned, the Deformity from thence is cured as if they were quite fallen off; The Cure of loose Nayls. especially when other grow under: For if they be not and those places be not lest bare, a worse Deformity a riseth. That therefore loose Nayls may fall from the skin—there is no other Art to be used, because they will fall off, Dioscorides teacheth to apply a raison thereunto.

CHAP. II. Of Discoloration.

VVE call that the discolouring of the Body, when it hath another Colour in the Skin, Eyes and Teeth, Hairs and Nayls.

The discolouring of the Skin, which appears only where it is naked and hairless, is either generall of the whol bo­dy, or particular of some places only.

A generall Discolouring of the skin is, when it hath all over, and not in one place only, a different Colour from the Native, when it is more or less red or white; as when it looseth its stesh Colour, and contracteth another or be­comes uncomely in an evill Habit, Jaundies, Palness, Red­ness and Blackness.

An evill Habit is a Discolouration in which the flourishing Colour of the Skin being lost, Cachexy or e­vill Habit. the decent Habit of the body called Euexia is changed into an evill Habit called Cache­xia: in this the skin is too white and pale, or turnes from white to blewish, inclining to the lead Colour, and the su­perficies of the body appears full and more swollen. This Disease is accompanied with a shortness of breathing, which troubleth them when they exercise or go up any steep place, with beating of the Arteries about the Throat and sides of the Neck, beating of the Heart and Faintness, es­pecially in the Feet, and first there is a pricking pain at the Heart, of which they complain much. This Disease though it be incident to all, yet is it most common to Virgins, es­pecially at that time when their termes should begin, and it begings then and continues after many Months and sometimes years, while the Terms are stopped, or if they [Page 514]who have their terms, have also this Disease, they are stop­ped. Also a lingring Feaver as we said in Feavers is joy­ned herewith, sometimes other Diseases come upon it, as of the Stomake, Liver, Spleen, and the Urine except chan­ged by some other Disease accompanying it, is white, wa­terish and crude. And if it last long, the Body will grow bigger and a Leucophlegmatia will follow, as shall be de­clared.

There is another kind of Cachexy, which with Palness of Body and other accidents mentioned, An evill Habit is the beginning of a Dropsie. hath swelling of Feet, which if it continue long, the bel­ly also swells and is extended; and this goes before the Dropsie Ascites, and is the beginning thereof, as shall be shewed in the Dropsie.

There is a third Kind in which the Palness of the Body is not simple, Evill Nourish­ment, or Cacho­chymia is a kind of Cachexy. but inclines to an evill Colour as yellow, green, black, yet is not full coloured in the Jaundies, it sheweth it self with a pressing Pain at the Heart, and beating of the Arteries, and other Symptoms as before. This they call Cacochymia or evill Nourishment, from the cause. This is turned into a Jaundies or some kind of Dropsie.

One of these Kinds is when there are not only uncomely Colours and other Symptomes, Cachexy with a Dropsie or want of Nourishment. but the Habit of body ra­ther decreaseth than increaseth, and the Body groweth lean and thin, and there­fore it is called evill habited, if this continue long and the body consume, it is turned to an Atrophy, which is so cal­led from the Cause, as shall be shewed in the Diseases of the Body diminished.

The Jaundies is a Discolouration in which the skin is dyed of another Colour; Jaundies. this Name comes from the Bird Icterus, by the look of which this Disease was thought to be cured, it is other­wise called Arcuatus, because the Colour of the Rain bow is in the Eyes, Arcuatus. and the kingly Disease, either because it is usually with great Men, by reason of their Intermperance, or because it was cured with Meade, which was in time past the Kingly Drink.

This Disease is divers according to the diversity of Co­lours, sometimes it is yellow and called the yellow Jau [...] ­dies, by the Germans Geibsucht, sometimes it is more Saf­fron like and full coloured, sometimes it shines and then it is called Aurigo from the colour of Gold: some time it is greenish, Aurigo. sometimes black, which pre­vails over the yellow, and then it is called the black Jaundies. These colours appear first in the Eyes, then in the Face, sometimes they are over most parts of the Body, or over all, sometimes the Urine is of the same Co­lour, and they seem sometimes Saffron colour'd somtimes black, so that they will discolour a linnen cloath, in the mean time their Excrements which ought to be coloured, are white or ash coloured, and therefore do not provoke the Patient to void them. This Disease sometimes begins of its self, and the colour first grows bright or shining, with pressing pain about the Heart, this commonly goes before the Jaundies, and is its forerunner, and this Paine before any Yellowness appears is called in Dutch Selb­sucht, because it follows so easily; sometimes worse dis­eases accompany the Jaundies with their accidents, or fol­low as a Dropsie, sometimes the Jaundies follows sa Feaver and other diseases as the Colick, as it hath been declared.

Redness is a Discolouration very sudden, in those that are angry, Redness. or shamfac'd or blush, it [...]on inues longer in those that are hot, or have hot Diseases especially Feavers: and this Redness appears most in the Face.

P [...]leness is a Discolouration in which the skin looseth its flourishing Colour, Paleness. and be­comes less coloured then is beseeming. This is usuall in those that are very cold, or sorrowfull and greived, and it comes quickly to those that are affrighted, and to those that faint or swone, in whom the Image of Death is seen till they come to themselves. Sometimes a constant Pale­ness is the fore-runner of a Disease, and often the Compa­nion of Diseases, and continueth some time after recovery: which Paleness appears in the whol body, but cheifly in the Face, and in those places which formerly were most red, as in the Lipps and Cheeks there is Blewness: also Paleness will be in the Nayls and Yard, when it needs not or cannot, blush, or be red,

Blackness is a Discolouration in which the skin appears black: The Blackness of Moors. and it is either perfect, such as some have been at their birth, as the Aethiopians; or it is when the skin is not white but tawny, which they call black: which although Naturall to some, yet because uncomely in their Eyes, Tawny Skin. which esteem that nearest co­lour to white the best, they count it a Disco­loration and Labour to cure it.

Hitherto may be referred the evill Colour of a wrink­led skin in old Age: for that which comes from a Disease and Leanness, continueth not long.

A particular Discolouration is only in some parts of the Skin: by reason of spots or defilements.

They which are from externall Causes, make Impres­sion of a strange colour, or are superficiall.

As that blackness which is from the Sun burning in the Face, and Hands and Breast, in those places where they are used to be naked.

There is also an evill Colour from filth in unclean Per­sons which sticks to the skin and spoils the colour.

Some are dyed in the skin by externall Colours and Paints, The colouring of the Skin. this is usual with them that trade in such Commodities; and those that touch them.

Hence the skin is sometimes black, red, yellow, green, &c. which sometimes suddenly vanish, othertimes stay longer and are more fixed and cannot easily be washed out, in regard of the Cause which we shall all at large de­clare.

The skin is discoulored with divers spots, which some­times are distinguished only by their colour, sometimes by their bigness and bunching forth; some come with, and some without Diseases.

They which arise of themselves without a Disease ac­companying them, are originall spots, as Freckles, Pim­ples, Fleabites, Erysipelas or Anthonyes fire, blood spots, Gutta Rosacea, Ring-worms, Morphew, black and Blew­ness.

Originall Spots are such as we bring into the World, as Moles, Originall spots as Moles. these are cal­led Signs and Marks, and are divers and are of divers Colours and Shapes, as like Strawberries or Cherries, some are depressed broad or little, and are ma­nifest only by the Colour, and they are in the Face some­times and sometimes in other parts of the Body.

Freckles are dark spots as big as small or great Lentiles, Freckles. and of the same colour onely they bunch not out, therefore are they called Lentigines from Lentiles: these are sometimes more abundant some­times fewer, without pain or trouble, only discolouring the body especially the Face, sometimes the Hands and the open Breast being [...]posed alwaies to the Air: sometimes they are in the Arms and Feet, and the more manifest when the body is more white, sometimes they appear in Summer, and are gone in Winter, they are constant.

Of the same Colour are some dark Spots as broad as the Hand in divers parts, The broad dark Spot. and they come and [...] at certain times

They are called Fleebitts which because they resemble such, Fleebitts. for they are little and round, and are about the Pores, and they only itch a little.

[Page 515]Erysipelata or Anthonies fire, Spots like An­thonyes fire. are lit­tle spots like the great Anthonies fire, but without Heat and only itch a little; they are larger sometimes with a redness over all the Legs, and differ from the true Anthonies fire, in regard there is no Inflammation or Burning but only itching. As I often found being a Youth, by Experience, that when I rid forth, that Leg which was next the Sun was so burnt throw my Boote, that it was very red and itching, yet it was gone in the space of two daies.

These blood Spots are very like in the Face, Blood Spots. Neck and Breast, large and small som­times, depressed sometimes elevated, con­tinue long, but trouble not but by itching.

The rose Spot is when the Face or at least the Forehead, The rose Spot. Cheeks or Nose are sprinkled as it were with red Drops, the French call this Coupe Rose which signifies Copporas or Vitriol, though it be nothing like it; sometimes the Face is swollen with them and full of Pustles, and the Nose very large and full of Rubies.

Ring-worms or Teters are red about the Edges and the Skin is rough, Ring-worms cal­led Impetigines. like that of the Chin, which is scabby called Lichen, only they itch not so much, but are as broad and as many, continuing long in the Face, Hands or other parts without Molestation: The Germans call them Zittermahl or Estecht, and the French Darters.

Vitiligo or Morphew or Alphi are so cal­led because they change the Colour of the skin, Morphew or Vitiligo. these are whiter then the spots called Leucae, the Arabians call them Albaras; others are blackish called Malae, both are ordinarily called Malum mortuum, or the dead Evill: others call one white the other the black Morphew. These are not together but dispersed like Drops through the Skin, changing their place and creeping, yet not rough nor scaby or ulcerated, and without Sense, and if they be rubbed they are but red­dish, or if you prick them being deep in the skin, yet they cause no pain, nor doth blood come from them but onely Water; when they are where Hair groweth they cause it to fall, and other white thin down comes up instead there­of.

Sugillations are blew spots after contusion, Sugillations, Ecchy­moses, Vibices, Stig­mata, Peliomata. which when they are nou­rished by a Humor, are called Ecchy­moses; if they come from a stroake Vibices in Dutch Senatthen, and Stig­mata in Greek, and by reason of their blewness, Pelioma­ta, and because they are Skie-coloured, the Germans call them Blawmahfer, sometimes they grow blackish, and are yellow about. They are uneven, narrow and large, with a Tumor at first, and pain when they come from a stroake, and continue long after the Tumor is gone.

In Diseases there are divers spots which are either plain or like Pustles, as in Feavers, Pox and the like.

In Feavers called Synochi, there is often a red spot broad and spreading called Erysipe­las, Erysipelas. sometimes in the Face and Hands, this is described in those pains which it causeth by burning.

In Feavers, especially in Children, there are divers red spots in the Face, The Measles or Exanthemala. Breast and all over in the Pores, about the bigness of Lentiles which they call Exanthemata.

There are other spots like the former in Feavers, Ecthymata or small Pox. as big as half Pease or Lentils upon Children that grow up to Pustles, or fall in again or grow blew and itching and turn to matter, and then to a black Scab, by which being innumerable, either standing together or a part, the body is so defiled, that it is ugly to behold. And when these are cured, the face is all their life after filled as it were a Honey comb with the impressions thereof; they call them Ecthymata, because they break forth with vio­lence, also Variolae or little Pustles, Morbili, or Papulae that is Pushes, Wheales or Blisters: The Germans, because Children have them usually call them Kindsblattern, of which we spake in Feavers which produce them. These are not only in the Skin, but Eyes, Nostrils, Mouth: as we shewed in the Diseases of those parts.

In malignant Feavers that are vene­mous and infectious, The spots of pe­stilential Feavers. we have not only those spots mentioned but others called Petechiae, sometimes red like Fleabitts, sometimes like Vio­lets, dark and blackish as we shewed in Feavers.

In the Elephantiasis there are red and blew Spots in the Face and other parts; The spots of the Elephantiasis Pox, Scurvy. and in the French Pox there are the like of another kind: in the Scurvy called Sto­macace or evil of the Mouth, there are spots of divers colours in the Legs, and sometimes in o­ther parts, all which are exactly described in the Chapter of Infection.

We have shewed in the Treatise of the Convulsion, Of the yellow Spot in the Convulsion. that one who had the Spasmus or Convulsion, had a yellow Spot that quickly grew up and quickly vanished from his singer.

The Eyes are sometimes discoloured, when from the na­tural Colour they decline by Redness or Yellowness.

The Natural colour is in that called Iris or the Raine­bow, black in the Center bigger or less round about, grey or brown, and without the Circle all white; also when they are spotted or otherwise ill coloured.

Sound Men have often red Eyes by outward heat, or too great Motion, Redness of Eyes. or the Eyes are red from hot Diseases of the Head, or of the Eyes themselves, as in an Opthalmy, or Inflammati­on or Epiphora a Rheum, in which the Eye brows rather then the Eyes are redder then usuall. In the Elephantiasis besides other Deformities, there is Redness of Eyes: as we shewed in Diseases which cause red Eyes.

In the Jaundies the Eyes are yellow, as was shewed in that Treatise, Yellow Eyes. and more in the white part of the Eyes, then in any part of the skin, be­cause no part of the skin is so white, as the thick Tunicle of the Eye, and therefore the yellow wil not appear so soon in other parts, as in this most white subject.

Divers spots discolour the Eyes, as those that are red or blew in Sugillation, Blew Eyes. or Hyposphagma called blood shot: these are not only in the white but in the Rain-bow of the Eye, and they appear more bloody then in the Skin.

Exanthemata and Ecthymata, Pox and Measles in the Eyes. that is Mea­sles and Pox, as they insect the whol body, so sometimes the Eyes and hurt the sight; and if many Pustles be within the adnate and horny Tunicle called Cornea, they cause blindness.

The Cornea or horn Tunicle of the Eye is hurt with white spots; The white spots in the Eyes. if these be right before the Pupilla or sight they cause blind­ness, but if in the white of the Eye, they nei­ther change colour nor hinder sight, as was shewed in the Pin and Web Scar, and Suffusion or filme in the Treatise of sight depraved or hurt.

The common people think the Eyes un­comely if too grey, Grey and black Eyes. because the clear part a­bout the Pupilla, which useth to change co­lour, is grey: and the blacker it is by con­sent from the Pupilla, which is alwaies black, the more comely are the Eyes. Although Ancients commended grey Eyes and called Minerva Glaucopis from thence, yet our age alloweth them not for the best, and would change them if it could.

Also the Teeth, being Naturally white, are easily infectly, and discoloured: Yellow and black teeth. as when they are yellow with filth sticking to them; or when they grow black from their own Cor­ruption, or from Vapors in great Diseases.

[Page 516]The Nayls are discoloured and spotted by erosion; The spots of the Nails. sometimes they are too black and blew, sometimes too red, which Colour is not in the Nails, but shineth from the flesh be­neath through the Nails, as if it were in the Nails; as bruises being under them, are seen through, and blackness in the topps from filth: but in young people especially, there are small white spots in many places of the Nayles, which first rising from the Root, grow with the Nayles and are pared off, and others grow in their Room. The vul­gar think that these are a signe of long life in men and wo­men.

The hair is counted discolored only when it is turned exactly white from a Disease, White dow­ny hair. which took off the former. Or when young peo­ple grow grey too soon, it is Natural and ho­norable for an old man to be so, hence the Poet said: Bald­ness. In old time grey Hairs were of much e­steem. This Greyness comes soonest in the beard, though that come forth long after the hair of the head: very red and black hairs are not counted discoloured, Red, black and yellow hair. although they are by Common People accounted less comely; on the contrary, they that have yellow or gold coloured hair are counted comely, be­cause they are according to Nature, and black also except curled and like the Moores.

The Causes.

All the Causes of Discolouration whether it be general or particular in the Skin, Eyes, Teeth, Nails and Hair, come either from Humors, as Seed, Blood; nourishing Juyce, Choller, or from evil Humors or Filth or other de­filments: or from Heat, Cold, or Dryness, as shall be in order explained.

As we shewed in Deformity, that it came in respect of Number in Deformi­ty, The Parents seed is the Cause of Discolouration. and spots origi­nal in the Skin, Eyes and Hair. that it came in respect of Number of Parts, Magnitude and Figure from the Parents seed many times; so from the same comes Discolouration, and heredi­tary Spots; which also as the Diseases in form and figure, come from the seed; and the Natural colour of the skin is derived from Pa­rents to Children, as that blackness which is counted un­comely, comes Naturally from Parents of the same colour: and Children are grey or black eyed like their Parents, and haired, black, yellow or red like their Parents. And as in men often so alwaies in Beasts, they produce their like in colour. This hath been observed to be true also in Birds especially Pidgeons, of which if one or two only be black or different in colour, all the rest being white, there shall be so many and no more of that colour: and if the Eyes of the Pigeon be black, yellow or crystalline, the young will have the like. They that study Pidgeons, are so obser­vant therein, that they remove those whose colour they like not, least the young should prove of the same.

As this similitude of Natural colours, comes from seed rightly and Naturally ordered and disposed, so if it be o­therwise, divers colours and strange spots, may come as we said concerning Deformity; namely by transmutation or permistion and divers Causes, amongst imagination can do so much, as that if a woman in the time of Conception or after when with Child, apprehended any thing strongly by sight or imagination, the same shall have impression upon the Child: as Histories report a Woman to have brought forth a black More, by beholding the Picture of a black More in the time of Copulation; also other spots come from hence, as of Mulberries, Cherries, and the colour of a Peacocks Neck and other representations, which we have observed to be Natural (from Parents imaginations) in their Children; some have taught that Beasts have the same imagination to produce the like to what they phan­sie. As the Scripture witnesseth of Jacob, who that he might get Cattel from his Father Laban, used an Art, by barking and peeling Rods, that they might be of divers colours, to cause the sheep which looked upon them at the time of Copulation, to produce party coloured young. Pliny saies that Pidgeons will produce Pidgeons of divers colours, if the Dove-house be painted with divers colours.

From the Blood which is over the skin and the flesh, Blood in the super­sicies of the Body is cause of Redness. (which in the Des­cription of a Phlegmon I shewed to be Natural, in regard it is not only gathe­red in the small Veins of the skin, but the substance of flesh and skin covered therewith) as I say, there ariseth from the blood, a proper colour of the Skin inclining to Rendess, to be seen through the Cuticula or scarfe Skin; or as there is a perfect Redness in some parts, as the Lips and Yard by reason of their spungy flesh con­taining more blood, and in the Yard by reason of Arterial blood, and in the Cheeks, in which the blood is more fre­quent then in other parts (especially in some constituti­ons): so, if this blood should be carried more to the Su­perficies or outside then ordinary, there will be a redder colour but chiefly in the Face, which by reason of its ten­derness and looseness receiveth blood more easily. As we see, when the blood is drawn outward with the spirits by external heat, the Body begins to be red, and the Face to blush, and the very white of the Eyes to be dyed therewith: or by the passions of the Mind, in which the blood with the spirits being raised is thrown outward; as from anger the Face will be inflamed and from shame blush, which yet when the blood returns, do all vanish away; in some soo­ner in some later. For I have observed in some, that red­ness coming from anger and shame, hath continued a long time after burning in the Cheeks.

As these things come by Blood in the Superficies of the body, Want of blood in the superficies of the body is cause of Paleness. so when it is there wanting, the flourishing colour is gone, and Paleness follows, which turns blew in those parts which ought to be red by Nature as in the Face, Cheeks, Lips and Yard as also the Nails, which when by reason of the red flesh be­neath shineing through them they are red, if blood fails are seen to be blew.

These parts are destitute of Blood, through Hunger, Sad­ness, Bleeding, and Diseases; or if the blood flie from them, they are pale till it return, as the Yard is pale when there is no occasion for blood. And as it is when exter­nal cold repells it, the skin is not so well coloured as when hot.

And in them whose Cheeks being red, the Blood being congealed with cold, seems to be of a livid and lyad color, lastly, the same thing happneth when the blood with the Spirits is suddenly down in, as in Fear, Terror and other Passions or in swoundings and faintings, which cause Pale­ness till the blood and spirits return.

Also divers sorts of spots proceed from Blood, either as it is in the true Skin, or in the Pores, or as it is under the scarfe Skin.

In the Feaver synochus hot and burnt blood spread into the true Skin, The blood spread into the true skin, is cause of Erysipelas, Mea­zles, Pox, and blood spots, the Rose drop and Teter. causeth that Redness which joyned with heat is called Erisipelas, sometimes Meazles and small Pox, how this was done was explained formerly.

And if blood throw it self to the skin by any other cau­ses internal or external, which expel it or draw it forth, it caufeth other red spots; as those Erysipelata which are in one place, and that Redness of Legs which comes from the heat of the Sun, which we formerly spake of.

Also through plenty of Blood, Thinness and Heat, and sometimes Impurity of the same, those blood spots do come into the Face and other parts into which Nature sends it.

[Page 517]And first the Redness of face called Gutta rosacea, as it may proceed from the aforesaid causes, so from often and immoderate use of Wine, it is usual with Drunkards, be­cause by Drunkenness the parts ordained for sanguifying or making of Blood, and the blood it self being both too hot: that blood being sent in great Quantity and often, into those parts which are ordained by Nature to receive it, doth at length by often supply, cause this continual red­ness and Pustles. This Infirmity is of long continuance, for Blood not falling from its Natural part is not suppura­ted, nor is it easily discussed other waies; also it anoys the Face cheifly, because that seems more to abound with blood then other parts, and Redness is more Naturally there, especially in the Cheeks, which in some are red Na­turally, or speedily grow red by blushing, and this shews that Blood can easily go to the Face, and return, if Nature be not hindered: but this is seldome done when it either offending in Quantity or Quality is often sent thither, but being there fixed it begets this permanent and lasting Dis­ease.

It happens also that if any Portion of blood which is sharp come to the Skin, it causeth those red and uneven spots by exasperation and corrosion, which we call Ring­worms, and the Germans Zittermahl.

The blood being carried to the Pores of the skin, The blood which is about the Pores, is the cause of red, lit­tle, and bloody spots. and spreading it self a little space about them, sometimes produceth small spots. Also in swea­ting, the Blood being carried to the Pores with the water, and there fixing such spots remain: and we may per­ceive the same to be done by stinging of Creatures and bi­ting of Flees, such spots are left, which are soon discussed because small.

If Blood get out of the true skin, in which we shewed that it Naturally is un­der the scarse skin, Blood under the scarfe Skin, the cause of black and blewness. then being out of its place and not able to return, there it lies and shineing through the scars skin, causeth those spots of the color of blood out of the place, and left by Nature and therefore black and cloddy, such as are in a bruise, and they are little broad, or long according as the stroke was, and these will last long, if the blood corrupt not as it often happens when it is inclosed; sometimes when the blood is thin and spreads abroad, they are yellow and broad and when it is discussed they vanish, sometimes the blood corrupts and eateth through the scarf Skin.

The cause of Blood thus breaking through the skin is u­sually a contusion made in the Veins or true skin, by which its continuity being divided within, the blood is carried from thence to the scarfe skin, for which reason, there are divers sorts of Marks, as from a whip or rod, they are long according to the strokes. And the Eyes are black from a stroake, because the blood by that gets out of the Veins of the adnate Tunicle, or into the horn Tunicle. After blood-letting you may sometimes see such spots, when the Vein is pricked through, the blood doth not all come forth but some remains under the scarfe skin: there are none but these violent causes which divide continuity, which bring the blood under the searfe skin.

Yet from great heat inwardly or outwardly in Diseases, when the skin is thereby dilated and the Blood dispersed, we have seen bloody spots under the skin.

And this also may come from thinness of blood, if when it is come to the Pores it sweat not forth, but staies there by drops; and this is rarely seen as also sweating blood although we shewed in the Treatise of Excrements that hath sometimes been so.

A general Discolouration and divers spots come from the nourishing Juyce, which is made of blood turned into the parts by assimulation, according as it is conveighed (when changed) either into the whol body or to some parts.

When crude and unconcocted Juyce, If the juyce which nourisheth the whole body be crude, it cau­seth evil habit, if bad it causeth ill Digesti­on, or Cacochymia. goes through the Body to nourish it, the flourishing colour thereof is destroyed, and another ac­quired as is shewed in Cachexia or evil Habit, of which there are divers sorts, as the Juyce is only crude, or also serous and filthy; for if it be crude such as is Natu­rally in the mass of Blood, and makes the part which is called Flegm, and that nourisheth, being carried with the blood through the Body for the same purpose, if this a­bound in the blood, or if the greatest part of the Blood be such because not perfectly made red, and yet not so cor­rupted but it is fit to nourish the Body; then this being joyned to the substance of the Body for to nourish it, still it makes the flesh and skin of the same colour pale and white; and the colour is as far from the true Complexion as the blood is, being so, or when mixed with evil Juyce or water from evil Concoction. In Women, especially Vir­gins, when that thick Blood flows not so plentifully to the Veins of the womb, nor Nature, which allots the pu­rest blood for nourishing of the Child, and for moneth­ly Evacuation, doth not continue her course to carry it thi­ther, and send out the crude and evil Blood; there will be an evil Habit, and want of Terms (as we shewed,) the defect or want of the Terms, not being the cause of that evil Habit, but the evil Habit the cause of the want of Termes.

But if with the evil Habit, Cachexy and Cacochymy, there be also evil Humors about the Spleen which are car­ried from hence to the meseraick Arteries; there will also be as I shewed, a Palpitation of the Heart and other Sym­ptomes, by reason of the Cacochyma and Diseases of o­ther parts.

But if this Juyce be crude, and plentiful, and long be­fore it nourish the Body, so that it swell therewith, the ca­chexy is turned into a Leucophlegmacy or white Flegm; and if there be much water, the Leucophlegmacy will be serous: or if the water abound in a Cachexy, there wil be tumor of the Feet, and of the Belly and Body growing less, and the Dropsie called Ascites wil follow the cachexy or evil Habit.

Or if this Juyce, which ought to nourish the body, be so bad, that it will not nourish, or be very little in Quantity, there will be a decay of the Body, and the Cachexy will be turned into an Atrophy. As we shall see in the Dropsie Ascites and Atrophy how they follow a cachexy.

This crudity of Blood, if there be serosity or waterish­ness, or cacochymy or suspicion of a Dropsie: comes of­ten from the Nourishment, if such things be taken which produce crude Juyce or Water: as we said in the Imbecil­lity of the Stomach, as Summer fruicts that will not last, which if they be taken immoderately by young People, make them subject to a Cachexy, especially by Virgins being weak and using Exercise.

This crude Blood which causeth a Cachexy, and evill Juyce which causeth a cacochymy, or water which causeth a Dropsie comes from the Distemper of those parts which are ordained for Sanguification or making of Blood and Chyle; as from the Stomach, Liver, Spleen, and the Ves­sels and Membranes thereto annexed. And if the con­coction be made imperfect, by the Distemper, Weakness or other fault of the Stomach; the Chylus be crude and im­perfect, or foule and watery, which after in the second concoction produceth the like Blood, because it cannot be sufficiently boiled, and the rather if the parts ordained for the second concoction are also infirme. We have shewed treating of the pain of the Heart what kind of Diseases are from the Stomach, and cause pain.

Blood that is crude, unconcocted, foule and watery, is made by the Infirmities of the Liver, Spleen and Veins, because these parts are ordained for the Generation of blood. The Liver is the Instrument of Sanguification. And that Sanguification may be hindered by the Diseases [Page 518]of the Spleen, (many former Arguments being omitted, by which we shewed that the Spleen also is the Instrument of sanguifying, and that it may be hindered by the Distem­per of the spleen) we can prove, because as appears by A­natomies, when the Liver is sound, and the Spleen rotten, there have appeared those faults of Sanguification which have been mentioned, and have caused a Dropsie, so that we need not make the consent between the Liver and the Spleen, to be the cause. Moreover from the Distemper of the Veins, (seeing they help to make Blood, whether prin­cipally, as some think, or make it better after it hath been wrought by the Liver, which all confess,) the Blood is less concocted and more crude. And this cheifly caused by the Distemper of the meseraik Veins, that come from the Liver and Spleen, because the first change of the Chyle and preparation of it for Blood is by them, for they snatch it and retain it first; the Diseases which befal the Liver, Spleen or Veins, by which the sanguification being dimi­nished, the blood becomes crude, and thence comes the Cachexy, either alone with Cacochymy, or Weakness, Distemper, Obstruction, Hardness or the like.

Weakness of the Liver, Spleen and Veins (which by con­sent with the Bowels unto which they are joyned, suffer with them) is properly that which comes from want of Natural heat, if it hinder the Functions, so that the blood be not sufficiently wrought, and therefore too crude. Thus it is the cause of a Cachexy, in which the Native colour of the body is lost, and it grows bigger, there is a shortness of breathing by reason of the Distemper of those parts, and a pressing pain of the belly, the Urin by reason of crudity is waterish, especially if through the plenty of Water they cannot be tinctured with Choller; if this Weakness last long it turns the cachexy into a Leucophlegmacy by a­boundance of crudity, which if it come from other causes also will make a Leucophlegmacy serous or watery. Al­so if from the weakness of the attractive faculty of the Li­ver, there be aboundance of Water not sufficiently attra­cted by the meseraik Veins, the Dropsie Ascites, as we shewed in the Treatise of the Dropsie, will follow; but if their weakness be such, that the Blood be not only crude, but not enough to nourish the Body, it will produce a ca­chexy, in which the Body is rather less then bigger: or if by this weakness the sanguification is lost, an Atrophy will follow. A cachexy is known to come from this weak­ness, if there be no other accidents or Diseases in the Bo­wels, it appears by the evil colour of the whole Body that they are weakned, and the Patients so affected, are called Hepatick or Splenetick.

This weakness comes from this dispersing of the Natural heat, which is from inward Causes from Birth or through Age: or from external causes, and remaineth after divers Distempers of the Bowels, or other long and acute diseases. Among which are Feavers, after which the Bowels being weakned by too much heat, or cold Drink which is usual, there follows a Cachexy which by continuance caused the Feet, Belly or whol body to swell. Moreover great loss of blood, especially of the Menstrual causeth a cachexy, not only by the loss of Spirits, but because the Veins want re­freshment by their emptiness, and want of heat with which they were nourished: not onely by reason of that crude Juyce which is then produced, but because the Body be­ing exhausted looseth its flourishing colour. And if the loss of blood were great the body would rather grow less then swell. Also other Evacuations by which the Spirits are consumed do the same; among which too much Ve­nery in Man especially.

The Distemper of the parts and Vessels ordained for san­guification, may produce a Cachexy, either simple or mix­ed with Leucophlegmacy, or the Dropsie Ascites; by cau­sing the weakness which we mentioned to continue, and by hindering the Actions of the parts. The first is a cold Di­stemper which chiefly hinders the Functions, and proceeds by over much and long use of cold things: from external cold to which the Body hath been exposed; from which the constitution is known to be such and in regard there is no Thrist, and the body appears colder with all signes of a cold cause.

But although the hot Distemper of these parts, especial­ly of the Liver, doth not at the first, nor by long continu­ance produce this cachexy or evil Habit, Paleness or swar­thy colour, but it appears rather in a fresh colour, (as we see in the faces of Drunkards) and brings no great hurt as yet, but only a constant Thirst by which this hot and dry Distemper of the Bowels is discerned: yet in continuance of time, in some sooner, some later; by weakning the bo­wels, and making them unfit for action (the Sanguisica­tion being so hindered) the body is thereby discoloured and of evil Habit which is a cachexy. And this is turned into a Dropsie (which appears first by swelling of the Feat and shortness of Breath, after by other signs) because by continual heat the bowels grow hard, dry and cloven; as we shewed in the Dropsie Ascites, whose causes are chiefly constant use of hot Wines and Meats or hot Diseases.

The stoppage of the Liver especially of the porta and hol­low Veins, may be the cause of a Cachexy or cacochymy, because it gives occasion to the production of evil and cholerick Humors especially; which we declared (in the causes of Feavers) to be mixed with the blood in the me­seraick Veins, by reason the exact separation of them from the blood by the second concoction is hindered; if impure blood be sent into the body, there is rather a foul then a white colour, and it is brown, swart, green or yellow, yet not so yellow as when the Pores that conveigh the choler are obstructed, and the choler is not separated from the blood as we shall shew in the causes of the Jaundies, by which means the Urine in that is not so watery as in a ca­chexy, but it is somewhat high coloured. But if this chol­lerick filthiness retained by the same Obstruction, and sent back into the Meseraiks, be not much dispersed through the body, there is rather a strange Paleness then a colour in the cachexy, also the Urine is more crude and waterish, and by reason of the plenty of choler in the Meseraiks, there is a loosness rather than binding of the Belly, and the Excrements will seem rather chollerick then white, contra­ry to the Jaundies. And if from the Obstruction mentio­ned, there follow a weakness of the Liver, as it may be from thence, or other causes; then because the working of the Blood is less, there wil be a cachexy of crude blood; in which crude Juyce nourishing the Body makes it swell. But if the Obstruction be so great, that by reason thereof, the distribution of the blood, whether crude or concocted cannot be made into the hollow Vein, or such foul blood is produced that it cannot sufficiently nourish the Body, it will decrease: as we shall shew how an Atrophy comes either when the distribution of Blood is hindered by a great Obstruction, or when the blood is unfit for to nou­rish.

The cause of this Obstruction in the Liver, is either thick or vicid Chyle, made of the like the food when it is fastned to the passages, and grows more condensed and stops the parts; or, as some say, crude chyle, by reason of heat rai­sed through violent motion or baths used after Meat, which gets too soon into the Veins, and is there retained til it stop them. And this may come also from dryed and burnt Blood, as we have observed by looking into the Li­ver of beasts which hath produced such Obstructions by being hindered, and burnt into the ashes in the Vessels. The same Observations in Man and Beast, have taught us that Obstructions of the Liver may come from a serous or watery Humor. For we have found, in them that former­ly by urine have voided Gravel, the same red Gravel to be in the Vessels of the Liver, sometimes turned to a brittle stone, which being dispersed through the Vessels are like white Coral or Ice-sickles. And these came from the Earthiness of the Serum which fixeth it self in the small passages, as we have shewed in the Treatise of the Stone in the Kidneys. It is generally concluded that these Obstructi­ons come chiefly from Flegm, which if it be not bred as o­ther [Page 519]Excrements in the Liver of crude chyle and blood, and there laid up; it comes from the Stomach and Gutts, where it is usually abounding, being brought thither by the meseraik Veins with the chylus, and there continuing it causeth these Obstructions, and the sooner if it be slimy, or thin and waterish, which will more easily get into the Mouths of the Meseraiks, if by long continuance in the Veins, it grows thick by the heat of the Liver, and so be­come viscous or slimy.

Also an a Obstruction in the Spleen may cause a Cachexy and such [...]s is cacochymical, which declares it self by a filthy colour, in which if the evil Juyce get into the Arte­ries, there will be beating of Heart and Arteries; and the reason is, because when the Spleen is stopt, Sanguification is hindered, and evil Humors are heaped up in the bran­ches of the Spleen and gate Vein, which may from the left side thereof go to the right, and so into the Liver and then be distributed with the Blood.

A crude or cacochymical Cachexy, as from other Obstructions, so it may rise from the Hardness of these parts or Scirrhus which grows in the substance thereof, or other hard Tumor which turns to an Imposthume, for then the passages are either partly or totally stopped. And this turnes to the Dropsie Ascites, if from the Distemper or Hardness the parts be not only stopped but left open. And because it is usual so, we shall shew the causes of the drop­sie Ascites more at large hereafter. And in an Atrophy how it cometh, as also those hard Tumors of the Liver and Spleen, what are the causes of them, and in what manner they are, how they come either from too much drowth of the Bowels, or too thick Juyce which nourisheth them.

They write that besides these Tumors, the spleen may swell from wind; but I perceive not how wind can be there to blow it up when it is not hollow. It may be when the wind is gathered into the left side, and stretcheth either the stomach which is most on the left side is swo­len with wind, or the colon which reacheth to that part, and this they think to be in the spleen.

The nourishing Juyce being communicated to divers parts, causeth divers spots, as it insinuates either into the Pores of the skin or some division.

When the Juyce which should nourish the Hair, The Juyce which nourisheth the hair, being dis­persed into the Pores is the cause of spots or freck­les. comes to the Pores of the skin where they grow, it produceth these spots which are like Lentils viz. Freckles called Lentigines; for being like them in colour, it spreads about the Pores, it produceth spots: dark co­loured or like the Hair. This spread­ing of the Juyce in the Pores comes from the Heat too much attracting it, and dilating the Pores: if then the juyce which nourish the Hair, is not on­ly fastned to the Roots of it, but spread further, and there staies to produce spots browner or lighter according to the colour of the hair. And these appear most in a white skin, especially in those Men that have red hair; on their Head, Eye-brows, Face, Breast, and especially Hands because these are openest to the Heat of the Sun. And these depart not while the weather is warm.

The too much openess of the Pores may cause this also, by which means the Juyce doth not only nourish the hair, but infect that part of the skin which is about them, which is hardly taken off, by reason of the continual coming of the same Juyce to nourish the part, and being juyce that is so fit for Nourishment, it will neither be suppurated nor corrupted. This openess of the Pores being most where the skin is tender, is the cause that, Freakles grow there and are most conspicuous: and we see that they are more in the back of the Hands then in the Palm.

Also the spots may grow from the abundant Juyce, which is sent to nourish those Hairs which are plucked up by the Roots of those parts which are most often washed or rubbed, as Face and Hands:

If the Juyce be evil which nourish­eth the hair and goes into the Pores then it produceth the Morphew, Juyce nourishing the hair if evil, it gets into the Pores causeth Morphew. when brought to the Pores, it is unfit to nou­rish or produce hair, but spreads it self upon the skin: as we shewed concer­ning sreakles. So this juyce as it is qua­lified, produceth sometimes white sometimes blackisn Morphew which causeth the hair there to fall for want of Nourishment and if they grow again, there are imperfect from the fault of the Juyce, thin and like down, and other­wise coloured then formerly, and the skin being corrupt and insensible, thereby sends forth being pricked not blood but matter, and these break forth sometimes in one place, sometimes another, wheresoever Nature sends this juyce to the Pores.

And this evil Juyce by the depraved assimulation of the part where these spots are, by which assimulation that Blood which is brought thither for Nourishment, is chan­ged not into convenient Juyce, but into evil juyce like the part corrupted, of which it is nourished, as in the Elephan­tiasis, which we shewed to be large in many places of the skin, but this is in a narrow space and fewer places. And as in that by a peculiar Insection of the skin other diseases come, so do these spots come from others yet not so diffe­rent from that of an Elephantiasis, because Morphew often foreruns an Elephantiasis. A certain venemous force is cause of this depraved assimilation as of an Elephantiasis either like it, or unlike it coming from the seed, or lying hid in the Blood and other Humors or by Contagion of the body; for by no other means, can either Flegm or Melancholy which they say produceth these spots cause them by their qualities; nor can they be produced of crude Blood, as some say, for in a Cachexy which comes from thence, there is no such spots, and if they should come from thence, as the whol Body grows great with crude blood, so would it be all over spotted.

Choller being high coloured, Choller sent to the superficies of the Body, is the cause of Jaundies. if it be sent to the superflcies of the Body, it wil stain it, and cause the Jaundies. And it appears more the whiter the place is, as in the white of the Eye, and a clear Skin, as in the Palms of the Hands and under the Nayles.

This is not done by that Natural choller which is in the Veins, and is the thinner part of the blood, and is not yel­low but red, but by that which is called Excrementitial, which being in the Mesoraiks, is separated from thence in­to its proper bladder; and it is yellow, or is preternatu­ral, and is green or black. This kind of choller if it be carried from the meseraik Veins by the Serum, which is the Vehiculum of all Humors, and therewith carried with the blood into the hollow Vein, and from thence by the benefit of the same Serum, carried with the blood by the Veins to the exterior parts of the body, and be there spread upon the skin and other Membranes, as the Tuni­cle of the Eye, not by points, as when it produceth spots and Pustles, but all abroad; then insinuating it self gives it a colour, not being mixed with Serum or Whey doth it burne, as it doth when it breeds Pustles of it self, onely it causeth sometimes itching in places very sensible: also part of this choller carried with the serous part to the Reins and so to the bladder, makes the Urine of the same colour and thick.

There are divers causes, why when this choller is carri­ed from the Meseraiks to the branches of the hollow vein, and thence is fixed in the skin and outward parts, that it is not dispersed by sweat. The chief causes are Segrega­tion and Excretion.

The Segregation of choller in the Meseraik Veins when it is done in the Liver and from thence by the gate Veins carried to the branches of the chollerick Pore, and the Bladder adjoyning if it be hindered by any Disease of the Liver, or cannot be perfected by reason of the great quan­tity, being retained in the branches of the gate Vein, at [Page 520]length as we said it breakes into the branches of the Vena cava or hollow Vein.

This comes often from the Obstruction of the passages of the Choller in the Liver, for then although it be separa­ted from the Blood in the Veins of the Liver, yet by reason of the Obstruction of the Pores, it cannot be refined in the Gall, and therefore being sent with the Serum and Blood into the hollow Vein, and distributed though the whol bo­dy, it gives it a tincture of its own colour. This Obstru­ction we have declared to come from the causes of other Obstructions in other Vessels which cause a Cachexy; from Chylus, Blood, Whey or Flegm, if these while the choller doth distribute it self into the Pores, go in with it, and being there detained grow thick, or turn to sand, as we have seen in Anatomies. The same Obstruction may come from thick slimy Choller, which sticks long in the narrow Pores, especially if it grow as hard, as it doth somtimes in the Ears, whereby they are stopped while it is drawn out, and this may be either from the clamminess of the Choller, or from the heat of the Liver which burneth it: and also it may be in the Gall and in the Pore that reacheth to the Guts, and somtimes be turned into a stone, if there be an Obstru­ction as we shall after declare.

Also Tumors and Scirrhus of the Liver, as they shut up the Vessels of the Liver, and a Cachexy so when they stop the Passages of choller they cause a Jaundies, which fore­runs a Dropsie: as shall be shewed.

And if any Imposthume or Filth happen in this part, it may be then, that the humors not being separated but con­fused, there may follow both a Dropsie and Jaundies.

Also an Inflamation of the Liver, by making the passa­ges in like manner straighter, and by inflaming the choller, and driving it into the hollow Vein, doth couple a Jaun­dies with its Symptoms.

Sometimes it falls out by the plenty of choller and its a­bundance in the Meseraiks, that when all cannot be sepa­red into the Gall, and it cannot receive it, although it be sometimes very large, then some of it carried into the hol­low Vein, and thence carried outward, being yellow, if it keep the Nature of excrementitious Choller, or otherwise green or black, doth infect the Skin with the same colour, and cause either a black or yellow Jaundies. And this it doth sometimes before it cause another Disease, when it is plentiful there, and breaks into the Veins, it produceth a jaundies a forerunner of other chollerick Diseases. Other­wise when it lies and putrifieth and produceth intermitting Feavers, because in the fits thereof there is some part there­of alwaies sent into the Veins, it is dispersed by Sweat, and if this be not enough it joynes a jaundies to the Feaver: or if all the matter of the Feaver be sent by a crisis from the Meseraiks to the skin, it produceth a Jaundize that cures the Feaver. And this may be in other Diseases that come from corruption or abounding of Choller in these Veins, and so a Jaundize may either accompany or follow them, as we said it was often in a cholick pain from Choller, if it partly be carried to the Gutts, and partly remain it joyns a jaundize with the cholick, or when the Cholick ceaseth being not sufficiently purged by Nature or Medicines, it leaves a jaundize behind which is easily cured, as is men­tioned in the Treatise of these Diseases. For often by Na­ture help which will not endure that which is hurtfull be­ing stirred up by a sharp Humor, which while it is in the Veins is tempered with Blood, and so may lie longer con­cocted, it is carried into the great Veins if not to the Guts in which the Meseraiks end, as is usual by purging.

And this may be the cause why a jauudize may come af­ter Poyson taken, Nature so disturbing and moving the Humors, except it doth it by some other occult or hidden Quality, by which in Poyson it attempteth divers Operati­ons especially in those who are very chollerick.

From which cause as divers kinds of jaundies do pro­ceed, as aforesaid, so it will be sooner produced if any dis­ease of the Liver aforementioned do hinder the separation of choller.

Some have taught that this separation may be hindered in the Spleen, by its Diseases, as by Obstruction and hard­ness as in the Liver; and then black choller which they suppose to be lodged in the Spleen will run into the veins, and cause the black jaundies. But since we can perceive no such choller in the Spleen, nor any place to receive it, it cannot be so, nor if it were there could it be carried into the hollow Vein which toucheth not the Spleen with any branch thereof; and if it should be carried into other Vessels, it should be into the branches of the Artery which are annexed to the Spleen: and then greater accidents would follow then a jaundize. Therefore it is not neces­sary to seek for this black choller in the Spleen, since it is contained in the branches of the gate Vein, the right whereof is carried to the Liver, the left to the Spleen, (by which we do not deny but some Portion is carried to the Spleen) if it be preternatnral, as is said, and be yellow, green and black, nor can it be by any way either on the right side or the left, sent into the hollow Vein but by the Liver. And except this be, the Disease only of the Spleen will never cause the jaundies: we have shewed that the causes of this black choller, or green or yellow abounding in intermitting Feavers, which come from thence are (as a quartan) from Choller, and not from that choller which is in the Spleen.

If there be not a voiding of Choller by the Porus choli­dochus into the Guts, then it will rise from the Gall, and ascend by the top of it into the Liver and its Veins, and is not separated, but goes into the hollow Vein and causeth a jaundize, and then the Excrements of the Belly being not died with Choller, are not coloured, nor do they provoke the Belly to discharge them.

And this may be done by the same causes, by which the separation is hindered through Obstruction of the Vessels, as Humors, when they fall into the Pores and obstruct them; or Tumors if they press upon the Neck of the gall­or the Pore that descendeth: or by the proper Disease of the Gall, or its Inflammation or Tumor; or stones there­inwhich are sometimes found of a Gold or Silver colour, as also when the Choller is made more sticking and thic­ker, as that in the Ears, the like whereunto we have found in the Gall being dissected; and these if they get into the narrow parts of the Gall, and stick in the Pore, wil hin­der (as I said) the descending and purging of choller.

But the Jaundies is not only from the coming forth of the choller, after this manner, but being thrown from the hollow Vein to the skin, which may be evacuated by the Pores by which Sweat with the Serum, as is usual, but if not, it will stay there and discolour the skin, and the less if any be spent by sweat, and not at all, if all be drawn forth by sweat. This suppression of sweat, comes from the binding or closing of the Pores of the skin, from divers causes otherwhere mentioned. Hence is it that in a chollerick sweat, where it is abounding and when it hath been caused by heat and Baths, if they suddenly go into the the cold, they have often their skin yellow, which with sweating again will be gone. I had lately a Patient which was often all over of a Saffron colour, and this went away as often as he did sweat, and returned again presently af­ter.

The spots of which we here speak are not of pure chol­ler, nor the Freakles, which we have shewed to proceed from Nutriment; as other spots and Pustles, which rather trouble with heat and pain then discolour, as Anthonies fire; of which we spake concerning pain.

Divers spots rise from evil humors in malignant Diseases, as in pure, Evil Humors in ma­lignant Diseases, are the cause of evil spots in infectious Feavers and the Pox. putrid, malignant, pestilential and venemous Feavers and in the small Pox, Elephantiasis, Scurvey and the like: as we shewed. Which Hu­mors or Poysons by what force they do it in those Diseases which they cause, as well as spots, we have shewed as much as we could find out in such hid­den Causes.

[Page 521]The colour of the Skin is poluted by filth adhering, Filth is the cause of an evil Colour in the Skin, under the Nails, and of the Yellowness and Blackness of the Teeth. as we shall shew when we speak thereof in things cast off.

Also the dirt that gets in between the Nail and the Skin, where they are divided, shining through the Nails make them look black and filthy,

The teeth are very subject to pollution, and either yel­low, or blew or black, and when they are most white it ap­pears soonest, the causes whereof we shall shew hereafter in things rejected.

The Skin, External colours are the causes of Discolo­ration of skin, Nails and Teeth. Teeth, and Nails, and Hair may have divers Colours from divers fouling things, or that disco­lour. So the skin of the Hands is made black by touching of Walnuts, and so continueth for some daies: sometimes it is made yellow, red, blew, or the like by herbs and Paints. And the Americans do paint themselves be­ing naked, that they may be comely. And wanton Boys with us, scarifying the skin and rubbing in Gun pouder, do make certain Markes and Characters thereupon very artificially. Also the Teeth are so coloured, among which astringent things do chiefly black the Teeth. The Nails are discoloured, and made black, in Curriers by often touching Lime and Lye or Lixivium and it lasteth long.

Heat, as we shewed, by attracting the Blood makes a lively red Co­lour, Heat which enlargeth the skin, is the cause of a red and lively color. Cold which thickneth the skin is the cause of a dull Colour. and cold by repressing the Blood makes Paleness, also Heat by dilating the skin makes the red co­lour shine forth better, and cold by astringing makes it less clear, and this is the cause that they which are hot have a fresher Colour; and they which are cold are more swarthy.

Also over dryness of the skin chan­geth the Colour and makes it more obscure, The dryness of the skin is the cause of a worse Colour, as black. because by Dryness the skin is made thicker, and by astringency or binding it wrinkled; because thickness makes it black, and Wrinkles making a shaddow render it more obscure: as we see the skin be­ing burnt and dryed by the heat of the Sun becomes blac­ker, and being withered by age it is more dusty and black. The same comes to pass, if the skin be made by a Disease or looser by the Consumption of the flesh under it be­comes wrinkled, which before was stretched out; or if over moistned with bathing it will wrinkle.

In the Eyes there are white Spots or Scars, by reason of the horny Tunicle dried and made hard.

And by reason of the drying of the watery Humor this white spot or suf­fusion, The dryness of the Membranes of the Eye is the cause of the white spots there­in. appears through the seat of the horny tunicle that is night against it, when the prespicuity with which the Tunicle and Humor ought to be adorned is lost, and that Whiteness follows it. And we see the raw white of an Egg is clear and bright, but being boiled or rosted it becomes exactly white, and looseth its prespicuity. We have sufficiently declared in the defects of the sight, which come from spots what is the driness and hardness in the bright parts of the Eye, and from what causes it cometh.

There are also white spots in the Nails, The dryness of the Nails is the cause of the white spots in them. where their transparency is lost in a point from the like causes; and this comes from the Nourish­ment, if there be in it the least porti­on differing from that which should repair and preserve the clear substance of the Nails though it be sit to nourish otherwise, being different from the thick Nourishment of the Bones, and mixed with this more bright Nourishment of the Nails, the Nail makes that por­tion which is contrary unto it obscure, white, and not clear white as the rest is. And this is most usual in young Peo­ple, because while their Bodies grow, their bones grow al­so, and it is then more plentiful because they abound with Nourishment, and there may easily cause these spots; as we have declared, divers hard Tumors to grow from the confusion of nourishing juyce.

Moreover, we have observed that the Nails have not been only streaked with white spots in some parts, but that in some old people they have been all thick white, they being so dryed by age and hardned, that they have totally lost their cleaness and transparency; from this reason we may observe that Hornes, Bones, and Quills, being burnt grow white.

The same is in hair, The dryness of Hair is the cause of Bald­ness. they grow white and grey after they have lost their clearness (which the hair hath as well as the Nails and the horny Tunicle although by reason of their smaleness it is not so apparent, but it may be known by the splendor and shining) through dryness and hardness. And this happens often to them as to the rest more often, because they are very dry: and therefore in age they grow dryer as other parts, and they are dryed first about the Roots, and so grow altogether grey, and some sooner, some later, as they grow dry soo­ner or later, and they are grey either in the beginning or progress, or end of their age. This is not done by other causes, because the hair is not easily altered, albeit it is supposed by the vulgar that care and griese wil make them grey, which can scarse be done but by their hastening of age: although it be recorded that some have suddenly turned grey. That hair is white in divers places distinct, in some and not in others, the uneven Disposition of the hair and the skin wherein they grow, may be the cause. And this is to be observed, that the thicker the hair is the sooner it turnes grey, and black sooner then red, because when grey hairs appear they are sooner discerned. And this is the Cause that the Beard being younger then the hair of the Head, yet is sooner grey.

The Cure.

The Cure is divers, as the Discoloration is either in the Eye or skin, Teeth, Hair or Nails.

The convenient Cure of Discolourations of the skin is applied first to generals and particulars.

The Cure of Generals is directed at the cause whether it be the nourishing Juyce, Choller, Blood or Seed.

That Cachexy which comes from crude and imperfect juyce, The Cure of Ca­chexy or evil Ha­bit of body. in which flourishing Colour is lost, and Pale­ness is brought in, or the like, if there be a Cacochymy or evil digestion there with, and it come from the weakness of the Liver or spleen not yet confirmed, or from Obstructions; from Humors not yet fixed, is easier cured. But if this weakness of the Bowels in Sanguification, or Obstruction is fixed, then it is easily turned into Leucophlegmacy or white Dropsie, or into the Dropsie Ascites; of which two sorts of Dropsies the first is easiest cured, except some other Distemper be joyned therewith.

A Cachexy is most difficult and can scarce be cured if there be exceeding weakness of the Bowels or great Ob­struction, coming from a hard fixed gravelly Matter, as al­so if there be Hardness, Scirrhus or any Tumor in these parts which causeth the Dropsie Ascites it is incurable.

A Cachexy must be cured according to the cause, which we said is the weakness of the Liver, Spleen, Meseraiks, a cold or hot Distemper, an Obstruction, and hardness or Tumors in the same: which if they have been brought by any external or internal cause that must first be removed, as evil Diet: great loss of Blood, too much Venery and [Page 522]the like which we know have been the Original of these Distempers, and do still nourish the same. Then the Fil­thiness which is brought thereby must be purged: and in the mean time if it come from Weakness we must streng­then, if from a cold or hot Distemper, we must alter that; if from an Obstruction we must open, if from a Hardness or hard Tumor we must endeavor to mollifie and dissolve it by Medicines internal and external, using those things especially which are proper for these parts affected: and are therefore called Hepatical or Splenetical Medicines or at least you must mix them with others, and add those things which strengthen the Stomach if it be weak. All these Medicines we shall reduce to two Heads, because one Medicine if compounded of divers things, may be applied to divers Causes. And under one Head, we shall lay down those things which are proper to one or more of the Causes, in Imbecillity or Weakness, in a cold Distemper, Obstruction, Hardness or hard Tumor: under the other Head we shall propound those Medicines which are fit for the cure of a Cachexy coming of a hot Distemper, because this requires a cure by it self something different from the other. We shall begin with that cure which is to be done with the Medicines under the first Head, by this way fol­lowing.

In these kinds of cachexies, sometimes you may open a Vein, if the Liver be stopped and full; by which the blood being moved, the evil Humors in the Vessels of the Liver may with the Blood be a little abated, especially if there be a cochymy in the Blood, it will be convenient to draw it forth: and this is done in the right Arm, where the low­est Vein is most convenient, and therefore is called the Li­ver vein, which also may be opened in the Hand; or in the Foot if there be Suppression of the Termes; in the like Diseases of the Spleen, if there be a cacochymy also in the Veins, you must open the Vein in the left Arm, or the Sal­vatella which is proper when the Spleen is distempered.

The opening of the Haemorrhoids is very profitable by drawing from the Meseraiks in the stoppage of the Liver, Spleen or Meseraiks, and also by letting forth the cacochy­my or evil Juyce.

Vomiting in the Obstructions of the Liver or Spleen, is good, not only by taking away crudities, but by stirring up Nature to send them forth, and this is best and easiest after Meat.

Clysters which mollifie, provoke, and open Obstructi­ons are to be injected, and are made of the common De­coction with the opening Roots, red Vetches, the four great cold seeds, and dissolve therein some purging Electuaries and sometimes a quarter of a Pint of Vrine, and half an ounce of the sharpest Leaven, besides common Oyls or of Cappars and flo­wer-de-luce.

Or you may use the Glysters mentioned in Leucophleg­macy.

Purges are appointed in Obstructions, so Nature being moved may alwaies thrust some of the stoppinges forth; al­so they are good in weakness of the parts, Distemper or Hardness because many Excrements are gathered. And they are made of such as purge choller or Flegm, and Me­lancholy in the Distemper of the Spleen, because it is thought Melancholy Juyce doth abound there, and you must add such things as respect the Stomach and discuss wind, if it tend to a Leucophlegmacy or white Dropsie, or things that expel Water if it tend to the Dropsie Ascites, as is mentioned, but here these following are good for a cachexy. A Decoction proper in the Obstruction of the Liver.

Take of Liquoris Roots one ounce and an half, of Succory and Flower-de-luce Roots each one onnce, of Smalage Roots half an ounce, of Asarabacca Roots two drams, of Chamaepytis or Ground pine, Germander, Agrimony, Maiden-hair each one handsul, of Fennel seeds two drams, of Parsley and Rocket seed each one dram, of Elder-flowers one pugil, Raisons two ounces, Senna one ounce and an half, of Carthamus seeds bruised and Pelypody of the Oak each one ounce: make a Decoction in Water and the third part Wine, and infuse in the strained Liquor of Rhubarb half an ounce, Agarick three drams, Gin­ger one dram, Spikenard half a scruple. strain it and add as much Sugar as is sufficient, and aromatize it with Cinna­mon and Cloves for three doses.

Of the same things dry a Wine may be made by infusi­on in four or five pints which will work better, and it will be stronger if you add Wormwood two drams, Topps of Cen­taury one dram, Birthworth Roots and Squills prepared two drams.

Another Decoction for the Spleen.

Take of the bark Cappar Roots and Tamarisk each one ounce, macerate them in Water and the third part of Vine­gar, Germander, Ceterach each one handful, of both the Bug­loss-flowers and Broom flowers, each one pugil, of Fennel seeds two drams, of Park leave seeds one dram, of Raisons stoned six drams, of Polypody one ounce and an half, Senna one ounce: make a Decoction, for three doses, aromatized with Cinnamon, and sweetned with Sugar or syrup of Maiden-hair, or the like.

Or thus, Take of Capar bark one ounce, Pot Mercury, Fu­mitory, Time, Epithimum each one handful, Broom flowers, Ta­marisk, Rosemary, Borrage, and Bugloss flowers each one pugil, of Raisons ten pair, Sebestens five pair, Senna one ounce, Poly­pody one ounce and an half: make a Decoction in the strain­ed Liquor insuse Myrobalans, Chebs or others half an ounce, Rhubarb two drams, strain it and add as much Sugar as is sufficient for three doses, if the barks of the Roots of black Hellebore be added it is the better.

A plainer Decoction for the Obstructions of the Spleen is made of Mercury and Fumitory new gathered, in Whey, or Broath of an old Cock to which you may add others, you may also give the Decoction and Wine, described in the Leucophlegmacy, especially if you perceive that it tends to that.

A Potion of four scruples of Rhubarb made with Worm­wood wine or opening water is good, or the pouder drunk with those Liquors or with Plantane water, if the Termes flow and cause a cachexy, to which you may add two oun­ces Syrup of Roses solutive. Or give the Potion prescribed in Leucophlegmacy.

Other Potions made of altering Decoctions after to be mentioned are given, by infusing Rhubarb, Agarick and the like, and dissolving purging Electuaries for choller in the Liver and Melancholy in the Spleen.

Pills often taken being bitter and Gummy are excellent in a cachexy.

These are convenient in Obstructions and Hardness.

Take of Gum Ammoniacum dissolved in the juyce of a Flo­wer-de-luce and pouder of Rhubarb each half a dram, with Ox­ymcl make Pills for one dose, you may add Agarick and they will work the better.

Or these; Take Aloes two drams, Rhubarb, Aagarick and Mechoacan each one dram and an half, Gum Ammoniack dissolved in Vinegar of Squills half a dram, Mastick one scruple, Gentian and Birthwort roots, or Madder topps of Centaury two scruples, Asarum roots, Smalage seed each one scruple, Ginger and Spike each half a scruple, with the Extract or inspissat, Juyce of Wormwood, or Flower-de-luce, or Syrup Byzantine, or Turpentine: make a Mass, you may quicken it with Diagridium if you wil have it purge more.

Or thus, Take Turbith one dram and and half, Rhubarb one dram, of Gum Lack, Bdellium or Sagapen, and Mastick each one scruple, of Asarum roots, and Agnus Castus seeds each one scruple, of Schaenanth, Spikenard and Saffron each half a scrnple: mix them as the former into a Mass, and you may make them work better with Diagridium.

Or thus; Take of the best Aloes two drams, of Rhubarb and Agarick each one dram, of Scammony half a dram, of the Troches of Eupatorium or Rhubarb, or any other opening pouder each one scruple, Spikenard half a scruple, Mastick one scruple, Gum Ammoniack dissolved in Vinegar half a dram, with sy­rup of Vinegar make a mass.

The Pills of Maudlin prescribed by Me ue are usually good, they are made of Rhubarb, Myrobalanss, Aloes, Ma­stich, [Page 523]Saffron, Juyce of Maudlin, Wormwood and Endive.

Or the Pills of Rhubarb made like those of Rhubarb, Myro­balans, and instead of Aloes, of Hiera Picra, and Mastick, and seeds of Smalage, Fennel, Troches of Diarhodon, Juyce of Wormwood, Liquoris and Fennel water.

Also in flegmatick Men the Pills of Agarick, as in the stoppage of the Terms, which have Agarick, Turbith, Hi­era picra, Coloquintida, Myrrh, Sarcocol, or Mastich, Orris­root and Horehound.

Or Pills made of stronger things to all which you must add Gum Ammoniack dissolved in Vinegar, if there be a Hardness; and they may be made up with the Juyce of Or­ris or Wormwood, they use stronger in the Spleen, of the five kinds of Myrobalans, and other things to purge Melan­choly.

In great Obstructions these following are very efficaci­ous. Take of Coloquintida four ounces, Extract of Tincture with spirit of Wine, to which after add the pouder of Aloes, Myrrh and black Hellebore each one ounce, let them stand in the Sun till they are as thick as Honey, then add Saffron, Cinnamon and Brimstone each one ounce, then set them again in the Sun till they are dry, then pouder them, and with Honey make a Mass, the Dose is from a half a scruple to one scruple, and to half a dram in the strongest Bodies.

These Pills are best, when the Terms also are stopped.

Take of Aloes one dram and an half, of Mirrh, Madder or Birthwort each half a dram, of Agarick and Turbith each one dram, of Gum ammoniaek dissolved in the Juyce of Flo­wer-de-luce half a dram, with syrup of the five Roots: make a Mass, let her take them often.

If the Terms of Haemorrhoids flow too fast, make Pills thus. Take of yellow Myrobalans one dram, Rhubarb one dram and an half, of the Pouder of Diarrhodon and of the three Jaundies each half a dram, with the Juyce of red Roses, make a mass, give half a dram or more sometimes.

An Electuary in Obstructions. Take of Mechoacan three drams, Turbith one dram, Rhubarb two drams, Cinnamon one dram and an half, Ginger one dram, Spike one scruple, of the pouder of the three Sanders or the like one dram, the Pulp of Rai­sons boiled with Sugar as much as will make an Electuary, Dia­gridium may also be added.

Rhubarb alone four scruples in pouder with the Pulp of Rai­sons made into a Bole is excellent for the Liver, and it is called the Soul of the Liver: some eat it.

Tablets for the same. Take of Rhubarb one dram and an half, Mechoacan one dram, Gentian one scruple, Mastich and Gum ammoniak dissolved in Wine each half a dram, Sugar dis­solved in the best Wine, and Juyce of Flower de-luce one ounce, boil them to Lozenges, if Turbith or Diagredium be added they will purge the more

These altering Medicines which are in the cause of weak­ness of the Liver, must be such as repair the Native heat which is lost: and such as are proper for the parts, rather temperate then hot, or cold. In Obstructions we use o­peners and abstergents or cleansers the strongest in the Spleen, adding alwaies some things which gently bind both for the Liver and the Spleen to strengthen them, or that can open Obstructions by propriety, as Endive and Succo­ry which open and cool, the opening Quality appears by the bitterness. To these add things against the stone if there be a suspicion of the stone in the Bladder.

For Hardness and Tumors we use Emollients, mixing also those things which dissolve and consume what is mol­lified, or using them by turns: which Emollients, if a hard Tumor which may be converted into an Imposthume be in the parts will be also good when it is ripe. Besides these in Diseases of the Spleen, we usually mix things that dis­cuss wind, because the spleen is easily disturbed with wind, and sometimes swoln therewith. And this Opinion was because the wind was in the Hypochondria, Stomach or Neck as I shewed, therefore if the Liver or Spleen be stop­ped or hard, and there be wind in those parts you may mix the aforefaid. But these are given in divers forms, some­times simple or folide, sometimes mixed.

Among the liquid things which are drunk are divers Decoctions, which are so taken or boiled into syrups and so kept for use.

We boil in Broaths the Roots and Herbs of Parsley, and Fennel, Spriggs or roots of Asparagus, Grass, Vetches, Melon­seede and in the Spleen Purslain.

Physical Decoctions which may be taken before for pre­paratives to Purges, or after, which open the Obstructions of the Bowels are divers as follow.

The usual Decoction which is kept in form of a syrup is of the two Roots so called, of Parsley roots and Fennel roots with Sugar.

Of the five opening Roots you may make it thus. Take of Smallage roots, or Marsh, Smallage of the Chops of Parsley roots or true Smallage, of the Chopps of Fennel roots steeped in Wine each two ounces, of Grass roots, Asparagus and Butchers Broom each one ounce: make a Decoction with Sugar or Sy­rup.

Also thus, Take of the five opening Roots each one ounce, or Orris, Liquoris, Calamus, Elicampane each half an ounce, of Endive, Succory with the roots, Dandelion with the roots, Maudlin, Germander, Groundpine, Veronica each one hand­ful, of Elder-flowers one pugil, of the four cold greas seeds three drams, of Endive and Purslain seed each one dram and an half, Asparags seed one dram, of Anise-seed two drams, of Fennel, Smallage and Parsley seeds one dram, of Raisons stoned one ounce and an half, of red or black Vetches one pugil: boil them in Water with the third part of Wine, especially if the Roots were not steeped in Wine, and in the strained Liquor add Sugar as much as will sweeten, for some doses, and aro­matize it with Cinnamon one dram, Spike and Shaenanth, each half a dram: make an Apozem, or boil it to a syrup with more sugar and keep it for use.

This will be better for the spleen, if you add to some or all the aforesaid; Barks of Cappars, Tamarisk, or Ash, scraped from the outside each one ounce, of Asarum and Mad­der roots half an ounce, of Maiden-hair or Goldylocks, Ceterach, Dodder, both Buglosses, Fumitory, Hops each one handful, the Flowers of both Buglosses, Tamarisk, Broom each one pugil, of Agnus Caslus seed or Rue, one dram: mix them with the rest for a Decoction when we will open more violently we use bitter things, as Birthwort roots, Squills prepared, Worm­wood, Horehound, Topps of Centaury.

If the stomach be also weak, or windy, you may add the roots of Masterwort, Calaminth, Mints, Marjoram, Rosema­ry, Polymountain, Canuaseeds, Cummin, Bay-berries, also Mastich.

The Decoction of the roots of Fern, Rhapontick, Eryngus, Valcrian, Chamaelion, Carduus, Osiers, five leave Grass, Wild­sage, Alkanet, Lovage, Water-lillies, also the herbs of St. Johns-wort, Scordium, Mousear, Burnet, Dropwort, with the roots, Pine leaves, Capar seeds, Woodhine, Spurgewort, square Parsley, Rocket, of which one or more may be boiled or mixed with the former Decoctions.

If there be fear of a Dropsie, add Ivy-berries, Gum Lac and things that purge water, as shall be shewed in the Dropsie.

In Hardness and Scirrhus the same things are good ad­ding some sostners, as Althea roots, Mallows, Violets, Figs, Chamomel and Melitot flowers and the like.

Some syrups are made of the Juyces of Plants, as of sharpe Juyces, when there is heat, and Drought, syrups of Sorrel, and Vinegar, made of Vinegar water and sugar.

The simple Oxymel is made of Vinegar, Honey and Water, the Oxymel of Squills of vinegar of Squills, Oxysaccharum is made of Pomegranate Juyce, Vinegar and Sugar.

These Syrups are in use which are compounded of the Decoctions and Juyces which are sharp.

That of the five roots of Mesue. Take of the Decoction of the five opening roots, Sugar and Vinegar.

Oxymel simple is made of Vinegar, Honey and Water, and compound of the Decoction of Smallage, Parsley, Fennel, But­chers broom, Asparagus roots, of Smallage, Fennel and Parsley seeds.

[Page 524] The Oxymel that provokes Ʋrine. Take besides the Vinegar, Honey, the Decoction of the roots of Smallage, Parsley, Fennel, Raddish, Asarum, Lovage, Broom flowers, seeds of Fennel, Parsley, Asparagus, Butchers broom, Coriander, Cummin.

The Compound Oxysaccharum of Nicolas is made of the juyce of Pomegranates, in which are infused roots of Fennel, Aspara­gus, Butchers broom, Grass, Maiden-hair, Harts Tongue, Gol­den locks, Ceterach, Liver-wort, Violets.

Compound acetosus or syrup of Vinegar is, Take Vinegar-water and sugar, which is the simple, and besides these roots of Fennel, Smallage, Endive, Anise seeds, Fennel-seeds, Smal­lage and Endive, some add the Juyce of Endive, Smallage, Liquoris, Roses and Spike.

The Byzantine syrup Compound of Mesue is, Take of the aforesaid syrup of Vinegar with Anise seed, Fennel and Smal­lage seed, Juyce of Endive, Smallage, Liquoris, Roses, Spike and Juyce of Hops and Bugloss.

The usual syrups are made of bitter Juyces of Endive, and Juyce thereof boiled with sugar.

Of Fumitory simple, with the Juyce thereof and sugar, of Hops, of the juyce of them, of Fumitory and sugar.

Byzantine simple of Mesue, is made with the juyce of Endive, Smallage, Hops, Bugloss and sugar.

In like manner other Syrups may be made of Juyces and named from them, as of the Juyce of Smallage, Parsley, Fen­nel, Maudlin, and other openers proper for the Bowels.

The syrup of the juyce of Water cresses, and Brook-lime aro­matized with Saffron and Cinnamon and made sharp with a lit­tle Rose-vinegar, is excellent to open Obstructions.

Simples Compound of Juyces and Decoctions are these in use, the three first for the Obstructions of the Liver, the three last for the spleen, the two last purge.

The Compound syrup of Endive is made of the Decoction of wild and garden Endive, Liver-wort, Bugloss, Lettice, Maud­lin, Balm, Cordial flowers, great cold seeds, white and red San­ders, the juyce of Endive, Pomegranates and sugar.

The syrup of Succory with Rhubarb and its Correctives, of Spikenard, of Nicholas is made of the Decoction of wild and garden Endive, Succory, Dandelion, Sow Thistle, Liver-wort, Lettice, Fumitory, Hops, Maiden-hair, Alkekengi or winter Cherry, Ceterach, Fennel, Smallage and Asparagus roots, Barley and sugar.

The syrup of Eupatorium Mesue with Rhubarb is thus made. Take of the Roots of Smallage, Fennel, Endive, Liquoris, white Thorn, Rhubarb, Asarum, Dodder, Wormwood, Maiden­hair, Eupatorium or Maudlin, Flowers of Roses, Bugloss, seeds of Annise, Fennel, Schaenanth, Spike, Mace, Mastich, juyce of Smallage and Endive.

Syrup of Harts Tongue is made of the Decoction of Harts-tongue, both Endives, Liverwort, Dodder, Wormwood, Mai­den-hair, Flowers of both Buglosses, Roots of Fennel, Parsley, Butchers broom, the great cold seeds, Mace, Spike, Cassia Lig­nea, Gum Lac and sugar.

The Compound syrup of Fumitory is made of the Juyce of Fu­mitory, the Decoction of Myrobolans, and sugar, Dodder, Wormwood, Violets, this is called the lesser syrup. To the greater they add purging things, Epithimum, Polypody, Ta­marinds, Prunes, Raisons, Liquoris, Flowers of both Buglosses, Roses, and pulp of Cassia,

The syrup of Epithimum of Mesue is made of the same things with Fumitory, the greater, except Cassia, adding Agarick, Time, Calamints, French Lavender, Anise seed, Fennel seeds and Sapa, or boiled Wine.

Some Juyces may be strained and drunk crude, but they are better in syrups.

Wine also if clear and thin, easily makes way and opens Obstructions.

These are very good Physical Wines by infusion or ma­ceration of some things with a little boyling in a double Vessel, as of Wormwood, some steep it in a little Aqua vitae to take away the Bitterness, or burn the Aqua vitae so steeped and quench it again before the strength is gone.

Tinctures of spirit of Wine and Aqua vitae are made also of Zed [...]a [...]y, Masterwort, and Saffron, which altogether or alone are given with good success, or make this.

Take of Succory, Smallage, Orris each one ounce, of Worm­wood two drams, of Groundpine, Germander, Maudlin, Mar­joram each one dram, of Fennel seed one dram and an half, of Parsley seed one dram, to these being dryed and cut add five pints of Wine.

And if you will have it for the spleen; Take the barks of Capar Roots, the Middle Rinde of Tamarisk, Ash, and El­der each six drams, of Ceterach, Broom flowers, and Elder flow­ers, and Agnus Castus seeds each one dram: they may be steept in Vinegar before they are put to the rest, or you may add Vinegar to the Wine in the Decoction.

It will be better though very bitter, if you add of the tops of the lesser Centaury one dram, or of Gentian or Birthworth Roots two drams, of Asarum Roots one dram, or as much of Squills prepared.

You may also add other things mentioned in the Deco­ctions, as Roots of Rhapontick, Fern, Valerian, the bark of an Ash, Madder, Calamus, and the like; which being dry keep their Vertue, or you may make Wine of these only.

Wine of Raysons is said by a Propriety to help the Li­ver, and strengthen it being weak, and this doth resemble in part the Colour and Tast of sweet Wine. Take of the smaler Raysons five pound, of Cinnamon bruised two ounces, put them into a Vessel and pour upon them ten measures of boyling hot Water, stop it up till it work, to this you may add the opening Roots that are not unpleasant in tast.

Like to this is made an excellent Drink to open Obstru­ctions of Juniper-berries, and Juniper Chipps, to which if Cur­rance be added it will be better.

Wine of Steel in which steel was quenched, is of the like Vertue, and is chiefly for the spleen, or which is best. Take half an ounce of Steel prepared with Vinegar, infuse it in three or four pints of Wine: or if the Pouder of steel be added to the aforesaid Physick Wines.

It is thought that if you drink Wine that hath been infu­sed sometimes in a cup made of Tamarisk or of Ash, it will open Obstructions, especially of the spleen.

Distilled waters of Smallage, Wormwood, Centaury the less, Gentian Roots, and of other the like are good either of themselves, or to drink after an Electuary.

The Chymists say, that a water distilled from Vitriol and Tartar and a double quantity of Flints calcined to Pouder, and burried in a cave till they are dissolved, if it be thrice cast upon the Ingredients and distilled, a spoonful will o­pen Obstructions in the Dropsie to admiration.

Spirit of Tartar and of Salt is highly commended for old Obstructions.

Oyl of sweet Almonds if drunk doth mollifie the Hard­ness of the Bowels, and of bitter Almonds (which also o­pens Obstructions) also Oyl of Olives, Lineseed, Sesamine, bastard Saffron.

Other Liquors drunk which are made by infusion as Lyes or Lixivia, such as are mentioned in the Dropsie As­cites, by piercing and clensing take away Obstructions.

The Urine of a Man drunk by clensing and piercing, o­pens Obstructions, as we said Lyes do.

Also water wherein steel or Iron is quenched as we said of steel wine.

Sharpe Vitriol waters which are Natural, if drunk cure old cachexyes, and this is usual, and is the reason why people flocks so much unto them; drinking them fasting Morning and Evening to twenty or thirty daies, rising e­very day a pint till they have drunk a Gallon at once if pos­sible; by the use of which either they purge much black Matter; or if they exercise presently after they sweat much: which sweats not only that water drunk causeth cure, it frees from Obstructions, being piercing by its sharpness and gets into the Meseraiks and the Vessels of the Bowels, and carryes the Filth thereof by stool, the thinner part by Urin and sweat.

Of Meats and Sauces, that bread is best which is made with Parsley seeds and Eggs, or Rosemary, or Fennel seed, herbs, made into Sallets of the same being boyled, with Butter and Vi­negar, [Page 525]among the which Beets with Mustard and Vinegar is chiefly commended, Water, Parsley and Fennel Roots, the Spriggs of Asparagus, and the smalest Crops of the black Vine boiled and eaten are the like.

Pickled Cappars are used most for the Spleen.

And bitter Almonds often eaten: boiled Orobut and Lu­pines with Rue and Pepper, as Dioscorides.

The often use of Raysons are so proper for the Liver, that they are said to make people fat, by increasing of Blood; albeit other sweet things are hurtful to the Liver, and make it swell.

The Liver of a Wolf, Hare, Goose and Snails are also commended.

These Conserves are commended of Succory, of Flowers and Roots of Smallage, of Flower-de-luce Roots, the Roots and Flowers of Capilar Herbs, of Wormwood, Iringus Roots, of Va­lerian, Sea Wormwood Leaves, the Roots of Elicampane, Broom, Elder, Dwarf-elder, and Flowers of Tamarisk.

The Juyce of Elder, Dwarf-elder, and of Juniper Berries in the form of a thick Juyce, are given either alone, or with Electuaries, they are made by Decoction of the Juyce from divers Plants, as of Wormwood, Juyce of Flower-de-luce, and the like of Rhapontick, and juyce of Sowbread, these are good when the Bowels are hard.

There are divers Pouders, some whereof which are strongest, are taken alone with Wine or other Liquor, are put into other Compositions, and are sometimes made in­to Troches; of the simple Plants as of Fern Roots, Cappar Roots, Rhapontick, Birthwort, Ceterach, Dodder, Topps of Centaury, Wormwood.

Some sorts of Plants are good, as of Wormwood, Tama­risk, Broom, Agrimony and the like.

Pouders made of the parts of Beasts, are thought to be good to strengthen the Liver and Spleen, as the Entralls of Cocks and Wolves, first washed in wine, and dryed in an Oven, till fit to be poudered; or burnt to pouder, and made into an Antispodium, and given in wine or water or any convenient Liquor, or with Cinnamon or other Spices, or with Diamber, Diamoscu, and Sugar of Roses, or let them be given with Con­serves. The inward skin of Hens Gizards so poudered is excel­lent, mixed with the ashes of Crabs.

The Liver of a Wolf poudered is accounted a proper Medi­cine for the Liver; and of a Hare.

The Milt of a Horse and of a Wolf, is the same.

The ashes of Cockles are good for the Spleen, with the Pou­der of Linseed and Nettle seed, Goose Dung, Peacocks Dung, dryed, to which they put other things that they may not be known.

The Pouder of Steel infused in Vinegar or Wine, and Vine­gar, with Sugar and Cinnamon, is excellent in Obstructions es­pecially of the Spleen; with Sugar, Cinnamon and Gooss dung, also the Pouder of steel from a Grindstone is excellent because it is finer: or if it be washed with Aqua fortis and brought into ve­ry fine, yellow Pouder called Crocus Martis, but it must be often washed to take away the force of the Aqua fortis.

If the Steel pouder be steeped in strong Vinegar, or Juyce of Lemmons, till it be turned to rust, this is the best; or those seales which fall from a Gad of steel quenched in Vinegar.

Mathiolus commends the Quintessence of Iron.

Dioscorides commends the Cyprus whetstone and the Foam of the Sea hardned, also Coral.

The usual Compound Pouders of which Troches are made or Electuaries; are the Pouders of the Troches of roses of Mesue or Galen. Also Nicolas his pouder of Saffron, of Wormwood of Mesue, of Rhubarb of Actuarius, of Agrimony of Mesue and Actuarius, of Capars of Mesue and of Harts-tongue and Lacca; and these Species for Electuaries, as Dialac­ca, the greater, of Mesue, and the lesser, and both Diacurcumas.

Of these Pouders are made by taking those which are most for the purpose, and are given either with Liquor or made into Lozenges, to be kept with Sack, Juyce of Agri­mony, Wormwood or Fennel, or Endive or Syrups, or with Su­gar or Honey made into Electuaries, these Pouders are made as followeth.

The first. Take of red Roses, two drams, of Wormwood one dram, of Cinnamon or Cassia Lignea two scruples, of Spike and Schaenanth each one scruple, of Mastich half a dram.

Instead of this you may give the Troches of Roses accord­ing to Mesue, they have the same things and are made up with syrup of Agrimony.

It will be better with one scruple of Myrrhe, and half a scruple of Saffron, of which Galen makes his Troches of Ro­ses and Schaenanth. And Nicholas makes his Troches of Saf­fron after this manner.

The second is; Take of Rhubarb two drams, of Asarum Roots and Madder each half a dram, of sea Wormwood, or com­mon Wormwood one dram, of red Roses two scruples, Annise seed one dram, Smallage seed half a dram, Spikenard one scruple: make a Pouder.

Of these are made that Troches of Rhubarb, of Mesue, with bitter Almonds, and Juyce of Wormwood or Fennel, or Dodder water, or the Troches of Wormwood according to Mesue which are like the Troches of Rhubarb, only they want Dodder Roots, and have Mastich, and Mace, and are made up with the Juyce of Endive, or the Troches of Agrimony, which have Rhubarb, Asarum, Roses and Annis seeds as the former, and have besides burnt Ivory, or Spodium and Manna, made up with the syrup of Agrimony.

The third is; Take of Gum Lac one dram and an half, Mastich, Bdellium or Myrrh, each half a dram, Rhubarb one dram, Madder roots, and Asarum roots each half a dram, and Birthwort and Gentian each one scruple, of Annise seed and Fennel each one dram, of Smallage and Annise seed each half a dram, of Saffron one scruple, of Cinnamon or Cassia Lignea half a dram, of Spike and Schaenanth each half a scruple: make a Pouder.

The Composition of Dialacca major Mesue hath the same things and besides Costus, Savin, Hysop, bitter Almonds, Pepper, Ginger, and may be used instead of the other. And they are made into an Electuary with Juyce of Wormwood or Agrimony, and Honey. There is a less Dialacea made on­ly of Lac, Myrrh, Bdellium, Rhubarb, Costus, Madder, Birth­wort, Liquorish, Saffron, Schaenanth or sweet Rush, Pepper and Honey, and the Troches of Lacca by Mesue are made of Lac and Rhubarb, and a few other Ingredients. And we use these lesser Compositions safer then the great, bycause it is too hot by reason of the species; yet it is good in Drop­sies.

There is also another Composition good in a Dropsie called Diacurcuma Mesues or Diacrocuma, because it hath great store of Saffron, that it may be better against the Ob­structions of the Liver, especially of the Gall in the Jaun­dies, which Saffron doth open. This is very proper which hath somthings like Dialacca, as Saffron, Rhubarb, Asarum, Costus, Madder, Anise, and Smallage seed, Spike, Schaenanth, Cassia Lignea, Cinnamon, Myrrh, and besides Spignel, Vale­rian, Calaminth, Scordium, Ceterach, Parsley seed, Carrot seed, Juniper-berries, Carpobalsamum, Traganth, Opopanax, Juyce of Liquorish, Wormwood and Agrimony, made into an Ele­ctuary.

The lesser Diacurcuma is made only of Saffron, Myrrh, Co­stus, schaenanth, Cassia, Cinnamon and Honey.

The fourth Pouder, most proper for the spleen is this. Take of Capar roots three drams, of round Birthwort one dram, of Gentian half a dram, Ceterach one dram and an half, of Broom stowers, half a dram, Agnus Castus seeds one dram, Rue seed half a dram, of Gum Ammaniack one dram; which infused in Vinegar will make them into Troches.

Instead of this use Troches de scolopendrio that is of Harts-tongue, which have the same, or the Troches of Capars ac­cording to Mesue which have also Acorus, Cummin, Cala­minth, Nigella seeds, and of Water-cresses, bitter Almonds, Juyce of Agrimony.

Of these and other Pouders for the Liver and spleen, you may make others by adding of other Ingredients as, Take of some of the former for your turn, one dram and an half of the species of the three Saunders or Diarhoden one dram, or in­stead of it of the three saunders half a dram, of the four less cold seeds one scruple, of Ivy berries two scruples, of the ashes of the [Page 526]Guts of a Cock or of a Wolf one scruple, Cinnamon half a dram: make a Pouder, give it alone or with Sugar; or in Lozen­ges, with Sugar dissolved in Wormwood water, or Dodder wa­ter.

I cannot pass by my cachectick Pouder by reason of the happy success it hath had in the evil Habite of Infants ac­companied with a gentle Feaver, it is usual given by the shops: it is'as followeth.

Take of the Roots, and cleansed seeds of Piony, one dram, of red Roses half a dram, of Nutmeg a little torrified two scruples, of Bay-berries a little dryed by the fire half a dram, of Spike and Schaenanth, and Saffron each one scruple, of the skins of Hens Gizards prepared one dram, of opening Crocus martis one dram and an half, of the best Cinnamon one scruple: make a fine Pouder.

The Troches of Myrrh open Obstructions and provoke the Terms, they are given alone or with other Pouders.

To these, when the stomach is distempered you may add the species of Diagalangal, Diacalaminth, and to strengthen it, Diambra.

Of these, Liquors, and Pouders and the like are made Potions, Electuaries and Pills.

Potions are made like Juleps by mixing syrups with wa­ters, baths to prepare before purging and to alter, as of Suc­cory, Endive, Liver-wort, Agrimony, Dodder, Hops, Fumito­ry, both Buglosses, Tamarisk in the spleen.

If there be any heat and thirst give this Julep.

Take of spring Water three pints, to these add stilled waters and one quarter of a pint of Pomegranate wine, of white wine vi­negar two ounces, of Sugar or Honey three quarters of a pound clarifie it for use: and you may boil them a little.

Or make this Julep. Take some Juyces of the aforesaid Herbs one ounce and an half, of the distilled water of the same twice as much add Sugar to clarifie and Cinnamon to aromatize it, and you may put sharp Wine thereto.

The milk like Potion made of Turpentine, or Rosin of the La­rix-tree, or Fir-tree one or two drams dissolved in white wine, and the Yolk of an Egg, doth not only clense the Reins, but opens the Liver and Spleen, and purgeth the Belly.

There are Divers Electuaries for the same as,

In the Obstruction and Weakness of the Liver; Take of the Conserve of Succory flowers, and the candied Roots of the same each one ounce and an half, of the Conserve of candied Roots of Smallage one ounce, of the pulp of Raisons, boyled a little, two ounces of the species of the three Saunders one scruple: make an Electuary.

If you fear a Dropsie; Take of the conserve of Succory flo­wers one ounce and an half, Conserve of Smallage roots, one ounce, Conserve of Broom flowers half an ounce, the boiled juyce of Danwort or Elder one ounce, of bitter Almonds six drams, of Melon seeds cleansed one dram, of the pulp of Raisons one ounce and an half, of Ivory, and Harts-horn shavings half a dram, Asarum roots two scruples, of Spike, and of the ashes of the in­testines of a Cock, or Wolf or of Earth worms each one scruple, of syrup of Wormwood six drams: mix them for an Electua­ry.

In the Distemper of the spleen.

Take Conserve of Maiden-hair, Ceterach, and of flowers of Tamarisk each one ounce and an half, conserve of Broom flowers one ounce, the Bark of Capar Roots one dram, Purslain, and Agnus castus seeds each half a dram, with the syrup of the five opening Roots, make an Electuary; you may add half a dram of the Pouder of steel, and after let some water be drunk that is good against the spleen.

There is another called the Cyphoides of Androchus pro­per against the Weakness of the Liver, it may be called the Electuary of Raisons made of Raisons, Bdellium, Myrrh, Tur­pentine, Honey, Wine, Calamus, aspalaton, Cassia, Cinnamon, Schaenanth, Spike, Saffron, and some by adding seeds of Hen­bane, and Opium, make an Opiate thereof.

We make an Electuary of Raisons like it, thus; Take a quarter of a pound of stoned Raisons, boil them in wine adding three ounces of Honey, then beat them to a Pulp, and add the pouder of Calamus, Cinnamon, Cassia each one dram and an half, Spike and Schaenanth each half a dram, of Saffron one scruple: make an Electuary.

The Confection of Raved sene of Mesue, is good against Obstructions; it is made of Rhubarb, Juyce of Wormwood, Agrimony, bitter Almonds, Fumitory, Anise seed, Smallage seed, Spike, Saffron, Cassia Lignea, Schaenanth, Myrrh and Honey.

Also this Decoction of Mesue made of Costus, Birthwort, Rhubarb, Asarum, Cassia Ligna, Cinnamon, Smallage and Anise seed, Schaenanth, Myrrh, Saffron and sugar.

The Electuary of Pouder of steel by Rhasis is good in the spleen of Myrobalans, and prepared steel, Fankincense, Spike, Schae­nanth, Ammi, Honey, Ginger Pepper.

Pills may be made of the Pouders that are unpleasant and so swallowed or a in [...]olus.

Or thus, Take of the Liver of a Wolf prepared one dram, of the ashes of the Guts of a Wolf, or Cock half a scruple, of dry­ed Goose, or Pigeons Dung one scruple, with the Juyce of worm­wood: make a Mass.

Let him take it often, you may add the Pouder of steel.

You may make Extracts of bitter Juyce and so swallow them, or rowl them in Pouders if too soft, thus, Take of the Extract or inspissate Juyce of Gentian roots, or of the Topps of Centaury the less, and of Wormwood: mix them with the Pouders of Asarum roots, half a dram, of Smallage and Parsley seeds each one dram, of Spike and Schaenanth each one scruple.

When there is Hardness of the Bowels or an Obstructi­on half a dram of Ammoniacum or two scruples dissolved in Oxymel, or Vinegar of Squills, or Juyce of Flower-de luce, or Briony, is an excellent Bolus.

You may mix other things therewith as, Take of Gum Ammoniack dissolved in Juyce of Flower-de-luce one dram, of the Pouder of Fern root half a dram, of Leaves of Ceterach and Agnus Castus seed, each one scruple, of steel prepared half a dram, of a Wolfes Liver prepared one scruple, with Oxymel or the Gall of a Bear, (which doth excellently dissolve Hard­ness) make a Mass of Pills, give two scruples at a time.

Other Gums given as the former do the same thing as Galbanum, Bdellium, Sagapen, and Pine Gum, also Lacca when the Cachexy tendeth to a Dropsie, taken with Opo­panax.

In Obstructions of the Spleen, Take of Pine Gum half a dram, of Misletoe of the Oak one scruple, with wax make Pills.

Mastich, Myrrh, Storax are given also with other things also Asphaltum or true Bitumen, and Get.

Or these Pills may be used rather then the bitter Elect­uary. Take of Myrrh and Bdellium each two drams, Saffron half a dram, Spike and Schaenanth each one scruple, with Tur­pentine make Pills.

Outwardly, if the Cachexy comes from the weakness of Liver or Spleen, or from their Hardness, you must apply Medicines to the Hypochondria under the sides, if the Li­ver be worst to the right side, if the Spleen to the left, more backward because the Spleen lyes under the stomach and more upward because the left kidney lies under the spleen; sometimes to the whole Belly if the stoppage be in the Me­seraiks, or if the Glanduls of the Mesentery be hardned, they must be such things that will dissolve Obstructions by attenuating and cutting, or if there be Hardness you must first mollifie, then discuss, choosing the strongest if the spleen be distempered, because the substance of it is more com­pact; adding somthing proper to strengthen, by gentle a­striction: and if there be wind, which is most usual in the left side, from the stomach rather then the spleen whose sub­stance cannot be filled with wind, you must use things that discuss it, and strengthen the weak stomach, for which there are divers usual Remedies.

There are divers Oyntments especially in the Obstru­ctions of the Liver. Take Oyl of bitter Almonds, and of Spike, each one ounce and an half, Oyl of Wall-flowers one ounce Oyl of Roses or Mastich half an ounce, Juyce of Smal­lage, Parsley and Vinegar each half an ounce: boyl them till the Juyce be consumed, add Asarum Roots, Smallage or Par­sley seeds each one dram, of all the Sanders half a dram, of Spike [Page 527]and Schaenanth each a scruple: you may add Pouder of Cy­press Roots, or red Roses, and as much Wax as will make [...]n Oyntment.

The Oyl in which the Liver of a Wolf fliced hath been hoiled, used to the Liver side doth strengthen it, and help its Sanguification, and an Oyl made of the Liver of thorn black or scale Fish doth the same.

In the Obstruction of the spleen make it thus, Take of Oyl of Capars two ounces, of Wormwood and bitter Almonds or Peach kernels, Juyce of Danwort and strong Vinegar each one ounce, of the Pouder of Birthwort Roots, Asarum and Ag­nus Castus seeds each half a dram, of both Spikes each one scru­ple, of Wax as much as will make an Oyntment.

Or boil them in two parts of common Oyl and one part of Wine, and half a part of Vinegar, the flowers or leaves of Ta­marick, Capar Roots, Gentian, and Ceterach, and make an Oyntment.

In the Scirrhus especially in the Liver, Take of Oyl of Lillies, Flower-de-luce each two ounces, Oyl of sweet Almonds, Chamomil, Dill or of Melilot each one ounce and an half, of Hens or Ducks Grease, the Marrow of a Calf or Deers shank each one ounce, of the Juyce of Flower de luce two ounces, of the Juyce of Smallage, or Parsley one ounce, of Gum Ammoniack dissolved in Vinegar six drams, boil them till the Juyce he con­sumed, and add the Pouder of Sowbread and Briony Roots each one dram, of Asarum Roots, half a dram, of Spike one scruple, of Wax as much as will make a Liniment.

That Oyl wherein the Roots of wild Cowcumbers, Briony, Sowbread, Lillies have boiled with a little Wine and Vinegar is excellent.

If the Spleen be hard, Take Oyl of Flower-de-luce three ounces, of Capars one ounce and an half, Juyce of Mercury, Danwort, or Elder and Vinegar each one ounce, of Gum Am­moniack dissolved in Aqua vitae, Bdellium and Galbanum each six drams, of Opopanax half an ounce: boil them till the Juyces be consumed, add the Pouder of wild Cowcumber Roots, of Sowbread Roots, each one dram, of Asarum Roots half a dram, of Wax as much as will make an Ʋnguent.

Or, Take of Sowbread Roots one ounce, of Briony Roots half an ounce, of Capar Roots two drams, of Asarum Roots one dram, of Spike half a dram, of Bay-berries two drams: bruise and boil them in equal parts of Wine and Vinegar, Take of this Oyl four ounces, of the Mucilage of Line seed and Faenu­greek seed each one ounce, of Gum Ammoniacum dissolved in Aqua vitae one ounce, of Liquid Storax one dram, of Hens Grease one ounce, of Wax as much as will make an Unguent.

The Emplaster of Ammoniacum with other Gums, dissolved in strong Vinegar, and applyed hot to the Spleen, doth mol­lifie the Hardness of it, and with a little Oyl of Spike it pierceth better.

The usual Oyntments for hard Bowels, and Emplasters are the Oyntment of Marsh-mallows, the Emplasters of Melilot, these will be stronger if the aforesaid Gums be ad­ded. also the Emplaster Diachylon with the Flower-de-luce, Oyl and Gums, Ceronium, and Polyarchon, Galeni.

Cataplasmes are used chiefly for the Hardness of the Spleen, which when we will have them soften exceeding­ly; we make of Lilly Roots, Onions, Garlick, Squills, Bri­ony, Sowbread, dragons, Flower-de-luce, Raddish, Line-seed, Foenugreek, Colewort leaves, Ivy, Wormwood, Centaury, El­der flowers, Melilot, Chamomil, Figs, Raisons, boiled in Wine, Vinegar and Oyl, with Meal of Vetches and Lupines, and for the spleen, Capar Roots, Ceterach, Tamarisk; and when we discuss, Wood, Arsmart, wild Germander, Dogs Tongue, Nettles, Penny-royal: boil them all in Vinegar and Oyl, and beat them up with the Meal of Lupines.

The Root of Mandrake boiled in Oyl of Line-seed, and of sweet Almonds and Vinegar is an excellent Remedy, and Hemlock, and Henbane so applyed, also Lilly Roots so boyl­ed and beaten, to which you may put proper Gums, Oyls and Pouders.

The Spleen of a Fox or Goat applyed to the Spleen ei­ther whole or bruised, is thought good. The Blood which comes from the Vein behind the Ears doth cure the spleen, say the Antients.

The Grindstone or Fire stone or other hard flinty stone red hot, and quenched in sharp Vinegar, and wrapt in cloaths, if applyed often to the spleen will mollifie it; or if the vapor that riseth from the same being sprinkled with Vinegar be taken into the cloaths and applyed to the side, it will do the like.

The stone called Asius or eat-flesh mixed with Quick­lime and Vinegar is commended by Dioscorides to be ap­to the spleen for stoppage of the Liver: we make Fomen­tations thus, Take Wormwood, Agrimony, Topps of Cen­taury each one handful, of Asarum Roots half an ounce, of all Sanders thirteen drams, of Spikenard and Schaenanth, each one dram, of Small age seed and Dodder, each one dram and an half, make a Decoction in equal parts of wine and water for a Fomentation.

For the spleen stopped, we make Decoctions of Water, Wine and Vinegar, of Capar Roots, Ash Bark and Tama­risk, Elder, Wormwood, Ceterach, Dodder, Chamomel and Broom flowers, Tamarisk and Elder flowers, Purslain seeds, Agnus Castus, Fennel and Small age seeds, adding a little Cypress root, Spike and Schaenanth, and the Juyce of Smallage.

For Hardness and Schirrus we make Decoctions in wine, water and Vinegar, or Tripe Broath, of these Plants, Marsh-mallow roots, Lillies, Briony, Flower de-luce, Alheale, Elm, Mallows, Marsh-mallows, Herb Robert, Horehound, Worm­wood, Chamomil and Melilot flowers, Dill, Elder, Violets Lin­seed and Foenugreek, Figs and Raisons, with Roots of Asarum and Spike, and if you must mollifie more the Roots of wild Cowcumber, Sowbread, Mandrakes, if discuss more, Cala­minth, Penny-royal, Organ, Balm, Time, Staechas or French-Lavender flowers, or Lavender, if it be in the spleen, you must mix some of the former Fomentation, which is better, with Juyce of Briony, or Flower-de-luce.

Fomentations made for the spleen to soften it of the juyce of Sowbread, wild Cowcumber, Smallage and Oyt of bitter Al­monds, or of Capars, with wine and Vinegar, either very sharp or of Squills.

Or if you quench Marcasites in Vinegar and wet in a cloath or piece of a hat therein and apply it to the spleen it is excellent.

Epithems are good for the stoppage and hardness of the Liver and spleen thus, Take of Endive and of Succory wa­ter three ounces, of Smallage water two ounces, of VVormwood water, Topps of Centaury or Gentian roots each one ounce, Vi­negar of Rose two ounces, all the Sanders one dram, Asarum roots half a dram, Spike, Schaenanth each one scruple.

You may make baggs of the same and so soment.

They must keep a good Diet, beware of Pease, hard, and crude Meates, summer Fruits too much cold Water, especi­ally if the Cachexy came from thence, and also from varie­ty of Meates; their Meat must be seasoned with things that help concoction, prescribed in the weakness of the sto­mach, in regard the second Concoction doth not mend the faults of the first, and the Meat must be boiled and stuffed with things that open and cleanse, mentioned in the Ca­chexy, among which sugar is good not only for sweetness, but cleansing, and to be commended for one singular pro­priety which few observe, that is the resisting of Putrefacti­on. If it arise from a hot which will cause a dry Distem­per in the Liver or spleen, which will easily turn to the Dropsie Ascites, you must prevent it by strengthening the Liver, and use Remedies inwardly and outwardly to open Obstructions, with things that by cooling do strengthen, especially the Liver, least they be hurt with too cold things therefore things that are hot and a sittle astringent and do preserve the strength of the Bowels as Spike, Wormwood are to be mixed with the cold, and if there be Obstructions we use opening and ceansing means. But if now the Bow­els being hard and cleft, and the Dropsie is fixed then you must proceed to cure it as we shewed in the Hydrops As­cites, but before you must cure the Cachexy thus,

If there be aboundance of Excrements you must purge Choller especially with Rhubarb and things that inflame not the Liver choosing those things which are mentioned in the first causes of a Cachexy.

[Page 528]For Alteration they boyl in Broath, Endive, Divels bit, Succory, Lettice, sow thistle, or let them be eaten boiled in sa­lets, let them eat sharp Fruits boiled, or season them in Meate with the Juyce, as Juyce of Pomegranates which af­ter working is called Pomegranate wine, or the Juyce of cur­rance, Barberries, Grapes, Lemmons, Citrons &c.

Let the ordinary Drink be thin, white Wine dashed with boiled water, or if there be great thirst let them drink wa­ter, in which Vinegar or sharpe Juyce is mixed. The De­coction of Succory roots, is used instead of Drink, either alone or mixed with wine: as also the Decoction of the Roots of sorrel, Fern, and Grass, by themselves or with wine, which if they are made sharpe with a little spirit of Vitriol or salt, will be more pleasant and effectual,

This Julep is to be taken sometimes, Take of sharpe Juyces one or more one quarter of a pint, Juyce of Endive two ounces, Vinegar one ounce, Rose-water two ounces, sugar as much as is sufficient boil it into the form of a Julep, some add a little Camphire, which doth good rather by penetra­tion then refrigeration.

A Physical Decoction is thus made. Take of Endive one handful, of sorrel, Lettice, Maiden-hair, each half an handful, Tamarinds one ounce, of sharp Prunes twelve, of the seeds of Purslan, Endive, and Dodder each one dram, of the four great cold seeds two drams, of Barbery seeds one dram and an half, of Roses and Violets each one pugil: boil them in water, adding two ounces of Rose Vinegar, and when it is strained put to it some syrup of the aforesaid Herbs, and as much sugar as is sufficient, and when you will make the Body loose, put Manna or Rhubarb thereunto.

The usual syrups are of Endive and succory simple and com­pound, and sharpe syrups of Vinegar, which were prescribed in the Cure of the former cachexy, to which for cooling, you may add the syrup of the Juyce of Citrons, of Lemmons, Pomegranates and the like, as the Violets, Purslain, Water­lillies, and other of the Juyce of Currance, Barberries and other sharp Juyces.

Waters must be mixed with the syrups, as of Endive, suc­cory, Liver-wort, Dodder, with which to strengthen the bo­wels we mix water of Agrimony and Wormwood.

Pouders of species, which are given by themselves, or in Troches, Lozenges, Electuaries, Pills may be used as fol­loweth, of which this is excellent to open Obstructions. Take of red and white sanders, each one dram, of yellow san­ders half a dram, of red Rose leaves two drams, of Violets half a dram, of the four great cold seeds one dram and an half, of Pur­slain and Endive seed each half a dram, of Antispodium, of Ivo­ryshavings two drams: make a pouder and with Gum Tra­ganth dissolved in Rose-water or Juyce of Barberries make Tro­ches,

If you add Rhubarb and Camphire it will be like Diatri­ansantalon Nicolai; which hath besides the things herein, Juyce of Liquorish, Gum Arabich and starch, and somtimes the Rhubarb is double in quantity: and this usual compo­sition may be used for the former.

There is another Composition of more Vertue, called Diarhodon Abbatis Nicolai used against Obstructions, which is less hot, it hath in it sanders, Roses, Violets, the four great and little cold seeds, burnt Ivory, Gum arabick and Traganth, Juyce of Liquorish, Rhubarb and Camphire, as Diatriansan­talon, and besides Asarum, Bar-berries, Anise seeds, Fennel, Basil seeds, Poppy-seeds, Mastich, Saffron, Spike, Cardamoms, Lignum Aloes, Cloves, Cinnamon, Musk, Pearl, the Bone in in the Heart of a Hart or stag.

The Troches of Diarhodon Nicolai, of Roses, sanders, burnt Ivory, saffron and Camphire, are not so large as the former.

And the Troches of the sanders which are more binding, they have sanders, Roses, the great cold seeds, Purslain seeds, Bar-berries, burnt Ivory, Camphire, and Bole Armenick.

Or other astringents as the Troches of Bar-berries, instead of which we may use these less binding, Take of the three sanders, add Roses each one dram, of Rhubarb one dram and an half, of spodium, of Ivory one dram, of Endive, Purslain, and sorrel each half a dram, of Melon seeds one dram and an half, Camphire one scruple, Sugar and Manna two drams: Make a Pouder with the infusion of Gum Traganth in Endive waters; Make Troches.

The Pouder of the leaves of Endive and Succory taken often in Wine, with the feed of Hatch-vetch and a little Cinnamon to make it pleasant, is approved.

Also Lozenges made of these ordinary pouders Diatri­onsantalon and Diarhodon, and of other things with the conserve of Succory flowers.

We make of the Juyce of Bar-berries pleasant Lozenges which allay the Heat as, Take of the Juyce of ripe Bar-ber­ries, three ounces, of Sugar one pound, as much water of En­dive, or Roses as will boil them into a consistence for Lo­zenges.

Thus are made the Lozenges of the Juyce of currance, Pomegranates, Lemmons, citrons, and they are as good as the former.

Of these conserves, and Pouders may divers Electuaries be made as, Take of the Conserve of Succory flowers, and the candied roots of Succory each one ounce and an half, of Conserve of Violets, Maiden-hair and Bugloss each half an ounce, of Me­lon seeds one dram and an half, of Trionsantalon one dram, with syrup of Sorrel, make a moist Electuary, or make it thicker with sugar of Roses.

Some give Opiats to cool the Liver but to no purpose being hot things are therein, as Philonium.

Vitriol waters drunk for some weeks as we shewed in the cure of the former cachexy, besides other benefits there mentioned, do cool the Liver, if they be taken in time be­fore the Dropsie be great, and while the water is only in the Belly and Feet, but when it gets out of the Veins it wil increase it, especially (as is usually) if they make little Urine, and Drink much; therefore it is better for those Drinkers who by their continual thirst shew the heat of their Liver, before the cachexy grow great, to mix their wine with water.

The heat of the Bowels and especially of the Liver, and the dryness also is cured by outward things that cool and moisten; adding alwaies those things that are astringent as these following.

A cooling and moistning Oyntment. Take Oyl of Vio­lets, Lillies, Guords, or of Osiers, washed in Vinegar or Juyce of Endive, two ounces, Oyl of Quinces, Roses, Myrtles, or Mastich, each one ounce; of the lesser cold seeds, and of Sorrel and Rose leaves each half a dram, of al the sanders one dram, of spike one scruple, camphire half a scruple, Wax as much as will make an Unguent.

These are more proper for the Liver. Take of Oyl of Roses and Violets, each one ounce and an half, of Oyls of Water-lillies and Wormwood, each one ounce, of the juyce of Endive one ounce and an half, of the Juyce of Agrimo­ny, one ounce, of Vinegar of Roses six drams: boil them till the Juyces be consumed, and add red and white san­ders each one dram, of Endive, Purslaine each half a dram, of spike one scruple, of Wax as much as wil make an oynt­ment: to these add camphire, or Troches of camphire.

The Oyntment of sanders is usual against the Distemper of the Liver, which is made of the three sanders, Roses, spodium, Bole Armenick, camphire, Oyl of Roses and Wax.

Also Oyl of Roses made of Roses and their Juyce and Oyl of sweet Almonds: to which some add Opium which because as we often shewed that it doth not cool, will do no good in that respect, but if there be hardness it wil mol­lifie, as we have shewed stupefactive things do.

You may also use Refrigerans Galeni with spike, you may also apply an Epitheme to the Liver, made thus, Take of Endive, fuccory and Liver wort water each three oun­ces, of Violet-water, or Lettice or Nightshade, and Roses each two ounces, of Wormwood water, one ounce, of Rose Vinegar, of sour Wine, one ounce and an half, of all the sanders each half a dram, of spike one scruple, of cam­phire half a scruple: mix them. Juyces of Endive and suc­cory may be added, also Waters of sorrel, smallage, and [Page 529]Dodder, pouder of Purslain seed, Endive, Smallage, and red Roses seeds, burnt Ivory, and Mastich, of because the stomachs being so near to the Liver.

A Fomentation may be made with the Decoction of or­dinary or stilled proper Water, and Rose Vinegar or wine, with Endive, Succory, Wormwood, the four great and small cold seeds, with Cypress, Spike, and Schaenanth, and other Pouders mentioned.

Or these mentioned, boiled in a bag and strained, and applyed. Also these Pouders of cold seeds, Violets, Ro­ses, Water-lillies, Spodium, and Sp [...]ke tyed in a clout, and sprinkled with proper waters and Vinegar.

Purslain new gathered and beaten with Rose-water, and Vinegar, with Camphire is fitly applied.

Or a Cataplasm of Barley meal, or of Lentils made thick with Juyce of Endive, or Purslain, and Oyl of Roses.

In their Diet let them take heed of strong wine, sharpe Meat, spiced, or salt, let them eat moistning Broaths rather and flesh such as were prescribed in the Treatise of He­ctick Feavers, to correct the dryness of the Liver, which is difficult when fixed.

That Jaundies which comes from Chol­ler, The Cure of the Jaundies. in which the whole Body is dyed; if it come from much Choler without any o­ther Infirmity joyned, in regard Nature doth disburden her self by an inconvenient way you must bring the Choller back into the Guts; and this must be done when there is a Feaver also adjoyned. But if it fol­low a Feaver, and cureth the Feaver by sweating, you must help this Motion of Nature rather than hinder it. In o­ther Diseases joyned with the Jaundies, you must consider these Diseases chiefly, alwaies purging the Choller forth by proper waies, and drawing it back by stool and Urine, but if the separation be hindered by reason of the Obstru­ctions of the Liver, Hardness, Scirrhus, Rottennss, from whence cometh a Dropsie, or if there be Inflammation, you must cure it with consideration of these; if the Excretion or voiding of Excrements be by reason of the Obstruction of the Porus Cholidochus, we apply the same things which we use in the Obstruction of the Liver, and if there be In­flammation the same.

If the Jaundies proceed from Poyson taken, this must presently be voided by Vomit, Glisters, if from a stroak or bite of a Beast, you must use things that draw the venom out, as Cupping-glasses and the like, and give things that resist venom, Antidotes and the like, of Harts-horn and I­vory, which also cure the Jaundies; and if the Colour which is but a symptom remain after the cause is removed, we take it away with Topick Medicines.

Blood-letting is good if there be much Choller in the branches of the Vena cava, and nothing else hinder, be­cause it takes away part of it; which when the blood is cold, will be seen by its yellow water.

Some to little purpose open the Veins of the Fore-head, and under the Tongue to take yellowness from the Eyes and Face.

Otherwise, when there is not much Choller in the veins, Blood-letting is of little profit in the Jaundies, except there be some other Disease that requires it, for when the Vena cava is emptied, the meseraik Veins send blood and Choller the easier up into it. And this is to be under­stood in the provoking of Terms; for these come from the Vena cava, and if they be stopped in the jaundies as in a Cachexy, they will not be provoked by Blood-letting, except the jaundies be first cured, because the stoppage of them comes from the jaundies, not the jaundies from them, as we shewed.

The Haemorrhoids, because they purge both Choller and Melancholy from the Meseraiks, if they bleed of them­selves, or by constraint, are profitable.

Glysters are excellent when the Choller cometh not to the Guts to provoke stools, nor discoloureth the Excre­ments: for by forcing they do not onely fetch out the Excrements, but by stirring up Nature, and opening, they fetch Choller from the Meseraiks and the Porus Cholido­chus.

Therefore first give emollient Glysters, then sharpe, and such as purge Choller, (mentioned in the Colick and in Feavers) adding things that open, as Roots and opening Herbs: after use the strongest, if the other prevail not, vo­miting is good sometimes, especially if it come from Poy­son.

General Purges for carrying Choler out of the Mese­raik Veins where it is first gathered together, and sent to the other Veins from thence, are good; these may be on­ly such as: purge Choller, if choller alone can be purged by them, but in regard things that purge Flegm do the same as Experience teacheth, we must not stand much u­pon that, so long as Obstructions are opened which are the cause, many such Purges are prescribed in the Cachexy that comes from the Liver, and may here be used, and to which these may be added.

Very bitter things are used to cure the Jaundies which come from Obstructions, because they do not only open obstructions, but also they open the Mouths of the meseraik Veins, that the choller which cannot go to the Guts by its usual passages, may go that way back again and so may not be brought too much into the hollow Vein; therefore they give Aloes, both in form of Pills, as Pills of Hiera with the same quantity of Rhubarb, and Agarick, that they may purge the better, or mix stronger with them, as Pills of Rhubarb, and Aggregative.

Or give these like then approved by Galen. Take of Aloes half a dram, of Epithymum, or Senna, or Polypody one scruple, of Euphorbium, and Brimstone each half a scruple, with wine or water make Pills.

Hiera picra is given for the same end in a Potion, and it is best in the Jaundies, and to kill Worms, which somtimes by reason of the want of choller in the Excrements, being they are then less bitter, grow there.

Take of Hiera picra simple, (in which is Saffron which is thought to be proper against the jaundies.) one dram and an half, of Rhubarb, and Senna each one dram, of Mechoacan half a dram, of shavings of Ivory, and of Harts-horn, each one scruple: make a pouder, give one dram with Whey or Wine, and if you add one scruple of Diagridium, it will work the better.

Hiera Coloquintidos given instead of the other, by reason of the double Bitterness of Aloes and Coloquintida will o­pen the passages more violently, and stir up Nature; and therefore they give Wine infused in the Apple of coloquin­tida made hollow, or the like.

The Extract of Aloes Rosate with Rhubarb is chiefly gi­ven in a jaundze as a purge, the preparation whereof we shewed in the pain of the Heart, from weakness of the Sto­mach, or this, Take of the essence of Aloes prescribed in the Chapter mentioned three ounces, of the pouder of Rhub [...]rb sprinkled with Cinnamon water one ounce, of the Extract of the same six drams, and with Syrup of Wormwood make a Mass for Pills.

Potions are made of catholicon, Diaphaenicon, of the Electuary of the juyce of Roses, Diaprunis, Diapsyllium, dissolved in Wormwood water, or the like, adding proper Syrups.

The Electuary of Sowbread purgeth and sweateth.

Potions are made of the infusion of Rhubarb, with spike, and cinnamon in wine or water, of Troches of Agarick in Honey with water, Syrups and Electuaries aforementioned, with purge.

Or of a preparing Apozeme, with Polypody, carthamus and Senna, in the Decoction, and then with Rhubarb, My­robalans, and Agarick infused make a purging Apozeme for some daies.

Or the Aggregative pills, or pil aure [...]e alone or mixed with Pills of Rhubarb.

Sweating doth send the choler with the Serum or Water from the branches of the gate Vein, and also takes away that which was in the skin by the Pores, which maybe good [Page 530]after that Choler which was in the Meseraiks Veins, and caused the Jaundies, first is purged away, least it be by sweating carried into the Veins; and it is done by Baths and other things mentioned.

It is good also to provoke Urine, to bring Choler out that way, which otherwise used to colour the Urin, and is often plentifully so voided: which is done by things that open obstructions, and better if Diureticks are added there­unto, Thus,

Take of red Vetches, one pugil; of Melon seeds one ounce and an half, of Fennel seed two drams, of Dodder seed, one dram, of red Sanders one dram and an half, of Spike, and Asarum roots each one dram, boil them in convenient stilled water, till there remain one pint and an half, Take of the strained liquor aromatize it with cinnamon, and yellow Sanders and swee­ten it with Sugar, for some Doses.

You may use things that alter before and purging to prepare and open Obstructions, and to dissolve Tumors, if such be in the Jaundies, many of them are described in the Cachexy, and they that are good for the Liver in the like case may be here used in the jaundies, the causes being ob­served; choosing such things as heat not over much and breed choller; besides which these following are proper for the jaundies.

Decoctions made in Water or water and wine, and Vi­negar are made divers waies to be drunk three or more Mornings together: as thus of many things, which may be also made of few.

Take of the five opening Roots, of Dock-roots each half an ounce, of Orris roots, and round Birth-wort, and Asarum each two drams, of Tamarisk barks an ounce, of Succory, five lea­ved Grass, Dropwort, with the Roots, Groundpine, German­der, and the Capillary Herbs, of Endive, Liver-wort, Agri­mony, and Dodder, each one handful, of the Topps of Worm­wood, Rosemary, Horebound, and the greater Celandine, each half an handful, of Elder flowers, and Broom flowers each one pugil, of red or black Vetches one pugil, of the four great cold seeds, each one dram, Anise seeds half an ounce, of Caraway seeds three drams, of Parsley, and Turnep seed each one dram, of Prunes and Figs each five pair: boyl them in water and wine, in the Liquor strained being one pint and an half, dissolve Sugar as much as fit, and aromatize it with Cin­namon, cassia lignea, Spike, or Sanders for an Apozeme for four or five Doses.

Besides these the Decoction of wild Flax, St. Johns wort, Samphire, Penny-royal, Organ, Polymountane, wild Mints, wild Marjoram, Ground Ivy, Chamomil, Fleabane and its flowers, and the Roots of Alkanet, Hog Fennel, and Perewinkle, or Swallow-wort, Eringus, Carduus, and Ash barks.

Also the Decoction of Celandine Roots, with Elicam­pane, Oak Moss, and Saffron.

If these simples be steeped in Wine, and then the Wine given at several times it will work more strongly.

Or make this wine, of Succory, Fennel, and Asparagus Roots each six drams, of Asarum Roots three drams, of Horehound, Wormwood, and the lesser Centaury dryed each two drams, of the Tops of Rosemary one pugil, of La­vender flowers half a pugil, of Indian, and Celick Spike­nard, and Schaenanth each half a dram: slice them and put thereto three pints of white Wine, add two drams of Rhu­barb to make it purge, and if you add two drams of steel it will be admirable.

A simple Wine in which half an ounce of Asarum roots, or steel hath been infused is good, Dioscorides commends Squill wine; some steep the fore Teeth of a Beaver in wine and drink it.

Another is made thus; Take of Sarsa two ounces, of Fen­nel, Parsley, Burnet, Orris, and Rhapontick roots each half an ounce, of Elicampane two drams, of Gemian, and Asarum roots, and Pellitory of Spain each one dram, of Agrimony, Wormwood, Dodder, Horehound, Germander, Groundpine each half an handful, of Tops of the lesser Centaury one pugil, of A­rise, Fennel, and Smalage, Senna each one dram, of Cinnamon and Galangal each one dram and an half, infuse them in eight pints of white wine, if you add Turbith two drams, Rhubarb, and Agarick each three drams, of Ginger half a dram, it will also purge.

These also may be boiled in water and wine, with or without the purges, and so taken some commend a distil­led water of the same taken two ounces and an half at a time.

The juyces alone drunk from one ounce and an half to two ounces, with sugar and wine is good, especially the juyces of five leaved Grass, Dock-roots, dead Nettle, Hore­hound, Lemmons, Sowbread, Succory with the Roots, or you may make them of such Plants as are good by Decocti­on; Mathiolus gives the juyce of Cowcumbers, Raddish water is highly commended in the Jaundies.

Other Potions are made of divers things, as of pouders with wine, and water, syrups and Decoctions; the more simple are the pouder of Orange peels, Ivory shavings, steel, Earth-worms, the stones in the Gall of an Ox, and Brimstone which Dioscorides gives in the Yolk of an Egg.

A Pouder may be made of many things thus,

Take of the Roots of the greater Celandine, and Swal­low-wort, and Madder each two drams; Roots of Gentian, Birth-wort, and Asarum each one dram; of Wormwood, Horehound, Vervain, and Maiden-hair, of Broom flowers, carthamus, Rosemary, of carva seeds, Endive, Germander, and columbine seeds each half a dram; of shavings of Ivo­ry, and Harts horn each one dram, of steel prepared with Vinegar one dram and an half, of dried Earth-worms one dram, of cinnamon, Nutmeg, Mace, Spikenard, each half a dram, of Myrrh. Mastich, and Frankincense each one scru­ple, of Saffron half a scruple: make a Pouder, give one dram or more, with sugar, or without, with wine or other convenient Liquor.

This Pouder is bitter but excellent. Take of Gentian Roots one dram, of the Tops of the lesser centaury, Orenge peels, Ivory, and Harts horn, shavings of Cinnamon, each half a dram: make a pouder, give one dram in wine or o­ther Liquor.

These Troches are good in a jaundize that tends to a Dropsie, Take of Rhubarb two scruples, of Asarum roots, Gum Lac each half a dram, of cinnamon, Spikenard, schae­nanth, cassia lignea each one scruple: make them in Tro­ches with juyce of Wormwood, or Agrimony, or Triphera Saracenica, give it in wine or water.

The usual Pouders to open Obstructions, are of the tro­ches of Rhubarb, Agrimony, Wormwood, also Trionsan­talon, Diarrhodon Abbatis, Diacarcuma, Dialacca, in which sometimes Rhubarb is doubled in quantity, they are given alone or mixed with wine.

That Pouder which some commend so highly in the Jaundies which they divide into three parts, and give at three Mornings together, in the Decoction of Vetches is this,

Take of columbine seeds, Harts horn, and eastern Saf­fron each one dram: make a fine pouder for three Doses.

There are Potions made of cray fish beaten with celan­dine and water, and then strained, five ounces of the urine of a Boy drunk often doth it by Experience, with sugar or Honey to sweeten it.

Others boil Goose dung in water or wine, and strain it, and give it to be drunk.

Cummin seed eaten presently after bathing is approved. And this the German Women use still, and beleeve it to be of great force; Dioscorides gives May-weed after barhing, its yellow flowers, I suppose.

The Leaves of Sage often drunk have cured some, and the Leaves of wild Rocket often eaten.

Others beleeve that eleven Lice drunk down will cure the jaundies.

This Electuary is convenient. Take of the conserve of the flowers or Roots of Succory, of Maiden-hair each one ounce, of the conserve of Smallage Roots, Orris, Orange peels each half an ounce; of shavings of Ivory, and Harts­horn [Page 531]each one dram and an ha [...], of the usual Pouders one dram: make them into an Electuary with some of the a­forementioned syrups, let him take a Bolus and drink the Phisical Wine or water after it.

It will be of more force if you add to this Electuary two drams of Bitter Almonds, one dram, of the great cold seeds, of Rhubarb one dram, of Steel prepared two drams, of Pouder of Earth-worms half a dram, of Saffron one scruple and an half, Cinnamon; and Nutmeg each half a dram, and with Oxymel of Squills make an Electuary.

The Pills of simples which are hard to be taken by Rea­son of their evil sent and tast in pouders, are made thus, Take of Gentian roots, Birthwort, Madder, and Rhubarb, and Myrrh, each half a dram, of steel prepared one dram, of Hogs dung dryed one scruple, of Saffron half a scruple: mix them with juyce or syrup of Wormwood, or of Horehound, and make pills. The Dose is one dram.

And the usual Pouders may be so made into Pills.

Outwardly Medicines are applyed to the Liver, if that cause the jaundies, either by Obstruction or Hardness such as are mentioned in the Cachexy, also Oyntments, Em­plasters and Fomentations, which need not be repeated be­ing there mentioned.

To other parts of the Body which are discoloured Re­medies may be used, as Baths, for taking away Choler that remains over the Body after the cause is removed, and will not breath it self forth, as at other times. And they must be dry when we intend to sweat: with Flax aired with El­der and Jun [...]per burnt, also they must take an inward Sudo­rifick before bathing.

Moist Baths are made by boyling these following to cleanse and discuss, as Pellitory of the Wall, Beets, Mallows, Marsh-mallows, Soapwort, Centaury, Wormwood, Horehound, Fumitory, Chamomel, Sorrel, Elicampane, Melilot, Rosemary, Organ, Misleto of the Oak, the greater Celandine, golden Flo­wers, which three last having yellow juyce, are thought to be proper against Choller, with Beans, Lupines, Bran and Barley.

Waters to wash with are used at the comming forth of the Bath: made of cleansing Herbs.

For the face which is most visible, to recover its colour, it must be washed in the Bath, and after with this Decocti­on or the like, with Wine, Vinegar, Water of Roses, Beans or Sorrel, or with the Juyce of Pomegranates, Lemmons, Citrons, or Syrup of Sorrel, Vinegar dissolved in waters or Decoctions.

To take away the yellowness of the Eyes, waters must be dropped into them, with the Juyce of Pomegranates, or wine and water, or Juyce of Coriander.

You may put into the Nose things that by neesing dis­perse choller, from the Face and Eyes, anoynting the No­strils within with Scammony, which because it attracteth Choller is made choice of, but we use it because by Expe­rience we find that it provokes Neesing, mixed with Honey, but Elaterium mixed with Milk doth it more violently, o­ther Errhines do it more mildly, as the Juyce of Horehound, white Beets, and Gith seeds, and the Decoction thereof.

Also the Sent of Nigella or Gith when it is eaten, and of Vinegar do the same.

Rubbings after bathing and otherwise are good to take away the Reliques of choller from the skin.

Applications made to the soles of the Feet, have been cryed up by the vulgar, as the greater Celandine and Mi­sleto of the Oak, whole, or bruised with Horehound somtimes wine and Vinegar, and salt, and these applyed to the wrists work more speedily.

One told me for a certain truth, that many have been cured of the jaundies by pissing upon new made Horse dung while it is hot.

Let the Diet be proper: let the Drink be thin, white wine mixed with the Decoction of Roots of Grass, and As­paragus, or other openers, and let other things be answe­rable.

That Redness which comes from Blood, The Cure of Redness which is chiefly in the Face, if it be either from Bashfulness or Anger, as it quickly comes so it goes away with the passion. And that which continueth long, which either comes from external Heat, or a Disease, hath no cure but by abating the Heat.

Paleness if it be from want of blood, The Cure of Paleness. by the loss of the flowrishing colour only, and from cold, it will continue only while the Body grows hot, as that which comes by fainting returns afterwards; and that which comes from a Disease, will cease with the Disease, and there is no peculiar Direction for it.

That Blackness which is Natural and comes from the seed, if it be like a Blackmore, Blackness. to go about to cure it is to make a black More white according to the Proverb, Blackmores. which is impossible.

There is another vulgar Swarthyness, Ordinary Swar­thiness, the Cure of it. when the skin is darkish and dusty Natu­rally, is nothing set by, of them who think true Beauty doth not consist in whiteness, and therefore they think a Man is not discoulo­red thereby, and will not require cure.

But such as love to be neat, and think themselves less fair, and acceptable to others thereby; desire to mend it if they cannot cure it.

When the skin is black by wrinkles that shadow it, and make it dark, when the wrinkles are not confirmed, as when they come from an external cause or Disease that hath made the skin loose, when the causes are removed they will cease and the skin will be stretched and its wrinkles and return to its former Complexion; but if the skin be dryed and straightned especially by Age as in old people, though they seem impossible to be taken away, and the Physitian that permiseth to do it seems to be mad, as the Poet saith,

He's worthy of a filthy aged Quean,
That wrinkles from her body taketh clean.

Yet for the taking away if not diminishing of the same, there are Remedies, which old Men desiring to seem yong do much affect.

These are done by a two sold Art, Medicines by the beautify­ing Art. by one called comptorian Art which is for Neat­ness, making an artificial white, but insta­ble and fading over the black which is Na­tural, so deceiving the Spectators, Fucus. and this is cal­led a Fucus; the other is called the cosmetick art, and doth not add another colour nor deceives, Medicines made by the Cosmetick Art. but only amends this dull co­lour of the skin, making it more neat, bright, and constant in colour, taking a­way or mending the wrinkles, and cor­recting the dark complexion. Afterwards that there may be more Beauty, with red colour applyed to certain parts called then Fuci, by the comptorian Art, they make the Body of better colour. We shall shew how this is done by Remedies that whiten, clense, take away wrinkles and make red.

The white Medicines called Fucuses, with which women that affect to be beautiful (and which would be unseemly in Men,) do paint their Face, Hands, and other places that are naked and seen, are made of white stuff, and that is chosen for the most part which is cleansing and digesting, or such things are mixed therewith: for so they make fair not only by whiting which is but of smal continuance, and little Ornament, but maketh a new colour in the skin, by sucking continually forth that Moisture which makes it black: and it attenuateth the skin by clensing, and so makes it more clear and neat. And therefore when the skin is thicker and harder then usual, sosteners are mixed, not only to procure a decent colour, but to mollifie the Hands and Face which is commendable, for which cause that the Face may alwaies shine, which is accounted come­ly, they add some fat things.

These paints being thus made in form of a Liquor white [Page 532]as Milk or of an Unguent must be applyed and suffered to dry on. And if they be discoloured by their thickness which women of the honest sort do fear exceedingly, be­fore they go forth do usually wash with some comely deco­ction, which is no paint, as shall be declared, so gently that some of the white still remain with, and that when the paint seems to be quite gone will restore it, and it will con­tinue long, and therefore they wash often after it, before they go forth into view.

The matter of these is taken from divers white things as follow, of Ceruss, which being very white, and sticks well by reason of its fineness and Fatness, is proper, if first it be poudered and seifted, washed often, and dryed; or boiled in water till it may be made into Troches, one whereof being taken in the palm of the Hand with a little convenient Liquor, will serve to paint the Face.

Of the white Dragon Roots there are made Troches as the former, like Ceruss and white Starch, called Gersa, which besides the whiteness it makes, doth cleanse very much, and it is made of the Juyce of Dragon Roots, dry­ed gently by the fire or Sun, and so brought into Balls or Troches.

Or take the Roots aforesaid, and after they are cleansed beat them, and then with warm water or other convenient Liquor dissolve it, and strain it and so let it stand till there be a white cream at the bottom; from which pour of the water at the top, and pour on fresh, which after a little time you must also pour off from the residence at the bot­tom as before, and this being three or four times done, let that which remains be dryed, and made up for your use in­to smal Troches.

The common way of preparing this Gersa is of the dry­ed Roots of Dragons, which being first peeled from their external black coat, must be beaten into pouder, and then dissolved in water, and gently dryed again, and then again poudered, and washed after this manner three or four times, and made into Balls or Troches, and kept for use.

The same way may be made as well of the great Aron, or Cookow pintle Roots, in defect of the other, as white and as forcible, or of both together.

Of the white Brittle root, of the wild Cowcumber you may also make the same.

You may make other forms of Dragon Roots and Ce­russ thus: Take of Dragon, Gersa prepared as before one ounce, of Ceruss prepared, of Borax two drams, and if you please of Camphire half a dram, with the Infusion of Gum Traganth made in Rose water, make Troches for your use; you may mix some things that are in Unguantum Citrinum therewith.

Sometimes you may mix prepared Ceruss and Dragons with Oyl of sweet Almonds or de Been, and a little white, if you please to make it into an Oyntment.

Of sublimate Mercury there are excellent washes made, which cleanse and make white, which are divers waies pre­pared least they should exulcerate, mixing things which work the same effect more gently; and least any part of it should touch the Teeth and make them black, as is usual, she must keep water in her Mouth while she useth it.

A water like Milk is made thereof, which is more plain and profitable, thus: Take of finely poudered Sublimate half an ounce, two or three whites of Eggs well beaten, of the Emul­sion of white Poppy seeds made of one pound of the seed and ten pints of water, stir them very well in a stone Mortar, first put­ting in the whites of an Egg by degrees, then the Emulsion, as is sufficient which is known by a Pin, or put therein for when it is not discoloured after some continuance there it is right, but if it be then pour on more Emulsion.

To this we add two ounces of Borax, or of Sugar Candy.

Another white wash is thus made: Take of the whitest Barley flower, or Starch made into a past with Goats Milk, bake it gently in an Ouen and when it begins to be hard take it out, and mix it with so much Goats Milk, as will make it all like thick Milk, take five pints of this, and two drams of Sub­limate, mix them well together, more or less, till by the proof a­bove mentioned with a pin you find it right, then use it, adding sometimes Ceruss one dram, Borax two drams, of sea Snails cal­cined half an ounce, with a little Camphir.

A dry past made of Sublimate, like Chalk or Starch is often used; a portion whereof being tempered in the hand with a little wine out of your Mouth, or Rose-water, may anoint the Face: or mingled with Pomatum, Oyl of Gourds seeds, or sweet Almonds, it is made thus,

Take of Sublimate poudered one ounce, of Quick-silver two or three drams, of Juyce of Lemmons, or Vinegar a little, stir them till they wax white, and then stir them well fasting, spittle of one that cheweth Sugar Candy, then with whites of Eggs stir them into the form of a past or Liniment. Then wash it with a good quantity of Spring water, and let them boil together a little, and then stand to settle, and let the clear water at the top be poured off by degrees, and fresh water be poured on, and then after boyling and setling be poured of as formerly. Do it thrice, but the last time with Rose-water, or Bean-water or of Myrtles, and boil it till it be almost consumed and let the bottom or residence be set in the Sun or in an Oven till it be dry: sometimes this in­fusion is made without boiling only by long steeping, and changing the water sometimes, and then drying the resi­dence.

Sometimes a dram of Camphire is added to the sublimate and Quick-silver, the quantity of a dram, and to make it more dear, rather then for profit, as much of the pouder of Pearls, or sea Snails calcined, with some Leaves of gold and silver, to repress the malignity of Quick-silver, and of sublimate.

There is the like made by the women of Monpelier, which is, Take of the best sublimate four ounces, of Quick-silver mix­ed with the fasting spittle of one that chewed Sugar Candy half an ounce: beat them well in a stone Mortar, with a wooden Pe­stil, till it be white; then tie it in a white silk Clout, and put it into a new glassed earthen pot full of water, and set it upon the Embers, and after the water is grown hot, pour it off, and add fresh, and do so the second time, and let your Mercury be sweet­ned with so doing nine times, and let the Body that remains in the silk Rag be dryed and made into formes as big as Vetches, dry them in the shade and keep them for use. The way is to take one piece and dissolve it in Oyl of sweet Almonds for a Liniment for the Face.

There is a white wash made of Litharge, by steeping or boyling it, which they call Virgins Milk, this gives the Face a good Colour, but because it doth take Redness a­way too much, we shall speak of it hereafter, in Redness.

Washes may be made also of Borax, which the Gold­smiths use, and is made of water, being finely poudered and mixed with Oyl of Guord seeds or other Oyl.

Or with the Infusion of Gum Traganth, to anoint, and you may mix Ceruss with Borax.

Of stones as white Marble, Alabaster, Amiantum, spe­cular stone, Loadstone, which is called Talcum, Crystal; white Coral, and divers Sea-fish shells either crude or first calcined, made up with Oyl, Liquor or Pomatum, are made also Oyntments, and these Washes, as: Take of some of the aforesaid half an ounce, Ceruss two drams, Borax one dram, white Frankincense, and Camphire, each half a dram, of Juyce of Lemmons one ounce, of Oyl of sweet Almonds or other Oyl as much as will make a Liniment.

Or let her use instead of these the Ʋnguentum citrinum which is made of the stones aforesaid, Alabaster, the speculiar stone, or Talcum, Christal, Coral, and shells, the Navel shell Fish, the purple Fish, the Trumpet Fish, Ceruss, Borax, white Frankincense, Camphire, and Gersa of Dragons, Niter, Starch-Traganth, Hogs Grease, and Hens Grease, and the Juyce of Citrons, from whence this Oyntment is named Citrinum.

The Face or Hands being rubbed with the fine Pouder of Talcum, it makes them wonderful white, so that if it continue any time, it will not easily be taken off.

Eggs shells calcined and poudered finely, make an oynt­ment with the things mentioned, also very excellent. Al­so a good Oyntment is made of Starch incorporated as be­fore, [Page 533]and you may add the white flower of dryed Melon and Pepon-seeds.

Also an Emulsion of Melon-seeds and Almonds with their water, doth beautifie the Face.

Some Women use it thus. They take one or two bitter Al­monds and put them in a Clout and chew them fasting, and so anoint the Face with the Spittle mixed with the white Emulsion.

Those cleansing Remedies external, which differ from a Fucus only in that they paint not white, are made as the o­ther, and are as follow, with which the Face is to be wa­shed or anointed.

Stilled Waters are most usual, as of these Simples, Solo­mons Seal, Bean-flowers, Roots of Dragons, or Cuckow-pintles, Sowbread, Raddish, Gentian, Mallows, Lillies, Mullein, Wa­ter-lillies, Melons, Kidney Beans, Pine-nuts, with sweet Wa­ters, as of Roses with Musk, or Camphire, of Orenge flowers, Orris Roots &c.

The Waters of Lillies, and Rosin of the Fir-tree, doth make a thick Skin thin.

Many Compounds are for the same use, thus made, of Guords, Melons being ripe and divided, distilled with Goats Milk, and Eggs beaten together.

Or of Lemmons, Oranges, Citrons, distilled as the former.

Another is made of Bread thus: Take of common white Bread, or of Barley, or Bran, the Crust taken off two pounds, of Goats Milk three pints, of Eggs beaten ten, distil a Water of them.

You may add three ounces of Sugar, and so distil it.

Or half a pint of Wine, and one or two Lemmons, or one ounce and an half of the Juyce, and one dram of Camphire.

Or, Take the aforesaid, and add of Bean or Pease Meal, or of Rice three ounces, of bitter Almonds, two ounces, of the four great cold seeds one ounce, distil them.

That it may cleanse more, add of Dragon Roots, and So­lomons seal each one ounce and an half, of Orris Roots one ounce, and of Mastich half on ounce, Borax two drams.

Also the Water of Rice macerated or steeped in Lemmon or Bean water till it swell, distilled to a pint, ad half an ounce of the pouder of Mastich.

And the white of Eggs mixed with the Juyce of Lemmons make a good Water distilled; to which before the stilling you may add Borax, Allum and Salt.

The Venetian Paint is not to be omitted which is thus made. Take of the whitest Lard that is sweet and cut it small, as much as you please, of the white Flowers of Bindwood, of the Juyce of crude Citrons strained, each as much as is sufficient, still them with a gentle fire in Balneo Mariae, keep the water for your Ʋse.

The water also of Snails, distilled with Goats Milk, and Hops, or Goats Grease, and a little Camphire.

There is also an excellent Water made of Urine mixed with Salt, especially Salt Gem. with Cloves, Cinnamon, and Rose-water, to take away the Sent thereof.

Also a Water distilled of white Tartar, dissolved in Wine, with Bean flowers, and Rosemary.

Or, Take of Tartar one ounce, Allum half an ounce, Bo­rax two drams, Camphire one dram, of Water that is proper two pints, distil them.

Or, Take of Tartar calcined one pound, of Mastich one ounce, with whites of Eggs make a Past out of which draw a Water.

You may make a water of Sublimate not to whiten, but to cleanse, either by dissolving it being steeped or boiled in the waters above mentioned Simple or Compound, espe­cially in that of Bread, with the Juyce of Lemmons, you must take no less then three pints of water to one dram of Subli­mate, and you must try by Coppar put into it if there be e­nough: to which you may add Ceruss, and Camphire, and mix it with Goats Milk, whites of Eggs, or Mucilages least it should hurt.

Of more or fewer of those things may a water be distill­ed; as, Take of Lilly and Orris Roots green, each four oun­ces, of Dragon Roots, or Cowkow pintles, and Solomons Seal; each two ounces, of Bean flower four ounces, of Rice flower two ounces, of the four great cold Seeds one ounce, of bitter Almonds five ounces, of Quince seeds half an ounce: beat them all and add one pint of Goats Milk, of Calfes Feet, and Snail broath, three quarters of a pint; of Bean flower, Water and Rose-water, each one quarter of a pint; the white of twelve Eggs beaten, Tur­pentine dissolved in the Yolks of Eggs half an ounce; of Honey ooe ounce, of common Sugar, or Sugar Candy, two ounces, of wine and Vinegar, each one ounce, of poudered Mastich half an ounce, of Allum, and Borax each two drams, of Camphire one dram, mix and distil them.

To these may be added Briony, wild Cowcumber, Sowbread, Guaicum, Lemmons, Oranges, Melons, Muskmelons, Guords, or their Juyces. Also Primrose flowers, Bean flowers, Lillies El­der flowers, Pease, Lupins, Starch, Pine-nuts, Fleabane seeds, and the Gums of Traganth, or the Infusion thereof, Frankin­cense, Myrrh, Cinnamon, Cloves, Musk, Boys urine, Ox gall Litharge, Tartar, Ceruss, Soap, Goats Suet, or fresh Butter, to which you may add shells and earths, from which little comes by distilling, as Coral and Shel-fish, and sometimes a little Chalk.

To take away the Spots of the Face, and whiten it, this is an excellent Water: Take of Bean flowers, Turpentine wa­shed in Goats milk, each one pound, whites of Eggs seven in number: mix them and put them in Balne [...] Mariae, keep the distilled water for your Use, then Take a white Capon pluckt, and washt and cut in pieces, and put that also in Balneo, and mix the water that is distilled from it with the former, adding two drams of Borax, half a dram of Camphire, put them all in a long necked Glass, and set it by Night in the Moon-shine, and by Day in the shaddow, wash the Face with this water warm.

This water following which was used by Mary of Me­dices, the Queen-mother is of most Vertue above all o­thers, she used it to make her Face fair: it is made thus, Take three white Capons presently after they are killed, and mince them small taking out their Grease, two new green Cheeses made of Goats Milk, the pulp of six Lemmons, the peels taken off, the whites of eight Eggs with the shells, of Borax, and Pou­der of Brimstone, each half an ounce, of Camphire one pound, of Bean flower, and Water-lilly-water, each one pint, put them in Balneo Mariae, and some Grains of Musk in the Neck of the Still, keep the water that comes forth for your Use, wash the Face therewith every Night.

This water is good with Sublimate: Take of Dragon or Cuckow pintles Roots, Sowbread, and Solomons Seal, each one pound, of Crumbs of Bread half a pound, of fresh Lard one ounce and an half, of Juyce of Lemmons two ounces, in which Sea Snails have been dissolved, of Allum two ounces, Sublimate half an ounce, or less, distil a Water.

A Decoction is used to wash the Face to make it clear, and to wash off what hath been formerly laid on, especial­ly of Beans, Pears, Rice and Lupines, and the like abster­gents or cleansers. In a ful fat Face the Decoction of Guai­cum is approved.

Some Liquors are used, as of Melons thus made, let a Me­lon sliced be put in a Pipkin, and at the top of it unripe Grapes, Mallow-flowers, and some Eggs shells, let these be kept well stopt in an Oven so long as the Bread is baking, this done, strain forth the Liquor for your Use.

Some use Snail water made of Snails and Salt so baked in an Oven as the former.

Some mix Snails and Melons together.

Maids being fasting use to spit into their Hands and rub the Hair of their Fore-head backwards and make it shine, which wil whiten more, if they chew bitter Almonds before.

Moreover the Face is anointed with fat Liniments, which bring Splendor, and it is to be done carefully least the Paint appear.

Pomatums do this.

And chiefly the Marrow of a sheeps bone which is taken from them, being well cleansed broken and boiled, swim­ming at the top.

Oyl of Talcum to whiten and make clear the Face and [Page 534]Hands is of most use among great ones, and is of great price because it makes them also soft.

Of Mucilages, the Infusion of Gum Traganth as also the white of an Egg, is best to make the Face shine.

Some things may be used to the Hands to cleanse them and make them white and soft, Remedies that make the face & hands soft and white. which are not so proper for the Face.

For this there is a paste with which they rub their Hands as with Soap, made divers waies.

The most plain paste is made of Crumbs of Bread, boyled Bran, or Barley flower, Rice, Pease, Lupines, which we use alone or with water, or with soft Soap, or hard a little dis­solved, and Honey we make a paste.

Of Nuts there is another Paste, as of bitter or sweet Al­monds, of Peach Kernels of Hazel and of Pine-nuts, Beans brui­sed, or first steeps in Milk, or mixed with Soap or Honey.

Also it is made of other seeds especially of Guords and white Poppies.

The Compound Paste is thus made. Take of the aforesaid Simples one, especially that of Almonds, or of two or three the quantity of one pound, adding pouder of Mustard seed two oun­ces or more, of Orris Roots half an ounce, this will sweeten it, and of Honey as much as will make a paste, to this add sometimes the pulp of Figgs, and Rocket seed, instead of Mustard seed; some add the Gall of an Ox, but this leaveth such a bitterness that it is not commendable, we may also make it sweet sented with Sanders, Wood Aloes, Angelica Root, Lavender flowers, Rose-water, or Musk &c.

Others may be added, as this for the Hands, Take of Ceruss half an ounce, of Starch three drams, of Borax, and Camphire each two drams, of Egg shells calcined half a dram, to them being poudered add of Lilly, and Water lilly, and Rose­water six pints, of Lilly Roots two ounces, of Bread Crumbs half a pound: boyl them well, then add twelve Yolkes of Eggs bea­ten, strain them and keep them for your use.

Or make an Infusion of Gum Traganth in Milk, and juyce of Lemmons, adding Ceruss, Starch, and the like, and so anoint the Hands.

Also there is a paste of the Roots Daffodils boyled and bea­ten, adding Tartar, and beaten Eggs.

Where you will more mollifie when the Hands are very hard, anoint with the Oyl of Guord seeds, or of sweet or bitter Almouds, dissolved with white Wax, also you may add the pulp of white Lillies, and Oyl of Tartar to cleanse.

The pulp of Melons rubbed doth make the Hands soft and clean.

To diminish or take away wrinkles if possible, Remedies a­gainst wrinkles. in the Face especially, and some­times in the hands, that the skin may seem less cloudy, and folded and uneven, there have been proper Remedies declared, albeit there are some cleansing Paints, as aforesaid, proper for the same; these that follow are proper, and such as by a cleansing Quality or by mollifying do enlarge the skin that was bound.

The seeds of wild Caraway bruised applyed with a Cerot are commended by Dioscorides.

Also Briony Roots with Orobus, Faenugreek, and Chalk, or Earth of Chios.

Others approve the Water of Pine-apples that are green, the Flowers of Mullein, also the Roots of Asaron, and Solomons Seal.

The Water of the Flowers and Roots of Lillies with May dew is admirable.

The Juyce of Lemmons, Primrose, Cuckow-pintle Roots, and of stinking Gladon, do lift up the skin, and make it break and a new one come under it.

The Decoction Jesamine seeds, also of Figgs with Briony Roots.

Oyl of Myrrh, Jesamins, Acorns, Tartar, bitter Almonds, Pine-nuts, and Ivy-berryes.

An Emplaster. Take of pure Wax one ounce, dissolve it with Asses Milk, stir them and when they are cold, take them off and add an ounce of Oyl of sweet Almonds, Allum, and Sperma Caeti each half an ounce, dissolve and spread them and apply it to a wrinkled Fore-head or the like.

Let the Meal of Lupines be rubbed on with Goats Gall.

Or, Take of Hens Grease two ounces, of white Wax one dram, of Rose-water one ounce, dissolve them, add of Ceruss, two drams, of white Coral one dram, of Camphire half a dram: make an Oyntment.

Pomatum is in great Use.

The Fume of Myrrh cast upon coals, and received on the Face, is said to be good.

They also study to take away Wrinkles from other parts of the Body, as those which are left after Child-bearing u­pon the Belly.

This is done with this Oyntment made of the Suet of a Kid, or Ram, in Rose-water, or Pomatum with a little Butter, and the white of an Egg, with the the pouder of Mastich, and Frankincense.

Or, Take of Mastich, and Frankineense each half an ounce, of Myrrh two drams, of burnt Harts-horn, one dram, of Ami­antum two drams, of Salt Ammoniack one dram, of Barley Meal, two drams, of Nigella one dram, of rosted Squills half a dram, with Honey make an Oyntment.

Medicines that make red are used by Women that study Ornament, Medicines that make the Lipps and Cheeks red. to their Cheeks and Lips, and so they take away the Paleness and ill Colour by painting with these that follow.

The Roots of great Madder rub'd upon the Cheeks makes them red, and also if these be mixed with Oyl anointed.

The Pouder of Briony Roots mixed with Water or Honey, if the Cheeks be washed with the infusion, or anointed there­with, it will make them red.

They write that the Sea Onion and Dill seed anointed with Honey and Wine will do the like.

That Red which Painters make of Sanders, and shavings of Brasil steept or boyled in Water, Wine or Vinegar, with Allum will paint the Cheeks, and Lips red.

The Spanish Women do colour the inside of their dishes with Cuchynelle, and call it Vermillion of Spain, and so keep it, and when they will use it they spit upon it and paint their Cheeks.

The cheeks being rubbed with Scarlet or Silk dyed with Cuchineile, or Crimson dipt in a little Aqua vitae, turn red.

Some Women rub their cheeks with red Leather to make them red.

I have observed that if one rub her cheek with ripe Mul­berries and then after with a green, and wash with Water thereupon there will remain a flourishing colour long after.

That Cure which belongs to particular Discolorations, is either for Commaculations or Spots.

The Cure of commaculations is according to the cause which is external, either, Air, Filth, or other things that discolour the Skin.

They who by Labour and Travail are Sun-burnt, The Cure of Sun-burning. think it no dishonor but a com­mendation, and therefore care not for the cure, because in the Winter it usually decreaseth. But if this Blackness displease, we must prevent it, and destroy it.

Thus we prevent Sun-burning.

A broad brim Hat or the like, or Gloves for the Hands prevent sun-burning.

Or defend them with anointing with whites of Eggs, or the Mucilage of Fleabane, or of Quinces, Extracted with Rose­water, or with the Infusion of Gum Traganth made therein. To these are added Butter or Suet, or Pomatum, or Oyl of sweet Almonds, or Cream of Milk, in a small Quantity least the Face being anointed with those fat things, or without those by the use of dryers should appear extended.

The pulp of the Juyce of Melons doth the same, and of Guords adding some of the unctious things mentioned.

Or anoint with this before you go into the Sun. Take of Pomatum two ounces, of Ceruss dissolved in Rose-water one dram, of Frankincense, and Mastick each half a dram, of Mu­cilage, [Page 535]of Quinces one ounce: make a Liniment.

This blackness by Sun-burning is sometimes cured by Nature; which supplyeth continually the Burning which is new and little, with a fresh skin, if they keep out of the Sun, except it pierce to the true skin, and then it will scarce go away of its own accord. And then it must be cured by paints and cosmetick Remedies, as the Natural blackness which have been already described, and therefore shall not be repeated.

Moreover, we cure this by taking away the burnt skin from the Face and Hands except the Impression be too deep as we have said. This is done by lifting, and raising the scarfe skin to make it fall off by this following Reme­dy. Take of the Roots of white Lillies one quarter of a pound, reast them in the Embers, then beat them with one ounce of sugar candy, lay it upon the Face, and repeat it often, alwaies a­nointing with Honey when it is taken off.

This will be done sooner if you add fresh Butter, or Hogs grease washed in Rose water three ounces, Turpentine half an ounce, Lime five times quenched two drams, and so apply it.

Or add Lilly Roots so roasted two ounces, the Roots of Reeds, and Dragons, and Beans two drams, Melon seeds one dram, the Mucilage of Fleabane, or the Infusion of Gum Traganth one ounce, of the Citron Oyntment half an ounce: make an Oynt­ment according to Art.

If you add a little Water of Sublimate boyled, it will soo­ner raise the Skin.

An Onion, or Squill, or a Lilly Root often rubbed upon the part doth so raise the skin, that it will easily come off.

An evil Colour from Filth, sticking to the skin, The Cure of the Pollution of the Skin by Filth. is taken away with the filth as we shall shew in the Treatise of filth: those which keep the hands and Face clean have been declared.

A black, yellow, or green Colour, or the like, The Cure of the discolouring of the skin from external causes. with which the skin is infected, is taken away as other filth of the skin, and it is done sooner or later as it hath taken Root.

First, that which comes to the Hands from handling green Wall-nuts, is a blackness which stic­keth fast, but at length vanisheth of it self, and will by use of cleansers, aforementioned be sooner gone, if rubbed with the Juyce of a Lemmon, or Vinegar, and a little Colopho­ny.

The Redness that comes upon the Hands by gathering Mul-berries, though it stay otherwise long, is quickly taken away if you rub the parts with green Mul-berries, and after wash with Water.

The Cure of Spots is according to the Diversity of the cause, which is internal, as Blood, nourishing Juyce, or Seed, or a Disease.

Black, and blew Spots do appear after Contusions and Stroaks, The Cure of blackness from Stroaks. by reason of the Blood breaking through, under the scarfe skin, these, if they require cure, are to be cured as contusions whereof we spake for­merly. But if the contusion be cured and yet the spots re­main, then we must chiefly have regard to them. They use to go away of their own accord, because the Blood cannot grow thick putrified in the place as it doth in a large space, but is made waterish and thin, and so may pass through the Pores by insensible transpiration. But if by reason of the plenty of it, and thickness, this will not be, but it continueth, and there is fear that being thick and pu­trified it may ulcerate, you must apply Medicines that dis­cuss and dry, to which if we come at the first while the Blood floweth we may add astringents, but after we use on­ly Discussers and Dryers, and they are thus made.

Herbs fresh gathered may be bruised and applyed, or a little boyled, as Wormwood, Hysop, Calamints, Organ, Hemp, Rocket, Devils bit, Arsmart, Sneeswort, Mallows, Amcos, or they are mixed with Honey, and Bran, and Cummin seed.

A Raddish Root sliced doth the same.

A Decoction of the Plants aforementioned in Wine, and Honey, with Vinegar at the first, makes a Fomentation, a Fomentation of warm water, especially if Salt, if often used will do it also.

Also the Juyces of the Plants mentioned, especially of Wormwood, boiled with Honey, and Aloes, and with the pou­der of Cumminseed, and also the Juyce of Raddish and Corian­der.

Divers Oyntments and Applications are made of other things, and chiefly of Nut Kernels beaten with Honey and salt.

Or Salt, Wine, and Honey mixed in equal parts, Cummin seed also poudered with the Yolk of an Egg, and Wax, or Honey, to this you may add a little Camphire.

Or, Take Bean flower, and Foenugreek, of each two ounces, Cummin one ounce, pouder of Wormwood two drams, boil them in Wine, and Honey, adding half a dram of Saffron: make an Emplaster.

Or, Take of both Comphrey Roots, of Flower-de-luce roots, each half an ounce, of Raddish one ounce, of Mallows, and Wormwood each one handful, of Chamomel, and Melilot flowers each one pugil: boil them in wine and water, then stamp them, and add two ounces of the pouder of Foenugreek or the like, Cum­men half an ounce, of Mustard, or Rocket seed, two drams, of Frankincense, Myrrh, or Lac, each one dram, of Goats Dung, half an ounce, Salt two drams, Ox gall one dram, Honey one ounce, Oyl of Dill two ounces: make a Cataplasm.

This is most excellent, Take Orpiment half a dram, of the Meales aforementioned, two ounces: boil them in Wine for a Cataplasm.

Anoint the part with the blood that comes forth of a quill new drawn.

Or with the Gall of a Goat, or Ox, with Honey, or the Yolk of an Egg.

Or apply Goats Dung or Ox Dung with Cummin.

The Lungs of a sheep hot applyed do discuss spots.

Oyl in which Briony Roots have been boyled or the like, or of Roses, Olive, Chamomel, with Salt.

Or Oyntment of Alabaster.

Scarification doth make way for the Blood under the skin to come forth, which may be used if it be much, and stay long; least it putrifie and infect the quick part and make a Gangrene, in the suspicion of which you must sca­rifie deep.

But if by putrefaction an Imposthume, or Ulcer be bred, you must cure it as an Imposthume or Ulcer. If a Gan­grene be as it happens from a great Contusion sometimes, then it must be cured as a contusion and Gangrene, of which we spake formerly.

Spots that come from the dispersing of the Blood through the skin, The Cure of all kinds of red spots, Fleabits or Frec­kles, Erysipelas, Tetter, Rosy­drop. if they be small, and red and little as Freckles, like Fleabites, they somtimes go away by in­sensible Transpiration or by sweat, as also the broad Anthonies fire; yet if they continue long they require cure, as Tetters and those bloody Spots that are so red in the face and other parts, which are hard to be cured. And that which is called the Rosy drop is very difficult, if the face be also full of Pustles, and the Nose much swollen.

If then you desire to cure these, which some despaire of, and therefore neglect, you must begin thus. First purge the Body in respect of the abundance of humors, and you must let blood in the Arm for Revulsion, or in the Fore head. for the Face, or under the Tongue for Derivation, or by scarification in the sides of the Neck and Shoulders, and by Cupping-glasses, to draw from the Face, often repeating them, either with or without scarification. And this may be done by Horsleeches to the Face, Nose, or there about the Nostrils, or cheeks, or chin, or behind the Ears. Then use things that alter, which allay the Heat, and cool the Blood, and keep it from running so violently into the part, either by way of Diet or Physick; As hath been de­clared in Diseases of Blood.

The Topical Medicines which are applyed to the part [Page 536]must in these red spots be such as cool and astringe the blood, and such as consume the abundant Juyce by a dry­ing and digesting Quality, if the spots turn to Pustles, and these must be strong, if the swelling be hard by adding if other things fail, such as corrode and burn.

These are applyed in Liquors, Waters and Oyntments, with which you must anoint, or wash the red Pustles; or if you apply strong things, you must only touch the Pu­stles: they are divers.

First, they are made of Plants, as Water of Straw-berries, Ash, and Mullein flowers, with Camphire, and wine of straw­berries.

Another usual which is very good: Take in the Spring one pint of Straw-berries, or in Winter one pint of sour Grapes, of Goats milk two pints, twelve whites of Eggs, and the Muei­lage, of Fleabane, and Quinces, of Gum Traganth, made in Rose or Plantane water, four ounces, of Camphire two drams, distil them. You may add Vinegar, Juyce of Lemmons, or the Plants following, also Allum, and Sulphur.

Or use this following. Take of Speare, Dock-roots three ounces, of Plantane, Nightshade, Sorrel, Mallows, Fumitory, each one handful, of Roses, Violets, Water-lillies, Honey suckles, Willow, each one pugil, of Lemmons, Oranges, or sharp Ap­ples, seven or nine, of green Mulberries, Strawberries, or grapes half a pound, of Allum half an ounce, of Camphire one dram: distil them, Brimstone added makes it better, but it will sweat so, well.

You may add Water-lillies, great Penny-wort, Housleek, bastard Dittany, Pomegranate flowers, green or dry.

Or thus; Take Goats milk four pints, of ordinary meal, as much as is sufficient, and make Bread thereof, half bake it, and take of the Crust, and break it in pieces, and dissolve it with four pints more of Goats milk, adding Lemmons peeled and sli­ced twelve, Raddish, and Spear-Dock Roots, each two ounces, whites of Eggs beaten twelve, Allum half an ounce, Tartar, and Sugar, each three drams, white Coral, two drams, Egg shells calcined, and Camphire each on dram: mix them well, and distil a water from them by a Lembeck.

Allum water, so called, of Plantane, and Purslain water, Oyl, Allum, and whites of Eggs is good also.

This following Vitriol water is good against a red Face. Take of the water of Froggs-Spaun, Mullein, Fern, each two pints and an half, of the Ʋrine of a young Boy three pints, to these mixed, add of the Treacle of Andromaehus two ounces and an half, of Vitriol, Salt, Allum each four ounces, draw a water by the Embers, or Balneum Maris, till the residents are dry. To which water add Camphire, and Saffron, each one ounce: keep it for Use.

The pouder of Spear-Dock roots, and the ashes of Daffodils, with Oyls, make a laudable Oyntment.

The hot blood of a Hare, or other Creatures is good to take away Redness.

Of quick Brimstone Applications are especially good to take away Redness.

If it be mixed with cooling or astringent Juyces, as the Juyce of Housleek, Nightshade, or Plantane, or some sweet wa­ter, as of Roses.

Or, Take of quick Brimstone one ounce, of white Frankin­cense half an ounce, of Camphire two drams, dissolve them in one pint of Strawberry, or Rose-water, and you may add the Juyce of a Lemmon, or sour Pomegranates. And it will be better if you add common Salt, Salt Ammoniak, or of Al­lum two ounces, or Lithargie boiled in Vinegar, or Ceruss.

Or, Take of live Brimstone half an ounce, of Lytharge, made white by Decoction in Vinegar two drams, of Frankin­cense one dram, of Camphire half a dram, of Grains of Para­dise, or Ginger one scruple, of Citron Oyntment, or white with Camphire, two ounces: make a Liniment, and if you add half a dram of Orpiment, it will be better.

They make a white Water of Lytharge called Virgins milk, which takes away all evil Colours from the Face especially Redness. It is made thus, Take of Lytharge poudered two ounces, of white Wine Vinegar six ounces, more or less as it is in strength, steep them, often shaking them, or boil them a little.

This done let the thick part settle, and pour off the clear and strain it. Then Take of Allum, or Salt or both two oun­ces, dissolve them in Spring-water, or other distilled water good for the Face, as of Beans, Lillies, and Rose-water for the sent sake, six ounces, one dram or two of Borax, and a little Cam­phire when we will use these two Waters, we take equal Proportions, and though they were clear before, (being mixed) they turn as white as Milk, with this wash the face; and if it be too sharp, you may add more water. Also by mixing the Ingredients of both Liquors, steeping or boyl­ing them, this Milk is made; if you will cleanse more you may ad a little Oyl of Tartar or the like.

Another Water excellent in a red swollen Face, and when there are scales and Hardness. Take of Lithargy one ounce, of Allum one dram, of Borax three drams, of Ceruss half an ounce, of Vinegar two ounces, or Rose, Plantane water, or the like, four ounces: boyl them to the Consumption of the third part, strain them, add a little Juyce of Lemmons.

There is also a distilled water of the Virgins Milk men­tioned which is good. Or this, Take of pouder of Litharge one pound, of Vinegar two pints: steep and boyl them, then add of Bean-water or the like one pint, draw a water ad­ding sometimes other things, as Allum, Camphire, Borax, Oyl of Tartar before it be distilled.

Or use this Oyntment: Take of Litharge prepared white (which is by infusing it thrice in Vinegar, and drying it) two ounces, add Vinegar, and Oyl of Guord seeds, as much as will make a Liniment, with Camphire dissolved in Rose-water half a dram.

A profitable and convenient Water is made of Tartar thus. Take of calcined Tartar half a pound, of burnt Allum one ounce and an half, of Borax one ounce, of Sugar candy two ounces, of Camphire two ounces, of whites of Eggs beaten twenty, of the Mucilage of Fleabane seed one ounce and an half, of the Juyce of Lemmons, or of Vinegar two ounces: draw a water.

There is a powerful Oyntment made of Camphire, Take of unsleaked Lime two ounces, quick Brimstone half an ounce: pouder them, and boil them in Vinegar to an Oyntment.

An excellent Medicine of Quick-silver. Take of Peach Kernels, or bitter Almonds, chew them a little, and being brought to a Paste, take out the milky Juyce with a linnen strain­ed, and put thereto as much as a Nut of burnt Allum then take as much Quick-silver as a Pease, and rub it in your Hands so long with spittle till it grows black, then mix it well with the a­foresaid milkie Juyce, anoint the Face at bed time therewith, and in the morning, for the space of a Week; this done, before you go abroad wash it thus: make a paste of Bean meal, and Rice, with whites of Eggs beaten, keep this in balls, and soften one of them in water for a Night, and then rub the Face therewith up­on a Towel.

Another is made thus, Take of Quick-silver one dram, of Fir-tree Rosin washed, one ounce: mix them well, then add half an ounce of Borax, one ounce of Sugar candy, of Cuttlebone two drams, of Soap two ounces, of Oyl of Tartar two drams or more, with as much Oyl of sweet Almonds, or of Roses, as will make a Liniment, you may add the Juyce of Sorrel, Spear, Docks, or Lemmons, and Litharge.

Excellent Medicines and strong are made of Sublimate, to be onely touched lightly, with which the Pustles being touched till the Skin be taken off, they fall away and dry or consume; thus they are made: Take of Sublimate one dram, of Juyce of Lemmons, or Vinegar one ounce, of some con­venient Water four ounces, of whites of Eggs six in number: let them be steeped together close stopped.

Or thus, Take of Sublimate half a dram, of Litharge half an ounce, of white Wine Vinegar four ounces: boil them till the third part be consumed, to the strained Liquor ad milk, the Juyce of Lemmons, or Oranges, and a little Oyl of Tartar.

The Emulsion of Variola to take away Redness of the Face, which is most rare is thus made, Take of Spring-wa­ter, in a glass ten pints, let it stand twenty four hours before to cleanse it, to this put in a thin rag of linnen one pound of white Poppy seeds bruised with two whites of Eggs, and two drams of Sublimate sweetned and wel poudered, shake them in a well stopt [Page 537]glass for an hour: to these add about the Conclusion of shaking of white Sugar, and Borax burnt a little upon a hot Fire-shovel each six ounces. With this emulsion wash the face, morning and evening. You may use other Medicines that are made of Sublimate, and Arsenick that corrode and burn, mentioned in venemous Pustles, if they be very hard to be taken off.

A Fume of Brimstone, and Frankincense cast upon coales, taken upon the Face, cures the Redness thereof, as we see red Roses fumed with Brimstone presently wax white; but you must do it warily, and keep your breath, and shut your Eyes.

The Cure which belongs to these spots which come by Nature, The Cure of di­vers Spots, Scurfe, Tetters and moates that are Natural. from the nourish­ing Juyce in the Pores, is chiefly against things which come of evil Juyce, that when they are hurtful, and threaten Dan­ger, these Spots may be taken away, as the Morphew, and Scurse and the like. Those which come not by Nature, and evil Juyce as Frec­kles, although many, because they are usual to some and go away at Winter, or are less after hot weather are not medled with commonly. But because some think they deform, and desire to have them taken away: I shall teach the Cure of them.

The same is observed by Moles, that are Natural, and therefore not thought evil, and not regarded except they deform.

But in the Cure of all these spots, the internal cause must first be removed, as in Morphew and the like; but in others since the cause is not hurtful, as in Moles and Frec­kles it is not needful, except the body be other way foul, and we determine to make the Topick Medicines work the better, to cleanse the Body.

In foul Spots we first evacuate, and with those things which we use to cleanse the body in the like filth, as the Scab and Itch, and we take heed by good Diet and alte­ring Medicines, that they return not again.

As for Topicks that are used to take away spots which are so evil as Morphew &c. they must be of a drying and cleansing Quality, by which they consume them insensibly, and if weak things will not, use stronger, which eat off the same. And if that will not do, use Caustiks and Corroders, which will plainly burn or dry them up, or else take them off by manual operation: thus we can do in Moles. In Len­tigines, or Freckles, we may do it with easier Medicines, because they are many, and it is not safe to use strong Medi­cines to all, except in one place we desire to take off many. The Remedies mentioned for evil spots by vitious Blood, as Tetters, Pustles of the face, and the like, are good here, and they all do it either by cleansing onely, or by corro­ding, or burning or by pricking, or shaving off.

The cleansing Medicines that do not corrode, both weak and strong which are proper for these, are divers, as those called Comptica and Cosmetica, by which the blackness is corrected, as we shewed, and especially in taking away the lentils and in other spots they can do it by constant use.

To these are the cleansers following applyed, to which if the skin be thick, we add Emollients and they are rub­ed upon them, and if we will have them work sooner and better by the fire or Sun, they are taken from divers things from Roots and Herbs, these bruised or cut are rubbed or applyed, as the Roots of Dragons, Sowbread, wild Gourd, Briony, Flower-de-luce, Raddish, Onions heads, Daffo­dills, Leeks, also white Hellebore, Solomons Seal, Spear-Dock, Madder, Alkanet, Capars, black Chameleon, Wa­ter-lillies, Asphodel, Gum Succory, wild Lettice, Beets, Coleworts, Penny-royal, Agnus castus, wild Purslain, also the Stones of wild Vines, and Fruit of the wild Guord.

If you rub fresh Soap-wort bruised, it will froath like Soap, whence it hath its Name, and will cleanse well.

These bruised or a little torrisied if hard, you may add the Meal of Lupines, Orobus, and the like, and to make them stronger, Vinegar and Honey.

With these Decoctions of Plants made in water or wine, or with Lye thereof being hot, the spots are rubbed or ba­thed especially if there be many, as Lentigines, or Freckles, with other astringents, as Roots of Danewort, Elicampane, Lillies, Leaves of Pellitory, Mercury, Mallows, Marsh-mal­lows, brank Ursine, Bugloss, scabious, Fumitory, Hops, Succo­ry, Sorrel, Violets, Cranes bill, Yarrow, Wormwood, the less Centaury, Water-cresses, and Senna, with bran and bean-flower, stilled Waters also of stronger Plants, and of Rosins, of Fir and Larke-tree.

Anoint them with the Juyce of Plants, as of the Roots of Dragons, wild Cowoumber, or Elaterium, Flower-de-luce, Gen­tian, Dock, Capars, Thapsia &c. and chiefly with Juyce of ca­pars, Leeks, Squills, Daffodil, Scabiose, Cole worts, Lemmons.

Oyl of Plants are used especially in the Morphew, as of Mustard seed, and Spurge, also Oyl wherein Laurel, and spurge have boyled, or Rose Laurel, the Juyce of Elm leaves, and of a Beet stalk, take away any spots.

The Pouders of Plants, with Vinegar, or Juyce of a Lem­mon, or Honey, or Oyl of Grease, or the Yolks of Eggs, as of both Dragons, Solomons Seal, wild Cowcumber, Briony, white Hellebore, also the meale of Lupines, Orobus, Beans, Oatts, al­so Mustard seed, Raddish seed, and Rape seed in pouder, and Roc­ket, Cabbage, Nettle, Nigella, Hatchet vetch, Ricinum, and Peach kernels torrified and poudered with Agarick, the ashes of Garlick, Lillies. and birthwort Roots,

The Grease which is taken from living Creatures, as of the Fish Thymallus takes away Freckles.

The Blood of an Hare hot, takes away spots, also the gall of Beasts, and Fishes.

Pigeons Dung, or sheeps Dung, with Vinegar, Oyl in which quick Lizards were boyled, with Wine till it be con­sumed is good against Morphew.

Also red Ants tyed in a clout and pressed till the Juyce is taken forth.

Of earthly salt Juyces, common Salt, or Salt Gem, or Ammoniacum, or Niter, or Borax made of it, Allum, Ha­lyonia, or sea Froath, with vinegar, and Juyce of Lemmons.

The Pyrites, or Fire-stone, or Lazule with strong Vine­gar.

Tartar by it self, or calcined, is also good especially the Oyl thereof, this doth excellently.

And thus may it be made: Take of Tartar of white Wine, with Vinegar made into a ball, put it in clouts under the Embers, let it be burnt a little, then use it with Honey or it self, for it will dissolve, if you quench Gold often in sack and ad a little white Tartar thereto, it takes away Freckles.

The Compounds are these, made of Plants, whose De­coction is good, with salt, common or Ammoniaok, Ni­ter, or Allum.

The Waters are thus made, Take of Docks, and Roots, four pounds, flice them, add Vinegar four ounces, Tartar two drams, Sal Niter half an ounce, distil a water for use.

Another, Take of Raddish Roots one pound, of Orris, and Dock roots, and Lillies, each half a pound, of wild Cowcumber, or Solomons seal, of unripe Grapes, each one quarter of a pound, of Pellitorry, water Parsley, Centaury the less, each one handful, of cold seeds, Rape, or Rocket seed each an ounce, of Barley bread, or Bean flower, one quarter of a pound, Turpentine one ounce; of Urin two ounces: distil them, you may add Myrrh, Frankincense, each half an ounce, of liquid Storax one dram.

Or this. Take of bitter Almonds, Peach Kernels, and Apricock Kernels, two pugils, of the Meale of Pease, Rice, Beans, each one pugil, of the four cold seeds the greater, each one pugil and an half: sprinkle them with the Deco­ction of sharpe Dock-roots, and Lemmons, or of Oranges, and Citrons, and with Ceruss, two ounces, Tartar one ounce, of common Salt, or Niter, or Borax, half an ounce, of Camphire, one dram: make a water of this paste.

An excellent Water: Take of Tartar calcined, one pound, Frankincense, or Mastich, each half an ounce, of Camphire four drams, some whites of Eggs, distil them. In­stead of Tartar, you may use the same weight of Soap.

[Page 538]Virgins Milk is good also, Take of Litharge one ounce, of Allum, Borax, Ceruss, each half an ounce, of Camphire two drams, of Tartar half an ounce, of white Wine Vinegar, one pint, of Lilly-water, and Bean flower water, each four ounces, of Rose water one ounce: boil and strain them by a philter, add the Juyce of Lemmons, water of Docks each three ounces, Bo­rax, Camphire, of Sugar candy each five drams: boil them a­gain gently, and strain them for use.

Liniments are made of the Juyces mentioned with Salt and Niter, and Borax, and Camphire.

Another Oyntment. Take of the Juyce of Dragon roots, and other Herbs mentioned of Moulein, three ounces, of meale of Lupines two drams, of Orris roots one dram, of Pigeons Dung one dram and an half, of Oyl of bitter Almonds, or of Eggs one one ounce and an half, of Oyl of Myrrh half an ounce, of Tur­pentine as much as is sufficient.

There are other Oyntments. Take of the pouder of the a­foresaid Plants half an ounce, of Ammoniacum, or Niter, or Borax, or Allum, one dram, of Myrrh half a dram, Camphire one scruple, with the Juyce of Oranges, or with Honey or Soap mix them.

For the Freckles: Take of Dragons the great or less, or the middle bark of an Elm, half an ounce, of Cuttle bone two drams, of Frankincense one dram, of Liquid Storax half a dram: make them up as before.

In the Morphew: Take of Raddish seed, Nigella each two drams, of white Hellebore, Allum, or Sal Ammoniak each one dram, of burnt Galls one dram: with Honey, and Vinegar, make a Liniment.

A stronger, thus made: Take Borax, or Niter, Allum each half an ounce, of Tartar calcined two drams, of the meale of Lu­pines, or Orobus half an ounce, the Roots of both Hellebores each half a dram, of Mustard seed one dram; of soft Soap or hard four ounces, of the Juyce of Dock roots, and Elicampane, each one ounce, of the Rosin of the Fir-tree a little, stir them well.

Verdegreece makes stronger Oyntments, if half a dram, be mixed with half an ounce of the rest, sometimes Capars alone, or with Verdegreece with Oyl of Tartar.

Or, Take of Aegyptiacum two drams, of burnt Allum one dram, of Oyl of Tartar half an ounce: mix them. If it be sharpe, add a little Oyl of Roses.

Or thus, Take of white Hellebore, and Dragon Roots, each one dram and an half, Staphsager, Raddish seeds each one dram, of Savin half a dram, of Pepper one scruple, of Sal Ammoniack one dram, of Verdegreece one scruple, of Sulphur one dram, with Vinegar make Troches, which you may dissolve with Vineger or Juyce of Lemmons when you use them.

Corroding and caustick Medicines which consume spots and Pustles, some with pain, some without, as in the Mor­phew which is insensible, which are to be used warily least they hurt the part adjacent, and must only touch the parts affected are,

Of Sublimate, and Arfenick especially mixed with the aforesaid Oyntments.

Also a little Sublimate with the white or Yolk of an Egg, or any Mucilage, or Oyl, or Grease, may with caution, be applyed.

Or the Pustles may be touched with a water made of the Decoction of the same, which is this: Take of sublimate half an ounce, of some convenient Water, to which add Rose-water six ounces: boil them to the Consumption of the third part, if this be too sharp, it may be made weaker, also you may mix Oyl of Tartar.

That Water which remains as the preparation of subli­mate, or the Aqua fortis of Gold-smiths doth the same.

Or use this following: Take of sublimate one dram, of Cantharides two drams, of Arsenick one scruple, of Wil­low, Arcoale one dram: pouder them, boil them in Water-lilly water, or Plantane four ounces, till they grow thick, add some Drops of Aqua fortis, dip a little Cotton therein, and touch the spots morning and evening, till they blister which you shall anoint with Ʋuguentum Citri­num.

Or make this sollowing Paste, and apply a bit of it dis­solved in any water: Take of sublimate, and Allum each as much as a Pease, Borax two drams: burn them upon a hot Iron, and pouder them, with Mastich, Sarcocol, and Sugar candy, each half a dram: mix them well, in a Mor­tar with soft Soap, adding a little Ox gall, and after some Bean flower, and pouder of Nuts, let them be well dryed and made into a paste, and dryed for Use.

Besides these there are other Vesicatories, as the Leaves and Roots of Crow-foot beaten, and the Leaves of Laurel, and the Milk of spurge, and the like mentioned formerly.

Also Cantharides and unslaked Lime, with Vinegar.

Also they may be taken away with an actual or ponten­tial Cautery, especially such as cause no pain made of lime and wine-Lees, or with the water made of Cauteries.

To prick many Holes is good in the Morphew, by which if the Blood flow, there is hope of Recovery.

Also it is good to shave them often.

The Cure of spots that come from a Disease was explained in the Cure of those Diseases whence they arise; The Cure of the spots in Feavers Erysipelas, smal Pox, Meazles & the like, malig­nant spots, or of the Pox, or Le­prosie, or Scur­vy. as of an Erisipelas in Feavers synochus, also we have declared the cure of the Pustles in the French Pox, Leprosie, Scurvy, which do indeed constitute the Diseases it self, as it is in the skin, and produceth them, in the Treatise of those Diseases others require no other cure but of the Disease, as those in Feavers, which vanish with the Feaver the chief cure is to keep them from external cold least they be thereby stricken in.

Also there are other red; violet colour'd, and black spots in malignant Feavers, and when the Feavers cease they va­nish, or they end alwaies with Death, which they presage.

But those spots which turn to Pustles which are called Ecthymata or Variolae, Of Pustles in the small Pox. although they often require no other cure but that of the Disease; in which we rather provoke there comming forth, then hinder them, and take no more thought of them, because they commonly vanish of themselves or dry up, or turn to little Ulcers, and so are cured of themselves: yet if these come on slowly, some things may be given which may make them sooner dry and come to maturity.

To dry them, they must be wet with this Decoction with a quill or feather, or a clout. Take of Lentils half an ounce, of the inner bark of a Tamarisk three drams, of Myrtle-berries one dram, of Broom flowers half a dram: boil them in water, adding at the Conclusion a little Rose­water.

For private Use you may put into the Decoction two drams of red Sanders, or half a dram of saffron, and they will discolour it.

It will dry better if you season it with Salt: and Allum.

The Juyce of Pomegranates that is between sharpe and sweet, will soonest dry them and others of that Kind.

That they may be sooner ripe, anoint them with Hogs grease, or rub them with the insides of Figgs, or with the Yolk of an Egg, or the like.

When they are ripe they open of themselves usually. And if not, or if it be long a doing in regard then the flesh will be eaten with the Matter contained, there will be a hollow Utcer, and there will be left a Scar, with a pit. Therefore to avoid this great Deformity of the Face, they must soon be opened with a Needle or sharpe Instrument. (which if made of Gold is supposed to leave the less scar.) It often happens that when they are ripe, the Matter en­deavouring to get forth, causeth itching, which causeth scratching which leaves them open. And this women are very sollicitous to keep their Children from, supposing that it causeth the pitting, but falsly, for it comes from their want of opening and the long continuing of the Matter. After they are open, because they are covered with a scab which is made of the dry matter, because it will fall of it self, you need not use any means.

[Page 539]But if any remain long, rub them with a fat piece of skin that is salted, or other Emollient and they will quickly fall off. And in regard they are small Ulcers, if you cleanse them often from filth, they will heal of their own accord with Application of any thing: but if there remain any Scars in the face, they must be cured as is said concerning Ulcers.

If the Pox do not only annoy the skin, but the Nostrils within, and there turn Ulcers, we shewed the Cure of them in the Ulcers of the Nostrils: as also in the Treatise of the Lungs and Jawes, if they be there. Among other things sharpe Vinegar smelt unto often, keeps the Pox from en­tring into the Nostrils.

The Cure of the discolouring of the Eyes, which comes from Diseases, The Cure of stroaks and white spots of the Eyes and of the Pox, or Meazles therein. was explained in the Diseases of the same; as Redness, in the Inflammation of the Eyes true or false, or in the Treatise of Rheums. The red or blew spots, are declared in the stroaks, and the white spots, in the spots, suffusions and scars of the Eyes.

But if the Pox or Meazles get into the Eyes, you must labour to prevent them. Therefore anoint the Eyes being shut with these following, if any of it shall get into the eyes by chance it wil rather do good then hurt.

As Rose, Plantane, Myrtle and Coriander Waters.

The common Water is that of Roses wel coloured with Saffron,

Or the Decoction or the Infusion of Sumach leaves, in the said water.

Or drop in the Juyce of the Flowers and Fruit of sweet Po­megranates, mixed with the Juyce of Henbane.

Or the pouder of Henbane flowers, with sharpe'wine, is to anoint the Eye-lidds.

A good Eye-water. Take of the pouder of Sumach flowers one dram, of Coriander seed or Myrtles prepared half a dram, of Saffron one scruple, of Camphire half a scruple, of the waters aforesaid, eight ounces: mix them well.

It wil be stronger if you ad a little Juyce of Pomegranates.

Some think that if you compass the Eyes about with sa­phyrs of Gold they will keep out the Pox.

When they are in the outside of the Eye-brows, you may also use the aforementioned water dropping it also into the Eyes, adding of Tutty prepared, or the white Troches of Rhasis half a dram. And if they turn to an Ulcer by suppuration, there is Danger of loosing the sight, and then they must be cured, as the Ulcers of the Eyes mentioned, and be sprinkled with the fine pouder of Beans, and Sugar candy, and other things mentioned in scars, to prevent and take away the scar.

Some use this Art to make grey Eyes black, Things that make black Eyes. which they take to be the most beautiful: they put into the Eye, the fine pouder of Nuts with water.

We have seen grey Eyes turn black of their own accord, in time: and I saw a Man some few years since, in the House of my Father now deceased, that had one grey Eye, and another black, which was ridiculous. And when he put his hand between his Eyes, he seemed still another Man.

When the Teeth are discoloured, and by reason of filth and scales black or yellow, The Cure of the dis­colouring of the teeth they are divers waies white­ned, as was shewed.

The discolouring of the Nails re­quire not a peculiar Cure, The Cure of Nails discoloured. unlese there be other faults as clefts, corrosions &c. of which we spake in Deformities.

For if they begin to wax black, by reason of Paleness of Body, or to have black spots underneath, by reason of some stroak or bruise, in regard the Colour is not in the Nayles but in the Flesh underneath, and is seen through them be­ing transparent, they must be cured no otherwise then was mentioned in Paleness and Bruises; and if Blackness un­der the Nails be from filth, we shall declare the Cure in the Treatise of Filth in General.

As for the white specks which are in the Nails by reason of thick Juyce, in regard they are not evil, but signs of long life especially if they be many, as in young Men, or if few in old Men they have hope of long life: therefore are they commendable,

That Discolouration is chiefly obser­ved in Hair which is exactly white, The Cure of dis­colouring of the Hair. as in old age, because it is venerable, it is not meddled with: but young people study to change. Some disdain the red Hair, and others highly esteem it. To change them into other Colours is impossi­ble, because in grey hairs, there is such dryness which takes away their perspicuity, as we shewed, that they cannot be changed: and in red and the like, the Juyce that nourish­eth will alwaies produce the like by assimulation; as we see, when hair is pluckt off, the like grows again, and in Birds if one feather be pluckt off, although all there about are of another colour, yet there will be another of the same Colour with that pluckt off, as I have often tryed in Pi­geons.

Some old men desire to be black or the like, and to seem young. The cure of grey Hairs. And young men if they have any grey Hairs in Head or Beard, as often is seen, they desire to have them like the rest, or to make red hairs black; and this is done by the Comptorian Art mentioned, by which another Colour is made that will not continue. By adding chiefly astringents which may make them black or at least obscure them; Things that make white Hairs black. but that they which grow after may be of the like colour, it cannot be done and therefore we cannot prevent the appearing of grey hairs, except we use them constantly, which is not only troublesome but hurtful for the Head; but to make the Head or Beard black, you may wash or anoint them with these following.

A Decoction, made in Lye, or Rain-water, or Iron wa­ter, wherein Iron is quenched, or of Galls, green Wal-nuts, Beech mast, Cypress, Myrtles-berries, Willow-roots, Mastich-tree leaves, Myrtles, Sumach, Mulberries, black Berries, Cy­press, Roses: and it will be stronger, if you add Litharge, fi­ling of Iron, or Rust and Vinegar, or other astringent Juyce.

The Decoction of Myrobalans is approved, and also, of Capar roots, or Leaves of Ophris like jagged Coleworts, or black Vine.

And if the head be to be washed you must ad such things as respect the Head; chiefly Sage, and Bay-leaves, and the like.

They say if you wash hairs with Wine in which a Horse­leech hath been drowned it will make them black.

Stilled Waters of the strongest Plants mentioned, may do somthing, especially if before you still them, you add Sal Niter, Sal Gem, and Vitriol.

Also a Water drawn from Ink may be good, which if u­sed by it self would black the Body too much.

Some approve the water of Danwort, with Gum Arabick.

Oyl also wherein a Lizard hath been boiled, or in which the shells of Nuts, and Allum hath been boyled.

Or that Oyl which is put into the hollow of a Coloquin­tida Apple, with a little Orpiment and rosted in the Em­bers, and then strained out, some add thereto the Seed of Henbane.

Or, Take of common Oyl, or of Myrtles, or of Mastich, half a pint, of Juyce of green Nuts, four ounces, Vinegar two ounces, Acacia, or Hypocistis, one ounce, of Galls half an ounce, of Al­lum two drams, Vitriol one dram: boil and strain them. You may also boil therein other aftringents, as Myrtle berries, Cypress-nuts, Myrobalans, Acorn cupps, Sumach &c. also Labdanum.

There are other Oyntments, as of Galls, or Pomegranate peels, and Allum, boiled in Vinegar, or Oyl

Or, of the Juyce of green Wall-nut shells, or of Acacia, Hy­pocistis, Labdanum, and Allum, and Sal Gem or Niter, dis­solved in Oyl of Myrtles, or Juyce of Beets.

Or of Litharge boiled in Lye to half a pint, whereof if you [Page 540]add four ounces of burnt Brass, it will be better, and half an ounce, of Oyl of Tartar, after it is boyled.

Another Oyntment. Take of Litharge, and burnt brass, the quantity before mentioned, unslaked Lime, ten ounces: and boyl them in water to the Form of a Liniment

We make hair black by Degrees with a Comb, if we a­noint the Teeth thereof with the aforesaid Remedies; or with the filings of Iron, or Rust or of Lead boiled in Vine­gar.

It will be of better Operation, if two drams of filings of Iron be dissolved in Aqua fortis, with a little pouder of Orpiment, and therewith anoint the inside of the Teeth of the Comb, not at the ends, least they touch the skin, and cause Ulceration.

To comb the Head and Beard with a leaden Comb of­ten, is thought a good way to make Hair black.

In blacking of hair, you must note that these Medicines are so to be ordered that they compleatly make black, least the same happen to them that use them as did to an old Man, not long since, who marrying a young Wench, desi­rous to make his grey hairs black, to please his Spouse with a sophisticated Youth: made his hair of his Head, Beard and Eye brows green, to the great Laughter of the Behol­ders.

Moreover, if the Hair be very black, and have no yel­low or inclination to brown: they that are studious of got­ting Beauty, do diminish the blackness a little.

And that they may not seem so ex­tream black, The Remedies that make hair less black. which they count un­comely, or white which the high Dutch call Steis and the French blond, they use these following.

They first wash them with Lye, and while they are wet, they fume them with melted Brimstone, and when they are dry they anoint with the poplar Oyntment, and the fume of burnt Brimstone will do it better.

The Lye of Vine ashes doth the same, or in which the the Roots of Elicampane, the greater Centaury, Raddish, the barks of the Roots of Capars have been boiled, you may add Allum and Sulphur.

Or make this Wash. Take of Sulphur two drams, of Fran­kincense one dram, Allum half a dram, Swallows Dung, two drams, of Raddish seed poudered, and the barks of Capar roots, and of Elicampane, each one dram, of Ox gall half an ounce. With Vinegar or Glew dissolved in water: make a Liniment, you may add the ashes of the white flowers of Moulein

To make hair yellow, which the Vene­tian ladies do extreamly labour for; Medicines to make Hair yellow. they are first to be prepared, that they may better take the Colour, with water in which Allum, Salt, or Niter or Tartar have been dissol­ved or boiled: or wash them first with the plain Lye afore­mentioned.

A water to prepare is made also of Agrimony, Dragons, Cuckow-pintle, with Vinegar, and the fourth part Niter, and of Honey, with Gum Arabick.

A Lye to wash hair is made of the ashes of Vines, and Oat chaff, with ashes of Ivy wood, of Cabbage, and Bean flowers; and pouder of Herbs: all these are laid upon Oat, or Barley straw, and the water is strained through them for to make a Lye.

A Decoction to wash hair also is made of water and com­mon Lye of Vine ashes or the like, in which you boyl things that have yellow Juyce, as shavings of Box, Barbe­ry bark, Orange or Citron bark, the middle bark of Elder, Roots of Celandine, Liquorish, Turmerick, the yellow flowers of French Lavender, of Mullin, Broom, Dyers flo­wer, sometimes with Rhubarb, and Saffron, and other Plants which do the same, as Nettle Roots, Agrimony, the Capilar Herbs, Barley, and Oat chaff, Lupines, Cummin, Foenugreek, also Ivory shavings, adding somtimes Myrrh, and Tartar, or Salt, or Niter.

Anoint with Oyl in which shavings of Box, Celandine­roots, Saffron, and the like have been boyled, or Myrrh.

An Oyntment. Take of Myrrh two drams, of Tartar one dram and an half, of Salt one dram, of Saffron half a dram, with Oyl in which some of the aforesaid have been boiled: make a Liniment, some add burnt Bees.

To make Hair red, Medicines to to make red Hairs. which is thought most beautiful in some Countryes, you must wash them with the Decoction of Madder roots, Ra­dish, Lote-tree rasped, Lupines, and Wormwood made in Water, or Lye, also the Juyce of Raddish, Bucks-Thorn, or Raddish water, or the Oyl of wild Cowcumbers, with calci­ned Tartar.

Alcanna, or Hanna in Barbery, (some sticks whereof are brought from the Barbery Coasts saith Lobel, being yel­low within, which Dodonaeus takes to be the Cypress of Dioscorides, different from privet, which they took for it) is the best to make hair yellow; and usual to my Know­ledg, among the Turks which admire red hair in Women and Children, and it is so strong that it dyeth the Nails al­so and other parts when they please. The Leaves thereof bruised are rubbed on, either by themselves, or moistned first in the Juyce of the Root as Dioscorides. In defect whereof, I beleeve if we boil those sticks which are brought over they will do the same: or Oyl of Cypress which is made thereof and is counted excellent for the same.

To make the Head and Beard sweet, Things that make Hair sweet. you must mix sweet Herbs, as sweet Marjoram, Lavender flowers, Cloves, Nutmegs, Musk, Ambergreece and the like, in Decoctions and Liniments.

And there is a sweet Soap which is made divers waies for that purpose.

CHAP. III. Of Extuberances or Swellings.

The Kinds of Swellings.

WE call it an Extuberancy, when the Body is not o­ver great in General, but swelleth in some part; when it hath not a part too many, but a Swelling or Ex­crescence in some cettain place growing in it, or upon it. Which when it is without the Superficies of the Body, and is without pain in its self, or if it have pain or bring trou­ble to the part affected, yet the Swelling is most regarded, is that we here speak of. As for internal Swellings that lie hid in the Body, we spake of them in the hinderance of Functions. But these external Extuberances, when they are of divers Kinds, we bring them chiefly to these two, some are General, some particular.

General Extuberances are the Swellings spoken of, which possess a large part of the Body, when either the whole bo­dy or half, or the Belly only swelleth: as shall be shewed in particulars.

The whole Body swells especially the Face, The white Dropsie. Hands, and Feet and other parts in the Dis­ease called Leucophegmatia from the white Co­lour and Moistness thereof, which causeth it: Anasarca or Hypo­sarca. and they call it Anafarca or Hyposarca which is a kind of Dropsie, because the water is ga­thered under the skin and flesh. This Dis­ease commonly follows a Cachexy or evil Habit, which declared it self before by Paleness; and it is by degrees made of that into a soft Condition: and in both the Urin continueth pale. There is Faintness of the whole Body, and there is somtimes withal a lingering Feaver, and other dis­eases, and there is Symptoms, as we said of Cachexy.

There is another Kind of white Dropsie which they call waterish from the cause, Serosa Leucophleg­matia, or white wa­ter Dropsie. in which the Swelling is more loose and soft then the former, [Page 541]especially in the Feet, and not much differing from that of the Ascites, because they will easily pit with the impression of the Finger, and it will remain long: yet this is distin­guished from the Dropsie Ascites, in regard it is general and the belly is not larger then other parts, and there o­ther signs in Ascites. There is also a third kind of Leu­cophlegmacy, in which the Body riseth into a fuller and softer Tumor, and is like both in tumor and splendour in the Feet, and Legs to the Ascites, and they swell most, and this kind sometimes comes upon a Man by degrees and sometimes suddenly.

I lately had a Virgin marrigeable, my Patient, which had a Feaver with an Erysipelas, and exposing her self to the cold with washing Linnen, fell into a difficulty of breath­ing suddenly with a watery Tumor, over the whole Body beginning first at the Feet, which water fell in her Thigh and broke notwithstanding the Tumor of the whole body remained and increased dayly: she lay a few months and then died.

Besides these, we have observed another Swelling of the Body, Face, and Joynts, that riseth suddenly somtimes, not so soft, but stretched out and yet will not pit, as if the skin were blown up and this we call the Inflation of the Bo­dy.

In the Dropsie Ascites, the body swells from the top of the belly to the feet, The blowing up the whole Body or Swelling thereof. and it is so called because the belly resem­bleth a Bottle of water. In this the Tu­mor begins at the Feet and the lowest part of them, and then it riseth to the ankles, and so by degrees to the knees, and to the lower part of the Thighs, and grows dayly higher as the Patient sits or walks more or less, it decreaseth somthing at Night when he lieth down, and pits keeping the print of the singer some time, and when it is stretched out it seems shining and transparent. The belly begins to swell with the Feet, and at length it is stretcht from the fides to the Privities, and the ends of the Ribs are thrust outward: being moved it makes a noise, and if the Patient turn upon his side, it falls forcibly down. In the skin also under the Navel, and in the black swollen, if you press it with your finger there wil remain a pit as in the Feet. The Cods are swollen as the belly and are transparent, as in the Hydrocele, or water Rupture, but greater, somtimes as big as the Head. The Yard swelling is four times as big, and transparent, and is crooked like a great Pudding. So also the lower parts grows greater and the upper parts consume.

The Patient in this Dropsie is very short winded, espe­cially when he goes up hill, or lieth down, and it is the chief Symptom he complains of; which also foretelleth a Dropsie before a tumor appear, and when it comes it in­creaseth, and from the beginning about Midnight after Concoction, there is a pressing pain at the Heart, and then short breathing, and they are in Danger of choaking, by which they are constrained to sit up like men in an orthop­naea Breathing with their Neck stretched out. And when they lie on the one side, either right or left, they cannot lie long for shortness of wind, on either side, but are for­ced to lie upon their Backs. At last the Disease increa­sing, they cannot lie down at all, because they are straight tormented thereby, and they continue Day and and Night strait up, and their Head bowed to their Breast for better breathing, sitting long they spend the remnant of their daies miserably. There strength decaies for want of lying down, there Appetite is lost: there is constant Thirst: lit­tle Urin made: the Urine is somtimes high, red, or Gold coloured, and thick somtimes crude and watery, somtimes not changed.

There is another kind of Dropsie As­cites, A Tympany joyned with an Ascites. in which the belly is far more ex­tended, and soundeth like a Drum being beaten, in which you may hear a Noise upon motion, with other accidents like the former, onely the Feet swell not alwaies as in other kinds: and this is a Tympany with an Ascites.

In the Dropsie Tympanites only the bel­ly swells, A Tympa­ny alone. and is stretched like a Drum from whence it is so called. In which the stretch­ing is so great, that being strook it sounds like a Drum and being compressed it presently riseth, nor will it keep an impression long as an Ascites doth. These breath freer then they in the Ascites, nor do they find any difficulty of breathing by lying down, neither do their Legs or other parts swell, besides there are Noises heard in the Belly, and they have pain sometimes, and are weak.

There is another Kind of Tympany in which with the aforesaid accidents, The Tympany of the Guts. there is a stoppage, Pain and Vomiting, with the Symptoms of the Disease of the Ilion Gut and Colon.

The Belly also grows great Naturally as after Concepti­on, and somtimes besides Nature in a false Conception, when there is a Mole with Conception or without, so that a Woman seems great with Child thereby: of which three kinds of tumors of the Belly we shall treat here shewing what they are, and by what signs they are known.

That growing of the Belly which is in Women great with Child, The growing of the Belly in a Woman with Child. albeit being Natural it concerneth not us here, yet that we may distinguish it from unnatu­ral, and shew that it comes not from any Disease, which women do pretend which have been irregular, and would conceale their bleeding; and that we may pronounce some certainety or probabili­ty of Conception, and that we may not mistake in this prediction which is easie, in regard the women that have conceived are at the beginning, especially very doubtful, and do exceedingly desire to know, and therefore do ask Physitians advise and send their waters, we shall shew by signs, accidents, and Experiments how you may know that a woman hath conceived.

The Constitution of a woman fit to conceive, doth with other signs make somwhat for the Knowledg of Concepti­on. This (as they write,) is when besides the soundness of Body and Temperature, (which is thought to be best when contrary to the Mans) she hath broad Loyness a large belly not too fat especially about the Privities. But since we see those that are not such, do conceive, of what temper soever, fleshy, or lean, nay the very least like Pig­myes, we can gather great Matter from thence. We hold her sit for Conception, who is between fourteen and forty five, and hath Parents that are fruitful. Also if she have formerly conceived, there is a stronge presumption, if there be a doubt, that she hath conceived.

It is necessary that before Conception she have Know­ledg of a Man, to enquire this of married people is in vain, in others Necessary, which when they will not confess it must be discovered by divers Arts, among which this is one, when there is great Suspicion, if the Physitian by the water shall affirm that she is defiled, because the vulgar people think a Physitian can tell any thing by the water; or else the Parents and Magistrates shall force confession by threats. Also if a woman shall perceive after the Use of a Man, that she kept the Seed, and that it went not out again, although through Modesty she will not declare it, it is a great sign of Conception, especially if at that time she perceived any contraction of the Womb or sucking with great pleasure, and that her Seed met with the Mans at that time.

If the Terms stop which kept formerly, their course it is a great and chief sign of Conception: by which women presently judg themselves with Child, and casting their ac­count from the first Moneth after Copulation they collect the time of their lying in. And if they doubt their Con­ception, they will freely tell a Physitian when they stop­ped; both they which are honest, and others also though they which pretend other causes of their stopping. And although in women with Child, there is somtimes some e­vacuation of Blood from the Womb at some times, yet is [Page 542]it be small and keep no order as the terms did it is not a sign of not conceiving: and if the woman at the time she conceived, gave suck and wanted her terms, as it is usual, and afterward though not presently the terms wholly stop it is probable she hath conceived, and for this cause when Mothers perceive it, they wean their Children.

If the belly grow bigger by degrees, no accidents of a Disease being present it is a main sign of Conception, es­pecially if the tumor be most under the Navel, and if it be hard and gathered together, not pitting after impression as in the Ascites, and not stretched out as in a Tympany: and keeps the same Magnitude only except its gradual in­crease, and grows not bigger when the Body is upright as in the Ascites, and less when she lies down; nor hath a tumor as in the Ascites, suddenly fallen down when she turns upon one side; when it is thus, if it be not a false Conception, or other Tumor joyned with a true, as we have feen, for then the belly swelling violently, the Wo­men are in Danger of Suffocation through shortness of Breath by which somtimes they die, except by Abortion or by lying, if they can attain to it, they are freed pouring forth much water together with the Child.

The growing of the Breasts, if other things be alike, is a sign of Conception, because in Diseases they rather de­crease, if they have Milk it is not to be doubted, which we conjecture is made before it come from the swelling blew Veins of the breasts: also the increase of the Nipple the itching of the same, and when the circle about it is more black.

When the Child begins to move which is in the middle time of Child-bearing, somtimes sooner, sometimes later, it declares its selfe and the Mother. This Motion is not with a Noise or pain of the Belly, but by stricking one side of the belly, and as it were thrusting it which the Mother perceiveth.

There is a Loathing of some Meates sooner or later in them that have conceived; some abhor wine; some vo­mite contrary to custome; others desire much those Meats which they formerly loathed, albeit they are not somtimes Meates, but other abhominable things, this Disease is cal­led Pica: as we said in the depraved Appetite.

There are also some peculiar accidents to Women with child: as fainting or weakness, when they are constrained to sit long in a place, as at Banquets, Churches, so that they find a straightness of Heart, and presently arise and take Air, and they must open their breasts that they may breath freely. In others that are Plethorick or evil habi­ted, there are other accidents, as Swelling of Legs, croo­ked Veins in the Legs and the like.

As for the Judgement of the Urine, it is uncertain and deceitful, yet the vulgar attribute so much unto it, that they suppose a Physitian can tell certainly by only looking thereupon, and if they confess there is nothing certain therein he is taken for a Fool, and if he pronounce any Judgement he is easily mistaken, and exposed to derision, as it is with many, to whom false Urins, or Urins of Cat­tel. Physitians ought to be wise and circumspect, in this least they be branded for ignorance. Therefore when they cast the water, let them ask many things of the divers signs of conception, to get from the party, and determine nothing rashly; but answer circumspectly and dubiously. First if he sees a Urin like that of a sound Body, and from thence know that the courses are stopped, which they will easily confess, he may gather that it comes not from Diseases in which commonly the Urin is crude or otherwise changed, but rather from Conception, and so by some Judgement in regard of the Urin declaring soundness of Body rather then from other signs, he shall perceive the woman to be with Child, and then he was more freely pronounce som­thing for finding out of other signs. As to other signs of conception in Urins, as the things contained, things fly­ing therein like Locks of Wool, or rather as I have obser­ved somtimes in women newly married after conception, that they have made Urin like Pus or Matter, for some dayes, without having any hurt in the Reins or Bladder; since these are altogether uncertain, of these alone there can be no solid Judgement but by all put together there may.

There is also a stoppage and dropping of Urin, in some women, when they are first married, which is a sign of con­ception: also pains about the Navel, or a little beneath presently after Copulation, and somtimes a good while af­ter, are certain signs of Conception.

As for Experiments, by which you may know whether a Woman be with Child or no they are divers: the most usual are these, Hippocrates saith that if Meade be given a woman with Aqua caelestis, when she goes to sleep, and it cause pain, she is with Child. Make a Pessary of Garlick and put it into the Body of the woman, and if she smell it or smell of it, she is with Child. But in my Judgement, it might be proved by this Argument that she is not with Child, because in Women with child the Womb is closed so that the Vapor of the Garlick cannot so well ascend that waies, but in women not with Child the womb is open, and therefore they may more easily receive the Sent tho­rough that part. Moreover, if the Urin be lik Bean broth mingled with white Wine, they say she is with child.

Not only common people, but many excellent Physiti­ans suppose they can tell whether a woman be with Child of a Boy or a Girle, but since I perceived these to be uncer­tain and erroneous, I willingly omit them, least I should seem to be a Patron of Errors.

If from a false Conception, The Swelling of the Belly from a Mole. not a Child but a Mole, in the womb causeth an ill fa­voured Tumor, as we shewed; it will have many signs and accidents like unto a true conception, therefore it is hard especially at the first to know this preternatural conception, and to distinguish it from a Natural.

First a woman of a good Complexion, fit for concepti­on, that lives with her Husband, may be subject to this, though seldom. And there is a great Suspicion of a Mole if a woman hath formerly had the same: and greater if of­ten before, as we have observed some who have had them every year, some every month, and in the mean time have not been ill, but fresh and lusty.

Otherwise as in true conception so in this, the Terms stop, and the Breasts and Belly increase by degrees, after­wards if the Mole stayeth, the belly continues in the same state, and increaseth no more as in a true conception, or if it increase, there is not felt the motion, which is when wo­men are with Child, neither is it straight but loose and bur­densom, so that when the woman turneth upon her fide it rowleth that way. From these they presume or suspect that there is a false conception.

As for other accidents, the Appetite is diminished and depraved, as in a true conception and other accidents are alike, and in regard this is preternatural they are more and worse, as the extenuation of the whole Body besides the belly, and the discolouring of the same, pricking of the belly, and long want of Apperite; by which we cannot pronounce certainties, nor by the inspection of Urine, to which the vulgar ascribe much in this case, and Physitians to seem more skilfull do connive thereat. Therefore it is very difficult to know a true from a false conception; un­till either by Abortion, as is usual sometimes in a few moneths or by bringing forth it be discovered. And a woman is past her time, being certain by the aforesaid signs of Conception, if she brings not forth, nor have en­deavours nor throws, nor other signs that shew she hath a dead child, unless this be when there is no conception, as shall be shewed, it is certain that she hath not a child but a Mole: such I have known to be kept a long time, the bel­ly being swollen, the Courses stopt, and other accidents, add many moneths or years after they have cast them forth with Danger of life, and large effusion of blood, or kept them till Death.

[Page 543]Somtimes the belly swells without con­ception, The Swelling of the Belly in wo­men as if they were with child. as in women with Child, so that they, (and others that have born Chil­dren think the same) do suppose them­selves with Child. There is the same Suspicion of Virgins if this happen to them, when the bel­ly swells and the courses stopt, because they have no o­ther Disease or accidents which use to accompany the stop­page of the Terms, nor a Dropsie, nor other Symptoms: from want of which signs, we easily distinguish this Tu­mor from that in Diseases. For this is distinguished by us from that Swelling of the belly that comes from either [...] or false conception, if the Woman be past the years [...] [...] ception, or is not come to them being too young, and [...] we may be deceived except they be very young or very old, but not, if she be a Virgin, and too that is difficult if she please to conceal her having had copulation with a Man.

In the mean time, because this Tumor is not so gathered together, hard and equal, as it is in Women with Child and they that have Moles, and because their Breasts do not increase, nor do they perceive any Motion of the child: and in regard there are signs of Plethory or Fulness of a bad constitution, by faintness, paleness, a pressing pain a­bout the Stomach, and beating of the Heart, and a change of Urin into worse: and in regard other accidents happe­ning the belly swells larger and rumbleth: by these signs we may gather that this Tumor of Belly comes not from conception, and the woman is not with child.

Also the Symptoms in this case being greater then in a Mole, shew it is no Mole, as when the time of bringing forth is past there is suspicion: and chiefly when after a large Flux of blood, the belly either suddenly or by degrees falleth down, without any Mole which somtimes is voided before that time of conception, somtimes after. And if the Effussion of blood be very great, it weakneth the Party, and leaves mischief behind, or else kills her.

Particular Extuberances are such as are in some places only, in the Superficies here and there, and in the open ca­vities as the Eyes, Mouth, Privities. And they are many and of divers sorts, and somtimes gathered together, or spread abroad. And they are distinguished first: thus some comming forth in the places mentioned do there remain: of these we shall speak first, others go in again, and of those we will speak last.

Those Tumors which continue in their places, as Tu­mors spread abroad which cannot return, as is said, are di­vers, some are softer, others harder.

Soft Tumors which yeeld more or less to the touch, as they are more or less extended, and being pressed they ei­ther rise presently up again, or else have an impression re­maining, are divided into Tumors of the flesh, and Tumors of the Skin.

A carnous Tumor or Tumor of the flesh, which resembleth new made flesh covered with skin and full of Veins, A Sarcoma or carnous Tumors. is called Sarco­ma Sarcites, or rather Sarcosis hyposarcosis or excrescency of flesh; this stretcheth or hangs from the body more or less, the Tumor being greater or less round or long or otherwise; and it is sometimes bur­densom by its weight, and hinders Action. This may grow in any external part of the Body, having skin as the whole body hath of divers formes, of which we have seen a baker carry one many years to the end of his life, round as big as his Head, hanging at his Neck with a narrow Root. Also not long since, there was a Child brought to me, who had a great round Carnosity with red Veins and a narrow Root, upon his Loins in the middle of the back Bone.

After wounds or ulcers are cured, there may remain proud flesh where they were. Proud Flesh.

In the Codds there is also such a fleshy Tumor which grows to the Stones called Sarcocele, Sarcole, or fle­shy Rupture. all Tumors in the Codds are called [...], that is Ruptures, and the Germans call this Carnstel from Caro flesh. This is easily distinguished from the Rupture or falling down of the guts called Enterocele, though they be both in the Codds, be­cause it will not yeeld to a compression nor will it be put up into the Belly, but growing by degrees (not suddenly falling down, as in the Rupture of Guts falling called En­terocele) it will be fixed, and remains united to the Stone, somtimes including, or covering it all over. This tumor som [...] grows very great, and hangs down filling the [...] stretching them, and is very troublesom with [...] [...]et not painful nor discoloured.

[...] an old Tumor very great, full of Gristies be­side [...] [...] glandulous or spungy flesh, cut off by a great Sur­geon, and after divided into divers parts by my Father of pious Memory.

Inwardly there are fleshy Tumors in di­vers parts, of divers shapes, The Sarcoma or fleshy Tumor of the Nose. covered with a Membrane; and often in the Nose there is a little rising of flesh called Sar­coma, which if it increase and grow forth of the Nostrils, or hang by the Jawes, is called Polypus because it is round and long like the fish so called, Polypus and sticks to the Nostrils by a Nerve root, and by Veins, which is red also like the inward Skin of the no­strils but without pain, by which and by its softness it dif­fers from a canker; for if this be in the Nose, as we see somtimes it is hard and pricking, and grows often very big and ends in a Carcinoma. But a Polypus, besides the filthi­ness of it, doth onely hinder the voice and breathing by stopping the Nose, and is seldom bred without some hurt before going in the Nose, contrary to that of a cancer. This they say increaseth and decreaseth with the Moon.

Sometimes there grows a carnosity in Womens Privities; The fleshy Tu­mors of womens Privities. and we have seen one called Clitoris, between the Lips of the Matrix, so great that it was as long and as thick as a Goose neck, and hung down like a great pudding, which she had all her life time, which is the cause as I suppose that many are taken for Herma­phordites, because it lookes like a Mans Yard. And this Excrescency is often in the Anus of men and women, Condyloma. with pain and other accidents cal­led a Condyloma: as we shewed in pains.

In the mouth and cheeks especially in the Gums, there is also proud flesh, The proud flesh of the Teeth when out grows them. such as covers the Teeth especially the Grin­ders, and it is called superincarnation of the Teeth; there is also in some parts of the Gums about the roots of the Teeth, a little Caruncle or piece of flesh which is cal­led Epulis. Epulis. I had of them at the farther end of the rank of my Teeth, which was soft, red, lank, and thick, which had but a small root, which some­times was bigger, somtimes less, and so it continueth still, bringing no impediment.

In the Eyes that little flesh which is Naturally there, in the comer grows sometimes larger, like a push, which be­sides its Molestation itcheth, which is called Encanthis, as the Caruncle of Natural flesh is called.

The Tumors cutaneous or of the skin which are not hard, are so called, because they are chiefly in the skin, and lift it up with a soft tumor. These are in divers parts of the Body, as the Feet, Codds, Neck, and they stretch the part. Others are only in the scarfe skin: others stretch the Veins and Arteries.

Among those rumors which are in divers parts of the Body, Oedema. that is most ordinary called Oedema, which word though it signifie any tumor, yet it is properly used for that which is gathered, soft and yeelds to impression, and is without pain not discoloured, and often it is very great.

[Page 544]There is another Oedema more spread­ing, The oedematous Tumor of the Feet, Arms & Hands. not so contracted which they call an Oedematous Tumor; somtimes swelling the whole Feet, and from the Knee to the Anckles, and making them twice or thrice as big as they were, like the former in other things. This we have known divers to have had without other In­firmity all their life time, differing from the Dropsie As­cites, or Leucophlegmacy, not only in the Feet, but in the Belly and other parts, of which we spake, but this is one­ly in the Feet, and goes no farther and is firmer, and will not pit. The Germans call these Delchenkfel, that is oyly Legs, because they seem as anointed: somtimes the hands, and Fingers, and the Arms, have been so swollen, and have continued so long, if not alwaies. And it may be so in o­ther parts.

There are some tumors which will rise in divers parts, Physodes or windy Tu­mor. in which the skin is more exten­ded, and will not pit, called Physodeis from the wind that causeth them: or if they are between both, they are called windy Oede­mas, and windy Phyctaenae.

Some tumors are onely in the Feet; one whereof like an Oedema, The Swelling of the Feet. is al over the feet, yet softer then that, and like the Dropsie. And this either comes from an inward cause, or in some Diseases of the feet, as the Scab, Antho­nies fire, or Oedematous Erysipelas, breeds with them, and remains after they are gone. It coms also somtimes after Diseases especially Feavers, and especially about the An­kle, and the Foot, shewing it self most at Night, or after watching; and when the Patient is perfectly recovered of the Disease it vanisheth.

We have seen the like in the Legs, in the length extended, The Swelling of the Leggs. and going no farther, at a certain time, comming with itching heat and pricking yet without pain and not discolouring, in which no pit would remain after impressi­on; this as it come so it went away quickly, but some have been troubled with it many years at times.

These tumors also use to be in the Codds besides those which are mentioned in the Ruptures called Enterocele, Hydrocele or water Rup­ture. and the tumor Sarcocele: of which one is more usual, which swells the Codds and makes them heavy, as in the Dropsie Ascites, which in regard it comes of water filling the Codds, as in a Dropsie is called Hydro­cele, and this we call also the watery tumor of the Codds, or the ascites thereof. This is distinguished from Entero­cele, because it yeeld not but is firm; from Sarcocele, be­cause it is not from flesh but water, which is known by the touch, and you may perceive by a candle. This is not on­ly in men but children.

There is another tumor by which the Codds are blown up like a Bladder, Pneumacele, or windy Rupture. so that they are transparent, if you hold a candle by them; which comming from wind, and swelling the codds is called Pneumatecele, which we may call the windy tumor of the codds, or their tym­pany, because they are stretched, and being strook sound like a Drum.

Besides these there is another tumor of the codds, The blowing of the Codds. usually in great Colicks, which being sent downwards, make both codds swell, in which both Stones are tormented: also this happens after strong and long Exercise. This comes often, and quickly vanisheth, of which we have spo­ken in the colick.

In Womens Groins there is somtimes a watery tumor, The watery Tumor in womens Groins. which is like the Hy­drocele in Men, as that is in the cod, this is in the Groine.

There is also a tumor about the Navel which being watery, Hydronphalos. raiseth the skin cal­led Hydromphalon: this is seldom but in the Ascites, and then the Navel is like a Bladder filled with Water.

In the Head there is a watery Tumor especially in Children, Hydrocephalon. and it lifts up the thick hairy scalp which is called Hy­drocephalon.

There is a tumor in the Eye-brows like a spreading Oedema, The Swelling of the Eye-brows. so as they seem blown up, round about, in the Diseases of the Eyes, and when they are sound, which continueth sometimes long and sometimes quickly vanisheth. This some call th [...] Oedema of the Eyes, which may better be cal­led the Swelling of the Eye-brows.

The Neck hath somtimes a great Swel­ling in the Throat, very large, The Hernia of the Throat. and stret­ched out, and will sound when stroak u­pon, and being pressed, it yeelds like a blown Bladder, and riseth again easily distinguished from a struma, because not so moveable. This tumor because in the throat, upon the rough Artery, because both are called Bronchi; and be­cause it hath the same cause that Hernia or Rupture hath, is called Broncocele or throat Rupture. And besides the Deformity it makes the voice hoarse, and breath short, and sometimes threatens Suffocation.

Sometimes there are Bladders or Bubbles which are watery and transparent in the scarfe skin in divers parts, especially Hands, and Feet, Phlyctenae and somtimes in the Ball of the Eye, called Phylectaenae, which are insensible of themselves, but being broken especially in tender parts, or being whole if the Humor contained be sharp, cause pain: of which we spake in the pains of the Eye. There are also many such called Hydroa, in the Hands and else where which foreruns or accompany the Itch; which the Germans call Shren, from the itching, which they scratch or open with Needles, to let out the water. We have seen a clear thin Bladder rise in the Eye by the Juyce of a wild Cowcumber squirting in by chance, The bladder in the ball of the Eye. that hath gone away the next day without hurt.

Somtimes there is a tumor in the veins which bring Milk, The Swelling of the breasts with milk. in the Breasts which makes them swell or stretch, or gathers and is hard: somtimes with pain, som­times with Redness about which is turned into an Inflam­mation when the pain is gone.

Also a tumor may be in the Veins that carry the blood, Varix. called Varix Cirsos in Dutch Kramp­ffader, by which the Vein is extended and swollen, as broad as a finger, blew or black, and knotted and unequal, ha­ving Swellings in divers places, some­times paining by the extension being ready to break, otherwhiles itching, An Ulcer from Varix in the Feet. it is often in the feet in many places, with an Ulcer near it, nourished by it, and therefore called Ʋlcus varicosum: as we said in Ulcers. And without this Ulcer, there are the same in the Feet, which as in Women with Child, return after Child-birth, or continue without hurt.

In other places they are as in the codd, external, and then the Veins that hold it, swell and are crooked and black; or inward, and then the internal Spermatick Ves­sels swell, and are hoisted; and are hard to touch, in so much as they who know not the Disease suspect it to be a fleshy Rupture, or a third Stone, hence such are called tri­orches, or men with three Stones. This they call Circose­len: Aetius writes that there are crooked Veins in the wing of Womens Secrets; also these will be in the Eye-brows, and will somwhat hinder their Motion.

It also happens in a tender skin and white Body, the Veins swelling, The Veins lying bare in the skin. are ma­nifest to the sight, and do rather deform by colour then tumor without any other inconvenience. And this is often in the Hipps and other places.

[Page 545]There is a tumor in the Arteries called Aneurisma, Aneurisma. either when the Artery is dila­ted, or the Mouth thereof, as shall be said in the Causes; and this tumor beateth like an Artery, but the Pulsation is great and troublesom. When this is pressed, it partly flies back, and returns back forcibly again, as big as a fist, somtimes less, it is often in the Feet and Hands, somtimes about the Throat and Breast, witness Fernelius. When this is inward, then it produceth other Symptoms, as Palpitation of the Heart, which is mentioned before in Cachexy.

Hard tumors which will scarse yeeld to the touch, are known chiefly by their places: some grow in glandulous parts: some in fleshy; some in parts without flesh, some in the skin chiefly, as shall be shewed.

In the Glandulous parts there are glandels or Kernels under the skin, Kernels. [...]hich grow hard, with an external tumor, or they may be felt, if they lie deep. These may be moved any way, otherwise then a Scirrhus, and they grow by degrees.

These are in divers parts, as the Natural Glandules from whence they are named, among great Glandles they ap­pear more, in other less: and they either come forth in many places together, or in some only.

These being inlarged and grown hard, do discover themselves in divers parts of the bo­dy at once. The Tumor scorfula. As in the Neck under the chin, where there are often many together; and they are called Scrophulaes or Choirades, because Hogs have them often in that part. They are also behind the Ears, under the Arms pits, in the Groins, and bending of the Joynts, and somtimes in the Breast and Papps of Women, and other parts swelling and hard, to be seen, or if they lie deep, to be felt. Those in other parts are usually called Scorphulaes, as well as those in the Neck, yet not so deep, in regard Hogs called Scrofi, have them only in the Neck, and other Pustles which are found in the Neck and Flesh of a Hog, which they suppose is the Leprosie, called the Meazles, are not hard Glandules but Pustles newly grown; except they be called Scrofulaes, because many come toge­ther at a time, because the Swine brings forth many at a litter. This Disease is somtimes haereditary, and usual in some Countryes; in which the Glandules either remain hard like a Scirrhus, or they break and turn into a creeping Ulcer. The first is called Scirrodes, the second Nomodes, or they end in a Carcinoma, and are called Carcinodes, and bring great hurt to the Body.

Somtimes these kernels break forth only in cer­tain places, Struma. as in the Throat, where there is som­times one, somtimes two or three, like a bunch of Grapes, growing very great, somtimes hanging down. These they call Strumae, and when they are in the Neck Scrofulaes, or if they be little, they are called Strumules; yet in regard these differ from the other, being not so many in number, and greater, neither have Hogs the like, we thus distinguish them: these we call Strumae, the other Scrofulae. These Strumae besides their nastiness and hinderance, if they lie deep in the Throat, cause Hoarsness, and difficulty of breathing. In some Countries they are so common, that they are not accounted uncomely; we have observed that one of them choaked an Infant lying deep and invisible, and the cause was not known till after dissection. Under the Arm­pits, and in the Groins are also Glanduls, either hard, or swelled and hard; and these are called Buboes, if these be behind the Ears, Bubo with­out pain. Parotis. upon the Glan­duls, it is called Parotis, and both are cold and without pain, contrary to those of which we spake, in pains: for in these of one colour and without pain, there is no Inflammation or Heat, ex­cept they come to an imposthume, out of which, as we shew­ed concerning a cold Imposthume in a fleshy part, there comes no Pus, but other matter, as we shewed: out of which kind of hard Parotis, ending in an Imposthume, and after in an Ulcer we have seen Stones come forth.

To these hard Glandules we refer the stones grown hard: The hardness of the Stones. which sometimes grow so big that the Codds hang like a bag filled and stretched out. This they call the Scirrhus of the Stones by reason of its hardness; but we rather refer it to a glandu­lous tumor: as we shewed that some Glanduls were cal­led Schirrodes.

There is a hard tumor in divers fleshy parts of the body that shineth, and is so firm, Scirrhus. that it will not be moved from the place, sometimes more large and extended, and somtimes lying deeper of one Colour and without pain, called a Scirrhus, and somtimes it is in the beginning, and somtimes confirmed. This often sol­lows Inflammations, sometimes it begins of it self, and grows by degrees: somtimes it may be turned into a can­cer, but we suppose that they have mistaken a Cancer not yet ulcerated for a Scirrhus, being like in hardness and shape, and so they were deceived, supposing that when it brake, a Scirrhus broke and ulcerated.

We have seen hard tumors about the bel­ly, somtimes many have been together, The scirrhus and glandu­lous Tumors of the belly. ma­king the Belly rise like a Dropsie, or in wo­men as if they were with Child, from which it is discerned easily by its inequality; and the continuance of it at length will shew that it was none of them; some have been so all their lives, and without a­ny great inconvenience. These we reser to the Scirrhus, except they be Glanduls in the cawle, which stretch out the Belly.

There are also other tumors in the Belly, which come from Tumors of the Bowels.

In the right or left Hypochondrion, The hardness of the Liver, or Spleen makes a di­stention of the Hypo­chondria. or side, there is distention of the Ribbs rather then a tumor, when the short Ribbs are thrust out by a Scirrhus or hard tumor of the Liver or Spleen. In the middle seat called that of the Heart, where the Ribbs divide, these tumors mentioned, (if in the Liver, in regard it reacheth so far on the right side) may be felt: otherwise we can neither feel nor see them, except by other Diseases that accompany them; in the Description whereof we have mentioned these Tumors, these are a stretching and heavy pain about the Hypo­chondria or short Ribbs, the compressive pain of the Heart, the Jaundies, Cachexy, Dropsie, which if they swel the whole Belly, hinder distinction.

In the lowest part of the Belly under the Navel, The hardness of the Womb cau­seth a tumor in the lower part of the belly. there is sometimes a hard Tu­mor, that comes from a Scirrhus in the bottom of the Womb: of which we spake in the Inflammation of the womb, from whence it comes.

The tumors of the Belly which cause pain, have been spoken of by us concerning Pain; as that which is above the Navel, between the Ribbs and comes from the Inflati­on of the Stomach, and other in other parts of the belly, comming from the distension of the Guts, as that of the Colick, when there is a Swelling on the left side against the Navel: as we shewed in the Colick and pains of the Stomach.

Somtimes a tumor like a Scirrhus is in some fleshy part of the Body, yet not so hard, but growing old, it turns to an Imposthume, not that which causeth pain and follows Inflammations, but which is without pain and continueth long, and is open, sending not forth Pus or quittour, but other matter, which if like Tallow is cal­led Steatoma; if like Frumenty, Steatoma, A­thcroma, Mel­liceris what they are. Athero­ma, if like Honey Meliceris. There are also other tumors out of which come matter like curdled milk, or like a Glan­dule, or a Nail, a Bone, or Hair, or like other things without the Body, as like Clay, a sandy stone, or hard stone, like a coale, the shells of fruit, pieces of wood, which the People think came in by witchcraft▪ [Page 546]these tumors and imposthumes have no proper and peculiar Names, and all of them, as they may be in many places, so somtimes under the Tongue; like that Tumor called Rana a Frog, but without pain, from which be­ing turned into an Imposthume, The Rana un­der the Tongue with Inflam­mation. as from that which is with Inflammation, of which we spake in pains of the Mouth, somtimes a stone hath come forth. These tumors usu­ally rise in the Head, where the skin is hairy, especially such as have soft Matter, as in other Creatures which are all hairy. These from their divers forms are called Testudo and Talpa, Testudo and Tal­pa tumors in the Head. Ganglion. that is a Snail or a Mole.

Outwardly in the Habit of the Body where flesh is wanting there are tumors in divers parts, both in and out of the Joynts, there where the Bones have nothing but skin to cover them. In the Joynts where the Tendons, Ligaments and Nerves do meet, about the Knee, Elbow, or other Joynts, there riseth a tumor sometimes called a Gangleon, which tumor growing in these parts, being uneven some­times larger, somtimes over the whole Joynt: is not so hard, yet will not yeeld; neither is it without sense, but being strongly pressed is sensible of pain, neither is it so fa­stned but it may be moved, hindering the free motion of the Joynt, and sometimes knitting the Joynt, that it nei­ther can move, or if it do, the motion is in perfect: and if it be in the Knee, on either side, or in the Hand, where this Ganglion doth often grow, covering all the Joynt, the Patient can neither stand nor go well, or without a staff, because his Feet will not reach the Ground.

There are other tumors of the Joynts called Nodes or Knots: The Knots upon the Joynts of men in the Gout. which continue a long time in the Fingers, and Toes; from whence the hand Gout, and foot Gout are called Nodi; some of which are hard like stones, other soft, and these spread beyond the Joynt somtimes, and are in other parts, as we shewed in the Joynt Gout, and how they bring pain, and hinder mo­tion.

There are also very hard tumors upon the Bones, Hard Knots upon the Bones. which cannot be moved from them, as if there were a new Bone grown to the former. These the Germans call Ʋberbian, that is bone upon bone, being they are as hard as the bone. These grow about the Fore-head, Tem­ples, and Shinns; in the Wrist, and small of the Leg and the like. These although without pain, yet if they press upon the parts adjacent, cause pain and trouble, if they are in the Joynts, they hinder Motion. And these are either such as grow of themselves, or accom­pany a Disease, The Nodes in the French Pox, and Head-ach. as the French Pox, Head-ach. In which through pain they breed, and of which we spake former­ly.

To these a Callus may be referred, The Collosity or Hardness. such as comes after Bones are broken and set again, which buncheth out above the bone, and if it reach to the Joynts, it hinders Motion.

There is also a hard Swelling upon the Nails, The hard Swel­lings of the Nails. by which they grow thick, (as we shewed in Magnitude increased) and also uneven, and are like young Nails, as I have seen.

There are also hard tumors in the skin called cutaneous. The first kind whereof is a hard and thick skin, called Callus and Tilloma. Somtimes larger, somtimes less, spread abroad less or more, or lifted up, blacker then the other skin, because thicker, being without sense or pain. This is often in the Palm of the Hands, and soles of the Feet, and between the Fingers and Toes, and is exceeding hard, I knew a Smith whose Hands were so hard that he could touch hot Iron, and hold it some time, without harm to his Hands, by reason of the Callus.

There is also another Callus which is like a skin upon the skin, called a Scar, A Scar. insensible and whiter then the other skin, and more firm, without Pores or Hairs, somtimes bigger, somtimes less, somtimes above the true skin, somtimes lying deep, somtimes like a white Spot. These come after wounds and ulcers cured.

To these may be added the unevenness of Face, which is left after the small Pox, Pock-holes. with pits like a Honey-comb, by reason of the Scars that lie low: these are not Extuberances, or Risings or even with the skin as others, yet are fit here to be men­tioned.

Also that hole of the Navel lest after the closing thereof at the Birth, The Navel pit. if it lie too deep by reason of the Callus, by which it grew to­gether, lying too deep: is here to be mentioned.

And also the Swelling of the Navel, not that which is in dropsie and rup­tures, The stretching forth of the Navel. but that which comes from an increase of the Callus.

There is a little tumor called a Wart, Warts. as big as a Pease, above the skin, hard without sense, and narrow, about the Root, by which as a stalk it grows to the skin. And if it hang far out, it is called Acrochor­don, or a Wart that hangs by a sinew so called, Acrochordon. rather because it may be tyed with a string or corde, then because it hangs like a corde, If this be discoloured like Tyme, or the Herb Thyme, and uneven, it is called Thymium. These are in divers parts often in the Hands and Feet, and many together yet at some distance and and somtimes united. Thymium. These being unseemly and the worse in the Face, from whence Cicero had his Name, because his Wart there was as big as a Pease called Cicer, do also molest somtimes and hinder.

A fixed Wart, is called Verruca sessilis, Verruca sesstlis. because it sits fast, and comes less forth then the other, like a Lupine having a broad Root fast to the skin, otherwise like the former, only when it is hard thrust upon, it feels a pricking. In this oftentimes, especially in the Face, groweth a hair or two.

Like to these is a corn in the Feet or Toes cal­led Clavus, Clavus. both because it hath a head like a Nail, and also because being pressed, it pricks like a Nail. It is very troublesom, and hinders going, the Germans cal it Egerstenany. because it is like a Magpyes Eye.

There are besides tumors in the Head especially called Vari or Jonthi. Vari or Jon­thi warts in the Face so called. They are hard and callous, moist at the top, and in the Face somtimes, and Beard, and then cal­led Psydracia.

There are other hard tumors in the Eye-brows, like Warts, one whereof grows upon the Eye-lid, Hordeolum, because like a Barley corn, without sense, itching or red. Another grows to the upper Eye-brow, and is hard called Grando, because like a Hail-stone. Grando.

That tumor which comes and goes is called Cele, which word is applyed to other tumors, called Rup­tures from the Cause; it is in Groins often both of Men and Women. It is at first small, of the Colour with the other flesh, somtimes soft, somtimes hard and uneven, be­ing pressed it goes back, and returns, and may be thrust forth by straining and holding the Breath: this is called Epiplocele, when the Cawle is broken, and Bubonocele from its likeness to a Bubo or Bubo herniosus, or Hernia inguinalis that is a Rupture in the Groyne.

If it come from the Guts falling down it is called Ente­rocele, though this tumor doth not rest in the Groyne, but falls into the Codds of Men, the Colour of the skin not be­ing altered, somtimes wrinkled. This tumor if it be pres­sed, or the party laid upon his Back, vanisheth; and after returns again, and the sooner if it be forced by holding the Breath and straining.

Women have somtimes the same in the Groyne, as Men [Page 547]have in the Codd, and it will fall downwards into a great Tumor, and it will go and come again as that of Men.

There are the like also in the Belly and other parts, The Hernia or Rupture of the belly, or Om­phalocele. and especially about the Na­vel, which is called Omphalocele, when the Navel sticks out somtimes as big as a nut, somtimes as an Apple: and sometimes there is a Tumor in the part that hangs down like a bagg, all these tumors go in by pressing and lying down, but they will return, except they be preven­ted. In these Tumors mentioned, sometimes there is no pain, nor impediment besides the tumor, somtimes there is great pain at the beginning especially in the Groyne, when it falls from thence into the Codd, then there is a tearing and pricking pain. They are commonly bound in the bel­ly that have them, and if the tumors be long out, they will vomit up their Dung, as we shewed in the Convolvulus speaking of Vomiting.

To these tumors that come and goe may be referred those that come from the windy Cramp in the Calves of the Leggs, and other fleshy parts with great pain, rising and falling again: of which we spake in Convulsions.

The Causes.

The immediate Causes of all Extuberances, or general Swellings, are from the Humors, Seed, Milk, or Blood, or Water, or Wine either single or mixed: the Cause of some tumors is the Dislocation of some part, as we shall shew.

As the Seed is the Cause of Deformi­ty, The Parents seed is the Cause of fleshy Tu­mors, Strumaes, Scrophulaes & hereditarywarts and Discolouration that comes Natu­rally (as we shewed before) so is it the cause of divers Tumors, which are here­ditary, as Sarcomata or fleshy tumors, Tu­bercula or Pustles, soft or hard, and chie­fly of Strumas, or Scrophulas which are kernels hardned in the neck. These we ra­ther suppose to have come from the Parents, then from evil diet. Also those Glandules of kernels which are in divers parts of the Body, and end in cancerous Ulcers, come often from the Parents Seed; and it appears, in that where these are frequent in divers Countryes, they will never marry til they know certainly that neither party is infected there­with. And as all small tumors may come from the Pa­rents, so may Warts and Moles like Pease, such as Tully had in his Nose, and thence he was called Cicero, and this is from the Infection of Parents Seed: as we shewed con­cerning Deformities.

As when the Seed is perfect there is a Child, Imperfect Seed is the Cause of the Tumor of the belly called Mola. so when it is imperfect there is a Mole or the like, and this will grow and swell the Belly preternaturally. This de­fect in the Seed is hard to be discovered, but if there be a production of flesh with Vessels or with Membranes, the fault is in the Man, except there be also a Distemper in the Womb. And seeing there is a Navel-vein, this ill shaped Lump must increase, and the Mother must find it Nourishment by her Courses, and she must have Milk in her Breasts: as when she is with Child.

It is not probable that a Mole should come from other Causes as only the Mothers Seed, or Terms, or from the Blood that nourisheth the Womb, because nothing can be gotten without the commixion of both Seeds; neither can it be from the terms, which though they may nourish, yet can they not be get either Child or Mole; and if that blood which nourisheth the womb produce any thing it must be a Sarcoma, or fleshy tumor, which grows to the womb, ra­ther then a Mole which is loose and only hangs by Veins, as we shewed in the Causes of Sarcoma.

That no Mole comes from wind, is manifest, for if wind be inclosed in the womb, it will rather puff it up: and we have shewed that the womb cannot be so blown up in the pains of the womb.

That nourishing Juyce which is made of Blood dispersed into the parts, The Juyce that nourisheth the parts of the bo­dy is the Cause of some kinds of Tumors. and re­sembling them and doth nourish them, as when it is good and laudable, by nourish­ing the substance it keeps it in a good temper, so when it offends in quantity or quality, it produceth general or particu­lar tumors accordingly: and that two wayes, either by producing another substance in the part, or by increasing the part.

This Juyce that nourisheth the parts, produceth divers tumors, by getting as it were new and superfluous sub­stance in the parts which grows in them or to them; And this is when it offends more in quantity, and then besides its nourishing of the parts, it produceth somthing super­fluous not unlike the part, softer and harder: or when the Juyce is too thick for the Nourishment of the part, then it produceth a harder tumor: the reason whereof shall be de­clared.

The juyce that nourishes the fleshy parts produceth fleshy Tumors, either by the plenty or by the thickness thereof.

The Juyce which sweateth out of the flesh, The nourishing Juyce sweating through the flesh is the cause of [...]ar­comata or fleshy tumors, and proud flesh, in the Nose, Gums, and else­where. for want of tunicles by which it is confined, and by which the Mouths or the Veins that bring are stopped, if it grow to the flesh, it produceth Sar­comata or fleshy tumors; as in Ulcers full of flesh and not skin'd over, there is an excrescence by reason of the a­bundance of Juyce; or if the skin of the Nostrils be eaten off with Ulcers, there wil be a Polypus, and if the Gums be seen there will be Epulis. Fleshy tumors called Sarcoma­ta, are produced inwardly, when the tunicles of fleshy parts are divided, and the Juyce is diffused out of them: as from a Contusion, by which the Mouths or the Veins are a little opened, though there follow no other hurt or Ulcer, yet there wil somtimes arise little tumors from a Contusion of the Spermatick vessels, in the cod, when the juyce being out of the vessels, causeth somtimes a sarcocele or fleshy rupture.

The more plenty of Juyce there is, the sooner is a Sarco­ma produced. And this is occasioned by Plethory or at­traction of Blood to some part, friction though the part be not hurt, or by uneasie sitting or riding may cause a Sarco­cele, the Blood being continually attracted to the part; also from moderate Venery, the Vessels being dilated there will be a flux of Blood: And if the part be disposed to re­ceive it, as being loose, it is caused sooner. Hence it is that the Gums grow so rank, and the little Caruncle in the corner of the Eye, especially when the Gums chew much and the Eye is rubbed for itching.

Somtimes harder tumors then Sarcomata come from thick Juyce, Thick Juyce it the Cause of Scirrhus, A­theroma, and Steatoma, and Meliceris. simple or Com­pound, as that called Scirrhus, daily grow­ing harder and fixed: hence are they ma­ny in the Belly, if not glandulous. And other hard Tumors which are not so fixed but at length turne to Imposthumes, in which the Matter is divers according to the diversity of the Cause, yet will they not break as those comming of blood, or suppurate, but as we shewed turn into a solid substance joyned to the flesh, or it turns to a Humor included in its proper compass, and goes away by Maturation.

And this thickness of nourishing Juyce, that produceth these tumors, comes either from the blood, or from the Juyce. And so a Scirrhus may come, of an Inflammation, not because the blood grows hard for want of Suppuration as some think, or by the Application of cold things, for then it would rather putrifie and corrupt; but because the blood being discussed by a violent Heat, the Juyce of the part inflamed is made thick and hard: besides this Cause which is thickness of Juyce, there is another which is when the Nourishment of some other part which requires that which is thick, is carried to a fleshy part. And this is proo­ved, [Page 548]in that in Imposthumes comming of those Tumors you shall find somthing like the substance of other parts, a hair or a Nail, or like a Bone, or a Kernel, which could not be but from the Juyce which nourisheth the parts; as when it resembles fat, you may suppose that some Juyce that was to have nourished the fat parts miscarried thither: or when it is like Furmenty, or Honey it shews that the fleshy juyce is not turned into Matter, as in hot Imposthumes, but into a more thick Humor, and if it be more burnt, and grow more earthy, it will resemble coates and stones. If these be included in their proper Membrane, and that be inclu­ded in membranous Juyce, they will grow alike as hath been said: which as they may be from a Tumor turned into an Imposthume, so that the juyce which belongs to a­nother part which is more hard, may cause a Schirrhus. And if it turns to a Cancer, there was some Venom in the juyce. And we think these more probable Causes then Flegm or Melancholly, which most affirm; for if a tumor should arise of them, it would not be so constant, but sub­ject to Corruption: as we shall shew in other Tumors which they suppose to come from those Humors.

Also the internal Tumors which are hard, The nourishing Juyce being too thick, causeth hardness, or Scir­rhus of the Liver, Spleen, & Womb. and in the Liver, and Spleen, and Scirrhus, which you may see, or feel under the Ribbs, and that in the womb as we said of the external parts come from Inflamation aforegoing or thick juyce, as we shewed in the cause of As­cites, Cachexy, and Jaundies, comming from these tumors, and Scirrhus, and in the Inflammation of the womb, we mentioned the Scirrhus thereof, which groweth somtimes; as the womb being small, grows larger after Conception.

In Kernels, the nourishing juyce being mixed with other Humors, The thickness of nou­rishing Juyce, is the cause of glanduls un­der the Ears, & bu­bos, Strumas, and Scrophulas. or by its plenty or thickness, being a­lone, produceth Hardness, and Tu­mors, some whereof turn to Impo­stumes and ulcerate, as Parotides and Bubones, being hard, or such as are turned into a cold tumor, and Strumas in the Neck, which commonly continue hard, and Scrofulas which turn into a Scirrhus, or malignant Ulcer.

The cause of this abundance and thickness of Juyce, is the same with that of a Scirrhus, and other hard tumor, which being thicker, nourish Glanduls rather then fleshy parts, makes them sooner swell and harden, or if it be taken from other parts, it causeth hardness where it should not be; and if the Matter be included in a Membrane or Coat, it is of the same Juyce. We deny not but Flegm and other hu­mors may be mixed therewith: but we cannot affirm that Flegm, or Melancholly alone can produce these tumors. But if Rheum flow from the Head; or Blood come to the part, there may be a Swelling but not a Hardness: and if it be mixed with this Juyce, we say it causeth the tumor sooner to imposthumate. But if water be mixed with thick juyce while this grow thicker, and the earthy part of the water dryer, it may produce stones, as we shewed in the knots of the Gout, and in the stones which we said we found in tumors behind the Ears. And if any malignant Humor be mixed, the Kernels will be worse, and easily ul­cerate; as Scrophulas, which are in many parts of the Bo­dy. In which if the Matter be corroding, the ulcers are cal­led Nomodea, if malignant Cacoethea, and if there be Ve­nom, they are Cancers. The Original of evil Humors is the same with that of malignant Ulcers whereof we spake. Wherefore some people are swollen in their Necks with Strumas, in those places, especially where they drink Snow­water; as the Inhabitants of the Alpes. And this is not like­ly, because it is in some places only of that Country, as in the lower parts of Valesia. But it is rather to be imputed to the natural disposition of mens Bodies in those parts, which is the cause that they are so common there Parents Seed being so infected, rather than water drinking: as we shew­ed in the cause of the Seed.

When the thick Juyce nourishing the Tendons, Nerves, Membranes, The Juyce that nourisheth the Membranes is the cause of a Gangleon. and Liga­ments aboundeth, it begets a hard tumor in the fleshless parts of the Joynts called a Ganglion; when it is glewed to these parts that are exercised, and produceth a like substance, especially in the Joynts, as in the Ham by reason of the violent motion of the Knee. And it may come at the curing of a Wound in any other part, when the juyce aboundeth. And it cannot be from Flegm, Ex­crementitious as they call it, being it is such a Nervous, firm and solid substance, no more then a Callus or a Node, or a Broncocele, or Tumor in the Throat, which they say comes from Flegm. This is of divers kinds, and comes from divers Causes: as we shewed in the windy Cause.

When the nourishing Juyce abound­eth in the skin, The Juyce which nourisheth the skin is the Cause of a hard skin. it causeth the hardness called Callus; as when by labour it is worn although not quite taken off, yet somwhat alwaies is taken away, and it is made thin; and then the nourishing juyce being drawn thither more by the chafing of the part, dorh require and make new skin, till there comes a Callus as in the Hands and Feet. Mechanick men have sooner hard Hands from the Instruments they use, which causeth Blisters at first by separating the scarfe skin from the true, and attracteth the nourishing Humor, which joyns to the skin and makes it hard.

The Juyce that nourisheth the skin gleweth together the Division which is made by a Wound or Ulcer, The Juyce that nourisheth the skin is the cause of a Scar. and fills up the place, and makes a Callus instead of a true skin called a Scar, which differs from the skin, because it is insensible, and more hard, not porous, nor hairy. And it is larger or less as the wound was. And if the Juyce abound it grows higher then the skin if not even; And if the Ulcer were hollow and have a Scar to heal it up before it be filled with flesh, it is like a pit in one or in many places as in the small Pox.

As it is in the Navel, if the hole thereof which sent out a Cord in the Womb, which is taken away after Birth, grow sound and skin over below, there will be a pit; but if it grow up there will be a Callus even with the skin, or if it grow too high, the Navel will be thrust out.

If that Juyce which is ordained to nou­rish harder parts get into the Pores, Nourishing juyce in the Pores is the cause of Warts and Cornes. and makes Warts and Cornes; which Juyce may come from that which nourisheth the skin, for as it causeth there Hardness, [...]allus, and Scars, so getting into the Pores it may take root and grow forth as a Wart which hangeth down, or is fixed, and as a Corn in the Feet, where being pressed with going, while it grows, can go no farther, and there is pain, by the compression when the flesh under­neath is pricked. The largness of the Pores, is the cause of this, when they should be so straight that they should re­ceive nothing but vapors for sweat. This comes in divers places, especially in the Feet, where the skin is much pres­sed in one place, and so the Po [...]es made more large, which causeth a Corn, which hath a hard skin for the same cause. And Warts come in the Hands from external Injuries, and hard tumors in the Eye-brows, called Hordeola and Gran­dines, from the rubbing of the Eyes. The like may be from the Juyce which nourisheth the Hair, if it be too thick, the Pores, and this Juyce may cause a Hair in the Wart make it grow longer; it is not likely that any such should come from Flegm, which may resemble the substance of the parts of the Body, where they are much less, can so small a thing as causeth a Corn or Wart come from a Defluxion? Neither could they come from Flegm, if they were Infecti­ous, as Rondoletius thinks in regard the juyce may have ma­lignity: as we shall shew. And if they were hereditary, they rather come from the Seed then any preterna [...]ural Humor.

[Page 549]From this thick Juyce which is for nourishing other parts when it gets into the Pores, The nourishing Juyce in the Pores, is the cause of Frec­kles. there arise hard Pustles called Freckles, or Pimples, as Warts; which when in the Head or Beard are cal­led Psydracia. For the skin being thicker, and harder there, is nourished with thicker Juyce, which coming into the Pores in great quantity, causeth Pimples, and if it be spread in the Face, it causeth the same there, by Reason of the Loosness of the part. These are fixed if they come only from this juyce, but if any Excrementitious Humor or Matter be mixed, then the Pustles will run, and turn to little ulcers.

Aso in the Bones the juyce that nourisheth them causeth Nodes, The juyce that nourisheth the Bones, is the cause of Nodes and Callus. which as it happens also in the Flesh being laid bare, so here in the Bone, when the Periostium or skin thereon is eaten away; and the juyce of the Bones which the skin useth to confine within its self to the Bone, growing forth causeth Nodes like to the Bones. And as these may come by external violence, as in Horses Feet, so in Men also, and by other Causes sometimes, which are malignant, as the French Pox: as we shall declare when we treat of that dis­ease. Also this juyce may produce a tumor; for when the Bones are broken, which wil cause abundance of juyce, there will a Callus grow to glew them together, and it will grow out from the Bone and be like a Node.

In the Roots of the Nails there is Juyce which giveth them Nourishment, The Juyce which nourisheth the Nails being too thick or too much causeth the callo­sity of the Nails. and if it be too much in quantity, it doth not onely make them too thick which is unseemly; but if it be thick with­all, it causeth uneven Swellings. Now the cause of this abundant juyce, among the rest is this, when it is drawn thither by a violent Exercise of the Hands or by hurt: as we shew­ed. And if this juyce be too thick, or be mixed with the Juyce that belongs to the Bones adjacent, it makes the Nails to be too hard and thick. And if it be mixed with o­ther juyce which is evil: it procures other inconveniences besides hardness, as shall be shewed.

The Juyce which nourisheth the Bo­dy, Crude juyce nou­rishing the body, is the cause of Leucophlegmacy. causeth enlargment by encreasing the substance thereof; and if it be crude and unconcocted, which long nourisheth the body instead of that which is concocted, it makes the body soft and faint and swollen, and is the cause of Leucophlegmacy so called, be­cause it is made of waterish juyce or flegm, which is water congealed.

And the Cause which breeds this crude juyce is the same with that of a Cachexy, which comes from the same juyce: as we shewed, when we told you, that it came from crude Blood which produceth such Juyce. And that it came either from the Foot, or from some Distemper of the Bowels, as the Stomach which leaves the Chylus imperfect in the first Concoction, or from the weakness of the Liver and Spleen, from Distemper or other Diseases; as Obstruction and Hardness, by which meanes the blood is not sufficiently wrought in the second Concoction. Hence is this evil juyce so plentiful in the Veins, which nourishing the Habit of the Body, first breeds a Cachexy, which useth to go before a Leucophlegmacy, and produceth it certainly if the mat­ter increase. And we have shewed how the serous or wa­tery Humor mixed with the crude produceth the same.

Crude juyce gathered in some parts causeth the Tumor Oedema, The crude, nourish­ing juyce, either a­lone or mixed with water is the cause of the tumor called Oe­dema. which is spread abroad, and in which the sub­stance of the parts where it is, seems rather to be enlarged soft and swol­len, then filled with Excrementitious Flegm, which they say is the Cause, and therefore is harder to be cured. Also when Water is mixed with the juyce, it produceth tu­mors that are more soft and watery, which we call serous Oedema's, these are especially in the Thighs, which make them look like a Dropsie.

We have shewed the Causes of these last in the Treatise of the serous Humor; but for the cause of those which come only of crude juyce, somtimes it is the same with that of a Cachexy and Leucophlegmacy; if it come to the part through the weakness thereof; somtimes only the evil con­stitution of the part, by which it doth not so perfectly turn the blood brought thither into its self, but leaves it crude and imperfect, may be the Cause; if the part be cold, weak, looser or fainter, from Diseases or hurts received.

Abundance of Milk in the Breasts cau­seth a Tumor which distendeth the whole Breast, Plenty of milk is tho cause of the Swelling of the breasts. or some part thereof wherein it is gathered. The plenty of Blood is the cause of this plenty of Milk; but chiefly the retention and collection of Milk alrea­dy made in the breast, commonly after Child-bearing which is the time of giving suck, in which if Women give not suck, as some do not, they are subject to swollen breasts, somtimes though the Infant do suck, yet in regard it can­not suck them clean by reason of the continual increase of Milk, the same may happen. Women when they have wea­ned their Children, are troubled with this some sew daies after. And they seldom have it before they are delivered, albeit they have Milk, and their Breasts grow bigger. Some say that not onely the abundance of milk but the curdling thereof is the cause of this Tumor of the Breasts, which if so, the Tumor would be rather gathered and hard, as som­times it is, in that place wherein it curdleth, rather then a general Swelling, and this would be so because the Milk is out of its proper Vessels, and then in regard curdled milk as clodred Blood cannot be long in a part without corrup­tion or Suppuration, nor can they easily be discussed; this tumor would quickly be an Imposthume.

We shewed in pains, Blood filling the Veins is the cause of crooked Veins called Va­ricae. how Blood car­ried out of the Vessels caused hot Tu­mors with pain. And somtimes when it is in the Vessels it causeth tumors, as it is in the Veins or Arteries; if in the Veins, they are swollen and crooked, by too much filling and dilatation, and somtimes they are in some places more swollen like baggs or Nodes stretched forth, made clear and transparent through dilatation, and the Colour of the Blood is seen through, and they appear blew and black, straight or crooked, and if they be so stretched, that they presse the adjacent Nerves, or if the Matter contained in them do offend the Nerves there is pain. And the blood will do this sooner in those parts which are dependant, and from whence it cannot so easily ascend as in the Leggs, where these Varices are most usu­all and large: as from the same Cause, there is the tumor called Cirsocele, in the inward Vessels of the Codds, but this is seldom, because the Blood will not come so violen­tly into such narrow Passages, but by some extraordinary occasion. Moreover, Blood sent into other Veins of the skin gets Varices, especially where there are many Veins as in the Scrotum, or Cod, and the Eye-brows and the like. But these are different as the Blood, for if that be tempe­rate and pure they are less, and only are offensive by their being stretched forth: but if the Blood be hot or foul, or mixed with Choller, they burn, and are more troublesom, and sometimes have an Ulcer at the bottom, where the Blood setleth, as in the Legs is usual if the matter be sharp and it will be a creeping, corroding Ulcer, which many suppose comes from a Melancholick Humor, as all other Varices, because they look black, when pure Blood seen through the skin may seem so, & the rather when it is foul.

Now the reason why the Blood is carried so fast to that part, is from the part, and from the blood it self: as when there is too much Blood as in a Plethora, and Women with Child, by reason of the Terms stopped in the Veins of the [Page 550]Womb, and being more then will nourish the Child, hence it is that they have these crooked Veins in their Legs, be­cause their blood being stopped is carried thither, that is into the Legs, which Veins consent with the womb, as appears by letting Blood in the Foot to provoke the Terms; and after they are delivered, the blood being purged by the Womb as is usual, these veins fall down, except they be too much di­lated. Also blood sent by the Veins into the extream parts by reason of its evil Juyce, produceth Varices or crooked Veins, and somtimes ulcers let the Blood be what it wil, it produceth Varices by its violent motion, therefore they are chiefly in the Feet, by reason of much Exercise But hard travail and long and great throws in Child-bed, are the chief cause of Blood flowing into the Feet, which pro­duceth these Swellings of the Veins. Also immoderate Venery, because it forceth Blood violently into the Sper­matick Vessels (which hath been somtimes known to come forth instead of Seed) and dilateth them, may be the cause of the Swelling called Cirsocele, which is of the Veins in the Codds. And those Swellings come the more when the part is weakned, and fit by its loosness to receive a Deflu­xion: and when the part hath more and larger Veins then others, or when it is dependant and lowest as was said.

There is another tumor rising from Blood gathered about the womb in the Veins thereof, Blood in the veins of the Womb cau­seth the belly to swell as if the wo­man were with Child. and stretching them out: which causeth that Swelling in women which we shewed, made them look as if with Child before Conception. And this comes from Blood, because the Courses have long stopped, and it will not be dissolved but by a Flux of Blood. And it appears that this blood doth not cause this tumor by getting into the Cavity of the Womb, and by filling it till it stretch, be­cause the womb is fleshy and Nervous, cannot be enlarged by any Humor, as a Membrane, and it cannot be enlarged but by the growth of a Child or Mole: as we have shew­ed. And if it were filled with blood, it could not be kept there long, and would be corrupt and putrified, which it doth not, because alwaies it comes afterwards forth, thin: and though some Clodds come therewith, it shews that they grew so by stoppage at the first, and caused this Swelling. Now from hence we conclude that this Swelling of the Womb came. Because blood being a long time retained in the Veins of the Womb, doth not only enlarge them ex­ternally in the outside of the Womb, and make them croo­ked and swollen; but these Veins in the substance of the Womb, which at other times are small and scarce appa­rent, being now filled and dilated by degrees, do lift up the substance of the womb, and make it larger: and so the Swelling of it, and the stretching of the veins external, cau­seth this Swelling of the Belly, which when the Courses flow, and the veins grow empty, is asswaged except some other Disease happen, as Cachexy, or beginning of a drop­sie, when the Belly is so swelled with wind or water, (as we have known it in Women with Child) and then the tu­mor is altered, and will not be gone with bleeding.

I have observed in two full bodied Women, this gathe­ring and stopping of Blood in the Veins of the Womb, which caused a Swelling of the Belly with distension, and puffing up, or inflation of the Breasts, (as in Women with Child) whom at first I judged to be with Child, which was their Hope, but not long after, the Courses flowing plen­tifully, they were freed both from Swelling of Breasts and Belly.

Blood in the Arteries causeth that beating Tumor called an Aneurism; Blood getting out of the Arteries under the skin is the cause of the tumor called Aneurism. which they suppose to be from the di­latation of an Artery, as the other was from the Vein. And it was formerly declared, that this only may be in the inward Arteries, and that from an in­ternal Aneurism, Pulsation of the Heart and Arteries may proceed, when we spake of that Disease. But since the Branches of the Arteries do not spread themselves to the skin, nor are they fastned unto it, as the branches of the Veins are, this Swelling cannot be like that of the Veins, except by chance an Artery do so swell in some part near to the skin, that it appear external and cause Pulsation. And if this be so, it must come from the same Cause from which we told you in the Palpitation of the Heart, the in­rernal Aneurism did proceed.

But an Aneurism doth not come only from the Dilation of the Artery, while it continueth sound and whole, but often, though not alwaies, if it be external, it comes from some manifest apertion of the same: For then the thin Blood which comes out of the Artery, gets under the skin and makes it swell, and there makes a Hollowness into which the Artery disburdens its self, as it is wont to do in the Brain Naturally, so here preternaturally, by throwing forth the Blood with the Spirits in its Diastole or Dilatati­on, and drawing it again in the Systole or Contraction of it self, and this causeth the Pulsation in this Tumor.

Now the opening of the Mouth of the Artery, is the Cause of this Bleeding, when being dilated by the Causes mentioned, it doth not only swell, but makes way under the skin for the Blood to get forth, by opening the mouth through the Distension.

Or if the Artery from the force of that spirital Blood be so compelled, that it is stretched forth and opened; or be hurt by any external sorce, so that it be broken externally, it may send blood under the skin: as we have declared.

But it is apparent that this happens not from an Artery broken, or by stretching opened internal, but external; in that the Mouths of the Arteries which end and shut up the same, have their termination in the extremities of the Bo­dy, where the Arteries end: and if an Artery inwardly hurt or opened should bleed, the Blood would fall into the Ca­vities of the Body, neither would it produce a Tumor, such as many times is inward, also when the Artery is onely stretched.

Moreover that an external Aneurism comes often from the effusion of this Arterial blood by the Causes aforesaid, un­der the skin, and not from the dilatation only, it appears in that the Tumor is round rather than long, like the Artery dilated, and not wrinkled or twisted like a Varix.

But it appears chiefly by an incision made in the skin swollen, that the blood was lodged there, because it leaps out suddenly, and often in such abundance, that, (as it hath been observed) it could no waies be stopped, but the Patient hath bled to Death; and that this Aneurism came by the breaking of the Artery appeared by the leaping, and in regard the Pulsation was such, and it had long continu­ed and was grown very big. We also saw a woman loose a great deal of Blood with great Pulsation from the ope­ning of a Vein, which could scarce be stopped, although many Remedies were applyed: having a beating Tumor after the wound was healed, which declared it to be an A­neurism. And this came, either because the Artery was cut by chance, in the fleshless bending of the Arm, where the Tumor was, by reason of the blood ebbing and flowing under the skin, after the wound was healed in the skin, and not in the Artery: Or because the Mouth of the Artery was fresh dilated, before the incision was made, and that caused that when the skin was cut there was a Flux, which caused a Tumor after the cut was healed. Neither can an Aneurism not be from the Arterial blood, when it is under the skin and corrupted, although this may be when blood is sent from the Veins into the empty spaces: yet when Blood leaping from the Artery thus opened, returns again, and the skin is instead of an Artery, it may be without con­cretion, as when it is in the Artery. And because this can­not be in the Veins, an Aneurism cannot be from venal Blood.

A watery, serous Humor, produceth in divers places both general and particular Tumors, because it is contained in divers parts of the body, as in the veins which are disper­sed all over, and Bowels into which they are sent, or in o­ther [Page 551]Vessels being separated from the blood: from which places, somtimes simple Water, otherwhiles mixed with o­ther Humors comming forth, produceth divers kinds of Tumors; differing exceedingly, as they are in the cavity of the Abdomen, or Belly, Codds, Groyns, or in the su­perficies of the Body, either in the inferior parts only or al over: as shall be shewed in particulars.

A serous Humor like Water, getting into the Cavity of the Belly, Water sent into the Cavity of the Abdomen is the cause of the drop­sie Ascites. or Abdo­men causeth the Dropsie Ascites: and then the belly swells more or less accor­ding to the quantity of the Water, and is somtimes so full that it grows very large, in which by tapping we have seen taken from the Living, and found somtimes in the Dead, threescore pound weight and above of water, when much had formerly run out at the Feet; which water doth not only burden with its weight, but by pressing lying and hindering the free Motion of the Diaphragma or Midriff, causeth difficulty of breathing, of which they so complain, and especially when the water goes more to the Midriff and oppresseth it; hence it is that they breath better when they are standing, for then the water goes downwards. And if the same water weaken the Bowels, Liver, Spleen, Veins, Stomach, and Guts, by making them too moist, or by its saltness or sharp­ness, from mixture with other Humors, or by its Corrup­tion through long continuance, till it stink, make them too dry; the Mesentery Cawle and Reins will be dryed and drawn up, and the Fat clodded as we have seen. Or if this water corrode the exulcerate in any part, or putrifie the same, we have seen the Cawle yellow, and stinking in ma­ny, as well as contracted, and the Midriff hath been found the same in and opening of Hydropical People; if this happen, or if any other Bowels be hurt by this Water, it will produce worse Symptoms in the hurt Functions of na­tural parts, as want of Appetite, Thirst, Cachexy, Atrophy and Diarrhaea and the like, as by Corruption and Gangren of the Stomach, by the water long contained therein, a Vomiting with Heat and vehement Inflammation of the Oesophagus or Wezand, which I saw in an Hydropical Woman, which a liltle before her Death, vomited often a­bundance of black, stinking Water, with great Inflamma­tion of the Throat.

The cause of this water in the capacity of the Belly, is from the parts of the lower belly, which contains the Wa­ter, or from the Bowels that are ordained for Sanguificati­on, as the Liver, Spleen, Reins, or from the Veins which go through those parts and the rest, or from the Bladder that holds the water; from which, if they be divided or the continuity dissolved by Diapedesis, by which it is strai­ned, or Anastomasis by which the Mouths are open, this water falls: as shall be shewed in particulars.

Fernelius witnesseth, that there is no Dropsie but it is caused by the solution of the continuity, or Division, of the Parenchyma or substance of the Liver. And this by Ana­tomy we have often known; And that chiefly when the substance of the Liver is cleft and gapeth, from whence the water passing by it from the Vessels of the hollow and gate Vein, and sweating under the Coats, being there constrain­ed, fills them with water, and makes them like bladders by separating the Tunicles from the parts under them, which being broken, the water runs into the Belly: we have of­ten seen these Bladders very large and clear, growing to the Liver and Spleen, in Men dead of the Dropsies, and in an Ape, and Butchers find the same in Cattel. And when these coats are corroded, the water falls directly into the belly. The great Dryness of the substance of the Liver which makes it grow less, is the cause of these clifts in the Liver. And this came rather by a hot then cold Distem­per, as appears by the great Thirst of Hydropical People, and the high Colour of their Urin, and other signs of heat rather then cold: and in regard they have it that time most deliciously with spiced meats, and drink the strongest wine, and so continue, being young, or aged, at which time they fall into a Dropsie, by reason of the Dryness of their bo­wels, and they jestingly complain that they are troubled with water, though they never drank it in their lives. And this we have observed to have been the chief cause of drop­sies in our Country, and we perceive that a perpetual thirst in Drunkards, which they long have had from the hot Di­stemper of their bowels, which makes them ever drinking, is a most sure fore-runner of a Dropsie, if another Disease doth not prevent it by Death.

This also may come by heating of the Bowels immode­rately with hot Medicines with which Women labour to warm the Stomach and Womb: or when they have other cold Diseases.

These bowels may also be dryed and cleft by hot, sharpe and constant Diseases, as Feavers, and Jaundies, and there­fore the Dropsie which sheweth rather the signs of heat then cold, followeth these Diseases.

From a hard Tumor of these Bowels either all over them or in any part in the concave or convex part of the Liver, or in the Spleen, may these Clefts come, from a Scirrhus of the Liver or Spleen, or any other Tumor which will turn to an Imposthume; Or there may be such openings by which the water may fall into the Abdomen, because from this Hardness the Tunicle quickly cleaveth; and if it imposthume and ulcerate, then there is way made for the water: as shall be said in Ulcers. Which is the cause why that Hardness, or Scirrhus or hard Tumor that turns to an Imposthume in the Liver or Spleen bringeth a Dropsie, be­cause if there be Hardness without fissures or clifts, that would rather cause the Jaundies, Cachexy, or Atrophy by stoppage, then a Dropsie, which follows the hurting or clefts of the Bowels, which comes from those stoppages: and hence it is that other obstructions of the bowels, when they do not divide the substance of them externally are not alone, the cause of the Dropsie Ascites, as they are of the Diseases mentioned, and somtimes of the Anasarca Drop­sie: as we said.

The cause of this Hardness or Scirrhus, is the Dryness of the bowels which cleaveth them, if it be so active that it dry them hard, and this dependes upon hot meats, drinks, Medicines and Diseases. Or that which is the cause of these Tumors, as of a Scirrhus, or that hard tumor which imposthumateth, outwardly in the fleshy parts of the body, may also be the causes of these in the Bowels. As the too thick juyce with which the bowels are nourished, which comes from the Chylus and Blood from whence it is made or from the mixture of some other juyce, which belongs to another part; and that which turns into an Imposthume hath Diversity of matter in it, as hath been often found. Nor can the substance of the Bowels, but the Vessels onely be so hardned from choller and flegm: as we shewed in Obstructions. But an Inflammation of these parts, if it cause a Scirrhus, doth harden them rather by thickning the Juyce that nourisheth them, then any other wayes: as we shewed in an external Scirrhus.

When the substance of these bowels is hurt about the su­perficies, the water may be sent into the belly; as in an Hydropick Maid, we saw the Liver on the one side with a sungous Tumor growing thereunto, in which there was somewhat congealed, from which a serous Humor might distil. Especially if the Liver and Spleen be ulcerated, so that the Ulcer pierce to the Superficies, the water which sweateth out, as in other Ulcers which are alwaies moist, may cause a Dropsie. Which Ulcers coming after Inflam­mations suppurated, or Tumors aforesaid ending in Impost­humes, and sending forth Matter, do cause a Dropsie at length. Other Hurts do follow such as come from exter­nal Injuries by contusion; And we knew two men thrown from a Horse upon their right side, having first some Sym­ptomes of a hurt Liver, who died of Dropsies. The same may be come by an external Wound reaching to the bo­wels, except Death prevent it, by leaving an Ulcer. Also corruption of the bowels totally or in part, as we have of­ten seen, is the cause of a Dropsie, which follows Tumors [Page 552]or corrosions, or ulcerations, or other hurts of the bowels, from the causes aforesaid. Also if the Tunicle of these bo­wels be corroded by water putrifying in the belly, or the substance of them hurt, there will be an increase of water in the belly from the Serum, or Whey, which comes from thence. We have also observed that when the Tumcles of the Liver and Spleen, and the Peritonaeum or filme of the bel­ly, where they lye have been corroded by this water, they have so grown together, that we could neither separate Li­ver nor Spleen from the Diaphragma to which they grew, with tearing of the Tunicles, from whence the Serum or water might flow into the cavity.

In the Body of the Reins which consists of a bloody sub­stance like the rest, if continuity be dissolved as is said, the same may be, and the Dropsie Ascites may come from thence, and we affirme this by Reason and Experience. For seeing Whey or Serum is carried to them continually not only with the Blood by the emulgent Vessels, but is also continually by them there laid up, if the substanee of the Reins be open or divided, the water which drayneth from them as from other parts, and making Bladders, or pre­sently piercing, may sooner flow and in more plenty from thence, then from other Bowels into the belly, and may make a Dropsie Ascites which may last long, because the hurt of the Kidneys especially if but of one doth not pre­sently kill a man, but cause a long Disease, and when one is gone, as we said, the other may serve a long time. In which case, besides other Accidents which come from the col­lection of water in the Belly, we find somtimes some mat­ter if there be an Ulcer, and they piss less, especially if both Kidneys be hurt, because much of the Urine is car­ried continually into the belly, and comes not to the blad­der as it ought. The Causes of these hurts in the Kidneys may be the same with those of the other Bowels, as over Dryness of the same, as may be, which also may cause the stone, as we shewed, and this may be not only by age, hot Diseases, but by hot Urins through the use of hot Meates, and especially Wines.

Moreover Ulcers in the Reins internal and external be­ing more or fewer, may cause the Dropsie which springs from the defect in the Reins: as also the corruption of the Kidneys when they are so consumed that they hang as we have seen like a Purse. Also other hurts internally and externally caused: as contusions and wounds.

Moreover we are more bold to affirme this, not onely from what hath been said, but because we have often seen it; for when a certain Noble Man that had the Dropsie ascites seven moneths, was opened after Death, and we had sear­ched all the Bowels of the lower belly very deligently, and had found no other fault, but that the water long contai­ned in the Belly, had by stinking brought to the Peritonae­um, Midriff, and Cawle; we found that both Kidneys were deeply fistulated, with many Ulcers, so large that we could turn a finger therein, with Bladders full of water upon them, which fell down when they brake, and the ex­ternal coat of the Kidneys was eaten every where through. We gathered that this came from great drinking, because from his Youth he used it, and was very stout at it, and seldom made water. To which did much conduce, his use of spiced and hot Meates continually, which do dry and burn the Kidneys as other Bowels, especially since they were corroded by Retention of Urine.

From the branches of the Veins of the inferior Belly, es­pecially from the Vena Porta, which come from the Guts and the Stomach by the Membranes of the Mesentery and Cawle, and gathered into two stocks, and fastned by the right to the Liver, and the left to the Spleen, by a Diapede­sis, when the Coats are made thin. or by Anastomasis, when the Mouths are open, especially of the Veins which are dis­persed from the great stocks into the Omentum or Mesen­tery and there ending, being laid open: if water flow plen­tifully and more then serves from the Natural moistning of the parts least they wither, and be gathered in the belly; The Dropsie Ascites may also be produced. And that this may be, and that the water may flow from the Veins men­tioned by the blind Pores and Mouths without solution of continuity, and that without mixture of Blood, or Tincture thereof, appear thus, because as into other parts it breaks forth suddenly and in great plenty, both internally by di­vers Defluctions, as also externally by Sweats, Tears, Snot and by the Womb fluxes; so also in the Meseraiks, there may not only be some Natural breathing of Moisture into the Belly, as we may perceive a constant Moisture, but it may preternaturally fill the Belly, and the easier, because in those Veins the Whey which is made of Meat and drink, and continually brought with the Chylus, doth more a­bound then in other parts. And as in ordinary Fluxes cal­led Diaerrhaea; or in such as are caused by purging: This water or whey, returns back without Blood by the Mouths of those Veins by which it entered, even so by the internal Mouths by which the branches are closed about the ends, being laid open it may flow into the Belly without any Tincture of Blood.

By the same reason doth the Serum or Whey seperated by the Kidneys from the Blood flow into the Bladder, from all which we gather that the Dropsie Ascites may come though others think it impossible. Also in opening of men that died of Dropsies, when we have seen no manifest solu­tion of Continuity, but abundance of water in the belly and Veins, conjecturing that it came that way into the Bel­ly, we were bolder to affirme it, because in a Hydrocelae or watery Rupture, the water may from the same Cause flow into the belly, and thence into the Cod, as we shewed

The Cause of this Anastomosis and Diapedesis or ope­ning of the Vessels in the Meseraick Veins, is too much Serum or Whey therein, which opens them by stretching; or tenuity or thin waterishness which easily pierceth, For then, it being in the Meseraick Vessels, except it go back by the same waies by which it entred into the Guts, and so be purged forth by stool, it breakes through these Vessels and falls into the Abdomen or Belly. This abundance of water is the cause, when its passage from the Meseraicks by the Liver into the hollow Vein is hindered. This hap­pens especially when the attractive Faculty of the Liver is weakned, so that it cannot attract the Serum, and send it to the hollow Vein, which is mixed with the Chylus, and is also a Portion of the blood, and somtimes separated from it, for Reasons mentioned in the Cachexy, which comes from the weaknes of the Liver. They have also concei­ved that the passage may also be hindered by the Obstru­ction of the Liver with a Humor, or Hardness or Scirrhus; which if so great as that it stop the Serum from coming to it, the blood shall be hindered also, and then there would be an Atrophy sooner then a Dropfie; but without that, the same may happen, if the Serum which is in the hollow Vein, and cannot get its Natural Passage by Urine, is so much in quantity, that it being not able to subsist there, it is sent by Nature by its branches into the Liver, and the branches of the Gate-vein: Or flie otherwise back and so be gathered together.

The cause of this may be the weakness of the attractive Faculty of the Kidneys: Or an Obstruction so great, espe­cially in both Ureters, that the Serum cannot get into the Bladder. The cause of which we have declared in other Symptomes of Pissing.

It hath been thought that the same may come from stop­page of wonted Sweat, but this cannot alone be the cause, or without another, because at that time the serum may be evacuated by Urine. Also the superfluous Generation of Serum: the cause whereof we shall shew in the Causes of Leucophlegmacy, if it be joyned with the rest, will sooner produce a Dropsie, and being then a greater quantity of water, it will sooner pass the waies shewed into the Abdo­men. And as this comes from Moisture taken in, so the Dropsie Ascites comes by continual Drinking, not onely through the hurt of the Bowels caused by much Drink, but because there is plenty of water thereby, in those usually who piss not according to the proportion of the Drink re­ceived, [Page 553]but the Serum abounds in the Veins, by which they are heavy, and they complain of Heavyness and Extension of the, belly before they have a Dropsie.

It may be declared by probable Arguments, and certain Demonstrations, that the water falling into the Belly may Cause a Dropsie, by the dividing of the Meseraick Veins which contain the Omentum and Mesentery. For somtimes by an external chance, when any Vein is by violence broken, many have had a Dropsie. For first Blood and Water have flowed from thence into the Belly, and when the Wound hath been tur­ned into an Ulcer, or to corruption of the Bowels, which have been found after Death; a Dropsie hath followed by the continual Distillation of water from thence; and com­monly bloody stools and vomits have gone before, after­wards mattery and filthy. Which Ulceration or Corrup­tion, by which the Serum falls down, may come by a Cor­rosion in the Omentum or Mesentery, where the Veins are: when sharpe and malignant Humors, retained in these Veins, which use to be full of Excrements, eates them through, and so may cause a Dropsie: As also if this cor­ruption in the Membranes and Vessels, come from the long retension of stinking water, as we shewed, we perceive in all Dissections of Dropsies, that the Omentum and Mesen­tery are by this means infected; which being so, though it be not the chief cause of the gathering of the water, see­ing it came from other parts: yet because it then distilleth from thence, it causeth the water to increase, and the more when other Bowels are so infected with this water, that they are also broken.

It is credible that water may fall into the Belly and cause a Dropsie, from other veins that press inward, as the Vena cava or hollow Vein, and its branches dispersed to the Reins, the Womb, and other parts, as Muscles, and Membranes, by Anastomosis or Diapedesis, which are when they are opened; and especially in a Cachexy or the like, wherein there is much water, and more especially in wo­men, who used to have Evacuation of this water, by their courses or after them by the whites, which being stopped causeth the water to find out another way out of the veins. In these Veins it cannot so easily come by solution of continuity, because if it be in the greater Veins, there will be a bloody Flux which will prevent a Dropsie by Death, and the lesser veins lying deep, are not so subject to Jnju­ries as those called Meseraicks, which are in the Omentum.

We have found in the Anatomy of Hydropical Persons much water in the Navel-vein, where it is joyned to the li­ver and Peritonaeum being dilated, which in People of age resembles rather a Ligament, then an hollow Vessel.

Somtimes we have found it not only there retained, but carried to the Navel by the vessel that endeth there, and ga­thered under the skin, and to produce a tumor like a blad­der of water, and from thence to flow into the Belly, and to break out of the Body so plentifully that the whol belly was emptied.

We saw one that had his Belly swollen before he died, from the breaking of his Bladder, and his urin dispersed in­to his belly; in regard another had leaped upon his belly, when he lay upon the ground drunk, which brake his blad­der being stretched out with Drink. And it is probable that the same may happen from the breaking, or otherwise opening of the Ureters when the water flows out, and that a Dropsie may come from thence, because they may live long after. This I have observed in a Child, which new born, lying in his Cradle, after a long suppression of Urine, voided a little stone and much Urine therewith, and grow­ing older, died miserably of a Dropsie with shortness of breathing, having first had great pain in his right Groyne, when his Urine was stopped for a time, till his Ureters broke which caused the Dropsie.

If water fall into the cavity of the Cod it will either cause that Tumor which is in the Dropsie Ascites with Swelling of the Belly, Water fallen into the Codds is the cause of Hydrocele, or water Rupture. or the Hy­drocele, which is without a Drop­sie. And this tumor being waterish comes from no other part, then the belly in both cases, into which it first fell, and from thence fell into the Codds. And that two waies, the one by Aanastomosis or Diapedesis, which is when the water goes under the skin from the belly into the Codds: as in the Dropsie Ascites, where it falls the same way, into the Feet also. The other way is by the Peritonae­um, which brings the seminary Vessels to the Codds, if it be so enlarged that the water gathered in the Belly, may fall by it into the Codds, for albeit the relaxation be not so large, as that is by which the Guts fall into the codds, yet if it be small, the water may distil by drops. And this relaxation may come from the water only which moistneth that part of the Belly, where these passages are, without o­ther force, but if such be, there is a greater Dilatation and Rupture, the way being enlarged; and the Codds are soo­ner filled: as we shewed in the Dropsie-rupture. But if Moistness be the cause, only it will come with much wa­ter, as in the Dropsie: but in the watery Rupture, it will come slower, because there is but little water, and falls by degrees into the belly, and so into the codds.

And we have shewed that not only solution of continui­ty in the Bowels and Vessels, but also Anastomosis and Dia­pedesis of the Meseraick Veins, may be the cause of gathe­ring water into the belly in a Dropsie. And this seems to proove that in a Hydrocele, the water doth sweat through or drop from the Mouths of the Vessels, because that in this case, they have no other Disease but Swelling of the Codds, and it is long a growing, and the water is by De­grees carried through the Tunicles of the Veins or Mouths thereof. And we have shewed that this may come from the same Causes, from which the Dropsie sometimes pro­ceeds, but less, and such as bring less Damage, in regard the water Naturally sweating forth, and bedewing the in­ward parts of the Belly, although it abound not much; yet may it without a preternatural Cause be gathered into the Codds, the wayes being laid open by Moisture, or the like causes, and so the relaxation of the Passages may be the only cause of Hydrocele, or Water-rupture.

When a serous Humor falls into the Groynes of women, When the wa­ter gets into the Groins, it cau­seth those watry Tumors in Wo­men. it makes a Tumor like the water Rupture. And that by rea­son of the loosness of a Passage by which a certain Vessel comming from the womb is carried without the Peritonaeum into the Privities, not unlike that of men which serve the seminary Vessels. Which relaxation may come from the same causes with Hydrocele, by reason of its moi­stning the parts, and becauseit was first in the Belly. A­mong which Causes strong throws in Child-beaing, or Ruptures in this part, may occasion the Dilatation, and the Tumor following thereupon.

Somtimes in Dropsies the Humor which is gathered in the Belly, In the Dropsie Ascites there is a Collection of water in the Ca­vity of the breast. is carry­ed to the cavity of the Breast, which is perceived after Death upon Dissection, though before it appeared by no tumor, except as we said in an Empyema or matter in the side, there be so much of it gathered together, that it cause a Swelling in the spaces between the Ribbs. Besides, we may gather from shortness and difficulty of breathing, which then troubles Hydropical Persons more, though they stand upon their Feet, that there is water in the Breast; because as when it is in the Belly, by washing the Midriff below, so when in the breast by oppressing it above, it causeth weight, and hindering its motion two waies, cau­seth difficulty of breathing, and the rather because it som­what hinders the motion of the Lungs. But how it is car­ried from the belly to the breast, we cannot find another way then by the Midriff, because that separates the parts, and by which as by the Peritonaeum or inward Rimme, and the Muscles thereto adhaering, we have shewed, that it may sweat into the Belly, or be carried by the Mouths of the Vessels, so also may it here pass through the Midriff; [Page 554]except some corrosion, as we shall shew may be by water long retained, or other perforation, do make it way. For which Reason, if water comming not from the belly in a Dropsie, but another part into the breast, as in other Dis­cases, passing through the Midriff fall into the lower belly: it may cause a Tumor there, or if it go farther, a Tumor in the Feet. And this we suppose to be the cause why short breathed or Asthmatical People are Hydropical, except the Causes of both Diseases do meet: and at length though not presently, the Feet in the Diseases of the Breast will swell, except the water find another way under the Skin from the Breast downwards.

Water getting into the hollow of the womb, A Flux of wa­ter by the womb in the Dropsie Ascites. and enlarging it causeth the belly to swell, and this is called the Womb-Dropsie. But we shewed in the Diseases of the womb, that the capacity of it was not so large to hold so much water, nor can it be so dilated except there be a Child growing therein, yet it may hap­pen, that water gathered in the Belly may be voided exter­nally by the womb, either all or it in part which may cause the asswaging of the Tumor, which caused men to think that was gathered in the womb. But when this is so, it is pou­red forth by the Veins which are in the Neck of the womb, which sendeth forth the Menstrual Blood or Whites, by an Anastomosis when Nature labours to disburden her self by this way which is ordained for the same; so that there is no need to determine that the water was in the bottom of the Womb, which caused the Belly to swell. It may also somtimes happen, that before the Belly is full of water, it may find out a Passage by the Veins of the Neck of the womb, in a Cachexy, or evil Habit, or the Leucophlegma­cy, and so prevent a Dropsie: as long since I observed in a Woman of an evil Habit of Body, which is yet alive, which often hath her Terms abundantly, and when they cease, she avoideth abundance of water by the Neck of the womb.

When water is carried downwards in the Dropsie Ascites it causeth a tumor in the Feet with that of the Belly, because the humor being thin still goes downwards, and when it is fixed in the lowest parts, it causeth first an appearance, and when the Flux continueth and filleth the Feet, it tendeth up­wards by the Legs and Thighs to the Loins and Belly, and there it being under the skin, is more manifest in which pla­ces it doth not onely list up but softens the skin, so that if you press with your Finger, it will pit and continue so som­time. And when this watery Humor, gathered under the skin moveth, it happens that if the Legs are downwards as commonly, they grow bigger by water comming thither, and the Belly somwhat less, and if by lying down or other waies they are lifted up, the water comming back swells the Belly, and the Legs are less.

This watery Humor in the Dropsie Ascites sweating into the Feet, Leggs, Belly and Loins, from the branches of the hollow Vein, or flowing by Anastomosis, is referred to that kind of Dropsie which comes from plenty of water in the Veins, because the water doth not only flow from the bran­ches of the hollow vein into the belly, but also outwardly as in a Leucophlegmacy, and we shall shew that the Leggs swell by that way. In all other Causes of the Dropsie As­cites which depend upon the Diseases of things contained in the Guts, and of the Meseraick Veins, it seems to be e­vident that the water is carried to the outward parts, and so to the Feet, from the cavity of the belly, into which it first came, not only in regard that when the water falls downward into the Legs, the tumor of the belly abateth; but because the breathing is freer, and when the water comes back, these return. And this certainly confirmes it, be­cause when the scarse skin either breaks or is opened in the Legs that are swollen, the Tumor of the belly is abated by the water that drops out by degrees; or if it flow violent­ly or long, it quite goes away; and many measures of wa­ter flow this way forth, which could not be contained any where but in the belly, because the Feet while they do swel, and when they are abated, send forth much water, which could not come but from the belly. And it is to be proo­ved, in that when water gets into the belly from the hurt of the Bowels, which we said was the usual Cause of a Drop­sie, and when there is no Fountain of water but from thence, the Feet will swell before you shall perceive a Tu­mor in the belly, this shews that it came from the belly, be­cause it was no where else.

But as these are plain, so how this serous Matter can fall without the cavity of the Peritonoeum, (in regard there is no apparent Passage through the Membrane) it is not mani­fest. Wherefore we gather that this is done by a Diapedesis, and that the Serum or Whey doth sweat through the Mem­brane under the skin which is distended by Swelling, and moistned with Humors; and falls by degrees (between it, and the parts beneath, unto which it is joyned) downwards, as in other Defluxions. And we conceive that it may return the same way upward, because in other parts it doth so, that is, pierced through the Membranes, and pass through the Veins. Or that it comes by an Anastomosis in the mouths of the Veins dispersed into the skin from the Peritonaeum, when the Whey gets in, and flows that way into the parts beneath, and returns again by the same. Or because some part of the Peritonaeum is so corroded by a sharp and stin­king water, that water may pass through it under the skin. As by Anatomies we have seen, that the Membrane hath not been eaten through in one, but divers places; and somtimes in that place where it encompasseth the Midriff, upon which the Liver and Spleen do lie. And if the Tuni­cles of those vessels be also eatenthrough, the parts tou­ching will grow together: as we have shewed formerly.

But in the case of him that had a Dropsie with a Rup­ture, whose Guts with water had filled the Codds, and were grown to the Peritonaeum, as we shewed; this growing to­gether came from the corroding of the water, by which the Tunicle of the Gut and its Membrane were eaten through. And this, as other Glutinations proveth, that parts can­not grow together except their Tunicles or Skins be taken off: as we see in Fistulaes. Moreover; since we have ob­served in men alive, that this water in the Navel which came from the cavity of the belly, not by the Navel-vein which is rooted in the Liver, and if opened would send wa­ter from the Liver, and not from the belly and in less quan­tity: but by the Peritonaeum to the Superficies of the skin; which it raised into a bladder being gathered under the scarfe skin, which being cut, all the matter in the whol bel­ly flowed forcibly forth: Hence we conjecture, that nature can find out divers Passages for the water to pass under the skin, through the Peritonaeum. Perhaps by Bladders in­wardly growing as outwardly, or by solution of continuity some other way: and if after Death there were more Ana­tomies made of such as dyed of Dropsies, there would be many such things discovered which are yet unknown.

When a watery Humor gets into the Habit of the whole body, When water gets into the whol bo­dy, it is the cause of Leucophleg­macy. it causeth that General Swelling which is in Leuco­phlegmacy; which comes not only from crude Nourishment, as we shewed, but of a serous Humor, less or equal, or more in quantity; in which not only the sub­stance of the parts is too much increased, but being wate­red with the Serum it is made softer, takes Impression soo­ner, and longer retains it. And these appear most in the Feet (because water being thin alwaies goes downward) and they are very like then to the Legs of Hydropical Per­sons. And this may be called the water between the skin, or Aqua intercutis.

Now this serous Humor comes not in this mentioned Leucophlegmacy from the capacity of the Belly, but from the Veins distributed into the Habit of the body, by which it passeth with crude blood to the nourishing of the Parts, and as the blood nourisheth them with crude Juyce, so this watereth them. And the Cause of the mixture of this se­rous Humor with the crude, is the abundance of it in the [Page 555]Veins. When there are Causes which produce these se­rous Humors joyned with the weakness of the Bowels that do sanguifie or make blood, so that they cannot sufficien­tly compleat it, as we shewed in the Leucophlegmacy. A­mong which this was chief, the immoderate increase there­of, which most say is in the Liver, and is Naturally produ­ced at the second Concoction, so that if the Liver be weak­ned or cooled, because it cannot make the Chylus into Blood, they say, it turns it into Whey. But these Argu­ments may proove that Whey and Serum is not made in the Liver, but in the first Concoction, and it takes its form presently from thence, because being partly made in the Stomach with the Chyle, of the best Juyce, some part there­of is thinner as Whey in Milk, and is of the same use with the Chylus, of which it is a part, and comming partly from the Humors abounding through eating and drinking and made thinner, it hath the form of Whey, and being sent into the Guts with other Excrements, it is carried from the Mescraick Veins into the hollow Vein with the Chy­lus, and without it, as we see some who piss out Drink too much taken, presently, being suddenly snatcht to the Liver.

Hence it is that we must attribute the abundance of Se­rum to too much drinking, and use of moist things, which administer matter unto it, rather then to the fault of the Liver: except we will (as some do) call that crude Juyce which is made by defect in the Liver, a serous Humor, or because the separation of the Whey imperfect at the make­ing of the Blood, cannot be handsom, but there is more Whey in the Blood then is needful, and is not separated as in other places, makes it more watery, for this cause we may pronounce that the Serum or Whey is not only made by the Liver, but also gathered into the Veins more plen­tifully: And so to determine the Leucophlegmacy comes from the weakness of the Liver. And this is chiefly, when there is not a sufficient Evacuation by Urin, the attractive Faculty of the Kidneys being weakned, or when usual swea­ting is stopped, which may be the only Cause, without the Distemper of the Liver of water in the Veins. And this is sooner when the Diet is such as breeds water; These cau­ses meeting, make a Leucophlegmacy in which the whey or water called Serum, is more then the crude Juyce, or such as comes from only Serum, when the Imbecillity of the Liver is absent. As we have seen some who have swol­len only by drinking a great Draught without fetching breath, when they were very hot, by reason of the Heat which carried the Humor suddenly into the Veins, and thence into the Habit of the Body, and the same hath been when a body hot and sweating was exposed to the Air, through the strikeing in of the water. And it sometimes happens that the water being carried from the Meseraick Veins into the Belly (from the Causes aforesaid,) and so into the Habit of the Body, that the Dropsie Ascites is pro­duced with that called Anasarca, and so they both are u­nited.

Water falling into some parts and there gathered, Water in the Feet may cause a swelling with­out a Dropsie. causeth Swellings, as when it is in the Feet: of which we spake without the Dropsie Ascites, it causeth a Tumor like that of a Dropsie being soft, such as we described formerly. And this is when together with the crude Nourishment which causeth Oae­dematous Tumors, it falls from the inferior parts into the Feet. Or when in Diseases of the Feet, as the Erysipelas Oedematous or the like, these Excrements are carried with other Humors into the Feet, and cause these Diseases, and when the other are discussed, the Tumor remaineth. Or when by a Defluxion into the Eyes, there is an Epiphora, or Moistness and weeping, which makes the Eye-lidds swel which was spoken of in the Eyes. Or when in the Decli­nation of other acute Diseases, Nature disburdning the re­mainder of the Excrements with the water into the lower parts, the Feet do swell; and the sooner, because having long kept the bed and their Feet up, when they begin to walk, the Humors flow downward. This tumor of the Feet, in men that are in Health, is counted a good sign be­cause the reliques are so carried away. And because such thin Humors are quickly discussed, it continueth not long, unless it be such as shewed it self at first in the Feet, which a Dropsie followed, this deceiveth many, and it may be discovered by other accidents which accompany a Dropsie.

We have formerly shewed that there hath been a Tumor in the skin, Water in the Leggs, the cause of particular tu­mors there. upon the Longitude thereof only from a serous hu­mor, and because it came suddenly it was a sign that it twould go suddenly away, though it pitted with strong Impression.

And this was sent by Nature, by reason of the plenty of it, as appeared by the Parties continual Sweating, and by reason of the thinness, and sharpness, which caused Itching. And there was also a Loosness of the Feet and a con­traction.

If water be sent under the skin into any outward part, Water gathered under the skin of the Head, the cause of Hydrocele if it separate the skin from the part, and fill the space between it, causeth a Tumor, as under thick skins of the Head in the Tumor called Hy­drocelephale, comming from plenty of water there breeding, and gathered together.

And when water is under the skin of the Navel, Water in the Navel is the cause of Hy­dronphalon. the Tumor called Hydrompha­lon is raised being carried thither by the Navel-vein enlarged, or by reason of the plenty thereof, or from other causes, while the Passage is not dryed: as we shewed in a Dropsie may be.

When water is in the Eye-brows there is a swelling, Water in the Eye­brows, Cause of their Swelling. and the sooner with tears and rubbing, because they will often Itch. Somtimes there is a sud­den Defluxion of Blood into the Eye with water, with Swelling and Redness, as if there had been a stroak (com­ming and going) about the ball of the Eye. These have I seen, in two Children of evil Habit of Body, having pain in the Limbs, and the running Gout.

Also when water is under the scarfe Skin, Water under the skin of the Eye, the Cause of Phlycta­na. if it be separated from the parts beneath, and the Mouths of the Veins that end there, and stop them, causeth the Bladder called Phlyctaena. And this will be so in other parts. The cause is the abun­dance of whey brought thither, and hindered from passing through the Pores by Sweat, and therefore it getteth under the skin and lifteth it up. And if this be salt or sharpe, provoking Nature, and in divers parts. It causeth those wa­tery Pustles in the Itch, called Hydroae. Also another ex­ternal force may cause the same, when the scarfe skin is rai­sed; as also by rubbing or burning, as we shewed.

Wind begets some of the Tumors aforesaid, differing according to their parts, as in the Belly, Codds, Stomack, and Guts or the like.

Wind gathered and kept in the ca­vity of the Belly, Wind comming from other parts into the hollow of the Belly, or bred there, is the cause of the simple Tympany, or if with water, of the Ascites. is the chief Cause of the Dropsie called Tympany; and it is seldom without water: And it must be in the cavity of the belly and stretch it forth very large, and we may know there is wind by the sound thereof when it is beaten. And som­times there is a pricking pain by reason of the Distension of the Membranes. These winds getting into the belly, because no parts beneath in which it may be retained, so plentifully must needs come from the Stomach and the Guts. But the doubt is which way, for it seems impossi­ble that they should come through the blind Passages of the Stomach and Guts' because they are easily held in with the smallest Membrane, and a thin Humor will with more ease sweat out then wind break forth. And it is plain that [Page 556]they come not from solution of Continuity in the bowels, because then the Chyle of other Excrements would also come forth. Therefore it is probable, that if wind be car­ried from the Stomach and Guts into the Belly, it first gets into the little mouths of the Meseraick Veins, and from them, as we shewed the water doth, into the cavity of the Belly. And this appears, in that the water may come the same way, which is commonly mixed with the wind, ex­cept, as some say, the wind passing by the inward Tunicle of the Guts into the outward and piercing through the me­sentery, where it is joyned unto them get in, and being con­tained between two Tunicles, at length gets through them into the Belly; and whether it come this way or that, it is rare, as also the Tympany, and not but from abundance of wind, by which the Guts are so distended, that they are so thin, that wind may pass through. And this cannot be except it be so inclosed in the Guts, that it can find no o­ther way upward or downward.

This abundance of wind is continually made in the Guts and Stomach, from great weakness therein, turning that by its weak Heat into wind, which should have been concocted; from whence also may come the Dropsie cal­led the Tympany, from wind and water, if the Liver be weakned also, and water be mixed. Now the great Ob­struction and gathering together of the Guts, causeth that it cannot go forth downwards, by its Natural Passage, and therefore the pain of the Colick comes first with the bind­ing of the Belly: as we shewed in those Diseases, and from what Causes they came. And if they continue, and the wind be carried into the Belly as we said, the Belly will begin to swell, and the pain of the Cholick remains as at fi [...]st, with the binding or costiveness of the Body, till by continual di­latation or Enlargement, a way is made, that the wind which was in the Guts, may have a free Passage, and cause no more pain, and if this wind break away, yet that which is without the Guts doth not, but the belly is swollen, and the pain of the Cholick is turned to a Tympany. If dropsie Bodies were often anatomized, it would be found out, that wind in a Tympany doth sometimes get into the space or vacuity of the Belly, by reason of some manifest Solution of continuity in the Stomach or Guts, which were before stretched exceedingly thereby, or by some other waies; and this may hence be collected, because it is the worst of all Dropsies, therefore the hurt ought to be great, and if it were so in an Ascites, it would be incurable, And if the Solution of continuity be so great, that the Chyle and the Excrements also get into the belly, it will sooner kill; but if only water and wind, without thick Matter (as it may be) the life will be prolonged.

Besides this Cause of the Tympany which comes from the wind of the Guts, getting into the belly: there is ano­ther, which comes from wind bred in the cavity of the bel­ly. And this is when the watery Humor with which the belly is alwaies moistned, sweateth too plentifully from the Meseraick Veins, or comes too fast from the Mouths of them, and turns into wind, which retained for want of pas­sage, causeth a Tympany. And if the whol Humor turn into wind, which is seldom, it will be a simple Tympany, but if mixed with water a Compound, which is most usu­al. In which kinds, if water abound not over much, and falls not into the Feet or other parts from the cavity of the Belly, nor causeth Swelling any where else, neither can it be discovered in the belly. But if there be so much by the continual Increase thereof, that the Tumor of the Belly not only extends it, but causeth a Noise of Water falling into one side, when the Patient turns, and the water falls into the Feet, there is an Ascites with the Tympany. Now the Cause of this wind turning into water, (in regard we have shewed in Ascites the cause that brings it into the belly) may be the Heat of the inward Bowels, which maketh the water turn into a Vapor or thick Wind: as it may do in in any part of the body, where there is space and Humi­dity.

As we have shewed, that in the Ascites, when water is carried from the cavity of the belly into the Codds, it makes the Tumor called Hydrocele or Water-rupture: so when wind comes from the same part into the Codd, and puffeth it up, it causeth the Pneumatocele or windy Rup­ture, Which we never saw in a Tympany, and it is seldom alone, and when it is, there is commoly water with it. But by wind brought thither that Swelling in the Codds which comes with the pains of the Cholick and vanisheth pre­sently, may be produced, Nevertheless, the cause of both is the dilating of the Passages of the Peritonaeum, and it is less when wind only with a little Moisture, gets by degrees into the Codds. This Dilatation or stretching in P [...]eu­matocele or Wind-rupture, may come from divers Causes mentioned in Hernia, especially in young, tender Bodies, which are subject to these as well as other ruptures by cry­ing; and the easier if there be wind in the belly, as it useth to be, without a Dropsie, in those that are sound, other­wise being made of water turned into wind, as in all vacui­ties of the body it may be, and we shewed a Tympany cometh the same way; and though the wind be not much, and disperseth it self, yet if there be a Passage to the Scro­tum open, it will get thither: For which reason, this puf­fed Swelling in the Codd which staies long, comes from the straining, which dilates the Passage by wind that breaks through, by which Passage after the force is over, the wind comes back into the belly and the Codd ceaseth to swell, neither doth it return without a new force be raised.

Winds detained in the Guts and bel­ly which are not gotten into the cavi­ty, do not only produce the Cholick, Wind kept in the Guts and stomach is the cause of the Tympany of the Gut [...]. but if they be so inclosed, that for want of Passage they swell the belly, they may produce a kind of Tympany, more easily then when the wind breaks into the belly, as we have found in those whom we took to have the Tympany, and had no wind in the cavity of the belly, after they were dead, nor did the belly asswage. But the Guts, especially the thin, were so stretched with wind, that when they were forth, we could not get them in again, and we wondered how they could be contained in the belly, be­fore it was opened. And in one, we found them made so thin by stretching, that they were not only shining and clear like a blown bladder, but when they were broken, they sent the Excrements violently forth with the wind. And the Cause of this Tympany, is the same with the other, that is wind and gathering of the guts or great Ob­struction: as we shewed, and hence it is that in this kind of Tympany, they neither break wind, nor go to stool for a long time.

When wind is gathered in the Sto­mach, it makes it swell visibly, Wind contained in the stomack, is the cause of the swelling of the stomach, wind in the Guts, is cause of the Cholick and Tumor thereof. and this is the Inflation of the stomach men­tioned, whose cause we shewed in the Diseases in the Stomach; and when wind lying in the turning of the Guts, causeth little Tumors in those parts: we have shewed the Cause thereof in the Cholick.

When wind gets into other parts and spaces of the body, Wind under all the Skin, is the cause of a ge­neral Tumor. either alone or with water, it causeth Tumors. As when it is every where under the skin, it causeth the general Swelling of the body, which comes suddenly and lifts the skin from the body,; as they who make a hole through the skin, and blow therein that they may the more easily take the Feathers off from the Quils. And though this Swelling comes seldom, and it is difficult to be, yet somtimes Nature, either by the abun­dance of wind dispersed in the body, especially if there be water joyned therewi [...], being offended, violently throws it to the extream parts under the skin. And this may be when Nature stirred up by Poyson taken in or by the sting of a venemous beast, or by poysonous Humors labours to expel the same.

[Page 557]Also this general Tumor of the whol body with difficul­ty of breathing, comming from the stretchingof the Mus­cles between the Ribbs or the like, may be as I have shew­ed, by the suppression of Sweat, which comes by violent ex­ercise, through the Coldness and Moistness of the Air: and this after purging, is easier cured with sweating.

Also in certain parts there are peculiar Tumors from wind under the skin, VVind creeping under certain places of the skin, is the cause of the Tumors called Physo­des, and windy Oedema. and if they be simple they are called Physodes, and windy bli­sters: but if the wind be joyned with a crude and serous Humor, they are called Oedemata or windy Tumors: which as they may come of their own accord from an internal Cause in divers parts of the body, so may they come from without, as when the Hair is pull'd hard, we find the skin blown up with wind which got in upon the Pulling of it up; and we see the Hands and Feet swell with cold which bindeth the skin, lifts it up, and straineth out the thin Moisture.

If wind be under the scarfe skin, and blister it, VVind under the scarfe skin is the cause of Phlyctaenae or wind Blisters, wind between the Muscles, is the caus of the Cramp. the Blistes called Phly­ctaenae, do come from thence, such as are mixed with wind and water.

If wind between the Muscles, it causeth Tumor and Cramp of which we spake.

If it get under any external Mem­branes, or the Periostium which is the skin upon the bone, and cause a Tumor, because it is with pain, we spake of it in the Causes of windy pains, when it gets into other inter­nal cavities, as of the Breast, Head, Womb, because it pro­duceth other accidents besides manifest Tumors, of which we only here spake, we refer you to them.

That wind getting under the skin and and Membranes under it in the fore part of the Neck, VVind under the Skin and Membranes of the Neck, the cause of Bron­chocele. causeth the Tumor called Broncocele, appears in that the skin in that part of the Neck, seems extended and lifted up, and when it is beaten it sounds as if the air only were underneath. The Cause of which Air there gathered is nothing but loosness of the skin plucked up, (when the Membrane which is above the Neck, is more red and thick from the rough Artery, and the Muscles of the Neck before which lie under it) making a space underneath, into which the Air or Wind got under to avoid vacuity, not only fil­ling it, and making the skin and membrane swell, but in by stretching, causing it to increase. Hence it is that we do not only make the wind to be the Cause of this Tumor, but the separation of parts which were joyned by small Fi­bres, which being torn a sunder or broken, cause this Dis­ease to be called a Rupture, or breaking of the Throat or about it. Albeit some think this Tumor comes from Rheum falling from the Head, but this cannot be, because of the not pitting thereof with the Impression of the finger, nor from water: and if these two Humors should produce this Disease, and they should be contained there long, they would produce other putrid Infirmities, which they per­ceive not. And that shortness of breath and Hoarsness comes not from any humor, but from a stretching by which the free motion of the Throat is hindered. Nor do we de­ny that Defluctions may be carried thither in this Dsease, as well as into other spaces, and that other excrements may be there collected; but that these will not cause this Tu­mor, in regard when they are discussed, the Tumor remain­eth. But the chief cause of this separation of the Mem­branes, is violent straining in Child-birth, when the breath is held in the time of Delivery, or when they blow strong­ly with the Mouth, and this appears by the Swelling of the jugular Veins of the Neck, from which the Membranes are divided, and when the Spirits are driven into the Neck by the Veins and Arteries, the wind carried thither, also may cause this Divulsion and Separation of the Membranes.

Any part falling from its Seat, outwards causeth the Hernious or Rupture, Tumors called Cele, and this is ei­ther a Gut or the Cawle, which cause this when they fall from the cavity of the Peritonaeum, under the skin or into the Codd. The Cause of the falling out whereof, shall be mentioned with those of the Womb and Anus.

The Cure.

We shall first distinguish the Cure of divers sorts of swel­lings in respect of the causes, nemely, as they come from Flegm, which we call crude Juyce, or water or wind; or from the nourishing Juyce, either mixed with some or more of them? or as they come from Milk, Blood or Seed. As for the Tumors that come from some part fallen called Cae­lae, because they come from another place: we shall speak of them in things cast off, and in things cast forth.

The Cure of Tumors that comes from crude Juyce, if first in regard of the Swelling of the whol Body, and Leu­cophlegmacy from thence: and then in regard of particu­lar Parts, as Oedema.

If Leucophlegmacy be simple, The Cure of Leu­cophlegmacy, or white Swelling of the whol Body. al­though the whol Body be swollen, and in Ascites the Belly and the Feet are only swollen, yet is it easier cured then the Ascites, because the hurt of the bo­wels is less, and the weakness which gets this crude blood may be amended: with more difficulty, if it tend to an Ascites, and not at all, if it be joyned with it. In old men it is hardly cured, although it be long lingered.

You must begin the Cure as in a Cachexy, because it is the Original of it, and they depend upon the same cause long continuing: you must correct the Distemper and Weakness of the Liver and Spleen, by removing first the cause, if it come from too great a Flux of the Terms, Pills, or other bleeding, then you must strengthen them, if there be Obstruction you must open it with moderate Aperitives and Cleansers, least they provoke the Flux if there be any, and with stronger Apertives if there be no Flux, which may also move the Terms if they be stopped, all both by inward and outward means. Alwaies evacuate the crude watery Humors which are in the Stomach, Guts, and Veins, or the Habit of the body, by Purges, Sweats and Urin.

Also by Topical external Medicines to the parts most swelling, which may take away the Matter by discussing and consuming it. But in a Leucophlegmacy, where there is also much Whey, or that which is with an Ascites, there must be the same Cure with Ascites, by drawing out and and consuming the water, with Remedies according to the cause. The Remedies used for Anasarca, or a Dropsie so called are as followeth.

You must purge the Stomach from crudities, and open Obstructions with cleansers, such as were prescribed in a cachexy, with things that purge water, if it be serous or wa­tery.

As, Take of the four or five opening Roots each one ounce, of Orris and Elicampane, each half an ounce, of Asarum two drams, of the Barks of Cappar roots, Ash, and Tamarisk barks each six drams, of Liquorish one ounce and an half, Succory with the Root, of Endive, Groundpine, Maiden-hair, Maudlin, Fu­mitory, Hops, each one handful, of Wormwood, and Thyme each half an handful, of Elder flowers, Broom, and Tamarisk flowers each one pugil, of Raisons stoned ten pair, of Anise, and Fen­nel seed, each one dram and an half, of Endive, and Dodder seed each one dram, of the four cold great Seeds two drams, of Polypo­dy, one ounce, and an half, of Senna two ounces, of Epithymum, half an ounce. make a Decoction, and in the straining in­fuse three drams of the Troches of Agarick, of Rhubarb half an ounce, strain it and add two ounces of Syrup of Roses solutive, or of juyce of Roses, one ounce, of Sugar as much as wil make an Apozeme for five or six doses, make it sweet with Cinnamon, Spike, Schaenanth, and Sanders, and if you must use more, en­crease the quantity of Sugar, and make a Syrup half or fully boi­led.

[Page 558]To this in a watery Leucophlegmacy, you may add Sol­danella, or pot Mercury, or Carthamus seed, &c.

A Wine: Take of Succory roots one ounce and an half, of Fennel and Orris roots, each one ounce, of Elicampane half an ounce, of Asarum two drams, of Tamarisk bark one ounce, of Wormwood, Groundpine, Agrimony, Thyme, and Epithimum, each two drams, of the Topps of the lesser Centaury, Cordial flo­wers, Smallage seed, or Parsley, and Fennel seed, each one dram, of Senna one ounce and an half: to these you may add Solda­nella one dram, Agarick in Troches, and Rhubarb, each three drams, of Spikenard one scruple: infuse them in as much Wine as is sufficient, for five doses.

An ordinary Drink. Take of Rhubarb four scruples, of Troches, of Agarick, one dram, of Spikenard six grains: steep them in white Wine, and after pour Wormwood, or Centau­ry, water thereon, and strain them adding Syrup of Roses so­lutives, or some Physical Decoction, of pot Mercury and Solda­nella, if there be more water: make a Potion.

These Pills Electuaries and Lozenges which we mentio­ned in a Cachexy, are good here, adding things that purge Water.

Glysters which cleanse and expel wind, are here useful As, Take of the Emollient Herbs, three handfuls, Mercury or Beets, Penny-royal, Calaminths, each one handful, of Chamo­mil, Elder, and the lesser Contaury flowers, each one pugil, of Orris, Elicampane, and Asarum roots, each one ounce, of Fen­nel, Caraway and Cummin seed each two drams: make a De­coction in water with Barley, or Pease, and dissolve benedicta Laxativa, or Hiera, half an ounce, of Oyl, of Rue, and Dill, each one ounce and an half with a little Salt, make a Glyster.

You may ad the Decoction, of Wormwood, Marjoram, Cha­maepyts, or Groundpine, Rosemary flowers, Staechas, Lavender, and Broom flowers, also Agarick, with Brine, Urine, or Led, and other Laxatives and Oyls.

An abstergent Glyster not so strong: Take of the Urine of a Boy one pint, to which add Lye, Oyl of Chamomil, or Lilly two ounces, make a Glyster.

Vomiting is good to cleanse the Stomach, where the be­ginning of Crudity is; this is done by things mentioned in Diseases of the Stomach.

Bleeding may be in the Feet, to provoke the Terms, if they be wanting. And they who are used to bleed and are full of crude Blood, may loose a little, because some cru­dity is there by evacuated, as appears when it is setled, at least it can do no hurt, if it cool not the bowels too much.

Sweating because it consumeth much of the Humor, both out of the Habit of the Body and the Veins, is good, be­cause thereby the tumor decreaseth, and must be every day if they may be endured with Exercise, and Rubbing, and these alone do discuss the Matter.

Or they are provoked with Guaicum and Sassaphras boi­led, or with other Softners that are not violent.

Or with this Decoction: Take of Milium seeds peel'd, two ounces, of Spring-water two pints: boil them to four or five ounces to the straining add as much white wine, let him drink it hot, it wonderfully provokes Sweat.

Syrup of St. Ambrose made after the like manner, doth the same thing, and it is pleasant to give to Children in the Dropsie.

Another Sweat: Take Treacle one ounce and an half, of Calamus Aromaticus, a quarter of a pound: boil them well stopped in a measure and an half of red wine till the third part be consumed: let him take a Draught every Night at Bed-time hot as much in the morning, to sweat.

Some drink Treacle-water.

The Rob or Juyce boiled thick of Elder, or Dwarfe-elder, dissolved with convenient water, with the Decoction of Milium, or Flower de-luce-water, or of Carduus benedictus, may also be taken.

Attractives to strengthen the Bowels, take away Obstru­ctions, and provoke Urin, to take away Hardness if there be any, as in the Ascites are also good, as we shewed in a cachexy, where you may take your choice, of Decoctions, Syrups, Juyces, Wines, stilled Waters, Oyls, Lyes, Urins, Natural waters. As drinking of Vitriol waters, with good caution, and to be forbidden, if the Stomach or Liver be weak or cold, also conserves, Pouders, Potions, Electuaries, Pills, which you may there chuse.

To which these may be added, good for to strengthen and help the Concoction of the Stomach, and to avoid cru­dity.

A good Decoction: Take of opening Roots one ounce and an half, of Drop-wort one ounce, of Agrimony, Maiden hair, Germander, Groundpine, Dodder, Marjoram, each one hand­ful, of Hysop half a handful, of Anise seed, and Fennel seed, each one dram, of Elder flowers one pugil: make a Decoction with a little wine and water, adding a little Cinnamon, Spike, Schaenanth, and Sugar for an Apozeme; For doses, if you will purge, add a little Carthamus and Polypody.

You may make wine of the Infusion of these things.

Or this Decoction experienced: Take of Juniper-berries half a pound, of Elicampane, and Briony roots, each half an ounce, of Thyme, Marjoram, Rosemary, Topps of Rue, Mug­wort, each half an handful: boil them in four pints of water, sweeten, and perfume it, let him drink it some times.

Another: Take of Rhapontick two ounces, of Wormwood, Horehound, Ceterach, each one handful: boil them wine and water, to the consuming of the third part.

Or boil thus the Roots of Acorus, Penny-royal, and Ivy.

The Syrup of Wormwood is good against Crudity, and of Bettony, made of its Juyce with Sugar.

Also wormwood, and Bettony-water mixed with other Ope­ners, as with Enula, Marjoram, Mints boiled &c,

Also mix Pouders for the Stomach with Openers, as Diacalaminth, Diagalanga, Aromaticum rosatum, and Cor­dials when they are weak, made of the Gems.

Also Pouders after Meat for Concoction.

Also conserve and candied Bettony, Acorus, Ginger, Mar­joram, Staechas, Rosemary, Citron barks, of both Buglosses, for concoction and strength.

Or this: Take of the Conserve of Succory flowers, of Smal­lage roots, each one ounce, of the Conserve of Orris roots, of Mar­joram, of Bettony and Bugloss flowers, each half an ounce, of Gum Lack two scruples, Coral half a dram, of Cinnamon one dram, of Galangal, and Fennel seed, each half a dram of Spike­nard half a scruple, of the ashes of Hens guts, and Gizard skins one scruple, with the Syrup of the five Roots, or the like: make an Electuary: Let him drink water after it, made of pro­per things, and the Liver of a Wolf added, will make it bet­ter.

Or: Take the aforesaid Conserves adding of the species of Triasantalon, or Diarrhodon, half a dram, of Diagalanga and Dialacca, each one scruple, of the ashes of Hens Gizard, skins and Guts, half a scruple: mix them for an Electuary, it will be better to mix any cachectick Pouder mentioned in Dis­colouration.

This Electuary is good: Take of Orris roots two drams, of bitter Almonds one ounce and an half, of Anise, and Fennel seeds each one dram, of Sugar the weight of all.

These Pills are good, and also provoke the Terms, and Urin, and mollifie Tumors.

Take of Rhubarb one dram and an half, of Gentian, and Birthwort roots, Madder, bitter Costus, each one dram, of Smal­lage seed, Ammeos, Juniper-berries, each half a dram, of Sehaenanth, Spike, each one scruple, of Gum, Lack one dram, and an half, Mastich half a dram, with Juyce of Orris, or A­grimony: make Pills, or with bitter Almonds, Troches, Pills of Gentian better then the other. Take of the extract of Gentian one dram, of Centaury the less, and Carduus each half a dram, of Rue, and Wormwood each one scruple, of the Pouder of the lesser Centaury, four scruples, of the Troches of Myrrh, one dram and an half, of the Troches of Agrimony and Capars, each one dram, of Wormwood half a dram, with the E­lixir proprietatis, make a Mass of Pills, the dose is from two scruples to a dram stronger are these.

Take of Rhubarb, Madder roots, Valeria, Asarum, each one dram, of Savine, Marjoram, Smallage seeds, each half a dram, of Spike half a scruple, twelve Spanish Flies, the small [Page 559]winges taken off of Ammoniack dissolved in strong Vinegar, one dram, with the Syrup of the five Roots, make a Mass, give from half a dram to two, drinking upon it the Decoction of Pease and Parsley.

Or, Take of the aforesaid Pouder with the Gum dissolved, and bitter Almonds blanched, one ounce and an half, of Melon seeds two drams, with syrup of Maudlin, or of Orris: make an Electuary, a dram is the dose, drinking after the Decoction of Melons or Pease.

External Medicines mentioned in the Diseases of the Li­ver or Spleen are good, Oyntments, and Emplasters, Fo­mentations and the like, choosing the fittest for the Cause, to which you may add these following fit for the Stomach.

An Epithem for the Liver: Take of Smallage roots, one ounce and an half, of Asarum half an ounce, of Wormwood one handful, of Bugloss, Borage, and Elder flowers, each one pugil, of Dodder seeds two drams, of Endive, and Sorrel seed, each one dram, of all the Sanders each one dram and an half, of Spike, Cassia Lignea, or Schaenanth, each half a dram: boil them in wine and water to foment the Liver, you may also anoint the Liver with the cerot of Sanders.

Anoint the Stomach to expel Crudities thus: Take of the Oyl of Wormwood, and Mints, each one ounce, Oyl of Ma­stich, Quinces, and Spike, each half an ounce, of Mastich two drams, of Sanders, and Cypress each one dram, Cloves half a dram, wood Aloes one scruple, Wax as much as will make an Oyntment.

Or anoint with Nerve-Oyl Compound.

An Emplaster is made of the same with Pouder of Worm­wood, Mints, Mastich, with more wax, and Gallia moschata, or the Emplaster for the Stomach.

For swollen places, to allay them somtimes, apply Dis­cussives, and if water abound, Consumers, and many things mentioned in Ascites, as these.

Sweat is caused by dry Baths or moist, or Stuphes, and so the matter is consumed, and the Swellings, and sooner in this then Ascites, made of the things there mentioned.

If you cover the Body, except the Head, in sand or ashes­as in Ascites, it is here better.

Foment the parts with Lye as there entioned, rowl the parts about somtimes with Rowlers dipped in Lye.

Cataplasmes of Dungs as there mentioned, also baggs applyed to the parts with hot Discutients.

As for Diet, let the Air be convenient, then temperate, not moist, hot rather dry.

Let the Meat be of good Juyce and Concoction, seaso­ned with hot Dryers, good for the Stomach.

They say that the flesh of a Hedg-hog, is good against Leucophlegmacy.

Watchings are thought to do good by drying, but they hurt by weakning.

The Tumors called Oedemata, which are es­pecially about the Knees and Shoulders, The Cure of Oedema. and also about the Feet, and other parts being broad, comming from crude Juyce are diffi­culty cured, because they are the substance of the flesh in­creased: therefore they carry them to the Grave often.

The Cure of them is the general Medicines to the whol Body, and particular to the parts.

The general must be according to the cause to hinder crudity, and if it come from the want of concoction in the Stomach, Liver, Spleen, then because there is a Cachexy, which begets particular Tumors, that must be first cured, by good Diet, fit Evacuations by stool and sweat, and you must strengthen the Bowels, and oppose other Diseases, before you meddle with the particular Tumors. But if crude juyce cause an Oedema from the evil Habit of the part, then with respect to the Constitution to get good Blood and cleanse the body, for the better proceeding, the general Cure must pacceed the particular.

The particular Cure of Oedema, is in the beginning and in the increase done by things which astringe, and repels by pressing the Juyce, which makes the part bigger, and when it is at the height you must use things that dry and digest it mixed with strengtheners, or drawing Medicines, or if it imposthumate, (as seldom,) such as ripen, and open, and at length heat the Ulcer, as follow.

Fomentations and Baths are used if if be large.

And at the beginning foment with a Spunge, to repel a new spunge is best, because its thought more binding, with Vinegar and Wine, or with strong Vinegar, and ironed wa­ter or the like.

After foment with Vinegar and Lye, or salt-water.

Afterwards when the Tumor is big, use salt-water alone or Nitrous Baths.

Or make them of Lye strained from common Ashes, Vine branches or Oak, Beech, Willow, Fig-tree, or burnt Bones.

It is stronger with Allum, Salt, and Vinegar.

And if you add the Plants, they will digest and streng­then, as Dane-wort roots, Acorus, Docks, Sage, Rosemary, Marjoram, Bettony, Bayes, Calaminth, Organ, Juniper topps, Rue, Savine, Mug-wort, Lavender, Chamomil, Lupines, Beanes, Jupiner-berries, or the like hot things that are good for the Joynts.

Anoint after Fomentation in the beginning with this re­peller: Take of Bole half an ounce, Aloes three drams, A­cacia, Sanguis Draconis, each two drams, of Cypress roots one dram, of Saffron half a dram, Vinegar one ounce and an half, Oyl of Roses three ounces, Turpentine, as much as will make an Oyntment, or Wax for a Cerote.

Another in the increase of a Tumor: Take of Quick­brimstone three drams, of Sal Gem. two drams, of Ashes com­mon, or of Plants, one dram, Bean flower two ounces, strong Vi­negar one ounce, Oyl of Nutmegs, and Turpentine, as much as will make an Unguent, you may add also the Juyce of Cole­worts.

An Emplaster for the whol tumor: Take of Labdamum one ounce and an half, of Frankincense one ounce, of Storax half an ounce, of Quick-brimstone six drams, of Allum, and Sal Ni­ter each two drams, of Oak moss poudered, Wood, common woad Ashes, each one dram, of Acorus roots, and Lavender, each half a dram, of Saffron one scruple, of Cow Dung dryed, two drams: mix them poudered, with Vinegar, and when they are dryed again, add Turpentine, the Dreggs of the Oyl of Rue, or of Lillies, and make a Plaster.

The usual Plasters for this are Diachylon, Ireatum, Cero­neum, Diachalcitcos.

A digesting Cataplasm: Take of Lilly, or Marsh mal­low roots, and Briony roots, each three ounces, the Roots of wild Cowcumber, two ounces, Dwarfe-elder, and Dock roots, each one ounce, of Sage, Rue, Tamarisk, or Savine, each one handful: boil them in equal parts of Rain-water and wine, adding in the Conclusion Vinegar three ounces: beat them, and ad Bean, or Orobus meale, two ounces, Lupine meale one ounce, the Ashes mentioned for a Lixivium half an ounce, of dryed Cows dung, six drams, Salt half an ounce, Leaven one ounce and an half, Hogs grease four ounces, Oyl of Chamomil, and Wall flo­wers, each three ounces: make a Cataplasm.

You may add to them, Snails, and the Juyces of Dwarfe­elder, and Docks, instead of the Plants, or Fennel.

Clay made with Bone ashes, especially Mans bones, with bole and Saffron, Plantane, and Nightshade water, like a Cata­plasm, hot applied, is of great force.

Also baggs filled with discussing Pouders, or Pouders sprinkled upon dry Spunges or wet, and so bound to the Tumor.

They are made of Sage, Ros [...]mary, Bettony, Caraway, Carrot and Fennel seeds &c. with Maiden hair to hinder the breed­ing of the Oedema.

If it tend to an Imposthume, you must use such things to bring it to Maturation as are mentioned in curing Impost­humes.

To roule an Oedema well down with Bolsters, is good to hinder its groweth.

Also rubbing doth discuss, and the more if it be done with Vinegar, and Roses, and Salt.

To scarifie or burn with an Iron, tis good to abate an O­edema, if it be done in many parts of it: or to applie a Ve­sicatory of Ca [...]arides.

[Page 560]When the Eye-brows are swollen with a Tumor, The Cure of the Oedema of the Eye-brows it is cured as the rest, by general Medicines, if the Body be very moist, and by Topick to the place, so ordered that they hurt not the Eye, wherefore we use thick Oyntments, least they should run into the Eye, or sticking Plasters, which first repel and then digest, or if we will use a Fomentation, (we must leave out all sharp, sour, and salt things) and use that which is prescribed in the Weakness of the sight: or a­noint the Eye-brows with the Oyntment there.

To which this following may be annexed: Take of galls, or Cypress-nuts, two drams, Cummin seed one dram, Aloes, Myrrh, each two drams, Saffron one scruple, of Honey as much as will make an Oyntment or Emplaster, to be laid upon the Eye-brows, the Eye being shut.

Also Feaverfew, and Chickweed beaten with Barley meale and applied.

The Cure of Tumors that come from a watery Humor shall be set down, first that which is general, as the dropsie ascites, then of the particular Tumor of the Feet and in the Groine, which falls into the Codd called Hydrocele; then of the Belly, as that of Women like Hydrocele of water, and that against the Navel called Hydromphalon, and in the Head called Hydrocephalon, and the Swelling of the Eye brows: Last of all we shall treat of the small Pustles in the Eyes called Phlyctaenae.

If the Dropsie Ascites come from the di­viding of the substance of the Liver or Spleen, The Cure of the Dropsie Ascites. by Driness, Hardness, or Scirrhus, or other Tumor or Ulcer, or total Corrup­tion, or Stroak or Wound of the same, it is almost incurable; as when it comes from Hurt of the Kid­neys, or breaking of the Bladder, or Ureters; or from the breaking of the Meseraick Veins with the Cawle of the Mesentery, or from Ulceration or Corruption of the same, it is incurable. But if it come from too much water, in the Passages of the gate and hollow Vein, and sweating from thence into the Belly, or distilling by Anastomosis or opening of the Vessels, it may be cured, so there be not caused a weakness of the Liver or Reins, or both Ureters be not so stopped that they cannot be opened, which is sel­dom seen. Or if the water in the Belly long contained, have notinfected the Bowels and Caule, and Mesentery, as is usu­al. These things observed, if you know the cause, you may better foretell, but if you know it not, or doubt of it, you must speak less boldly of the Cure. But if the Urine be very red, it is dangerous, if white and crude, there is more Hope.

In the Cure of this, first consider the cause, if it come from the weakness of the Liver or Spleen, Coldness, Stop­page, Hardness, Scirrhus or any Tumor thereof, the cure is chiefly as the Cachexy, partly as the Jaundies, which come from the same cause, and go before the Dropsie,: of which we have spoken so largely, that we shall not need to speak more. As also if it come from Heat and Dryness of the Bowels, we laid down the cure in Cachexy, which u­seth to go before it. But if it come rather from the weak­ness of the Kidney, or stoppage of the Ureters, you may cure it with Remedies mentioned in the Suppression of u­rine. After this consider action, let us bend our whole Force to get the water out of the Belly, before it corrupt the Bowels, by purging by Urine, and by Sweat, and if these will not do, we must use outward Applications and Openings. And this must be done in the Feet also, to take away their Swelling, and that when the water flows out, that which is in the Belly may come in its place: and if the Codds be swollen, you must apply things that may allay and consume the Swelling.

But in other causes which are hard or impossible to be removed, as when the Bowels are broken or cracked, by Heat and Driness, we must use rather cold and moist then hot and dry Remedies, which in all other Dropsies are u­sed, as we shewed in cachexy that comes of the same cause; Also in Hardness of the Bowels or Swelling of the same, you must soften them with Medicines there mentioned: these are better to prevent a Dropsie then to cure it, in that cause, or when the Bowels or Vessels are hurt or corrup­ted. In these desparate cases, notwithstanding we must labour to abate the Symptomes, and take the water of the Feet and Belly, to hinder the shortness of breathing, and least the water continuing by its stinking and hurting the Bowels, should produce worse accidents, or breaking into the Feet by force, or by opening it should cause Inflamma­tion and Gangraen, which causeth a miserable Death: all this is done by the following Remedies.

In this Dropsie, purging is good both to open Obstru­ctions, and to carry away the water; of which they which are used to open Obstructions, especially in the Bowels, which cause a Cachexy and Jaundies, if these be with the Dropsie, are best: And in other Causes they are better then Hydragoga or water Purgers, because they provoke Nature to avoid it, and they are mixed with things proper for the Bowels. For the other that is Hydragoga, must violently provoke the expulsive Faculty if there be much water, and therefore they easily inflame the body by sharp­ness and burning, and except warily given, and well pre­pared, they knaw and burn up the Stomach and Bowels. Therefore use these as the last Remedies when all fail, yet if by chance Nature being moved thereby, may not onely send forth the water which is in the Veins, near and fa [...] off by the mouths of the Meseraick Vessels to the Guts a­gain, which is easily done; but also that she might purge forth that which is in the belly, by the same way it came, as she doth often wonderfully: All these are done by these following Remedies.

The common Medicines which are good to open the ob­structions of the Liver and Spleen, are mentioned in the Jaundies, and Cachexy and Leucophlegmacy, and these may be used here in the beginning to purge water, before we come to stronger Medicines. As Potions chiefly of Rhubarb, which is thought to be such a Friend to these parts, and other Purgers, also solutive Electuaries, Catholicon, Diaphaenicon, of the Juyce of Roses, and especially those made of Hiera simple and compound, solutive Syrups of Roses, Fumi­tory, Epithymum, Polypody, and Pills of Hiera de tribus, of Rhubarb, Agarick, and Agregative, the Forms of which may be found elsewhere.

But those Purges which are proper for the Ascites made of Water-purgers alone mixed, are as follow.

A Decoction to purge Water proper for the Liver and Spleen: Take of the five opening Roots, two ounces, of Orris, Valerian, and five leaved grass Roots, each one ounce, of Asa­rum, half an ounce, of the bark of Tamarisk, Capars, Elder and Dwarfe-elder, each one ounce and an half, of Succory with the Roots, and Dandelion with the Roots, Endive, Sow-tkistle, Li­ver-wort, Agrimony, Germander, Groundpine, Fumitory, of the five Capillars, each one handful, Flowers of Broom, Tama­risk, Elder, and Dwarfe-elder, of the four Cordial flowers, each one pugil, Flowers of the lesser Centaury, half a pugil, of the four great cold Seeds, half an ounce, of Anise, Fennel, and Parsley seeds, each two drams, of Dodder seed one dram, Ivy-berries three drams, Prunes five pair, Tamarinds one ounce and an half, Rai­sons stoned two ounces, of Senna, Polypody, and Carthamus seeds, each one ounce and an half, Epithymum two drams: boil them in water with one quart of white Wine, and when it is strained, infuse Agarick, Troches, half an ounce, Rhubarb three drams, Spike one scruple, strain them and add as much Sugar or Honey as is sufficient to make an Apozeme, aro­matize it with Cinnamon for four doses.

And if you add one handful of Soldanella, or Sea bind weed, or of pot Mercury, or one dram of prepared Esula or half a handful of Spurge, and if you take more, you may leave out Rhubarb, and Agarick, some add Smallage roots. And when it is thus strong, you must give the less quantity at first, that you may know their strength, and this is to be observed in other Medicines, alwaies keeping good Order, and using Baths after if, need be.

Another more simple: Water-purger: Take of Soldanella [Page 561]two ounces, Ivy-berries half an ounce, of Asarum root, two drams, Anise-seeds three drams: boil them in water and wine, or a Decoction of the Simples mentioned for a Draught.

Or thus: Take Liquorish one ounce, Elicampane half an ounce, Roots of Sowbread one ounce, Soldanella one handful, of Spurge or Laurel half an handful, of Raisons stoned two ounces, Ivy-berries three drams, Fennel seed two drams: boil them in the Broath of grey Pease, add to the strained Liquor, Su­gar and Honey of Roses, as much as is sufficient, let them boil a little, and add two ounces of Wine and an half, Cinna­mon, Schaenanth, or Spike, let him drink a little, and accor­ding to the Operation of that, let the rest be given after. Medicines steeped in Wine or boiled therein, do work safer and better, and if a Dropsie can be cured, they will do it, we know this by Experience. Take of Flower-de-luce roots one ounce and an half, of Succory, and Fennel roots, each one ounce, of Elicampane, or Master-wort, half an ounce, the barke of the Roots of Elder, and Dwarfe-elder, each one ounce, Worm­wood three drams, of Germander, and Groundpine, each two drams, of Rosemary Topps one pugil, of Flowers of Centaury one dram, Fennel seed two drams, Caraway, Coriander, and Parsley seed, each one dram, Senna one ounce and an half, Agarick, or Briony roots prepared, or Mechoacan, half an ounce, Rhubarb two drams, and if you wil have it stronger, Turbith two drams, slice them, and beat them all being dry, and infuse them in five or six pints of Wine, and let him drink of it only steeped or boiled in a double Vessel, one Draught, and as that worketh, let the rest be after proportioned.

Or add to the aforesaid Gentian roots, and Birthwort, each half an ounce, Asarum two drams, the Bark of Bitter-sweet six drams, Thyme one dram, Broom flowers one pugil, Ivy-berries, half an ounce, Smallage seed, one dram.

And to make it purge water more, we ad to these wines, Soldanella, or Sowbread roots, half an ounce, and if we will have it stronger, in want of the Flowers of Spurge, we take the prepared Bark of Spurge roots, or of black Hellebore, from one dram to one dram and an half, or half a dram of Coloquinti­da: These given in wine are safer, with Spike, and Schae­nanth, each half a dram.

If they be steeped in new Wine, or boiled with a little Wormwood for the stomach sake, Barkes of the Roots of Elder, or Dwarfe-elder, or the inward barke of Elders, or of Bitter-sweet, or the seeds of spurge, they are better.

Stronger are, the Roots of wild Cowcumber, or Briony in Wine, or spurge Leaves alone, or with the seeds and flowers.

Other Potions by Infusion or Decoction in Wine, with Juyces, are thus made: Take of Rhubarb, and Soldanella, each one dram, or four scruples, infuse them in wine, and give it being strained, with syrup of Roses solutive.

Or, Take Rhubarb one dram, or four scruples, sprinkle it with the Juyce of Flower-de luce, from half an ounce to six drams or add the Juyce of Elder roots, and after sufficient steeping put to it as much Wormwood-wine as will serve, strain it hard, and give it, or with Syrups.

It is stronger if you steep Rhubarb, in the Juyce of Sow­bread, one dram and an half, or Juyce of Palmachristi, half an ounce.

Or, Take Agarick one dram, Ginger two scruples, Sal Gem. one scruple, sprinkle them with the Juyces aforesaid, and with wine strain them, and give it.

A Potion made of Cock broath thus, is approved: Take of Polypody of the Oak, two ounces, of Carthamus seeds bruised, one ounce, of green Flower-de-luce roots, one ounce and an half: boil them in Whey of Goats milk, or old Cock Broath, or stuff the Cock with these, give a Draught with the Pouder, or Or­ris, and Cinnamon, each one scruple, use it often, you may ad more of the former to make it stronger.

The Juyce of Flower-de-luce from two drams to six, provokes Urine and stool, it alone hath often cured a Dropsie, and you may let it settle. Because it inflames the jawes, you may give it with Wine, broath or Milk, or with Honey, or Su­gar, with other things to make it tast well, and such as are good for the Liver.

Or you may make a Syrup of it, putting as much Sugar to the Juyce, and so keeping it, or boiling it to a body if it must be kept long: but then you must give a double quan­tity or more, as you perceive its Operation.

Or, Take of Rhubarb infused in Wormwood-wine, and strain­ed, three drams, of the Juyce or Orris roots four ounces, of Cin­namon water half an ounce, of Sugar four ounces: boil them into a syrup give it from one ounce to one ounce and an half.

The Juyce of Sowbread may be given the same way, crude or other Juyces, as of Elder, Dwarfe-elder, Briony, or with the Infusion of Rhubarb, or Agarick, made into syrups, as the Juyce of Flower-de-luce.

There are Faeculae or Dreggs made of Briony roots, both the Dragons and Flower-de-luce, to be given in this case, the Juyce is taken out of the Roots, and set in a cold place, till it have a branny setling, that which is thick and white, is poured from the Sediment or Setling. This is dried af­ter it hath been sprinkled with Rose or Balm-water, and stirred often in divers broad Vessels in the shaddow, till it be like Meal, this is to be kept in a dry place.

Or make the Juyce up thus, which is an approved Re­medy: Take of the middle Bark of green Elder, or of Bitter­sweet which is in the middst, two handfuls, of green Briony roots one ounce: beat them well with Wine and Vinegar, strain out the Juyce, give it twice or thrice.

The best of all is the Juyce of wild Cowcumber prepared, cal­led Elaterium, which is made of the Pulpy Juyce of them unripe, strained through a sieve, to which add after the Decoction of the parings of the Cowcumbers strained; These stirred toge­ther are placed in the Sun or at the fire, covered with a Cloath, and when they have stood a while, you must pour off the water, and make that which remains into little Balls; It is made sooner and better, if the Liquor be pou­red upon a Linnen-cloath, pressed down in the middle be­ing three times doubled and laid upon the ashes, and what remains in the cloath be dried into Balls.

Thus it may be made sooner: Take the Juyce of the wild Cowcumber, and boil it with four times as much Sugar to a Syrup or Electuary, mixing other things proper: Of all which you must give a little at first till you know the force of them.

The Extract of Juyce of spurge, made thick, and of Roots of Cuckow-pintles, black Hellebore, Euphorbium are all to be warily given, and the dose is rather to be found out by Ex­perience then prescribed here.

The Extract of Esula or Spurge, will do much in purging water, which is commended by Ruland in his Emperial Ob­servations, and it may thus be prepared safer.

Take of the lesser spurge four parts, of both the Sow-thistles green, red Roses, and Coriander seed prepared, each one part: boil them with water at a gentle fire, skumming them al­waies till no more appears, and after pour it off by inclina­tion, and put in more water, and boil it as before; This water being altogether or this whol Decoction, let it be e­vaporated, till it comes to the thickness of Honey; After pour on as much Spirit of Wine rectified, as will be the breadth of a Finger above it, let it stand in a close stopt ves­sel a while in a warm place, stirring it sometimes, and then draw the Spirit of Wine in Balneo Mariae by Evaporation, keep this Extract, the Dose is from one scruple to half a dram, and more in strong Bodies.

A Conserve of the Leaves of Spurge, and Laurel, first steeped in Vinegar, then bruised and mixed with a double quantity of Honey, is given with Milk or Whey.

An Electuary of the dried Leaves of the same Herbs pou­dered and boyled with Honey, is given the same way.

Or this: Take of Soldancella, Mezereon, or Widdow-waile steept in Vinegar, and dried, and poudered, of Senna three drams, of the Kernels of Carthamus seeds two drams, of Turbith three drams, of the Pouder of Orris roots one dram, Mastick, Lack, each one dram and an half, with syrup of Roses: make an E­lectuary.

This is more safe; Take of the Juyce of Flower-de-luce one ounce and an half, Honey one ounce,: boil them gently, and [Page 562]add at the end, the pouder of Soldanella, six drams, pouder of Orris one dram, Cinnamon one dram and an half, make an E­lectuary, let him begin with two drams.

Another highly commended Electuary: Take of the juyce of wild Cowcumber, out of the Fruit and Roots, the Juyce of lau­rel Leaves, of the Juyce of the purple Flower-de-luce roots, of the Juyce of Wormwood, and Agrimony each one ounce and an half let them setle, and pour off the clear top by Inclination and with the thickest, mix of Rhubarb, and Agarick each two drams; of Endive, Succory, and Purslain seeds, Mastick, Lack, Traganth, Sal Gem. Spikenard each half an ounce; of pure Honey two drams, set them in the Sun or a Furnace, and stir them often, till they grow to a thick consistance, give one dram for a dose.

Like this you may make it more excellent: Take of the Juyces aforesaid one ounce and an half, of Vinegar of Roses one ounce, of the Infusion of Rhubarb three drams, of Agarick two drams, Sal Gem. one dram, white Wine six ounces, Cinnamon half an ounce, steep and strain them, and add Sugar and Honey of Roses each four ounces; Pulp of Quinces four ounces, Gum Traganth infused in Rose-water two ounces, boil them to an Electuary, and add Mastick, or the like, or leave out the Pulp, and with half a pound of Honey or Sugar, boil them to a Syrup.

The usual Electuary to purge Water, is that of Mezercon or Widdow-waile made of the Leaves thereof, with Oyl, Honey, Agarick, Manna, Sugar, Quinces, and Whey, Thus: Take A­garick half an ounce, Rhubarb three drams, infuse them in Whey, and strain it, and dissolve therein ten drams of Manna, of Sugar, Pulp of Quinces, boiled a little with Vinegar, two ounces and an half, Oyl of sweet Almonds three drams: boil them to an E­lectuary, mixing at the end two drams and an half of Mezere­on poudered, or of Laurel, or Esula first infused in Vinegar.

There is another Electuary of Esula or spurge called Al­scebram in Arabick, made of Esula and Myrobalans, with juyce of Fennel, by Insolation dried into a Body, which may be made as that of Mezereon with Esula.

There is also an Electuary of Mesue called Diaphysalidon made of the Leaves of Mezereon steeped and prepared with Oyl of Mezereon, Scammony, Turbith, Agarick, Myrobalans, Manna, Cassia, Tamarinds, Raisons, Penidyes, Orris, Smal­lage and Fennel seeds, Wormwood, Rhubarb, with the Juyce of Endive, Smallage, Agrimony, Wormwood, Oyl of Jesamine.

Benedicta Laxativa which hath Esula in it, or Hiera Her­metis with Mezereon, are counted Water-purgers.

Some Water purging Pouders are given with Wine, Milk, Chicken broath, or Cock broath, or some other Decoction, with Sugar, Honey of Roses, and Cinnamon and the like, and being often used they work better, and if they be unpleasant they may be made into Pills.

The Pouder of Soldanella given often from a dram and an half, to two drams, and Mechoacan or Briony root poudered in the same quantity.

The Roots of Dwarfe-elder, or Elder, to three drams of A­sarum with new Wine.

The Pouder of the Bark of the Root of wild Cowcumber to one scruple given in new Wine, five seeds or more of Palma Christi in pouder, also the Grana Regia of Mesue, from seven to ten or twelve, their shells taken off, beaten and given in a rear Egg to avoid Vomiting, or in Figgs or Dates.

These are better if you mix them with pouder of Rhubarb, Spike, Cinnamon, or Mastick.

Or thus; Take the Leaves of Soldanella one dram and an half, Senna two drams, Rhubarb one scruple, Sugar one dram: make a Pouder for one dose.

Or, Take Soldanella one dram and an half, Turbith one dram, Rhubarb half a dram, Ginger one scruple, Sugar one dram make a Pouder, give it as the former, and if you put to it a little Esula prepared it will be stronger.

This is excellent. Take Soldanella half a dram, Pouder of Grass-hoppers one scruple give it with Broath.

Gum sagapenum with Myrobalans or Rhubarb is given by some, very excellently if it be dissolved in Vinegar and gi­ven with Aloes and Troches of Alhandal, or Scammony in form of a Pill often.

Water purging Pills, are made with the Pills of Rhubarb or Agarick or Agregative, or of Euphorbium, or Sagapenum or the like, with Juyce of Flower-de-luce, or Sowbread, or of Palma Christi.

The Pills of Rhasis made of Rhubarb purge water, and are these. Take of Rhubarb one dram, and Agarick one dram and two scruples, Endive seeds one dram: make them up with Juyce of Endive, or Agrimony.

Thus made they are safer: Take of Rhubarb and Aga­rick each one dram and an half; of Spike half a scruple, with Juyce of Flower-de-luce, in which Spurge and Laurel and Eu­phorbium have been steeped, make them up.

The Pills of Mezereon are in use made of the Leaves of Me­zereon five drams, steeped three daies in Vinegar, and one ounce of Myrobalans, with Manna, pulp of Tamarinds, and Endive water.

If you take only half the quantity of Myrobalans, and two drams of Rhubarb and make them with the Infusion of Tra­ganth they will be safer.

There are usual Pills also of Elaterium made of three drams of Elaterium, Aloes two drams, Mastick one dram, with Juyce of Elder or Dwarfe [...]der.

Or, half a scruple of Elaterium with half a dram of Mastick Pills or two scruples, or de Tribus, the Pills of Rhubarb, or Ag­gregative, or mix the Elaterium with Troches of Rhubarb, or of Lack.

There are Pills of Philonius called Hydrogogae made of Laurel steeped in Vinegar, Diagredium, Rhubarb, Myroba­lans, Orris roots, Costus, Wormwood, Anise and Fennel seeds, wood Aloes, Lack, burnt Brass, and Juyce of Fennel.

Clysters do also purge water, by the Meseraicks, is brought again into the Belly, which they do by cleansing and stirring up Nature, and by opening the Mouths of the Veins, thus made, and they also take down the Belly by expelling wind.

A gentle Clyster is thus made: Take of Beets, Mercury, Pellitory, Cranes bill, or Dove foot, and Rue each three or four handfuls, Flowers of Elder, Broom, St. Johns-wort, Chamo­mil, Dill, white Lillies each three pugils or four, Caraway seeds half an ounce, Smallage seed, or the great or less hot seeds half an ounce, Senna one ounce and an half, of Carthamus seeds one ounce: boil them in Water, and dissolve Hiera benedicta, or Leaven half an ounce, Honey one ounce, Oyl of Bayse one ounce and an half, with a little salt, make a Clyster.

It will be stronger with more Purgers, as Agarick, or Turbith half an ounce, Asarum three drams, or with only a dram of Coloquintida, leaving out the purging Electuaries.

It will purge water strongly by adding a handful of Sol­danella or spurge to the Decoction, or one ounce and an half of the Roots of wild Cowcumbers and as much of Sowbread, and Smallage roots.

Another: Take the Ʋrine of a sound, cholerick Man, or Lixivium which is not too strong, and dissolve in it one ounce of stale Leaven, and one ounce and an half of Oyl of Rue, and it will be stronger if you add half an ounce of the Juyce of Flower-de-luce root, which may be added also to the for­mer.

For other Evacuations, especially Sweats which bring the Water into the Feet and other parts, they are good, but not to be forced too much, for so they are hurtful, because the sick being in Bed and taking hot things is inward and outward in danger of Suffocation for want of Breath, ther­fore except they come freely, and in the declining of the Disease: for taking Swelling from the Feet, you must not sweat. But if the Party by inclined thereto and can sweat standing, use such as we shewed in Leucophlegmacy, which if they move not, Sweat yet will purge by Urin.

Evacuation by Vomit, because it shakes the Belly too much, and increaseth the shortness of breathing, it is hurt­full to some; yet in some if there be a Revulsion made by Vomits from the Meseraick Veins to the Stomach and Guts, or to take away something that causeth the water, if they be easie to vomit it may do well; as also if then thir­sty they drink much water, to vomit it up again, Rhasis ad­viseth [Page 563]to provoke Sneezing, to send the water to the Kid­neys.

We can do little good by Blood-letting in a Dropsie, be­cause except there be another Disease joyned, as an Inflam­mation, it cannot help the Bowels, and it brings none of the water from the Belly, or Habit of the Body, nor out of the Meseraicks, nor much of that which is in the branches of the hollow Vein, for we find that in Dropsies they bleed clear, thick and black Blood, by Experience. Yet if the Haemorrhoid Veins use to bleed or do open themselves, the water in the Meseraicks may be sent forth in great quantity thereby.

Water is often taken from the belly by cutting, burning, or pricking it, as also from the Codds and Feet.

And that which is done by tapping or pricking of the belly called Paracentesis is the best, for by it all the water may be taken out of the belly, sooner then by any other way. Therefore it is most usual, and ought to be betimes before the water by long continuance defile the bowels, and the strength decrease, because this wound being made on­ly slightly through the Skin, Muscles, and Peritonaeum brings no danger as the People suppose, nor can the Guts be thereby so made any wayes hurt, because the Superfi­cies of the Belly being stretched with water, is at such a distance from them, and they lie, as is proved by discecti­on, far separated from the parts divided. Besides it is im­possible that the Patient should escape, in regard the water can get out no other way by stool or urine, it is therefore better in a desperate Condition, to try this Remedy as the last, then to leave the Patient, because except the Great­ness of the Cause do hinder, they may thus sometimes be cured, or if they die, in regard they could not otherwise be cured, the Physitian by foretelling this, may keep his cre­dit and his Conscience clear. And the Patient shall get this benefit at least, that when the water is let forth, he shal be freed from his great shortness of Breathing, and other internal Griefs, and so die in a more easie posture.

But for the doing this handsomly, you must choose a place three fingers below the Navel, on the side, and there where the Muscles of the lower Belly are oblique and trans­verse, and lie upon the flesh, because you may better make a wound there, then in the middle under the Navel, where the nervous parts are of the Muscles which make the white line which is Nervous. Therefore with an Incision knife, or some other fit Instrument make a wound through the Skin, Muscles and Peritonaeum gently, least you hurt the Guts, and receive the water in a Bason, which usually gush­eth forth violently.

And you must presently shut the Orifice again, least it flow all forth at a time, and so take away the strength, so that the water may be taken out by Degrees, dayly twice or thrice a little at a time, by closing the Orifice without loss of strength, which must in the same time be restored with proper Remedies. In which we must have a special Care that we commit not an Error, and that we may stop the water when we please; which is done by putting in a hollow top which may shut the Orifice, so that we may o­pen it and shut it as we please; or if, before we make the Orifice, we draw down the skin, and cut it transverse as far as the Muscles, and after cut within with an Incision knife: For then the lower Orifice of the wound made first in the skin rising when the skin is loose, the inward Orifice will be hid and stopped, and when the skin is drawn down a­gain, it will be opened, and so we may keep and let out the water as we please, and prevent its flowing out at other times.

Moreover we must consider when the water flow's forth whether it be clear and without evil Sent, for then it is a good sign, because we suppose from thence that the bowels are not yet putrified, but if it stink or be bloody, it is to be supposed evil.

A Puncture made in the Codd, as we shall shew in Hy­drocele, doth not onely give vent and let out the water there, but if it be long kept open, it will take it from the Belly by degrees and by the same way that it first sell into the Cod; for which Cause, if the Puncture be not made in the belly, it may safely be made in the Codd: And this is the only way to cure any dropsie curable though it be neglected. Also we may take water from under the skin by Scarifica­tion. Which being make in the Feet, doth not only eva­cuate that which is there abouts; but because other water comes alwaies in the room of that which is let out, it setch­eth it so from the upper parts and hollow of the Belly, that by long and plentiful Evacuation, it takes it from the Bel­ly also, and it ceaseth to swell. And this Scarification be­ing usual, is not refused by the sick; although it may seem strange, because the water flowing may cause an Inflamma­tion, and somtimes a Gangraen, and this may be thought to be from the Scarification which may be a reproach to the Physitian. That he may avoid this, he must foretel that this may come from the malignity of the water, when it be­gins to flow either by Incision or of it self. Moreover the Scarification must be rightly made, and good Government used. And this is done by making it in the fleshy parts of the Feet about the Ancle, or first trying in the Thigh, only cutting the scarfe skin which will drop, and then piercing the true skin gently, making Wounds broad and at a di­stance with a large incision Knife; and let the water that comes away be gently wiped off with a Linnen-cloath, without rubbing, and after let the Inflammation be taken away with white Oyntment and Juyces convenient, as of Nightshade, Plantane, Henbane, or with the Leaves laid on: And let us chiefly take heed least the Roulers or Bol­sters be alwaies wet by changing them continually, or by anointing them with Goats suet, or Dears suet to keep them from taking water.

Some commend the Scarification of the whol Belly to the Nervous parts of the Muscles, which cover the straight Muscles, to draw out water.

Also you may let out water by raising Blisters in the feet and breaking them, and by keeping them open. And these use to come by the force of the water within the skin-be­ing sharp and burning: Otherwise they are made by art, by light burning of the skin, by an actual Cautery: By these means one in a Dropsie was cured with a warming that burnt his Feet, being in the Bed at that time. Or this may be done by Vesicatories, foretelling alwaies the Dan­ger of Inflammation and Gangraen, and by using gentle things, because if you apply very hot things to raise Bli­sters, you will cause Inflammation sooner then by Scarifi­cation.

Moreover Water doth not onely flow by blistering the Feet, out of the whol Belly, but we sometimes find the Na­vel enlarged with a clear Bladder full of water, by which being opened with no pain, the water hath all come forth with great force. And this way of Cure being so easie, might be by often applying Cupping glasses to the Navel to raise it.

Water also may be let out by an Issue in the Feet, which would quickly cause Inflammation, if made with an actu­al Cautery; Therefore it is better to use a Potential cau­tery, which opens the skin by Mortification without pain (in the Feet if nothing hinder,) with such Cautions as are before mentioned. And this may be done without Dan­ger in the Cod, but not in the Belly, because it is too thick.

Also if the Dropsie come from weakness of the Bowels, and fullness of Humors, from Obstructions or Hardness, you may use altering Medicines such as are mentioned in a Cachexy: And these are chief which are so compound­ed, that they dry up water and provoke Urin, as these fol­lowing.

A Decoction. Take of the five opening Roots, Succory, Flo­wer-de luce each one ounce and an half; of Dandelion, five lea­ved Grass, Dropwort, Valcrian and Eryngus each one ounce; of Asarum roots, half an ounce, of inner Bark of Tamarisk, Ash, Elder, C [...]par roots each six drams; of Endive Agri­mony, Horehound, Germander, Groundpine the Capilar Herbs, Burnet; Mouseare, Wormwood, and Carduus [Page 564]us each one handful; of the Flowers of Elder, Broom, Tama­risk, St. Johns-wort, Bugloss, Borage, each one pugil; of the four great cold Seeds half an ounce, of the less cold Seeds three drams, Pease one pugil, of Smallage, Fennel, and Parsley seeds each two drams, of Raisons stoned two ounces, of Liquorish one ounce and an half, make a Decoction in water, and the fourth part wine, with as much Sugar as is sufficient, you may add the Juyce of Flower-de-luce, and a little Cinna­mon, Schaenanth, Spike, or Cassia Lignea, or Diarrhodon or Trionsantalon, &c.

To these may be added the Roots of white Carduus, Po­lypody, Fern, Docks, the great Celandine, Ash bark, Mi­sleto of the Oak, Cleavers, Plantane, Devils bit, Hops, Mints, Hysop, Poly mountane, Bettony, Penny-royal, Or­gan, Rue, Marjoram.

Another Decoction: Take of the Roots of Fennel, and Parsley each one ounce, of Rhapontick two drams, of Wormwood Ceterach, Agrimony, each two drams, of the four great cold seeds each one dram; of Schaenanth, and Spike each one dram: boil them in chicken broath, or infuse them in Wine without the cold Seeds.

Rhasis hath a Potion much esteemed, of Wormwood, Dodder, Winter-cherries, Fumitory, the four great cold Seeds, Schaenanth, and Spike in Whey.

Of simple Decoctions, that of Lignum vitae is best, to provoke Urine, also a decoction of Garlick and Madder with Honey, of the broad Plantane by it self, or with Len­tils, as Dioscorides, who approves the Decoction of Organ with Figs, and of Pease with Rosemary, and of sweet cane, with Smallage seed.

A pound of Misleto of the Oak sliced in three pints of water boiled to half, is good if morning and evening four ounces be given, for a long time, you may sweeten it with Sugar, and a little Cinnamon.

A Decoction also of Earth-worms with things that pro­voke Urine, as Smallage roots, Orris, or Asarum, or the Bark of Elder roots, of Danewort, Ivy-berries.

Also Wormwood wine, for weak stomaches made with Sack, provokes Urine wonderfully: Also wine of Hore­hound and Squils.

Compound wines are made of many of the aforesaid mix­ed together, as; Take Roots of Smallage, Fennel, and Flower­de-luce each one ounce and an half; Valerian, Acorus each one ounce; of Master-wort and Gentian, each half an ounce; Asarum and Squils, each two drams; of the Bark of the Root of Elder, or of Danwort, and Sassaphras each one ounce; of dried Wormwood, Horehound, Agrimony, Maiden hair, Germander, Carduus each two drams; the Tops of the lesser Centaury, Broom, and Tamarisk flowers each one dram; of dry­ed Elder-berries two drams, of Parsley, and Fennel seeds each one dram and an half; of Ameos, and Dill seed each one dram; of Cinnamon two drams, of Spike half a dram: bruise them for two or three quarts of [...]ine.

A Lye made of Bean stalks, or Juniper ashes dried in a Furnace, often strained or long steeped in water, drunk som­times, hath often done good; And some have been reco­rered by drinking nothing else, but it hath been smal: Al­ [...]o that is good which is made of Broom ashes: Also that of Ivy, Bitter-sweet, and of Hedg Hysop, and if wine be used instead of water or mixed therewith, it wil pierce the more; Or if you bind the Ashes aforesaid in a knot of Linnen, and steep it in wine, it will cure, especially if the Ashes are made of Plants not throughly burnt, but dried to ashes in an oven

I did much for one in a Dropsie with this Lye, when his Codds and Yard were swollen Take of the Ashes of Vine and Bean stalks, and of Bitter-sweet, and Holly bark, and Juniper, all burnt in an Oven without flame each one handful; pour a pottle of water thereon, and let it run through, till it grow a Lye, and then boil it with Sugar, and skum it, and when it is cold, give it a relish with one ounce of Cin­namon water, let him drink thereof in the morning, and one hour before or after Supper three or four ounces.

The Chymists like the Salts made from thence better, as of Wormwood, Juniper, Hedg Hysop, and Dwarse-elder. If one drink their own Urin, or that of a young Boy it will provoke urine. Dioscorides commends the urine of a Goat drunk every day with Spikenard, distilled waters penetrat, much, if drunk often four ounces with wine.

Simple waters are of Elder, or Dwarse-elder roots, and Flowers or Berries, of Orris roots and flowers, and of great Celandine: also of white Lillies, of Raddish, French beans and Dodder: and of other opening and diuretick Herbs, and Roots, among which the water of Sea Fennel is best: some commend a water distilled of Mans dung, and To­bacco water.

The Compound waters are made of the aforesaid, with Juyce of Flower-de luce, some add Cantharides, cinna­mon, Spike, and Schaenanth.

The Chymist make some stronger waters, which they give by spoonfulls, adding to the aforesaid, as celandine, Elder, &c. Tartar and Vitriol calcined, and a little Spirit of wine, or of Tartar and Vitriol alone with Flints burnt and poudered, they make a water which they after distil and account a secret.

Dioscorides gives the Juyce of Lazerpitium or Benjamin, with Figs, the Juyce of Brooklime with wine, some com­mend the Juyce of Tobacco, some the Extract of Juni­per.

The Oyl of bastard Saffron, and the Oyls of the Salts a­foresaid, are mixed with the former by the Chymists.

Those Compositions mentioned in a cachexy from weak­ness of Bowels, Obstructions and Hardness, are good be­cause they provoke Urine.

Also Juleps, and the milky Potion made of Turpentine.

Also Electuaries, especially that we mentioned in a ca­chexy, when a Dropsie is feared, as that made of the Juyce of Elder, and Dwarse-elder and Dialacca, and Diacur­cuma.

Of the Compounds we may give the two last best, and of Simples the Pouder of the Tops of the lesser centaury, and of Sea wormwood.

Also Pouder of Dill with Wormwood or Horehound­wine.

Also the Pouder of a Wolfes Liver or Guts, or the Pou­der or Ashes of Hens Guts, the Liver of a Cuckow, and Spleen of an Ass, or of a Colt, when the Spleen is affected, the Flesh of an Hedghog, the Body of a Bat with the Head taken off, Earth-worms, all dried and poudered, or burnt to ashes given alone, or with other Pouders in wine, syrup or water convenient, are thought proper for these Bowels distempered.

Spanish Flies also, or Grass-hoppers, or Crickets baked to a Pouder, and one scruple given with water or conve­nient Syrup or Milk provoketh Urine powerfully, also you may add cherry-tree, or Plum-tree Gum, to hinder their ulcerating.

Some commend burnt Brass, and Pouder of Load-stone.

Also the Pills mentioned in a cachexy, are good against the Dropsie that comes from thence. And these following are most powerful to provoke Urine. Take of Cantharides without the thin wings half a scruple, Mastick six grains, Rhu­barb half a dram, pouder them finely, and make them up with Turpentine, or Fir-tree, Rosin two drams, adding the Infusion of Gum Traganth made in Violet water, and fresh Butter each half a dram; make them up with Sugar candy into Pills, give one dram at the first to try the strength of them.

Also we endeavor to consume water in the Belly and the parts below with outward Applications, such as draw it forth and digest or dry it into a Vapor.

You may make Fomentations and Baths for the belly and swollen Legs, and Codds, of Sea-water, or salted wa­ter, or Suphur, nitrous or bituminous Waters, Artificiall or Natural.

Or of a strong Lye, especially for the Feet, by straining water or wine through the ashes of Vines, Oak, Beech Beans, Cole-worts, Bones or the like, with Allum and Salt if you will have it stronger, with which you may wet clout, and lay them upon the Legs.

[Page 565]Or you may make Fomentations and Baths of a Deco­ction of Wine, Bean water, or the like: chiefly of the roots and Leaves of Dwarse-elder, also of Orris, Nettle, Celan­dine, Sowbread, the Bark of the Root of an Elm, and Fern, Centaury, Mezereon or Mountain-peper, Rue, Calaminth, Organ red Coleworts, chamomil flowers, Elder and the o­ther Dryers, with Brimstone, Salt or Allum, sometimes Scales of Iron, and three drams of the Pouder of Grass-Hoppers, or cantharides to provoke Urin also.

Or make this Fomentation: Take of common Lye ten pints, Vinegar one pint, Salt or Allum three ounces: boil them with drying Plants, and foment the parts with a Spunge.

A Stove or dry Bath doth more dry and draw out the hu­mors by sweat, from the inferior parts, and the more vio­lently, if you quench Flints in the bath to raise the fume: some have with good success used Laurel boiled therein.

Also a Fume raised by Iron, Flints or Marchasits quench­ed in Vinegar, or by Vinegar powered upon them, or upon a Mil-stone is good, and the rather if Dwarse-elder be boi­led first in the Vinegar.

Or jet quenched in Vinegar.

Cover the lower parts of the body with hot Sand, the Sea-sand is best by reason of the salt which is drying, there­fore Dioscorides bid it be done at the Sea shore, other sand will do the same with salt and ashes.

This may be done also with ashes alone, which are best when made of drying Herbs and Woods.

The same may be done in a heap of Corn, Malt, Bran, or trodden Grapes being hot.

Fill baggs with warm Sand, ashes, and parched Salt, and apply them to the Belly and Feet; to which you may add drying Herbs, and the great or less hot Seeds.

In the Dropsie Ascites, sweat provoked with Dane-wort as followeth, takes down the Tumor. Take a good quan­tity of Dane-wort fried without Water, and not burnt, lay it up­on a Quilt or Blanket, upon which let the Patient lie and sweat while he is able, refreshing himself with Cordials that he may continue the longer in it.

There are also divers Plasters, Cataplasms and Oynt­ments for swollen Bellies, and Feet and Codds, when full with water, to consume it, with things proper for the bo­wels thus.

Of Simples, Raddish roots, or Acorus, Pepper-wort brui­sed raw, or boiled in strong Vinegar, which with Water­cresses, and Mustard seed, they are stronger.

Also Onions beaten with Honey and Pepper, and ap­plied, as Dioscorides commends the Lyes of Oyl or Greass in an untan'd skin to rub upon the part.

The Root of a wild Cowcumber bruised and steeped twenty four hours in Vinegar of Squills, with twice as much Honey, is an excellent Medicine if boiled with a little Pouder of cummin.

Goats dung and Cow dung also applied to the belly, and Pigeons, and Hens dung alone, or mixed or boiled with the urin of a Boy, or Goat, or with Lye or with Wine, Vine­gar or Oxymel simple or made of Squills, adding Sulphur, Niter or Salt.

Or, Take of dryed Goats dung, or Cow dung, the Plaster of Bay-berries each half a pound; the Ashes of Snails or shell­fish half an ounce, of Vinegar and Honey as much as will make a Plaister.

Another more excellent.

Take of Pigeons dung, and Wine of the best each one pound; Vinegar three ounces, of Juyce of Dane-wort and Flower-de­luce each two ounces; Honey three ounces, Quick brimstone one ounce, Salt or Niter half an ounce, of Flower of Beans or Lu­pines one ounce and an half: boil them to thickness, adding at the end Bay berries one ounce, Cummin seed half an ounce, Water-cresse seed, Cypress roots, Elicampane each two drams; of Chamomil and Dill flowers each one pugil; of Turpentine as much as will make a Cataplasm.

Another is thus made: Take of Goats dung or dried Cow dung four ounces, of Frankincense, Mastich, and Myrrh each one ounce; Cypress roots and Costus each half an ounce; Cummin two drams, Brimstone, Salt each three drams; as much Ho­ney and Vinegar of Squills as will make a Plaister.

Or, Take of the aforesaid Dungs two ounces, of Dove foot Rue, Pellitory, Dwarse elder each three handfuls, boil them in Urin or Lye with Salt, Water and Wine; beat them adding Meal of Lupines, Bay berries each three ounces; Oyl of Rue two ounces, make a Cataplasm.

Snails bruised and applied are very good, Dioscorides bids you use the shells also, therefore they must be dried and poudered, also the slime of Snails is good if you add as much Goats or Cow dung to the Snails, the Plaister wil be better, to which for the Bowels, you may add Mastich, Spikenard, Schaenanth and Asarum.

Or thus, Take Bay berries half an ounce, Cummin or Cara­way seeds two drams, Water cress seeds, Agnus Castus and sta­phsacre each one dram; Orris roots three drams, Asarum one dram, Mastick and Myrrh each two drams; Mummy one dram, Spike and Schaenanth each half a dram; Brimstone three drams, burnt Salt two drams, the Ashes of a Vine or Oak or of Sanils, one dram, make a fine Pouder, sprinkle it with strong Vine­gar, and with so much Goat or Cow dung or Snails flesh, make a Cataplasm.

If the belly be anointed with some Juyces or Plaisters made of them, water may be drawn forth, the Juyce of sow­bread, dragons or Cuckow-pintles, wild Cowcumbers, Mezereon, Spurge, Laurel and Soldanella are best, then of Dwarfe-elder, Elder, Flower-de-luce, Birth-wort, Asarum, Mercury, mix them with Bean or Lupine Meal or Orobus, adding somtimes Spike, Asarum, Schaenanth, and apply it like a Pultis very large about the Navel, or make them in­to an Oyntment.

Thus; Take of the Juyce of wild Cowcumbers three ounces, Juyce of Sowbread or Dragons two ounces, Juyce of Spurge or Laurel one ounce, Juyce of Dwarfe-elder, and of Flower-de­luce each one ounce and an half, of Ox gall half an ounce, Oyl of Nuts, Squills and Butter each four ounces; make a Deco­ction til the Juyces be partly consumed, adding afterwards one dram and an half of the pouder of Scammony, Coloquintida one dram, Euphorbium, two drams, of the Pouder of the Root of Sowbread, if the Juyce be not in, three drams, Wax as much as will make an Oyntment.

If you boil a little of it with Honey, it wil be very strong.

Or you may use the following Liquor to the parts swol­len: Take of the juyce of wild Cowcumbers one ounce and an half, the juyce of Dwarfe-elder and Flower-de-luce two ounces, the Leaves of Laurel, or Spurge one handful, of Turpentine twelve ounces, Myrrh half an ounce, Frankincense, and Ma­stick each two drams; Nutmeg half an ounce, mix them and distil them.

Or anoint with the Oyl following; Take of Oyl of Nuts or Line seed one pound and an half, Wine and Vinegar of squils three ounces, boyl in them the Fruit or Leaves of wild Cow­cumbers, also Mezereon or Laurel bruised three handfuls, of the Roots of Squills and Euphorbium each half an ounce: strain them for Use.

To these you may add Wormwood water to strengthen the Bowels, and if the Liver be hurt, the Juyce of the Roots of comfrey, and boil them with Oxymel, adding Gum Am­moniack dissolved in Vinegar of Squils, and mix Sanders, Spike, Dialacca, or Diacurcuma, and apply it to the whol Belly.

Other Applications are thus made: Take of Sowbread roots one dram and an half, the Roots of Asarum one dram, Birth-worth and Pellitory of Spain each half a dram; of Smal­lage, Rue, and Mustard seed each two scruples, of Spike and Schaenanth each half a dram, of Ashes of Grass hoppers, and Spanish Flies one scruple, of Oyl of Wormwood, Bayes or Rue each two ounces, of Oyl of Scorpions one ounce, with Bdellium dissolved in Vinegar and Wax make a Liniment; or with Oro­bus, Lupine, or Bean flower, a Pultis, or leaving out the Oyls mix the pouders and meales with juyce of wild Cowcumbers, Lau­rel, Sowbread or Dragons, and make an Oyntment or Cata­plasm which with Honey will stick better, or a Plaister with Pitch and Wax.

Or, Take burnt Brass two drams, Allum or Salt half an [Page 566]ounce, Orris three drams, Orobus meal one ounce, mix them as the other with Oyl of Squills or Juyces.

The usual Oyntment to anoint the Belly is that of Arteni­ta or Sowbread is best, it is Mesuas and is made of Juyce of Sowbread, wild Cowcumbers, Vinegar, Ox gall, Aloes, Scammony, Coloquintida, Turbith, Mezereon, Euphor­bium, Sagapenum, Myrrh, Polypody, Chamomil, Pepper, Ginger, Sal Gem. Oyl of Flower-de-luce, Butter and Wax.

There is another Oyntment of Sowbread which is good against a hard spleen made of the Juyce of Sowbread, Dwarse-elder, Vinegar, Tamarisk, Polypody, Gum Am­moniack, Bdellium, capar Roots, Spikenard, and Oyl of Flower-de-luce.

Oyntment of Aregon is good in a Dropsie to anoint the Belly, it is made of Dragon Roots, wild cowcumbers, Pel­litory, Briony, Laurel, Sage, Savine, Fleabane, Rosemary, Marjoram, wild Time, Rue, Bays, calaminths, Mastick, O­libanum, Euphorbium, with Ginger, Pepper, Oyl of Musk, Bayse, Petrolium, Bears grease, butter and wax.

The Oyntment called Agrippa's of Nicolas is used for the same, it is made of Briony roots, wild Cowcumbers, Squills, Orris, Dwarfe elder Water, caltrop, Oyl and Wax.

Applications to the bladder do provoke urin, which are described in the suppression of Urine, as that Fomentation of the Decoction of Garlick, Juyce of Dove-foot and boys Urine, also anointing with the Oyl of Scorpions and the like.

Some fume the Anus with such things as they do the bel­ly and Feet, and anoint it with Aqua vitae, and Oyl of Eu­phorbium, or castorium, and Juyce of Flower-de-luce, ad­ding if they inflame, butter and oyl, cataplasmes will do the same, such as are used to the belly, the vertue of which wil come from the Podex to the belly.

They report that the stone in a water-snakes belly which she vomiteth into the water, when she is tyed by a string to her Tail, is of such force to consume water, that it present­ly consumes the water into which it falls, and if it be laid to the belly, consumes the water there also.

You must have regard to the Liver and Spleen, if distem­pered, with such Remedies as are prescribed in these Dis­eases, especially in a cachexy and Obstructions.

The Air must be dry, which is better then moist; Exercise, if they can beare it, doth discuss, Frictions or Rubbings do it more, especially if the Hands be anointed with Salt and Oyl, or Oyl and Water, and then if you rub till the skin be red.

Also Mustard seed and Urine rub'd upon the belly to make it red and discuss.

Cupping-glasses applied to the whol belly are good to discuss.

Watchings although they dry more then sleep doth, yet because they weaken and are troublesom to difficult brea­thers, you must not allow them much.

The Diet must be moderate, of good Juyce and easie con­coction, abstaining from moist things, and roast is better then boil'd, they must abstain from salt, spiced and hot things which provoke Thirst: they may use Diureticks, or such as provoke Urine, as Parsley, Fennel, Rocket, and Cole-worts, Livers of Wolves, Foxes, Hens, and Larks are counted proper.

They must not forget Sallads which provoke urine and loosen the belly, made of yong Elder budds, and of Dwarfe­elder, first boiled a little, with much Oyl and a little Vine­gar, and Sugar if they please.

Let them drink little, for it is hard wholly to forbear, yet when some have done it many daies, they have been cured, being their bowels were not hurt. Water drinking, especial­ly much, is hurtful, with a little Vinegar, it will quench the Thirst better; thin sharp wine is good to provoke Urine, Vinegar is good sauce not only for the Spleen, but Liver and to quench Thirst.

The spreading Tumor of the Feet differs from Oedema, The Cure of swollen Feet. it is softer and comes of crude and serous Juyce, and somtimes it is in one Foot, somtimes in an other, very large, somtimes in a certain place below or about the Ankles, or, as we have observed, upon the skin, which if it come after this or that manner without another Disease continueth long, and if it cease, it returns at certain times, it is harder to be cu­red in some that are accustomed to it, and it is hard to pre­vent from returning, except the body be very well purged from those Excrements and Humidities which Nature con­stantly sendeth to these inferior parts, and the return of them prevented. And this is done by a moderate and sparing Diet, and often purging, by sweating, somtimes for a week or two together, or for a moneth continually or by Urine, with other particular Evacuations, and altering Medicines, that consume these Humors, and such as strengthen the bo­wels, the weakness of which was the cause of them. These kinds of Medicines have been declared in Defluxions, and in the Joynt-gout which come from such watery Humors, and the like, and may be applied to this Disease.

As for outwards Medicines you must at first repel those Humors which make the Feet swell, applying such things as we said would strike back Oedematous Tumors spread abroad; then they are to be dried up and consumed, with such things as were propounded in the same case in the Dropsie Ascites, with Fomentations, Oyntments, and Plai­sters. Roulers do excellently in this, to keep the Humors from returning, if daily with a long Rouler a Hands breadth, beginning at the soal of the Foot, you roul to the Knee in the morning before the Feet begin to swell, as they do in the day; and so let them be till they go to bed, or keep them so night and day which may be done with a soft Boot, or laced Stockin or other Arts.

Other Tumors that fall into the Feet af­ter sickness by excrementitious Moisture that falls down, are taken for a good sign, The Cure of swollen feet af­ter sickness. and therefore neglected: For they either go away of their own accord, or after a little purging or sweating. But if these come from any hurt in the Bowels left by a Disease, then because it is the beginning of a drop­sie, you must proceed as we have taught therein.

If Hydrocele be joyned with Ascites and the Codds are filled with water as the belly, they are both dangerous; The Cure of a Hydrocele or Water-rupture. for the cure, it must be as the Ascites which must chiefly be regarded, for if the belly fall, the Codds will also cease swelling; And if not, then apply the outward Medicines mentioned in Ascites, as Fo­mentations, Fumes, Plaisters, &c: To the codds, as we shewed: let out the water by a Prick, and that which is in the belly will follow.

But if Hydrocele come of it self without any other Dis­ease, and the codds alone be swollen, because it brings no great hinderance it is usually neglected at the first, but it must be cured by those Remedies mentioned in Ascites to let out the water. Among which the cataplasmes made of Goat and Cow dung, and the flesh of Snails onely are the best, leaving out the things which are prescribed for the bowels.

Or make this Pultis: Take Goat or Cow dung one pound, of Snails boiled in Lye and cut small twelve, mix them with the dung, then boil them all with the remainder of the Lye, then add Bean flowers three ounces, Cummin seed half an ounce, Mustard seed one dram, Brimstone one ounce, the Ashes of Snail shells and Cabbage roots and stalks burnt, half an ounce: mix them.

In the mean while soment the part with Lye to which there is added Salt and Brimstone.

Besides these you may use by turns things that consume water and astringe, and shut up the Passage by which water falls into the Codd, and also dry up the water.

Such as this is made of the dung aforesaid with the third part of Bole and Vinegar or Oxymel.

Or this, Take Bran one pound, Bean flower four ounces, [Page 567]Cummin seeds two drams, Galls six drams, Hypocistis or Con­serve of Sloes half an ounce, Allum two drams; boil them in Oxymel to a Pultis.

If the Tumor yet abate not, you must prick it, which is easily done without great pain in the lowest part of the cod, with an incision Knife thrust into the skin which is stretch­ed out, and so let out the water, and press it forth till all be out, and then keep the wound some time open with a Tent, or with a seton or skein of Silk drawn through by a­nother Orifice.

Besides this, if the Party be so subject to this Tumor that it returns again, you must thus prevent it, by hindering the increase of water in the Belly with good Diet, and such things as consume Water, as we shewed in the weakness of the Stomach; And if there be any fault perceived in the Bowels ordained for Sanguification or making of blood, you must use things mentioned in a Cachexy.

And if we perceive by the return of it again speedily, that this Swelling comes from the falling down of the Pe­ritonaeum, you must keep it up with such Remedies as were mentioned in fleshy Ruptures called Epiplocele and Entero­cole; and if they prevail not, you must use a Truss or Li­gature to keep it up, first making incision in the Groin, as in other Relaxations and Ruptures. And because this is dangerous for loss of life or one stone, it must not be done but upon great Necessity, especially in a Hydrocele which is less troublesom, and may be cured by a Puncture.

The watery Tumor int he Groin, The Cure of the watery Tumor in the Groin. in Women being like the Hydro­cele in men, is cured the same way, applying things that consume wa­ter.

The Cure of the Swelling about the Navel called Hydromphalus, The Cure of Hydrom­phalus of the Navel. is by external Applications and ma­nual Operation.

The Hydrocephalus being a tu­mor of the Head, The Cure of Hydroce­phalus. is hardly cured with outward Applications, be­cause the skin is there so thick, that the matter cannot de digested, but when you have tried the best Medicines men­tioned in Oedema and the Dropsie without success; you may easily cure it by cutting or burning, and the safer, be­cause there is no danger of great loss of blood.

If the Eye-brows be swollen, either they fall by actual Heat, The Cure of swo­len Eye-lidds. or by Fomen­tations, (the Eyes being shut) or discus­sing oyntments mentioned in the watery Oedema.

Phlyctaenae or little Bladders full of water either depart of themselves, The Cure of Phlyctaenae. or by pricking or cutting to let out the water, and then the cut may be cured.

Hydroata or water Pustles are little and many, The Cure of Hydroata. called Saren in high Dutch. If these vex by itching, because they argue much salt or cholerick Water, he must be purged, with things mentioned in the Itch, and they must be ope­ned to let out the water, to which the itching calls the Nails, or they must be pricked with a Needle, and after­wards the Scabs are to be cured, as we shewed.

The Cure of Bladders in the Eyes was shewed when we speak of their pains, you must cure all windy Tumors as a Tympany of the belly, or as the puffing up of the whol bo­dy is cured, at first. And after it be in the Codd called Pneumatocele, or in the Throat called Bronchocele, or a Phy­sodes you must look to Particulars.

There are three sorts of Tympanies, from divers causes, two are more usual, the first comes from wind onely in the Guts, the other from wind and water in the cavity of the belly; the third is very seldom which comes from wind only shut up in the cavity of the belly: we will declare what is to be done in all three.

The first kind of Tympany which comes from wind not gathered into the cavity of the Belly, The Cure of the Tympany of the Guts. but in the Stomach and Guts, which so stretcheth them, that the belly swelleth, if it come from rouling together of the Guts, or from some old Obstruction, and if the Guts be made exceeding thin thereby, so that they cannot again come to their former condition, or be broken as we have known, with a little force: It is for the most part despa­rate; but if this stretching or stoppage hath not been so old, so that it seems rather like a Cholick from wind, then a true Tympany, then there is Hope of cure.

And it is thus begun, by opening again the Passages of the Guts, and that speedily and chiefly with Glysters which by softning and pricking do loosen the Belly. and discuss the wind, or by purges such as are mentioned in the cho­lick, and in the binding of the belly; where we have been so large that we need not repeat them again.

But in the other kind of Tympany, The Cure of the Tympany joy­ned with ascites. when wind and water in the cavity of the belly, cause it to swell, which is most treated of, because most usual, because the Tympany and Ascites meet being both dangerous the case is worse.

The Cure of this differs not much from that of Ascites, only you must respect the weakness of the Stomach which causeth wind, and whether the wind come from the Sto­mach, or from water turned into wind, you must regard both

And first you must purge with such Purgers as were men­tioned in Cachexy and Leucophlegmacy, for to cleanse the belly and Stomach of Excrements, and then purge water, and wind.

You may use these following,

Take of Liqucrish one ounce and an half, opening Roots each one ounce; Valerian, Orris, and Elicampane each half an ounce; Asarum two drams, Mints, Bettony, Horehound, Maiden-hair, Germander each one handful; Cordial flowers, Broom, Rosemary, and Lavender flowers each one pugil; A­nise and Fennel seeds each two drams; Parsley, Sesili, Endive, Dodder seed each one dram; Melon seeds two drams, Raisons stoned one ounce, Senna and Carthamus seeds each one ounce and an half; Epithimum three drams, and if you please two drams of Soldanella: boil them in water, and the third part wine, infuse Rhubarb, Agarick and Mechoacan each half an ounce; Cinnamon, Ginger, and Sanders each one dram, Spike and Schaenanth each half a dram; Sugar as much as is sufficient for an Apozeme, for three or four doses.

Or make this wine. Take of Succory roots, and Fennel roots each one ounce, of Orris and Elicampane each half an ounce of Gentian and Valerian each two drams; Wormwood, Mints, Groundpine, Ceterach each one handful; Topps of Centaury and Rosemary each one pugil; Fennel seed half an ounce, Cara­way seed two drams, Senna one ounce and an half, Agarick, Rhubarb each half an ounce; Spike, Schaenanth each half a dram; infuse them in a sufficient quantity of wine, for four or five doses.

Also the Clysters mentioned in Anasarca and Ascites, or this for expelling Wind.

Take Orris and Briony roots each one ounce and an half; Gentian half an ounce, Asarum two drams, Bark of Elder roots one ounce, Rue, Mother-wort, Horehound each one hand­ful; Flowers of Centaury, Chamomil, Dill, Melilot, Elder, Lavender, and Rosemary each one pugil; Juniper and Bay­berries six drams, Cummin, Caraway, or Fennel seeds half an ounce, Parsley seed two drams, Foenugreek three drams, Cartha­mus seeds half an ounce, Agarick three drams, Soldanella or Roots of wild Cowcumbers two drams, (or leaving out the Purgers, we add a little Coloquintida) boil them in wa­ter and the third part wine or weak Lye, and in as much of the strained Liquor as is sufficient, dissolve two drams of lea­ven, two ounces of Honey, three ounces of Oyl of Rue, and a little Salt: make a Clyster.

You may leave out the Purgers in the Decoction, and dissolve Hiera or benedicta Laxativa half an ounce, Juyce of [Page 568]Mercury and Flower-de-luce one ounce and an half.

Here also you may use altering Medicines which we said were good in Dropsies in divers forms, choosing those that expell wind most or adding them.

You may make this Pouder. Take of Valerian roots one dram, Orrice roots, Germander, Mints, each half a dram, Cummin seed prepared in Vinegar, Fennel and Caraway each one dram, the ashes of the Guts of Hens or Wolves or of Earth­worms, half a dram; make a pouder.

Or this Electuary. Take of the Conserve of the roots of Succory and Valerian each one ounce; Conserve of Marjoram and candid Ginger each half an ounce; Pouder of Diacyminum and Diacurcuma each one dram; of the ashes of Hens or Wolves gutts, half a dram, with the syrup of the opening roots make an Electuary.

You may apply outwardly things mentioned in Ascites to the Belly, because they discuss Wind as wel as Water, choosing those that are most proper against Wind, or mix­ing such things.

Emplasters of Dungs mentioned are the best if they have many things in them that expel wind.

The Emplaster of Bay-berries is excellent, alone or with others, against the Ascites, and expels wind, made as I shewed in the weakness of the Stomach.

The Diet must be the same with that of Ascites, and they must avoid all things that breed wind.

In the third kind of Tympany which comes from wind that gets out of the Sto­mach and Guts into the Cavity of the Belly and swels it, The Cure of a simple Tympany. which is seldom; there is more danger than in the rest and is thought the worst kind of Dropsie, because it comes from the same cause which the first kind of Tympany, a total obstruction and convolution of the Guts and a thinness of the same extenuation and stretching and also because wind can hardly be discussed out of the Belly. And the Disease wil be greater, and incurable, if the Stomach be very weak and cause these winds because new wil breed from thence con­tinually, as also if there be a solution in the Guts which makes way for wind into the Belly, and cannot be cu­red.

If this come from Costiveness of the Belly, it must be cu­red, as is mentioned in the first kind of Tympany, if it come from great weakness of the stomach, you must chiefly re­gard that and the expelling of wind, for which we have writ medicines at large in the weakness of the Stomach.

And give Purges of crude humors which are gathered by reason of the weakness of the Stomach, and are the cause of Wind, and expellers of Wind, such were prescri­bed in the cure of a weak Stomach.

We may use this following Decoction. Take of Fennel and Parsley roots each one ounce; of Orrice and Elecampane roots each half an ounce: Wormwood two drams, Mints, Mar­poram, each one dram; Rosemary, Lavender flowers, each one pugil; Aunise and Fennel seeds each three drams; Caraway seed two drams: Carthamus seed bruised and Senna of each six drams; boyl them in Water and Wine adding in the end Rhubarb and Agarick each three drams; Cinnamon one dram, Spike one scruple, dissolve Sugar when it is strained and let it be for divers doses: or let all these be infused in Wine and let it be somtimes taken.

Another Potion. Take Rhubarb four scruples, Spiknard one scruple, Agarick two scruples, Ginger one scruple, steep them in white Wine end Fennel water, strain it, and add Diacarthamum and Diaphaenicon one dram.

The Clysters mentioned in weakness of the Stomach and in the Collick, to expell wind, are good here also.

Or this made for the purpose, Take of Rue two hand­fuls, Chamomel flowers two pugils, Juniper or Bay berries one pugil, Cummin or Caraway seed six drams, Fennel seed half an ounce, boyl them in water and wine, dissolve Honey, Oyl of Nuts, each two ounces; Oyl of Spike six drops,

Or, Take six ounces of Spanish wine, water of Chamomel flowers four ounces.

Or Take Rue water distilled as much as is fit with half an [...]ee of the spirit of wine make an Injection.

Or, Take Juniper berry water, or of Caraway seeds, Cum­min, Fennel or Anise seeds, it is very excellent to expell wind.

To these Wines and Waters for Glysters you may add Juyce of Rue, Oyl of Rue, chamomil, Dillor Lillies, two or three ounces, with Honey.

Or make this of Oyl only: Take Oyl of Rue four ounces, Oyl of Chamomil, Dill, Lillies each two ounces; Oyl of Spike Caraway or Cummin distilled six or seven drops.

Altering Medicines to help the first concoction, and to hinder breeding of wind, and if bred to discuss, it such as were mentioned in the weakness of the Stomach, are here also good; of which the chief is Fennel or Anise seed wine, or of the barks of Fennel roots, broath made with Bay-berries, or with caraway seeds, castor drunk with wine: among the compound Pouders the fifth and the tenth, and that for after Meat made of Seeds: Lozenges made with Oyl of Anise seeds and Fennel seeds.

That Electuary which is chiefly for wind, and the like there set down.

A Pouder for the same, Cummin seed infused in wine, and dried again two drams, Fennel seed one dram, Mints and dry­ed Marjoram each half a dram; Ginger one scruple, give one dram for a dose, and if one scruple of Castor be added, it will be excellent.

Or this Electuary: Take Conserve of Mints and Marjo­ram each one ounce; Conserve of Rosemary, Lavender and can­died Ginger each half an ounce; of Anise and Fennel seeds each one dram; Caraway and Cummin seeds each half a dram, or in­stead of the seeds, the species Dianisi or Diacumini three daams, Cinnamon one dram, with syrup of Wormwood make an Electu­ary.

You must apply things to strengthen the Stomach, and es­pecially to the Belly to expel wind, such as are mentioned in the weakness of the Stomach; as the simple and compound Oyls, and the Oyntment prescribed against the Swelling of the Belly, cataplasmes of Bread and Seeds, Fomentations of Penny-royal and Organ &c. baggs to expel wind of Ga­langal and Mints, of Bran and Milium.

To these may be added this Oyntment.

Take Oyl of Rue two ounces, Oyl of Lillies, Mints, or Mar­joram each one ounce; Juyce of Rue, Fennel and Aqua vitae each one ounce and an half; boyl them to the consumption of the Juyces, and add the Pouder of Cummin and Bay-ber­ries each two drams; Wax as much as will make an Oynt­ment. It wil be excellent if you leave out the Pouders, and put in one scruple of the Oyl of Cummin, Caraway or Spike, and better with half a dram of Castor dissolved in Aqua vitae.

Make a Cataplasme of cow or Goats dung, boiled in strong Wine, Urin and Lye, with Pouder of Cummin, cara­way, Smallage seed, Bay-berries, Bean flowers, and Rue, and Salt and the like.

Or, Take Rue, Hysop, Wormwood and Figgs: boyl them in Wine or Ʋrin and Vinegar, beat them adding Bean flo­wers and Bay-berries one pugil, and with a little Niter make a cataplasm.

It is good to foment the belly with these things following boyled in wine, as Orris roots, Elicampane, Rue, Mints, Marjoram, Rosemary, chamomil flowers, Dill, Bay-berries and Juniper berries, the hot Seeds and the like.

Or let the Fume of these be sent to the belly under the cloaths in the Bed.

Make a bag for to lay upon the belly of these; Take of Millium seeds two pugils, Cummin seeds and Caraway each half a pugil, Bay-berries and Bran each one pugil, Melilot, Chamo­mil, Dill, Centaury and Rosemary flowers each one pugil; of burnt Salt half a pugil; fry them in a Pan, sprinkling wine and Vinegar and make a bag, you may add Rue seeds, Ni­gella, Sesili and Spices with Brimstone.

Great Cupping-glasses that draw forth wind, and are thence called Ventoses, applied to the Navel do powerfully draw wind forth, or apply many about the belly.

There must be a good Diet to prevent crudities and wind, for quantity and quality, and the motions of the Body and Mind must be ordered, as we shewed in the weakness of the Stomach.

[Page 569]When the whol Body is swelled with wind which is seldom, The Cure of the general Swel­ling of the whol Body. as that called A­nasarca, which comes of crude Juyce, in regard it comes of a violent cause, or great Disease, it must be regarded; and if the cause be taken away, as when it is from poyson by Anti­dotes, the Swelling will cease. Or if it be a deadly Dis­ease, which appears by the Tumor, it ends in Death with the Disease.

But to remove it if it continue, the cause must be taken away by Evacuations made by sweat, and insensible Trans­piration, and the wind expelled, with Treacle and other Opiates; if it come from poyson, which resist it, and pro­voke sweat; also you may discuss wind, and take away Swelling with Stoves and hot Fumes, such as were mentio­ned in the Tympany.

If Pneumatocele come from wind and water in the Codds, The Cure of Pneu­matocele, or windy Rupture. first there must be a general way to hinder the com­ming of wind and water, and then out­ward Medicines must be applied, such as were mentioned in the Tympany joyned with Ascites, and those mentioned in the Water-rupture called Hydro­cele, for that which consumes water, doth also discuss wind, or if need be, you may open the part with a Lancet, and let out both wind and water.

But in a simple windy Rupture, the general Medicines to prevent wind, and discuss, and particulars applied to the Codds, mentioned in the Tympany may be good, and the Emplaster of Dungs is most excellent with half an ounce of Brimstone.

Or this; Take Bean flower half a pound, Bay-berry flower three ounces, Cummin seeds one ounce, pouder of Rue two drams, Niter one dram, Brimstone three drams: boyl them in strong Wine, with Aqua vitae one ounce, make a Cataplasm.

Fomentations, Bags, Fumes, and Oyntments prescribed in the Tympany are good here to the Codds.

Or this Oyntment; Take Oyl of Rue three ounces, Oyl of Castor and Pepper, each one ounce; Oyl of Spike one scruple, Soap six drams, Aqua vitae one ounce and an half, Gentian, Hermodactyls, of each one dram and an half; Pellitory and Sow­bread roots, each one dram; Seeds of Cummin and Staphsagre, each half a dram; pouder of Earth-worms one scruple, Turpen­tine as much as will make an Unguent.

Or make a Plaister thereof with Mastick and Frankin­cense.

In all the kinds of Ruptures as in this, if that Herb of Gesners called Numularia or Money-wort green or dried, be steept in Spirit of Wine with a little Horse-tayl, and clouts dipped therein and applied, it is excellent.

Some commend highly Water Bettony, or the Clowns Wound-wort beaten with Roots, and boiled and applyed in this, and in the beginning of other Ruptures, and if u­sed as the Former, it will be of more force.

In other Swellings from the Colick or Straines, The Cure of the Inflammation of the Codds. when both Codds are distempe­red, in regard they quickly go away, there is no other care to be taken but to pre­vent them hereafter, which is by taking away the cause, least it being often repeated, it brings a windy Rupture, therefore at the first appearance apply ex­ternal Medicines, such as we have declared for the cure of a windy Rupture, and hindering wind from comming into the Codds.

Bronchocele which is a Swelling of the Throat, The Cure of Bronchocele or Throat rup­ture. if not quickly taken in hand be­fore it comes to the full growth, can scarce be cured, but continues all the life with hindrance and Deformity, bringing hoars­ness and shortness of wind very dange­rous.

The cure although it for the most part consists in purg­ing of crude Humors, which are thought to be brought thither from the Head, and taking them from the swollen part; yet we, because we say it comes from wind which is gotten in by the relaxing or tearing of a Membrane with the skin from the parts underneath, suppose that the chief care is to be taken in expelling wind, and what moisture is there gathered, and to restore the relaxation and separati­on; which is hard to be done, as we shewed in other Rup­tures, besides astringent things which should do this being applied to the Throat, and stopping the Passages, especial­ly if before there be difficulty of breathing, will hinder breathing. Therefore this is harder to be cured then other Ruptures, in the Codds and Groins, because also if we should cut which is the last refuge we cannot make so good a Ligature.

Nevertheless, at the first before the Tumor is grown to the extremity, and before there is shortness of breathing, you may apply some astringents, stronger or weaker, with such things as consume wind and moisture.

Therefore we may use the Emplaster for Ruptures that is ordinary, or that of our prescription with as much of the Emplaster of Bay-berries, or other Seeds that discuss wind, as cummin and the like.

Or cataplasmes prescribed in Hydrocele to astringe and discuss, as that of Dung and Bole, and the other of Bran and Galls, for the same end and to unite the separation of the membranes, if possible you may use some of those which were prescribed in Ruptures.

And it is found by Experience, that the Pouder of burnt Allum often given, hath done good by binding and dry­ing, it may be given alone with wine half a dram in weight at a time, or with other discussing and drying Pouders.

Or thus: Take of Orris roots and Galangal, each one dram and an half; of Penny-royal, Savory, Rupture-wort, each half a dram; of Fennel and Anise seeds, each one dram; of Par­sley seed half a dram, of long Pepper, Spikenard, Nutmeg and Cinnamon, each two drams; Myrrh half a dram, burnt Al­lum half an ounce, Sugar of Roses as much as all the rest, give one dram and an half in Wine.

When this Tumor is confirmed, we must only mind the expelling of wind and water, and there are divers external Medicines in Hydrocele and Pneumatocele prescribed for the same.

If they prevail not, you must use the strongest, as: Take of Briony roots, and Orris three ounces, of Roots of wild Cow­cumbers, and Squills one ounce and an half, stice them, and boyl them in Wine, with Bean meal, and Orobus, each two oun­ces, bitter Almonds, and Peach kernels one ounce and an half, of Cummin seeds two drams, Pepper one dram: beat them with Oyl of Lillies, and Flower-de-luce three ounces for a Cata­plasm.

Or this Plaister: Take of Gum Ammoniack, Galbanum, and Bdellium dissolved in strong Vinegar, each two ounces; of Pulp of Coloquintida two scruples, Saffron one scruple, Sal Gem. and Allum, each one dram, with Pitch one ounce and an half; Pine or Fir-tree, Rosin two ounces: dissolve in the oldest oyl of Nuts for an Emplaster, to these add for more strength and sweetness Oyl of Spike or Caraway half a scruple, Oynt­ments of Oyl of Peppers or Castor, must be used with the hands first dipp'd in Aqua vitae, or make Unguents with the same, and the Pouders aforementioned.

Also Fomentations mentioned in Hydrocele and Tym­pany may be used here, especially let the tumor be often fo­mented with a Linnen-clout dipp'd in Aqua vitae.

The tumors called Physodes, or those which come of wind and water, The cure of the Tumors Phy­sodes. which they call windy Oedemas, if they come of wind alone or thin water, fall again spee­dily: but if the tumor be much and thick, they last longer.

In the cure of these, first take away the cause, if it be in­ternal and feed the Distemper, and labour also to hinder wind from comming to the part, as also crudities and Hu­mors, and if they be many, let them be evacuated, and dis­persed by external Remedies.

The general and particular Medicines for that, are men­tioned [Page 570]in the third kind of Tympany, and in the windy Rupture and in the Throat-rupture.

But if they come from an external cause, and the Tumor arise from the attraction of the skin, or the Hands or Feet swell with cold, then when the cause is gone, they also va­nish or they are dissolved by actual or potential Heat by Fomentations and Oyntments, as other Diseases and Pains comming from cold.

To these are referred Phlyctaene or Blysters of wind, The cure of win­dy blisters called Phlyctaenae. which must be cured as watery Blysters, because when the scarfe skin is taken off, there is water under­neath.

The cure is divers in tumors that come from the Juyce which nourisheth the Parts, either abounding or being too thick; either as they are in glandulous Parts, or in fleshy Parts, as they are harder and softer, or as they are in Parts without Flesh.

The cure of tumors in Glandulous Parts comming from the nourishing juyce, The cure of Kernels. is first of general Glanduls growing toge­ther in many parts then of particular, as of those in the Throat as Strumaes, and then of those behind the Ears called Parotides, and of those under the Arm holes and Groins, called Bubos, and last, of the Stones thus hardned.

The general Kernels in many places to­gether, The cure of Scrophula. are either Scrophulas in the Neck to the Chin, called also Strumae, and are somtimes in other Parts; in regard they are usual, and haereditary and common to some People, they require the chiefest care for cure; and this is not done with­out Labour and long time; somtimes it is incurable, when the Glanduls or Kernels are grown Scirrhous or hard, and will not yeld, or have great Venom as Cancers, then they turn into incurable Ulcers; somtimes though cure be done yet is not absolute, yet though they be taken away, yet they leave behind them great disturbances, as filthy and unequal Scars, and hinderances of the use of some parts, where they grew.

For the Cure of these, first consider the condition of the whol Body, see that it be well cleansed, by divers Evacua­tions and Alterations, having used Preparations for the same. Then give those things that consume a Scrophu­lous tumor, and discuss it, or if that cannot be, yet ripen and digest it, so that it may come to suppuration, and ei­ther break of it self, or be opened by Incision, and then use it, for the cure, as a corroding, cancerous Ulcer, into which somtimes they are converted. Somtimes when they are grown hard and scirrhous, and cannot otherwise be taken away, you may cut them or burn them off: as we shall shew.

Blood-letting if there be Plethory or Fullness, is good both to revel and draw from the part, as also to derive and send the Humors another way, and also Scarification.

They usually purge Flegm in this this Disease, because they suppose that it comes from a Defluxion of Rheum, not on­ly when the Scrophula is in the Neck, but when it is in any other part: First they prepare Flegm, then they purge it with Potions, Decoctions, Pills, such as are described in the Treatise of Defluxions and flegmatick Diseases. But we labour to purge the Humors as we find them in the bo­dy, either plethorick or cacochymick that is over full, or over foul, with any Humors; and when there is aboun­dance of evil Humors we purge often, especially when ma­ny Scrophulas break forth, because without so doing we shall never cure them.

If gentle Purges will serve, you may find them in former treatises; but if strong are required, you must use those mentioned in the Scab and French pox.

And when you purge, you may give this Syrup between, upon the dayes of rest, which hath in it, things proper for the cure of Scrophula: Take of the opening Roots three oun­ces, of Orris, Acorus, Piony, each one ounce and an half; the Roots of the lesser Celandine, Crowfoot, Pepper wort, stinking Gladon, each one ounce; the Roots of round Birthwort, Pelli­tory, and Asarum, each half an ounce; of Squills prepared two drams, the Leaves of Fig-wort, Burnet, Mugwort, Baum, Bettony, Marjoram, Maiden-hair, each one handful; Flowers of French Lavender, or of ordinary Lavender, Rosemary topps, and Time, each one pugil; Broom flowers two pugils, Juniper­berries half a pugil, the great and less hot seeds six drams, Liquo­rish two ounces, Raisons one ounce, Polypody two ounces, senna three ounces, Turbith half an ounce; make a Decoction when it is strained, add of Honey or Sugar half a pound: boyl them to such a consistance that it may keep.

It will be more strong, if instead of Turbith you take two or three drams of Esula prepared, and infused in Oxymel, the Roots of wild Cowcumbers half an ounce. And stronger if you add of black and white Hellebore, each one dram; or some ap­prove Laurel or Dragons, if you steep half the quantity of the Ingredients-mentioned in Wine, it will work as much and more safely.

They use to add strong purging things to the things we shall mention for alteration, and give them a long time that the evil Humors may be purged, and also consumed in the part affected. Thus, take of the pouder of white and black Hellebore, each two drams, with the altering Pouders that shall be presently prescribed five ounces, mix them, and give one dram for four Weeks every morning, others add Diagredium, or give it with Frankincense, Coriander, Spike and other Spices.

They highly commend Euphorbium half a scruple, made into Pills, with the Juyce of Flower-de-luce, and given e­very third day.

Sweating, if there be many Scrophulas dispersed in the body, which shew abundance of Humors, is sometimes good, especially in flegmatick Bodies, not in hot and cole­rick, because it would inflame them: In which the Surge­ons are deceived, when they go about to cure old external Diseases in colerick Bodies by sweating.

But when the body is flegmatick and fit for sweating, af­ter purging you may somtimes sweat by fits, or constantly if for many daies together, using a slender Diet: as we shal shew in the cure of the French Pox.

We give in Scrophulas things that are drying and digest­ing, or that consume them by a secret Propriety. And they are to be continued long, because they remove gently. Therefore these Pouders which dry up Moistures in the Brain and Stomach before mentioned, especially those that dry most of all, as Ashes, are good in this case.

These Pouders following are to be given with wine, or other conveniency fasting for a long time together.

Take of the pouder of a well dryed spunge or burnt, so that it may be beaten, one dram, give it fasting some Weeks together, you may mix Sugar or spices to make it pleasant.

The Roots of Spurge-wort or stinking Gladon, Broom flowers, the Pouder of stone amiantus given as the former are also commended.

Or this Compound: Take of the pouder of Spunge dryed as aforesaid, half an ounce, of the Spunge stone, Cuttle-bone, or Pumex stone, each two drams, the pouder of Egg shells half a dram, burnt Acorns, Galls, Birthwort, each one dram; Plan­tane seeds, and Cinnamon, each half a dram; Pepper, Ginger, and Sal Gem each one scruple; make a Pouder.

Or thus: Take Spunge one ounce, of Stone Amiantus, and Spunge stone, each six drams; of Burnet and Mugwort, each one dram, of Birthwort, and Pellitory, each a dram and an half; make a Pouder, you may mix it with spices.

To these you may add strong purgers, as white and black Hellebore, and Diagredium, as we said, to purge and con­sume the Scrophula.

Also Sea spunge made of pouder or ashes given by it self, or with other Medicines: also the pouder of burnt Paper, and filings of steel.

The troches of Vipers and Ashes of Vipers, or the skin of the same, are esteemed consumers of Scrophulas, and to be mixed with others, also the skin of Snakes are as [Page 571]good; therefore you may often give that Treacle which hath the Troches of Vipers. Dioscorides saith that Vipers Flesh eaten is also excellent.

Conserves of Roses made with Honey or Sugar, or of Broom flowers two drams, is highly commended if often taken. Also the Conserve of Spatula foetida, or stinking Gladon takes away Scrophulas, according to Pliny.

Vulnerary Drinks as they cure Wounds and Ulcers, so do they cure Scrophulas, of which I have shewed divers sorts, which may be used, as also this: Take of Agrimony, Wintergreen, Saracens Consound, Dropwort, or Burnet, Cete­rach, red Coleworts, each one handful; Comfrey roots four oun­ces, Liquorish one ounce and an half: boyl them in the broath of grey Pease, or in the Decoction of Guaicumin three pot­tles of Water, and the third part Wine, till the third be consu­med, make it sweet if the Patient loveth it so, let him drink it often.

There are Wines for the same, more proper to be drunk many dayes together; as Wine wherein Pilwort bruised hath been long steeped or boiled.

Or this: Take of the Roots of Dropwort, stinking Gladon, each one ounce and an half; Roots of five leaved Grass one ounce, round Birthwort half an ounce, Pilwort, Burnet, Mouseare, Agrimony, each one handful; Mugwort, Tansey, red Cole­worts, each half an handful; Broom flowers one pugil, Raddish seed two drams, Nettle seed one dram: boyl them in Wine and Honey, let the strained Liquor be drunk four ounces at a time, this must be continued.

Wine wherein a Mole hath been boyled is commen­ded.

The Juyce of Pilewort, or of the Root of black Briony, or of great Penny-wort taken with Wine and Honey, or sy­rups made thereof, are good.

Let him drink for a long time Spaw, Waters of Niter, Allum, or Sulphur.

They commend the Stones of a young Boar to be eaten for to cure the same.

Some things cure the scrophula in the Neck, if they be held in the Mouth, as the Troches of Diaireos melting in the Mouth, especially when the scrophula lies upon the rough Artery.

Also if you take some of the Pouder of Spunge aforesaid and mix it with Honey like Troches or Lozenges, and hold them under the Tongue at night, it will cure the scrophu­la in the Neck.

To gargle or wash the throat often with the Decoction of Orris, Pellitory, and other Plants in Wine, is accounted beneficial.

The Applications upon the tumor, must be made of things that digest strongly, and consume this thick juyce, mixed alwaies with Emollients, least when the thin part is discussed, the thick should grow harder, which if they tend to Maturation, may do much good. But if the scrophula comes it self, or by art to open as an Imposthume, you must cure it as an Ulcer. These that digest, mollifie and ripen are applied in divers Forms, either by Baths or Fomentati­ons, or by things that stick longer on.

We often apply fat and slimy things, as: Take old Oyl of Olive, or of Nuts, Lillies, or Elder, of Flower-de-luce, or Wall flowers, and of bitter Almonds, each two ounces; of Hens Geese, or Ducks Grease, the Mucilage of Line seed, and Foenu­greek, each one ounce and an half; of the Marrow or Suet of a Calfe, Goat, or Dear, one ounce, of Wax as much as wil make an Oyntment or a Cerot.

You may add stronger Oyls, as the Faeces or Dreggs of Olive Oyl, or of Lillies one ounce, or of Oyl of Castor, or Euphorbium half an ounce.

Or these stronger, as of Turpentine, Oyl of Saffron by Decoction, or of wild Cowcumbers, or Oyls where in other proper Plants, or their Juyces have been steeped or boiled, as this: Take the Juyce of Briony, Savine, or Rue, Celan­dine, each two ounces; Vinegar of Squills three ounces, Aqua vitae one ounce, Honey two ounces, old Oyl of Lillies and Orris, each two ounces and an half; boil them in the Consumption of the Juyces.

You may add dives sorts of Grease to these Oyntments, because all mollifie, especially of wild Beasts, which they say digest also, Hogs and Mans Grease is chiefly commen­ded, also Hens Grease, also of some Fishes, as of Eels, of wild Beasts, as of a Wolf, Fox, a Badger, a Bear, a Lion, Elephant, Estrich, Vultur, Eagle, which as rare so are ac­counted precious.

The Fat which drops from a roasting Goose which was first stuffed with many Mice, is highly commended.

Butter and Pilewort roots, which Mathiolus teacheth to be made thus: Take the Roots gathered in Autumne, wash­ed and bruised with fresh Butter, and put them in a moist place fifteen daies in a pot well covered, then melt it gen­tly, and strain it.

You may steep or boyl the same Roots with Mice in oyl for the same.

These are made of Gum: Take of Gum Ammoniack, Bdellium, or Galbanum, each two ounces; Opopanax one ounce and an half, dissolve them in ordinary Wine Vinegar, or that of Squills, or Aqua vitae, or both, with two or three ounces of the Oyls aforesaid, make a Liniment, or with Wax and Oynt­ment.

Or, Take the aforesaid Gums dissolved, and mix them with the Fats and Greases aforesaid.

To these Gums add Serapinum, Elemi, or Labdanum, or Storax, Aloes, Frankincense, and Mastick poudered half an ounce, and so make an Oyntment or Cerot; or with wax and Rosin, and Pitch make a Plaister.

A Plaister of WAx, Rosin, and Pitch with some proper Grease, is good also.

Divers Applications are made of Plants, as this of roots: Take Roots of black and white Briony four ounces, if green, bruise them, if otherwise boyl them in Wine and Vinegar or both, or with Lye and pickle or brine, or Aqua vitae, make a Cataplasm, or with Honey, or Oyl or Grease.

You may thus prepare Orris, and Raddish roots, with Briony for the same Use.

Or to make them stronger do thus: Take Briony roots four ounces, Orris two ounces, Dragons, Sowbread, each one ounce and an half; mix them as formerly, and with Roots of wild Cowcumbers it will be stronger, or Roots of stin­king Gladon, or of rest Harrow, or of Cane one ounce.

There is a good Application made of round headed Roots, as of Onions, Garlick, Lillies, Daffodills, roasted under the Embers, or boiled and bruised, and mixed as the former; and Squills boiled or roasted are stronger.

You mix this and the former Cataplasmes together.

Also of dryed Figs and Raisons bruised, or a little boiled, and mixed with the round headed Cataplasm, or with that of other Roots, are excellent.

Also Applications by Dioscorides by Pileworts, Clowns al heal, Maiden-hair, the lesser Housleek, Capar roots, of five leaved Grass, and Docks beaten or boiled, with the former, and Roots of Marsh-mallows.

The Herb Mustard, and Leaves of Agnus castus, Savine, Pine, Cypress, Misleto, Pitch, or Reeds, with Arsemart, Spurge &c. are also commended.

The Misleto of an Oak, or Pear-tree beaten into an Oyntment, with Oyl of turpentine, doth soften and cure all hard Imposthumes and Scrophulas.

Also Dungs of Beasts, as Ox, Ass, Boar, Goat, Pigeons dung, and of a wild Goat, Weezle, with Vinegar or Oxy­mel, or Grease, and Oyls.

Or with other Applications of Gums and Plants, or of Onions, Figs and Dung, make a Cataplasm.

The blood of Weezles is commended by Dioscorides.

The Gall also of a Turtle alone, or mixed with other things.

There are divers Pouders used, in Cataplasmes, Oynt­ments, Plaisters, or with the former.

The first is made of Seeds, as: Take Line-seed, Foenu­greek, Beans, Lupines, Orobus, with Honey and Vinegar, or with Oxymel simple, or of Squills.

Or, Take one ounce and an half of the Pouder, and mix it [Page 572]with the fat Oyntment, or that of Gums, or with the Cataplasm of Roots, or Brounbread, and Figs.

Another more discussing is this: Take of the Meals afore­said three ounces, Mustard seed, or of Water-cresses two drams, Cummin and Nettle seed, each one dram; mix them.

Another Pouder is made of Plants more proper: Take of Cypress nuts half an ounce, of Birthwort, stinking Gladon, each two drams; Agnus Castus leaves, and Wormwood, each one dram; with a Snakes skin: mix them as the other, or with the Oyntments or Cataplasmes aforesaid.

Another of Roots: Take Orris, and Briony, each half an ounce; Roots of Sowbread, or wild Cowcumber three drams, Dragons two drams, Birthwort one dram: mix them as the former, or with Oyls and Grease, or with Wax, Pitch and Rosin, make a Plaister.

Another strong Pouder: Take Brimstone half an ounce, Sal Gem. or Niter, or the Froath of the Sea, or Pumex stone, each two drams; Mustard seed two drams, Nettle seed one dram, Markasites, or Litharge one dram.

Another is of the ashes of Juniper, Fig-tree, Cabbage stalks, Wormwood, Agnus Castus, Cray fiish, Snails, Spunge, Ass Hoofes, and burnt Weezles, mix these with Oxymel or Vinegar, or with the former Pouders, and Ap­plications.

Another Pouder is of the burnt Clay of an Oven, with Vinegar, mixed with the other.

Unslaked Lime with Honey and Grease, or other Com­positions, is good.

Also Rust of Brass, or burnt Vitriol, mixed with the rest.

Dung dryed also to pouder, may be mixed as the rest.

The Emplaster of Diachylon with Orris, is the best com­position, and it will be stronger with the Pouders afore­said, and proper Oyls.

Galen hath a Plaister to take away Scrophulas, of Bdel­lium, Ammoniacum, Mustard and Nettle seed, Birthwort, Sea Foam, Brimstone, Oyl and Wax.

Oribasius hath another prescribed by Mesue.

The burning Oyl is excellent to take away Scrophulas without pain, and Fistulaes, and other Excrescenses thus made: Take Oyl of Bricks, Mastick, Gum Arabick, Tur­pentine, each three drams; pouder them, and with a Glass still draw an Oyl, mix it with Ashes of Ivy, and by a retort in Ashes or Sand, draw an Oyl,

Stupefactives or Narcoticks do dissolve, as we shewed, used externally, and are good here, as Mandraks, Henbane, Poppy bruised or boiled, or with Meals, with other Pouders and Liquors, make a Cataplasm.

The Juyce of them alone is good.

Also the distilled Water thereof, as; Take Henbane, Hemlock, Celandine, Savine, each two handfuls; Spurge half a handful, Raddish roots three ounces, Dragons one ounce, O­nions, and Garlick, each two ounces; Mustard seed half an ounce, Salt one ounce; draw a Water.

This Emplaster of Opium is of great force: Take of O­pium one dram, Scammony two drams, Myrrh one dram, Saf­fron one scruple: mix them with Honey.

Or this Oyntment: Take of Gum Ammoniack, or Galba­num one ounce, dissolve them in Aqua vitae, which is also nar­cotick, with Opium one dram, Henbane seeds two drams, Hens or Pigeons dung dryed half an ounce, Grease or Oyl, as much as will make an Oyntment, or with Wax make a Cerot.

The Oyl of wild Cowcumber stufft into the Nose, is held good.

Roots also of Plantane and Sorrel hang'd about the Neck.

Also Fomentations with Spunges, prepare well for o­ther Applications.

They are made of the Plants aforesaid, of which Cata­plasmes are made, in Wine, Vinegar and Honey, Urin, Lye, Brine, or Smiths Forge water.

Or with other Herbs aforesaid, make this: Take the two Roots of the first Cataplasm mentioned, or more of the second, add of the round Roots three or four, Figs twelve, of the Herbs men­tioned three or four handfuls, Mustard seed two drams, Brimstone half an ounce, Salt two drams: boyl them as aforesaid for a Fomentation, if you rub the tumor till it be red, it helpes to discuss, if done before other Applications.

Somtimes we cut away those that cannot otherwaies be cured: we first open the skin till it lyeth bare, and then we cut it out by the Roots; in doing of which, you must take heed of hurting a Nerve or other Vessel. For which cause when the Scrophula is under the Chin, and deep, it is dan­gerous; but if it be there, or in any part else, outwardly hanging forth, it is safer, provided that you cut not the ker­nels which are hardned between the Vessels, especially those in the Joynts, or a Nerve or Tendon, which will cause Contraction of the part.

We have often taken them off with a potential Caute­ry, which maketh an Eschar in the skin without pain, or made them better ripen with other Medicines thereby.

It is difficult to use potential or actual Cauteries that burn, because of Inflammation, but if the place be not dan­gerous, it may be done.

Some think that they are taken away, or kept from growing, if pricked with the finne of a thornback.

It is thought that some Kings have the Gift from God to cure them by touching, especially they of France, to whom they come at a set time in multitudes, also that the Kings of England have the same.

Some think that the seventh Son that comes in order without a Sister between hath the same Gift. I had a friend one Picto in France that studied Physick, who told me that when he was a Child, he touched many publickly in the Church, using many superstitious Ceremonies.

Struma, is either simple or compound, The cure of Struma. either in the throat or hanging therein: if it be haereditary to the Countrey, and grown great and hard, is incurable, and not to be broken, but must be all the life, except it be cut off at the first: if it be not haereditary, or belong to the Soyle or Country, you may attempt it, and after purging use Applications: you need not purge so often, as when there are many Scrophu­las, except other Causes require it.

But you must mix those things which consume it, by which we have found that they have coased growing, and vanished, being not confirmed. You may give things men­tioned for Scrophulas, especially Pouders of Spunge, A­miantus stone, stinking Gladon, Broom flowers, and the Compound Pouders mentioned, and Conserves for vulne­rary Drinks they will be needless, because it seldome ul­cerates.

As for outward Applications, they must be stronger then those for a Scrophula, because a Struma is more difficult to be cured, and they must stick faster, as Emplasters of Gums or Cataplasmes of Roots, and Roundheads, and o­ther Herbs, or of Dungs, with the stronger Pouders, as of Ashes and Lime, either by themselves, as mentioned, or with Vinegar, or other strong Liquor.

We take off Strumas by Incision, if they be confirmed, and be uncomely, and hinder breathing, as we do scrophu­las, and it is safe when they hang out; but it is dangerons, when they are so rooted into the Vessels that they cannot be taken off without hurting them; and then it is better to let them alone, then to endanger the Patient, and dis­honour your self.

It may be done also with a Cautery, as a scrophula.

I leave it to the Judgement of those who have seen it, whether the great Struma may be cured by a touch or not.

A cold Parotis is a kernel behind the Ears, hard, without pain. The cure of a Parotis, which is without pain If it be old and scirrhous, it cannot be cured without cut­ting, but that which is young, and in the increase, or not quite hardned, may be cu­red better then kernels in other parts, by Discussion or ma­turation or Imposthumation, or by Ulceration, by which means divers sorts of matter may flow forth, or come forth in a bag, somtimes hard as a Stone.

[Page 573]This Cure is done with some things used in Scrophula's, as first by Evacuations of the same sort, to take away plen­ty of Humors and Excrements, and altering Medicines to hinder the increase of thick Humors. And then by giving things that consume a Scrophula, there mentioned, if it last long. And because there is not so many Glanduls or Ker­nels as scrophulas, we need not use so many things.

Of those which were mentioned, these are fittest, things made of Gums, Plants, Roots, round Roots, Dungs, and Pouders.

And when it tends to Maturation; you must mix things that help it, as this Cataplasm made of Onions, or Lillies, Roots of Marsh-mallows, or Orris, baked under the Em­bers, and bruised with Figs, Meal of Lineseed, and Foenu­greek, Honey, Oyl, and Grease.

Or if it incline to break: Take four ounces of baked Figs, Leaven one ounce and an half, green Flower-de-luce roots one ounce, Aloes two drams, Niter one dram: mix them with Oyl and Grease.

Or you may ripen this Tumor with things mentioned for Imposthumes that follow Inflammation, and open it when it is ripe, and then cure it as an Ulcer.

If it be old and scirrhous, cut it out, as we shewed in Scrophula, or burn it off, taking heed of the great Ves­sels.

A cold Bubo, that is a swollen, hard Kernel without heat in the Groin, The Cure of Bubo without pain. or Arm­pit, is somtimes scirrhous and incurable, as that of the Plague, which hath conti­nued to my knowledg all their life: som­times it may be discussed: but it seldom comes to an Im­posthume, as that with Inflammation, and if it do, there will be a malignant Ulcer.

This must be ordered almost like the Parotis behind the Ear, with the like Evacuations first, and Alteratives, a­mong which some of those which were good to cure Ker­nels, may be used for a Bubo.

Apply such things as are mentioned in Parotis and Scro­phula, choosing those which most discuss and soften. And if it tend to Maturity, proceed as you did in Parotis and Imposthumes.

We cannot well use Incision or Cautery, because they lye too deep.

The Stones being swollen and hardned without Inflammation, The Cure of hard and soir­rhous Stones. (though Inflam­mation usually go before,) if they grow scirrhous, they so continue, and are trou­blesome, chiefly in riding. And if both Stones swell, and the spermatick Vessels grow hard, the Man will be unfit to get Children. But if this Tumor be looked to, in time it may be taken away.

In the Cure of this, having first used general Medicines, you must use more Digestives then Mollifiers in your appli­cations, least Suppuration be too quick, and so the stones putrifie, and be lost as hath often been. And you must ap­ply things mentioned in the Scrophula, Cataplasmes, Plai­sters, and Fomentations which work powerfully.

and if it tend to an Imposthume, you must bring it to sup­puration. As we shewed in Imposthumes open it, and cure it as an Ulcer.

If it will not yeeld to Medicines, but the Stones conti­nue very hard, and painful, you must take them off by gel­ding, as we shewed in Sarcocele.

The Cure of Tumors which come of nourishing Juyce in fleshy parts, is as that of Scirrhus, and those in the belly which come from an internal scirrhus; and like the Cure of those which contain strange Matter, as Atheorema, Ste­atoma, Meliceris.

When Scirrhus is in a fleshy part, whether it follow Inflammation which is usual, The Cure of Scirrhus. or grow of it self, which is seldom, and is ei­ther one, or more together; as in the Belly, somtimes there is a scirrhus in the flesh, or made of Glan­duls or Kernels, when they grow hard and confirmed with­out sense of pain, which can neither be softned, disussed or maturated, or made ripe, but if it be not grown to the height, but it is yet sensible, there is hope of Cure.

This Cure is to be attempted with strong Remedies, be­cause weak will not prevail: first, disposing and ordering the Body, by Purgations if needful, or other Evacuations, so that if it be foul or supply the part with Humors, that may not hinder the work. But in respect of the scirrhus it self, especially if it come from Inflammation, which dry­ed up the Juyce, or from some thick Juyce which belongs to another part, brought hither: there is no necissity to follow the Custome of purging thick Humors: But rather to apply those things that mollifie the scirrhus, make it thin, and discuss it, these may be either mixed together, or applied severally.

The things prescribed for a scirrhus scrophula, may do well here.

When we desire to soften, we use Oyls, Fats, and Muci­lages or slimes, and things made of Gums, and Gum drops, there mentioned.

Or this Cataplasm following: Take Althaea or Marsh­mallow roots, and Lillies, each two ounces; Orris roots one ounce, the four mollifying Herbs, Orage, Coleworts, Pellitory of each about three handfuls; Chamomil and Melilot flowers, each one pugil; Line seed and Foenugreek, each one ounce and an half; boyl them in Water or fat Broath, stamp them, and add of Hens Grease, or Goose Grease or the like, about two oun­ces, Oyl of Olive, and of sweet Almonds, each one ounce: make a Cataplasm.

Foment it often with a Decoction of the same Plants, or Oyl of Lillies, and of sweet Almonds, or Oyl in which e­mollient things have been boiled.

But when we intend to soften, and discuss, we must ap­ply divers Roots, and Herbs, and Dungs, with Pouders, or the like, and Emplasters for the same.

Things good in a Scirrhus may be used here, as Raddish roots beaten with Nettle roots.

Onions roasted in the Embers, and beaten with the flesh of Snails, and other things.

Also Misleto with Time and Grease.

Also Pitch, or Rosin, with Wax and Grease, and Pouder of Marchasites called Fire stones.

The Blood of a Bull with Barley flower, or other Flo­wers.

Those Fomentations which we commended for scrophu­las, may be used for to digest and soften a Scirrhus.

A Fumigation of Vinegar poured upon a hot stone, is good in a scirrhus; Or if you heat the Marcasites, or Fire­stones, and cast them into Vinegar, or if you quench Iron in Vinegar, and let the Vapor come to the Scirrhus.

If you rub a Scirrhus, as was shewed in Scrophula, before you use outward Applications, they will work the bet­ter.

It is Rashness to attempt to cut off a scirrhus, or burn it off, because it is deep rooted, that it cannot be taken off without Danger of much bleeding, and worse Inconveni­ency. Moreover it will be Labour in vain to take off part of it with pain, and leave the rest behind to grow again.

We have sufficiently shewed in a Ca­chexy, and in the Dropsie, The Cure of Scirrhus, and Kernels in the Belly. how the Tu­mors in the upper part of the Belly, com­ming from the Scirrhus of the Liver or Spleen, are to be cured.

And if a Tumor come from a scirrhus in the bottom of the Womb, The Cure of Sirrhus in the Womb. externally in the lower part of the Belly, it must be cu­red as a scirrhus, and we have shewed in the Inflammation of the Womb, how it is to be ordered, if it tend to an Inflammation. And though it be hard to be cured of what Cause soever it comes, yet it must be attempted for to abate it.

Wherefore after the Body is purged and prepared, we give such things as are mentioned in the Scirrhus of the Liver or spleen; as Pills of Ammoniacum and the like, [Page 574]mentioned in a Cachexy, which comes from that Scirrhus, you may apply the things mentioned for an outward Scir­rhus and for Scrophula, when the Tumor is in the Belly to be felt hard.

As Fomentations of Oyls, or Decoctions, adding things that respect the Matrix. As Roots of Marsh-mallows, Lil­lies, Flower-de-luce, Briony, Mallows, Line seed, Faenu­greek, Figs, Flowers of Chamomil, Violets, Melilot, and other softners and digesters there mentioned, Mugwort, Nip, Flower of Featherfew, Elder, Dane-wort, Hops. And in the Declination, Calaminths, Penny-royal, Rosemary Flowers, and of French Lavender.

The Oyntments, Plaisters, and Cataplasmes mentioned in the External Scirrhus, are good here, made of Fats slimes, and Gums, and of Plants.

To these add things for the Matrix, as Rue, and Worm­wood.

Also Roots of Mandraks, Henbane leaves, or Poppy or Hemlock, boiled in Wine, and made up with Oyl and Grease, are excellent, to which you may put Gums dissol­ved.

Dioscorides adviseth Wormwood, Rue, Flower of Lu­pines, with Myrrh.

Galen, Goose blood, with Foenugreek, or Lupines, Dia­chylon, with Orris, is the best ordinary Plaister, there are other Plaisters and Cerots mentioned in the Cure of Knots or Nodes.

Also Oyl of Myrtles, Storax and the like.

Also those Pessaries mentioned in the Scirrhus of the Womb comming of Inflammation, are good here, with the Oyls aforesaid, and Juyce of Foenugreek.

Also the Fumigation there mentioned Dioscorides commends the Fume of Agri­mony. The Cure of A­theroma, Steoma­ta & Meliceris. Atheroma, Steatoma, and Meli­ceris are often without hurt, and there­fore are neglected, and turn to Impost­humes: as the Tumors in the Head called Talpae or Moles, and Testitudines, and Snails. The Cure is not so difficult, as that of scrophula and scirrhus, and they may be taken off when they hinder the part, as we said concerning the Atheroma under the Chin.

It is done as that of scrophula, struma, parotis, and scir­rhus, by using first general means, if need be as purging, and the like; and then applying particulars to the tumor, that dissolve, soften, and ripen, mentioned in Scrophula, and they will do it sooner in these Tumors, which are not so hard, and cousume them, if not yet confirmed, or bring them to Imposthumes, which must be broken and cured as an Ulcer.

Dioscorides commends Raysons stoned, beaten with Rue, to cure a Meliceris, also sour Dock, with Oyl of Roses faf­fron, and Melilot. And for a Steatoma, Crowfoot flo­wers with a Cerot.

These are also good; Roots of Sowbread, Dragons, with old Grease, and Brimstone.

Unslaked Lime, with Grease or Oyl.

Dogs dung or the like with Vinegar.

Gum Ammoniack, or Bdellium in Vinegar and Honey.

Or this of Pitch: Take Ship Pitch dissolved one ounce, Pouder of Brimstone, half an ounce; spread them upon Lea­ther, take it off every day, and wipe it, and lay it on again, renewing it every fourth day.

Also Fomentations mentioned in scrophula and scirrhus are good.

Because these will not well open of themselves, we use Incision, not cutting the skin transverse, or cross, long­waies, or like a Myrtle leaf; and we take out the Membrane which containeth that thick, Suet-like or pap-like, or ho­ney like Matter, from whence the tumors are named, and eat away what remains with cleansing Medicines: this done, we cure it as an Ulcer.

This may be done by an actual or potential Cautery, as in scrophula.

The Cure of soft tumors rising in fleshy parts from the nourishing Juyce, is by distinguishing those that have pain as the Condylomata or Tumors in the Anus or Matrix, the Cure of which is mentioned in the pains of those; for those that are without pain, some under the true skin cal­led Sarcomata and Sarcocele in the Codds, and fleshy part of the womb; others only under the scarfe skin, as the Po­lypus in the Nose, Epulis in the Mouth, Encanthis in the cor­ner of the Eye: and excrescent or proud flesh in an Ul­cer.

The Sarcomata which grew here and there in the Body are under the skin ex­cept you prevent them at first, The Cure of Sarcoma, or Wenne. cannot be easily cured, because they become like Natural Flesh, and a part of the Body: to consume it is impossible with potential things, therefore we take it off by cutting or burning, but if it cause no pain nor trouble, it is better let it alone, by reason of the danger through bleeding and hurt of Vessels.

If we will attempt the Cure, we must take it at first, and remove the Nourishment from it, by Blood letting in some Vein nigh it; and by scarification and Cupping-glasses, the Body must be brought down with purges, sweats, and fasting.

Use externally Repellers, or things that strike back the Humors that breed it at first, such as are mentioned for the beginning of an Inflammation.

Then roul it hard with a plate of Lead upon it.

When it is grown great, in regard we can no way con­sume or ripen, it being mixed with the Veins, we must if we will take it off, use rather Incision, then burning, ei­ther taking it off with the skin, or without, bewaring of the Vessels underneath the great Veins, Artery and Nerves, and then stop the Blood, and cure it as an Ulcer.

In the lesser sarcoma, if you will not cut it off, onely o­pen the skin, and consume the bare Flesh with actual or potential Cautery by degrees.

If these Wenns or Sarcomata, have but a small Root, or may be tied with a silk about the Root, you must tye it so hard, that the flesh may want Nourishment, and so decay; and being made senseless, it may be the better cut off.

You must dip your silk in Arsenick, or sublimate, that may burn the Root, and mortifie the Wenne; And because so doing, may cause Pain and Inflammation, it is better to dip it in our Cautery, that is without pain, which will turn into water by the Air, and to use it often.

I have taken off Wenns with a thred, not very straight bound at the Root, and a potential Cautery put into the circle which is made by tying with a sticking Plaister there­on.

When flesh grows to the stone in the Codd, it is called Sarcocele, The Cure of Sar­cocele, or Flesh in the Codd. and is som­times very large, and will scarcely be stopped in its growth, or taken off any way, but by cutting, with gelding, and therefore is not meddled with.

If you will attempt it, you must have it in hand at the beginning, and open the Vein in the Foot often, to take a­way Blood from the part.

Applying astringents to the Codds that repel and hin­der the groweth; such as were mentioned to hinder De­fluxions upon the Eyes. And if they do not stop it when the flesh is in the Codd, and groweth not to the stone, it will be in vain to use Causticks to open the skin, or other­waies, because the stone will be in as much danger of being lost by corrupting, as if it had been cut off.

Nor can softners do any thing, because it is not a scir­rhus, but flesh, which being molllified will grow bigger, and drying things are best to harden it, hinder it from growth.

If the Patient weary of the burden, desire to have it off, let it be cut as a Hernia or Rupture in the Groine, opening the skin, and taking out the seminary Vessels, and the stone with the flesh growing thereto, tying the Vessels, and cut­ting it off beneath, this is gelding and dangerous. But it were safer, if the stone could be taken out, as when Hogs, [Page 575]Dogs, or other Creatures are gelt, which heal without any Care or Binding.

And if you take out the flesh, or part thereof without the Stone, the Stone must be put up, and you must heal the wound by Injections.

We may gather, that this cutting is not so dangerous in the Cod being cut, since it is a spungy part, which wil more easily be enlarged and contracted then other parts, and sooner. I have seen half the Cod taken off with a Bullet, and the right Stone lye bare with the spermatick Vessels, cured with Balsom of Sulphur, and a common Wound-Plaister.

Somtimes there is Carnosity or Flesh growing to the Womb, The Cure of car­nosity in the Womb. which hangs down, which rather hinders the Husband then the Wife, who is unwilling to make it known and therefore it is not meddled with, because also it is dangerous.

But at first, you may prevent the growth, as that of wenns, and if it must be taken off, you will either tye it, to stop the Nourishment, and make it wither, or burn it with a Cau­stick thred at the Root, which will cause Pain and Inflam­mation, therefore you had better use the Cautery without pain, above mentioned.

The Cure of Polypus when great, is hard, but at first is more easie. The Cure of Polypus.

First, you must use Generals to hinder the Flux of Blood to the part, by Blood­letting; and purging if the body be foul.

The Applications to the part called Topicks, are Epu­loticks or mild Healers or Dryers to cicatrize, or make a Scar. And if it be not confirmed, it may be often scarri­fied, or cut off, and these applied. If these prevail not, proceed to stronger, called Cathaereticks, which eat the flesh, called Corrosives. And if these do not, you must use Causticks, which burn and consume and mortifie: Or at last cutting. These are of divers sorts, mentioned in the Cure of Imposthumes, for cicatrizing and corroding.

Pouders to cure a Polypus, are prescribed among those Remedies that cicatrize, or dry up both simple and Com­pound; the Corrosives mentioned, are of Hermodactils, black Hellebore, Borax, Pumex-stone, and Wine Lyes burnt, and this. Take burnt Allum three drams, or: Take Vitriol four ounces, Allum &c. Another is there stronger, with Vitriol and Arsenick, or use the pouder of Dragons, Grap-stones, and of Iron.

Soote which riseth from the smoak of things burnt at the Nose, when the Breath is held, doth dry excellently, if it be often, made of Frankincense, Mastick, Pitch, upon Coals, or if you make a Candle thereof with a wick, and after lighting, put it out, and hold it to the Nose.

It will dry more with Brimstone, and other Minerals.

Oyntments are applied with a Clout, or if very strong with a quill, least the parts adjacent should be touched. Of Cicatrizers, mentioned in an Ulcer, that is best, which be­gins thus, Take of the sixth Pouder, half a dram, of Corro­sives, mentioned in an Ulcer, this is best, which begins with Take Antimony &c. And thus: Take Hermodactyls, or A­grimony &c. Aegyptiacum also mentioned in Fistulaes, or that made with Sublimate, or that which is mentioned for opening Imposthumes, of Sublimate, or Troches. Our Cau­stick made of Oyl of Bricks, and mentioned in Scrophula, which is called the Caustick without pain, is good.

If you will use milder, take the pouder of Dragons men­tioned, make an Oyntment with Oxymel of Squills, or Juyce of Pomegranates, or Oyl.

Or the Juyce of the Peels and Stones of Pomegranates boiled forth with Oyl.

The Juyce of Dragons, also is good.

Or this strong Oyntment: Take Aegyptiacum half an ounce, Pomegranate Peels, and Galls, each half a dram; Oyl of Vitriol one scruple.

Or, Take the strongest Vitriol, or Verdegreece, and mix them with Oyl or Honey, with Scales of Brass.

It will be more strong with a little Arsenick or Subli­mate.

There are Waters also for the same, to touch them with a Quill, or a little button of Lint.

These are mentioned in Fistula's, as that which begins thus. Take of Verdegreece three drams &c. Or thus, Take of Orpiment one dram, Verdegreese three drams &c. Or thus, Take of Orpiment and Verdegreese, each one ounce &c. Or that Receipt which is mentioned for the Cure of Imposthumes, and begins thus. Take Vitriol and Arsenick &c.

Also this stilled Water. Take of Allum half a pound, Vitriol one ounce and an half, Galls, or Pouder of Pomegra­nate peels three ounces, of Oyl, or Syrup of Grapes two ounces, or Juyce of green Grapes: mix them with strong Vinegar, and distil a Water thereof, with which often wash the Po­lypus.

The Oyl of Vitriol is stronger.

Or this: Take Oyl of Vitriol one scruple, burnt Allum two drams, dissolve them in Plantane-water.

Another most powerful. Take Sublimate two drams, boyl it in Smiths Forge-water, three ounces to half, and use it alone, or with Oyl of Vitriol half a scruple, burnt Allum half a dram, Aqua fortis with Orpiment, also cureth it.

The Oyl appointed for Fistula's, which begins thus, Take Antimony &c. Is also good.

Cauteries of Time, burnt Tartar, and those which are without pain, being warily applied with a Quill, to desend the parts adjacent, do cure it.

This is done sooner by an actual Cautery, or hot Iron through an Iron quill.

We also cut it off with an Instrument, first made hot in the fire, to hinder bleeding.

That flesh which grows over the teeth, The Cure of ranke flesh in the Gums. because it only hinders chewing by bleed­ing is not much regarded, because it goes away by chewing.

But if it grow over the Grinders, then you must wash the Mouth with dryers and astringents, such as are mentioned in the Ulcers of the Mouth, and use things to rub the teeth such as were prescribed in Foulness of teeth.

The pouder Lapis Prunellae, or spirit of Salt-peeter, or of common Salt, must be applied with a Pencil.

If these help not, use stronger, as the Oyntment of Dra­gon pouder, and that made of Oyl and Juyces, mentioned in Polypus, or Oyl of Vitriol, as there mentioned.

Or this, when the teeth are covered. Take Allum half a pound, Vitriol &c. As is there prescribed, or Aqua fortis, and touch the superficies of the Gums, and not the Roots, least the teeth grow loose, defend therefore the parts in the time of Operation, and wash the Mouth well afterward.

Epulis is a little flesh growing at the roots of the teeth, it hinders not, The Cure of Epulis. though in a De­fluxion, it is somtimes bigger, and goes away of it self, therefore it is neglected.

But if it hinder chewing, and cause pain, then take it a­way with astringent, Mouth waters, such as are mentioned in the consuming of the Gums, with Care, as aforesaid.

But if it hang down with a slender Root, and may be ty­ed, it may be so cured.

Encanthis is a Caruncle in the corner of the Eye, which is troublesom, The Cure of Encanthis. therefore you must prevent the Blood which comes thi­ther, as we shewed in Ophthalmy, or Diseases of the Eyes.

We use outwardly dryers and astringents, such as are prescribed in Ulcers of the Eyes, by which it will quickly be cured.

But if not, use stronger Remedies, so that you hurt not the Eye, or take away all the flesh, which will cause a Rhyas which is worse; therefore proceed by degrees from mild things to the strongest. These are all mentioned in the Cure of the Eyes, and taking away Filmes, and will be as good for this.

This Water is most excellent, and is also good for other Ulcers.

[Page 576]Take a Copper Vessel, fill it with Spring water, or rain­water which is better, and put therein an indifferent quan­tity of unslaked Lime, and let it stand, till it is setles to four quarts of the clear water, add, (if you make it for the eyes) half an ounce of Sublimate, and if for foul Ulcers, an ounce, and let it fall to the bottom, and will be yellow, pour off the clear water, and keep, this with you must gen­tly touch the Caruncle in the Eye, but wash the foul Ulcer soundly.

When Flesh grows rank in an Ulcer, if it be not skin'd, The Cure of proud Flesh. it is easily cured, as we shewed in an Ulcer, but if it be cicatri­zed, and grown over with skin, it must be cured as a Wenne.

The Cure of tumors growing in parts without flesh, is first of those in the Joynts, as a Ganglion and Nodes which grow also upon the bare Bones; as also of those of the Nails, and then of those which grow to the skin, as Warts, Cornes and Callus: and lastly, of Freckles and Tumors, like a Barley corn, called Hordeoli.

A Ganglion is a tumor in the Joynts, and though it be softer then a Scirrhus; The Cure of Ganglion. yet is it hard to be cured, if of long continuance, sometimes it is incurable, but being deep rooted, it hinders the motion of the Joynt, and so of the Membrane. This must be prevented before the tumor be confirmed.

And we must use all means to discuss it, or make it less, so that the Joynt may move. And this after fitting Eva­cuations, mentioned before in hard and soft Tumors, must be done by topical or outward Remedies, that soften and digest, being wary as may be, least it come to suppuration; because when it is come to matter, either of it self, or by neglect, it causeth perverse and incurable Ulcers, which do so corrupt these Nervous Parts, that the motion of the Joynt is either hindered, or utterly lost thereby. But by manual Operation, somthing may be done, as I shall shew.

The Applications external, must be the same that were prescribed in Scrophula, which mollifie and digest, adding things proper for the Nerves, and increasing the quantity thereof, to make them prevalent.

It may be done by Fomentations, or Baths thus made. Take Lilly roots, and Marsh-mallow, Briony, and Orris roots, each two ounces; Mallows and Coleworts, each two handfuls; Hen­bane one handful, Groundpine, or Sage, and Wormwood, each half a handful; Chamomil, Melilot, Wall flowers, or Elder­flowers, each one pugil, Line seed, and Foenugreek, each one ounce; Bay-berries half an ounce: boyl them in Water and Wine, or Lye for a Fomentation, or in greater quantity for a Bath.

To these may be added stronger, as Roots of wild Cow­cumber, Dragons, Sowbread.

Or the Fomentations mentioned in Scrophula, with these mentioned here.

Also a Decoction of Frogs, and Earth-worms, or if that will not do, of strong Vinegar alone, or in which Mil-stone or Fire-stone hath been quenched.

Or a Lye made of Ashes, especially of Fig-tree; or U­rin, or the like mentioned in Scrophula, with the things here mentioned.

Also Oyl of Earth-worms, and of Frogs, or of Savine.

A Plaister of Galbanum, in which a little Opium is dis­solved, with some drops of the distilled Oyl of Savine, is good to soften and discuss a Ganglion. If they sit long in hot Brimstone Baths, using them for a month, this Tumor will be discussed, and the Limb relaxed. For which Cause, let them be sent to the Bath betimes, and use it as a remedy.

The Oyntments, Cataplasmes, and Plaisters mentioned in Scrophula, are good here also, because proper for the Nerves; as those fat and gummy things and slimy, or of Plants, Dungs, Pouders, with Oyl of Earth-worms, Foxes, Frogs, for the Nerves. The Grease of a Man, Bear, Bad­ger, or Fox.

Also this Plaister. Take Pitch two ounces, dissolved in Oyl of Earth-worms, and Orris one ounce and an half, with Labdanum, Mastick, each two drams; Storax one dram, ashes of Earth worms half a dram.

Also this Cataplasm. Take the Kernels of old Wall-nuts three ounces, Meal of Lupines, or Orobus one ounce and an half, Raddish, and Flower-de-luce roots, each one ounce; Honey as much as is sufficient with Salt: mix them.

A Fume also of Vinegar, in which Fire Stones have been quenched.

Or this: Take Benjamin, Storax, each two drams; Myrrh and Bdellium, each one dram; Orris roots half a dram, Mar­casites two drams, with Turpentine, make Troches for a fume.

You must beware of Incision, because it can scarce be made without danger to the Tendons, Ligaments, and Nerves,

We may use other manual Operations, by which though a Ganglion cannot be taken away, yet the Limb may be rectified.

It is dangerous to open a Ganglion, as I shewed.

It was declared in the Treatise of contracted Members, how when it comes from a tumor, they may be reduced by Art and Instruments.

Knots or Nodes in fleshless parts, are of three sorts, ei­ther in the Joynts as the Gout, in the bare Bone as in the Pox, and Head-ach, or from some violent Cause, called callous Nodes: we shall speak of them severally.

The Gout Nodes in the Joynts of the Hands, or Feet and elsewhere, The Cure of Knots or Nodes in the Gout. are hard­ly discussed, and when they are opened they produce some humor, or sandy stone, or they grow hard, and fixed in the joynts so that the Fingers or Toes are either straight out, or croo­ked, as I shewed in the Gout.

But to hinder their growth, or to discuss, or ripen them; you must first use the Cure for the Gout, which is the cause by Evacuations and things mentioned against the Gout, which are so strong, that if the quantity of a small Nut be taken for a month or a year, it would dissolve the Nodes of the Gout, which they say this following will also do.

Take St. Johns-wort, Germander, Groundpine, each six drams; Tops of lesser Centaury half an ounce, Roots of round Birthwort, Valerian, Spiknel, Hermodactyls, Agarick, each three drams, Roots of Gentian, and Parsley, each two drams; Spikenard one dram: pouder them well, and with Honey make an Electuary.

Also apply things to mollifie and discuss, or ripen, as to other tumors, but the strongest are these.

A Cataplasm: Take Roots of Marsh-mallows two ounces, Flower-de-luce one ounce, Line seed half an ounce: boyl them in Wine and Honey, with a little Turpentine, apply them.

These are most proper, the Roots of wild Hemp, Teasles Stone Crop, Groundsel, Hemlock, and Henbane green and beaten, or boiled first in Wine or Vinegar, with Honey or Oxymel, and somtimes Grease.

Or, Take Rue, Shepheards purse, and Raisons, beat them together.

The Heads of Onions and Garlick, roasted and boiled with Grease of a Hen, Badger, or Mountain-mouse.

Rotten Apples applied, are good.

Ammoniacum, Sagapenum, Galbanum dissolved in strong Vinegar, or Oxymel with Bran, Oyl of Turpentine.

Or, Take Galbanum melted in strong Vinegar, one ounce and an half, Birdlime, or Glew, moistened with Vinegar, Tur­pentine and Wax, each half an ounce; mix them.

Dogs or Goats dung, with Wine and Vinegar, and Bar­ley meal, is also good.

Also old strong Cheese, of Sheeps Milk, beaten and ap­plied.

The Roots and Seeds of Gith, pouder of Orris, with wax laid constantly thereon.

Also the Pouder of Oak-moss, or Hazel-moss, with French Soap, and Niter.

The Ashes of Willow Bark, with strong Vinegar.

Or this. Take of Oker two drams, the Ashes of Willow-Barks, [Page 577]Nigella seeds, each one dram; dryed Dogs dung one dram and an half, make a pouder, and mix it with old Cheese, adding, if you please Gum and Vinegar.

Also the Juyce of Capars, and Oyl of Indian Nuts.

You may apply Fomentations to the Nodes, and they work best; first wash with warm water, or an emollient Decoction.

Fomentations are most used to consume hard gravel Tu­mors, and strengthen the part made with red Wine, Marsh-mallows, Mallows, Docks, &c.

Or thus: Take Sea, or salt Water ten potles, boyl therein one pound of Guaicum, of Guaicum bark four ounces, Worm­wood, Groundpine, Bettony, French Lavender, red Roses, each six handfuls; Orris roots one ounce and an half, boyl them to six pottles, then add twelve pottles of red Wine, and boyl them till the the fourth part be consumed, strain them, and use it for Fomentations, for twenty dayes.

If you fume the part with the same Decoction through a Pipe, it will discuss the Hardness, and strengthen the Part, as hath been experienced.

Also it is good to put the part into a Wine-press, first of moist, then of dry Grapes.

You may also open Nodes, by cutting and letting out the Matter, and they will either fall, or the Medicines ap­plied, will have better Operation.

The Nodes in the French Pox, in the Fore-head, The Cure of Nodes or Knots in the French Pox, and Head-ach. Shinns, and Backs of the Hands, because they require a ge­neral Cure proper for the Pox, and al­so some particulars, they shall be de­clared in the Cure of the Pox.

The Nodes in the Head-ach, in the Fore-head vanish when the Head-ach is gone, usually; but if they remain, you must evacuate, and use external Applications mentio­ned.

The callous Nodes which come not from a Disease, Of Callous Nodes. which eates the Periostium or skin upon the Bone, but from over much Nou­rishment by Bone Juyce, so that it seems to be a new Bone growing to the other: Or which come af­ter a broken bone are hard to be taken off, but continue the whol Life.

But if they be offensive, we shall study to remove them with outward Remedies: Not using Evacuations, because they come from an outward Cause.

We may apply things mentioned for the Gout, or for Scrophula.

And we know by Experience, that Narcoticks, or Stu­pefactives do much, by which we have dissolved desperate Nodes, in Men, and Beasts: Taking the Roots of Man­dracks, Leaves of Henbane, and Hemlock boiled in Vine­gar, for a Fomentation, and Cataplasm, to which Bee-net­tles may be added.

Plaisters and Oyntments of Quick-silver, are as good here as in the Pox.

To soften Nodes, use the Cerot of Oesypum, which is made of Oyl of Chamomil, Orris, Oesypum, or Grease of Sheeps-wool, Rosin, Turpentine, Mastick, Wax, Spike­nard, and Saffron.

Also the Plaister of the Son of Zachary made of Nerve-Oyl, Oesypum, or Grease of Sheep-wool, Goose grease, Marrow of a Cow bone, Turpentine, Bdellium, Ammoni­acum, Mastick, Storax, Aloes, Foenugreek, and Chamomil, with Saffron.

There is another of Calfes suet, Olibanum, Juyce of Squills, and Wax; also the Oesypum'd Plaister of Paul, and the Diapente of Democritus.

The Nodes are somtimes cut off, especially when they grow towards the Joynts, and hinder the Motion. And this Operation is safest, when they are upon the bare bone only covered with the skin. This is done, first by opening the skin, and laying them bare, and then with a sharp knife with one cut, taking them from the Bone, and by curing the wound, which may be done by burning, but not safely nor quickly.

If the Callous Tumors of the Nailes come from any Hurt, The Cure of the callous Tu­mor of the Nails. it will be gone as the Nails, grow out, and are paired.

But if from an internal Cause, they be­come uneven, and thick, they will not be made thin; yet we must attempt it, if we suppose the Di­stemper of the Body was the Cause, by removing that, and by external Remedies, Emplasters, and Baths which soften that we may still cut off the Tumor, that the new Nails may grow thinner.

A Callus in the Hands, The Cure of the Callus, or thick­ness of the Skin. is a sign of la­bour, and no dishonor, and in the Heel doth strengthen the Motion, and there­fore requires no Cure, besides if there be rest, it will peell off, and a new skin succeed.

But if they grow to be an hinderance in touching or go­ing, as Cornes, then we must use Softners.

And chiefly Baths for the Hands and Feet, of warm wa­ter, and softning Plants, mentioned in Clysters, that mol­lifie, and in the Baths for a Scirrhus, with Grease, and fat Tripe-broath, and Oyls.

Also Oyntments, Plaisters of Oyls, Grease, Mucilages and Gums mentioned in Scirrhus, and things that soften a Corn.

Among the which Ammoniacum dissolved in Vinegar is most softning.

After bathing, pare the Hands, Nails and Feet about the Heel, with a Pumex Stone, or File.

We took away a Corn in the side of the Foot, which was very troublesom and hard with our Cautery, that causeth no pain.

The Cure of Scars or Callus in the skin, The Cure of Scars. is not accounted needful, especially in Sol­diers, to whom a wound in the Face is ho­norable, because it argues they saced their Enemy, and ran not. Also when it comes from any other Cause, if it be e­ven with the skin as a white Lye, it is neglected, because it is like the skin, and must not be altered to another Co­lor, least it be more apparent.

But when it sticks forth, or is uneven, we must make it with cleansing Remedies equal with the skin, such as fol­low.

The Decoction of wild and Garden Poppy, for a Fomen­tation.

Also the Water of Lilly, or Bean flowers, and that of Mans dung commended by some.

Also Oyl of Myrrh, and Yolks of Eggs, of bitter Al­monds, Peaches, Dates, or instead thereof, beat the Ker­nels, and rub the part.

The Common People rub it with fasting Spettle.

The Liquor that sweats through Eggs, roasting in the Embers.

The Grease of the Fish Thymalus.

Or an Oyntment of Rocket, and Mustard seed with Ox Gall.

Or of Borax, Camphire, and Grease or Marrow.

Oyl of Nutmegs boiled in Vinegar, and Niter, is com­mended of Dioscorides.

An Oyntment. Take of the Roots of wild Cowcumber or Dragons, Orris, Reeds, each two drams; Mellon seeds, and Rad­dish roots, each one ounce; Harts Horn, or burnt Egg-shells, each half a dram; white Chalk, Crystal, or Amiantum, one dram and an half, Frankincense, one dram, Sugar Candy three drams, Gum Traganth infused, or the Mucilage, of Foenugreek one ounce, with Oyl or Grease; Make an Oyntment.

If these avail not, use strong Cleansers, Corroders and Burners, if you will take it quite away. Such as we shew­ed in Discoloration to take away Spots.

You must also pare it with a Pen-knife, as a Callus.

If the Scar be deep like a pit, you cannot make it even, unless you first cut or burn it, and they fill up the Cavity with new flesh, and after heal it.

But in the pits after the small Pox through the Face and Nose, The Cure of the pits of the small Pox. because [Page 578]strong things cannot be well applied, there is little hope of Cure, great Men would have spared for no cost, to have it done for their Children if possible. If any thing be done, it must be softners and attracters, to raise the flesh and make it even. As the Decoction of Lillies, Calfes feet, which will do but little; and this is rather to be prevented in the Cure of the small Pox: as we shall mention there.

The Cure of the pit of the Navel grow­ing too deep is neglected, The Cure of the pitting of the Navel. because being private, it is no Impediment; as also that tumor which comes from the grow­ing of it hard; but we shall shew the cure of the Navel, Rupture and Water-rupture.

Warts and Cornes either depart of themselves, The Cure of warts & cornes or are not regarded, when they are not visible, but when in the Face or Hands, as Warts, or when they cause pain, and hinder motion as Cornes, we may cure them easier then other hard tumors, though they have deep Roots and be hard; yet being in the Pores, and not fastned to the true skin, as one with it, nor covered with it as other tumors, and being without seeling, so that you may apply what you please, the Cure is easier which we thus order, that they may be con­sumed without force or burnt, cut, or drawn out.

We consume them, either by things proper for the same, or such as dry up their Nourishment, and make them va­nish, because these are so hard, that they can scarce be soft­ned or discussed.

Some Remedies are made of Plants, as the green Leaves bruised, of Groundsel, Agrimony, Sumach, Herb Robert, Toad flax, Dandelion, Succory, Beets, Poplar, Rue, Yar­row, Water-cresses, Asarum roots, Orris, Teazle, Celan­dine and Daffodil roots.

These are stronger, bruised With wine or Vinegar, with Salt or Niter, Pepper or Aloes.

Leeks, Onions, and Lillies roasted with Grease applied are good.

Also the Juyces of the Plants aforesaid, chiefly that of Dandelion like Milk, and the like in Succories, with the Juyce of the Leaves and Flowers of Moulin, Pomegranates and Purslain, and Laserpitium.

Honey of Anacardus is excellent also.

The Water that comes out of a Vine being burnt.

The Pouder of Nigella seed, with Urine, or Lye, or Honey.

Also the Seeds of Sun-flowers, being like Warts, is said to cure them, also Pease meal, and Barley.

Wheat Leaven consumeth Cornes.

The Ashes of Willow bark with Vinegar, and the ashes of Squills is approved.

Frankincense, and Pitch poudered, with Salt, Vinegar, and Juyce of Onions like a Plaister.

From Living Creatures take these, Gudgeons tied to a Corn while they rot, drive them away.

Dioscorides commends the Head of a Lizard.

The Head of the Fish Smaris salted, and burnt, and ap­plied with Wax and Vinegar, doth the same,

The rough scaly skin, also in a Hens foot, which is ta­ken off by fire, is said to take away warts, if you rub them or apply them therein.

The Juyce of Cornel-berries also is good.

Also Dogs dung, Sheeps, and Goats dung, with wax, Soap, Lye, or Urine.

Also the Gall of the Ox.

Also Sal niter, and Ammoniack, and Allum, with Ho­ney, Suet, or Soap.

Lapis Lazuli also poudered and mixed with Vinegar.

We somtimes burn Warts and Cornes, and so they are rooted out, and return not, this is done by actual or poten­tial Cauteries, you may use the strongest, if you defend the skin round about.

Crow-foot leaves, and Roots are the gentlest potential Cautery, yet beaten and often applied, they may consume them, as also other burning Herbs.

Divers Causticks work stronger before mentioned, which must be used warily, only to the Wart or Corn, covering the part about with wax or plaister, leaving a Hole in the middle.

These are most usual, the Milk that comes from Figs, or their green Leaves, and of Spurge, the Spurge, Mirlinites hath the best Milk, and it is to be had in winter; also the Milk of Lathyris, Peplus, and Chamaesyce, which are all several sorts of Spurge.

Aegyptiacum the Oyntment mixed with Juyce of spurge, or Rust of Brass poudered with the same, with a little Sub­limate, or Orpiment is excellent.

Unslaked Lime also with Soap, and Vitriol, and Verde­greece, or with Arsenick, or Sublimate.

The cautery which causeth no pain, made of Quick-lime in a Lye, and such as are mentioned for to open Impost­humes, do it quickly.

Also cantharides with Leaven.

Also if it be touched with a drop of Aqua fortis, let it be black.

Or with Water and Vitriol, Arsenick &c. mentioned for opening Imposthumes.

Or this: Take Sal Ammoniack, Allum, and Vitriol, each two ounces; Quick-lime one ounce, Verdegreece half an ounce, distil them, it is stronger with Sublimate and Arsenick.

Paracelsus commends this for taking off warts and cornes. Take of Oyl of Juniper berries, Benzonna, (which is that Mush-room that kills Flies) Agarick, each one dram; Ox gall: make an Oyntment, to be used often.

I would rather use those little Mush-rooms, that are full of Juyce, and grow upon Dunghills, gathered before Sun­rising, which I have used to Horses successfully for the same.

We also actually burn them, with an Iron and a Quill to defend the parts about.

Or we fire a Birch twig, and blow it out, and then burn the wart with the the coal-

Or we drop a wax candle thereupon, or burn them with a Match, defending the part with a Plaister, or thin Plate of Lead, with a Hole in the middle, when it is done.

Or thus, we boar half a Nut shell as wide as the wart, and put the wart therein, and then lay Brimstone upon the wart, and set it on fire, till the parts adjacent begin to feel it, and then give over.

VVe cut them diver wayes, or scarifie them, to make the Remedies applied sooner, and better prevail.

Or we cut off their tops with a sharp Rasor, and so go on, till the pain will no longer permit, and then the Medi­cines will easily take away the remainder, or when we are at the quick, we burn it with strong Dryers, or apply a Plate of Lead hard bound.

If they hang down, they must be tied with silk very hard to hinder their Nourishment, that they may fall off.

VVarts are suddenly drawn out by the Roots, by Art by Mountabanks with their Nails, or an Instrument, which they first anoint with an Oyntment, which they proclaime good for divers Diseases to deceive the people.

Some things are thought to cure warts by a secret Pro­priety; as wart-succory used in Sallets, or Horse-time.

Also the Seeds of Wart-succory one dram taken before sleep, for some dayes together.

If you take so many Pease as there are warts, and touch every wart therewith, and then wrap them in a clout, and throw them behind you in the new Moon, thus Dioscori­des: the vulgar use to burn them.

Pimples in the Face and Head, The Cure of Pimples in the Face. called Vari or Jonthi and Psydraciae, must be cu­red with strong Cleansers, Softners, and with Corroders and Causticks, all which we have shewed in stubborn Spots and Morphew in Disco­loration: as also how the Body is to be prepared and purged.

These following dissolve Pimples, Goose grease, Wolf or Cats grease, and that of the Fish Thymalus.

[Page 579]Also the Grease that comes out of a burnt Linnen-ragg.

And Aloes, with Gum of Fennel, and Vinegar of Squills.

Or, Take the Juyce of Docks four ounces, Vinegar of Squils one ounce, Gum Ammoniack dissolved in Vinegar, half an ounce, Borax three drams, Salt and Allum one dram.

This is excellent: Take Juyce of Onions, Leeks, and Sca­bious, each half an ounce; soft Soap one ounce, Gum Ammo­niack dissolved in Vinegar, two drams, Myrrh, and Aloes, each half a dram; Pouder of Penny-royal, Hysop, and Basil seed, each one scruple; Salt, Niter, or Allum one dram, Borax half a dram, burnt Vitriol one scruple: make a Liniment.

Or, Take Dock roots, and Elicampane sliced, boyl them in Vinegar, and bruise them, adding Borax, Aloes, Frankin­cense, Cuttle-bone, or stronger things.

Or, Take Penny-royal, Hysop, or Agnus Castus dried, each one dram; Meal of Lupines, or Orobus two drams, Salt, or Juyces before mentioned, or Borax one dram and an half, Frankincense half a dram, with Oyl of Mustard, make an Oyntment.

Or, Take the Meal of Lupines two ounces, of Orobus, or Vetches one ounce, Melon seeds peel'd two drams, Raddish seed one dram, Orris roots two drams, Sal Ammoniack one dram, burnt Harts horn half a dram: mix them with the Infusion of Gum Traganth, for Troches to be dissolved in Milk.

Oyntments of Fish gall and Oyl, Honey, and Sugar doth discuss Pimples.

If these in the Head are mattery, you must add Lytharge with Vinegar, and Verdegreese, and other Dryers, menti­oned in the Scab.

The last Remedy for hard Pimples, are the corroding and caustick Medicines mentioned in Spots.

Hordeolum is a hard tumor like a Barley corn upon the Eye-brows, The Cure of the Tumor in the Eyes, called Hor­deolum & gran­do. be­neath, and Grando like Hail, is the same above in the upper Eye-brow, and they are cured as warts, by applying things which consume them, but so that they may touch only them, and not get into the Eye, and hurt it, especially when they are strong.

These following are good in these tumors, Gum Ammo­niack, or Serapinum spread upon Leather.

Also Flies their wings taken off, and Ants mixed with Rosin and Wax.

Wine Lyes, Vitriol, Honey and Wax.

Lime with the third part of Vitriol, and Turpentine.

If nothing will prevail, we may burn them off, defend­ing the Eye carefully, as in warts, whether we do it by a­ctual or potential Cautery.

VVe may also scarifie them; but it is not safe to out them off, or forcebly to pull them out.

VVe may, if it be convenient, tye them with silk like warts, but gently, least it through pain, should cause In­flammation.

The Cure of the Swelling of the Breasts from Milk, The Cure of the Tumor of the Breasts with Milk. because it goes of it self, is seldom undertaken. But if it be such as it causeth fear of Inflammation, then we must have a care to hinder the comming of Milk into the Breasts, and to consume that which is there, or draw it forth.

But if it be curdled, and the tumor hard, we must discuss it, if it tend to an Imposthume, we must ripen, open it, and cure it as an Ulcer. And if Inflammation follow, it must be cured as a Phlegmon: of which we spake in the treatise of Pain.

VVe hinder the increase of Milk, with a slender Diet, E­vacuations by bleeding and purging, and giving things that consume both it and the Seed, as Agnus castus, and Rue seeds, we keep it from the Breasts, by revelling and deriving the Blood another way, as by opening a Vein in the Arm or Foot, (especially if they were not well cleansed after Child-bearing) and with other things that provoke the Courses, Scarification, Cupping on the Shoulder, and above the Knee, by Frictions and the like.

Also by binding the Breasts, and using Emollients, you may hinder the farther increase, and consume the Milk in the Breasts. The English and French Women, which use not to nurse their own Children, apply bags of Lin-seeds to their Breasts, and bind them down, for the same end.

VVe repel the blood by outward Applications, which we place upon the visible veins, that come from the Arm­pits to the Breasts, not upon the Breasts, but about, and without them, because if Milk be curdled in them, it can­not be repelled.

There are also repelling Emplasters called defensatives, made of Bole, mentioned in Phlegmon, and in the Pains of the Eyes from Defluxion, used to the Fore-head and Tem­ples and the like, elsewhere mentioned, which must be laid about (not upon the breasts) but towards the Arm-pits.

Especially those we mentioned for hindring the growth of Breasts, may also be good to hinder Milk.

Also an Epithem of Vinegar, Rose-water, and Allum, with a little Camphire to penetrate rather then cool.

VVe dissolve Milk in the Breasts with Dryers and Dige­sters laid all over upon the breasts, and if there be a tumor, you must lay thereon things that consume Milk, and bring it to matter.

Mints is chiefly good for this, and next Calamints, Smallage, Coriander, Agnus castus, also Wormwood, Horehound, Ladies-glove, Palma Christi, Epimedium, Rue, Rocket, Celandine, Cole-wort, white Beets, Briony Leaves, and water Lilly roots beaten green, or boiled first in Wine and Vinegar equal parts, and the third part Ho­ney to a Cataplasm.

Or that which is made of Wheat-bread, or Bran, Bean, Barley, Lentils, Orobus, and Foenugreek meal boyled as before, somtimes with Herbs, and Oyls of Dill, Chamo­mil, and Lillies.

As for Example. Take Marsh-mallow, and Lilly roots, each two ounces; Mints two handfuls, Wormwood, and Celan­dine, each one handful; Chamomil flowers one pugil, boyl them in Wine, Vinegar, and Honey, as before, beat them up with Bean, and Barley meal, or the like four ounces, Oyl of Dill, Ducks grease, each two ounces; make a Cataplasm.

Or thus: Take Bean and Lentil meal, each four ounces; boyl them in Vinegar, and the third part of Honey, with dry Mints, half an ounce, dry Wormwood two drams, Cummin seed half an ounce, Agnus Castus seeds, and Chamomil flowers, each two drams and an half; Liquid Storax half an ounce, Saffron one scruple, Oyl of Dill two ounces and an half; make a cata­plasm: to this add of the Runnet of a Kid six drams, to dis­solve Milk if it be curdled.

Another, mix Bread with Purslain, and Sage-water, and Honey for a Cataplasm.

Some only steep Bread long in Mint, Sage or Purslain­water, and apply it.

The Root of the greater celandine, beaten and laid upon the Nipple, is said to dissolve curdled Milk.

Dioscorides teacheth that Hemlock doth destroy Milk, and hinder the growth of Breasts, and other Stupefactives, also not by cooling, but by discussing, as we have shewed their Nature to be.

Oyntments made of the Juyces of the Herbs mentioned with Oyls, as of Mints and the like, do consume Milk, and dissolve it when curdled, as this: Take the Juyce of Smal­lage, and Mints, each two ounces; Vinegar one ounce and an half, Honey two ounces: boyl them a little. and wash there­with.

Dioscorides commends wine Lyes, with Vinegar.

Also a Fomentation of the Herbs aforesaid, with a spunge or Linnen-cloath is good, especially a Decoction of cum­min and coriander.

Or with strong Vinegar, Sack boiled with a little Saf­fron.

VVe take away abundance of Milk by the way ordain­ed, by the Infants sucking, and if it will not move, Chil­dren must suck, or let a woman draw them with her mouth or with an Instrument for the purpose. If this cannot be [Page 580]done for want of Nipples, you must do what is taught in the Loss of Nipples, and want of Milk.

The Cure of Tumors comming from Blood, is first of the Veins, as of Varix, or swollen Veins, Cirsocele or Cod­rupture; and secondly of the Arteries, as an Aneurism.

As to the other Tumors of the bel­ly, The Cure of a swol­len Belly in women with Conception. comming from the Terms stopped, as if they were with Child, without Conception: because it ends with a large Flux of Blood at the womb, we shall speak of it, in things cast off, when we mention bleeding at the Womb.

If Women with Child have great Stretcht, The Cure of Varix or a swollen, and crooked Vein. and crooked Veins in their Legs, after they are delivered, they commonly vanish. And if either Man or Woman have them continually, they regard them not, till they trouble them. But if they itch or pain them, or turn to an Ulcer, they must be cured, because while they continue, the Ulcer cannot be cured, as we shewed in the Kind of Ulcer.

For the Cure, first consider the Plethory, and evil Habit or Juyce in the blood, and this must first be cured by letting blood, and purging: as we shewed.

Then we must apply things that may repress, and con­sume the filthy blood that stretcheth the Veins. And that with Lotions or Fomentations, with a Decoction made in Forge-water, or Lye or Urin, of Fennel roots, Bugloss the great, Agrimony, Laurel, Cole worts, of Rosemary, Elder, and Lavender flowers, Cypress nuts, Sloes, Lupine seeds, Cole-wort seed, with Salt and Allum, and if you will a­stringe more, with Vitriol.

Or with this Fomentation, or Epithem. Take burnt Chalk three ounces, Bole, or fat Earth one ounce and an half, Acacia, or dryed Sloes one ounce, Sanguis Draconis six drams, Myrrh half an ounce, strong Vinegar one pint and an half, Lye three pounds, with a little Salt and Vitriol we stop the flux, by Ligatures, or Roulers about the part, beginning from be­low upwards, as we shewed in Oedema, alone, or with a Fomentation afore, or we wet the Rouler in the Fomenta­tion, and strain, which will be stronger thereby, especially if it be made of Sloes.

Somtimes we cut off the great Vein, which nourisheth the Ulcer, when it hinders the Cure of the Ulcer; if there were no Ulcer, we would not do it, because dangerous if but opened. It is better therefore to bleed in the other Leg for Revulsion. But when we will cut a Vein out that nourisheth the Ulcer, first you must mark its Passage above with a Pen, as it comes from the Ulcer, and then open the skin by longitude, and lay the Vein bare, then rub the Blood down, and tye the Vein above, and cut it beneath in length to let out the blood, then bind it next to the Ulcer, and cut it that part of the Vein, which is between the two Ligatures, and so the way will be stopped, by which the Ulcer was fed.

The small crooked Veins in the Codds, Privities of wo­men, and Eye-brows, or in other parts of the skin, because they hinder not, are not regarded, but if you will do any thing, you must revel the blood from the part, and repel and discuss it, as in Inflammations, only your astringents must not here be so cold, least the Blood congeal.

Cirsocele is when the spermatick ves­sels are swollen, The Cure of the Stone vessel rup­ture. and if it hinder not the Seed, it is not regarded, because it is hard to be taken without Gelding, and except it grow great, like a flesh Rup­ture, it is not attempted, but you must use Fomentations and the like, before it comes to that.

Aneurisma, that is a Tumor from the o­pening of the artery, The Cure of Aneurisma. when the blood there­of gets under the skin, when it is old is not curable, because the blood cannot be re­pelled by astringents, or the mouth of the Artery lying deep be shut. Nor may we open it, because the Patient would cer­tainly die of a Flux of Blood, which cannot be stopped. Therefore if at the first Repellers and Closers of the Arte­ry mentioned in Haemorragy or Bleeding do nothing, we must leave it, except we will use a Ligature, or Plate of Lead, to keep it down.

As for an internal Aneurism, because it hath no exter­nal Tumor, of which we spake, but produceth the Heart beating, we have shewed how it must be ordered, when we treated of Palpitation of Heart and Cachexy.

Tumors comming from Seed, as that which is Natural of the Belly in Women with Child, require nothing but good Government, to prevent Abortion or Miscarriage, as shall be shewed in the Treatise of unseasonable Births.

The tumors of a Womans Belly from a Mole, The Cure of the Belly swollen with a Mole. is to be mentioned in things cast off, because the cause is not to be certain­ly known, till the Mole is brought forth.

The Cure of particular Tumors, is not here to be repeated, The Cure of tu­mors that are from the Birth. if they come from the Seed, at the Birth, as Sarcomata, Ker­nels, Struma's and the like, because they are to be cured as those.

CHAP. IV. Of Defoedation or Defilement.

The Kinds.

UNder the Name of Defoedation, we understand those Infections which defile the Body with many Diseases. so that they are that infected with them, must leave the soci­ety of sound Men. Of this there are two Kinds principally, The one is old, called Lues Elephantica or Leprosie, the o­ther new called the Lues Venerea or French Pox. The bo­dy is many waies defiled by them, with such as are com­mon to both, as tumors, pustles, ulcers and falling of the Hair, and others that are proper to them in particular Pains, and Hindrance of Functions.

There are also other Infections, that have been first known our age, that defile the Body, and are proper to some Countreys, among which the Scurvey is most known, usual in the North, of which we shall speak here, leaving other Infections to them that know them.

It is called Elephantiasis, The Leprosie cal­led Elephantiasis. from the Likeness of the Patient to an Elephant, his Ears growing thin and broad like wings; they are called Lepers, from the Roughness of their skin, and from their Lyon like looks, it is called Le­ontiasis, and because they are Lecherous Satyriasis.

In this there are divers accidents, which are to be sear­ched and described, because they shew how it came, and they who have it, are to be examined by the command of the Magistrate, and separated from the sound, that we may judg rightly, and not mistake as usually, and offend either sick or sound. In regard I have been thirty years appoin­ted, and have examined above six hundered suspected of the same, I will faithfully declare, first the Diseases they have, and then the Actions hurt, and examine the things cast off, that we may know how to judg of the same.

The outward Infirmities, are chiefly in the Heads and Joynts, and the Searchers do scarce examine any other part, and yet give sure Judgment. In the Joynts they ex­amine the Hands, and Feet, Fingers, and Toes and Nails, and above the Knees to the Thighs, above the Elbow to the Shoulder; and in the Head they search the Mouth, Eyes, Nose, inside and outside, Face, Ears and Hair, Eye-brows, and Beard, and the tumors and ulcers there, to judg by them alone, or together.

There are oftentimes little tumors in the Leprous upon [Page 581]the Face, and Joynts; in the Face, upon the Fore-head and Cheeks; and making them look wildly, which first disco­ver the Disease, and are in the Arms, Backs of the Hands, and in the Feet and Thighs. These are moveable, and with­out pain, and are blewish, red, especially in the Face, like a cancerous Tumor. These Pustles be they in one or more places, A general Cancer. fewer or more, do cer­tainly declare an Elephantiasis; and if these appear not, you cannot judg directly, except other signs concur.

There are other Tumors, which are in the Mouth, the Palat and Jaws, more or fewer, yellow, blew, which are signs of the same; such as are in Hogs, and therefore in Germany they look in their Mouths, and if they find them, they will not eat of their flesh.

There are also Ulcers, especially between the Toes, and in the Soles of the Feet, in the thick skin there, and in the Hands, also in the Elbow, and other Joynts. These Ul­cers pierce through the skin, and seldom go farther, but are broad, with hard, swollen Lips easily bleeding, like Carcinomata; and because the tumor is like a Cancer, and the Ulcer resembleth a cancerous Ulcer. This Ele­phantiasis is called an universal Cancer. Neither do the Ulcers feel any pain, nor the Tumor though they be mole­sted; hence they are supposed to be void of feeling: be­sides these Ulcers creep, and being cured in one place, they break forth in another. From these alone rightly under­stood, we may determine the Leprosie, but surer, when the other agree. They who are infected, pretend they were burnt to take away suspicion, because they resemble the Scars of burnings. Experience shews that the Ulcers and Tumors in a Leprosie, want feeling. So November 22. 1625. a young Man of three and twenty years of age, being to be searched for a Leper, who was full of such tumors and Leprous Ulcers and signs, and therefore judged to be a Leper, I being brought in with many other Physitians, (by my Father of pious Memory) to give censure, thrust a Needle into a Tumor on the outside of the right Arm, be­ing high to the bottom, in the presence of them all, and the Patient being blind-fold, perceived it not.

There are Ulcers in the Nostrils, and they are worst which eate the spungy Bones thereof, and make the Nose fall off, and corrode on further, and eat through the Palat and Uvula, and the Jaws, and if they get down to the Wind-pipe do kill the Patient, as also when they are too corroding in the Nose.

Somtimes the Swelling of some parts declare the Lepro­sie, as the broad Grisle of the Ear growing thick, swollen or broad, as an Elephants, from whence it is called Ele­phantiasis. Also the Nostrils are dilated, which makes the Face very uncomely, especially when the Nose between them is flat, which also hinders breathing; also the other parts of the Face swell besides the tumors: as also the eye­brows, so that the red hangs out, and seems horridly. Al­so the Hands, and Feet are swollen, when the rest of the Body is lean.

If a skin be grown over the Eye, it is an Argument of the Leprosie, if other signs agree. And if it be in the lar­ger corner grown thick, it gets over the Pupilla, and hin­ders the sight, as we shewed in the Hurt of sight.

Sometimes the skin of the Leper is rough in the Feet, Hands, Face and Ears, and also in the Head, and Eyebrows where are also Dandrough and Scabs, somewhile blew, or black, with little, or no itching. The skin is also cleft in some places, especially the Hands, and it is hard and scir­rhous, the Nails are also cleft and bent; there is also a Scab dry and stinking, over the whol Body, which seems to pollute the whol Body more then an Elephantiasis, which is only in the Head and Joynts, and that called Psora, by the Greeks, is most desperate and taken for Elephantiasis; as we shewed in Psora, but being not the same, it must be distinguished. And the Greek Leprosie is not to be called the Arabian Leprosie, which is the Elephantiasis, except o­ther more certain signs accompany it.

Also the hair falls off both from the Head which is bald, as also the Chin, so that the Beard is either fallen or very thin, and from the Eye-brows.

The strange colour may help the Discovery of this Dis­ease which is not fresh, but pale, yellow, black and dark, especially the Face, and the Eyes are red or blew. Also if Veins under the Tongue are black and swollen; but this sign I have little regarded.

The Functions are not hurt at the first, wherefore they feeling no pain neglect their cure, till more manifest signs appear: And then they have defect in the Operations by the Increase of the Distempers mentioned, especially in breathing which is hindered by the stoppage of the Nose, so that they breath with open Mouth, and by Ulcers and Tumors in the Nose, so that their Voice is hoarse, and the Party grows in danger of being choaked, and so they ma­ny times die, when notwithstanding other accidents, they might live.

Also the Senses are hurt in the continuance of the Dis­ease, as the sight with a filme in the Eye, which either hinders sight, or makes blind. Also the touching is so stu­pified, that the skin feels not any offense in the part, and therefore they try them, chiefly by the prick of a Needle. But Experience sheweth that is not alwaies true, but only in the swollen Feet, which have long been so, and want Heat to be felt as if dead, this I have tried by pricking them to the bottom, neither did they bleed, but onely wa­ter. And this made them think that in all Leprosies there is want of feeling, or it was because the ulcers and tumors are without feeling: as we shewed, therefore they suppose all the Body insensible.

As for other Functions, except by the continuance of the Diseases the strength fail, they can perform any actions, as eat, concoct, digest as found Men, and if poor, they beg for Meat. Moreover, lust is not gone from them, because by many instances, they are proved wanton, and though they impute it to other causes, yet we suppose it to be from their being kept from their Wives. And they can procreate, as appears by their Wives lest with Child, though they were Leprous long before, and also they beget leprous Chil­dren.

There is nothing voided which doth especially declare this Disease, though many Chyrurgions and Physitians say they may be known only by their blood, which the People beleeves, and therefore they bleed all they examine, and pronounce by the blood, as it is black, blew, or gravelly. O­thers strain it, and seek for worms, which they say is the true sign; others try the blood, thus they throw hot Salt into the blood, and if it dissolve not, or if Vinegar mix not with it, it is a true sign of the Leprosie. But we that have above thirty years, diligently searched into the Blood of Lepers, do plainly declare that neither we, nor our Chyrurgions could ever find any sign of Leprosie from the blood, but it was either like sound Men, or not much different corrup­ted or infected, or so bad as in a Feaver or Jaundies. And we declare the same concerning Urin, which the vulgar e­steem so much of for discovery, as also of the Pulse, which hath no Alteration.

The Venereal Disease called by that name, The French Pox. because it comes from Venery, and because it is there frequent, and came from thence the Neapolitan Disease, or French Disease may be more truely called the Indian Disease, thence it came first, doth corrupt the body with as many accidents as the Elephantiasis, and makes it filthy, sick and uncomely. And in this there is great pain, and if it be alone, it is referred to the pains a­bout the bones; but if it be mixed with other accidents, it is to be referred hither. And these accidents are to be di­ligently searched into, because it is infectious, and that it being known betimes, the unsound may be separated from the sound, for which end there are proper Hospitals. These accidents following are the chief.

The Hair usually falls off in the French Pox, which is a sign, One kind of French Pox. especially about the [Page 582]Temples, Forehead and Eye-brows; and in men the beard falls, and this is a more certain sign, if other accidents con­cur, albeit if there be no sign of another Disease, it will be a sign of the Pox alone; and also if they confess that they have had to do with unclean Women.

The skin is sometimes sprinkled with small Spots, Another kind of French Pox. red and like Fleabits, or Freckles, dark, yellow, or blew in many places, in the Face, Neck, Breast, Belly, Privities, somtimes all over. And we have somtimes seen these Spots so joyned together, that the skin hath been broadly infected, especially in the Breast and Back, and somtimes in the Belly, or other places, which being pressed the strange colour flew away, and the pit was white, and presently returned to its former colour. These Spots ei­ther alone, if we can discover no other cause thereof, be­sides unclean Copulation, declare the beginning of the Pox, or some small kind of it, as also the falling off of the Hair alone; or with other accidents they will be more cer­tain, and shew the Disease to be worse.

High Pustles without pain, are somtimes in the skin, The third kind of french Pox. reddish, or yellowish, round, hard, and covered with a dry Scurfe in the Forehead, Ears, Nostrils, Jaws, and in the Head; also in the Neck, Breast, Arms, and other parts: and these certainly declare the Pox.

Besides, there are divers malignant Pustles in the inward parts, the Mouth, Jaws, Nostrils and Praepuce, or Fore­skin of a mans Yard, and Womens Privities; these if ma­ny together, do certainly signifie the Pox, especially if o­ther signs went before, or come after. In Children infect­ed, these Pustles in the Mouth, are the chieft sign of it.

There come also filthy Ulcers from the Pustles mentioned in divers parts, yet chiefly in the tender parts of the skin, Face, Nose, Lips, and about the Privities, and that cancer in the Praepuce or Fore-skin of the Yard, and those in wo­mens Privities, also in the Jawes, Mouth (as the little sores called Aphthae, or thrush) Nostrils, and in the Posteriors.

Some of these creep on, and corrode the subject parts, and corrupt the bone, and bring hurt to the parts, either by Lameness or loss of the same. Others disfigure the Face by eating off the Nose; others corrode the Lips, so that they cannot drink, or sup, which must be done by the lips, as I have seen. Others have eaten through the Palate, and consumed the Vvula, whereby the voice hath been hoarse, and they have spoken through the Nose, and snuffled. Also these Ulcers corrupt the Glans, Nut or Head of the Yard, and makes them unfit for Venery: as we shewed in corrod­ing Ulcers, such as hinder Functions and Actions. By these, especially if many together, and mix'd with other acci­dents, we certainly discover the French Pox.

Pains about the Bones without flesh, as in the Shins, The fourth kind of the French Pox. Shoulders, Head, Fore-head, and Temples, somtimes in the Breast, which is only pained in this Disease. These pains are great, and worst towards night, and when they are touched, neither will they be asswaged with Anodines or Stupefactives as other parts, but worse there­by. These if without other signs, are to be referred to the pains in the Habit of the Body. And if they be joyned with other accidents, they make a distinct Pox from the rest, and it is easily known.

Besides these, there are other accidents which are signs of the Pox, which being alone, (because they may be also in other Diseases,) cannot determine certainly, except af­ter copulation with unclean Women, they cause a suspici­on. And then also we cannot undoubtedly pronounce it the Pox, except there be other signs, for before ever the pox was known, there were venereal Buboes or Swellings in the Groin, without Infection, that came by Copulation; and other accidents which we shall explain. And if they come from the Pox, there will presently be other signs, as pain about the Bones, falling of Hair, Spots or Pustles. These following accidents, are both in the Pox, and in other dis­eases, and are exactly described elsewhere, therefore we shall but touch upon them here.

The Swelling in the Groin called Bubo venereus, some­times breaks forth in the beginning, and vanisheth present­ly, or if it remain, it grows hard, or comes to matter, nor is it unlike that Bubo which is without the Pox.

These are Swellings called Condylomata in the Privities of a Woman and of a Man also, which are also like those that are without Infection.

There are clifts also in the Hands and Feet, and the skin in the Palm of the Hand, being thick, comes off without pain, as we shewed it may without the Pox.

It is observed that the Nails and Hair also fall off.

Somtimes there are Nodes or Knots in that kind of pox, which is about the bones with pain, in the Forehead, Shins and other parts without flesh; as we shewed in pains a­bout the Bones, which are without the Pox, and yet very like it.

Somtimes there is matter that flow from the Privities, both of Man and Woman, fouling their Linnen with a yel­lowish stain, which follows a venemous Matter or Seed, mentioned in the infectious or virulent Gonorrhaea, or run­ning of the Reins, this is joyned with the Pox, and is som­times without it.

There is also here a burning of Urine with dropping of the same, as in other Diseases. As for the other accidents that hinder Actions, because they come not of themselves from this Disease, but by accident from other Causes and Diseases, if they grow troublesom, being general, and be­longing to other Diseases of continuance, and do not con­stitute the Pox, neither can we take any certain signs there­of from them, we willingly pass them by. As we counted it also to be superfluous to predict or foretel any thing hereof by the Urin or Blood being contrary to experience; and we think it sit to cherish the people in their Folly of supposing all things may be known by urin.

The Scurvey is called by Pliny and Stra­bo, Stomacace, The Scurvey. because it is in the Mouth and Scelturbe, because it is in the Shins with spots, and Scor­beck or Schverbuych in High Dutch. This being first found in the Northern Sea-coasts and infectious, makes me suspect that it was brought by the Sea-men from some remote part, as the French Pox was brought first into Naples being near the Sea from the Indies, and called first the Indian Pox; not unlike that which comes without Infections, for both infirm the Body, and hinder Action: as shall be shewed.

These have Spots in their Thighs, first small, then lying hid, of a purple or violet colour or black; others have black or blew skins all over, and somtimes in other parts, somtimes these Spots wear away with the skin like scales, somtimes they vanish suddenly afore death, and after death they appear again.

Their Gums are swollen and loose, Itch, and are painful, and somtimes bloody. Also the Legs swell, or grow very small, with small Pustles, which are hard in the Kernel parts of the Body, and between the Muscles, and in other parts, somtimes without pain, like those Tumors in the Glandles, and cause that Infection which is called by the French Scrophula, of which we have spoken.

Afterwards the Gums ulcerate and stink which infecteth the Breath, and when they are consumed, the Roots of the Teeth lie bare, and they are loose, as in the Cancer of the Gums, mentioned in the pains of the Mouth, where we mentioned the Scurvey of the Gums. There are Ulcers in the Shins, but seldom, these are putrid or stinking, and rot­ten, or gangrenous, and without feeling.

There is also a stretching, or a contraction, or a rough­ness in the Legs about the Calfes, which comes at the first with little pain, and pricking about the soles of the Feet, which keeps them from standing or going: and somtimes the Veins of the Legs swell, and are crooked.

There is also Heavines and Laziness of Body at first, and the Pulse is weak, then there follows such a Weakness and [Page 583]Straightness of Breast, that when he would arise and move he fainteth, and the Pulse stops.

As for other signs, there is loss of Appetite, or Increase in some. The Belly is bound in some, and loose in others, the Urin red and thick, and the Sweat stinketh.

A gentle Feaver accompany's it, or an acute or sharp malignant Feaver goes before it, sometimes a quartan fol­lows, and then the Pox returns after it, and brings worse Diseases, as Convulsions, Palsies and the like, in which it concludeth, as Atrophy, or want of nourishing, Consump­tion, Dropsie, and bloody Flux &c.

The Causes.

We refer the Causes of these Infections which so disturb the Body, whether it be the old Leprosie or latter Pox, or the Scurvey only known in some Motions and the like, not to a certain and manifest Quality, or Humor, or to Venom which lie by its Malignity, as appears by the Effect doth act secretly and deadly destructive. But we shall shew what parts of the Body they invade, and what Diseases they pro­duce therein, and from what Cause, in these several kinds following.

The Distemper comming from the Le­prosie called Elephantiasis, The Part af­fected in Ele­phantiasis. shews that only the Membranes are infected, and chiefly the skin, and some places thereof, especially in which this Infection produceth the acci­dents mentioned, as little Tumors in the Face, and in the Hands and Feet, Ulcers in the skin of the Feet, Soles there­of, and between the Toes, the Swelling of the skin, in the Nostrils, and Ears, and of the Face and other parts, and somtimes Roughness and Clefts in the same, and in the Nails, and the falling of the Hair: also the same Venom breeds Pustles in the Palate, and Ulcers in the Tunicle or Skin of the Mouth, Jawes and Nostrils, and thickness in the skin of the Eye, and at length a film. But in other parts, as the Muscles, Bones, inward Bowels, and Vessels, this poyson cannot do the same, as is vulgarly thought, as appears by their having no other Disease that pierced so deep, when they are opened, and in regard no Functions are hurt, either in the voluntary Motion, or animal, vital or natural Actions, except there come another Disease, neither doth Urin, Blood, or other Excrements shew any Infection of the Bowels, as we shewed.

The Disease which this Venom produ­ceth, A venemous Distemper is the cause of E­lephantiasis. must also be a venemous Quality or Distemper in the skin, not only perverting the true temper thereof, but corrupting the whol substance, so that it converteth the Juyce with which it is nourished, and supplyed when it is worn away, (although it be made from good Blood fit to nourish sound parts) into the like evil substance, when it comes to it. Even as we shewed ano­ther venemous Quality produced a Cancer, and that evil Juyce nourished and increased it. For as from this, a tu­mor only in one place, so from that are divers Pustles and other Distempers. Therefore because Elephantiasis, and a general Cancer come from a like venemous Cause, produ­cing divers Operations, that Elephantiasis may be called a general Cancer, rather then that which infecteth the whol Body, because it is not all over but in the skin, and some Tunicles.

The Cause from which this poyson producing an evill Quality in the skin and tunicles, which is the ground of the Leprosie is divers.

Somtimes it comes from the Parents that were infected; somtimes from other Humors, or Causes in the Body. When this Venom comes from the Seed of the Parents, it causeth an hereditary Elephantiasis, for Seed comming from the whol body, that which comes from the parts infected, is polluted, and when the Child is formed, the Venom makes an Impression in the parts like those from whence it came, as the skin and tunicle which it produceth. And it sel­dom appears presently after the Child is born, but being tamed and qualified by the strength of the purer part of Seed, it lieth hid somtimes, and is only in power, till that growing weak, this prevalent Venom breaks forth, into Act, somtimes sooner, and then it is greater, and somtimes later, and then it is less, and shews it self at that time of age, wherein it appeared first in the Parents. And it hap­pens that lying hid in Children a long time it appears, sometimes in their Children before it appears in them, so that the Children are free, and the Grand-children infect­ed. And though there be no certain sign of it in the Pa­rents, yet it may be derived to the Children, and be first manifest in them. As in a certain old Man that had no signs of a Leprosie, who had one Bastard and two Legiti­mate Sons, which in their Youth were wonderfully infect­ed, and yet three Daughters begotten by the same Man were free from it all their lives: this we saw. And it was credible from the polluted Seed of the Father, not yet ap­pearing in him, upon the Sons; and the Daughters esca­ped by the purity of the Seed of the Mother. Although God sometimes inflicts this as a Punishment with that means.

It is a received Opinion that one Body will infect ano­ther, and therefore they are separated one from the other, and it appears to be so, because the Infection being in the external parts and skin only, nay by touching or lying to­gether, especially in Mariage, may easily be conveighed to the skin of another; or by the use of the same Cups or Spoons, or taking in of meat, which the infected have chew­ed, it may get first into the Mouth, and then into other parts. As we shewed the venom of the Pox, and of beasts, could infect by spettle. And they are soonest infected that are of a like temper, as those of a Kindred, as we have up­on search found two or three Brethren infected in the same Family. Or they have some capacity to receive it, which we can scarce declare; but it is such, because when many have been together in the same danger, onely one or two have been infected.

Also they say that other Creatures infected therewith, may infect Man-kind; for although Beasts have somwhat like the Leprosie, as tumors in the Jawes in Hogs, yet be­cause it is not every way the same, neither have they other signs of it, as men have, it is either not the Leprosie, or a­nother kind, and will infect only beasts of their own kind and not men. Also we daily find by Experience, that poor people eat daily meazled Hogs, and yet have no signs of Leprosie.

I have observed that a Woman with Child that longed for meazled Pork and eat much of it, brought forth a Son who had meazly Pustles all along his Back-bone, very like those of Swine spread abroad, continuing a while and then vanishing without any other inconvenience. We shall af­firm little, but leave it to every Mans Experience, whether from the biting or stinging of venemous beasts, or touching only of Venom, or drinking or smelling, as they say of ba­sil, this Leprosie can come or not, although the people have divers Opinions thereof.

It appears this Infection may come from Humors very often, because many Leprous Persons have not taken it by Insection, and we see often them that have conversed long with Lepers, and been married to them, to have remained sound. Therefore because we cannot perceive any other Cause from whence it should arise, we conclude that it comes from within. Moreover we cannot say that these Humors from whence the venemous Quality comes into the parts, arise from Distemper or Corruption, as is gene­rally beleeved, because they produce no other Diseases or accidents, or signs of the same, which use to arise from the change of Humors in that manner: but that a certain ve­nemous Quality produceth a Disease like it self. And this may be bred in the Blood, and with that property by which it can onely hurt some places, according to the Nature of [Page 584]poyson, it hurts only the skin and Tunicles only and no o­ther part. For the doing of which, and that its force may come to the Supersicies of the Body, it is not needful that all the blood be corrupted, for then it would kill the Par­ty, but some part thereof. Or if this poyson being against Nature, be driven to the exteriour parts by it, the Cause with its Effect produced will stick there, only where the In­fection brake forth, and no longer be in the Blood, al­though it came originally from thence, and so corrupt the substance of the parts, and that will corrupt the nourishing Juyce; as I shewed, and so cause, and nourish and Ele­phantiasis. These venemous Seeds in the Blood, except the Blood be first insected, and then the parts of the Body from it, may come from some Corruption in the same; or Putrefaction, in which the blood may be turned into Ve­nom. as in other poysons, whereof we have spoken in other Diseases, among which as some are said to come from the Terms, which are accounted venemous, so they say the Elephantiasis comes also, not only in a Woman, when her Courses are stopped, but in a Man by Infection, when he hath had to do with a menstrous Woman, or in a Child conceived at that time. All which come not from the menstrual Blood, because it is not of its own Nature in sound women, filthy, as we shewed, except that it or other blood, for other Causes contract such evil as may produce the venemous Seeds of an Elephantiasis. And it is hard to judg by bleeding, whether it comes from meat or a Disease afore going, or what kind of Venom it is but by the ef­fect.

In the Cause of the Elephantiasis begin other Humors, as Melancholy (as some think it is) or any other, and if it proceed not from its certain quality (though hurtful) or if it be Naturally in Humors preternatural, or become such from Corruption; because other Diseases come from thence, which are not found in an Elephantiasis, but then also it wil come from the corruption of them, from whence these Humors receive a venemous and malignant Quality fit to produce an Elephantiasis, they will produce it, that as we shewed of Blood by driving it the outward parts of the body, and by infecting them.

It is thought that this Leprosie is contracted by extream Cold external of the Body, when men have been long in Water, Air, or Snow, or after vehement Heat, as bathing they endure a great cold, or when they cool a hot Tumor, as Erysipelas too suddenly. But because other accidents come from thence, as when there is extream cooling, the extinguishing of Natural Heat and Mortification of the part, we cannot make this a cause of the divers accidents in this Leprosie.

Nor can we affirm that other Tumors and Ulcers in these outward parts, can be turned into this Disease, although many think it to be possible in an Erysipelas and Herpes, because when they are changed into a malignant Scab, which the Greeks call a Leprosie, they take it for a kind of Elephantiasis, from which it differs, as I shewed. And if any external Diseases should turn into this, the Humors that caused them, must first of Necessity turn into a vene­mous Quality by Corruption.

In the French Pox, that Venom which produceth it, The part affect­ed in the French Pox. is chiefly in the Membranes which causeth Diseases there and Pain, as we shewed. As pains about the Peri­ostium, or Skin, or Bone, where there is no flesh in the Head, Shins, Breast, and Nodes in some places. But the Elephantiasis chiefly in the skin, the mouth Jawes, Nostrils, causeth the Hair to fall, Spots, Ulcers &c.

The Disease of the French Pox is a Di­stemper of these parts, An evil qua­lity is the cause of the French Pox. and such a vene­mous quality, as is fit not only to produce such accidents as are in the Elephantiasis but more, and great pains; as appears by what is said in Elephantiasis, and in the second Book of the Pox.

Where we have at large declared, where and how this Venom comming of a venemous Cause, can by contagion by the Copulation of Male and Foemale, or other touching, or by Spettle, or by a Vapor or Humor, be carried into the Membranes and infect them, and bring forth the accidents mentioned, so that we shall not need to repeat it here.

Also in the Scurvey, a certain secret poy­son which produceth a venemous Quality breeds the like Disease, A malignant quality is the cause of the Scurvey. as appears by the Diversity and the Malignity of the acci­dents thereof, which are also in the skin, as Spots in the Legs, Pustles, and Ulcers, Swelling of the Gums, and other inconveniencies. And we rather determine this to be the cause, then a melancho­lick Humor, to which it is attributed by some, that they may not flie to an occult Cause, as in other Diseases, whose Malignity shews them to come from Venom. And I had rather leave it to the Inhabitants of those parts, where the Scurvey is most to judge whence this Venom arose, and got into the Body, and whether it came by Sea into the North as the French Pox; then search into the Causes of Venom which are hard to find out, and not to be known but by their Effect.

The Cure.

Elephantiasis, The Cure of E­lephantiasis. although it be onely in some parts of the skin, yet is it hardly prevented at first, and cured when old, es­pecially when hereditary. Nor have we found them that cure it, though they brag when they cured only an Itch, as if they had cured a Leprosie. Yet it is not to be neglected, but at first opposed by all means, that if it be not cured, it may be allayed. And we must remove the accidents as they come forth, because without them the Patient may live long. And because they cause great Deformity, that they may be less suspected when they keep men company, there may be a palliative Cure: which great Men do in­treat from Physitians with great promises.

The Cure is two wayes, first generally of the whole Dis­ease, the second particularly of the accidents.

The general Cure, is to labor as much as may be to take away the poyson which is the cause, with Evacuations, and to correct the venemous Quality. But because as yet the Medicines are not found not which do it by a peculiar ver­tu, as in the French Pox, and we cannot proceed that way, the best way is to take away the accidents. And therefore it must be done as the venemous Itch, and the evil Spots, Pustles, and malignant Ulcers are cured, by the means fol­lowing.

You must purge as you find the Body abound in Excre­ments; and because you cannot purge Venom, yet purge Melancholy, and use things to abate it, such as allay the sharpness with Moistness and Cold. Those which are good against al salt cholerick humors, as the Scab and Pox are here also good, with which you may purge twice or thrice every Spring and fall, to prevent evil, and other times, if the Body be foul.

First use gentle things for the common Excrements, as a sharp Clyster, mentioned in divers places, in the Cure of Melancholy.

Or give Cassia, Catholicon, Tryphera persica, or Sara­cenica, or Diasena, with convenient Waters, or Decoction of Pease, or Goats Whey.

Or, Take Rhubarb infused in Endive water, or Whey one dram or four scruples, Syrup of Roses solutive one ounce and an half, Cassia, Catholicon, or Tryphera persica half an ounce, with Bugloss and Fumitory water; make a Potion.

And that the Excrements may abate, give a Vomit in­stead of that Potion, if it hath been used, weaker or stron­ger of Hellebore.

Prepare afore purging with Syrups of Violets, Fumitory, Bugloss, Endive, the compound Svrup of Fumitory, of wa­ter-lillies, Gourds dissolved with Fumitory, Hops, Bugloss; [Page 585]Endive, Succory, and Sorrel-water, &c. and a little Trion­santalon.

Or with this Decoction: Take both Buglosses with the Roots two handfuls, Grass roots, Sparagus, Liquorish, each two ounces; Capar barks, and Tamarisk, each one ounce; of En­dive, Succory, Lettice, Maiden-hair, each one handful; Cor­dial flowers, red Pease, each one pugil; the four great cold Seeds six drams, Anise-seed two drams, Raisons two ounces; make a Decoction and in two pints and an half of it, dissolve of the Sy­rup aforesaid as much as is sufficient, or Sugar, with Trion­santalon: for five or six doses.

Or this Julep mentioned in the preparing of Melancho­ly, which begins thus. Take Syrup of Violets, Borage &c. Or thus: Take Juyce of Bugloss, and sweet sented Apples, or the Decoction that begins thus: Take of both Bugloss-roots &c.

We purge with this after Preparation. Take Rhubarb infused in Endive water one dram, Agarick infused in syrup of Roses solutive, two scruples, Confectio Hamech, or Diasenna three drams, Syrup of Violets one ounce and an half, dissolve it with Fumitory, or Hop-water.

Or give this Bole. Take Catholicon half an ounce, Con­fectio Hamech two drams, de Succo Rosarum, one dram, with Sugar, make a Bolus.

Or this Potion. Take the Herbs and Roots of both Bu­glosses, or Succory, or Endive, Fumitory, Hops, each half an handful; Endive, Purslain, Melon, and Citron seeds, each half a dram; Anise seeds one dram, Cordial flowers one pugil, Raisons one ounce, Prunes five pares, pulp of Tamarinds half an ounce, Liquorish, and Polypody, each one ounce; Senna six drams, Epithymum two drams, with some convenient Liquor and Sugar make a Potion, you may add Myrobalans, Rhubarb, dissolve Electuaryes therein.

Instead of these, you may give the purges mentioned in Melancholy, as that which begins thus. Take Chatholi­con one ounce, &c. Or thus, Take Senna, Polypody &c. or the Pills there mentioned.

We prepare and purge with this Apozeme. Take Grass roots, Asparagus, Butchers-broom, barks of Capar roots, Ash, and Tamarisk, each two ounces: mix them with sharp Wine, or adding a little Vinegar, take the Roots of Liquorish three ounces, of Elicampane one ounce, the Herbs and Roots of both Buglosses, Succory, Sorrel, Docks, each one handful; Fumito­ry, Hops, Mercury, Scabious, the Capillars, each two handfuls; Endive, Lyons-tooth, Lettice, Liverwort, Ducks meat, each one handful; Bettony, Thyme, Tops of Rosemary, Groundpine, Germander, each half a handful; Cordial flowers, Broom, Ta­marisk, and Water-lillies, each one pugil; the four lesser cold Seeds half an ounce, Sorrel seed two drams, Anise seed three drams, Fennel seed two drams, red Pease one pugil, Jujubs and Sebestens, each five pairs; Tamarinds one ounce, Polypody of the Oak four ounces, Senna three ounces, Carthamus seeds brui­sed one ounce and an half, Epithymum six drams: boyl them all in Water, with the Roots, and their Infusion as was said, adding as much Sugar as is sufficient, with a little Sanders, cin­namon' or Pouder of the three Sanders, or Diamargariton fri­gidum. For five or six doses.

Let purges be given by turnes, some daies together, or once or twice in three or four daies, as the Body abound­eth with Excrements.

Syrups for this purpose will keep longer; made of the Apozeme before mentioned, that purgeth and prepareth, of Roots, Herbs, Flowers, Fruits, and Seeds, adding two ounces of Tamarinds, six ounces of Polypody, Senna four ounces and an half, Carthamus seeds bruised three ounces, Epithymum one ounce, black Hellebore half an ounce, boyled in Water, and strained, adding Citron, and Indian Myrobalans rubb'd with Oyl of sweet Almonds, each three drams, Rhubarb half an ounce, Spike half a dram, Cinnamon one dram, Agarick five drams, strain it, and add Syrup of Roses solutive four ounces, Sugar half a pound: boyl them to the consistance of a Sy­rup, you may give it alone, or with Pease Broath, or Whey or the Decoction of pot Mercury, or with proper Waters.

A Syrup of Juyces: Take Roots of Polypody, Liquorish, each three ounces; Senna four ounces, Carthamus seeds bruised two ounces and an half, Epithymum six drams, Tamarinds two ounces, Raisons one ounce, Anise seeds two drams: boyl them in Goats Milk Whey, take two pints of it strained, and add the Juyce of Fumitory, Hops, Bugloss, Scabious, Docks, each three ounces; boyl them again, and skum them, then add Sugar half a pound, boyl it to a consistance, and add a little Cinna­mon, and Sanders; if the Juyce of pot Mercury be added, it will be better.

The Infusion or Decoction of Hellebore to take away the sharpness, is thus made. There is a Decoction made of Endive, Succory, and both Buglosses in Water, and in six pints thereof strained, they insuse one ounce and an half of the Roots of black Hellebore sliced, and after steeping a while, they boyl it till two parts be consumed, and of the third part, they give four ounces, with half an ounce of sy­rup of Violets for some daies together.

Two drams of the Pouder of Epithymum, with Whey is given for a month together every morning, it will work better, if one dram of the Pouder of Senna be mixed with a dram of Epithymum, and half a dram of Tartar, and one dram of Sugar Candy with Whey; to which you may add Turbith, and some Spices, and this is better then the pou­der Diarena.

A pleasant laxative Electuary. Take Pulp of Tamarinds one ounce and an half, Pulp of Cassia two ounces and an half, Pulp of Raisons, and sweet Prunes, thick Juyce of sweet Ap­ples, each one ounce; syrup of Violets, and Roses solutive each one ounce and an half; Diagridium two drams, pouder them with half an ounce of sugar candy, Turbith three drams, the pouder of Liquorish, and Cinnamon; each one dram and an half, make an Electuary, give two drams at first for tryal, and after more or less, as it worketh.

It will have more tast like a Medicine, if you leave out Diagridium and Turbith, and mix with the Pulps Catho­licon, Tryphera, Syrup of Roses solutive, with infusion of Rhubarb, or the Pouder of Rhubarb and Senna, or the stronger purging Electuaries, as that of the Juyce of Roses, Hamech, Diasenna, de Citro.

The Purges mentioned in the Cure of Melancholy are here proper, as that Apozeme or Syrup of Juyces, or the Wine, or the Electuary; also the Pouder.

Also these mentioned in the cure of the malignant scab, as the Whey with other Ingredients, also the Syrups and purging Decoctions, that Syrup of Juyces, the purging Wines, and chiefly the Decoction of Hellebore, and other Potions, Electuaries and Pills, there mentioned.

Also many purges mentioned in the French Pox, especi­ally from the abundance of sharp Humors.

After purging strengthen the Bowels, with Conserve of Roses, both the Buglosses, Succory, Violets, Maidenhair, Water-lillies, or Diarrhodon, Trionsantalon, Diamargari­ton, or Treacle, or with Conserve of Bugloss.

Before purging they use to let blood spring and fall, to make a general Evacuation, but the Seeds of this Infection cannot be taken away thereby, in regard the blood in the Veins is not infected; as we shewed, and therefore it ought not to be. They bleed first in the Arm, and when the Bo­dy is full, some daies after in the Hand and Foot, and the common people think often bleeding prevents it; but the Body being consumed thereby, the Infection will come soo­ner and more. Therefore they are too rash, who when they examine this Disease let Blood for tryal of it to satis­fie the vulgar.

They also think Scarification every month, upon the Shoulders and Legs, with Cupping-glasses, is very good, and also Horsleeches.

It is profitable to provoke the Terms if they be stopped, by opening the Ankle Vein or the like.

It is excellent to open the Haemorrhoids with Horse­leeches and the like.

Somtimes we burn with actual and potential Cauteries as the last Remedy, not only in the Arms and Legs which is most usual, but in the Head.

[Page 586]The Antients advised Men to be gelt when they were des­perate and past other Cure, and that to change the temper of the whol Body, making them effoeminate, and of ano­ther Constitution. And this they did with less difficulty, because Lepers were forbidden Copulation, least others should be infected thereby: and taking away of Man-hood did then no hurt, but caused their Cure.

We alter their Constitutions, to bring them to a better, but when there is no manifest Distemper, you cannot admi­nister contrary things certainly: but for the most part we give those that prevent sharp Humors and asswage them; Moreover, seeing they have a Driness and Consumption, we give things to moisten and refresh and restore, such as are mentioned in the Hectick Feaver, and these follow­ing.

Let them live in pure Air, not hot but temperate, and far from them of the like Disease.

Let the Meat be of good Nourishment, of young Crea­tures, Broaths, Eggs, Milk, pot Herbs, Fruits that moisten and are temperate, as in Hecticks and Consumptions.

The flesh of Frogs, Cray-fish, Sea and Land Turtle, are good here, as in Hecticks.

Let the Drink be Wine not too strong, or with too much water; somtimes Goats milk, and the Decoctions pre­scribed for Hecticks.

There are Medicines that cool and moisten, and temper sharp Humors, mentioned in the Cure of external Dis­eases, which you may use here, and the Syrups, Waters, Confections, and Conserves prescribed for a Hectick Feaver.

Among the rest this Electuary is most proper. Take con­serve of Bugloss flowers one ounce and an half, of Succory, Vio­let, Water-lilly, and Rose flowers, each one ounce; of Maiden­hair, and Rosemary flowers, each half an ounce; candied Bu­gloss roots one ounce, of Trionsantalon, or Diarrhodon, Diamar­gariton frigidum, each half a dram, of the Troches of Camphire one dram, with Syrup of sweet sented Apples: make an E­lectuary.

Let him drink after it Fumitory, Bugloss, or Endive­water, &c.

Many other Medicines for the Liver and Spleen, which are thought to be the cause of this Infection may be given, and to be applied outwardly, mentioned in the hot Distem­per and Obstruction of the same: but except we are cer­tain that the Liver and Spleen are distempered, they are given in vain.

There are Antidotes which have a proper Vertue against Leprosies, as these following.

Vipers flesh (many waies taken) is held best, and they say the flesh of other Serpents, as those which the Germans call Blindensleich or blind Vipers, these take off the skin and the faults thereof; because these Serpents cast their skins every year, therefore they suppose they may cause man to do the same.

This Vipers flesh is given divers waies prepared, some­times boiled in Broath with Salt, and Eels their skin stript off, or peeled off by boyling, their Heads and Tayls cut off and Guts taken out: and so, if you perswade them to eat Eels, they will less disdain the Food; you may also boyl them, and mince them otherwaies, that they may not be known; some report that by the use of these, the skin of the Leper hath peel'd off in divers polluted places.

The Broath sometimes is sufficient in which these have boiled, or they eat it with the flesh, in which you may boil Salt, Anise seed and Dill, others add Mints and Leeks.

A Syrup made of this Viper Broath, with Sugar and cin­namon, will last longer.

Some say that if you fat Hens with Vipers flesh till their feathers fall off, and then boyl them, and eat them, they will do the same.

Some give Wine in which Vipers have died.

Also the flesh of Vipers is dried and made into Troches to be kept, when Vipers cannot be had. They take the flesh only without the skin, Head, Tayl and Guts, and boil it with Dill and Salt, then beat it, and with the Broath make it into a paste, with Wheat-bread the fourth part, and so make it into Balls, and dry them. These are called the Troches of Vipers.

These troches are seldom used by themselves, but with Conserves, such as are mentioned in the Electuary above, and if you add one dram of the troches to that Electuary or more, it will be better. These troches are in treacle, to to resist Venom, and therefore it is good against the Le­prosie.

As the Vipers cast their skins, so the Cray-fish cast their shells every year, and therefore are thought of as much vertue as vipers; they have a refreshing and restorative vertue, Dioscorides gives the flesh of Hedghogs dryed and roasted, and Salamanders with other Medicines, and if they can do any thing, it is by a propriety.

Some Histories if not Fables say that mans blood taken when he is newly slain, and drunk is good, and also a wa­ter distilled thereof, some say Harts horn, and Ivory is good against Leprosies, as well as other poysons, and great Men have Vnicornes horn at a dear rate for that purpose.

Some magnifie the Pouder of an Emrald.

The Chymists promise the perfect Cure of the Leprosie by the use of Aurum potabile, of high tincture, of Antimo­ny, the true tincture of Coral, with proper Purgers, among which they extol the secret of Coral, Mercurius dulcis, Antimonial Pills that purge onely by stool. The famous Dr. Hartman in chymical Practise, commends the use of the sweet Essence of Sulphur, Vitriol, for the Cure of the Leprosie.

The outward means used in a general Leprosie, are baths, to take away the Venom in the skin, by often use of them to prevent and cure the Leprosie, or at least to take away the Deformity of the Ulcers, Nodes, and Roughness of the skin. These are Natural or Artificial.

The Natural Baths are of sweet Waters warmed, used at certain times, the Body being well purged before and after, Spring and Fall before and after Dinner, sitting in them, using them till the skin flourish, and grow sound, and these take away the malignant cause that lyes in the skin.

Hot Natural Baths are stronger, especially of Brimstone, such as are in Helvetia, Argovia, Valesia, and Bath in Summerset-shire, which as they cure all sorts of Scabs, so the Leprosie, or take away its Malignity, and at least abate all accidents, if not take them away, if they be long used. And therefore they go to the Baths to conceale the Lepro­sie, and we send them thither after Examination, when we doubt to see what change will follow.

Most artificial Baths, are to be used long, and they must sit in them, they are of Water and things that cleanse and make thin the skin, and so consume the evil Juyce, as roots and Leaves of Marsh-mallows, Docks, Dwarfe-elder, Eli­campane, Roots of Dragons, wild Cowcumbers, Briony, Sowbread, Orris, Raddish, Bath, Hellebore, Lillies; also Leaves and Roots of Mallows, Bugloss, Succory, Endive, Sowthistle, Beets. Also Wormwood, Senna, Fumitory, Hops, Scabious, Sopewort, Pellitory, Violets, Liverwort, Duck-meat, Groundsel, Sorrel, Agrimony, Mugwort, Plantane, Golden-locks, both Ivyes, both Celandines, Water-lillies, Tamarisk, Flowers of Chamomil, Melilot, Elder; also Beans and other Pulse, Bran, Line-seed, Foe­nugreek, and all Guords.

They add to these Salt, Brimstone and Allum, when the Decoction is not strong.

Others are added for the Joynts, Primrose, Groundpine, also Calaminth, Rosemary, Lavender, and the five ope­ning Roots.

These moist Baths which were mentioned for the malig­nant Scab or Itch are not unlike these, and that is best, which hath Chalk or Lime in them. And the Decoctions to take away spots, may be good here for a Bath.

Some Histories say that a bath of Mans blood hath been used to sit in with success.

[Page 587]Dry Baths in hot Houses, because they too much inflame the Body, and violently draw the Humors to the superfi­cies of the body, are not so commended, but we may pre­pare the body for the moist Bath by the steam thereof.

There are Washes for the parts affected, with Pustles, Ulcers, and Roughness of the skin, to take away (if pos­sible) the Malignity.

They are made of Cleansers and Dryers, and such as have a propriety, as Serpents and Vipers. The Grease of Vipers, they say, will take off the skin and its faults, as well as the flesh eaten; also the Oyl wherein their flesh was boiled, or a quick Viper drowned, some mix the flesh boiled, with Oyntments.

Make this Oyntment of the aforesaid. Take the Roots of Dragons, and Cookow-pintles, Daffodil, or Lillies, Elcam­pane, Beets, Saffron, each one pound; beat them with Oyl of Roses Omphacine, add half a pound of Ʋuguentum Citrinum, Vipers Grease three ounces, Turpentine half an ounce, Oyl of Wheat, or Yolks of Eggs one ounce and an half, Oyl of Tartar two ounces, Sulphur vivum, Niter, each three drams; Ly­tharge, or Ceruss half an ounce, burnt Borax six drams, Tutty prepared, Sarcocol, Frankincense, each two drams; the Muci­lage of Line-seed two ounces, Juyce of Docks, Fumitory, Lem­mons, each three ounces; make them into an Oyntment, for rough, ulcerated and pustuled.

Or thus: Take Juyce of Lemmons, or Oranges, or Citrons, of Docks, Fumitory, Scabious, Elicampane, one pint, Vinegar two ounces, Aqua vitae one ounce, Oyl of Roses Omphacine, Myrtles, or Mastick, each four ounces and an half; boyl them till the Juyces be consumed, adding Oyl of Yolks of Eggs, two ounces, of Tartar one ounce and an half, French Soape, two ounces, Vipers Grease four ounces, Pomatum two ounces, the Gall of a Bull or Goat half an ounce, the Mucilage of Flea­bane, or Line-seed two drams, Honey one ounce and an half, Roots of Dragons, wild Cowcumbers, Sowbread, Orris, each three drams; both Helebors two drams, Staphisagre, Raddish seed, each one dram; and Borax and Tartar burnt, each half an ounce; Quick-brimstone three drams, Cuttlebone two drams, Snails burnt to Ashes, one dram, Camphire one dram and an half, Lytharge, Tutty and Ceruss, each one dram and an half; mix them well for a Liniment.

To these may be added Oyl of Bread Corn, of Raddish seed, of Vipers, Juyce, of Sowbread, and Niter.

Also Quick-silver may be added, which though it doth not destroy the Venom, either in Leprosie or French Pox, yet it taketh away the accidents in the skin, use it not in quantity, as you do in the Pox, especially if you anoint all over, least it cause spitting, because it will not cure an Ele­phantiasis, apply it onely where the accidents are in the particular parts: one ounce with the former Oyntments is enough, if it be used all over.

Or make this Liniment therewith. Take Ʋnguentum Citrinum four ounces, Oyl of Eggs one ounce, Oyl of Tartar half an ounce, Quick-silver dissolved with Turpentine, and the oynt­ment prescribed formerly, half an ounce, Juyce of Lemmons, or Oranges two ounces and an half, Borax two drams, Roots of dra­gons, Docks, Daffodil, Lillies roasted and beaten, and mixed with the aforesaid two ounces.

Treacle of Andromachus, and Oyl of Juniper added to these Oyntments, will much increase their vertue.

Particular Applications are only to the parts affected, to take away Deformity, though they cannot cure. And they are used to the Pustles and Ulcers external, to diminish or take away, or to correct them, as the falling of the Hair; but we must use them chiefly to internal, least they pro­duce worse accidents, as in Pustles and Ulcers internal, mentioned in difficulty of breathing.

Medicines are applied outwardly to Pustles, in the Face and other parts, and they are of dryers and cleansers, or Causticks that is burners. As we shewed the blackness of the skin, in the Discourse of Pains and Spots, Pustles, and Freckles: which Remedies may be used here, either gentle strong, or burning, when Pustles are to be taken off. These are applied in divers formes.

Distilled Waters are used for the Face, of things that cor­rode not.

As this. Take Brimstone six ounces, Tartar calcined, two ounces, Sal Niter, Crystal calcined, each one ounce; Frankin­cense, Myrrh, each three drams; Camphire one dram, Juyce of Docks four ounces, Juyce of Lemmons two ounces, Rose, Bean­flowers, Lilly flower, or Plantane water one pinse: distil them.

Another Water. Take Tartar calcined four ounces, Borax half an ounce, Frankincense, or Mastick two drams, sugar can­dy one ounce, Camphire one dram; pouder them, and mix them with Mucilage of Fleabane, or of Gum Traganth in Bean-flower water, or Water-lillies, six ounces, three Whites of Eggs beaten, Juyce of Lemmons, or Oranges two or three oun­ces: distil them in an Alembeck.

Other Waters mentioned in Discoloration, which have Urine, Tartar, and Sublimate are here good; and those for a red Face, for Lytharge, and Tartar and the like, and those for Spots made of Tartar.

A white Liquor for the Face, like Virgins Milk: Take Lytharge one ounce and an half, Vinegar six ounces, Juyce of Lemmons or Oranges two ounces, Allum, or Sal Gem. two drams, Tartar calcined half an ounce, Camphire one scruple: steep them, and stir them often, or boyl them a little, if you must use them presently.

Or boyl in strong white Vinegar, equal parts of Sul­phur, Niter and Crystal finely poudered, and wash the face with it strained.

There are others mentioned in a red Face, and in Discoloration of Brimstone, and Milk, and Lytharge; also Lac virginis, or Virgins Milk so called.

There are divers Oyntments for the parts, mentioned in Discoloration, as Unguentum citrinum for the Face, and in a red Face and other Spots, made of Juyce of Plants, of Oyl of Eggs, Tartar, and Hellebore, of the Blood of an hare and Galls, especially of a wild Goat approved by Dioscori­des, also Oyl of a Lizard.

Another Oyntment excellent against pustles. Take a­loes three drams, Asarum roots one dram, both Hellebors, each half a dram, staphisagre one scruple, Coloquintida half a scruple, with Bulls gall, make an Oyntment for the Face.

Oyntments made of Quick-silver, mentioned in Disco­loration, and in the French Pox, are good here.

Some extol this, steep two or three Eggs a long time in strong Vinegar, till the shell be consumed, then beat them with the fourth part of Vinegar, and add Frankincense, for the Face; and it is stronger with black Soap.

The Causticks against pustles, made of Sublimate for the most part, are mentioned in the Cure of Spots in Discolo­ration. Also Cauteries, these we may use in the Elephan­tiasis.

Or this: Take Unguentum Citrinum, Oyl of Tartar, each half an ounce; Juyce of Lemmons one ounce, sublimate half a dram, Vipers or Hens grease half an ounce: make a Lini­ment for the Face.

Some gather the Worms that breed in a Viper that is buried, and dry them, and mix them with Cantharides, and sharp Vinegar to an Oyntment.

To wash off the Oyntments and other things, take a de­coction of Bran, and Beans shaled, Pease, Rice, Barley, Lupines bruised, not in Meal, least it turns to a past in boy­ling, adding the Flowers of Beans, Water-lillies, and an Orange cut in pieces.

Or wash with Bean-flower-water, or the Decoctions mentioned for a red Face.

In outward creeping hard Ulcers, many mentioned for pustles are good; and these in pains, for malignant ulcces, are here good.

We spake of Medicines against falling of the Hair, in de­formation.

In the internal pustles of the Nose, Palate, Jawes, we use those mentioned for other Ulcers, and when the Vvula is eaten off, and there is Hoarsness, as we shewed.

Also we give things mentioned in shortness of Breath and Hoarsness, and if the Nose be stopped, you may know there, what to do.

[Page 588]When a fleshy red skin grows in the Eye, least it cover the sight, and cause Blindness, it must be presently pre­vented, with things mentioned in the Cure of the skin or film of the Eye; if the Eye brows are red or rough, there are Remedies.

The French Pox, albeit it comes from an external hidden Venom, The Cure of the French Pox. yet daily Experince shews it is curable, yet with pains, and more when it is old and deep rooted, and hath many evil accidents; of which some re­maining, when the rest are cured and are incurable.

The Cure is general of the whol Pox, or particular of its accidents.

The general Cure which respecteth the Pox and its ac­cidents, is in taking away the Cause, that is the Venom, brought into the Body by Infection, and the Disease that it caused: That is the Quality or hurtful Distemper in the skin and Membranes.

Experience hath taught us that this is done by Evacua­tions, and Reason sheweth how, that is when the Excre­ments desire to be expelled with other Humors, by Sweats and other waies, they discharge the Venom also. And the sooner, if the evacuating Medicines have a secret force or manifest quality of drawing out the poyson and consu­ming it, then it is better drawn out, and the evil quality departeth, and the more perfectly, if they have a propriety hidden, by which they oppose the pox, resist the poyson, and take away the noxious Quality.

These Remedies which thus cure the pox do it not by one kind of Evacuation, or by a consuming force or pro­priety. Therefore we cannot divide the Cure according to their Operations. For the better declaring the Cure, we shall speak of the way by Guaicum, and by Quick-sil­ver; and by others since invented. First, we will speak of the Cure without Quick-silver, then with Quick-silver.

The Cure of the pox without Quick silver is twofold, one by sweat chiefly, the other by purging.

The Cure which is chiefly by sweat, is done either by inward or outward Remedies.

The Cure by inward sweating Remedies, is the oldest and most usual, and it is done first, by giving things that provoke sweat, and if they have a propriety against the pox besides, they will do it the better; then by giving things which help forward this Sweating and evacuate the Body by slender Diet which is convenient; and besides these, you must first use other Evacuations, especially purges. This way of Cure is most desired and most in use, although it be long and troublesom, by reason of sweating, fasting and purging, because it is safer then o­ther waies, which are dangerous upon the least mistake.

This cure is commonly by Guaicum, which was brought hither with the pox from the Indies, and hath been used for the Cure ever since; because it doth not onely cause sweat, but because it is thought to have a propriety to re­sist the Venom of the pox.

We make for this purpose a sweating Decoction of the Wood, which hath a sharpness and bituminous Sent, and somtimes of the Bark thus.

A plain Decoction commonly used. Take of the dust, fi­lings or shavings of Guaicum from the hard stock, or from a stick, which being barked or peeled is outwardly yellow, and in­wardly black one pound, pour upon it twelve pints of Spring­water, let it stand to infuse in a glassed Vessel covered, then boyl it with a gentle fire by degrees, till two parts of three be consu­med, of which pour the clear part after it is settled into a Glass, and keep it stopped, and keep the Faeces for the use that shall be after mentioned.

It will be stronger, if, as they who boyl with more care, use to do, you add three or four ounces of the bark to the pound of Wood; or if you boyl it higher then is menti­oned, or take at first but eight pints of water.

Being thus made, it hath not such a sent and tast as Phy­sick, but it is a little sharp, and pleasant to the Party, when used to it; if any desire it sweeter, you may add sugar and Cinnamon; some do with Wine, but it is better without, because it is to be taken fasting, which will hurt the Head, and it will inflame the Body when they sweat, at which time it must be given also.

These must drink of this Decoction four, five or six Weeks, every morning fasting in their bed, a little warmed from six ounces to eight, arising by degrees, and so descen­ding: and let them cover themselves to sweat after it, as long as they can two or three hours; and let them be wi­ped with hot Cloaths, and the sheets changed for others that are dry and warm, then let them rise, and dine about two or three hours after.

This Decoction is given three or four hours before Sup­per to strong Men, for the better Evacuation and speedier Cure, especially when the Disease is old, in the same quan­tity. Others take it again some hours after supper, but to no purpose, because it will hinder their rest in the night, and being to take it in the morning, it will be to soon, and will weaken him.

As for their Diet in this time, because it must be exact, they call all this course of Physick a Diet, because the pa­tients desiring not to be known to have the pox, by their constant sweating and staying within, pretend that they use a convenient Diet only: this Diet is to be strictly observed in these particulars following.

Let the Air be hot in the time of the Cure, that he may sweat the better, and not have it driven in, by keeping a good fire all the time, and let him not go forth, except it be a hot day, and then only at noon.

Let his Meat be little, only so much as will keep up his strength, of good Juyce, and no Varieties, for the consu­ming of the Humors and Excrements, and that by reason of good Food in a small quantity taken, they may be hin­dered from Increase, by which the Cure will proceed the better, and Nature will be less hindered in sweating, being not burdened with meat, or called in to Concoct. There­fore let him keep a very strict Diet, and eat but twice in a day or but once if he can forbear, and that without gorg­ing: Let him have but one dish or but twice at the most: and that it may be of good Juyce and not excrementiti­ous, some eat only flesh, and bread and fruits, after this manner.

Hens flesh is most usual, and Chickens, boiled for broath or of old Hens or Cocks, because it is the pleasanter and stronger Broath, excellent against the pox, one quarter at a time of a Cock, is sufficient. Also Veal, Kid, Mutton, if tender, may be taken three ounces at the most, at one Meal; somtimes Pigeons, Partridges and Chickens roa­sted, may be given in the same quantity, Rear Eggs or the Yolks onely may be given, if you abate them so much of their flesh.

Four ounces of Bread are enough, for their Meat and Broath, because the Diet must be very slender, and it must be of pure Wheat, but a little leavened and well baked.

Dryed Fruits may be the second course, in a small quan­tity, such as fill not over much, as Raisons, Prunes, Figs, if they nourish much, as Almonds, you must abate so much bread.

As for Sauces, all salt things must be avoided, neither flesh nor bread must be salt or very little, not only because they hinder sweat (as they say) but because salt meat will make more thirsty, who by reason of sweating are apt to be so, whereby they will drink more, and be more hot and unquiet. Therefore Spices must be avoided or regulated, and sharp Fruits are forbidden, except they be given to al­lay the Heat.

Drink is not to be denied in this Disease, because it is quickly digested, and they may drink freely, if they be thirsty, because it refresheth them without burden, and helps Sweating, therefore at meat and between meals, let them drink except other things hinder; but no Wine, be­cause it would inflame the Body, and hurt the Nerves and Head, and therefore we only allow a little to weak per­sons to refresh them either alone or with Water, Water [Page 589]boyled, to take off the Crudity, and to provoke Sweat the better, is commended. Thus, Take the shavings of Guia­cum which were boyled, put twevle or eight pints of water there­to, boyl it to half, and strain it. This they may drink freely at Meate and othertimes, and it will not be unplea­sant when they are used to it, especially if you add a little Cinnamon, or Sugar, or Raisons boyled therein, others add many things as Liquorish, which causeth a Physical tast, and make them loath it, except you put Wine to it which is allowed but in great weakness.

Sleep is allowed not only at night, but in the morning and before supper when they Sweat, because it doth not only provoke sweat, but being at rest they better indure it.

Let him walk about the Chamber, use Frictions or Rubbings, especially after Sweat, let him Comb and Rub his Head. Also,

You must keep the Belly loose which is apt to be bound by fasting and sweating. Let him beware of Venery, and refresh his Mind with Sport, Discourse and Musick.

You must alwaies purge before you begin to give Guia­cum for sweating to void the thick Humors and Excre­ments. And somtimes you must purge in the time of the Dyet, the rather if the Body be fowl, that the Cure may proceed the better, because it helpeth the operation of the Guiacum by taking away the cause of the Disease. And because no certain humor, as was shewed, produceth this Disease, therefore you must direct your purges to the con­stitution, and to the quantity and quality of the Humors and Excrements. Thus,

First give an Emollient Clyster to take away the Excre­ments from the Guts that may clense, and be sharp, such as are prescribed in many places. Or a Suppository, or give Cassia, Manna, some mollifing Decoction, the the Infusion of Rubarb, syrup of Roses Solutive, syrup of Peach flowers, Catholicon, and other mild Electuaries or gentle Pills, or Lozenges, such as are Mentioned in other Diseases.

These being administred, If the Body be ful, let blood in the Arme, which is not needful in the Flegmatick and leane Bodies, except used to it. Then prepare the Humors as we suppose they abound, if they be Cholerick or sharp, with syrup of Fumitory, Hops, Bugloss, Mayden-hair, Endive, Succory, Violets, Apples; or the like with proper Waters, as of Scabious and the like, and so let him take thse Juleps some daies together before Purging.

When they are Flegmatick and ful of pain we add the syrup of Stoechas or French Lavender, which is very good made of Bettony and Hysop, also Honey of Roses and the like, with the waters of those Plants, or of Calamints, Bawm, &c. And when there is pain about the bones, the water of ground pine and Prim-roses. You may also prepare with Decoctions made of the same Herbs.

We put Spices, as Cinnamon, into those Juleps, and Decoctions to make them pleasant. Or Trionsantalon, Diarhodon, Aromaticum Rosatum. Or give a Lozenge thereof after it.

Many times we purge and prepare at the same time, mixing gentle purgers, with the preparatives, when they are weak and Cholerick, or stronge purges when they are Flegmatick and Lusty. Proper for the Humors we in­tend to oppose especially such as purge watery, Salt, and sharp Humors, when there are Spots and Ulcers, such as were prescribed in divers Diseases, especially in the Itch. Or if there be pain about the bones, we must give such as are prescribed in the Diseases of the Joynts from watry Humors.

We give these Apozems or Decoctions for five or six daies to prepare and purge; Thus made, Take the Herbs following with the Roots, Succory, Endive, Dandelion, Docks, Sorrel, Bugloss, Capillar Herbs, Scabious, Germander, of all five or six handfuls; Fumitory, Hops, pot Mercury, of each one handful; Asparagus, or Kne-holm and Grass Roots, of each two ounces, Cordial flowers three pugils, red Roses two pugils, Tamarisk flowers one pugil, Prunes ten, Raisons three ounces, Sebestens, or Jujubs twenty, of the four great Cold seeds and Annis seed, of each half an ounce; Fennel seeds two drams. Boyl them in Water or in the Decoction of Guia­cum strained, which is more proper. And infuse, Senna three ounces or four, Polypody, Carthamus seed, of each two ounces, Epithymum two drams. Boyl them again, and then add, Sugar or Honey to sweeten it, with a little Cinna­mon.

In moist Flegmatick Bodies, add these following, Cala­mus Aromaticus or Galangal one ounce and an half, Elicam­pane, Bettony, Majoram, each one handful, Rosemary, and Lavender flowers, of each one pugil, tops of Time one pugil and an half, Figs twelve, Caraway seeds one dram, and those that purge water, bark of Elder and Dwarfe Elder one ounce and an half: or stronger purgers, Agarick or Rdubarb half an ounce, Turbith three drams, Soldanella two drams, or in strong men who commonly have this Disease, Hermodacts two drams in the pain of the bones. Or half a dram of the Pulp of Coloquintida tied in a cloute, which is strong, or one dram and an half of black Hellebore.

If there be pain in the Head and Bones, you must add things good against it, and against Poyson, as Tormentil roots, and the like, you may use the Decoctions mentio­ned for the Itch, as that which begins thus. Take the roots of Docks three ounces, of Grass, &c. Or you may give pur­ging Wines, made of the simples of the former Decoction, infused therein, or that prescribed in the Itch.

After preparation, or purging with preparation, we use strong purges, if we suppose the Body not purged suf­ficiently, we give strong Purges divers waies, by adding to the last draught of the Decoction, an Electuary, or the like that purgeth, or another Decoction, Electuary, or Pills, considering the spots, Pustles, Ulcers and Pains. Commonly they purge Melancholly that suppose it to be the cause of the Pox, and therefore they give Confectio Hamech and Diasenna, also Pills of Lapis Lazuli, of Fu­mitory, and others mentioned in Melancholly Diseases. And we allow these in strong people, because they Purge Choller and sharp Humors of all sorts. Other Purges also mentioned in the Cure of the Scabs, and if there be pains about the bones, Pils of Hermodactils, stinking Pils, or Pilulae faetidae, and others mentioned in Arthritis. And many others mentioned in other Diseases, which have both Scammony and Coloquintida, which are used indifferent­ly, though many think, they should purge but one Humor.

But Empericks and Chyrurgions presently purge, with­out preperation, before they use things that Evacuate by the habit of the Body and without choice of purges, or careing what Humor, so they do but purge sufficiently. Therefore they give the strongest. And among the rest Wine, wherein an Apple of Coloquintida hath been all night infused, or that wherein some of the lesser Spurge Seeds have been insused; or they bid them swallow the seeds, or they purge at first, with the Decoction of Helle­bore, such as we mentioned in Cure of the Itch: where we shewed how the Empericks cured the Itch and other Diseases only with Stybium infused, which is good here also; As also how good purging at first in many perverse Diseases hath excellent success, as with the dry leaves of true black Hellebore poudered and made into Pills with Aloes.

After Evacuation made, you must refresh the Body a day or two with Conserve of Bugloss, Borrage, Roses, Stoechas, Rosemary, Marjoram, Treacle or Mithridate, and the like. Among Cordials those of Guiacum are best, and they give the Pouder with Conserves and Electuaries. And the Chymists Magnifie the Salt thereof, others use the Pouder or Salt of Sarsaperilla. There are usual Purges for the time of the Cure when they take their Sweats to keep the Body open, to be given between Sweats, divers Times.

You may make Syrup of the Decoctions mentioned that will keep, or use the Syrups prescribed for the Itch, [Page 590]as that of Hellebore, or of Apples, and that of Montanus made of Juyces, or you may purge with Electuaries or Pills.

The Cure may be also by other Sweats besides Guiacum, and good Diet, and purging, such as are good also against other cold Diseases. And although they tast not, nor smel like Guaicum, yet they are thought to have a propriety to cure the Pox; as Sarsaparilla and China fetcht from the Indies, and known since Guaicum to be good.

They make a sweat of Sarsaparilla roots, which are long and slender, of like tast and no scent. thus,

Take Sarsaparilla sliced three ounces, Water twelve pints, let them be infused as Guaicum was, and boised to the third part, which you must strain and keep, this quantity you may increase or diminish as you please.

They drink this Decoction every morning for some weeks, and somtimes at evening and sweat; first purging the Body, and at several times after, as we shewed concer­ning Guiacum.

Use the same order, for Air, Meat and Drink, and make a second Decoction of the same for ordinary Drink, and the like.

There is another made of China, which comes from China in the East Indies, to cause sweat; this Root is thick red and without tast, and the Decoction is reddish, not un­pleasant, nor offending the Stomach, and thus made.

Take China roots that are ponderous, two ounces, cut them in slices, add twelve or eight pints of Water, steep them, and boil them, as the former, keep it being strained very close stop­ped, least it grow sour: or to prevent that, boyl half the quantity, and repeat it.

This is taken as the rest, and it provokes sweat, and the Patient must be governed as formerly, and purged, and a second Drink made of the same Roots as formerly: And being thrice boiled, they have some Vertue, and may be drunk while other is prepared.

There is another Root lately come from the Indies, cal­led Sassaphras, of which a Sweat may be made, used as the rest for this and other Diseases, thus made.

Take the Wood with the Bark sliced into Chipps, two ounces and with twelve or eight pints of Water, infuse them, and boyl them as formerly, and give the same quantity as of the other; this is pleasant and better taken, because it di­sturbs not the Stomach, nor breeds wind, as may be gathe­red by its scent, resembling Anise and sweet Fennel seed.

There are sweating Decoctions for the Pox, made of three or four of the former Roots mixed, they add to half a pound of Guaicum one ounce and an half, or two ounces of Sarsaparilla, and boyl them with eight pints of Water, as the former.

Or instead of Sarsaparilla one ounce of China.

Or we mix Guaicum, China and Sarsaparilla in the same quantities, and boyl them: or we take less of Guai­cum, and more of the rest.

To these we add Sassaphras, because it gives a good smell and tast, and is of the same Vertue.

These must be used in the same quantity, and with the same order and government as the former, and an ordina­ry Drink must be made of the same, by a second Decoction.

Somtimes they make Compound Decoctions with ma­ny other things, added to these, which they add many times to Guaicum, and Sarsaparilla, but seldom to Sassa­phras, and China, least they loose their scent; somtimes they add things to correct, as when Guaicum is too hot Succory and Lettice, yet though it hath a little sharpness, it doth not inflame the Body; and if you take away the sharpness, it will not sweat so well, and rather hinder then profit, as also by those things, the pleasant tast is taken a­way, and it will be loathsom; somtimes they use things to increase the Heat, and cause more Sweat, as Asarum roots, Elicampane and Spices, and the opening Roots and herbs, Baulm, Time, Marjoram and the like, Nigella seeds, some­times things good for the head and joynts if pain be there, as Bettony, Groundpine, Rosemary, and Lavender flo­wers; sometimes things to purge the Blood, as Fumitory, Hops, Bugloss, Elder, Dwarfe-elder, Orris and the like. And to dry the Body more, they use Amber, Frankincense, and Benjamin.

By this mixture, they make the Decoction of less force, and more unsavory, so that the Patient will not take it, es­pecially when they ad Gentian that is so bitter, and Mum­my which stinketh, then it is abominable. But if you will add to the Decoction any thing to allay the Heat, or to provoke sweat or the like, it is less unpleasant, when you boyl the Roots in the Waters of those plants which are for that purpose.

You may make your Decoction in Arsemart water, which is beyond all the other for its admirable propriety for cure of the pox, it is made of the Herb at the end of September, and all October, by Distillation.

Besides these many, mix gentle and strong purgers with Guaicum while it is boiled, as Polypody, Asarum, Epithy­mum, Carthamum, Agarick, and other bitter things, as a­loes, and if the pain be in the Joynts, Hermodactyls. And somtimes the strongest, as Hellebore, and Coloquintida. Which purging Decoctions, if they be given at first before sweating, and used in the times of Intermission, are good. Or if we intend not to cure the pox by sweating but by purging, we may use them instead of other purges con­stantly or by fits with Intermission.

It is found by Experience that other plants besides Gua­icum, Sarsaparilla, China, and Sassaphras make a good Decoction for the same. And hence we gather that these work the Cure of the pox, rather by sweating then by any hidden Vertue, such Decoctions are made of these fol­lowing.

A Decoction made of yellow Box, which is hard like Guaicum, doth the same, but because it is not so pleasant as Guaicum, we take not a whol pound to twelve pints of water.

I have cured poor people with Juniper, and it is sweet and somwhat sharp. I took the Chips not so much as of Guaicum, but half so much or three parts, and with twelve pints of water I boiled and used it as the former; to these you may add Guaicum and other Roots; and it is an ex­cellent Sweat and safe, although from Dioscorides some speak against it as destructive, which often use shews to the contrary: and I judge that place of Dioscorides to be false, and so do others.

We doubt not but a Decoction made of Cedar, Cypress, Sabine that bears the Berries, Wood-Aloes, Rhodium that smells like Roses, will do the same; and others as they write of the Turpentine-tree.

It is written by some that the Decoctions made of the Roots of Dittany, Tamarisk, Butter-Burre, Tormentil, Calamus, Elicampane, Cane roots, Orris and Sowbread in twelve pints of water will do as much as Sarsa and Chi­na in the same or less quantity.

And of Herbs, as Cleavers, or Goose grass, Ceterach, Scordium, and Rupture-wort, and you may use also Jack in the Hedg, and chiefly Arsemart.

Or of Seeds, of which Juniper-berries are the chief, the Decoction whereof made as the sormer, will have a sharp tast and sweet sent, and it is better then all the rest for cure of the pox by Sweat.

There are other Sweats to cure it besides, as sweating Wines made by Decoction or Infusion, for weak and cold persons, as this which is of Honey and pleasant. Take Galangal two ounces, Ginger half an ounce, Cinnamon two ounces and an half, Cloves one ounce and an half, Nutmegs or Mace one ounce, Schaenanth half an ounce, bruise them and put them in a Vessel, with one pugil of Rosemary flowers or tops, then add ten quarts of white Wine, one pint of Honey or more, keep it stopped for your use: drink three or four ounces of it every morning and sweat, continue it.

It will provoke sweat more, if you add four ounces of of Juniper-berries.

Or thus. Take Orris and Calamus, each three ounces, Ga­langal [Page 591]one ounce, Asparagus one ounce and an half, Elicam­pane half an ounce, Sowbread roots two drams, Thyme, Scor­dium, Dittany, Rupture-wort, each one handful; Rosemary, Lavender, and Chamomil flowers, each one pugil; Juniper­berries six ounces; Cinnamon two ounces, Cloves one ounce, Mace half an ounce, Schaenanth two drams, bruise them, and put them in a Vessel with four ounces of Guaicum, Sassaphras one ounce, infuse them in twelve pints or more of Wine: let him drink it thirty daies or longer.

Another very powerful, with which alone some say they have cured the Pox. Take Plantane leaves, Olive or myr­tle leaves, Yarrow fresh gathered, each one handful; Sowbread two drams, or more when the Party is strong, white Wine five pints, give six or seven ounces of the strained Liquor, let them sweat, and continue it every morning for five and twenty daies together.

Stilled Waters are given to provoke Sweat, but seldome alone in this Disease, because they agree not with the sto­mach, but they say that these cure some people, or take a­way the Reliques of the Disease.

This following is best. Take Filings of Guiacum one pound and an half, the Pouder of the Bark of the same, half a pound, Sassaphras Chips two ounces, Grass and Sparagus roots each one ounce and an half; Elicampane three ounces, Sow­bread roots one ounce an an half, Carduus, Penny-royal, Sor­rel, each one handful, Bugloss, Roses, Rosemary, Chamomil flowers, each one pugil; Cinnamon half an ounce, Nutmeg two drams, cut them, then ad Treacle of the best, four ounces, Spa­nish Wine, Dock and Succory water cach two pints, distil them, give three or four ounces of this Water, with other convenient Liquors, or the Decoction of Guiacum or the like Sudorifick, as of Milium, some add four ounces of Polypody, and one ounce of Epithymum to the former.

There are other Sweats or Sudorifick Decoctions and Wines, stilled Waters and Electuaries good against other Diseases, which may do well here if often administred, such as were mentioned in the stoppage of Sweat and the like, especially those mentioned in the Cure of a pestilential Feaver, which are thought as good here. In this Disease be­ing venemous, they cure not only by sweat, but by resist­ing of Venom. Among the rest the Treacle waters there mentioned are good.

As for Government, when they take these Sweats of wine or distilled Waters thus prepared, they must observe the same Rules, that were before prescribed, they must keep their warm Chamber, eat little, and no varieties, and for their Drink use the thin Decoction of Guaicum and Sarsa­parilla; or if the sweating Wine mentioned, be pleasant, they may drink it at Meales, and if it inflame, it may be mixed with Water. And if you fear least the Liver or o­ther Bowels should be inflamed by the use of these hot su­dorificks, you must give some cooling Syrups to allay the Heat, and have a care the Belly be not bound, and that the Cure may go on the better purge the Body now and then.

The Cure of the Pox by outward Applications, without Quick-silver to cause Sweat, is not performed; but they must keep warm, as we shewed, and use bathing or hot Houses to farther it, the dry Bath or hot House is the best; for the Body there shut up is made hot and opened, and the Humors drawn forth by Sweat; and it may take away the seed of the Disease by long continuance, if it be not deep rooted. But in regard this hot House alone is not alwaies sufficient, if you will use it, let it be when sweat is hard to be provoked, by things given inwardly in the bed, and then to go into the Stove, and by its heat make way, and dispose the Body once or twice, till Nature doth it of her own accord, is good. The chief use of a hot House in the end of the Cure, is to take away whatsoever remains fixed in the skin, and to cleanse the same; and then we give leave to wash in the hot Honse with wine, water and lye, which could not be granted before. But in the Cure of the Pox, not only dry Baths are used, but before the Cure is taken in hand, if you doubt of the same by reason of the obscurity of the signs: And the often using of these sweat­ing Baths, by drawing forth the hidden seeds to the super­ficies, will discover the certainty of the Disease by Spots and the like.

And because the use of those Baths is ordinary known, we will not speak further of them: but that they may sweat the better, we give the Patient before he goes in, Treacle or some other sweating Medicine; and we let him stay there as long as he can, and after we keep him from Cold.

A moist Bath either Artificial or Natural, is seldom u­sed for the Cure of the Pox, because Experience teacheth that it doth more hurt then good by its Moistness.

Yet some there are that though they deny the Bath of sweet water, and other things that astringe too much, yet they allow things that rarifie or strongly attract, for the helping of the Medicines to work, when they are slow: and therefore use moist Baths before, in which they boyl hot herbs and flowers, and seeds of all sorts, especially Dwarfe­elder, and Elicampane Leaves and Roots, Mugwort, Cha­momil flowers, Melilot, Juniper-berries, also Guaicum, and Juniper chips, yet these being not so sase may be left out. Others commend strong drying Baths, but I have observed that they do hurt and not good: except after the Cure, to refresh some Member that hath been wearied with Medicines, and to streng then the Body, and then we add to the former Artificial Baths things proper for that, as Groundpine, and other Herbs mentioned in the pains of the Joynts.

The Cure of the Pox by purging is not so usual, because lately invented, and this is done by giving violent purges often, and refreshing the Body by turns. And sometimes it is cured by this way alone, without the use of any other Evacuations, Sweating or Fluxing. Sometimes we joyn sweating with purging, especially when the Patient will not endure strong purging, such as is required for this Curre, and then after purging divers times, we give the de­coction of Guaicum some daies to sweat, and then purge again, and so as sormerly till it be cured: sometimes we consume half the time in purging, and the other in sweat­ing, with internal Sudorificks, also we use outward dry Baths, and mix purging by fits. And in purging, we choose not things for some onely Humors, because we know not it is that causeth the Pox, but any thing that will purge, for they which abound will be soonest evacuat­ed when Nature is stirred up. And we observe that al Phy­sitians, though they talk of purging, Melancholy or flegm, yet they use any kind, which we give according to the con­stitution, and strength, and as there are Spots, Pustles, Ul­cers, or Pains, as we said for purging with sweating: these are divers waies prepared.

Of Decoctions and Apozemes, after general purging for a time, shorter if for fifteen daies together they take it twice a day, or longer, if the Patient being weak is con­strained to rest a day or two often, and then to fall to it a­gain, for then it will require three weeks or a month. Some continue this Course four or five weeks, purging three or four times in the week together, then resting three daies, in which morning and evening they take strengthners; and use good Diet, but not so strict and little, as when they sweat only: nor are they to be so prohibited the Air, but may eat often of the best, and walk forth sometimes when it is fair, which they desire, least they should be suspected to have the Pox by staying within, and therefore they like this way of cure best.

These Decoctions are thus made when the Body is hot and cholerick, spotted, pustulated, or ulcerated. Take Po­lypody three ounces, Senna two ounces, Epithymum, Myroba­lans, Citrin, and Chebulars, each two drams; Cordial flowers two drams, Capillar Herbs, both Buglosses, each one handful; Succory roots half and ounce, Anise-seeds two drams: boyl them in Water for five or six doses, sweetning them with Sugar, dis­solved in each dose of the Juyce of Roses, and Fumitory, each half an ounee; or of their Syrups, or of Violets, each one ounce; somtimes mixing one dram of Rhubarb infused in the Deco­ction, [Page 592]and sometimes stronger Electuaries if you will purge more, as that of Juyce of Roses, Confection Ha­mech &c. somtimes forbearing the Decoction, one day or two you may give a stronger purge, and then return to it again; thus let him continue taking those Potions by sits five or six times, and make new, stronger or weaker accor­ding to the Operation of the former, and while he is cu­red. And because it is troublesom to make the Decoction new so often, it is good to increase the quantity of Ingre­dients and Sugar, and boyl it to the consistance of a syrup, that it may last, and give that quantity thereof of that will purge sufficiently.

For those that are flegmatick, waterish and cold, if there be pain about the bones, this Decoction is made. Take of Carthamus seeds bruised one ounce and an half, Senna two oun­ces, Polypody one ounce, Turbith half an ounce, Epithymum two drams, Raisons one ounce, Figs ten, Liquorish one ounce, Eli­campane six drams, Galangal half an ounce, Thyme, Bettony, Marjoram, Hysop, Groundpine, each one handful; Bugloss, Rosemary, Staechas, or Lavender flowers, each one pugil; Cha­momil flowers half a pugil, Coriander seeds, and Anise, and Fennel, each one dram; Nigella seed half a dram: boyl them in Water, for five or six doses, sweeten them with Honey, and dis­solve in each, the Juyce of Orris half an ounce, Syrup of Roses solutive, of Fumitory and Hops, each six drams. If we will have it work stronger, insuse Agarick or Mechoacan one dram, Gingar one scruple, or mix an Electuary therewith, as Diaphaenicon or the like: these Decoctions are used as the formerr

Other Decoctions such as are properly against the Pox may be used, as of Guaicum, Sarsaparilla &c. which often used cure other Diseases as well as the Pox; as this fol­lowing which must be drunk twenty five or thirty daies to­gether, with a little Intermission, and that when necessity requireth. Take Guaicum Chips one ounce, Sarsaparilla six drams, Liquorish half an ounce, Succory roots two drams, Bu­gloss flowers two drams, Raisons half an ounce, Prunes six; steep them in eight pints of Water a day and a night, then boyl and strain them, and add a little Cinnamon in five oun­ces of this, infuse half an ounce of Senna, Mechoacan or Aga­rick one dram, Ginger half an ounce; let it stand a day and a night, strain it and add syrup of Roses solutive, and Balm­water, each two drams, give it at one Draught, and prepare another for the next morning, and so continue till he be cured.

We mentioned a Drink like this in the Cure of the scab, which must be continued thirty daies together also.

You may use more or fewer purgers in the Decoctions of Guaicum, and Sarsaparilla, Senna is best and safest, and Hermodactyls which is not to be omitted when there are pains, as is shewed in the Cure by Guaicum alone.

There are also Decoctions with Hellebore, as in Melan­choly Diseases, and the like, good for the Pox, if often used, or if they be too violent, every other day, and let the day of rest be for Cordials, Antidotes and good Meat and Drink; which must be observed in other violent purges.

The chief Decoction with Hellebore is this. Take the Bark of black Hellebore six drams, of the five kinds of Myroba­lans, each half an ounce; Senna and Polypody, each one ounce; Sowthistle one handful, Chipps of Guaicum four ounces: boyl them in eight pints of Water, and a pint and an half of white Wine, strain and sweeten them with Sugar, and Cinnamon, and Cloves, let him take three or four ounces as it worketh.

Another Decoction or Insusion of Hellebore for the same, mentioned in the Scab, is good here.

Or this: Take the Barks of black Hellebore poudered, one dram or four scruples: boyl it with Whey or other Decoction, and give it strained with syrup of Fumitory, and syrup of Roses, use it often.

Wine wherein only Hellebore is infused, will do the same without Decoction: or if you make a Wine of the Grapes of the Vine that hath black Hellebore growing at its Root.

A samous Chymical Emperick cured the Pox with this Electuary, giving it morning and evening fifteen daies, if the Patient be strong. Take Guaicum bark four ounces, of the Wood of the same, of Ebony, Oak, or Box, each six ounces; Sarsaparilla six ounces, Hermodacts four ounces, Turbith two ounces, Cloves two drams, Anise-seed one ounce, Sassaphras three ounces, Senna six ounces, Water nine pints, let them stand a day or two in the hot Embers, strain them, and then pour on as much more water, then boyl them till the third part be consumed, strain them, and let the first Insusion of this be mixed with this Decoction, by Evaporation made with a gentle fire, to the form of a Syrup, and add clarified Honey four ounces, the Pouder of Sarsaparilla, Senna, and Hermodacts, each half an ounce; Turbith, Jalap, each three drams; Cloves one dram, Extract of scammony two drams: make an Electuary, the dose is one dram and an half, to two or three, and let the Patient while he takes this, drink the De­coction of Sarsa, China, Hermodacts, Anise-seeds, Cloves and Guaicum.

Pills made of Quick-silver, or Mercury precipitated, or made red, are here used, which taken but twice or thrice, by violent purging cure the Pox, but we intend to speak of Mercurial Medicines by themselves. Divers other purges often taken do the same, as Electuaries, Pills and the like, mentioned in Diseases of long continuance, especially those with which the Body must first be generally purged, as Extracts of Senna and Rhubarb &c.

While you purge, give by Intermission, things that strengthen the Heart, Stomach, Liver, and Brain, especi­ally when you use violent purges, or apply things out­wardly to the Heart or Stomach if weak by purging, as we shewed in fainting.

There are Antidotes against the Pox, which are also good against other venoms, either given alone or with other Re­storatives. Those we before mentioned to be given after other Purges.

If the strength fail in the use of the Apozemes mentio­ned, one day in the week or two or three as need requi­reth, give these. Take Tormentil roots one dram and an half, Dittany two scruples, Citron seeds, Carduus, and sor­rel seeds, each half a dram; all the sanders one dram, shavings of Ivory, or Vnicorn one scruple, Pearl prepared half a scruple, red Coral half a dram: make a Pouder, mix two drams, with Conserve of Roses, Citron bark candied, Conserve of scabious, or Cordial flowers one ounce, and with syrup of Bugloss, make an Electuary; let him take the quantity of a Nutmeg, and drink Balm, Scabious, or Carduus water and wine after it.

In cold and weak Persons, add to this Pouder, Cinna­mon, and Cloves, each one scruple, Mace half a scruple, Con­serve of Rosemary flowers, and of Acorus, each one ounce.

You may make Lozenges of the same, some give purges one day and another the Decoction of Bugloss and Worm­wood, and so continue.

When you use Decoctions and Infusions of Hellebore e­very other, or the third day use the former Cordials, or this following which is good after all strong purging. Take the thick Juyce of sowthistle two drams, scordium dried one dram, Citron seeds half a dram, Mithridate or Treacle half an ounce, syrup of Citron barks as much as is fit for an Electuary.

Mithridate and Treacle are given alone after purging, when we fear a Dysentery, Flux, to prevent it, as I shewed in Dysenteries.

The Pox is usually cured with Quick-silver, so called, because like silver, and Hydrargyrum, because it flows like water, and by the Chymicks, Mercury, it is used inwardly or outwardly.

Outwardly, we observe it cureth ordinarily, but by what quality or force is the doubt, although at that time we also dispose the Body for sweat, yet it is uncertain, whether sweating is not then provoked by the silver; and although they spit after it very much, by the particular force of the Quick-silver which nothing else will cause, yet the que­stion is whether the spitting cures the Pox, it seems to cure for these reasons, because the Cure is not without it [Page 593]be raised, and because there comes Inflammation, Ulcera­tion and stink in the Mouth and Teeth, which is thought to come from the Venom of the Disease, and not from the Quick-silver. And besides its manifest power to flux, it cureth it by a secret Vertue, as it doth other Infections as Itch &c. and by a propriety contrary to the Venom of the Pox; for which it seems the Antidote.

It is not needful to search out for a manifest quality, as Heat or Cold by which it acteth, as great Men have done, and how it worketh, because we see that by its secret qua­lities and proprieties it doth it when nothing else will, nei­ther doth its Operation demonstrate any other. Nor must we omit the use of it, because of the accidents it produceth in the Mouth or the like, as Convulsions which are most to be feared, when it is abused; for the Mouth is easily cured, and if it be rightly used, you need not fear Con­vulsion. And we see many mistakes in other Medicines, as Sweats and Purges, when they are not rightly administred.

Moreover the Cure of the Pox by Quick-silver, is either with it crude or alive, or fixed or mixed.

Of the crude we make an Oyntment to cure the Pox, which is called the Neapolitan Oyntment, because the Dis­ease was called Neapolitan comming from Naples. These are made with Grease, Butter, Oyl, Rosins and Gums, that the Quick-silver may stick the better to the Body, so mix­ed that you cannot see the Quick-silver not killed, but all looking blew when it is right, they mix also therewith things that make the skin thin, and open the Pores to make it penetrate or pierce, and to prepare for sweat, and to di­gest that filth in the skin. The quantity is two ounces of Quick-silver with one pound of the rest, and somtimes half Quick-silver if the Body be strong, and you may use more or less as you please, according to the Constitution and its Operation.

This general Oyntment is the best. Take Quick si-lver two ounces, either crude or killed, with Juyce of Lemmons, or fa­sting spettle, fresh Hogs grease tryed, with the third part of Hens, Ducks, or Goose grease, or Butter, six ounces, Rosin washed in Aqua vitae one ounce, Pouder of Mastick, and Fran­kincense, each one ounce; Oyl of Bayes two ounces, Oyl of cha­momil, Dill, Lillies, or Roses one ounce, with a little Wax make a Liniment. First mix the Quick-silver in the Mortar with the Rosin, and then add the Greases, and after the Oyls in which the Wax is dissolved, and then the Pouders.

To make it sweet sented and to correct the greasie sent thereof, add one dram of Oyl of Spike, or more for it will make it pierce, some leave it out, because it discovers the Pox in the Patient that smells of it, being strong and known to be used. Liquid Storax gives a better sent, and dissolves more.

They mix Treacle and Mithridate with this Oyntment to resist Venom, the quantity of half an ounce, but to what purpose I know not, for it will neither mix with the grease nor is it good outward, but inward.

When there is pain in the Head and about the Bones, make it thus: Take Quick-silver, Grease, Rosin, and Gums as formerly, with the Marrow of Veal one ounce, Oyl of Orris, Wall flowers, Worms, or Foxes, or Bayes five ounces, Pouder of Orris, Hermodacts, Bay-berries, each one dram; Euphor­bium one scruple, with Wax make an Oyntment.

For scent and piercing, add Oyl of Spike, Storax, and Labdanum, and to pierce more, half an ounce of Oyl of Turpentine, or Petroleum which is not accepted by some for the scent.

Others, to make it better for the Nerves, boyl the Juy­ces of Rue, Dwarfe-elder and Sage in the Oyls till they are consumed, and add Aqua vitae and Wine.

If there be Pustles and Ulcers, add dryers, and if the Oyntment be too dry and hinder sweating, use them not but after openers, they are thus made. Take Quick-silver, Grease, Rosin, Gums as formerly, Oyl of Bayes, of Bricks, each two ounces; of St. Johns-wort one ounce, Myrrh half an ounce, Lytharge and Ceruss, each two drams; Vine ashes half a dram, with Wax make an Oyntment. You may use Oyl of Ju­niper for Oyl of Spike, and Juyce of Fumitory, Docks and Briony boiled in the Oyls.

It will be excellent, if you add Cinnaber, or red Lead two drams, or Verdegreese one dram, or Sublimate, one dram. These are safer, as in particular Unguents shall be shewed, when they are applied only where there are Ulcers and Pustles, and not daub'd all over.

They mix ordinary Grease one pound, and two ounces of Quick-silver, or in pains the four hot Oyntments, Dial­thaea, Martiatum, Aregon, and Agrippa, or Enulatum and the like in the Scab.

Another. Take Quick-silver two ounces, Frankincense, Mastick, each half an ounce; Hogs grease, Butter, each four ounces; Oyl of Bayes four ounces, Salt one ounce and an half, Allum burnt, and Tartar, each half an ounce; Aqua vitae one ounce, make a Liniment, and in Ulcers add two drams of each of Ceruss and Lytharge.

Some make an Oyntment of Quick-silver, the four hot Oyntments and Oyls, with Treacle and Mithridate, pou­der of both Hellebors, wild Cowcumbers, Euphorbium, Verdegreese, and they confess it cures not all.

Others make it of Sublimate, or Cinnaber, with Brim­stone, Grease, Rosins and Wax, and Aqua vitae, but it is not safe.

Others make it with Quick-silver and Grease alone, or Vine ashes. Others of Quick-silver, with Turpentine, and Aqua vitae, all these must be used warily.

The use is thus, let the Patient be anointed naked in a warm Chamber at the fire, Hands and Feet in the palms and soles, and up the Back-bone, under the Arms, and in the Groins, not touching the Breast or Head, and this done once or twice a day morning and evening, or one day once, and the next day twice, as the strength requires. When thus anointed, you must wrap him in warm cloaths, and put him into a warm Bed, and let him sweat while he is able; and if he sweat not, freely use bottles of hot wa­ter or pillows, silll'd with hot Pease to keep the heat, pla­ced at the Feet or under the Arms, or Bricks, let him sweat an hour and an half or as long as he can, and then wipe him, and change his Linnen, and after he is up and hath walked a little, let him eat, let him do thus eight or ten daies, leaving when he begins to spit, and if he do not so in that time, make the Oyntment stronger with Quick­silver, or anoint oftner till his Mouth be fore, which you must after cure, and look to him till his Ulcers, Pains and Pustles be gone, and then to cleanse him for the remain­ing filth of the Oyntment, put him into an hot House, and wash him with Lye, and bring him by degrees into a tem­perate Air.

Let him keep in hot Air, and use Diet of good Nourish­ment, moderately. A little Wine is allowed to the weak when strength sails, and Wine and Water for others, or three pints of water, boiled with two ounces of Guaicum.

Let him first have a general purge and bleed if need re­quire, for when the Body is cleansed the Cure will pro­ceed the better, and between his daies of Oyntment using let him purge if he be costive: As we shewed in purging.

The curious people use these Oyntments onely to some parts, as the Joynts and Back-bone, but then the Cure is long and not alwaies certain.

Others anoynt only the Palmes and the Soles of the Hands and Feet, and this is less troublesom, and less per­ceived if they wear Gloves, especially if they walk abroad, as they may in warm weather, and excercise, which is good for sweating, and when they return home they may sweat further and use other things.

These must have more Quick-silver in them then the other.

There are also Plasters of Quick-silver to Cure the Pox. Or Sear-cloths used seldom but by such as have the oynt­ment, because filthy, and requires more stricktness, and desire the Plaster, because they have more freedom, but this if slower, and must be used longer, and with more Quick-silver. And if they neither spit, nor have sore, [Page 594]Mouths, you must provoke them with Oyntments, and Fumes afterwards, and so the Plaster doth well to pre­pare.

These are made of the same things, that the Oyntments are made, with half an ounce more of Quick-silver, with Cinnaber and Sublimate by some, with Wax for a Cerat, and Rosin for an Emplaister, spread upon Leather, or by way of Cere-cloth.

Or they take other Gum Plasters, as Ceroneum 'Meli­lot, Zachary, Diachylon, with Orris, and put as much, or more Quick-silver as to the former. There is another Plaster of Quick-silver, by Uigo called the Emplaster of Frogs, which are therein, which is applied to the parts pained, and may be used generally with more Quick-sil­ver and Euphorbium which hath, besides Quick-silver, Hogs-Grease and Vipers grease, Turpentine, Frankin­cense, Euphorbium, Storax, Wax, Oyl of Chamomil, Dill, Lillies, Bayes, Spike, of Saffron or Juniper, juyce of Dane-wort, Elicampane, Wine, Mother-wort, Stechas, Schaenanth, Litherige, Frogs, Worms. The use is, spread it upon Cloth or Leather, and lay them to the places you use to anoynt, as the Hands and Feet, and Emunctories and to the Back-bone; tie them on, and wear them day and night, and renew them every third or fourth day, and labor to Swoat every night, continuing till the Mouth is fore. Let him purge and Diet, as when anoynted, and because the Cure is longer, they may have liberty to Ride, or go abroad somtimes; with their Plasters on.

These do somthing, if but applied to the Hands and Feet. Let them therefore were Gloves and Socks to con­ceal and keep the Plasters on. And because they keep company they are less mistrusted. This in tender Bodies and long continuance will do the Cure. We use also for the Cure of the Pox, not only crude and running Quick­silver, but fixed, either with Brim-stone or Vitriol.

You must boyl Quick-silver with Brim-stone, til it come to a red clod, which they call Cinnabat; because their artificial Cinnabar is like the natural, by which name they also cal red Lead. Thus prepared it is used for curing the Pox, not by anoynting, as when it is Crude, but by the Smoak of it, when it is burnt to Fume the Bo­dy. For this Artificial Cinnaber keeps still the force of Quick-silver, and when it is burnt by reason of the Brim­stone, it hath a greater and more peircing sume, or smoak and works as strong as Quick-silver when it toucheth the Body, and causeth Salivation or spetting and a sore mouth, and Cures the Pox. And therefore ours hyrurgions use it more then the Unction, or if there be any relicks after another course hath been taken, this will clear re­move them. They mix things to correct the stink of Cin­nabar, when they raise these Fumes, which they powder and lay upon the Coales; or they mix Cinnabar with Rosin, or the Infusion of Gum Traganth, and make Tro­ches thereof, which they lay upon the Coales to smoak. Observing this quantity, that's one dram of Cinnabar be used at a time.

This Fume is made for eight times. As,

Take Cinnabar one ounce, Frankincense alone or half Ma­stick three ounces; make a Pouder, use half an ounce at a time, or mix it with Turpentine which makes a great Fume, or with Gum Traganth make Troches for eight times.

To make them sweeter. Take Cinnabar one ounce, Fran­kincense, or Mastick one ounce and an half, Benzoin six drams, Storax half an ounce, Labdanum two drams, Wood Aloes or white Sanders half a dram: make a Pouder, let him use half an ounce at a time.

You may add other sweet Gums and Spices, as Cloves, Cinnamon, Nutmeg and the like.

In Ulcers you may add to the second pouder prescribed half an ounce of Myrrh, and Amber, and when the Ulcers are very malignant, you must use very strong dryers, as half an ounce of Antimony, two drams of Brass, or Venice Glass one dram.

And somtimes strong, if the Party be strong, as Orpiment one dram, Quick silver prepared, otherwise a sublimate or prae cipate one dram, with this Caution, that they take none of the Fume into their Nose.

Some suppose that they can resist this Venom in the Oyntments and Fumes by mixing of Treacle; but in re­gard the strength is lost by burning, as it will do little in Oyntments, so we suppose it is good for nothing in Fumes.

These Fumes are thus administred: the Patient is put naked into some warm close place, which is kept from the Air, as a hot House, or a Tub for the purpose, which be­neath of wood and above covered with a Mat o [...] the like, arched a Tent. Thus sitting let him take the Fume which comes from the Troches thrown upon the coals there, with his Face out, that he may endure it longer, but his Head so covered that the Air come not at it, but towards the Conclusion, let the Head be a little fumed also; let him sit while he can endure it without fainting and sweat. Then cover him with warm sheets, and carry him to another place where there is no smoak; not too far off, least he catch cold, there put him into a warm Bed, as we said in Uncti­ons, to sweat while he is able. There is another way of smoaking for the Pox, for gentle Folks, with less trouble: if you do it against a Chimney covered with Tapsstry, and so the Smoak will get up the Chimney, and the Patient breath the better. And the best way is to lay the Patient straight in his Bed, and conveigh the Fume by a spout from a Funnel or fuming pot under the cloaths unto his naked Body, and there they keep it, with his Head out of the Bed, till a little at the last as we said before.

These Fumes are to be used once every day, and if the Patient be weak every other day, or if he grow faint, let him rest some day till his Spirits be recruted, and to it a­gain till by his fluxing, or spitting or foreness of Mouth, you are admonished to give over, which usually will be af­ter ten times, somtimes sooner, and somtimes later.

The Diet is the same with that of Unction, but they must eate oftner, because Fumigation weakneth more then Un­ction and Abstinence cannot do so much good here, as weakness will do hurt; you must also purge somtimes, as in the Unction.

Quick-silver made into Sublimate, with Vitriol and vi­negar, which flyeth up, and sticketh to the Head or cove­ring by the force of the fire is used outwardly, also for the Cure of the Pox, mixed with some Liquor to wash the ul­cers; for Quick-silver is in the Sublimate, and sticks to the Body, and doth the same that it did in the Oyntment and Fumigation, and cures the Pox by spitting, which also maketh a sore Mouth as the other. And moreover by the sharpness of the Vitriol, it burns the skin, and blistereth it, and draws out the venom from the fore and knotty places. Thus they cure the Pox by it alone, and take away the Pains and Nodes, and root them out when no other way will.

For making this Mercury water of Sublimate, a middle quantity is one ounce of Mercury to two pints of Liquor, and you may increase or decrease the quantity according to the Operation.

By Decoction you may make it thus: Take of Sublimate Mercury one ounce, common Water, or Rose-water, Scabious, Fumitory, Marjoram, or Sage-water &c. two piuts, white wine four ounces. or Aqua vitae two ounces: boyl them a little and keep them for use.

An Infusion for a Water to wash with. Take Sublimate one ounce, Allum one ounce and an half, Lytharge, and Ce­russ, each one ounce; Aqua vitae two pints: steep them in a close stopp'd Glass.

A Decoction. Take Sublimate one dram, Arsenick four drams, Euphorbium half a dram, Rose-water or the like, with Aqua vitae, each twelve ounces: boyl them a little in a Glass.

Thus we use these Waters, let the Legs be washed with a clout dip'd in this Water from the Knee downwards, and the Arms from the Elbow foreward, sometimes, morning and evening by the fire, continuing it ten daies, till the Mouth be sore and they spit.

[Page 595]Let the Patient be governed as in the Unction in a hot place sweating, and taking proper Meat and Drink, and let him be purged before, and in the time of using it.

Also Experience hath taught, that Quick-silver taken inwardly cures the Pox, either crude or calcined.

When it is taken crude, it doth it by the same way, as when outwardly applied, causing no other manifest Eva­cuations, but spitting, neither will it cure without it make the Mouth sore. And in regard, it doth the same exter­nally, it is thought prejudicial inwardly; give it not rash­ly therefore but in an old Pox, or when others fail, or to save Labour and Charge. And it is safer, when it staies not long in the Body, for being crude, it commonly gets out soon by its weight and slipperiness, or usually some o­ther things are muxed to carry it away: and so it hurts not the Stomach and Guts, and leaves its strength notwith­standing.

We give crude Quick-silver from six to eight or ten grains, with somthing added to dissolve it, and to carry it away; for of it self, it will not cause stools, it is made into pils and so given every day till there be Heat, and stink in the Mouth with spitting, which must continue thirty daies, and the Cure is compleat, if general Purges went before and a good Diet with it.

You may make these Pills thus: Take of crude Mercury half a dram, kill it with Juyce of a Lemmon or Sage, or of Roses, or with Syrup of Roses, or with Turpentine, add the best Aga­rick two scruples, make three Pills, let him take every night after Midnight, one, and repeat them till the signs afore­said appear, Rhubarb is given instead of Agarick: some mix one or two grains of Opium to the Composition, to take away pain, and provoke Sweat. Sometimes Musk and Ambergreese, or a drop of Oyl of Cinnamon, to re­fresh it by it scent. Also because Gold is good against the Venom of Quick-silver, and to make them dearer, they use to guild them.

Another Composition. Take Aloes one ounce, Rhubarb or Agarick two drams, Mastick one dram, Quick-silver killed with Turpentine two or three drams, with Syrup of Roses solu­tive, make them up, adding the aforesaid Spices, give one scruple at a time, or more if the former work not.

We make these Pills stronger, by adding strong Pur­gers, which take away spitting, they are given every day, or every other day, and Treacle between.

They are made thus: Take of the Pills mentioned of quick­silver, Rhubarb, Agarick, and Mastick, add to the Scammo­ny, or Coloquintida prepared two drams, give half a dram at a time.

Or thus: Take Cochy and foetida Pills, each half an ounce; Rhubarb, and Agarick, each one dram; Quick-silver killed with Turpentine three drams, with syrup of Roses solutive, make a Body for Pills, let him take one scruple or half a dram. as they work.

Mercury calcined called Precipitate, is given to cure the the Pox so called, because it is precipitated or thrown down into the bottom of the Glass by the fire, or because it moveth the Belly downwards. And then it doth not work by its Natural force, as when crude, but by an acqui­fite or new gotten Vertue, by which it stirs up Nature so violently to stool; and not to spitting: and that not as other purges in a long time, but quickly given but twice or thrice, causing aboundance of vomiting and purging, somtimes sweating and urin, so that they are cured, as by a Miracle, but not without danger.

The way to prepare it, is as followeth. Take Quick-sil­ver two ounces, Aqua fortis three ounces, let them stand a day or two in a Glass, till it fall to the bottom like chalk, pour off the Liquor by degrees till the bottom is dry: or draw off the Moisture by Evaporation upon the fire, or boil them to a hardness, pouder that which remains, and put into a Crucible or melting pot upon the fire for an hour, stirring it with a stick, till it be calcined, and made like red Lead, this they call Precipitate,

Take it and infuse it in Rose-water, Plantane, Scabious or Bettony-water at a gentle fire, till all the Water be gone and the pouder remains dry, then calcine it in a Crucible: this pouder must be mixed with Conserve of Roses, or of Apples or the like, and a Pill as big as a Pease thereof gi­ven in the morning; others add some Cordial or Stomach pouder; others Treacle, and Confectio Alkermes.

Some work with more pains to rectifie it, that it may do less hurt: first they wash it in hot water, then they boyl it in Vinegar four times distilled, three or four fingers above it, in a close Glass for four hours, then they pour off the Vinegar, and boyl it again in new, the third time also, then they distil the Vinegar that was thrice poured off, and af­ter the vinegar is gone, they take that in the bottom which is like Salt, and boyl it in Rain-water, and when it is set­tled, they pour off the clear top, and distil it in Balneo ma­riae, till the Liquor be gone, and keep the remaining Bo­dy, and this they use as the safest precipitate.

Others take more pains, and steep it in Spirit of Wine, and still with a retort, and then dry it to a red Pouder it. One grain of this in wine doth wonders in the Pox, say the Chymists.

Some give Pills of precipitate, with Rhubarb, Senna, Scammony, or Hellebore, Saffron, and Starch, with Juyce of Lemmons, and give every day one.

I thought fit not to omit that famous Medicine of the Chymists called Bezoar mineral, for curing the Pox, it is thus made. Take Antimony, and Sublimate calcined with Vi­triol very white, and let it be thrice finely poudered, of each as much as you please, first ground by themselves, and then toge­ther, and draw out the Oyl by a Glass retort with a gentle fire, by degrees increased, separate the coagulated Mer­cury as much as you can. Take four ounces of this Oyl, and pour upon it three ounces of Vitriol by drops, which will make a great Noise, still them in sand till they are dry, fortifie the Spirit with one ounce of fresh, do thus thrice and the Mercury will be fixed, calcine this in the fire of Fulmination, and it will be very white, and it must be sweetned with spirit of wine, often poured on and drawn off, this is Bezor mineral, keep it in a glass and give two or four grains at a time. These are not to be used rashly because dangerous, and when all things fail, nor must all know them. And when we use them we must refresh them with things internal and external, and we prevent the Flux, Dysentery: as we shewed in Dysentery.

The accidents of the Pox are divers wayes cured.

The pains about the skin, bones, shoulders, head, and fore-head, with the Nodes, if they continue after the cure fully administred and trouble the Patient, must have pecu­liar Remedies; and if they help not, you must begin the Cure again, the Remedies follow.

If after the general Application of things, there remain any accident, it may be removed by the anointing of the part with the common Oyntment mentioned in the Pox, and if you add Wax thereto, you may make a Plaister for the Fore-head, and use it like a Cap or the like, constantly.

Or use the Plaisters mentioned, or Cerots to the parti­cular parts, or that called Divinum or Gratia Dei, or of Bettony with Quick-silver, adding Euphorbium, Castor, Hermodactyls, Orris, Pellitory, Hellebore, and other hot things for the Joynts, especially that usual Emplaster of Vigo called the Plaister of Froggs, excellent for pains and Nodes or Knots.

Also that Cerot which we mentioned for curing of Nodes.

That excellent plaister which I have found so successful­ly, is thus made. Take Quick-silver three ounces, mix it with Turpentine washed in Aqua vitae one ounce, Hogs grease or Calfes Marrow, each one ounce and an half; Oyl of Lillies; Chamomil, Dill, Bayes, Worms, or Foxes, each half an ounce; Oyl of Spike, or Turpentine two drams, Euphorbium, Frankin­cense, each half an ounce; Storax six drams, Hermodactyls two drams, Castor one dram: with Wax, make a Cerot. They say the Oyl of Guaicum allayeth the pains.

Wash the Legs pained with Mercury-water, it is the [Page 596]best for Pains and Nodes, as is mentioned.

Some say that Fomentations and Oyntments of things without Quick-silver will allay the pain, being temperate and anodine, or takers away of pain, or heating much the Nerves. But we have shewed that actual and potential heat doth increase these pains, except Quick-silver be mixed.

Besides it is good to purge often with Pills, Potions, and the like, mentioned in the Gout and Head-ach, which a­lone somtimes takes away the Reliques of the Disease, and with other Medicines to the part they are more effectual, especially if you give between, things that strengthen; and if the Head ake, give peculiar Medicines therefore.

Sweating also by Decoctions mentioned, doth take a­way the after pains, especially with purges and Medicines to the part. Stilled Waters are the best for it, as that of the Decoction of Guaicum, or that of Treacle, mentioned in the general Cure given in Potions.

Narcoticks or Stupefactives are sometimes given to as­swage pain with good success, because they also bring rest and cause sweat; and they may be taken without hurt. Therefore Treacle is so good to cause sweat and asswage pain, and the rest the stupesie, called Narcoticks.

The Nodes or Swellings in parts without flesh, as the Fore-head, or Head, or Shins, or Backs of the Hand, de­part when the pox is cured; and if it be by Unctions or Fume the sooner, because they are anointed with the other parts, but if the Cure be by internal things, and the Knots or Nodes remain, you must cure them by Unction and Fu­migation, and the whol Disease is not perfectly cured, ad­ding more Oyls and Gums, and Grease to the Oyntments.

The Emplasters mentioned are good for these, especially that of Vigo, which sostneth and consumeth them.

Or this Cerot. Take Gum Ammoniack, Opopanax, each two ounces; dissolve them in Aqua vitae, Goose grease, Hens or the like, each one ounce and an half; the Marrow of Veal, or Goats bones one ounce, Labdanum, Storax, each two ounces; Storax liquid one dram, Pouder of Hermodactyls, Orris, each three drams; Cinnabar one dram, Quick-silver dissolved with T [...]rpentine six-drams, with Oyl of Worms, and Wax, make a Cerot.

Or boyl Briony roots, and Orris roots in Wine, to half a pint, ad Gum Ammoniack, Galbanum and the like dissolved in Aqua vitae to three ounces, Liquid Storax, Bears grease, horse Marrow, each one ounce; Quick-silver kill'd with Turpentine two ounces: make a Plaister.

Or take black Briony roots, and fill them made hollow with precipitate, keep it in a moist place, then take out the Mercury, and anoint it with the Juyce of the Root.

Mercury water is good against Nodes to wash as men­tioned, especially when it raiseth Blysters as it usually doth and burns the skin, and this is done by adding more Mer­cury, or some Arsenick, as we shewed.

That Froath which is skummed off at the boiling of gu­aicum, doth discuss the Nodes, if it be often used.

You may use the strongest of those Remedies which were prescribed for taking away other Nodes, as we shew­ed in tumors, especially those of Quick-silver.

And the Stupefactive Roots and Herbs will do good applied, as is shewed. As Briony roots bruised and ap­plied without Quick-silver, doth wonders.

Some boyl Rhubarb and Aloes in one part of Lye, and half a part of Soap, till it come to a Plaister with Wax.

Also they foment the Nodes which softning Decocti­ons, mentioned in Scirrhus, and Knot-gout, and other hard tumors.

A Bag filled with Oats, and boyled, and often applied hot, is accounted good for the same.

The Nodes are cut out if they will not away, but hinder the Patient, as we shewed in the Cure of other Nodes. And if they be not near the Joynts or Nerves, as in the Head, or if their be fear that the Bone is foul, they may be burnt with an actual Cautery, and if the Head or Shins be infected, so that the Bone will not scale, you must take it out with a pair of Forcipes or little tongs, if the skin of the Brain appear, you must desend it with red silk or fine lin­nen before you lay a Plaister to the Ulcer, and cure it as a Head-wound.

The Ulcers external and internal that come in the Pox, if they be small are cured with the general way, but if they be fixed and filthy, they must have a particular Cure, least they infect the parts adjacent and the Bones, and it must be speedily administred after the general.

In the external Ulcers of the Face, about the Mose, Lips, the Privities or Eundament, you must first cleanse them if foul, and if hollow apply Incarnatives, and then heal them up if the Bones be foul, they must be scaled. As I shewed by Remedies mentioned in the Cure of malignant ulcers, where these are comprehended, and in the general Cure of foul Bones by actual and potential Cauteries.

Chiefly in the Ulcers of the Pox, they which contain Quick-silver, Sublimate, or Precipitate, or Cinnabar all made thereof are the best, because they are contrary; as I shewed to the Disease, such as is prescribed in the Cure of Ulcers. beginning thus,

Take Quick-silver one ounce, Turpentine &c. and that following for the Ulcers of the Legs.

Or that made of others there mentioned, as Apostolo­rum and the like, adding four ounces of Quick-silver, with half an ounce of Turpentine dissolved, or one dram of Sublimate, or precipitate: or mixing equal parts of the general Oyntments for the Cure of the Pox, and for the Cure of Ulcers toge­ther, or another there mentioned, good against Pustles and Ulcers, this may be used to the Ulcers after fluxing &c. as we said there, if the Ulcers be filthy, Cinnabar, Verde­greese, and Sublimate must be added, and if you fear the Bone is foul, add one ounce of Myrrh more. And if the Bone be foul, add six drams of Euphorbium, which will take Scales that are rotten from the sound Bone.

The pouder of white Hellebore roots, Agarick, Senna added, also do cure those perverse Ulcers.

Oyl of Guaicum is commended above the rest, also of Antimony, of Bricks, and Juniper.

They also teach that the Foam, or Skum arising from Guaicum boiled, cures these Ulcers.

Other internal Ulcers in the Pox, although as we said of external, they must have a general Cure, yet it is good in the time of the cure, and after if they continue to apply particulars to them. Which differ not much from them that are used to other Ulcers which are in the same places without the Pox.

For in the Ulcers of the Nose which are internal, we proceed as we do in other Ulcers of the Nose, by sternuta­tions, or Errhins snuffed up, or pouders. Among the rest they are not proper which are made of the Decoction of Guaicum, Cinnabar, and Sublimate, the Fumigation of Cinnabar cureth not onely the whol Body, but also the Nose, if taken: as we shewed.

In the Ulcers of the Mouth as the thrush, Fissures, and Excoriations, whether they come from the Pox, or after the use of Quick-silver, those which are declared in the like Ulcers, in the pains of the Mouth and Jawes, are here also very convenient. Among which some are mentioned, which are proper for the pox, which have treacle in them.

The Ulcers in the Fundament of both sexes, and in the Privities, as those called Condylomata, require the same cure, which is mentioned in the pains of those parts.

If the Ulcer be in the Yard of a Man and Neck of the Bladder, or in a Woman, so that it cause burning, and cor­rupteth Urine, we shall shew the cure thereof, when we speak of pissing of matter in things cast forth, and in the infectious running of the Reins, which goeth many times before the pox.

The Inflammation and Pustles of the Mouth usually sol­lowing the use of Quick-silver is cured, as we shewed in Diseases of the Mouth with Oyntments of Grease and Milk. And there we shewed, how they are to be cured, when they follow the use of Quick-silver, as other Inflam­mations of the same parts, and how those Medicines that [Page 597]have treacle therein are to be administred, and if they turn to Ulcers, of which we now spake, how they are to be or­dered.

We cure all Spots and Pustles by curing of the Pox, for if the Pox be rooted out, by divers purgings, as we shew­ed, they will be gone, or if they remain, you must begin the Cure again with outward Applications, and they will take away the Reliques. But when the pox is gone, the pustles remain fixed, you must cure them with the same re­medies that we prescribed for red pustles, if they be such or venemous, by cleansing, consuming and burning them off.

And because quick-silver doth powerfully take away the accidents of the pox, you must use the general Oyntments made thereof.

And you must mix them with the particular Oyntments mentioned in red Spots.

Or apply Quick-silver and Grease, with Turpentine or Rosin.

Or mix quick-silver well, after wash'd with Juyce of Lemmons or Docks, with Ceruss, Frankincense and Ma­stick for an Oyntment.

Or, Take Quick-silver one dram, Lytharge two drams, ma­stick half a dram, Camphire one scruple, Turpentine one dram, with Oyl of Eggs: make an Oyntment.

And if you add a little Sublimate, it will be better.

Or use the Waters, Mixtures, or Unguents made of sub­limate, mentioned in the Cure of red and infectious Spots.

But if you will add the first, apply gentle Remedies, use the Topical Medicines there mentioned, or that Oynt­ment of burnt Allum, Aloes, Juyce of Oranges, or Docks, with Oxymel of Squills.

Or the Emplaister of Lilly-roots, roasted and beaten, with Sugar, and Camphire, or Oyl of Tartar to anoint.

Some cure with Baths in the time of the Cure by Un­ction, and they use the Bath after Supper, and the Unction in the morning. The Bath is made of such things boiled, as were mentioned for other Pustles, as Docks, Scabious, Fumitory, Lentils, Lupines, black Hellebore, Brimstone and the like: but these will not do except the Disease be quite taken away: therefore these and the like Baths are to be used at the Conclusion, to wash away the Reliques of the Disease and Itch of the Oyntments; but it is better to use a hot House or dry Bath.

If Clefts continue in the Hands and Feet after the cure, it is a sign that some Reliques remain, therefore the cure must be repeated by the Unction, or you must anoint the palmes of the Hands therewith, and the soles of the Feet.

Or dissolve half an ounce, of Quick-silver with two ounces of either of the four hot Oyntments, or with that of Turpentine, or with Grease and Turpentine, and a dram of Sublimate, and a­noint the Clefts.

Or mix the pouder of Sublimate, with Oyl of Violets, Almonds, or with Pomatum, so much as may not corrode, or with Allum, Borax, and Camphire.

Or boyl Sublimate in water, and touch the clefts there­with, or use those Remedies prescribed in Discoloration for the cure of fissures and clefts, and of the peeling of the skin, there you may find Medicines which are here proper also.

Where we also shewed, how the clefts must first be wash­ed before they are anointed, with an emollient Decoction, to which you may add Docks, and Fumitory or the like to cleanse.

Scales in the Hands, if they remain after fluxing may be cured by the same means, or by the Remedies mentioned in that Disease with the pox, in the Chapter of Deformity.

And if Dandrough remain after fluxing, you may use the Remedies mentioned there for the cure thereof.

The falling of the Hair from the Head or Face, as Eye­brows and Beard, shewing this kind of Pox, or mixed with other accidents, is commonly cured in general with the pox, by purging and the like, and it is not needful to treat thereof in particular, but if it be left after the Cure, you must either renew the cure again, if you conceive the pox not gone, or else apply Medicines mentioned in the Fal­ling of Hair. Among which those which allay the sharp­ness of Humors, which corrodes the Roots of the Hairs, are good to prevent the Falling off, and when they are fal­len off, you must take away the Cause thereby: as we shewed.

Oyntments of quick silver may do here good, as in o­ther accidents left after the general cure; but because they are not convenient for the Head and Face, you may use o­ther things without quick-silver, and that is the best which we mentioned to be made of Cantharides, or Spanish Flies, and Oyl of Spike.

Other accidents and Symptoms of the pox are to be cu­red, of which these are the most usual following.

The decay of strength from sweating or purging over much, is cured by ceasing from Evacuations, till strength return; and by refreshing the Patient with restoring meat and drink, and strengthening Physick inwardly and out­wardly, mentioned in the defect of vital Spirits, such also may be used to fortifie the Patient in the time of Evacua­tion. But if they faint away in the Cure, and swound, then you must recal the Spirits by divers Applications. All which and how they are to be used, are prescribed in the Defect of vital Spirits.

If the Flux Diarrhaea or Dysentery come from much purging, you must cure them with Remedies mentioned in these Diseases. Among which Narcoticks or Stupefactives of Nature, as treacle and the like, are very good to take a­way pain and not hindering sweat: as was there shewed.

The Scurvey though it come also from a venemous Cause, The Cure of the Scurvey. yet it may more easily be cured then the pox; and if it be neglected or evil ordered, it turns to a Dropsie or a worse Distemper.

Experience hath taught that the total and perfect Cure of the Scurvey, is by Evacuation and things that alter by manifest or secret Vertue, contrary thereunto, by which also the cause is taken away, and the Distemper amen­ded.

We must evacuate those Humors which we perceive chiefly to abound, and because that Melancholy is thought the chief, which is in the Meseraick Veins about the spleen or in the same, they study to evacuate that onely, by bleeding, purging and sweating.

They bleed, if the Body be full before purging, in the Arm and Hand, on the left side, sometimes in the Foot, es­pecially in Women when the courses stop. Also the ope­ning of the Haemorroids is very profitable.

After a Clyster or the cleansing of the Guts from Excre­ments, and Blood-letting if need be, we prepare the su­perfluous Humors and evacuate them. And because they are Melancholy, you must prepare and purge with the same things, that we used for the pox, as therein at large is mentioned. But you must not continue so long purging as in the pox; but only at first somtimes, repeating them. To which Remedies you must add things that open Ob­structions, especially in the Bowels and Spleen which are the occasion of Melancholy, therefore you may use the re­medies prescribed to prepare and purge Melancholy, and to open Obstructions mentioned in other Diseases of Me­lancholy; and they will be more fit here, if you mix those things that alter, and are properly enemies to this Disease.

Sweating is good in the Scurvey as well as in the pox, but it must not be of so long continuance, but after purg­ing, now and then, in a morning in the Bed, or in a hot House, if strength will permit. Therefore the Decoction of Guaicum, Sarsa, and Sassaphras, and the rest mentioned in the pox are good. Or we may give treacle or mithri­date, or which is better, the thick Juyce of Dwarse-elder, Elder or Juniper, adding to three ounces of these one ounce and two drams of Syrup of Poppies, or give the stil­led Waters mentioned, in the altering Medicines.

[Page 598]We use things that alter the maglignant Distemper of the Scurvey, which are by a secret propriety contrary thereunto.

Some Plants which are sharp, which Experience teach­eth have a propriety against the Scurvey, among the which Scurvey grass is the chief, a sharp Herb like Water-cresses, this all men conclude to be the Antidote against it. Whe­ther it be eaten in Sallads, or made into a conserve with su­gar, and eaten often: or the Juyce be boiled to a Syrup and so taken, or it be boiled in Milk, or Wine or Ale, and drunk constantly, or the distilled Water thereof.

Water-cresses are judged to be of the same Vertue, ta­ken as Scurvey-grass, or with it.

Brook-lime also is good though it be not so sharp.

Wild Purslain also, or great Stone-crop which is a little biting, may be added to these.

Also the Herb, and especially the seed of Mustard, which candied with Honey like sweet-meats, is excellent, not only for the Cure, but the prevention of the Scurvey.

There are divers other things that correct the Distemper at the first in the Liver and Spleen, by opening Obstructi­ons, which are mentioned in the like Diseases of Melan­choly in the form of Decoctions, Syrups, Infusions in Wine, distilled Waters, Conserves, Electuaries, Pouders, and Tablets, and Pills made thereof.

Which are made of these following, which are openers of Obstructions, and good against the spleen, the five ope­ning Roots, Avens, Restharrow, Elicampane, Rhubarb, and Monkes Rhubarb, the Leaves of Fumitory, Thyme, Epithymum, Polypody, Bugloss, Germander, Agrimony, Tamarisk, Celandine, Burnet, and bitter things, as Gen­tian, Squills, Hedg-hysop, Wormwood, four things, Sor­rel, Wood sorrel, and of the hotter Medicines for cold people, as Bettony, Mints, Sage, Rosemary, Staechas, Or­gan, Hysop, Mugwort, Rue, Bay-berries; also of Spices, as Nutmeg, Mace, of Minerals, as Vitriol, Steel, Iron, Be­zoar-stone, and the like Cordials.

As for the Symptoms of the Scurvey, the Tumors and Ulcers of the Gums, you must use such Remedies as in the Diseases of the Gums, drying Waters, with such things as are properly against the Scurvey, as Decoctions of Scurvey-grass, Brook-lime, Water-cresses, or the Waters, or Juyces thereof.

Also the Juyce of Oranges, crude and boiled, especially in the filth of the Gums to wash and to drink inwardly.

Also Lapis prunellae or Salt-peeter prepared, mixed with the things mentioned, or with Sage, Self-heal, Pri­vet-water or the like, is an excellent Remedy for the Ulce­ration of the Mouth and Gums, approved by Experience.

If there be Ulcers in other parts, the like Medicines are to be applyed.

The spots in the Leggs and elsewhere, because they va­nish when the Disease is cured, require not a peculiar cure, and if any remain after, use the Remedies against spots in Discoloration.

[...] after accidents be, as Contraction or Resolution of Members, or Leucophlegmacy or a Dropsie, you must di­rect your Cure at that, and proceed as we shewed in the like cases in Motion, Hurt and Tumors.

CHAP. V. Of Consumption of the Body.

The Kinds.

VVE call that a Consumption when the Body or any part thereof is consumed or decayed, for if they grow leaner, we spake of that in Deformity, when Magnitude is diminished: also when the internal parts are consumed, as the Bowels, Liver, Spleen, Kidneys without Corruption, as hath appeared by Anatomies, as also it may be found in the Lungs, Heart, and Brain: we have spoken thereof in the Hurt of the great Functions. But of outward Consumption whereof we here speak. There are two sorts, one when the whol Body, another when any parts thereof is wasted or consumed.

Somtimes the whole Body consumed in thickness, Leanness or Slenderness. and not in length, which seems to be increased; in some there is a falling away or Leanness, and if it come from want of Nourish­ment it is Airophia, as shall be declared in the Causes, but if the whole Body or the greatest part consume it is called Tabes, and then the Temples of the Face fall in, and the Eyes, and the Nose grows sharp, such a Face is called Hippocrates Face, because he so described it, also the Cheek bones stick out, the Mouth keeps open, except the Beards of Men keep them from being perceived. In the Breast all the Ribbs are visible; and the Gris [...]le like a sword between them is bent, the shoulder blades are like wings, and the Channel bone like a bow, under which there is a deep pit, and they stick out, the Back bone is plainly seen, but the Belly is fallen down and seems empty except a Dropsie follow, the Neck is slender, long and un­equal, and the external Larynx or Bone called Adams ap­ple is visible, the Buttocks are lank, the Hipps fleshless, the Coccyx or three lower bones is like a Tayl, the Legs, Arms Hands, and Feet are lean and withered, and they seem swollen about the Joynts, because the adjacent flesh is lost, the Nails grow longer and at length crooked; sometimes the Roots are so consumed, that when they grow again, the hinder part grows lower, and there is an Impression as it were dividing the Nail as across, which also grows away; the Hair being dried at the Roots falls away: the Skin lanke, wrinkled, soul and dry: in which the Veins are to be seen blew.

Thus in sound Men otherwayes you may perceive lean­ness or Atrophy, or Tabes which is to a total Consumpti­on as they who want Food, or are worn away with labour and care or with age, lean, dry and withered.

In sick people the Consumption is most usual, and is a Symptome of divers Diseases, especially of acute and last­ing Diseases, which consume the Body, and when the re­covery of the Body repaireth; sometimes they are all their lives time lean, and seem old, when not, therefore it is cal­led Senium or age-like.

When other Diseases last long they con­sume the body, Senium or Age-like. and that is Tabes which hath many Symptomes accompaning it, as a Cough, and then it is called Phthsiis or Corruption of the Body, or the Ulceration of the Lungs, from the cause that shall be mentioned; and in this kind of Consumption there is a cough night and day, Phthisis or Cor­ruption of the Body. and spitting sometimes with Blood mixed, and at first pure Blood, and in great quantity, as we shewed in spitting of blood, which cometh by fits, and there follows matter stinking, white, or yellow or green, or black; somtimes a piece of the Lungs is spit up with the matter, and there is a constant hectick Feaver, with a small Heat and a quick Pulse, as in Feavers mentioned, which causeth shortness of Breath upon little Motion, and coughing, these continue many months and years, and brings the body like a Sceleton or Anatomy of Bones co­vered with skin.

There is another accident to this Phthisis or Phtisick which is called Empyema or Suppuration, Empyema or mat­ter in the Breast. when mat­ter is in the cavity of the breast, like the Ulcer of the lungs by the signs; but sometimes it appears by a flowing of Matter at the side, and more certainly when there is a Node between the Ribbs, which being pressed flies in, and then returns, if these signs go before those of a Phthysick will presently follow.

[Page 599]This Consumption with a Hectick Fea­ver is called Marasmus, Marasmus or Withering. from the decay ra­ther then from the Feaver, there are three sorts thereof, when it begins, increaseth, or is confirmed, and this is called Marasmus Feaver; when it is at the height of the Body, is so lean and withered that the Grislles bend, especially in the Breast, and sides and stick out, the Skin is rough, the Nails crooked, and the Hair falleth.

This Consumption of the Body is joyned with another kind of Hectick Feaver, The Colliquation or Melting of the Body. which comes from the burning Feaver, and this is called Colliquation or Melting, because it lasteth not long, but is sudden and short: as we shewed in Feavers.

Somtimes there is a decrease or con­sumption with other accidents mentio­ned in the Cachexy, Atrophy joyned with Cachexy or evil Habit. as loss of comple­xion, a pressing pain at the Heart, as there is a Swelling of the Body; and this called Atrophy or want of Nourishment, which may be called a kind of Cachexy, because decreasing it causeth an evil Habit, although evil Habit or Cachexy, is rather when the Body is increased then decreased. The practick Physitians describe this Atrophy under the Diseases from whence it comes, as those of the Liver and Spleen, and comprehend that Consumption in the Names of those Diseases.

Besides this Atrophy joyned with Ca­chexy, Atrophy with a Dropsie. there is another joyned with the Dropsie and its Accidents, by which though the Belly and Feet swell, the up­per parts are extenuated, and grow lean, so that the body is partly swollen and partly consumed, miserable to be be­held: as we shewed in the Dropsie.

Sometimes some Parts consume, and that is called Atrophy, A particular Atrophy of a Part. which is a kind of Consumption, this is usual in the out­ward Joynts or Members, as about the Hip, Foot, Thigh, and Calse of the Leg, where it is more visible; or upon the shouder or Elbow, or between the Thumb, and fore-finger.

Besides these, the Eye is said to have an Atrophy or Phthisis and not the Pu­pilla, The Atrophy or Consumption of the Eyes. when it is not exactly distended and filled, and seems less and obscure and the little black is more straight and contracted, this contraction of the black is mentioned in Hurt of sight: and thither may this falling of the Eye be referred rather then the Consumption thereof, which is in the thick Tunicle.

The Causes.

The Cause of total or particular Consumptions is of the parts when they are soft, fleshy and fat, these comsume soo­ner then the hard, as Bones, Grisles, and Membranes, which manifestly decrease not, although while a man lives their Juyce and Humidity may consume, and they may wither. Hence as it is that fat or flesh being consumed, their places are empty, and the bones are only covered with skin. This unevenness is most in those places where there are more and greater Muscles, as the Temples and Cheek, when the jugal bone sticks out, when they are fallen, and there is hollowness of Eyes, when the Muscles and Fat of the Eyes are consumed, and when the Muscles in the Neck are con­sumed, or in the Breast, Back, Belly, Buttocks, there are void places, and cavities and bones stick out, as the back­bone, Ribbs, Throat, Grislle, Shoulder-bladds, Channel­bone, and the crupper-bone or Ilium, and when the Muscles are gone from the Arms, Legs, Calves, Fingers; the places are naked and depressed, and the Bones seem to stick out, es­pecially tho Joynts, and the Nails, which some say increase in a Consumption, unless Nature being content with a little Nourishment for them as I said of Bones, should keep them growing all the life. As when the whol body is con­sumed, the Hair grows except by the force of the Disease the Roots dry up, and they so fall off. In Grislles there is no sign of Consumption, but that being naked they stick more out, as the Nose is sharper, and the Nails, which on­ly of all Cartilages come forth of the skin, are crooked in a great consumption. As for the Membranes, of the skin which is only visible, makes the body even, and if the flesh and sat under it, and keeping it out be consumed, it grows wrinkled and dry as I said, and obscure from the wrinkles that cast shadows, and the Veins are naked, because of the fat consumed, the cause of the Consumption of these parts is the want of nourishment or substantial radical Moisture, or the change of the Temperament.

If the Body grow lean for want of Nourishment, The want of Nou­rishment when blood is either not, or un­profitable, is the cause of every Atrophy. it is called Atro­phy, in which the parts wanting their Juyce of nourishing blood, grow lean, in regard instead of the substance lost there is no new, espe­cially flesh which requires more Nourishment then other parts, and being soft is sooner consumed, but the harder parts, as Bones, Grisles, Membranes consume not, because they are nourished with little, and are more firm, as we see the bones of dead Men last long. This want of Nourish­ment is from divers Causes, and first because it is not bred, or it is unprofitable, or it is hindered.

When the Bloood is not sufficient, then because the Juyce nourishing the parts faileth, and the fat continually decaying is not renewed by the like, the body consumeth, this is from want of Chyle in the first concoction, when sound men have too little Food, or sick men too little Ap­petit [...], which causeth decay as well as the Disease. And this may come from other Diseases of the Stomach, as want of concoction, when there is little or imperfect chyle, as in the Tympany, those parts which are not consumed. The body is extenuated from the want of a second conco­ction, when the blood is not made, this causeth an Atro­phy, this is from the fault of the Liver or Spleen, as weak­ness &c. When a Cachexy or Leucophlegmacy from their actions diminished, or from their actions lost, so that there is little or no blood; also other Diseases of the Li­ver or Spleen breeding a Dropsie Ascites, may cause an A­trophy therewith, where the parts above not swollen like Feet and Belly are consumed, these are described in the cause of the Dropsie.

The blood is unprofitable and unfit to nourish, if it be foul, not crude, which causeth cachexy and Leucophleg­macy but impure, then it breeds Leanness or Atrophy, which is joyned with Cacochymy; and if it be watery it gets the Atrophy with the Dropsie Ascites: this is from the first concoction which is not mended in the second, or in the third, as we shewed.

When the blood is stopped from a part it hath an Atrophy, The want of Nou­rishment, from [...]ood. hindered is the cause of the Atrophy of a Part. this comes from an outward cause, for the in­ternal from want of blood would cause Leanness of the whole body. The blood is hindered from distri­bution by the Veins stopped and pressed, by the Dislocati­on of some Joynt, as the Hip; from which follows often an Atrophy of the Legs, and sometimes Numness, if the Nerves be pressed with the Veins. Also when Members are too long bound, or if the Veins are straightned by a Callus, Tumor, Node, or Wenne, about the Joynts, or cut off, especially if the great Veins or many be so cut off, for the lesser Veins, and few being cut, there are others to nourish the part. And if the great Arteries be cut off, there will be Mortification rather then Consumption.

[Page 600]For the want of Substance making Juyce and of Natural Heat, The want of sub­stance making Juyce is the cause of Consumption or Tabes. the Body consumes, and that somtimes through age, for as the body grows thereby be­ing young, and flourisheth thereby in middle age, so in old age as that de­cayes, the Body consumeth, through the driness of the parts also which comes by their Tempe­rament, whereby they are withered.

The same may come from Labour, Care and Diseases, being vehement and persevering, whereby the radical moi­sture and Natural Heat is consumed and weakned, as in old Age, so before by Labour, and Cares and Diseases, Men become sooner weak and lean, and so continue all their lives, except the Natural Heat be not so weakned, but it may be repaired. And then, though they be very lean, yet if they leave off Labour and Care and grow sound, they will recover their former Vigor.

It happens through the change of the Constitution into a more hot and dry temper, The change of the Constitution into hot and dry is the cause of Maras­mus. when all the parts are of a like temper; that the Body doth not increase in young Men, and in the aged it decreaseth, and groweth dry and withered. As in a Hectick Fea­ver, coming from the heat of another Feaver, which chan­ged temper of the Heart making it too hot and dry, the Body consumes of a Marasmus, as we shewed in Hectick Feavers.

And though it is by degrees in this kind of Hectick, yet is it of a sudden in Colliquation or melting, and it follows a burning Feaver, the extream Heat whereof, did not one­ly turn the temper of the Heart into hot and dry, but mel­ted the substance whereby the whol body became dry and consumed: As I shewed in the melting Feaver.

This is not only in simple Hecticks but in such as are joyned with a Di­stem [...]er of the Lungs, The Ptysick is cau­sed by the change of the Constitution in­to hot and dry, and a Hectick Feaver. so that the Bo­dy consumes as in a Hectick, and this is called Phthisis Ptysick, because the Lungs distempered are the cause of it. This Consumption rising from a filth and Rottenness of the Lungs, doth continually disturb the Heart adjoyning by Heat, and makes it, and the whol bo­dy hot and dry, which causeth a Hectick Feaver; as other Hecticks come from other Feavers: as we shewed in Fea­vers. The first Cause of this Rottenness of the Lungs, and the Hectick that comes from thence, and the Consumpti­on that follows that, is the Ulceration of the Lungs, till they rot, so that the Lungs are in part or all one side tur­ned into matter, and the Vessels of the Heart which are joyning to the Lungs, are lost on that side, and as it were cut off about the Heart, and a Callus at the Root, And this Corruption hath been so great that the Mediastinum that divides the Lungs, and the Pericardium or Case for the Heart have been infected thereby.

These things being thus; the matter which breeds in the Ulcer of the Lungs, Matter in the Breast is the Cause of Em­pyema. is not only spet out, as it falls upon the Branches of the rough Artery, but at length when the substance of the Lungs is divided by corruption it fals into the Ca­vity of the Breast, and there being heaped up it causeth the-Disease called Empyema. This appears to come from the Ulcer, by Anatomy, for when there is corruption of the Lungs, you shall alwaies find some matter in the Breast. As also in regard, that matter coming from the Suppura­tion of the Membrane that compasseth the Breast, fals sel­dom into the same, for it will rather fal out of it, as was shewed in the Pleurisie. But an Impostum, growing to the Membranes, or to the outward Tunicle of the Lungs being broken by other Causes then Inflammation, may send its matter into the Breast: or matter may flow there­ [...] as they say may be from an Angina suppurated, or Squinsie, or from a Defluxion of Flegm into the Breast. But in regard there is no passage from the Neck into the Breast, and if they should get into the rough Artery, except they were coughed up they will rather fall into the Lungs then the Cavity of the Breast, this is not probable to come from a Squinsie much less from a De­fluxion. But if an Empyema should breed without an Ul­cer in the Lungs, after the manner mentioned; the Lungs would at length be infected by the matter retained in the Breast, and the Ulcer of the Lungs would follow, which usually goeth before the Empyema, or matter in the Breast.

The cause of this Ulceration, and the rottenness that comes from thence, The solution of con­tinuity in the Lungs is the cause of Ul­ceration. is either Inflammation or breach of some Vessel in the Lungs, or a Wound, or corroding of the substance by some sharp putrid or venomous Humor.

In a Peripneumonia or Inflammation of the Lungs, or in the Pleurisie, if the blood, as we shewed in the Pleurisie, be not turned into matter by Concoction, and so spet out: But the inflamed substance of the Lungs is also supurated, there is an Exulceration of the Lungs which usually fol­lows such Inflammations, in which there being more mat­ter, which is thrown out by coughing, in great quantities. And this matter, except death prevent, corrupting the substance of the Lungs, more, begets that lasting Ptysick, joyned with a Hectick Feaver in which the Body pines a­away. If either in the beginning or afterwards, any mat­ter falls into the hollow of the Breast, there will be also an Empyema, as Hippocrates shews, if Men in a Pleurisie be not purged in fourteen daies, they wil have a Suppuration or Empyema: And this will sooner come from the Pleu­risie and Inflammation of the Lungs, then from the Mem­brane that goes about them, because a true Pleurisie, as I shewed, comes from the Inflammation of the Lungs, as well as Peripneumonia or Consumption of the Lungs.

This comes often from the breaking of a Vessel in the Lungs which passeth through the substance of them being ful of Blood, and then the Blood being sut from the Vessels into the branches of the rough. Artery there is coughing up of blood at the first which goes be­fore the Ptisick, and shews that it comes from the brea­king of a Vein. Because there is a Wound made in the Lungs by the breaking of the Vein, which by the conti­nual Contraction and Dilatation of the Lungs seperating the Lips thereof cannot grow together and be healed but turnes into a filthy Ulcer which corrupteth the substance adjacent of the Lungs and causeth a Hectick Feaver, and a Consumption, somtimes the cause of this Rupture of a Vein in the Lungs, is too often and vehement Dilatation thereof, by hollowing, crying and blowing, or straining in lifting, or carrying of burdens, or in voiding of Excre­ments, or Child-birth. Somtimes from other external force, as a blow or fall if the Breast be so bruised that the Lungs are hurt. As we shewed in the causes of spetting blood.

There is also an Ulcer in the Lungs often, from an ex­ternal cause, either from a Contusion of the breast brea­king the Vessels and substance of the Lungs which causeth a contused Wound, or from a thrust into the Breast which toucheth the Lungs, and causeth a wound, both which turn into Ulcers.

Somtimes the cause of a Ptysick or Consumption, is a sharp humor flowing from the Brain which corrodeth the Lungs and this they suppose to be the chief cause, but it is not, in regard many who have a long time had this De­fluxion and Cough, yet have no Consumption, and young men fal into Consumptions rather then old who are more troubled with Defluxtions. Yet if we grant that a Ptysick may come from a Defluxion, which causeth a Cough, and the Cough the breaking of a Vein, because by forcing often the inner parts of the Lungs, they may be hurt in time. And that Defluxions may easily befal Con­sumptive men, which though they do not first hurt the [Page 601]Lungs, yet by reason of the Cough which is added to that which proceeds from the Ulcer, they cause an increase of the Disease. But we suppose it more often comes from an humor ulcerating the Lungs, which lieth in the sub­stance thereof and there corrupteth, and is not coughed out, but often recruted. Because (being bred in the sub­stance of the Lungs and not getting into the branches of the rough Artery, and less provoking a Cough then when it fals from the Head upon the rough Artery) it may con­tinue longer, and do more hurt. They teach that the Lungs may be infected with blood or matter, and so a Ptysick may come; and because in the Disease of spetting of blood, the blood is not sufficiently discharged, it pu­trifies and hurts the Lungs and so causeth a Ptysick. But this comes rather from a broken Vein as we shewed, and when the blood out of its Vessels, lodgeth and corrupt­ed. And if the blood comes not from a broken Vein in the Lungs, but fals down by the rough Artery there upon, (except it be coughed up again (as it is usually) and lodg­eth (which is difficult) then putrifying it may also hurt the Lungs. In the Inflammation of the Lungs in the Pleurisie and Peripneumonia, the blood that sweats through or mat­ter that breds thereof, if it be not sufficiently coughed out but retained in the Lungs, it infecteth them, and causeth a Ptysick which follows a Pleurisie, or Peripneumonia that is inflammation of the Lungs not well expectorated or coughed up. And that matter in their ulcerated and Cor­rupted Lungs continually increasing, and sticking to the Ulcers, makes a greater corruption.

If the Lungs be ulcerated from any venemous humor, as is written of a Sea-hare, that eaten, it will ulcerate the Lungs, if it be true, it is from its quality contrary to the Lungs.

The Cure.

It must first be general of the whol Body, and then per­ticular to certain parts thereof.

The general Cure of the Consumption of the whol bo­by, is to be as it is in sound men and sick.

In found men that have no other infirmity the body through fasting and want of nou­rishment, The Cure of Atrophy or Leanness. hath an Atrophy somtimes: or from labor and care which dry up the natu­ral moisture, and then you feed them mo­derately again and they abstaine from violent labor, and cast away care, they recover of themselves, except they be very far spent, and then they are incurable. Neither can leanness in old Age, when the substance making moi­sture is consumed and the Members dried, be more cured then old age its self.

That Atrophy which is from the dis­ease of the Bowels ordained for sangui­fying or making Blood or Chyle, The Cure of A­trophy joyned with Cachexy & Dropsie. espe­cially the Stomach, Liver and Spleen, through the want of Nourishment which is caused by those Diseases, by which means either blood not sufficient or unfit for Nou­rishment is bred; requires that Cure which belongs to those Diseases which being cured, the Body flourisheth, and if not the Patient dieth. The cure of which we have shew­ed in other great accidents that come from the same: as in the Cachexy whereof Atrophy is a Species or Kind, and in the Dropsie and the like accidents that come from the Diseases of these Bowels, joyned with Atrophy. In all which because of the Consumption of Body, it must be nourished with good Juyce, often choosing the best that are prescribed in a Hectick Feaver and Ptysick, and such as the weak Stomach can digest. Therefore if the Appe­tite be dejected, that they take little, let nourishing Cly­sters be administred. Such as we taught in Hectick Fea­vers, or Milk, Yolks of Eggs, and Chicken broath, also Broath of other flesh, and Juyces; or Gellies, or stilled wa­ters, cream of Barley and Wine.

If a Marasmus follows a Hectick Feaver caused by the change of the Complexion too hot and dry. The Cure of Maras­mus or withering & Colliquation or mel­ting of the Body.

We shewed the Cure in the He­ctick Feaver called Marasmodes.

As also we shewed the Cure of Colliquation or mel­ting from a burning Feaver in the cure of the melting Feaver. The Consumption or Ptysick which comes from a Hectick Feaver through the Ulcer of the Lungs, which also changeth the constitution, shall here be treated of.

The Solution of continuity in the Lungs, The Cure of the Ptysick from the Ulcer of the lungs and Empyema. is scarce united when they spit Blood; and therefore cannot be kept from an Ulcer. And if it be in the substance of the Lungs, and they spit filth and matter, the cure is very hard to be done: and it is desperate if the Lungs begin to cor­rupt, and to be turned into matter and to corruption cau­sing an Empyema in the Breast. The constant motion of the Lungs causeth this difficulty and impossibility, which hinders the wound from growing together; also the cough that comes from that matter, or from a Defluxion which more and more stirreth the Lungs. Besides, because Me­dicines for the Lungs can scarce come thither with their least part, they can do little in the breaking of a Vessel, or an Ulcer. Moreover the Lungs corrupted cannot be re­paired, and that Corruption which falls through and turns to an Empyema, in the Breast, can very little be coughed up. And though it should be let out by cutting, yet the Ulceration of the lungs remaineth, without which the Em­pyema could scarce have been there, as we shewed. But if an Empyema come without the ulcer of the Lungs, from some Imposthume in another part, as we said, except you pre­sently make way for it by cutting, (which may cure the Patient, if it be cettainly from that Cause) it will corrupt the Lungs by continuance, and bring the same Danger.

In regard we must leave nothing unexperienced, we must take the Cure in Hand [...] foretelling the worst; and we must begin at the Disease that is the Ulceration or cor­ruption of the Lungs with the matter and cough, and the collection of matter in the Breast, if there be an Empyema, then we must regard the Hectick Feaver and Consumpti­on. Then the causes, namely the Defluxion which cau­seth or nourisheth the ulcer, and increaseth the cough. As for the other cause that is the breach of a Vein, which is known by spitting of Blood: we shewed in spitting of blood the cure thereof.

We give somthings which though they can come but in a small quantity to the Lungs through the rough Artery, yet are good against the Ulceration, Corruption, Cough and Collection of Matter. They are cleansers, such as are good for other Ulcers, which purge the Lungs and in­ward parts of the Breast from matter, and provoke coughing; which are good also in an Empyema, without the Ulceration of the Lungs. Then we give astringents which by a drying and emplastick Vertue, do as much as may be glew and unite, the substance of the Lungs divi­ded. as follows.

Milk being cleansing by its Whey, and glueing by its cheesie part, is chiefly used for the cure of this Ulcer, and because the Butter therein doth also loosen and diminish the cough; these it doth given with Sugar, or plentifully drunk to repair the consuming Body: as we shall shew.

Water and Honey, twelve parts of Water to one of Ho­ney, is good for an ordinary Drink to cleanse the Ulcer; also Water and Sugar or Ptisans of Barley and Figs, stilled water also is good to dry an ulcer.

Some commend a Julep of stilled Waters, of Parsley­roots, Fennel, Marsh-mallows, and Elicampane mixed and boyled with Sugar: adding while they boyl a little Gum Traganth, Arabick, or Juyce of Liquorish.

There are also Syrups for the cure of ulcers in the Lungs, as that of Myrtles, which are slimy, glutinating and astrin­gent; also the Syrup of dryed Roses and of Quinces.

[Page 602]Or make this following, which is fittest. Take the Roots of Comfrey, and Liquorish, each one ounce and an half; of Marsh-mallows one ounce, of Brank Ursine, or Birthwort, each half an ounce; the Leaves of Plantane, Bettony, Lungwort, Coleworts, Colts-foot, Shepheard purse, each one handful; the Flowers of Roses, Violets, each one pugil; of the four great cold Seeds half an ounce, of the four small cold Seeds, and Line-seed torrified or parched, each two drams, Water-cresse seeds torrified one dram, red Pease one pugil, Myrtle-berries two drams, Ju­jubies, Sebestens, each six pair; Raisons stoned ten pair: make a Decoction, adding Honey and Sugar, each four ounces: boyl them to a Syrup, of which let him take a little often. The Decoction of the Oak of Jerusalem is commended a­gainst spitting of matter.

Or, Take Comfrey roots three drams, Juyce of Colts foot and red Roses, each one ounce; Juyce of Liquorish, and of Sloes dissolved in the aforesaid one dram and an half, Gum Arabick and Frankincense poudered, each one dram; Water and Honey four ounces, Penidyes or Sugar pellets, of Roses, each two oun­ces; Sprup of Jujubes and Myrtles, each one ounce and an half; to these you may add Juyce of Scabious, and Juyce of Plantane to heal.

The things that are licked called Eclegmata, or Electua­ries taken now and then, or Tablets or Troches, which are held in the Mouth till they dissolve, which are good against the Ulcers of the Lungs, are made divers wayes.

Of these usually, as D [...]atraganth frigid, Dipenidion without Species in Tablets, also Sugar of Roses in tablets is excellent, and the Conserve of Roses often taken. Al­so the resumptive Electuary without the Species, and the Lohoch of Poppies, which doth asswage the cough of those mentioned in the Cure of a cough, some are more thick­ning, and by their glu [...]ing quality are good against ulcers, as those of Mucilages, and that of Turpentine of the Larch­tree.

These following Pouders will cure, if possible, the ulcer and corruption of the Lung, either given with Sugar of Roses penids or with Milk, or with Sugar dissolved in convenient Waters made into tablets, or with Syrups into Lambitives, or mixed with Electuaries.

The first is: Take Comfrey roots two drams, Marsh mal­low roots and Liquorish, each one dram; red Roses two scru­ples, Gum Traganth, and Arabick a little parched half a dram, Starch one dram: make a fine Pouder.

Another: Take Red Pease, Line-seed, and Quince-seed par­ched a little, each one dram; Plantane, Marsh mallows, Mal­lows, Purslain and Cotton seed, each half a dram; white Pop­py seed one dram, the four great cold Seeds two drams, Pome­granate flowers one scruple, Frankincense, or Mastick and Am­ber, each half a dram. Make a Pouder, use it alone or with the former.

You may add burnt Ivory or Crabs eyes and coral, each one dram, or if you will glutinate more, Bole or sealed Earth.

They are counted better though less pleasant, with Fox Lungs, and Windpipes dried one dram, Ashes of cray-fish half a dram; also the Pouder of Snails dried, and of wee­zles Lungs. If he spit Blood still, you may add one scruple of white Henbane seed.

For spitting of matter, use the Roots of Clot-burre, or Moon-wort, the Leaves of Bettony, Dioscorides gives win­ter-cresse seeds; others the Leaves of Elm, Pauls Bettony and Scabious, with the former Pouders.

This Electuary is Excellent. Take Conserve of Comfrey roots one ounce and an half, Conserve of red Roses one ounce, the Infusion of Gum Traganth in Plantane water one ounce, Coral, Bol [...] or Earth of Lemnos, each one dram, Conserve of Sloes half a dram, Saffron half a scruple, Syrup of Myrtles as much as will make an Electuary.

These tablets following are pleasant and profitable. Take red Rose flowers without the white, dry them, and pouder them finely, sprinkle it with Juyce of Lemmons, and with Sugar boyled in Rose-water, make tablets.

Or, Take Sugar dissolved in Rose-water, and with Juyce of Roses make Tablets.

Or, Take four ounces of Sugar dissolved with Juyce of roses and boyl it, add at the end the species Diapapaveris and Dia­traganth frigid, each one dram; Conserve of Comfrey roots half a dram: make tablets.

Troches to be held in the Mouth. Take Rosin of the lark­tree, or Turpentine a little boyled, and poudered, Frankincense, each half an ounce; Myrrh, Sanguis Draconis, or Pomegra­nate flowers, each one scruple; Saffron half a scruple, Comfrey roots two scruples, Sugar of Roses one ounce, with the Infusion of Gum Traganth in Coltsfoot water: make Lozenges.

Brimstone infused in Plantane, Coltsfoot or Rose-wa­ter, or the like to give it a scent twice or thrice, given in a rear Egg in pouder, or with Sugar, is good for this, as for other Diseases of the Breast. The Chymists give the flo­wer of Brimstone by making it whiter; chiefly with Salt­peeter fixed mixing one part of Salt Peeter, with two of Brimstone which shineth, and subliming it in the fire accor­ding to Art with Sand. Salt Peeter is sixed with Sulphur e­ven as Lapis prunellae is made. Also they think that sul­phur waters drunk, do good.

There are also Fumes that dry the Ulcers which are re­ceived at the Nose or Mouth, and drawn into the Lungs by the breath, which way they can best get thither.

The Fume of a Decoction mentioned in the cough, which must be taken hot into the Mouth is good.

The best Fume to dry, is that of the Roots and Leaves of Colts-foot burnt, and of Horse tayl.

Or that which is made of Henbane seed, and the like in the Troches of the Cough.

Or they that are made of Brimstone, and other things mentioned in Asthma.

Or thus. Take Gum of Ivy one dram and an half, fran­kincense one dram, Myrrh half a dram, Amber one scruple, Bezoin, Storax, each half a dram, Conserve of Sloes two scru­ples, Coriander, Rose seeds and red Sanders, each one scruple; pouder them, and with Gum Traganth or Turpentine of the Lark-tree: make Troches. You may add a little of the Bark of Mandrake root, or Henbane seeds, some use a lit­tle Orpiment but not safely, supposing that Sandarach was called Orpiment, but Sandarach is the Gum Varnish.

A dry Air is better then a moist for men in Ptysicks, this may dry the Ulcers.

Oyntments to the Breast may do something of relaxing Oyntments, that they may easily spit up the Matter, such as are mentioned in the Cough and the Asthma. And when the Matter is little, you must use astringents to heal the Ulcer, if they may reach the Lungs possibly.

As, Take Oyl of Myrtles or Roses, and Mastick, each one ounce and an half; the Mucilage of Comfrey, and Marsh-mal­low seeds, each one ounce; Line seed, or Foenugreek two drams, Sarcocol insused in Milk, Frankincense or Mastick, each half a dram; Myrrh one scruple, Rosin one dram, Saffron one scru­ple, with Wax make a Liniment.

To ripen the Imposthume, which being in the hollow of the Breast produceth an Empyema, to break it before it doth great hurt, they apply things to the Breast, they make Concoction that the matter may be spit out.

You may apply the great Diachylon Emplaster, or that of Orris.

If you add to the Ripeners things that draw forth then by making the skin thin, and digesting the matter, they cause a Tumor, and shew where it ought to be let forth by cutting.

For which this following is good. Take Marsh-mallow roots, Briony and Orris, each two ounces; Figs ten pair, Dates six, Chamomil and Melilot flowers, each one pugil; Foenugreek and Line-seed, each one ounce, boyl and bruise them, adding Oyl of Lillies two ounces, of Peppers one ounce, Mustard seed two drams, Leaven one ounce, make a Cataplasm.

You may apply Pitch over the Breast, if you are certain there is matter by the stretching forth and noise thereof, that the Tumor may more appear.

Injections into the Cavity of the Breast, are good when it comes from a wound without, and we have seen by the [Page 603]use thereof, and other things which are good in ulcers, one that had a Knife strook into his Lungs, and an Ulcer, so that some parts of the corrupted Lungs came forth, and the Party consumed, and yet lived a long time after. And I knew another that spit bloody Matter a long time, that by these things lived long. And in the year 1645. I saw a Scholler who had a Pleurisie evil cured, and his Breast o­pened for an Empyema, too low, so that all the Matter was not let out, that had abundance of Matter after, was ga­thered in his Breast, so that when he held down his Head, the Matter came out at his Mouth, as I often saw; we took from him the Matter, (by conveighing into the old Ulcer that was stopped a swelling Tent) with some parts of the substance of the Lungs, and we sent him home sound where he is yet living.

These Injections are made of Cleansers, and after of Dryers, using some gentle things which are prescribed for other Ulcers, made of Water and Honey, Whey, or the Oyntment of Smallage, Barley water, and of other Plants.

Or make this Cleanser. Take Whey of Goats Milk one pint and an half, Honey of Roses four ounces, Juyce of Celan­dine and Smallage one ounce and an half.

Use this Injection by turns when no matter comes forth. Take Goats milk in which Comfrey roots are boyled two pints, Juyce of Plantane one ounce and an half, Sarcocol steept in milk and dissolved one dram and an half, Myrrh one dram, Rosin of the Lark-tree dissolved in the White of an Egg one dram: mix them.

If you are certain of the Collection of matter in Empy­ema, by the little Tumor between the Ribbs and the Nose, you must make Incision, for otherwayes you cannot take out the matter. And so he may be cured, if the Empyema be without Ulcer of the Lungs. And if there be an ulcer and the Cure proceed not, yet in regard that otherwise an Empyema cannot be cured, it is better in extremity to use the means, then leave the Patient, and so by shewing the matter we excuse our selves. And if we doubt of the Em­pyema, when we are certain of the ulcer of the Lungs, and make Incision at first, it will help the Cure, for so the mat­ter would be better let forth then by coughing. And be­cause Injections may be made into the Lungs, this way when Medicines cannot come other wayes to them, and come forth by the same Orifice: as we shewed in the cure of the Wound in the Lungs.

This Incision is made alwaies, foretelling first the Dan­ger, and if there be a little Tumor, thrust the Knife into the Breast there, and take the matter out, not all at once least the strength fail; if nothing appear, make the Incisi­on above the twelveth Rib in the lowest part of the Breast, where no Muscles lye upon those between the Ribbs, so that the matter being fallen into the breast, and lying upon the Diaphragma which is joyned to the twelveth Rib, may come better forth, and the Wound is to be kept open till all be let out by degrees.

Hippocrates shews that matter may be let out by burn­ing, with an actual Cautery, because a potential cannot reach so deep: but because it is not safe to use there a hot Iron, it is better done by Section.

The Remedies used for a Hectick Feaver with the ulce­ration of the Lungs, must be such as repair the lost Sub­stance of the Body, and correct the dry Distemper thereof, and if they be also good against the Ulcer, they are the better.

They which chiefly restore the Sub­stance of the Body, Restoring Me­dicines in the Ptysick. and are used there­fore though they have other Vertues al­so; are either such as are administred inwardly or outwardly or injected.

Things are given inward, as Nourishment onely, or as Medicines.

They which only nourish are good to restore the Body consumed with flourishing Juyce that moisten, and cor­rect the Driness which is procured by the Hectick Fea­ver; and to this end you must give things of easie conco­ction, that breed good Juyce, that are quickly digested and applied to the substance of the Body. Among which Milk is preferred before all, because it doth not onely what is mentioned, nourishing the Body with its whole substance; but also by its temper and moistness, qualifies the sharpness and saltness of the Matter and Humors in the Lungs, or that fall down; and cleanses the Ulcer of the Lungs with its Whey, and binds them with its Cheese, and allayes the Cough with its Butter.

We give Cows Milk, or of Goats and Sheep, and Wo­mans Milk to people in years, though it is not usual, and Asses Milk, in all which though there be four Vertues of which all Milk partakes, namely to nourish, mollifie, cleanse and glew, yet because one sort of Milk is better then another for some Bodies and works stronger, we shall choose that which is most proper.

Of the usual sorts of milk Goats milk is best, because it is most cleansing in regard it hath more Whey, which is best when the Lungs are ulcerated; it is taken new from the Cow, or warmed, fasting in the morning four or five ounces at first, and so increasing by degrees to eight or twelve ounces: and somtimes at night going to bed, for a month together.

You may mix it with Honey or Sugar to make it more cleansing, and to keep it from Corruption. And if you feed the Goat with Herbs that cleanse the Lungs, the milk will be better; as with the Leaves of Brambles, Willow, Lungwort, Coltsfoot, with Barley, Beans, and beaten Lentils, Fennel feed, and a little Salt and the like.

Cow milk is not much unlike Goats, in want of which it may be [...]sed, or to those that have been accustomed to it, because it cleanseth, though not so much, but Sugar will help it. And because Cow milk doth glutinate more then Goats, with its thicker part, it is good after he hath drunk Goats milk, or other cleansing milk to purge the ulcer to drink Cow milk the rest of the time after in the same or­der.

And that the Ulcer may better be healed, you must take it with Sugar of Roses a long time, some quench flints, iron or steel in it first, so that the watery part or Whey being consumed, it may be more glutinous; or they boyl it with Rain-water, and Roses, or Comfrey roots which are bet­ter, but these are better towards the end of the milk, ta­king then at the first; also Sheeps milk is good at the con­culsion to glew up the ulcer.

Some give Milk without order for their ordinary drink.

Asses milk is commended above Milks that are not usu­ally taken, and are therefore more nauseous, because it is cleansing, but by its Whey which is not most to be requi­red in the ulcers of the Lungs. And therefore when it may be had, and the Patient affected it, it may be used in the same quantity and manner, and as long as Goats milk, because it is better.

Womans milk is chiefly commended against the Ptysick, because it hath the same strength with the rest, and is also more proper to restore, nourish and refresh the Body of a weak Man, being more agreable and familiar to Nature, and is turned sooner and better into the substance of the Body, it must be sucked twice or thrice a day from a sound Woman, for a long time, as if he were a Child at Nurse. Thus I have known some cured, and that one grew not only well, but got such strength, that least he should want Milk for the future, he got his Nurse with Child.

There are other things which are of good Juyce and ea­sie concoction which nourish a decaied body, such as are mentioned in the Cure of the Hectick Feaver, as the flesh of beasts that are young, tender and full of Juyce, hens flesh, Capons and Partridges; also the flesh of Birds, es­pecially of the Woods; also the Brains, Stones and Eggs of some Creatures. Also the flesh of Brook-fish which is good Nourishment and moistneth more; also from Plants the Seeds of Corn, as Barley, Wheat, Rice, Oats, and shell Fruits, as Almonds, Pine-nuts, Pistacha's, and Rai­sons, which do fatten exceedingly.

[Page 604]The flesh of Wood-tortoyses or Snails is preferred before the rest, for the repairing of the substance of the Lungs, and moistning the Body; also the tayls and shells of Cray-fish, and thehinder parts of Froggs.

Of all which you may make innumerable Preparations for Meat and Drink. As the flesh aforesaid boyled or roa­sted, or minced or the like, or broath made thereof, or Jel­lies, or the Gravey of the Roasted; also pure Bread and Cakes, with broath or milk; also Almond bread, Pine­bread, Barley, Rice, and Oat-bread which Galen saies is excellent against the Ptysick. Also Emulsions which they call Milk made of those Corns, Raisons, and Grapes, also sweet Wine, and because it refresheth much, you must not take it rashly from them that have been used thereto: as we shewed in the Hectick Feaver, where we shewed some kitchin Physick for the Ptysick.

Among the which there are simple Waters distilled of Nourishment, by which the body is restored and moistned, and the Capon water is the chief, and the Snail water is highly commended, as also of Froggs, Cray-fish &c. di­stilled.

There are also nourishing Medicines or Kitchin Physick which resist the Hectick Feaver, and the ulcer of the Lungs, which are mentioned in the Hectick Feaver, in the form of Bread or Lozenges.

There may be others made which are both pectoral and cordial, of Diamargariton frigid, and the Electuary of Gems without the Species, also precious Stones, Pearls fi­led, and leaf Gold and the like, which are precious and powerful.

There are also stilled Waters of Food, to which you add these good for the breast, and to restore the strength, those they call Restauratives, because they restore the substance of the body, such as the Capon water compounded of the broath of a Capon, and the like, mentioned in the Hectick Feaver.

Or you may make this Restaurative of these following distilled. As, Take of the musculous flesh of Capons or Hens which is about the Breast one pound, with the same flesh of Pi­geons, Chickens or Partridges, of Snails taken out of their shells twelve in number, of the Tayls of Cray-fish, or hinder parts of Froggs twenty, boyl them al in six pints of Water, til two be con­sumed, then put the Broath remaining into a Lembeck, with half a pound of Crumbs of white Bread, four ounces of sweet Almonds, two ounces of Pine nuts, Melons, Pompion seeds one ounce and an half, beaten and steeped in Milk; also Raisons and Figs, each four ounces; Comfrey roots and Liquorish, each one ounce and an half; Orris and Elicampane roots, each half an ounce; Colsfoot and Plantane, each one handful; Cordial Flowers of each one pugil; Gum Traganth, Frankincense poudered, each two drams; Amber one dram, Bole or other fat Earth, two drams, Spikenard one dram, Sugar or Honcy two ounces, draw a Water for your use.

Those Medicines which you give to correct the Hectick Feaver here, may be the same which are prescribed in a he­ctick Feaver alone, as that Julep which begins thus. Take of Violet water &c. Or thus: Take Juyce of Purslain &c. Or the Syrup which begins thus. Take of the Roots of Bu­gloss, or Purslain, or Scabious wator, or the Tablets of Sugar of Roses, or the Candyes, or that which begins thus. Take con­serve of Roses &c. These must be used here, as we shewed in the Hectick Feaver.

Outwardly for the Hectick and Ptysick, we use baths and Oyntments for the back-bone after them, gentle rub­bings, as we shewed in the Hectick alone.

And we mentioned there nourishing Clysters, as in the Cure of Atrophy, which must be used in time of necessity, when Meat is abhorred or loathed, which is seldom.

These Medicines following are good against the Humor which floweth from the Head, The Cure of a Ptysick with a Catarh. which increaseth the former Cough, when a Defluxion and a Ptysick are joyned together.

Somtimes we purge to prevent it, and keep it from fal­ling down, when it abounds, when otherwise in respect of the ulcer, Purges do not profit, because they draw nothing out of the breast. And if the body be very lean and weak, they do hurt, and bring danger by a Flux which is deadly in the Ptysick.

If necessity require, we use gentle things, as in the Asth­ma, to which there is a Defluxion joyned, as in Manna, which also cleanseth the breast, and Cassia, with the Deco­ction of Polypody, and Fruits, or old Cock-broath, and others more gentle, Troches, Potions, Infusions, Pills, and Electuaries there mentioned: also in the Cough that comes from a Defluxion, you may use those gentle Purges there mentioned, and things that stop the catarrh.

We give also Preparatives for the Humor that flow's down, that it may be the better purged, and that, that which is already in the breast may be expectorated,, if it be thin they thicken it, or make it easie to be spit up, if it be thick and fixed to the Lungs, they cut it, if it be tough, they cleanse it: which we shewed in the Cough and Asth­ma, how and in what form they should be used. Among which they which cleanse most are best, because they take away the matter from the ulcerated Lungs, and they which thicken, because they glew up the wound in a mea­sure. For the stopping of the flux or catarrh, we give things that thicken, to which we add things that allay the sharpness of the Humors, and stupisie the exquisite Sense of the Jawes, and mitigate the cough; which is raised both from the matter in the breast, and the Humor flowing down: for which we declared in the Cough from a Ca­tarrh, Narcoticks, and Lambatives, or to be licked, wa­ters, and Pills, and Opiates, and other formes in the Asth­ma.

To which this following may be added, which mollifi­eth, and stops the Flux. Take Mucilage of Fleabane seed one ounce and an half, the Infusion of Gum Traganth, or A­rabick one ounee, Starch two drams, the Milk of white Poppy­seeds made with Violet-water one ounce and an half, Syrup of Poppies, Sugar of Roses, each one ounce. Let him take it of­ten, and it will be better, if a little Oyl of sweet Almonds, or fresh Butter be given therewith.

Or, Take Starch or Sugar of Syrup of Violets candied, or Penidyes, each two drams; fat Bole one dram, Spikenard half a scruple, Henbane seeds half a dram, with the Infusion of gum Traganth: make Troches, to hold upon the Tongne.

There are also things to draw back, and drive the Hu­mor flowing down from the breast, as Clysters often used, which are safer for diversion then Purges.

There are also Pouders for the Hair which dry, and fix the Head, stop and consume Defluxions, or Bags; also Emplasters, and Washes for the Head; also Fumes taken into the cap and Pillows, and are taken at the Nose, such as are mentioned in Defluxions, and in the Cough, and Asthma.

The Humor flowing from the Head, is turned away from the breast by cupping-glasses to the Shoulders, and sides of the Neck; also by Ligatures, Frictions or Rub­bing: as we shewed in other Defluxions.

It is necessary, if Defluxions from the Head will not stop, to revel and derive them by burning of the skin, in the Arm, Leg, with an actual or potential cautery for Re­vulsion; but for Derivation of the crown of the Head up­on the coronal Suture; all kinds whereof are described in Defluxions of old Head-aches, and in the Cure of Impost­humes; also in the cough and Asthma &c.

If a Flux of the Belly come thereupon, it must be pre­sently stopped, for it is deadly, because it weakneth the bo­dy, and carrieth away nothing of the cause of the Disease.

In this cause increase the dose of astringents, which are given at the Mouth for the cure of the ulcer, as of bole, Terra Lemnia, Roses, and those that are outwardly apply­ed to the belly to be mentioned in Diarrhaea.

The cure of a particular Atrophie or Consumption of some part of the body, which is musculous, The Cure of Atro­phy or want of nou­rishment in some Parts. as the feet [Page 605]and Arms, by reason of the stopping of the blood from that part which should nourish them, is thus, if it comes from a Luxation or Relaxation of the Nerves, or from Li­gatures long and straight bound, or from some Tumor, you must first look after them, and reduce the bone that is dis­located, and untie the bands or roulers, and the Tumors if possible must be removed by that way which is prescribed in the Treatise thereof. If this come from them by cutting off the great Arteries or Veins, or of many little ones, the way being stopped by which the Nourishment should pass, the Disease is desperate.

Howsoever we must use all means to bring the Blood more or less to the part consumed, using things that by Heat, or opening the Passages, or some other wayes do at­tract, and draw it.

Use Oyntments actually hot rub'd hard on, every day, a long, time till the Member seems to grow bigger, which we may try by a Leather measure, or rather of Paper for that will not stretch.

These oyntments are made of things potentially hot and opening, many whereof are prescribed in other Diseases and may here be used.

It is found by Experience that this is the best. Take Tops of Savine, and of Juniper and Lovage leaves, each two handfuls; Chamomil Leaves or Flowers two pugils, green Ju­niper-berries, and black, each one pugil; cut them, and bruise them all a little, and with Oyl of Bayes or Lillies, as much as will cover them, fined Hogs grease, especially of a red Hog, four ounces, Aqua vitae two ounces: boyl them till all the Moi­sture be consumed, then strain them, and add Oyl of Spike, or of Juniper-berries distilled one ounce, Pellitory roots three drams, round and long Pepper, or Ginger two drams, and Wax make a Liniment or Oyntment.

Tops of Pine-tree, Leaves of Rue, and Nettles, and o­ther hot things, as Oyl of Peppers, and Euphorbium, and Greases, especially Horse grease, Dogs, Bears, Foxes, and Badgers grease, and Butter, are somtimes added. And if you boyl Cray-sish, and Earth-worms there with, it will be stronger, especially if you mix with the other Pouders two drams of Euphorbium or Castor, or Pouder of Ginny Pepper, which is very burning, or half an ounce of the pou­der of the Stone Amiantum, or so much Salt.

Somtimes the Juyce is taken from these Herbs, and is boiled with Oyls and Grease till it be consumed, and so is made up with other Oyntments, or the Juyce with Oyls, Rosin, and Pouders is mixed for an Oyntment.

You may make Plaisters of the same with Rosin.

Some commend the Blood of a Calfe, with Pouder of Pepper.

This Liniment is made of few things, but it is against a Consumption of a Part. Take the Grease of a Fox, Dog or Man, which is most proper two ounces, Oyl of Earth-worms, or Toads one ounce, Philosophers Oyl half an ounce: mix them and anoint the part warm.

Baths made of the Decoction of the hot Herbs mentio­ned for Oyntments, with others proper for the Parts, as Sage, and Mollifiers, as Mallows are good, if you often bath, but the consumed parts therein, and anoint them.

A Dropax or sticking Plaister laid often on, and drawn off again will attract the blood, and Sinapismus or things made of Mustard, which will attract the blood till the part be red.

It is also good to exercise and rub the Part often.

Gentle whipping often with Rodds, especially when the consumed part is stupified, may do good when other things fail.

The End of the first Book.

THE SECOND BOOK OF THE Functions, HURT of the Body. TREATING of the FAULTS of EXCRE­tion, or things sent forth.

THe Faults of things sent forth or rejected out of the Body, are Symptomes of the third Kind, which are in the Excrements or thing voided; and therefore are Dis­eases besides Nature as well as the rest, whether Diseases or Causes thereof: of which we spake. These Faults in Ex­crements after they come forth of the Bo­dy, are to be seen touched, smelt, tasted, and heard. And they differ in that some are wholly besides Nature, and from the Sub­stance; others from the Quality, if they be otherwise then they ought, or from the Quantity, if they come forth more or oftner then they need, and so they become preternatural and evil. And if any thing come forth at a place it ought not, though it be not evil in it self, yet it is a Fault, and if it be also evil, it is a double Fault or Disease, as it is a preternatural Excretion.

These preternatural Excretions that are in themselves also e­vil, as well as in Respect of their Excretion, because they are di­vers: we shall first thus distinguish them. They either are such as constitute and make up the Body, or are contained therein, ei­ther from their Original, or proceeded from without.

Such as constitute the Body, are part's that originally compose it, The Excretion or voiding of Parts.or such as af­ter grow in it, and are parts of the childs Body; a Child preternaturally delive­red, is mentioned in Abortion, and the parts constituting the Body, in the taking away of Parts: all these shall be explain­ed together in the Excretion of Parts, Chap. I.

Some Parts that constitute the Body, do not altogether come forth but stick out: The sticking forth of Parts.these shall be treated of in the sticking out of Parts, as the Guts, Cawle, Womb, Funda­ment, Eyes, Stones, Chap. II

There are divers things contained in the Body, and are bred which cause the preternatural Excretion, as Wind, Humors, Ex­crements, and divers Bodies following.

There is a preternatural Excretion of Wind, Efflation or break­ing of Wind. by Breathing, by a Wound, by Snorting, Belching, Farting, Stin­king of the Breath, Nostrils: these we shall explain in Esslation, Chap. III.

The preternatural Excretion of Humors and Excrements is in divers following, as for Milk though it be plentifull, and come forth of its own accord, yet is not preternatural, and if it swell the Breasts it belongs to Tumors, where we spake thereof.

There is preternatural Excretion of Seed, in too much Venery, The Excretion of Seed. in a simple and ve­nemous Running of the Reins, of imperfect Seed, or when it comes another away or too quick: of which we shall speak in the Spermatick Excretion, Chap. III.

There is a preternatural Excretion of Blood, Excretion of Blood.in the Bleeding at the Nose, in the Terms or Haemorrhoids, immoderate Flux, and at the Eyes, Ears Yard, Privities of Women, Fundament, the Pores and other open Parts: of which we will treat in the bloody Excretion, Chap. V.

There is a preternatural Excretion of Mat­ter, by the Eyes, Ears, Nose, Excretion of Matter. Vrinary Pas­sages, Womb, and other opening Parts: these shall be handled in purulent Excretion, or of Matter, Chap. VI.

There is a preternatural Excretion of Water in Tears, dropping at the Nose, snotty Nose, Excretion of Water. Whites, over much Swcating, or evil Sweat, and by the Ears, and other open Parts: of which we shall speak in the watery Excretion, Chap. VII.

There is a preternatural Excretion of Spittle and Humors mixed therewith, in Ptyalismo, Spitting. or Venom, Spittle, and other Water, or Blood, Matter, and Imposthumes: these shall be described in Spittle, Chap. VIII.

There is also a preternatural Excretion of Meat and Humors, Vomiting.and Excrements in divers Vomi­tings, as of Flegm, Choller, to which the Dis­ease of Choller is referred: also of Blood: of which we shall speak in Vomiting, Chap. IX.

There is a preternatural Excretion of Urine, Pissing.and other Humors in unvoluntary Pissing, or immo­derate, burning Urin, mattery Milk like, blood, and when the Urin cannot be held, and when it flows out at a Wound or is tinctur'd: which shall be explained in Pissing, Chap. X.

The preternatural Excretion of the Excre­ments of the Belly,Dejection or Stooling.and the Dung is in the Flux Diarrhaea, Lientery, Disentery, Nee­ding, Liver-flux, of thick Blood, Matter, Slime, Flegm, Fat, Vomiting of Dung, Pissing it out, or sending it out by the Womb, or a Wound: of which we shal speak in Dejection, or going to stool, Chap. XI.

There is a preternatural Excretion of divers Filths, by the Ears, Nose, Eyes, Womb, Skin, Excretion of Filth. between the Toes, Teeth: which we shall des­cribe in the Excretion of Filth, Chap. XII.

The divers Bodies which are in the Body of Man which are wholly besides Nature, and are preternaturally sent forth, are either living or without Life.

[Page 607] The live Creatures that come out of the bo­dy either live and move,Excretion of Living Crea­tures.as Worms, Funda­ment-worms, Worms in the Nose, Ears that come forth by coughing, Pissing, from Ulcers, Wounds, Worms in the Teeth, Navel, Lips, in the Hands: of all these, we shall speak in the Excretion of Living Creatures, Chap. XIII.

Other Living Creatures that come forth are alive but move not, Excretion of li­ving Creatures that move not.nor are sen­sible, as a Mole, Grove-wormes, the Gourd-worm: which shall also be des­cribed in the Excretion of living things Chap. XIIII.

The Bodies without Life that are sent forth, are earthy, Excretion of Earths.as Pissing of Sand, and Stones, or from the Eyes, Nose, Mouth, Fundament, from the Tongue, Pores, as Gravel, from the Teeth, and the like: of which we shall treat in the Excre­tion of Earth, Chap. XV.

There are many things come forth of the Body which are not there bred, The voiding or Excretion of things that get into the Body.by the Eyes, Ears, Nose, Mouth, as by Spit­ting, and vomiting by stool, Urin, by the Breasts, Nipple, and the Skin: which shall be described in the Excretion got into the Body, Chap. XVI.

CHAP. I. Of the Voiding or Excre­tion of Parts.

The Kinds,

THe Voiding or Excretion of the Parts of Mans Body, by which they are taken from the Body, is twofold, first when the parts fashioning the Infant, or the Infant it self is cast forth; or when the Original parts that consti­tute the body, fall off.

When the Infant is put forth of the womb, A Natural Birth, but not without Pain. it is called Partus or bringing forth and this is either Natural, as when the Child, being ripe (the time being expired of travel) is brought forth. And this be­ing Natural, is not reckoned among the Diseases that di­sturb Mankind. But seeing this Action by reason of Sin is painful and must be looked after, we shall here speak of it, that we may know how it differs from that which is pre­ternatural, and how it ought to be ordered.

The Birth is preternatural, when it is untimely, Abortion or Miscarriage. or before the time ordained, which is commonly the tenth month, al­though some hold the birth of the seventh month to the Legitimate. Abortion is when the Child is not come to its full Ripeness and Growth, is sent forth sooner then it ought to be, either dead, or in desperate con­dition; somtimes it is so little, in a Lump, no bigger then a Grape, that you cannot distinguish the Arms, Legs, or Head, such we have seen often, after some weeks concepti­on sent forth; and that we might perceive the Limbs, we divided them with an Instrument; and we perceived two black points like Eyes in the Head, and a little Spot upon the right side shewing the Liver, the body being all over white besides. We have seen at other times a Child of a fingers length, having all the Members plain to be seen for the distinction of sex also, with Nails, and we made a sce­leton thereof, by cutting an Anatomy; as we did by others that were larger. Also I knew a woman, that after she had brought forth a Child naturally at the time, within a few dayes after was delivered of another a span long.

I observed also that a famous Merchants Wife which was delivered with little pain, of a Child a hand long, af­ter she had with hard Travail brought forth, another dead Child in the eighth month; and which is more wonder­ful in the year 1655. A Contrey-man came to me for Counsel, concerning his wife lying of a lusty Child which she brought forth three weeks after she had miscarried of another that was dead.

If there be three or four at a Birth which is rare, Supersaetation or too many at a time. yet is it not preternatural (when they are compleat,) either at one time or at divers; some talk of an infinite Num­ber, which could not come to a just proportion, and that may be counted Abortion.

Children so delivered although unripe and little, yet are somtimes whol and of good Complexion; otherwhiles lean, and consumed, if they have been long dead in the womb, and they come out slowly, and somtimes corrupted and sticking; somtimes we perceive the signs of Diseases in them. As we discovered a Child that was but half the time in the womb by the Swelling of the Legs, bigness of the Belly, and aboundance of water there, and in the great Veins to have the Dropsie in the womb.

But if a compleat Child should die through the difficul­ty of bringing forth, it must be referred to the defect of bringing forth: also if it remain in the womb after it is so dead, as we knew a woman that kept a Child that died so, twenty weeks after the time of Delivery, she died also, and after we took it out rotten and stinking.

If a woman bring forth a monstrous or ill shapen Child, except it be by Abortion or it be dead, this is not to be re­ferred to a preternatural Birth, but to evil conformation or Deformity from the Birth: as we shewed in Deformity.

The taking away of parts from the bo­dy, The taking off of parts that constitute the Body. although it may be a Disease in num­ber diminished, or if they come piece meal, in magnitude diminished, where we made mention of them, yet they may be reserred hither.

As if the Eye be thrust out of its place, or if any humor as the watery, Crystal, or glassie Humor of the Eye should flow forth, or if part of the Brain should come forth at the Nose, the Teeth pull'd out of the Mouth, the tongue cut off, the Lungs be spit up, the Guts fall out, as in the Haeretick Arrius, by a divine Judgement rather then by a Natural Cause. Or, which is usual, when from a wound any part of the Brain, Lungs, Liver, or Spleen comes forth, as we said in the Hurt of those parts.

The Causes.

The Causes of the Excretion or Voiding of an Infant, or of any parts that constitute the body, is the solution of Contiguity, or things near or of Continuity, as shall be shewed.

Natural Birth when the Child comes ripe and quick into the world, The separation of the Vessels of the Child which were joyned to the Vessels of the Womb, is the Cause of Natural Birth. is when the child [...] so grown that the Mother can no longer con­tain it, but it must have have more Air for life, and more nourishment, and if it should grow bigger, it could not get out of those strait Passages. Therefore provi­dent Nature, ariseth and moveth it by the expulsive Facul­ty, separating the Veins and Arteries, by which the bed of the Infant or Secundine was joyned to the womb, without any hurt, even as the stalks of ripe Fruit fall easily from the tree, driveth down the I [...]ant by the help of the Mother, and so brings it forth, not without pain, labor, sweat, and bleeding, by reason of the opening of the Veins in the Womb and Secundine more or less in all Women.

[Page 608]In a preternatural Birth, The separation of Vessels before the Child is ripe is the Cause of Abortion when the Child is sent forth unripe, by Natur's force, dividing the Connexion of the Vessels, there are somtimes less acci­dents then in a Natural, if the Child be small. But if there be this Separation of Vessels by a greater force, and solution of continuity, and tearing, which stirrs up Nature to the work, there are greater acci­dents, as Pains and Bleeding.

There are divers Causes of the di­viding of the Vessels, The Separation of the Vessels by the violent Motion of Body or Mind is the Cause of Abor­tion. and spurring of Nature to the work which procure Abortion, if the Child be shaken by violent Motion of the Body, so that the Vessels by which it hangs to the womb are divided. Nature especially when near the time, will send it forth, so it may be driven down by leaping, as Hippocrates speaks of the tyre-maker, that cast away her Child voluntarily, also it may come by other violent motions, especially of the lower parts, by riding, running, or other violent Mo­tion.

It may come also with pressing of the Belly, by some ex­ternal Injuries, or with strong tying of the Muscles of the Belly, or from couging, vomiting, neesing, crying, scowr­ing, by which also in a Natural Birth, the Delivery is helped.

As the Excrements of the belly, so the Child also may be driven down in a Convulsion made by the compression of the Muscles, and a violent motion of the body. As we saw one that without Sense aborted in the fit of a Convul­sion: and wondered when she came to her self what had been done to her Belly.

Also Nature stirred up by Passions of the Mind, through the vehement Agitation of the Spirits, will cause Aborti­on; as by Fear, Anger, and other Passions hath been ordi­narily seen, especially if they swound, for then the Child is deprived for that time of vital Spirits, with the Mother from whom it receives them.

When Nature is stirred up by things taken or applied, Abortion caused by stirring up of Nature. it voided divers things, and so also the Child, as by the use of purging Medicines, which force Nature violently, so that not on­ly the Excrements, but the Child also is voided. Also by the use of those things mentioned in the want of Terms and bringing forth, either taken in, or applied to the womb by opening the Passages, and provoking the womb, by a Propriety to provoke Terms, or driving down the Child, Abortion may be caused.

The expulsive Faculty is compelled somtimes by humors that burden the womb, to void not onely them, but the Child also, especially by blood, which if it be too plenti­ful for the nourishing of the Child, and not consumed by it, about the Veins of the Womb, it burdeneth Nature, which labours to throw it out, and sometimes the Terms comming upon a Woman with Child, the Child is also sent forth with them. Therefore when women with child have their Terms, they are in danger to miscarry. Or if the Terms be provoked by opening a Vein in the Foot, the same may happen, and therefore women with Child must not be let Blood in the Foot. Also the Terms will sooner be provoked, if the blood be thin, cholerick or foul, and unfit to nourish the Child.

When the womb is moistned with water, so that it is too loose to hold the Child, that it is the chief cause of Abor­tion, as some say. And if it were so, it must needs be without it, and moisten the Orifice of the Neck of the womb, which is close shut in women with Child, because it cannot be in the womb, whose cavity is filled with the Child; and if it could be there, it could not so loosen it; nor can it do it when in the Neck of the womb, because it cannot remain there, and there must be a greater cause of Abortion then that.

The chief Abortion is from a dead Child, Separation of ves­sels by a dead child is the Cause of A­bortion. because then Nature labours to void it, as being burdensom, the causes of dead Children are divers.

As external force to the belly being great, as a Stroak or Contusion.

Want of Nourishment by which it decaies and at length dieth, this is not easie, for while the Mother liveth, the Veins can scarce be so empty, that there is nothing for the Child. Moreover, though the Mothers blood be impure and foul, the Child will have the best of it, hence it is that we have observed, that women in Ptysicks and Hecticks, have gone their time and brought well. But it may hap­pen, that if a woman with Child have her Terms violently and long, the Veins of the womb, and all other parts will be so exhausted, that the Child must want Nourishment. And this is so, if for the Causes aforesaid, the Child being alive, the Vessels are separated from them of the womb. And then it can live no longer, not only because it wants Blood, but because it wants vital Spirits, by reason of the Separation of the Arteries, and cannot take breath.

The Mothers by certain signs do know that the Child in the womb, hath a Disease and is sick, and like to die, but those are not easily determined till Birth, nor then, except there be visible manifestation, as I said of the Dropsie. But without doubt Children in the womb have some Diseases, as a hot Distemper must needs be in the Child, when the Mother hath a Feaver, which is in all Parts, and also in the Child. Or when the woman hath another Disease, she may communicate it to the Child, or she being full of evill Humors, may conveigh them into the Child with the blood, and so it may be cacochymical or of evil Juyce, or she may give it the Pox, or Plague, and this is not without a great cause, because the Child takes the best, and most agreable to it, and though the Mother be sick the Child may be sound. As Children that sucked their Mothers of the Plague have been by us observed to escape it when o­thers have died. Yet I knew a Child born of the mother when she had the small Pox to be full of the same. Also it is thought that things taken by the mother or applied to her womb may bring a malignant quality destructive to the child; as many Medicines which do kill children, and are Poyson.

Some Diseases that come from the Seed in conception to the child, appear sooner some, later, and kill him before his Birth, or continue by him after, they are mentioned in Deformity in Diseases original.

There is a Solution of continuity, A Wound or an Ulcer is the Cause of taking away a part that constituts the Body. divers waies in the voiding of parts that constitute the Body, as a wound, when part of the substance of the brain Lungs, Liver, Spleen, is cut off and comes out by the wound, or the teeth or tongue is cut off; they or some of its Humors fall out, which also may come from an Ulcer. Also the Brains may come out at the Nose by a contusion: as we shewed in Wounds of those parts.

The Cure.

A natural and legitimate Birth, when the Child comes ripe forth in due time, he must not be delivered, but well ordered, and if it be difficult, assisted. Concerning which how the Mother and the Midwife should behave them­selves, we shewed in the defect of Child-birth.

When travail is past, then you must have a care of the Mother and child, The Gournment of the Mother and Child after Labor. for the Mother you must mitigate her pain, and provoke her Flux after Labour, and strengthen her thus. Let her be raised up gently in her bed that she faint not, and give her broath, and wine, and good Scents to refresh her, and let her be moderate in eating and sleeping, and keep [Page 609]her out of the Air till she grows strong, and her womb be brought to its former Condition, which will be sooner if her Belly be rouled gently down.

As for the Child, let him be washed in hot water from his filth, and wiped with Feathers, and anointed with cream or butter, or Oyl of sweet Almonds, then roul him, and lay him in a Cradle, and rock him to sleep, and to learn him to suck, hold him to the breast: it is best to try that as soon as he is washed, for comming thirsty out of the bath, he will presently lay hold on the Teate and suck.

After Abortion or Miscarriage, there is no other order to be observed then after travail. And you must after take heed that it cometh not again, which it is probable it will if she hath been formerly subject to it. And this is done by things given and applied before conception, and when she is with Child.

Before the woman hath conceived, which she may be certain of, The preventing of Abortion before Concep­tion. if she hath not used a man since her Abortion: you must consider diligently, if there be any secret cause in her body, by reason where­of though she do conceive, and the child be formed (for if the Seed conceived presently flow forth, it is not a true but fase Conception, and the cause of bar­renness: as we shewed) yet she doth not keep it. And this is done by observing her constitution, whether she be Plethorick or Cachymick, of much or evil blood, and as the Humor aboundeth, you must cleanse the body by blee­ding, purging, sweating, and good Diet. Or if she have a Disease or Fault in the womb, which may cause this, you must study to amend it. But if there be no Humors ap­pearing that can be thought prejudicial, you must streng­then the womb, that the child hereafter may stay, by Me­dicines mentioned in Sterility, external, and especially baths which they say are best, and therefore they sit in hot baths often.

After the woman hath conceived; which she knoweth by certain signs, To prevent A­bortion after Conception. then you must take care that she may go out her time, and that the child may be lusty. But if you perceive it to be dead, you must not do so, and if you be certain thereof, you must use things that provoke Abortion, for either the child or Se­cundine remaining, will be the Death of the Mother.

There are divers things good to retain and keep up the child, after you have removed all causes that may hurt it, or remove it.

Sometimes it is good to let blood, if we perceive that a­bortion came from blood abounding about the womb the former time, by reason of Plethora, in regard she had her Terms in the time of her being great: and if we see they begin to flow again as they did, you may let blood in the Arm not the Foot, because that will move the terms: nor is litting blood to be feared, as the Ancients thought, when people with Child are full of blood, for I never knew any miscarry thereby, though it hath been done twice or thrice; and have seen divers wounded, and that have lost much blood, and yet the child hath not been the worse, yet is it not to be done rashly, but a little must be taken at once, and more the next month, and the third time if need require.

Also you must not be rash in purging women with child, that are apt to miscarry, except the body be too much bound, and then administer Clysters, of some opening, gentle Medicine; or if the body be very foul, then you may give some stronger Purge, and that will do no hurt but good; for many women by chance, not knowing they were with child have taken Purges, and had a great loose­ness, and the Child not the worse, neither did they mis­carry.

There are things that prevent Abortion by altering, which have an astringent Quality, to fix the Vessels by which the Child is tyed to the womb; and these add strength to the womb, and vigor to the child, and this they do by a Propriety known by Experience.

Some things are given often, especially when they are nigh the time. These Pouders are best taken in Wine, or the Yolk of an Egg, or with Sugar of Roses, or made into Lozenges, with Sugar dissolved in Rose or Plantane-wa­ter.

Take Red Coral in pouder two drams, I vory one dram and an half, Mastick, or Frankincense half a dram.

Or, Take the dry Grains of Cuchynele one dram, Pearls or precious Stones half a dram, with a little Leaf Gold make a Pouder: It is given by it self, if the woman supposeth her Child not well, or mixed with the former, or with Marga­riton frigidum.

Another, Take Roots of Bistort, or Tormentil two drams, Date stones one dram and an half, Plantane seed one dram, wa­ter-cresse seed a little parched half a dram, Amber two scruples make a Pouder.

Or, Take the Runnet of an Hare dryed two drams, Cray­fish parched one dram, burnt Ivory two scruples, Coriander seed prepared half a dram, Red Sanders one scruple: make a Pou­der, this may be given alone, or with the other: and if the Matrix of an Hare be dryed and poudered it is better, o­thers add the Pizle of a Bull, or of a Dear.

You may make of these this Mixture. Take Conserve of Roses one ounce and an half, Citron peels, and Quinces can­died, each one ounce; Conserve of Sage flowers, or of Mints which strengthen the Womb, six drams, of candied Myrobalans, Pulp of Dates, each half an ounce; of one or two of the Pou­ders aforesaid two drams, and with Syrup of Citrons make an Electuary.

Dates their Stones taken out, and they filled with the Pouder of Cuchyneile, and eaten before and after Sleep, are said to prevent Abortion.

The Water called the Childrens Balsom, made of many things steeped in Sack, and distilled Waters, is good to be taken every day to prevent Abortion.

Outwardly Oyntments and Plaisters, applied to the Womb, before and behind about the Reins are also good. And they are used when we are certain of Conception, at first a little and then more often, especially if any signs of Abortion appear.

The Oyntment. Take Oyl of Roses, Myrtles, Mastick or Quinces four ounces, Juyce of Sloes, Bdellium dissolved in Vi­negar of Roses, or red Wine half an ounce, Liquid Storax two drams, Wax as much as will make an Oyntment. You may add Oyl of Mints half an ounce, which is good against all Fluxes, and proper against Abortion.

Make other Oyntments of these Pouders. Take Fran­kincense, Mastick, each two drams; Sanguis Dracouis one dram, Bole, or sealed Earth half an ounce, of all the Sanders one dram, Spike half a dram, mix them with the Oyl or Oynt­ments mentioned; or with Wax make an Oyntment.

Or this: Take Snakeweed, or Tormentil roots, Cypress-nuts, Acorn cupps or Gall, each half an ounce, Myrtle leaves, red Roses, Pomegranate flowers, each two drams; Myrtle seeds, Sumach, or Berberries, Coriander seed prepared, each one dram; Water-cresse seeds, or Cummin seeds steeped in Vinegar half ae dram, of all the Sonders, Roots of Galangal, each half a dram; Gum Arabick, or Dragach one dram: make a Pouder, mix it into an Oyntment as the former.

Another proper Pouder for an Oyntment. Take Red Coral two drams, I vory one dram and an half, Goats or Harts Horn, Runnet of a Kid or Hare, each one dram, make a Pou­der. You may add the Pouder of a Turtle baked, mix them as the former.

Oyntments are made more Compound of the Pouders aforesaid mixed with Oyls &c.

Cerots alsd and Emplasters, may be made of the same either simple or more compound, to be spread upon Lea­ther, and laid on at night, and at other times, with more Wax, and Rosm to make them stick.

The usual Oyntments are that of the Conutes and the Emplaster against Ruptures.

Or we may use that Application which we mentioned to stop the Courses, like an Oyntment or Plaister: it be­gins [Page 610]thus. Take Roots of Snakeweed, or Tormentil &c.

Some commend Amulets, or things to hang about the Neck, as Eagle Stones which hath a Stone within that rat­tleth, if it be tyed to the left Arm, bare, or tyed first in Calfes skin, which is thought to provoke the Birth, if ty­ed to the Foot, and to hinder it if to the Arm, or under the Breasts.

Others commend the Jasper or Lapis Lazuli, to be hanged about the Neck, or Mallows, Pellitory, Tormen­til with the Roots.

The course of Life which a Woman must use to prevent Miscarriage, consists in temperate Air, let her beware of Heat and Baths, let her eat meat of good Juyce temperate, let her drink small red wine and water; let her take heed of sharp or hot things, pot Herbs, or Spices, or bitter things which hurt the Child: from things of strong Scent, as Saffron and the like, which move the courses or provoke Abortion, as we shewed in the Causes. Let her take heed of Passion of Mind and violent Exercise. Let her either rest or walk gently. Let her not often use man. Let her Body be kept from costiveness. And let her abstain from all things that may breed Diseases in the Child, as convul­sions, and let her keep a good Diet.

If the parts that constitute the Body that be sent forth are noble it is deadly, The Cure of Parts taken from the body. as the Brain, Lungs Liver, Spleen, when o­therwise it hinders the Functions, and when these parts are quite gone, these cannot be renewed, therefore we use no other Cure, but to the solution of continuity, as the wound, contusion or ulcer: as we shewed in the Functions Hurt, of those Parts.

CHAP. II. Of the Falling and Sticking forth of Parts.

The Kinds,

THe Falling and Sticking forth of Parts is preternatu­ral, although they be not quite separated from the Body, because they are removed out of their place, out­wardly. Those Stickings forth of parts which come from Fractures, or Dislocations, because the parts are not then in another place or out of the Body, but only stick out, and so cause a Deformity, are shewed in the Diseases of De­formity.

When a part is removed and yet not fallen off, The comming forth of Parts. as when the Guts, and Cawle come forth, it is seen by the Tumor, and therefore we spake thereof in Tumors.

The comming forth of parts from the Body, when they appear to the Eye, are of the womb, Fundament, Stones, the Eye, or Tongue.

The Womb or Matrix, falls through the Privities far somtimes; The comming forth of the Womb. and then you may see the Neck turned, thick, and rough and white for the most part, though red in some places, and it is swollen, and stops all the Privities, hanging down a span in length like a bag, some­times less, and the bottom of the womb is seen, and its o­rifice reddish and like Blood, with swollen Lips, as I have often diligently observed.

Sometimes the Womb falls down a little above the Privities or into them, The falling down of the Womb. and comes not forth, and is to be felt only, or it only hangs out a little, and grows forth more and more, except it be prevented, and this is called the Descending or Falling down of the womb

And if Inflammation or Corruption happen not, when the womb hath long been forth, and ill ordered, there u­seth to be no great accidents, but filth, hinderance in walk­ing, and a sense of weight, so that the Belly and Loyns seem to be drawn down, but otherwise if the woman can put it up again, as usually it is, she may use a man, and conceive, and go out her time without the Falling of it down while she is with Child.

The Fundament externally like a purse internally is made of the end of the Mus­cles of the strait Gut, The Falling out of the Fun­dament. if it be let more forth then at the time of going to stool is usu­al, and cannot be put up again into the Body, but remains outward with some part of the Fundament, it is called the Falling down of the Fundament.

Somtimes it is without any other Disease, as when by straining it comes forth, and continues longer or shorter, and comes of it self, or with little trouble into its place a­gain.

Somtimes though it be put up, it presently especially at the stool, comes forth again, this is usual in Children, and somtimes in Men.

Somtimes the strait Gut falls down and swells, so that it cannot be put up, or with much difficulty. Sometimes it is red and inflamed, and will endure to be touched, that it may be put up.

Sometimes it falls out without sense, The Looseness of the Fundament. and cannot be drawn up at will; this is called the Palsie of the Fundament.

We have seen the Codds open and the Stones hang far out. The Falling out of the Stones.

The Eye cannot hang far out of its place, as we shewed in Deformity, The Falling out of the Eye. and if it stick far out, it is called the Falling out thereof.

The Tongue sometimes hangs out of the mouth, The comming forth of the Tongue. and this is called the hang­ing forth of the Tongue.

The Causes.

The Cause of the comming forth of the Guts, Cawle, Womb, Fundament, Eye, or Tongue is either from some o­pening, and the Rimme of the Belly, or weakness, and dis­solving of the Neck of the womb, or the turning of the Fundament, or strait Gut outward: or the loofening of the knitting of the Eye, or Tongue; or a wound of the Codds.

By the opening of the Rimme of the Belly which keep­eth the Guts and Cawle in the same, if the Guts or Cawle fall through the opening, then there is a Rupture or Fal­ling out, of which we spake in Tumors. And this ope­ning of the Rimme, is either when it is broken or dilated.

The Falling forth of the Guts and Cawle is from the breaking of the Rimme of the Belly, The Cause of the rupture of the guts called Enterocele, and of the Cawle called Epiplocele. that causeth the Swelling called Hernia or Rupture, of which there are divers sorts accord­ing to the Diversity of Parts where they fall; for if it be in the Groin, and in the male-kind, so that the Rim be open which covereth the Stones and seminary Vessels, the Guts get through the opening, and so lye under the skm, which is called Entero­cele; and sometimes into the Codds, and cause a great Swelling when much falleth down, or when they are stret­ched with wind, or with Excrements. And if they be hard, it is selt, and if there be wind, they make a noise be­ing pressed. And if the Guts stay there and cannot be put up, because they are stretched and rouled together, because the Passage of the Excrements is stopped, they are thrown up again. But if part of the Cawle fall into the Groin by the aforesaid, it is called Epiplocele, and the Tumor re­mains [Page 611]there, not going lower because the Cawle being short and scarce, reaching beyond the Bone of the Privi­ties, cannot fall so low as the Guts, except some part of it be broken, when the Rimme is broken, and then it may fal into the Codd, which cannot be put up again. We saw one in the Groin very big, which we knew was the Cawle by feeling of it to be unequal with Knobs of hard Fat; which we knew was broken by the quantity or relaxed as we shall shew, but being without pain it was neglected, and the Patient lived not long after.

If the Rimme be broken in the groin of a Woman, The breaking of the Rimme is the Cause of the Rup­ture in the Groins of Women. where a certain Vessel passeth by it outwardly in the Groine, then there is the Rupture called Ente­rocele or Gut-rupture in Women, which is sometimes very great. And if the Cawle fall there which is longer in Women then in Men, the Tumor is larget then in Men, and is called Epiplocele or Cawle-rupture.

But if the Rimme be broken in ano­ther part of the Belly and the Guts, The Cause of Navel-rupture. or the Cawle get there under the skin, if it be in the Navel, it is called Omphalocele Navel-rupture, or Exomphalocele, or Rupture about the Navel, if in any other part it is called Hernia or Rupture, which you may know by touching, whether it be the Guts, for then they will make a noise, but the cawle will not, and the Guts make a larger Tumor then the Cawle.

The Rimme is broken, either by a Stroak or Fall, or ve­hement Leaping, or Vaulting into a Saddle, as I have ob­served. Also by great straining when the Belly is pressed by the Muscles in Labour or Travail with Child, or going to stool, also in Children by crying. Also by a cut, when the skin is healed, and the Membrane left open, or the like.

A Portion of the Guts or Cawle may fall down, The Dilatation of the Rimme is the Cause of ruptures. only by the enlarging or di­lating of the Rimme of the Belly, by which the Seed Vessels descend into the Codds. This comes not speedily but by degrees, with often straining; for when the Guts are carried to the enterance of the Rimme of the belly, they work themselves through or break through, when the force is great. And that this may be so, and that the enterance of the Rimme of the Belly may be so dilated and opened without breaking, it appears, in that more narrow and thick parts, may be so enlarged as the Ureters, through which a Stone falls down, as we shewed. And this we have seen to be by degrees. And in a Rupture-dropsie, when after Death we opened him, we found a round hole not cut or broken, by which the Guts fell into the Codds, by which that thin part of the Gut which is above the blind Gut, was carried to the bottom of the Codd which was full of Water, and it grew firmly to the Rimme in the whol Passage; and the Patient while he lived and was in Health otherwise, voided his Excrements orderly, and complained of no pain. Fernelius who distinguisheth this Passage of the Rimme into that which is internal, and that which is external, faith that in the Gut-rupture, and cawle Rupture, the inward Rimm or Skin must needs be broken, and the outward only enlarged. It may be he meant that it was so in Women, that these Ruptures came from the Relaxation of the Rimme of the Belly in the Groin where they have as we shewed a peculiar Vessel.

For he saith that there is a Tendon sent from the Groine to the Rimme of the Belly which strengthneth it, and so al­so the Guts and cawle.

But in regard that Vessel is not so membranous and thin as the enterance of the Rimme, but is nervous and hard, and therefore is not so easily enlarged, the Guts or Cawle cannot fall into the Groin by the relaxing thereof, except it be broken.

When the Rim of the Belly is enlar­ged without being broken, The cause of Na­vel-rupture is the enlarging of the Rim of the Belly, there. there may be a Navel-rupture also: and this ap­pears, because in great straightness, es­pecially of Woman in travail, the Na­vel often swells, by the Guts through straining, sent chiefly to that part of the Rim, where there is a short Passage in the Navel, which appeared at the birth in the Navel string and after grew together, and there di­stending or stretching the Rim, and when the straining is over, and the stretching, the swelling goes clean away and returns no more, which would not be, if it came from the breaking of the Passage: for which cause, as we perceive plainly that the Navel-rupture continues not, so we may collect, that the Rupture which remains, comes from the Rim of the Belly, so stretched by the Causes aforesaid, that it cannot return, which cannot be in other parts of the rim of the Belly, but that in the Groine, without a breaking thereof.

From the Dissolving or Division of the Neck of the Womb, The cause of the falling out of the Womb, is the dis­solving of the connexion of the Neck thereof. from the parts unto which it is knit, comes the Falling out thereof. For the Womb being chiefly held up by its Neck, upon which it resteth, and unto which it grows firmly, and in other parts being free from all connexion or joyning, that it may better di­late and enlarge it self in Conception, (except on each side a little, and that loosely to the Rimme of the Belly) it cannot be that it should fall all to the Privities, except the Neck thereof which is so fastned thereto, that it can­not be separated, do also follow. And because this can­not be without the rending of the fibrous Connexion which is made by the Neck and Parts adjacent. The im­mediate cause of the Falling of the Womb, must be the dis­solving of the Connexion of the Neck thereof. And if this dissolving be in some part onely near the womb, the womb will hang down in the Privities, with some part on­ly of the Neck turned, but if the Neck of the Womb be wholly separated from the parts under it, then the Womb will all hang forth, with the Neck turned inside, outward, and the womb will not be so turned in the bottom, but as it was when in the Belly, the Orifice onely being open, drawing with it the Membranes and the Rimme which is joyned to them with the Vessels and Stones. And this may be without a Rupture; only from the Looseness of the Membranes which can stretch much, (as we see in Dropsies, when the Belly is swollen, how the Rim thereof is stretched) although the womb hath been long down, as appears in that when it is put up again, Women may con­ceive, which could not be, if the Vessels were divided from it.

The womb it self causeth chiefly this Separation of the Neck of it from the Fibers or small Veins by which it is joyned to the parts adjacent though not strongly, and ther­fore it may be without great hurt or bleeding; when it is forcibly so drawn down, that it brings the Neck with it, either suddenly or by degrees, when there is less force, first tearing the Veins next to it, and then turning out the neck downward, which hanging forth, makes it fall more down by degrees through the weight thereof.

The womb is thus driven down by great and often straining, The forcible unty­ing of the Neck of the Womb, is the cause of the wombs Falling down. by blowing the wind, or otherwise which presseth downward the Guts and Womb, es­pecially in a womans throws in child­birth; when the travail is hard, and the womb gets too much downward with the Child, and the rather when the Child getting through with difficulty, thrusts the Neck of the Womb down, and so untieth it from the Veins. Or if the Secundine or after Birth, stick­ing still to the womb, be so driven by the Midwife, that the womb is driven down also with the Neck thereof. For these Causes after Child-bearing the womb falls down; [Page 612]and those Women which have often brought forth, and en­dured such Midwives, are presently troubled therewith, or when they grow old.

The same may come from Leaping, or the like Shak­ing of the Body; and the Womb may hang out thereby.

Also from the Neck of the Womb it self besides, when it is pull'd away by the Womb, there may be a Falling out of the same, when it is separated by Force from the parts beneath, by violent and frequent Copulation, as in Har­lots which are continually rubbed; or from some Cor­ruption in the Neck, by which we once saw the womb fal­len out.

Also from other Causes, this Falling down of the womb can scarce proceed. As for the looseness of the Ligaments (or of Muscles by which some thought the Womb did hang) which they say comes from the Force mentioned (and by which the womb is driven down,) or from the plenty of Humors that wet the Membranes. We, (since there are no such Muscles, because as we shewed the womb must be free, and Membranes so loosned, that they may follow the womb, nor so fast tyed as they ought to be, if the womb hang by them) cannot grant the Falling out of the womb to be from the looseness thereof. For although the womb be loosned, and the Vessels stretcht beyond their bounds, yet can it not fall through the Privities, except the Neck be separated, also which only holds it in.

Nor can the breaking of the Membranes be the Cause, as some say, because, we found in the Anatomy of a Wo­man whose Membranes were putrified and consumed, long before her death, as appeared by a Flux of stinking matter, that the womb moved not out of its place, but was firm.

As for the watery Humor which they say causeth the Falling out of the Womb, we shewed that it could not do it by moistning the Ligaments, and now declare, that in Women that have the Dropsie, in whom the womb and its Membranes swimms in water, the womb falls not out; yet it may come to pass in the Whites, that the neck of the womb being continually moist, and therefore too loose, that the womb being compelled by other Causes, may easier slip down, and the neck may yeeld more easily, and be inver­ted.

Some teach that besides this Falling down, that the womb while in the Belly may be moved on one side, and get also up to the Stomach. But being it grows to the neck, and is compessed every where with the guts, abiding commonly in the middle, it will not easily get into other parts, and will rather go downwards then upwards. Except perhaps it grow so that it take up more room then formerly, as we see in Women with Child: and then also it rather goes down­wards by its weight, and the Belly is more swollen and harder beneath. For which reasons, and the other acci­dents in the Mother-fits, we declared in the Cure of them, that they come rather from Vapors that arise from the womb, then from the ascending of the womb it self.

The Falling out of the Fundament is from the Inversion or straight Gut, The cause of the falling out of the Fundament is straining. for then it swells, as when going to stool, the Fundament sticks out with straining to let out the Excrements, till it be drawn in again; so that if by great force and straining with hard Excrements, it be so brought down, that it brings a part of the straight Gut with it, it is the cause of its staying out. The same may be from other causes that bear down, as in Child-birth, when the Deli­very is hard, the Fundament also falls out, also from for­cing about the Fundament, as in the Tenesmus, or needing or in the Flux called Dysentery. And we have seen in an Incision made in the Rimme or Peritonaeum near the Fun­dament for taking a stone out of the Bladder, that through pain, the Fundament hath been by straining thrust out, and the Yard also though in an Infant and little, hath been swollen and stood. And I have observed in some Chil­dren troubled with the Stone, that they had not only this coming forth of the Fundament alwayes when they strain­ed to make water, but an Extension of the Yard, especial­ly in the Head and Fore-skin, from their often handling of it through pain, which were the undoubted signs of the Stone in the Kidneys.

And if the Fundament be so thrust out by straining, that the straight Gut be drawn from the Mesentery or middle Membrane by which the Guts are held, then they cannot be put up or kept in; although the Muscles be right a­gainst the Fundament to draw it in again gently, yet if it be far forth and tied with no Ligaments, the Muscles alone cannot do it, because if the Fundament be far out, they will fall out also.

It may come from the weakness of the Muscles which draw in the Fun­dament after stool, The Loosness of the Muscles of the fun­dament is the cause why it cannot be drawn in. and constrain it up, that the Fundament may be so far forth, that it cannot be drawn in, by which means the Fundament may be said to be forth, but not to fall out except Force or Strain­ing perceeded; because it is not so retained by these smal Muscles, that when they cease to act, it should presently fall out of the Body in which it was included without any Force. These weakness which makes the Muscles unable to draw back the Fundament, that falls out by stool, bofals them, which have often had the Falling of it out; or it comes from too much cold of the part which is very sensi­ble, by sitting upon a cold stone or the like, or by staying in the cold Air or Water, which touch the Fundament.

Many suppose that Falling of the Fundament, The Loosness of the muscles is the cause why the fundament cannot be drawn back. and that which is called the Palsey of the Fundament, comes from Loosness of the Muscles through a Defluxion upon the Nerves. But it is improbable, that a particular Palsie of this part should be alone, without any other part affected from the Defluxion. Nor is it pro­bable that a Defluxion which must needs fall in abundance to cause a Palsey, should fall only into the lowest part of the os sacrum, where these slender Nerves are accompanied with these Muscles, and not rather sill the whol Cavity of the os sacrum, by which means the Nerves might be dissol­ved. Therefore if there be a Palsie in the Muscles of the Fundament, it would be in the whol Body, or in the inse­rior parts, as well as there. And though there be a great Resolution of parts in an Apoplexy, we find none there, nor doth the Fundament fall forth, nor in any other Palsie, when all the lower parts are resolved, yet the Patient can go to stool and draw in the Fundament, and though it be weaker for the Disease, yet it falls out. For which cause, if difficulty of drawing back of the Fundament be from the Nerves, which comes soldom, it comes from a Palsie caused by a Defluxion, and we suppose that it comes from com­pression of the Nerves, or contusion by Fall or Stroak about the Crupper, or from some great Coldness of the part which is not only upon the Muscles but Nerves.

When the Connexion of the Eye with its hollow roundness is loosned, The Connexlon or Fasting of the Eye being loosned by a Contusion is the cause of its coming forth. it falleth out, and this comes by fome violent Cause, because it is so fixed to the place, that when it is brought to the Table boyled it can scarce be got out.

Yet the Eyes fall out by a great Contusion of the head, by a Fall or Stroak.

And scarce by another means, except they start out a little by straining, as in Child-birth, crying or roaring and so seem bigger, yet they fall not out by that means but on­ly stick out, of which we spake in Deformity: because by straining they cannot be much dissended, but a little for­ced by the Muscles.

Some think that the Eye may fall out by the stretching of the Globe with Wind and Moisture gathered before it, but since we find no Cavity in the Eye, but it is full every where, and there is no way for these to get in, or can they [Page 613]be bred in the Eye, or come from other parts, we cannot yeeld to them. As we shewed in the Causes of pains of the Eyes, from Wind and Filmes, which they suppose to come from Defluxion of Water.

The Falling out of the Tongue may be from the loosning of its Connexi­on, The loosning of the Connexion of the tongue from a con­tusion, is the cause of its coming forth. it is so strong bound by Muscles, a Coate and Ligaments, that it must be done by great Force. But it hap­pens from a Contusion of the Neck or Breast, as when theeves are racked, their Tongue sticks out, and it may also come by other means.

I saw one whose Stones hung out by a wound which was given upon his Codd. The cutting of the Cod causeth the fal­ling out of the stones And I observed the same in one which was shot with a Bullet and lost half his Codd, that his right Stone, with the Seed-vessels hung forth bare.

The Cure.

The Falling down of the Guts and Cawle which comes from the break­ing or stretching of the Rimme of the Belly, The Cure of the Falling out of the Guts & Cawle in Ruptures. causeth the Tumor called Cele, if it be in the Groine, and be but lit­tle, causing no great pain, it is neglected, or it is easily cu­red if taken in time; as also the Omphalocele or Navel­rupture, which some have all their lives, which will fall in when it is pressed, or the like; but some Navel-rupture vanisheth of it self: as I shewed. But if the Tumor des­cend to the Codd, in the Gut-rupture it is harder to cure, or dangerous, for if it will not return by any means, but cause Pain and Costiveness of Body it is deadly, and the Excrements are spewed up which declare it.

Also the Navel-rupture or the like, if it cannot be put in, and produce the same accidents is deadly. And we shewed that the Cawle-rupture killed one, when the Tu­mor in the Cod grew hard▪ In other kinds of Ruptures in the Belly or Codds, if the Tumor will yeeld, although it be of short continuance, yet to take it quite away that it return not, and to make a perfect Cure, it is difficult, es­pecially because the Patient must continue them for their Operation, and Rest, and be bound which he wil unwilling­ly undergo. But if it be old, it is impossible, except by manual Operation, and that is painful, and dangerous of death if by Incision, as is usual, and the Stone on that side must be left, if it be made in the Groine. And if the Pa­tient will not adventure that you must labour to hinder those Tumors from increasing which you cannot take a­way. All which shall be declared and the manner how, by Medicines both inward and outward; first how Medicines may be applied to the cause that is the part fallen, then how to the Disease which is the Solution of Continuity in a Rupture; or of Contiguity in the relaxing of the Rimm of the Belly.

We use things to put up the part fallen, and to keep it in, and hinder it from falling out again; if it be Gut or Cawle fallen out of the cavity of the Rimme, either cau­sing a Tumor in the Groine or Codd.

We put up the Tumor in the Groine and Codd with the Hands by degrees, or in the Belly, by pressing and moving it to the hole whence it fell, which we find out with the finger. And this is done when the Patient lyeth upon his Back, so placed that if it be below, that his Feet may be higher then the rest of the Body, by which somtimes the Gut goes in of it self, so I saved the life of a Countrey­man twice that was broken on both sides, when he vomi­ted his Excrements, and was in great pain; and a while since I cured a Virgin that was bursten, which vomited her Excrements, by putting up the Gut with my Hand.

And if this Operation do it not, as when the Gut is out it comes to pass often, through Distention by the wound, and Wrinkling and Hardness, that the Gut is so swelled, it cannot be reduced by the Passage, and then you must have a care, least the Passage of the Excrements being hindered, they should flie up or an Inflammation should kill the Pa­tient.

Also you must apply the Anodynes or takers away of pain, when there is Pain, Heat and Fear of Inflammation, mentioned in the Tumor Phlegmon.

And chiefly this Pultis, which openeth the wayes and mollifieth the hard Excrements, and expells Wind. Take Marsh-mallow roots two ounces, Lilly roots one ounce, Mal­lows, Violets, Brank-ursine, Pellitory, each one handful; Roses, Violets, Chamomil, and Melilot and Dill flowers, Bran, each one scruple; boyl them in Milk and Water: if there be great pain, beat and seirse them, adding, Barley flower, and Bean meal, each three ounces; the Flower of Line-seed, and Foenugreek, each one ounce and an half; Fleabane seeds one ounce, Pouder of Earth-worms one dram, Oyl of Roses three ounces, Ducks or Hens Grease one ounce: make a Cataplasm.

When the Heat is not, and we will use Softners and Ex­pellers of Wind, add to it, Orris roots, Briony, or wild Cow­cumber roots, each one ounce; Wormwood, Calamints, or Or­gan, each one handful; Elder, Rose and Centaury flowers, each one pugil; Cummin and Caraway seeds, each two drams; Ag­nus Castus seeds one dram, and without Milk, we add Wine, and with the Meals or Brans aforesaid, or of Orobus and Lu­pines, each one ounce, Bay-berries half an ounce, with Oyl of Orris and Rue: make a Pultis.

Or when there is much Wind. Take Caraway seeds one ounce, Cummin seed half an ounce, Oyl of Rue one ounce, with Oxymel, make a Cataplasm.

Rue fryed with Oyl, and applied is good.

Fomentations are made of the Decoctions, of the which the Cataplasm was made of the first if there be Heat, of the last if you must discuss more, adding the Oyls there mentioned.

Also anoint with Oyl of Roses, Dill, Lillies, Chamo­mil, Melilot, Orris, Elder, Rue.

You may discuss with Baggs, of dry Plants, and Milium seeds, and the other great Seeds and Salt.

Besides you must use against Wind inwardly and out­wardly, things to dissipate or discuss and prevent it also. As we shewed in the Wind of the Stomach, and of the co­lick.

You have need of no external Applications, when the Cawle comes forth, being commonly in the Groine, and will go back only with lying down, or with the Hand, ex­cept it be in the Codd, as we shewed: and then you must foment and plaister the Tumor with Loosners, not regard­ing wind, except it be gotten in the same way.

If the Guts cannot be put up, we are constrained to cut, that the skin being open, and the Guts bare, and the hole by which they sell open, they may better be put up; which is dangerous to do in the Groine if the Guts are gone from thence into the Codds, because the Guts sticking to the skin, may easily be cut also, as we have seen. Moreover if the Incision be made with such care, the Guts are not hurt, yet in regard the naked Entrals are worse to be med­dled with, for the Cure of the pain of the wound, then when they were covered with skin, by this Operation in the Groine, we either do no good, or we give occasion to have cutting to be thought the Cause of his Death, which would otherwise have followed, while the Guts were forth. But we have observed good success by cutting in other parts of the Belly, when the Guts get through the Rimme of the Belly being burst, and can by no Art be put up a­gain, because the Tumor is seldom so great in those parts, and the hole of the Rimme may better be found, and the Guts better put up without danger, being taken hold of near the hole, and by degrees wrought in.

We keep the Guts and Cawle in, and the Tumor from returning divers wayes; by placing the Body convenient­ly, and compressing the Tumor with the Hand or Instru­ments.

[Page 614]The placing must be such that the Guts and Cawle may rather tend inwards then outwards, with the Face up­wards, and let him keep his Bed in that posture, because it keeps them in till other Art be used.

The Hand pressing the Tumor, doth not only drive it back, but keeps it from returning while it is held there, and though this cannot be done continually, yet it is good somtimes to apply the hand, especially when the Guts are pressed by the Belly by coughing or straining, and strive to get out. And if the Tumor be not great, and the straining be usual, you may keep it from increasing with the hand.

We keep them also up with Instruments called Trusses, which they must wear while they sit up, and not leave them off but at night if they hurt not nor hinder, & when they are constrained to change them or remove them, you must sup­ply their place with the Hand. These are made of Bolsters laid upon the Tumor which stops its return, which that they slip not nor be too strait, are tyed by divers Bands like a Girdle, or from the Shoulders, and the like, tyed with Points, or with Claspes, and they are to be fashioned according to the Tumor that the Patient may wear them with little trouble, of which these following are the best.

The first for the Groine-truss, is made of a Pillow of the length and breadth of the Groine, stuffed with wool two fingers thick, and least by use it should fetch off the skin covered with Linnen, Silk or Leather, and that it may stick fast, there must be a broad Girdle of the same stuff about the Loins so fastned as I shewed, to the Groine before, and a broad Rouler of Cotton to the hinder part of the Girdle, to come between the Thighs, that goes through the mid­dle of the Pillow or Bolster, passing through a loop to keep it fast; and the Girdle must be there tyed again.

The first Instrument opened.
  • A the Pillow.
  • B the Girdle.
  • C the Girt underneath.
  • D D the Thongs of the Girdle and Girts.
  • E E the Loops through which the Thongs pass.
  • F F the Loope of the Pillow which the string passeth through

There is another for the Groine, made of the Girdle and Bolster, as the first; but the string going under, is fastned be­fore to the Girdle, and passeth through the Loop of the Bolster, and is divided into two bands, which put under the Thighs, are tyed in two places to the Girdle, that they may hold faster, and keep the Pillow right in its place.

The second Instrument laid open.
The Instrument closed, and as it is bound to the Body.
  • A A the Pillow.
  • B B the Girdle.
  • C C the String going underneath.
  • D D D D two Roulers into which that string is divided.
  • E E the Loop of the Pillow, under which the Girt passeth.
  • F F F F the Girt by which the Girdle and the Roulers un­derneath are tyed.

The third Instrument to be fitted to the Groin, so strong that it is proper for unruly Children, is made of an under Girdle, which is tyed to the Girdle above the Groins, be­ing broad and large upon both Groins and the Codd, and on both sides, where the Groins must be pressed, like two Pillows stuffed with Wool, but in the middle the Yard pas­seth through a hole, and under there is a Bag which holds the Stones not close, and ends in two Roulers, which brought under the Thighs, are tyed both to the Girdle, and do attract the under girt, and besides there are two other Roulers which are brought forewards under the Thighs, which pass through the Loops of the two Pillows, to six the Girt and the Pillows, as the following Figure sheweth.

The third Instrument open.
The same Instrument close, how it is fitted to the Body.

[Page 615]

  • A A A the Girdle.
  • B the Girt.
  • C C the same open,
  • D D the hole of the Girt.
  • E E the bag of the Girt.
  • F F F F the two bands of the Girdle.
  • G G G G the two bands of the Girt.
  • I I I I the Points that tie the Girdle and the Girt together.

Somtimes the three kinds of Girts which are under the Girdles, that they may not slide down, and be faster, are held by two other Girts that are fastned behind to the Gir­dle, and cast over both Shoulders, and bound with Points again to the Girdle before.

The fourth and most proper Instrument or Truss, is made of two broad cotton Girts, to both which there is a Bolster, which are tyed behind to the Doublet, and are car­ried under the Thighs, come up again to both Groins, where they lye upon both Groins with Pillows, and are a­gain tyed to the Doublet, and that the Pillows may be fast, they are tyed fast with a Leather-girdle that passeth through the Loops of the Bolsters, before and behind, and so in the greatest Motion it will hold, and the Bolster in the sound Part, doth help the Bolster upon the Tumor, that it slip not. As the following Figure shews.

The fourth Truss or Instrument laid open.
  • A A two Bolsters.
  • B B two Girts.
  • C the Leather Girdle.
  • D D the Loops of both Pillows.
  • E E the Loops of both Girts.
  • F F F F the Holes of both Girts by which the Points are fastned to the Doublet.

The fifth Truss is made of Wood two inches thick, thin and round beneath, which hath a space in the middle for the Yard, least it should hurt the Root thereof on both sides, with two Bolsters upon the Groins. This Girdle made of firm thin Iron, that it may yeeld a little, and co­vered with Leather is fastned above with Nails and Hin­ches in the outside, that it may open and shut, and the lea­ther it is fastned. As this Figure following sheweth both open and shut.

The fifth Truss open.
The same Instrument shut as it is upon the Body.
  • A A A A the Wood.
  • B B B B the Iron Girdle covered with Leather in the first figure, and bare in the second.
  • C the outward part of the Iron Girdle bare, fastned to the Wood by Nails and Buckles.
  • D D the two Hooks.
  • E the outward part of the Iron Girdle bare, with holes for the Hookes.
  • F F the Iron Girdle divided there, in the first figure onely held together by Leather.
  • G the Barre made of the ends of the Girdle, joyned with Hookes and covered with Leather.

The sixth Instrument made of Wood, that is broad, to cover both Groins, bowing inwards, and holding up the Codd, with an Iron Girdle like the former. Under which upon the side where the Rupture is, there is a Bolster or Pillow to press down the Tumor: as followeth.

The sixth Truss made of a broad Board, fastned to an Iron Girdle, like that in the fifth figure.
  • A the broad Board.
  • B the outside of the Iron-Girdle fastned to the Board.
  • C the Girdle there divided.

The seventh Instrument or Truss is made of Iron, onely for the Groyn where the Rupture is, with an Iron-Girdle as the former. This is made of thick and broad Plate of I­ron, with an Iron-spoon of the same breadth, joyned to the Joynt, that it may move, lined with Leather, and stuf­fed where it toucheth the Rupture, which is held with the Iron-spoon. As may be seen in the Figure following.

The seventh Truss open.
  • A the Iron-Plate.
  • B the Iron-Spoon.
  • C the Convex, or bunching part of the Spoon covered with Leather.
  • D the Iron-sh [...]ll which thrusts the Spoon down.
  • E little Holes through which the Leather is sewed to the Plate.
  • F the Iron-Girdle as in the fifth Figure.

For the Ruptures of other parts, as of the Navel, and the places adjacent, Trusses are made of Cotton or Iron-Girdles, as formerly, which goes about the Belly, where the tumor is with a Bolster, or wooden or Iron-Plate to press it down, as you may artificially invent, which Girdle may be held up with Girts about the Shoulders, or fastned to the Doublet.

[...]
[...]

[Page 616]Also we keep the Rupture from falling down, by taking away the Cause that drives it out, as much Meat and Drink, and such things as breed many Excrements and wind, because they fill the Guts, and make them strut out.

To this end also we purge, with Medicines mentioned in the Diseases of the Stomach and Colick. To which we add astringents for the Rupture, as Rhubarb, Myroba­lans, and the like mentioned in the Dysentery, or we add some of the Decoctions following.

You must give no Clysters in Ruptures, for if the Guts be out, they fill them, and increase the tumor, and keep them from being put up. And if the small Guts be out, whether Clysters can scarce come; yet in regard it is hard to distinguish them, and the Clysters may somtimes get thither, it is better to forbear, except, after the Guts are put up, when there is a great costiveness. In the falling out of the Cawle called Epiplocele, because Clysters can­not be sent thither, if the Belly be full of Wind and Excre­ments, you may administer them with good success.

Also Cold doth hurt in Ruptures, especially when they are out, for it wil make them swell, therefore beware of it.

Also take heed of violent Exercise, straining or whoop­ing, for they contract the Belly, and thrust out the Guts. Also Venery is evil, if forcibly used. Rest is most conve­nient, not only to prevent it, but also to cure it: As we shall shew.

For the Cure of the breaking of the Rim of the Belly, or when the passage thereof is enlarged in the Groyn, or o­pened about the Navel, we give, and apply many things, or if they will not do, we use Incision.

We give inwardly such things as are mentioned for glu­tinating of wounds, which by their drying and binding vertue, do help the Rimme when it is loosned or broken, by their glutinating force, if the Lipps of the wound are not yet grown hard, and then they can do little, except they can make new flesh to stop the passage. These must be used long, for many weeks, that their vertue may reach to the part affected.

For this purpose, you may use wound-drinks, mentio­ned in the Cure of Wounds.

Or of other Plants, green, or dry, boyled in wine, or the like, or made with Honey, or Sugar into a Syrup: As we shewed in Wound-drinks.

The simple Decoction of Knot-grass, or Salomon-seal, which is called Rupturewort, for its vertue in Ruptures; or of Sanicle; or that of Fernelius, which is called Royal Osmond, made in wine, is excellent.

The Compound Decoction of these three is also good.

Or with three coloured trinity Violets, called Jacea or Knapweed, or Ladies-mantle, Mugwort, Bettony, Agri­mony, Horstayl, Burnet, Mousear, Thorow-wax, Cress­wort, each one handful; Comfrey roots one ounce and an half, Madder, and Snakeweed, each one ounce; round Birthwort half an ounce, Flowers of Mullein, and St. Johns-wort, each one pugil; Cypress-nuts half an ounce, Southernwood, and Water-cress seeds, each one dram; Anise seeds two drams, boyl them in Wine and Water, till the third part be consu­med, to four pints, and drink thereof, or with Honey or Sugar, make a Syrup.

There are others for the same, which may be boyled with the former, as Daffodil roots, or Avens, or Bearfoot, or Mary-thistle, or Lady-gloves, or Hog-fennel roots, the Leaves of Comfrey, Golden-Rod, Avens, Plantane, Ad­ders-tongue, Strawberries, Mullein, Primrose, Bears ears, Orpine, Yarrow, Tansey, Hemp, Sage, Calamints, and the rest mentioned in Wound-drinks.

The Arabians commend a Goats head boyled with the Hair, and the Hair of an Hare boyled.

You may make a Wine with the Infusion of the best of the things mentioned, being dryed, and it will be less di­stasted, and drunk longer.

Some Juyces drunk, do the same, one ounce at a time, with Wine, or other Liquor, or boyled thick, to an Extract, one dram at a time: Or with Honey or Sugar made into a Sy­rup, and given one ounce and an half.

The Juyce of Rupturewort is best, then of trinity Vio­lets, and Osmond Fern, and of great Comfrey roots, and one dram of the Juyce of Gentian roots according to Dio­scorides, and the Juyce of Butchers broom, the Juyce of o­ther Plants mentioned in the Decoction; also the Juyce of Laserpitium.

The stilled Waters of Ladies-mantle, Comfrey, Horse­tayl, Plantane, red Roses, and others mentioned, drunk alone, or with other Remedies.

There are also Potions for the Rupture, made of one dram of pouder, with red wine, or a Decoction, or stilled waters, or with water and Milk for Children, or with a rear Eg, or the like, with Sugar, or Honey, if you please.

As these following, simple, or mixed, the chief is of Rupturewort, and Horse-tongue roots, of the Leaves of Adders tongue, of Roots of Swordgrass, wild Orris, or three coloured Violets.

Also the pouders of Horstayl, Shepheards purse, Ladies-mantle, Thorow-wax; also of the Roots of Comfrey, Valerian, Birthwort, Snakeweed, Tormentil, five leaved Grass, Briony.

Also Dioscorides commends the pouders of other Herbs, as of Bettony, Liverwort, Cuckow bread, Balsom, Wood­bine, Marygolds, Rock Comfrey, Burdock roots, Elicam­pane, Lovage, Seeds of Watercresses, and Countrey Mu­stard, and of other Plants mentioned for Decoctions.

Also the pouder of Earth worms, and of the worms of Byzant, the Filings of Steel, of the Bloodstone, Amian­tum, and of Osteocolla, which glews bones together. Al­so of Fat Earths sealed, and other dryers.

Also the pouders of Troches of Amber, Ivory, or Bole, or of Diacydonium, made of Quinces without the Species, with some convenient Liquor.

These may be taken in pouder with Sugar, or made in­to Lozenges with the same, with proper waters, and things good for the Stomach, and to expel wind, for that sills the Guts, and increaseth the tumor.

As, Take Coriander seeds prepared, one dram, Caraway, or Cummin, and Water-cress seeds, each half a dram; Rupture­wort one dram and an half, Horstongue, or Adders tongue, or Horstayl one dram, Comfrey roots, Pomegranate peels, each half a dram; Bole one dram, red Coral half a dram, Sanguis Draconis, the Ashes of a Bulls, or Staggs pizzle one scruple, Cinnamon one dram, Sugar of Roses, as much as all the rest, or with more Sugar dissolved in Rosewater, make Lozenges.

You may make Electuaries of the same pouders, with Conserves, Candies, and Syrups, or Extracts two drams to be given with convenient Liquor after it.

Or thus: Take Conserve of Comfrey, and Daffodil roots, each one ounce and an half; Conserve of Rupturewort one ounce, old Conserve of Roses, and of Acorus, each six drams; Conserve of Sage, or Stoechas, French Lavender half an ounce, Coriander seeds prepared, and Fennel seeds, each half a dram; Amber, Mastick or Frankincense, each two scruples; Blood­stone half a dram, Cinnamon one dram and an half, with Sy­rup of Myrtles: make an Electuary. To which you may add some of the aforesaid pouders.

You may also make a Mixture of divers Pouders men­tioned, and give half a dram, or two scruples like Pills, e­very day, because they are unpleasant.

Thus: Take Comfrey, Madder, Tormentil, Birthwort, Rhubarb, and Briony roots, each one dram and an half; Rup­turewort, three coloured Violets, Horstongue, Adders tongue, Shepheards purse, Ladies-mantle, Horstayl, Water-cress seeds, Mummy, Byzantine worms, Bole, Coral, each one dram; Gum Arabick, Sarcocol, Mastick, or Frankincense, Amber, each half a dram; make a Pouder, and with Syrup of Myr­tles, and Infusion of Gum Traganth, make a Past.

You may with all the other pouders make up as excel­lent Medicines, as the former.

The usual Pills for the Rupture, are those of Bdellium.

Or these: Take of Bitumen, or Mummy two drams, of Bdellium, Galbanum, or Sagapenum, and Myrrh dissolved in Vinegar, each half a dram; Pouder of Steel prepared one dram, Hares dung dryed, half a dram, Pouder of Earth worms one scruple, with boyled Juyce of three coloured Violets, or of Rupturewort, with Honey in form of a Syrup: make a Mass, the dose two scruples, or a dram.

[Page 617]Others commend the Dung and Hare of an Hare cut small, and boyled in Honey, given one dram at a time.

There are divers outward Applications for a Rupture, whether the Rimme be broken or loosned in the Groine or Navel or any other part, which by binding do astringe the Relaxation or Loosness in the Groine, and if it be broke do unite the Lipps of the Wound, to which you must add Healers, by which (though the Rimme cannot grow toge­ther,) yet new flesh may breed, which may stop up the Passage, as the Astringents or Binders make it straighter. That this may better be effected, you must use all means to keep up the Guts, least they return to the part to get out, and so hinder the uniting of the part. Therefore during the Cure, for a month or more, let him either lye upon his Back, or wear a Truss continually, and take heed of all things mentioned which force the Guts down.

These Applications are by Plaisters, which will stay on, and which must be renewed.

As this. Take the Roots of Comfrey and Snakeweed, each three drams; Birthwort two drams, Galls and Cipress-nuts and Pomegranate peels, each two drams; the Leaves of Misleto of the Oak, Pomegranate flowers and red Roses, each one dram; Aloes, Sanguis Draconis, Juyce of Sloes or Acacia, each one dram and an half; dryed Earth-worms one dram, Frankin­cense, Mastick, Myrrh, Sarcocol, Mummy, each two drams; Pitch, Colophony, each half an ounce; Bole, Lytharge and Blood-stone, each half a dram; Plaister of Paris burnt three drams, Rosin of the Firre, or Larke-tree, or Pine-tree, as much as is sufficient, pouder what is to be poudered, and let the Gums be dissolved in strong Vinegar, and so make a Plai­ster; or with Oyl of Quinces, Mastick, or Myrtles, and a little red Wax, make a Cerot.

To these you may add the Roots of Daffodil, Plantane, Water-lillies, the Leaves of Rupture-wort, Acron-cups, Myrtle seeds, Gum Ammoniack, Bdellium, Galbanum, Se­rapinum, Traganth, Arabick, Amber, Load-stone, Steel, and Iron filings, Allum, Vitriol; also Pouder of Oak moss, of Toad-stools, red Snails, Hedghogs skins, Hares hair, Bazantine-worms; also dryed Mans blood, Glew, or Mucilage, which is made of Sheeps skins boyled with the Hair. All or some of these with those aforesaid may be made into a Plaister, or with the Oyls mentioned or the like (in which Shepheards purse, Juyce of Plantane, and other Astringents, and Vinegar have been boyled) make a Cerot.

Other Emplasters without Oyls, which dry sooner and stick faster, do not only potentially astringe, but actually by pressing the place, are thus made. Take Frankincense, or Mastick three drams, Bole and burnt Plaister of Paris, each two drams; Aloes, Sanguis Draconis, each one dram and an half; Galls or Pomegranate peels, Cypress-nuts, and Roets of Birthwort or Snakeweed, each one dram; or burnt Earth­worms, and the Hair of an Hare, each half a dram; make a Pouder, and mix it with the White of an Egg, and Vine­gar, or Glew of Fishes, or beat them being softned and dis­solved in Vinegar, and apply it with Cotton, renewing it twice or thrice in a week.

A Plaister of Pitch and Rosin may be long worn, and changed when it itcheth or falls off, to which you may ad astringent Pouders.

That Plaister is most usual, which is made of Sheeps skins, called the Rupture-plaister of Arnoldus, made of Lytharge, Blood-stone, Bole, Gums, Frankincense, Ma­stick, Ammoniack, Galbanum, Myrrh, Pitch, white Wax and red, Turpentine, with Juyces, as Aloes, Sanguis Dra­conis; of Sloes, Opium roots; as of Comfreyes, Birth­wort, Pepper, Flowers of red Roses, Pomegranates, Misle­to of the Oak, Galls, Earth-worms, Mans blood, and Sheep-skins.

Also the Plaister of Mastick, especially against Wind, mentioned in Weakness of the Stomach.

The Countess her Oyntment called Comitissae, is astrin­gent, and here may do good.

There are other Applicatations of Plants boyled in red Wine. As,

Rurpture-wort boyl'd with Comfrey roots.

Osmond Fern, also boyled, with Horsetayl, and Shep­heards purse; also Galls, Cypress-nuts, and Pomegra­nate peels.

The Leaves of Misleto of the Oak, or instead thereof Pear-tree leaves green, with glewy seeds of Misleto, with Comfrey roots, St. Johns-wort, Sanicle, and Bettony, are good boyled and beaten.

Besides these some commend the Pouder of dryed hem­lock, mixed with the white of an Egg, and so applied.

Also Bdellium made soft with fasting Spittle, sharp wine, or Vinegar, is highly commended.

Lupines burnt with a Linnen rag are applied with wine to the Navel-rupture.

Astringent Fomentations are with a Spunge or clout dipt often in a Decoction, very hot to be applied, they are made with astringent Wine and Vinegar, or Lead, or Iron-wa­ter, of the simples following, Roots of Snakeweed, Tor­mentil, five leaved Grass, Madder, Daffodil, Herbs, as Rupture-wort, Horse-tayl, Plantane, St. Johns-wort, Mul­lein, Rock-comfrey, Oak leaves, Bar-berries, Sumach, and other Astringents, as Pomegranate peels, Cypress­nuts, Rose flowers, Coriander, and Water-cress seeds par­ched.

To which you may add things to expel Wind, least it drive the Guts out, as Rue, especially the wild Rue, the topps of the lesser Centaury, and of Rosemary, common or French Lavender flowers, Cummin, Caraway, and Fen­nel seeds.

And to these, if you add of Vitriol and Allum, each one ounce or more, it will be stronger, of which alone with Bole, and burnt Plaister of Paris, you may make a Fomentation.

Some commend the Liquor sound in the Leaves of an Elm.

Cutting is the last Remedy, which is proper in the Rup­ture, and Loosness of the Rimme of the Belly, and when the skin is laid open, you may lay hold upon, and bind the Rim, yet because it is dangerous and painful, it is to be used only when all other things fail, and then not rashly, and ex­cept the Tumor is very troublesom, and slips out easily, and is exceeding painful, and we fear least when the Guts are out, they cannot be put in again. Otherwise it is better to use a Truss, which with little trouble takes away pain and danger. This cutting is said to cure Ruptures, for the skin being open in the Groine, the Mouth of the Rimme being torn, or broke nor relaxed, may be bound together; and the Passage so stopt and held together by the string till the flesh grow up, least the Membrane should open again being united, which will not grow together. And this cutting will cure other Ruptures, although in other places the Rimme is not so easily laid hold on and tyed, yet the flesh that grows may stop the Passage.

That this may be done handsomly in the Groine, where it is most usual, after you have implored the Assistance of God, because it is is dangerous; you must place the Patient upon a table with his Face upwards, and so tye him that his Head may be lower then the rest of his Body, and his Feet higher. And if the Guts be in the Groine or Codd, they must first be put up, and the tumor pressed down, and after the skin must be drawn up, and out in the length of the Groine, and you must take hold of the Passage of the Rimme, which descends from thence into the Codds and contains the Seed Vessels, and separate it, by drawing or cutting from the parts adjacent to which it cleaveth, and tye it strongly with a hempen thread, leaving the ends of the thread hanging out, and you must cut off the Passage below the thread, and pull it away with the Seed Vessels, and the Stone that grows thereto. Then you must place him upon a Bed, and lay him upon his Back to rest till the Wound be cured, which is done as other wounds with washing and good Ligature. And it will not be amiss, be­fore you cut, to put the Patient into a mollifying Bath, that the Guts may be better put up, and for the better suc­cess in cutting.

[Page 618]Also this cutting may be without Gelding, (which all desire,) if the Chyrurgion be a good Anatomist, and can so tye the Passage separated from the Seed-vessels, that no other part be tyed therewith.

Some have attempted this by a prick without cutting, they pierce the upper part of the Codd with a long Nee­dle, through the Passage of the Rimme of the Belly, and draw a thread after it, and so say that they can stop the Passage by tying of the thread, and cure the Patient with­out loss of Stone or Seed-vessels.

I have often heard that a Rupture might be cured with­out cutting, but while I write these things, there came to me very seasonably a French Surgeon, which I saw perfor­med the Cure with good success by this way. And being it is without pain, or but with very little, and without loss of Blood, it is the best and safest way. And in regard the Vessels may better be seen and felt without Blood, it is the best way for males, to prevent Gelding.

He applied a potential Cautery, a little above the stone on the Rupture side, where the passage of the Rimme goes into the Codd, so large that it mortified the skin half a fin­gers length and breadth, making an Eschar or Scab which he took off, and applied another Cautery, till the skin was all taken away and the sat appeared, which he cut off, so that he could perceive the passage that carried the Seed-sessels. This being done in two dayes time, he handsomly separated the Vessels from the passage, and with a crooked Needle conveighed a thread underneath, and so gently ty­ed the passage without pain, and after the thread fell off in time, he with incarnative or flesh-breeding Medicines, pro­duced a Callus or Hardness, which grew the better to the passage, because the second skin to the Testicles called E­rythrois, is red, fleshy and musculous. And so by pressing down, and filling up the place where substance was lost, he stopped the passage by which the Guts came forth, and so he performed the Cure perfectly and happily without Gelding. And I understood by Letters, he brought to me, that he had cured divers the same way.

In other parts you may not use cutting or burning for a Rupture as in the Groine, because you cannot so easily lay hold of the Rimme of the Belly and bind it; yet it may help somtimes, especially because proud Fesh will sooner grow, while a wound is healing: as I shewed. And this must be done when the Patient is upon his back, by an In­cision upon the tumor, or a Caustick, and by other Ap­plications for the Cure.

Somtimes the Womb and neck thereof falls out of the Body, The Cure of the Falling out of the Womb. when the Connexi­on of the Neck is dissolved, as we shewed, which can scarce be repaired, and then the Cure is difficult, and if it be old, be­cause the parts separated are grown hard and cannot be closed, it is impossible. The greatest hope is when the Womb is not quite fallen out, but hangs in the passage, es­pecially when it is deep, for then the small Veins are less divided. Nevertheless, for the Cure perfectly or imper­fectly, first you must consider the Cause and then the Dis­ease.

The Cause of Falling out of the Womb must first be re­moved, by keeping them at rest, or with little motion, and from immoderate Venery, and preventing neesing, cough­ing and roaring. And if she be with child, give her things to help the Birth, when it is at hand. And let her Body be alwaies kept soluble by Meats and Medicines, to avoid straining. And it is better to purge so, then to use moist­ning Diets, which cause the Ligaments to be loose, and the Womb to fall out. And if the womb be moist, or she have the Whites, you may give strong Purges to take a­way the slipperiness of the part which causeth the womb to fall forth. Those Medicines are drying also: as we shew­ed in the Cure of the Whites, otherwise purging or bleed­ing do little good for taking away the Cause, except to keep the Body clean.

The Cure of the Disease which is twofold, namely the Dislocation of the womb and the neck thereof, and the so­lution of Continuity, is to put the womb into the right place, and keep it there, and to unite it to the Parts from which it is divided.

The womb must be put up, and for the better perfor­mance there of, you must take away first the Excrements from the Guts and Bladder, least they straiten the pas­sage, because the neck of the womb lyeth upon the straight Gut, and the Bladder upon it.

This done, you must lay her upon her Back, with her Thighs abroad, and her Knees up, and with her Hands thrust in the bottom of the womb into the neck, till all be put up. Or let the Midwise help her; or let her have a blunt stick with a clout at the end, which will pass farther in. Or let her make a Pessary of Linnen for the same pur­pose. Thus did I two years together, put up the womb which could not be done by any other Art, as the Butchers do the Guts of Beasts, and she yet liveth, and hath had Children in the time.

I have also happily cured oftentimes the turning out of the Womb after hard Travail, by the help of Midwives which I instructed, with a bag of wool stuffed with sweet Roots, Herbs and Seeds.

And if there be a Swelling that hindereth the putting up, you must first take it away; or an Inflammation, or Wind, you must discuss that, as we shewed in the Rup­ture.

Anoint the womb with Butter, Oyl, or Grease, that it may get in the easier, but if there be no necessity avoid them, because the womb will slip out again the sooner: which to prevent, use Astringents, that they may make the part rough, for the keeping in of the womb and its neck in its place, after put up, or when it is in danger to fall out, & that they may grow to the Parts adjacent, we use divers things, Astringents, Dryers, and glewing Medicines which make a perfect Cure, or things that only keep them up, and then the Cure is palliative and imperfect. They are inward and outward to the neck of the womb, when it is forth, or things conveighed into the Privities or Scents.

You may make tryal of things prescribed for Ruptures, and Wounds.

Besides which, this Pouder often taken is excellent. Take the Roots of Mullein two drams, Leaves of Myrtles, Par­snip seeds, each one dram, Harts horn half a dram, Ashes of Cray-fish or Crabs one scruple, red Coral two scruples: make a Pouder.

Divers things are applied before, behind and below the womb while it is in, to dry it, and bind it, to the Parts adjacent, that it may not fall forth, and such as streng­then.

This is done by Fomentations about the Loyns for ma­ny daies. They are made by boyling these following in Forge-water and Wine, or Vinegar somtimes, Roots of Snakeweed, Tormentil, five leaved Grass, the Budds of Oak, Pear-tree, and Sloes, Medlers, Brambles, Myrtles, Mastick-tree, Cistus, Pine-tree, Cypress, Bayes, Shep­heards-purse, Vervain, Mullein, Yarrow, Blood-wort, Ivy, Solomons Seal, Rupture-wort, Wormwood, Centau­ry, Mugwort, Rue, Bettony, Lavender; also the Peels of Pomegranates, Acorn-cupps, Galls, Spunge Bedguar, or Lady-thistle, Cypress-nuts, Lentils, Pease, Myrtle-berries, Bay-berries, red Roses, Pomegranate-flowers, Lavender­flowers, Sage and Rosemary; also Moss, or Lungwort, ad to the Decoction of all or of some of these, Allum, or Salt, or Vitriol, Bole or Plaister of Paris, or Filings of Iron.

Also Natural Spaw-waters of Vitriol, Allum, Salt, or such as petrefie or turn to Stone, and when they are boy­led, leave much Chalk upon the Vessel, being drunk for a month together, or more, are very good. For though they seem to moisten, yet are they potentially drying, and by reason of Sweating, they consume the Humors, and by the Effect we perceive that they dry and astringe by the wrink­ling and Roughness of skin which followeth.

Oyntments or Plaisters to be applied to the Womb a­bout [Page 619]the Privities and Loyns, are as follow. Take Roots of Snakeweed two drams, Roots of Cypress, Rupture-wort, and Moss, each half a dram; red Roses and Pomegranate flowers, each half a dram; Galls, or Pomegranate peels, or Acorn­cupps two drams, Cypress-nuts, Dates stones, or Myrobalans burnt, each one dram; Myrtle seeds half a dram, Frankin­cense, or Mastick, Acacia, or Juyce of Sloes, each one dram; Spiknard half a dram, red Coral one dram: make fine Pou­der, and with Oyl of Myrtles, or Mastick, and the third part of Oyl of Bayes, Turpentine, and Wax, make an Oyntment, or with Rosin, Pitch and Colophony, make an Emplaster.

Another Oyntment which is mentioned to anoint the Privities, to prevent Abortion. Take Oyl of Roses &c. and the two Oyntments that follow made of pouders, are also good.

The usual Oyntments and Plaisters for other Fluxes of the Mother, are also good against the Falling out of the womb. As that of the Countess, the Emplaster of Mastick, and against Ruptures and the like.

Also Cataplasmes made of the remainder of the Deco­ction, beaten with the Oyls mentioned.

Dioscorides commends Nettles applied, being green and bruised.

You may fill Baggs with the remainders of the Fomen­tations, and apply them.

Great Cupping-glasses or three or four little ones to the Belly under the Navel, often applied, will help to hold up the Mother.

Some things are applied outwardly to the womb and the neck thereof, which after they are put up, will astringe and wrinkle the part from whence the womb fell, and keep it from falling out again, which are of a drying and glutina­ting Quality.

We may use Fomentations made of things mentioned, and Roots of Comfrey, Daffodil, and other things menti­oned for healing of Wounds: as Frankincense, Mastick, or other Gums.

When we will bind more, and there is no hope o­therwaies, by reason of the Continuance of the Disease, we must foment the part with a Spunge dip'd in red Vine­gar, Lye, Salt or Allum-water.

Or apply a Clout dipt in water of Nuts, or of Pine-ap­ples.

You must sprinkle pouders after you have anointed the parts with Mucilage of Comfrey, or the Infusion of Gum Traganth, or Glew that is made of boyled Bran, which must have no Roughness, least they lying under the womb hurt it after it is put up, and they must be more glutinous then Astringent, as this. Take of Frankincense or Mastick one dram and an half, of Sarcocol steep'd in Milk one dram, Gum Arabick, Juyce of Sloes, each half a dram; pouder them.

You may use this pouder with the Mucilages aforesaid, or of Quince seeds, or with Oyl of St. Johns-wort, or the like, that consolidate or glew things divided, mentioned in Wounds.

These following are put in, and injected into the womb, which hinder Falling of it out, by astringing, and drying and straitning the passages.

As Pessaries long and thick, so fastned that they may be worn when they walk.

They are made of the Oyntment mentioned, with pitch, into a hard plaster, in such a form as may fil the womb, with other Gums dissolved in Vinegar, as Galbanum, Bdellium, Sarcocol; also Opopanax half an ounce. To which they add stinking things to make the womb fly up, as Assa foe­tida, which is not necessary, because it will distaste the wo­man, and discover her Disease by i [...]s Scent.

Those Emplasters which cure the Rimme of the Belly by increasing flesh, as we shewed, may do well here in this so­lution of the Continuity of the small Fibres or Veins.

You may make other Pessaries of pouders in the afore­said Oyntments, if they be first mixed with the white of an Egg, the Infusion of Gum Traganth or Mucilage of Com­frey or of Quinces, and put into a bag.

And if these Pessaries be troublesom, you may make o­thers as big as your finger for the night only, of the same things.

Or you may wet wool in Vinegar, and the white of an Egg, and sprinkle the pouders thereon, and put it in.

Another Pessary prescribed for the Whites, begins thus. Take Galls or Acorn-cupps, &c. is good here.

Some commend an Eg that a Hen hath sitten upon some daies, beaten and put up with wool.

There is a way among women to keep the womb from falling out, by carrying a round Ball therein, which must be so big that it fills the Privities, and not be put in by great force. It must be smooth, slippery and light, that it may not hurt the tender parts with its roughness or weight; and hard, that it may better hold up the womb, and dry, that it may take in no Moisture, least it fall out again. It is made thus of Cork, or Beets, by glewing two pieces toge­ther, if one be not big enough, brought into a ball, or a bottom of thread, and let it lye in melted wax, till it be co­vered over therewith. Which she must thrust up with a string fastned thereto to take it out; and let her wear it day and night, and not take it out but when she is to use a Man. This though it be a little troublesom, yet it is better then to have the womb fall out.

This trick have I shewed to many women in a miserable Condition, which hath cured them, among whom one which a long time before had not known her Husband, conceived with the ball in her womb, which she voided when she was delivered of a Boy, with her Secundine or af­ter-birth.

You may use Injections with a Syringe for the same, made of the Decoction mentioned for a Fomentation, and this is best.

There is a strong Injection made of few things. Take Galls three ounces, Moss two ounces, Comfrey roots one ounce, Vine ashes two drams: boyl them in Forge-water, and the third part of red Wine, for an Injection.

There are also Fumes for the same, made of the same Decoction, for a Fomentation hot, which is very piercing and good.

As those of Comfrey roots, Snakeweed, Cabbage stalks, Box topps.

The Fumes of Frankincense, Mastick, Amber, Labda­num, Bitumen, Pitch, Colophony, with stinking things, are stronger, as Galbanum, Castor, and that abhominably stinking Divels Dung, with other astringent Pouders, or they may be made into Troches with Rosin.

Orpiment is very drying, but in regard the sm [...]ak there­of is hurtful, you may better use Varnish.

That Fume which is prescribed for the Whites that be­gins thus. Take Mastick two drams, Frankincense &c. is good here.

Experience teacheth, that the Smoak of dryed Cow dung is very good.

And the Hoof of a Mule burnt doth the same miracles, with the Smoak in this case.

Many things mentioned to stop the Terms outwardly or inwardly, are good here to astring; but it is better to forbear, them least they stop the Courses, except the time be past.

They suppose that the womb follows sweet things, and flies from stinkes, and therefore they apply the sweets to the Nose, and the stinkes to the Privities.

Somthing vomiting will fetch it up, but it is too forci­ble, and so is neesing, and rather presseth down the En­trals.

The womb is kept up by lying down, and while the wo­man is so, it remains in its place.

Also Conception keeps the womb from falling out, and while she is with Child it cannot fall down, because it grows larger with the Child, and cannot fall out till after Child-birth, it grows little again.

[Page 620]The Fundament by straining, The Cure of the falling out of the fundament. and the straight Gut may be turned out, and som­times it will return again with ease, but if this be at every stool, and the Patient weak and the Muscles relaxed, it is hard to be cured, and not at all, if it be torn from the Membranes, to which it was fastned. For the Cure first begins at the Cause, and then look at the Disease which is the falling out of the Part.

To avoid the Cause, if straining at stool, be it, keep the Body loose with Clysters, and Medicines and good Diet. If it come from hard travail, or from cutting of the Stone it will be gone when they are over. Then you must have a care to put up the part, and keep it in by divers means.

The Fundament is put up, by the Hand of the Patient, or of the Surgeon, pressing with his fingers, or with a clout for that purpose. And if it be swollen or inflamed, which hindereth its going up, you must first cure them. As we shewed in the Falling out of the womb, when it is swollen.

We keep in the Fundament that it fall not out again by divers Remedies, either such as astringe and stop the Pas­sages, or that unite the separated parts, or by things which amend the temper of the Fundament when it is too cold or weak, or loose and relaxed, by which means it cannot keep up. And this is done by things given inward, or applied outward to the Fundament or injected into it.

If it come from Solution of Continuity, you may give somthings prescribed in the Falling out of the womb to consolidate or heal, but abstain from strong Astringents, least you make the Belly more hard, and cause greater straining, which will force it forth. But if the Fundament come forth by loosness through the Falling down of an hu­mor, you must use things that purge and alter which are mentioned in the Palsie.

The same things that are prescribed by way of Fomen­tation and Pouders, for the falling out of the womb, may be used for the falling out of Fundament and straight Gut, and they will do the same by holding up and fixing the Part.

You may also use other pouders, such as were used to the womb in form of a Pessary, as a Suppository, here a­nointing before; As we shewed, least they should by their sharpness get forth again.

Or this pouder. Take Galls two drams, Pomegranate-flowers one dram and an half, Mastick, Frankincense, each one dram; Amber, Sanguis Draconis, each half a dram; burnt Harts horn, and Antimony, each one dram: make a fine pouder.

You may add Bitumen, Pitch, and Cockle shells, salt­fish, Dogs dung, and Hogs brisles, and the like burnt.

Or take some of the pouders, mentioned in the Oynt­ment for the Falling down of the womb, or anoint the sun­dament when it is forth, with that Oyntment.

Fume or Smoak is best, because the thick and moist things will not be so well retained, as that prescribed for the Falling out of the womb, especially that of the Deco­ction of Mullein, with Vinegar, or that of Vinegar from a hot piece of a Mil-stone.

Also the Fume of Gums and Rosins, there mentioned, leaving out the stinking Gums, as Devils dung, and Ca­stor, adding Bdellium, Juyce of Sloes, and other Astrin­gents, and Spices, and Galangal, Cypress, Cloves, Mace, Nutmeg, Roses, and Flowers of Mullein.

You must foment the part and the Loyns, with astrin­gent and healing Decoctions, if the Connexion be divi­ded, and if there be weakness or coldness in the Muscles, with things that cherish the Natural heat, and strengthen the Nerves.

These are made of the Decoction of astringent Plants, and such as heal, mentioned in the Falling out of the womb, boyled as there, with warm things, and proper for the Nerves, as Groundpine, Sage, Primrose, Wormwood, Horehound, Bettony, Penny-royal, Chamomil, Rosema­ry, and Lavender flowers.

Spaw-waters mentioned for the falling out of the womb, are here good also.

When the Fundament comes forth in Children from Cold, it is good to set them upon a piece of green warm Oak, which is astringent and good for men also.

The Oyntments and Plaisters there also mentioned, are good here for the Loyns and Fundament, to which if the Nerves and Muscles be weak, you may add hot Oyls, as of Pepper-wort, Bayes, Spike, Foxes, Castor; also pouder of Pepper-wort, Galangal, Cypress, and other spi­ces, and among other Plaisters, Oxycroceum and Cero­neum.

You may also make Cataplasmes of the remainder of the Decoction mentioned, or thus. Take Rupture-wort, dry Moss, each half an ounce; Galls one ounce, Orobus, and Lupines, or red Pease poudered two ounces, Roots of Sowbread half an ounce, Groundpine two drams, Dung of a Goat, Pid­geons, or Swallow, or Lizards one ounce, with Oyl of Myrtles, or Juyce of other proper Herbs, make a Pultis.

Dioscorides saith that the Cramp-fish applied is good.

You may also apply Baggs, as in the falling out of the womb, or other hard Pillows to press the Fundament up, when they are sitten upon or tyed hard thereto.

The hanging out of the Tongue is commonly from some deadly wound, The Cure of the hanging out of the Tongue. and if it be cured, it is by preventing worse accidents.

If the Codd be cut, The Cure of the hanging out of Stones. and the Stones hang out, it is easily cured, by putting them up, and keeping them so, without sowing or stitching.

The Eye falls not out but by some vio­lence used to it or the Head, The Cure of the Eye thrust out. and because death commonly follows, we meddle not with it; and if the Party liveth, it cannot be rightly resto­red without wrinkling and blindness, by the Astringents that are to be applied, to fasten the Eye in its place.

CHAP. III. Of Efflation or Sending forth of Wind.

The Kinds,

VVE call that Efflation by which not only wind is sent forth from whence the word is derived, but when breath or air is sent forth, the Efflation of breath by the Mouth and Nose is Expiration, but the Efflation of wind by the mouth is called belching, and by the fundament farting, these are preternatural, when they are depraved or stopped, or vitiated or corrupted, or when they break forth by an unusual way.

The Expiration or Breathing is de­praved when it is interrupted, Preternatural Efflation or send­ing, forth of wind or too violent, or too long, or with a strange noise, or with other Excretion, not on­ly of Air but, Matter, in a short breath, Sighing, Yawning, Hickets, Neesing, Cough, Blowing the Nose, Spitting, Hawking, Vomiting: as we shewed in Respiration depra­ved.

To this is Snorting referred, when the noise is so trou­blesom, that others cannot sleep for it. This is also in some Diseases when men are awake, as the Apoplexy, Falling-sickness, and difficulty of breathing; as we shewed in those Diseases.

When wind is senth fort by the mouth in Belching, Belching and Farting. or by the Fundament in Far­ting by reason of its strange sound and stink, it somtimes is depraved, and that rather when they [Page 621]may be restrained, hence are these sounds more indecent then others in depraved Respiration mentioned, though they make a noise, as in the Cough and Snorting, because these cannot be restrained.

To these preternatural Sounds may be added those winds that presently come not forth, Rumbling and noise in the guts but rumble first in the Belly, under both sides, but especially the left, and if they sound like water, they are called Flu­ctuations, if they rumble, Murmura, and if they croak, Rugitus; somtimes there is a noise like Froggs or the like, and some imagine them to be really there. These noises are usually in Virgins and others, and are signs of Diseases in the Stomach and Guts. Also there is somtimes a noise about the Navel, with a Swelling that moveth; this is usual in sound people, before stools or farting, and in the Colick: as we shewed.

The other strange Noises, as in the Belly of them that have the Dropsie, wheesing in the Breast, beating of the heart, which may be heard as well as felt. The divers noises in the Ears, because they break not forth of the Body with wind, do not belong to the Efflations or Sendings forth of wind, but to other Diseases where they shew themselves, and where they are described.

The Breathing is faulty when it stinketh.

As when the Breath smells of Excre­ments or of dead fish, A stinking Breath. or rotten Cheese or the like, mentioned in a stinking Breath. This is troublesom, and better known to the standers by then the Patient, and it is most when he is fasting, and somtimes it is constant; somtimes after eating of divers Meats, or Drunkenness, staying but a while; sometimes it is the Symptom of Diseases, or fore-runner, when without any other manifest Cause, they are said to begin to be sick from the Scent, which the Germans call Stechesen.

The Breath that comes forth at the Nose, when it stinks, Stink of the Nose, causeth the Disease called the Stink of the Nose, which is intollerable to the Standers by, and makes them that are troubled therewith to be shunned.

There is in belching a sending forth of wind that is corrupted, The Stink of a belch or fart like the smell of roasted flesh, and somtimes stinking. And in breaking of wind downwards, by which the Stink of the Excrements comes forth, there is sent and most often stink.

Somtimes Breath comes out at an un­usual Passage, An evil scent from a wound. not by the nose and mouth, but through a Wound in the Breast or Neck. This may be felt or perceived by a burning Candle held to the wound.

Somtimes wind comes forth of a wound in the Stomach or Belly not at a distance, as breath, but together sud­denly.

The Causes.

The Cause of all preternatural Efflation, which is the depraved Sending forth of Breath or Wind, is the disor­derly breaking of them forth, or the Corruption of the same.

How from the disorderly breaking forth of Air or Breath, An inconvenient Breathing, is the cause of preterna­tural Efflation. through the rough Artery into the Mouth and Nose, Expiration is depraved, and there is a Noise, was declared in the Causes of depraved Breathing.

Also Snorting comes from the for­cing out of Air drawn in at the Nose, Snorting is caused by air drawn in, and sent out at the Nose. especially in those that have Apes­noses, and the Passages of the No­strils straighter, or when the Bridge is fallen by other means, or when some part is stopped with Snot, then the sound being broken causeth that called Snorting, especially in sleeping, when the Mouth is shut, and the Air drawn in at the Nose, or if the Party lyeth up­on his Back, for then the flegm falls easier down, and sticks there; which causeth a Snorting in some Diseases, when it comes to the Nose, and stops there, as in an Apoplexy, falling-sickness &c. This Symptom is constant with them, for the Causes mentioned in those Diseases.

When there is a wound in the rough Artery or Breast, Breath or wind breaking at a wound, is the Cause of preter­natural Efflati­on. the Breath comes forth at an inconvenient place. These wounds are made on purpose in the breast in an Empyema, in the rough Artery in Squin­zie, or by chance, as was there decla­red.

And if the Stomach or Belly be wounded, wind will come forth, as when we cut for the Dropsie, or when a wound is there by chance.

Belching comes from wind rising up from the Stomach through the Gullet and Mouth, When wind breakes from the stomach at the mouth it causeth belching. and when it goes downwards through the Guts to the Fundament, it causeth farting, mak­ing the greater noise by how much they are more forced. From the Guts by the Fundament far­ting. And if these be shut up in the belly, they run through the Cavities, and cause a Rumbling in the belly, When it is included in the belly, it cau­seth Rumbling. especially a­bout the left side, if they be in the belly, or the Colon which lyeth un­der and is joyned to it. For these parts are chiefly on the left side (albeit some think it is from the Spleen which cannot be fill'd with wind) or if they be about the navel or other parts they wil cause noise, because the Guts are thin about the Navel, we have shew­ed the Cause of these winds in divers Diseases of the Sto­mach and Guts, among which the strait lacing of Vir­gins to seem slender is one, for so the wind constrained causeth noise, and many times disgrace.

Besides these simple Winds, Wind with an hu­mor in the stomach and guts, is the Cause of Fluctua­tion. if there be another Humor therewith, there is then a Fluctuation, or sound of water with the croaking, or if it be water a­lone, it will be only fluctation. And as this may be from divers Causes mentioned in Diseases of the Stomach, so often from wa­ter-drinking and the like, when the Body is stirred, and the Belly pressed.

A stinking Breath comes from the Infection of the same with things that have evil scent, as also that stinking of the Nose and Mouth, and then Belchings and Farting will be very stinking, which comes from divers things taken and from Excrements.

Some things taken that have an ill Scent, infect the breath, The Infection of the breath by things chewed, is the cause of the stink thereof. especially if they stick in the Teeth, and in the Stomach, the the scent riseth to the Mouth, as when you eat Garlick or rotten Cheese, and the like which, though not so bad is di­stastful to the Standers by, as belching from wine in drun­kards, or from fat meats. Many other things not ill scen­ted but by their Corruption, do infect the Breath: as flesh in a hollow tooth, or between the teeth, if it continue long and corrupt and rot. Also flesh corrupting in the stomach, may cause a stinking Breath, and other things that of them­selves are not ill scented, corrupt in the Stomach which is usual, as Raddishes, and cause a stinking belching and breath.

Also stinking Excrements, The stink of the Ex­crements, is the cause of a stinking Wind and Breath. being in the Stomach or Guts, sent forth e­vil Scents, as when they are out. Ex­crements in the Guts are Naturally stinking, especially being cholerick [Page 622]or mixed with other evil Humors, and they stink not only when they come forth, but by Vapors which come from them, they discover their evil Scent.

Also a stinking Breath may come from the Excrements of the Belly, when the Stomach is too open, especially the Pylorus or Orifice thereof, which opens into the Guts, and then the stink of the Excrements gets into the Stomach, and so into the Mouth, and infects the Breath. And this we take to be the chief cause of that stinking breath which smells like Excrements, which continueth so long, because it comes from a fault in the Organ or Part called the Pylo­rus and Stomach which is scarce repaired.

This is occasioned by long surseiting, by which the sto­mach is so loose, or so weak: as we shewed in the Weak­ness of the Stomach.

Some Excrements in the Stomach that stink and are bred there, or brought thither, do send their scent through the Gullet to the Mouth, or rise up and infect the breath, as in many Diseases, especially when the Excrements putrifie about the Stomach in the Meseraick Veins, there is stink­ing Breath going before, and accompanying them.

The Mouth is not stinking onely from things eaten, The Stink of the mouth is the Cause of a stinking breath and putrefaction in the Teeth, but from the Spettle and the like, as in the French Pox, from the evil Humors sent thither by the anointing with Quick-silver. Also Filth above the Teeth, causeth the same. The filth which grows in ulcers of the Mouth and Jawes, causeth also a stinking breath, yet Matter that is Natural will not stink, as in the Ulcers of the Lungs, there is little stink in respect of the matter, till it rot.

When Flegm, The Stink in the nose, is the Cause of the Stink of the Breath. Filth or the like, is long contained in the farthest part of the Nostrils, about the spungy bones and in the cavities of the upper Jaw­bones, they send a loathsom stinking Scent. And this is called the stink of the Nostrils. And this may come from the slimyness of the Snot, mixed with divers Humors, and from the strait­ness of the Passages, where the filth is gathered, and lodg­eth, till it fall or be blown forth, and this straitness is ei­ther Natural or Accidental, and then the Nose is flat. The same comes from ulcers in the Nostrils, and there is a stink from them according as they are corrupted: as we shewed in the Ulcers of the Nose. They write that the same may be from Humors putrified within the Skull, about the Or­gans of Smelling, or in the Ventricles of the Brain, but this is not probable, for such Putrefaction could not be in the Brain without greater accidents, and somtimes death.

The Cure.

The Cure of preternatural Efflation which comes from breath depraved was shewed in depraved Breathing. The Cure of pre­ternatural Effla­tion.

Nor can you cure that Snorting which is from the straitness of the No­strils any way, The Cure Snor­ting. but as you cure the stop­page of Breath by the straitness of the Nostrils: as we shewed there, as also how you should purge the Nose from Snot and Flegm. Notwithstanding, if it come from the fault of the Instrument, when the nose is flat or strait, it can scarce be taken away, but it may be mended, if they sleep not upon their back but side. In Horses this snorting is cured by cutting the Nostrils.

Belching and Farting though they are good and for easement, The Cure of bel­ching and far­ting. yet because they are unseemly, they are to be re­strained, or to be let privately. But if they be so forcible, that they cannot be stayed without danger, you must hinder the increase of wind, and this will hinder the noise and rumbling of the Guts, by taking away Crudities, The Cure of noise in the Guts. and by discussing of wind with inward and outward Medicines, such as are prescribed in the Weakness of the Stomach; to which they usually apply things proper for the Spleen, in the Noise under the Ribbs, usual to Virgins. And this is good not because the wind cometh from the Spleen, or is contained there, but because the vertue of the things outwardly ap­plied to the left side doth reach the Spleen, and therefore in some measure ought to be proper for it; as when you mix Seeds, as Cummin and the like in baggs made to dis­cuss wind with Rue, Agnus Castus, Ceterach, and the like, and rub the Pouders with Vinegar, or when we add Oyls proper for the Spleen, to the Oyntments we use to expel wind.

If stinking Breath come from things eaten, as Garlick, The Cure of a stinking breath or Raddishes which causeth belching, it will shortly be gone, and you may for that time keep a distance from Compa­ny, or if you must needs converse, use some Persumes to correct it. But if it come from unclean teeth, or from be­tween, or in the Hollowness of them, or other filth in the Mouth, then you must pick the teeth, and cleanse the mouth, and pull out rotten teeth.

If it come from the Stomach, that must be purged and amended, if from Diseases, as the Pox, they must be cu­red, and then it will vanish. If from Loosness of the Sto­mach, when the stink comes from the Guts to the Mouth, it is almost an incurable Disease in the Organ. But the Stomach must be strengthened and astringed, and in all these Causes, sweet things must be held in the Mouth and chewed, and the mouth washed with them, and they must be gargled and swallowed to correct the Stink, as fol­loweth.

If the Cause be in the Stomach, purge it with things proper to the stink of Excrements, and the moistness of the Stomach. Among which the Pills of Aloes are best, be­cause they cleanse the Stomach, and resist Putrefaction, or purging Wine, with Wormwood, which doth the same with Aloes, and is also sweet. Also other Purges, men­tioned in Weakness of the Stomach. Among which Rhu­barb, and Myrobalans are the chief and best Purgers; but you must mix many sweet-sented therewith, to correct the stink, as well Plants as Spices, and therefore the Aloephan­gina-pills made of Spices, taken often are good. And we add to the purging Wine, Angelica, and the like that are well scented.

The Alteratives that are given to strengthen the Sto­mach, must hinder the producing of Excrements: and this is by good Diet, which is little and drying. Let him be temperate in eating of flesh, because it easily putresies, and let it be well spiced, and with Vinegar, sour Juyces of Sorrel, Citrons, Lemmons, Oranges; as also his other Meat. Let his Bread be made with Caraway and Fennel­seed. Let him after Meat eat Quinces, Pears, and other Astringents. when the Stomach is loose especially; Also let him eat Anise-seed, Fennel, and Coriander, Comfits, and other Pouders to be used after meat. In the morning fasting let him take the Pouders, Lozenges, Electuaries, Confections, and Conserves, which are good in a moist and loose Stomach, mentioned in the Weakness of the sto­mach, choosing those that are most sweet-scented, as Aro­maticum Rosatum, Diamoschum, Diambra, and the like. Tryphera magna is commended to make Men well colou­red, and of sweet Breathes. And they say that Mastick of­ten taken, doth amend this Infirmity.

You must hold sweet things in the mouth, and chew, and somtimes swallow them, as these following.

Of Simples, Angelica-root is most sweet-sented but bit­ter; also Master-wort, Zedoary, Nutmegs and Cloves, are good.

Musk and Ambergreese for rich people, are excellent, with Sugar, made into Lozenges, with the Infusion of Gum Traganth, made in Rose or Orange-flower-water, or [Page 623]the like, and held in the mouth, to dissolve and give a good Scent. To these they add Wood-Aloes, Sanders, Angeli­ca-roots, which are good for a weak Stomach. Also a lit­tle Benzoin.

Besides these, many sweet-sented things may be chewed, as Orris, and Acorus roots, Cypress, Elicampane, Orange peels, Citron peels, Roses, Bayes, Marjoram, Smallage of Parsley chewed, taketh away the stink of Garlick and the like, and conceals that which is from the mouth. Also Dill, and Anise, and Sowthistle, Dioscorides commends Myrrh, and Mastick. Mathiolus commends Gold held in the mouth.

Of Compounds, Wine is good to wash the Mouth, or to be drunk, in which the Roots and Seeds of Angelica, Marjoram, Sage, Coriander seeds, and other sweet Herbs and Spices were steeped.

Vinegar of Roses, Currance, Ras-berries, Straw-ber­ries, is very good, mixed with other things for to wash, or held in the mouth or swallowed, doth presently take away the stink of things eaten.

Let him constantly wash his mouth with sweet red wine, Vinegar, Salt, and Allum.

The Decoction of green Myrtle leaves in Wine, is good to wash the mouth, and the Decoction of Citrons, and the like.

Another is made of the Decoction of Cypress roots, Ci­tron peels, Roses, Sanders, Cloves, Cinnamon.

There are divers sweet stilled Waters, as of Roses, Musk, or Cloves, and other Spices, Salt, Orange-flower-water. Also Aqua vitae, with the Infusion of Cinnamon and Spices.

The distilled Oyls of Cinnamon, or other sweet things, are very good, either mixed or alone, if the least drop be held in the mouth.

If the teeth be foul, rub them with sweet astringent things, and such as resist Putrefaction.

As, Take Orris roots two drams, Angelica half a dram, Sanders, Wood-Aloes, Savine, or Juniper one dram, with a little Musk, and two drams of Salt Alkali. Some add Cut­tle-bone, Harts horn, burnt Allum, when the teeth are foul, as shall be there declared.

Or mix a little Musk with Salt, or Harts horn, &c.

If the stink of the Nostrils come from an Ulcer, The Cure of the stink of the No­strils. when that is cured it vanish­eth, of which we spake in the Ulcers of the Nostrils. But if it come from an Organical Disease of the Instrument or Nose, when it is too strait, it is almost incurable, except you prevent the Falling of the Excrements from the Brain to the part.

But if it come from filth which either from its plenty or malignity is easily corrupted, being retained and stopped, then you must go thus to work.

First we purge the Head and Body of the Humors that abound, with Medicines mentioned in the Excrementiti­ous Diseases of the Head.

Then snuff up things into the Nose, or anoint the No­strils with Oyntments which cleanse and provoke Nature to expel the filth, and leave a sweet Scent in the Nose. For which use we have mentioned divers Errhines or Purgers of the Head by the Nose, the Phlegmatick Diseases of the Brain, with which you may mix these sweet-scented things following.

The Juyce of Flower-de-luce anointed or snuffed up, is sweet and very good.

Or thus. Take the Juyce of Flower-de-luce one ounce and an half, of Marjoram one ounce, of rich Spanish Wine half an ounce: mix them, and add Juyce of Beets to force more.

Or when there is great putrefaction, add to that the Juyce of Centaury and Wormwood, each one ounce; Vinegar of Roses, or Squills half an ounce, Myrrh one dram.

The Juyce of Bayes, and Myrtles, and other sweet plants may be added.

Somtimes these are boyled thick, that they may stick the better. Thus,

Take of the aforesaid Composition one ounce and an half, ad Labdanum, Storax, each half a dram; with Honey, or the in­fusion of Gum Traganth made in sweet Water: make a Lini­ment.

We use such things to be snuffed, or poured into the Nose to cause a sweet Scent, as Spanish Wine in which Basil, Marjoram, Calamints, Bayes, Lavender-flowers, Cinnamon, and Cloves have been infused.

Or the stilled Waters of Orange flowers, Roses, or Lem­mons, or of those Plants which were steeped in wine.

Or other waters of Plants seeds, and Spices, that smell sweet, which with Musk or Ambergreese will be more pleasant.

Also there are sweet Oyntments of Musk and Amber­greese dissolved in Oyl of Been or the like, which take not away the Scent of the other Compositions if they be ad­ded. Civet is to be used alone.

The stilled Oyls of Cinnamon, Cloves, Marjoram, and the like, mixed with white Wax, and put into the Nostrils do smell strongly, and last long.

If a wound be in the rough Artery, The Cure of breath from a Wound. which sendeth forth Air, Breath or Scent, it is deadly for the most part, because that part cannot easily be cured. But if the wound be in the breast and the internal part hurt, it is the like for the most part, although as I shewed in the Diseases of the Lungs, I saw one escaped that had a wound in his Lungs, The other wounds of the Breast without hurt of the inter­nal parts must be cured as ordinary wounds.

When wind comes from a wound, that shews the Sto­mach and Bowels to be hurt, and it is incurable. I know other wounds in the Guts that have been cured.

CHAP. IIII. Of the Voiding of Seed.

The Kinds,

A Spermatick Excretion or Voiding of Seed in men, is the Effusion of it by the Yard, in Women it useth to be Naturally into the cavity of the womb; and it is pre­ternatural, when it is too much or floweth sooner then it ought, and the more when it is foul, or passeth by an im­proper way.

Too great Effusion of Seed weakneth very much, and makes the Body faint, and unfit for its Offices, and disco­loureth it, and hastneth Age and Death; and it comes ei­ther by Venery or without.

When there is too great Effusion of Seed by Venereal Acts, Too much Venery. Men through Intempe­rancy and Luxury destroy themselves, and Women that before were strong, grow weak, and men by that means are unfit for Procreation, and women for Con­ception: so that as it may be observed in men only, The Voiding of imperfect and crude Seed. they send forth in Copu­lation only a drop or too: or it is not concocted but crude and bloody, and rather Blood then Seed.

If Seed fall out without a Venereal Act against the will it is called a Gonorrhaea or Running of the Reins; and if it be with pleasure, because it often comes in the sleep and Dreams, it is called a Nocturnal Pollution. And if it be often, because it weakneth as a Venereal Act, it is pre­ternatural: and it doth more weaken, if it be without pleasure night and day, and crude and watery for Con­tinuance.

Somtimes there is an involunta­ry Effusion of venemous Seed with­out sense of delight, A venemous Gonor­rhaea or Running of the Reins. which is not like Natural Seed, but is like a cer­tain [Page 624]white and yellow Venom, after which follows matter at the Yard, and heat of Urin: as we shall shew, and this is called a virulent Gonorrhaea, which is commonly a sym­ptom of the French Pox, as we shewed, sometimes it is without it, in some especially unclean Strumpets with which she infecteth them that trade with her, with the Pox or a Disease like it.

Hitherto you may refer the involun­tary Effusion of Seed in the Falling­sickness and Convulsion, The Voiding of Seed in a convul­sion. and although it do no hurt, yet it is preternatural.

We shewed, that Seed might flow preternaturally by another Passage, The voiding of Seed at another Passage. namely by some Origmal Passage, or Fistula under the Yard of a Man, either from a defect in Conception, or which may cause the same Defect.

It is also preternatural, The too quick Ef­fusion of Seed. if the marry­ed people do not at the same time spend their seed, especially when it is at the beginning of Copulation, or be­fore by the way, because this causeth a defect in the Venere­al Act, so that it either is not, or diminished and imperfect.

Hither may also be referred that Effusion of Seed, when only a little froth is voided with vehement desire, without sense of satisfaction in pleasure, by which though they are not weakned, yet it hinders the persection of the Art. Some say that matter flowing from the Brain may be sent forth of the Yard, but it seems improbable, because there is no plain passage into this common way for the Seed and Urin.

The Causes.

The Cause of the mentioned preternatural Fluxes of Seed, is either from Irritation, or provoking or Weakness, or Anastomosis, or from a Disease by Consent.

Too much or too quick Effusi­on of seed, The Irritation or pro­voking of the Seed-ves­sels, is the Cause of too much Venery and of a Gonorrhaea. or involuntary in both Sexes, comes from the Irritation of the seed-vessels, which pricks the expulsive Faculty. If the ves­sels swell from plenty of seed, be­cause it passeth with delight, cau­fing many to be too much given to Venery; it is the cause of too great Effusion, and of the weakness that followeth, except it be from Heat of Lechery, to shew themselves po­werful at Venereal Game, or for gain sake, as Harlots do. And the same is done by Irritation, if there be more heat or sharpness then is fit: as we shewed in the Causes of Lechery.

Also the same Seed by pricking, (through the Imagi­nation only of the Act, which is usual in dreams, and the like thoughts) being moved and sent forth, causeth Pol­lutions sleeping and waking.

Also this comes from the heat of Seed, so that it is soo­ner ejected in the Action then it ought; or some part comes forth before the Act.

And also that it comes forth with Heat and Burning.

But if there be great sharpness in the Seed from Infecti­on or Corruption, then follows the virulent Gonorrhaea, or venemous Running of the Reins, comming commonly from the French Pox. And this may come before they have the Pox from some other Venom which was gotten by Infection of other seed in Copulation, and so turned corrupt and sharp, by which means, not only this foul and involuntary Excretion comes by the sharpness, but also in continuance of time an ulcer and pissing of matter.

The involuntary Flux of Seed in the Gonorrhaea, The weakness of the Seed-vessels is the Cause of a Gonor­rhaea. comes from the weakness of the Spermatick Vessels: when the seed is watery, and not con­cocted to the likeness of milk; for then being thin it easily comes from its place without sense or with very little, and without any Cause, or with the least pricking not only in the Yard, but Fundament, when the stools are very hard, or as Fernelius speaks of one, when a Clyster is given. And this weakness comes from distem­per, especially cold, or want of Natural Heat in the Parts, or the whol Body which makes the Seed so watery. For it is not likely that the Waterishness of the Seed should come from Flegm, because it is made of blood, which though it be crude and watery, yet the stones and breasts do alwayes take the purest blood to make seed and milk, in foul Bodies full of Excrements, as appears by men of e­vil Habit of Body getting Children, and women that nou­rish their Children, by giving suck when their Blood is impure.

Also Weakness comming from the loosness of the seed­vessels, produceth somtimes a Gonorrhaea, when the places containing the seed in their windings, and the Vessels that carry it, are too large and loose, so that it may easily fall out. This loosness comes from often Venery in a short time, somtimes sooner, somtimes later to luxurious Peo­ple, by which the baggs of seed being often emptied and filled, and from the loss of spirits, are so loose and weak that the seed is thin and watery.

By the opening the mouths of the Seed-vessels which make it of Blood, The Anastomosis or opening of the mouths of the Seed-vessels, is the Cause of imperfect and bloody Seed. there comes bloody seed or blood instead thereof in Copulati­on, when by the often Action, in a short time, the Vessels that contain the seed are so empty, that they draw blood or imperfect seed from the mouths of the seed-vessels opened by this sucking. And this sucking comes from the Lechery, or Heat of the Womb (as is said of African Women) as it happned to a Soldier a while since, that lying forcibly with a Countrey-wench, was so brought down, that after often Lechery he voided bloody seed, and by that means fell into a Consumption that caused his death.

There is also an involuntary Effu­sion of Seed from a Disease in other parts, The shaking of the Seed-vessels in a Convulsion, is the Cause of loss of Seed. when the Seed-vessels suffer by consent, as the Nerves in a Convul­sion, in which through the forcible shaking which moveth the whol Body, the Spermatick ves­sels being shaken, do cast out seed somtimes, especially when it abounds, even as by the same violence, through the pressing of the Muscles, of the Belly, the Bladder being pressed, sends forth the Urin. And this is rather the Cause of loss of seed in Convulsions, then the Convulsion of the Muscles of the Seed, although they also suffer. For though in the Act of Venery, they help the Effusion by gentle ope­ning the Vessels, yet they do it not before the seed be out of its bag, and is carried by them, wherefore in Convulsi­ons they do not help the Effusion, but the disorderly mo­tion drives it from its place. Neither doth the Loosning of these Muscles in an Apoplexy cause the flux of seed as it doth of Urin, because these Muscles are made for Reten­tion, and not as the Sphincter.

The Cure.

If the involuntary flux of feed in both sexes, The Cure of the Gonorrhaea. be by Nocturnal Pollution from plenty of seed, it is not regarded, because it never comes but when it aboundeth, and hurts not much, and is cured either by Marriage, or if not, by ab­staining from things that increase it, and provoke it forth. But if the Gonorrhaea come from hot and sharp seed, that must be tempered. And if from weakness of the Vessels it be made too watery, it flow too easily, or cannot be con­tained by reason of the loosness of the Vessels by too much Venery, because it weakneth the Vessels must be strength­ned, and the seed thickned; all which may be done by the [Page 625]following Remedies applied to the Causes of the Gonor­rhaea.

Somtimes we purge, if the seed grow to sharpe and wa­tery from colerick and watery Blood, to cleanse it, so that it may afford good matter to make seed. And with such things as are fit for the Humor abounding, these are so or­dinary, they need not be mentioned here.

Things that alter are given to stay this Flux according to the diversity of the Cause. And if it be from plenty of seed, we diminish it with Dryers, and that by a proper quality destroy it or consume it; if from heat and sharp­ness, we allay them with cool and gentle Remedies. If it be too thin and watery, we thicken it; if the Vessels that contain it are weak or loose, we strengthen them with a­stringent, hot and proper things. All which are partly done with the Remedies mentioned in Saelacity or Lasci­viousness, especially if the Gonorrhaea come from plenty or heat of seed, which causeth Lechery, and partly with these following, which are fit for the Gonorrhaea that comes from any Cause.

A drying Pouder that bindeth and worketh by Proprie­ty. Take Roots of Orris, Agnus Castus seeds and Coriander prepared, each one ounce; Seeds of Plantane, Roses, Rue, Winter-cherries, Mints, each half a dram; Amber and red Coral, each one dram; Frankincense, Mastick half a dram: make a fine Pouder, give one dram by it self, or with Sugar of Roses, or some convenient Liquor.

When you will dry and astringe more, you may ad these following to the former, as Myrtle seeds, Bay-berries, Su­mach, Yarrow, Agnus Castus, Rue, Roses, and Ceterach, Acorns, Pomegranate flowers, the Pouder of the Guts and Gizards of Hens, Bulls, or Dears pizles, Hair of an Hare burnt, Ivory, Bole, Blood-stone, Crystal.

For to allay the heat and sharpness of the seed. Take the four great cold Seeds two drams, the four less cold Seeds, es­pecially of Purslain, Lettice or Sorrel, each one dram; of Wa­ter-lilly roots or flowers and Roses, each one dram and an half; of Gum Abarick or Traganth parched, one dram: make a Pouder, to which you may add the third or sourth part of the Pouder aforesaid. Some add Camphire to cool, or because it quencheth the seed by a secret Quality.

A Decoction extinguishing the heat and sharpness, and staying the Flux.

Take of Orris and Water-lilly roots, each one ounce; the Leaves green or dry of Agnus Castus, Coriander, Ceterach, Yarrow, Sumach, Plantane and Lettice, each one handful; Mints, and Rue, each half a handful, Roses and Water-lillies, each one pugil, of the four great cold Seeds half an ounce, of the four less two drams, Plantane and Purslain seed, each one dram; Myrtles two drams, Winter cherries half a dram: boyl them in Water and red wine, and in three pints of the strained Liqnor, dissolve two ounces of Syrup of Quinces, and with Sugar boyl it to halfes. Let him drink it often.

The Syrups of Purslain, Plantane, and others made of the Juyces and Decoctions, of the aforesaid Plants, or of sharp things, as Citrons, Pomegranates or Myrtles, is also good.

Also the Juyces of those Plants, and the distilled Wa­ters of the same.

Also Conserves and Candies alone, or with the Pouders or Syrups aforesaid.

Sheeps Milk or stilled Milk often drunk, temper the sharpness of the seed. Also an Emulsion of the cold seeds, of Almonds, and of white Poppy seeds, and others menti­oned in heat of Urin.

We somtimes use Clysters in this cause, as Topicks to the part, because their strength will reach from the Guts to the seed-vessels, they are made according to the Cause, of a cooling Decoction, if heat be the cause, with dryers and astringents, mentioned in the Decoction, and others, as Oak leaves, Cypress, Pomegranate flowers, and the like, boyl them in Water, red Wine, or a little Vinegar.

Some use drying Injections of Tutty, and the like into the Yard.

Also Baths, Fomentations, Oyntments which repress Lechery, may be here used. Also a Fomentation of the Codds, made of the Roots of Dogs-tongue; or of a De­coction of the Herbs mentioned for Decoctions and Pou­ders.

For strengthning of the Vessels that contain and carry the Seed, when they are weakned or loosned, when the Gonorrhaea is old, or subject thereto. The Natural hot Baths that bind, are good for some time continued. Or other artificial Baths, of the vertue, to which you may add hot things to cherish the Native Heat, as Rosemary, Mar­joram, Lavender, and the like.

Also if Heat be the Cause, you may use Oyntments to cool, dry and astringe, such as work by propriety to the Reins or Codds.

Among which this is excellent. Take Oyl of Myrtles, Mastick, Quinces, each three ounces; Oyl of Orris two ounces, Juyce of Plantane, Purslain, Lettice, Mints and Vinegar, each one ounce and an half; boyl them till the Juyce be consu­med, add Cypress roots, or Galls, Orris roots, Agnus Castus­seeds, each one dram; Juyce of Sloes two drams, Spikenard one scruple, with Wax, make an Oyntment.

The Oyl of Camphire is commended to the Codds, and Seam or Seate.

A thin leaden Plate applied at night to the Back, as it will restrain Lechery, so will it cure the Gonorrhaea.

A Pillow stuffed with Wool, with Agnus Castus, and Rue, laid under the back is also good.

Opening of a Vein is good, if it come from plenty of seed, especially where there is Plethory, to take away the cause of seed.

Let them be dieted as in salacity or Lechery mentioned: and use much Vinegar, for it wonderfully allayes the heat and sharpness of meat and seed. And if the seed be too thin, let them eat gross meats, as Lentils, parched Beans, with Vinegar; also Pine-nuts, Almonds, Rice; also Turtle and Parsnips.

A virulent Gonorrhaea is not to be cured, and stopped as another, The Cure of a vi­rulent or vene­mous Gonorrhaea or Running of the Reins. because it comes from corrupt seed, which will hurt if retained, by ulcerating the parts, but you must provide that better may follow that which Nature sends forth. And this is compleatly done by curing the Fench Pox, if it be joyned therewith. But if it come after the Pox, which leaves an Ulcer in the Yard which sends forth this matter, then you must cure it as a mattery Excretion, as was shew­ed there.

Also if this malignant Gonorrhaea come from another impure Copulation, because it turns to matter, it must be cured as this.

Other involuntary Excretions of seed in Epilepsies and Convulsions, The Cure of Seed flowing forth in Convulsions. be­cause they do no hurt, and neither the Patient, nor they about him observe it is not regarded.

Too much Venery which causeth Faintness, The Cure of too much Venery. requires no other Cure but abstinence from immoderate use there­of. And for that end I have in Salacity mentioned Medi­cines to quench the Heat. And let the Body after be re­stored by nourishing and refreshing Diet: as we shewed in the involuntary Excretion of Seed.

When seed is spent sooner then it ought, The Cure of too quick Effusion of Seed. in the beginning or preparation to Venery, by which means the act is imperfect and unprofitable for Con­ception, because it is too hot and moist; you must take those things mentioned in the Gonorrhaea from Heat and Moisture, and this will be cured with more ease then that, which is involuntary, if it be corrected, and the Diet continued.

CHAP. V. Of Voiding of Blood

The Kinds,

THat Excretion of Blood which is according to Na­ture in Womens Courses, and at the Nose, or Hae­morrhoids turneth preternatural, if it flow by places not ordained for the same; or if the blood offend in quantity or quality: as we shall shew. But if blood be spet out, vomited, pissed, or void by stool, with other Humors mixed, the Cure shall be mentioned in those Excretions.

If blood come forth at the Eyes though little, Bleeding of the Eyes. which is very seldom, it is preterna­tural.

Or if the Ears send forth blood or mat­ter with blood. Bleeding at the Ears. I saw one that used to bleed at the Nose, who had a great beating pain of his Head with redness of Face, and bled both at Nose and Ears very plentifully.

The Nose often bleeds, and it is called the Haemorrhagia. Bleeding at the Nose. And because it is usu­al and Natural with some; it is not coun­ted preternatural, till it is immoderate, and the Patient faint or die, as it hapneth to some both sound and sick. And in some Disease of the Nose, blood flows forth with snot.

Pure Blood seldom flows from a Mans Yard without Pissing, Bleeding at the Yard. and then it is preter­natural [...] and painful. Somtimes Blood in­stead of Seed is voided in Copulation: which as I shewed, is rather imperfect seed.

In Women there is a preternatural Flux of blood from the passage of the urin, Voiding of blood by the passages of urin. with­out pissing with great pain, when the stone is taken out of the Bladder.

The Natural Flux of the Terms is preter­natural, if it be not at the night time, or be longer, The immode­rate Flux of the Terms. or in great quantity; or after they have been long stopped; or when women have been thought with Child, by reason of the greatness of their bellies, through that stoppage, and then have them suddenly, and in great quantity with great weakness and hazard of life. But that Flux is preternatural and different from the Flux of the Terms, In old Women there is a Flux of blood from the womb different from the Terms. if when the Terms are past, and the Woman is old, it come without order, sometimes more, somtimes less, remaining long, which we call not the Courses, but an Haemorhagy of the womb.

Faintness, Palness and evil Habit followeth these preternatural Purgations of blood from the womb, either pure or mixed. And after a long stop­page, if there come suddenlya great Flux, it weakneth and somtimes kills. I observed in three Women which were past their Courses, this Haemorrhagy or Bleeding of the womb, in one it lasted above two years, in the other a long time, and in one of them with such great pain of the womb, almost continuing a whol year, not yeelding to any Medicines, it continued till death.

Somtimes the Flux after Child-birth is so great that the woman is much weakned thereby. Bleeding after Child-birth. And this is not only after a Natural birth, but after Abortion with great Danger.

There is another Flux of Blood from the womb at the first Co­pulation of the woman, Bleeding in the time of deflowring and Copulation. when she looseth her Virginity, such as when she hath her Terms, and this because it is counted the sign of Virginity, and therefore ought to follow, is not counted preternatural or hurtful.

Also this bleeding in Copulation, is afterward and with great pain.

There is another Flux at the Fun­dament, besides that of a Dysentery, The immoderate Flux of the Hae­morrhoids. Needing, or Liver-flux, which is com­mon in both sexes, called Haemor­roids, as any other flux of blood may be called. Which al­beit it is usual and profitable to some Tempers and Consti­tutions, especially of Men, and somtimes of Women, when old especially, comming not in order like the Courses, but once, twice, or thrice in a year: yet is it preternatural, when it is immoderate, and flows too long, or returns too often, and causeth Faintness, Weakness, Paleness, evil Habit and Dropsie, as we shewed in other Fluxes of blood.

In this Flux, the Blood is separated from the other Ex­crements being almost pure, and not so black as blood that flows from other parts. And if it be discoloured or im­pure, it will be rather very red or yellow, then otherwise.

When this Flux comes in a Disease, and doth not good, as when it comes in order, curing the Disease, but hurt by its violence, making the Body weak, it is preternatural.

Also that which comes not Naturally, but by a violent Cause, as shall be shewed, and therefore is unprofitable, especially when painful, and hurt followeth, is preter­natural

Besides this Flux of the Haemor­rhoids, Another bleeding at the Fundament different from the Haemorrhoids. there are other preternatural from the Fundament. As that which is of little blood appearing, comming from a violent Cause, with Itching and Pain.

Hither may be referred that bleeding in women, when the Terms come not only from the womb, but Fundament. This is seldom, but somtimes it hath ulcerated the Parts.

It can scarce be without a Miarcle as in our Savior, The drops of blood from the Pores of the Skin. that Blood should sweat through the Pores of the skin. But we saw once in a Child that had a Dropsie most of his Pores bloody, as if his Body had been sprinkled with blood, and yet the blood did not flow or foul the Linnen.

Blood usually flows from the body, Bleeding by wounds or Ori­fices. not naturally by its orifices and wounds great or small, either made for bleeding by Art or by Chance: as we shall shew here, and as was declared in Wounds, and the like Divisi­ons of the Skin and Diseases.

Blood flows but little from the skin, when that is only divided without other hurt.

When a Vein is opened, it leaps out abundantly, and this will weaken the strength, if immoderate: As also when there is no need, and when it is done rashly, and from an evil Custom, by which means many have grown weak and old before their time.

In the opening of an Artery, the Blood being hot, leaps by starts, and if it continue, it brings weakness and worse accidents. As it hapned in the opening of an Aneurism, there was a total loss of blood and strength which causeth Death.

We have feen in the Feet a Vein open of it self, as in Phlebotomy, and it hath flowed in great quantity into the Shoes be for Notice hath been taken thereof. And we have seen the same in the crooked Veins of the Thighs. And some say that it hath been so in the Face, Arms, Breast and under the Ribbs; from whence, if it should come at night, and not be discovered, it would be as dangerous, as bleeding over much from opening of a Vein by Art. This is rare in Men, but usual in Horses, when they are very hot, but it doth no harm.

When I was at School, I saw my School-fellow that sat [Page 627]next me, bleed at the small Vein, in the tip of his Nose very much and often, and it opened of it self, and this came from the heat of his Body by violent Exercise.

Somtimes the Blood flows more or less from the Habit of the Body in Wounds and Amputations, and it is so great somtimes, that it causeth great weakness, except it be stopped.

Somtimes Blood flows from the internal Cavities of the Belly, Breast, Head &c. In wounds there, or falls into the Cavities. And if this be immoderate, it weakneth, and if it be contained in the Cavities, it grows together and putrifies, and brings greater Symptoms then those that come from a Wound.

The Causes.

The Causes of all these Kinds of Bleeding from divers Parts of the Body, is either from the Solution of Conti­nuity, by opening of the Mouths of the Veins, or the solu­tion of Continuity from the Hurt done to some Veins or parts underneath.

Some comes from the opening of the Mouths of the veins accor­ding to their diversity. The opening of the mouths of the Veins or Anastomosis in the Ears, nose, neck of the womb, strait gut or skin is the Cause of bleeding in those Parts.

The inward Veins of the Ears opened by Anastomosis, somtimes bleed much; and this comes from the plenty or the thinness of the blood in the head but seldom, for then Nature would rather send it forth by the Veins of the Nose, except it flow both wayes: as we shewed.

The inward Veins of the Nose that come from the jugu­lar Vein, that ascendeth by the Jawes to the Brain, being opened by Anastomosis, cause an Haemorrhagy. The Cause of this Anastomosis is the plenty of blood, which Nature desires to discharge, by these tender Veins in that place of the Nose, which are more easily opened, in Men who have no easier Passage for it. For that Evacuation which they have by the Haemorrhoids, which is seldom, and but in some, is onely of that blood which is in the branches of the Gate-vein. But in Women, if they be so full of blood, that it cannot be sufficiently discharged by the menstrual Veins of the womb, or when the Terms are stopped, Nature doth often send it forth by the Nose. And this Haemorrhagy though it be not usual, yet it is Natural, except it be immoderate. Also when Blood is too hot, it opens the Veins of the Nose, either when it is so hot by Nature, or by Motion, Sunning or Baths. Or if it be infla­med in hot Diseases of the Head or Feavers, it breaks forth at the first, or in the heighth of the Disease by Crisis or ju­dicially. Also thin blood and more watery, and mixed with Choller, which sooner pierceth the Mouths of the Vessels, causeth bleeding at the Nose. Hence in evil Habit, Drop­sies, and Jaundies, although blood abound not, this blee­ding may be. But if more Causes agree, the Flux will be the greater. And this is oftner and greater, if the Veins be loose by Nature or often purging. Also it flows and is increased by force, as violent and often blowing of the Nose, which opens the Veins by force of the blood thi­ther.

If the Veins in the Neck of the Womb, that come from the hollow Vein, be opened by Anastomosis, there is great Effusion of blood. For as when these open at their set time, they cause the Natural Flux of the Terms, so when they open at other times, they cause a pr [...] natural Flux which is immoderate, or the like which is unseasonable, but like to the Courses which we mentioned before. When the Mouths of the Veins are open by plenty of blood sent thi­ther, in a Plethory, and they bleed sooner and oftner, which is unseasonable, or when they bleed at the appoint­ed time, but immoderately: Or when the blood there, by its Heat and Thinness, opens the Mouths of the Vessels, and causeth an immoderate Flux: Or when Nature dis­charging her self by this way of Superfluities, with the Blood at the time of the Courses, or otherwise causeth this unusual and large Flux: In which the Blood is some­times watery, and somtimes impure. But this Flux is greatest, when much blood either pure or impure, is in the Veins of the Womb, from the long stoppage of the terms, and suddenly breaks forth, and so enlargeth the Mouths of the Veins by its violence, that blood is not only out of the womb, but other great Vessels which supply, and the Body left as it were without blood.

And as this is in the Veins of the Neck of the Womb, so it is in those of the bottom thereof, in Women that have had their Courses long stopped, which swells their bellies: as we shewed in Tumors, and when they open suddenly they cause a dangerous Flux.

Somtimes there is a Flux of Blood from violence, when the Mouths of the Veins of the Neck of the Womb are on­ly opened without Solution of Continuity. And this is often at the first Copulation, not by reason of the skin cal­led Hymen, being broken (as they suppose) because a Membrane hath no blood, and if it came from thence, it should be torn away. But which is more probable, it is from that sudden and strong enlarging and dilating of the Orifice of the womb, or from the Rubbing of the Neck of the Womb, which it hath not felt before, that the menstru­al Veins are a little opened, and send forth blood like the Courses, or at least some Sprinklings.

Also there may be a Flux of Blood at the womb, from Medicines that open the Veins thereof, especially if they be strong, or things put into the womb, as Pessaries, &c.

And, there may be an immoderate Flux after Child­birth, from the Causes that the Terms over-flow: and as it is Natural, to have the Vessels open and bleed, so it is preternatural when the quantity is too great, or the blood too thin.

As the Haemorroids come Naturally from the opening of those Veins which come from the branches of the Gate­vein, yet they flow not so as the Terms, (by which it is necessary that that blood in women that are fit to con­ceive, which is laid up for the nourishing of a Child, should be avoided every month till they do conceive) but onely then, when the blood in the Meseraicks aboundeth, or is hot and chollerick (as we shewed in the Causes of inter­mitting Feavers that Choler is chiefly increased) and aboundeth there, not carried into the hollow Vein, or purged by the Gall, and therefore is sent forth by the Fun­dament which is near, and which is ordained for other E­vacuations also. So when these Veins are too open, or too long closed, Nature, being provoked by the plenty of blood, or the Heat thereof, or by Choler, which may cause great Diseases, endeavors to make an immoderate Flux, and the rather, when the Veins are so open, that they cannot close themselves. From which Cause I shew­ed you that two very Learned Men who lived a sedentary Life, and procured the Haemorroids by Art, were brought to such a violent Flux, which could not be stopped, but caused their Death.

But if Nature being moved, neither by Repletion or Im­purity of blood, but by other Causes, doth send forth good Blood from the Meseraicks without Necessity; this Flux will be preternatural, neither usual nor profitable.

By the opening of the Veins of the skin, blood cannot flow through it or the Pores, nor by the Rarefaction or Diapedesis of the skin, can blood strain through the like Sweat, because it is thither, and the Pores very little, ex­cept the skin be divided, but if it be under the skin with the Sweat there it stayes, and causeth the Hypochyma or Suffusion of Blood, which I spake of. And although as I shewed in the Boy with the Dropsie, it was sprinkled about the body, yet it past not through the skin, but stuck in the Pores, and this is very rare.

[Page 628]There are many Fluxes of blood that come from the Solution of Continuity in divers parts, The dividing of the veins in the Eyes, ears, Yard, Womb, Funda­ment, Skin, is the cause of Bleeding. which differ in that Respect.

If the Tunicles of the Eye be rubbed when they itch, or divided, the Veins may be hurt, and they may bleed though but a little.

Also they may bleed from the hurting of the horny Tu­nicle; For I observed in a Boy that had a piece of sharp Glass in the Pupilla of his Eye which I drew forth, that the blood was discussed without any hurt.

If the inward Veins of the Ears be hurt by things thrust into them, a little blood may come forth; or more from a Fall or Stroak, when the Veins are broken.

If the inward Veins of the Nose be hurt, they bleed. This is done by the Nails when they are pricked some­times, or with other things, by which Men willingly cause Bleeding; as when they provoke Sneesing it may happen. The same comes from a blow or stroak upon the Nose, or a sharp Humor in the Nostrils. In the Gravedo, that is, when a raw Humor falls into the Nose, the blood wil flow, especially when it is much blown. As also from the rub­bing off of a Scab therein.

If the Catheter or Instrument thrust into the Yard, do hurt the same, there is a flux of blood alone, or with piss. And this may come also from a stone that passeth through the same.

Also the Veins of the Neck of the Womb being hurt cause bleeding: as in hard travail, after the drawing a­way of the Secondine, which teareth the Vessels. Or by the Child, which passing through a narrow place teares the same. Or from the Abortion, when the Vessels of the Child growing to those of the womb, will not so well be separated, as when the Child is ripe, but are violently broken.

Or there is a Flux from violent Copulation at the first or afterwards.

There often follows a Flux of Blood, from the using of a widening Instrument to the Neck of the Bladder, when they take out the Stone.

Also from the hurt of the strait Gut; the Veins thereof are of two sorts, if the internal Veins be hurt, which come from the Meseraicks; there is a Flux of Haemorrhoids, but it doth no good: But if the inward Veins of the Fun­dament that come from the hollow Vein, there is but a small Flux.

This comes often from things voided, as hard Excre­ments, or from sharp things eaten, or sharp Suppositories, or from difficult Travail, which hurts the Fundament by straining.

Or from a hollow Ulcer, going from the Neck of the Womb to the strait Gut, the Terms may pass through the Fundament. For without a wound it cannot be so, be­cause Nature cannot make her way, where there is no Continuity of Veins, with the Menstrual which come from the hollow Vein and the Haemorrhoidal which come from the Gate-vein.

The Cause of all Bleeding in the outward Parts, is So­lution of Continuity from internal or external Causes: and they are divers in respect of the Parts.

If the skin be flea'd off by scratching, when it itcheth or the like, there may be a little bleeding.

There will no great Flux come from a wound, only in the skin, when you cut it for the crooked Veins curing, or for Tumors, it bleeds but little, till the Veins be opened.

If any great Vein be opened under the skin, Opening of a Vein causeth Bleeding. there is bleeding, especially if it be cut, as in Phlebotomy, which so much u­sed to prevent and cure Diseases, in which there will be a great Flux, except it be stopped: Or when any great Vein, as the Jugular is cut. And somtimes when the crooked Veins are cut. And it hapneth that when the skin is cut for other Causes, for Ruptures, or preternatural Tumors that the Veins are cut and bleed; or by a Wound by chance.

Sometimes the Veins open of them­selves, and bleed as if they were cut. When the mouth of a vein opens of it self, it cau­seth a Flux. This is caused by Plethory, or Fulness, or by Heat, which may open the mouths of the Veins, but seldom break them, except the Vein be very much stretched, as in the crooked veins. Or when Nature hath been used to be often discharged at one part, and seeks to get out by the same, which is the ea­sier done, when the skin is thin, and the veins larger from the often opening.

When an Artery is opened by Art or otherwise there is a great loss of Arte­rial Blood. The cutting of an Artery, the cause of bleeding. Also there may be a strong and long Flux of Blood from an Artery pricked or torn under the Teeth: If the Gums be onely hurt, the bleeding is little. And if you open an Aneu­rism that is let out the Blood that came from the Cutting of an Artery to lodg under the skin, there follows a dan­gerous Flux of Blood.

If many Parts be wounded, A wound in the Parts is a Cause of Bleeding. the blee­dings are divers. Some wounds are made to cure Diseases, as Imposthumes, Tumors, the Stone in the Bladder, Rup­tures: Others are by accident. In which if one or more of the great Veins or an Artery be cut, the bleeding is greater. And because Nature hath placed those great Veins, that they may be safer under the Muscle of the Arms and Thighs, the bleeding is greater. And as in great Vessels, so if the small Veins only are hurt, or if the fleshy Parts be only wounded, the Flux is less. And in great wounds of great veins, if the blood fall into the in­ternal Cavities, as of the Belly or Breast, there will be no great flux at the wound. When such wounds are made by art, not only the blood but matter, which you desire may be let out therewith.

The greatest Fluxes are from the Cutting off of Mem­bers, which must be done when they are uncurable or pu­trified; or when an Arm or Leg is cut off first, and then the bone sawed asunder; or when the smger is cut about the flesh, and then the bone nipped off with a pair of For­ceps; or when any Parts that stick out and want bones, are cut off as the Nose, Ears, Lips: or wounded by chance.

The Cure.

When Bleeding comes from the Anastomosis or ope­ning of the Mouths of the Vessels because it is great, that is first to be treated of, because we did not explain the Cure thereof in other Diseases.

When the Ears bleed from Anastomosis, The Cure of bleding at the Ears. because it is seldom and from great plenty, it requires no particular Cure, if it be joy­ned with the bleeding at the Nose, you must first look to that.

If Bleeding at the Nose do good, The Cure of bleeding at the Nose. as when it takes away fulness, or foulness, and stayes a Disease, it must not be hinde­red, unless it be so often that the strength fail. Otherwise when it doth hurt comming from Heat, Thinness, Force, or the like, if it be immoderate, it must sooner be stopt: if it be little, or without Snot, it is to be regarded. And if it comes from an Ulcer, that is first to be cured.

The best Method to cure it, is to take away the Cause, when it comes often, especially at the time that it flows not, if it come from Plethory, by diminishing the blood, and if it be hot or thin to temper it. But when the blood flows, you must endeavor to draw it from the Nose, and to stop the Passages, and drive it back: which is done by these following.

[Page 629]You must open a Vein in the Arm, on that side that the Nose bleeds, that that blood may follow from the Head into the place of that which is let out, and so be drawn from the Nostril; you must not take much at a time, but stop the Vein, and then bleed a little more, and so by of­ten stopping and bleeding, the blood will be turned, and the Patient not be weakned.

Scarification is like Blood-letting to attract, but is not so violent, because it draws only at the small Veins in the skin: This is best in the Shoulders and sides of the Neck. Some commend it in parts more remote, as in the Wrists.

Also you may draw blood from the Nose by Horslee­ches behind the Ears.

Cupping-glasses with a great flame, do drive the blood if often applied, behind the Ears and Shoulders: they are best to the Breasts in Women. And if the right. Nostril bleeds, apply a great Cupping-glass under the right Ribs, and if the left under the left.

Ligatures made with Roulers, or the like to the Arms and Feet, do restrain the violence of the blood running to the Nose, and draw it from the Head, if they be tyed till the Part be red or pained; and this is better in the Fin­gers and Toes where there is less danger, it is dangerous in the Codds.

Frictions also or violent Rubbings of the Parts do draw down the blood.

We purge, when the Blood is too watery or cholerick, because cholerick blood pricks and provokes, and water makes it flow; and by cleansing the blood in an old Hae­morrhagy or Bleeding, we have done very much.

We purge with gentle things, for hot and sharp Medi­cines will inflame the blood after and weaken the Patient; and with things that bind, as Rhubarb, Myrobalans, Juyce and Syrup of Roses, Senna, and the like, or with stronger things mentioned when there is much Choller or water.

We use things that alter which are cold and drying, or thicken the blood, or with some other Property stay the flux.

The Decoction of five leaved Grass, Plantane, Shep­heard-purse, Solomons Seal, Myrtles, Comfrey, Horse­tayl, Mousear, Sanicle, Pyrola or Winter-green, and the like, mentioned in Wounds, with Lettice, Water-lillies, Sorrel, and Rose-flowers.

You may make Syrups of the Decoctions of the same, mentioned in Spitting of Blood; and these of Sorrel, Lem­mons, Pomegranates, Quinces, and Water-lillies.

The Juyces also are good of these and the Plants, men­tioned in Spitting of Blood, used as there is taught: and with those sour Syrups and Juyces, as Pomegranate-wine and Vinegar, or used for Sauce.

Also the distilled waters of the same Plants, as of Sor­rel, Water-lillies, and Roses, as there mentioned.

And the Pouder of the Troches there mentioned against Spitting of Blood are good here, or of stronger things then may be given for Diseases in the Breast. As, Take Bole or sealed Earth two drams, Blood-stone, red Coral, each one dram; of Bulls or Dears Horn burnt, half a dram, Pomegra­nate-flowers and Plantane seed, each one scruple: make a Pouder.

The Conserves are that of Roses which is old, Violets, Water-lillies, Succory, Sorrel, and Comfrey-roots can­died &c.

Electuaries are made of these Syrups, and Pouders and Conserves, or that for Spitting Blood, that begins; Take old Conserve of Roses, and Violets, &c.

Potions are made of Syrups, Juyces, Waters and Pou­ders, or you may give those mentioned in Spitting of Blood.

To allay the expulsive Faculty of Nature, you may give Narcoticks, which will be proper, as we shewed in spitting of blood, or Pills of Dogs-tongue, Syrup of Poppies, or the Pouder there mentioned: And other things mention­ed in the Colick, choosing those which are coolest, and have less hot things, with which they that do correct Nar­coticks do ill, because they are hot.

You must put Astringents and Dryers into the Nose, or things that bring a Crust by burning a little, or that stop by glewing these, or snuffed up, or put up with the finger like an Oyntment; or are put into a Spunge covered with a Clout, or blown up. They are made as followeth.

Some Plants onely a little bruised may be put up, as Plantane, Horse-tayl, or the Root Shepheard-purse, Yar­row, Willow herb, and other Astringents: Also Leeks, Basil, Nettles, Bettony, and Rue according to Dioscorides.

Also the Juyces of these Plants.

This following Pouder is good to be blown up, or put up with the white of an Egg, and a little Vinegar, or with a Clout.

Take Frankincense two parts, Aloes one part, make a fine Pouder; Spiders webs, or Touchwood, or Hairs of an Hare may be added, but because you cannot cut Hair so, but it will prick the Nose, you may leave that out.

Another. Take Galls one dram, Juyce of Sloes, Dragons blood, Mummy, each half a dram; Varnish one scruple: make a Pouder.

You may mix it with the former.

A third very strong. Take Bole, Plaister of Paris, each one dram; burnt Vitriol and Allum, each half a dram: make a Pouder.

You may use the Pouder of Troches of Amber.

Asses Dung is commended both dry, and the Juyces with Vinegar, adding the Pouders or Juyces aforesaid, and a little Hoggs Dung, which is as good as that of Asses.

The Ashes of Paper, Raggs, Hares Hair, Cotton, Spunge, Egg-shells, burnt by themselves, or with their Yolks; al­so of Snails and Froggs: also Soot is very good.

The Blood which flows if it be long stopped, till it clod­der will stop the Veins. Also the same burnt with Egg­shells and their Yolks to pouder.

Spiders webbs alone, or mixed Mill dust, and Touch­wood poudered sine: Also the Down of Willow-flowers, and other Plants, and of white Poplar, and other Down that sticks to Leaves, first steep'd in Vinegar and dryed, thrust into the Nose stop the veins, with the help of the congealed blood.

Also dip Clouts, or Cotton or Silk in Ink, such as they write with, and dry them, and put them into the Nose, or make them into Pouder.

And burnt Vitriol with Orpiment and Asses Dung, and the Juyces aforesaid.

The smell of strong Vinegar, with Camphire, is also good.

That Moss which sticks to old walls and tyles of houses, that is moist and sandy at the Roots, if you hold it to the Nose, and snuff up the scent which is cold and moist, doth stop bleeding at the Nose suddenly when all things fail.

Let him hold cold water in his Mouth, and renew it of­ten when it grows warm.

There are things outwardly to be applied for stopping of blood at the Nose, which work both by manifest and hidden Qualities.

They which do it manifestly are actually cold, or poten­tially cold, which allay the Heat of the Blood, and by thickning it, keep it from flowing, and stop the Passages by binding. These are applied to the parts following.

To the sides of the Neck by which the veins and Arte­tyes ascending to the Head, pass to the inward branches of the Nose, to stop up the blood from flowing thither. And these do good applied to the Temples and Fore-head by cooling and thickning; they are made of the follow­ing Remedies.

Epithems are made of Water and Vinegar, a Clout be­ing dipped therein, applying it very cold, with which you may also wet the Face.

You may add the Juyce of Plantane, and to make the Liquor stick better, the white of an Egg beaten or Mil dust, and instead of common water, the distilled water of Plan­tane or Shepheards-purse, and of other astringent Plants, and of Rose-water: The Juyce of Nettles applied to [Page 630]the Temples doth also stop Bleeding at the Nose.

Other Applications that stick longer, are thus made. Take Juyce of Plantane four ounces, red or Rose-vinegar two ounces, the Juyce of sour Grapes one ounce and an half, Bole six drams, Dragons blood half an ounce, Pomegranate-peels or flo­wers, two drams, Wheat flower or Starch, one dram, three Whites of Eggs beaten, apply them with Cotton or a Clout.

Another. Take Galls one ounce, Frankincense, or Ma­stick and Varnish, each half an ounce; Juyce of Sloes two drams, Blood-stone one dram; mix them with convenient Li­quor, as Juyce of Plantane, Shepheards purse, Solomons Seal, Blood-wort, or other Astringents, or with Vinegar, and whites of Eggs, or the Infusion of Gum Traganth.

You may add to these other astringent Pouders, as of sealed Earth, Fullers-earth, red Coral, burnt Ivory, Asses Dung, or Swines Dung, Roots of Snakeweed, Cypress­nuts, Myrtle-seeds.

We shewed in the Cure of Ophthalmy or Redness of the Eyes, Emplasters that keep the Blood from flowing into them, and they are good here. As those that are to be applied to the Fore-head and Temples. Also the com­mon defensative of Bole there mentioned, which is very good, if two of them be laid to the Jugulars on each side of the Neck.

Oyntments though they are weaker, may be used to these parts of astringent Oyls, as of Roses, Omphacine, Myrtles, Mastick, with the Juyces aforesaid, and Vinegar, and the astringent Pouders.

Or that which is mentioned in Ophthalmy to be used after the defensative.

Cataplasmes of these astringent Herbs whose Juyce we commended, are good, applied to the places aforesaid, to which you may add others mentioned.

Cold things applied to the Stones, because they have many vessels that carry blood, and have great consent with the whol Body (as appears by the change of Constituti­ons in them that are gelt) do stop the bleeding at the Nose.

If they be washed with a Clout or Spunge dipp'd in cold water or snow-water, because it is less dangerous to the Stones then the Head, or with Vinegar, or the like mentioned.

They do the same applied to the Breasts, because there are also many veins.

Cooling of the Hands and Feet is also good, with Vine­gar and Water, or wetting the wrists where the Pulses beat, or the Palmes of the Hands and Soales of the Feet therewith: Or hold Flints or Iron in the Hands, or the like, or apply Plates of Lead to the Feet.

The same do well under the Arm-pits, because the veins meet there. Or,

Plung the whol Body in cold water except the Head, to cool the blood; this is good for strong people in hot weather, but not for weak.

You must apply things that are potentially cold to the Liver to cool the Blood, especially if the Liver be very hot.

As those Epithems which are mentioned in the Cure of the Inflammation of the Liver, and of continual putrid Feavers; and the Oyntments there mentioned.

These following Amulets are said to cure the Bleeding at the Nose by an occult Quality, if hang'd about the Neck, or held in the Hands, so that they touch not the na­ked flesh.

Beads are thus used, made of precious Stones chiefly the Jasper, the Cornalian or Coral. These about the Neck cool the jugulars and soporal Arteries, and stanch blood.

The touching and wearing of some Plants is good, Per­wincle, Shepheards-purse, Snakeweed-roots, Moss of a dead Man Skull, and of Box-tree.

They say the Carpe-stone held in the Mouth being cold stops bleeding at the Nose; it is thought to be a square Grisle between the Head of the Carpe, and the first spon­dil partly Bone, partly Grisle, and therefore it is found in the Palate. But there is another stone found in the brain of a Carpe near his Eye, like a half Moon harder then that is found in other Fishes as the Perch; Beads made of the Stones mentioned, cooled in water as they grow hot, held in the Mouth or applied. The Root of Perwinkle and of Dandelion held under the Tongue doth the same.

Nettles put under the Cap will stop bleeding at the Nose, also if the Fore-head be anointed with the Juyce thereof.

Also Perwincle with Salt, or Niter or Vitriol beaten and applied to the Head or Fore-head.

Because Imagination doth much, I shall tell you what some say, viz. That if you write with the Blood upon the Fore-head, It is finished, it shall stop. I shall omit the o­ther as superstitious and wicked.

The Diet must be as followeth, because some things hurt, and others do good.

Let him be in cold Air rather then hot, not too light or near the Sun-shine, because it tickleth the Nose, and moves the expulsive Faculty to neesing; as also strong Scents; the vulgar think that beholding the Blood or red Colours doth also provoke bleeding; but this may be from Imagination.

Let his Meat be such as keeps the blood from being thin, gross and glutinating, of young Beasts feet well boy­led, and the like, green Cheese, but a little salted, Rice, Bar­ley, and binding Fruits, as Quinces, Pears, and cooling Pot-herbs, Endive, Lettice, Purslane boyled and crude in Sallets: Let him take heed of spices and salt.

Let him drink water and not wine, except the strength fail. And though he cannot abstain from wine, that is ve­ry subject to bleeding: let him beware of Drunkenness. And let his wine not be strong, but red and mixed with water, and somwhat sharp.

Rest is good, for Motion will cause the flux to increase, therefore let the parts especially near the Nose be at rest. Let him not speak much or loud; and not chew violently any hard thing.

Let himly with his Face upwards, his Head backwards, that the Blood may go back, and it will do good, provi­ded the blood fall not into his Mouth, or descend farther which is worse.

A sudden Commotion or Passion of the Mind draws the blood in, and stops it. This you may do by a fright, if his strength will bear it. Fainting and Swounding doth it better, and presently stops Bleeding. But this we shal not advise to be forced because of the Danger. But when it comes of it self from an over bleeding, we have observed that it hath often stopped the blood.

Bleeding at the womb which is Natu­ral to Women, The Cure of the over flowing of the Courses and other Fluxes of the Womb. if it be somwhat too vio­lent, because some Bodies require more, some less, if it cause no Distemper, is not rashly to be stopped. But if you fear Diseases as Dropsies, then you must stop in time. And as if the Terms flow more violently and oftner then usual; Or when they have long been stopped with a swelling in the belly, they break out violently in great quantity, and with great weakness and danger of life. Or if the purging after Birth be too great, especially after Abortion, which is no less dangerous. That Flux which women have in age when their Courses have lest them is preternatural, and cannot continue without harm, must be also stopped, and the rather if it be large, often, and of long Continuance. That bleeding which comes from external violence, especially from Copulation, if it be at the loss of Maiden-head, because it is not much, and hurts not, and is a good sign is not regarded, especially if the Terms come the sooner for it. But if it be great and from some great hurt, either at the first or other Copula­tions, it must be stopped.

That bleeding which comes from the tearing of the neck of the Bladder in a woman when a Stone is taken out, re­quires no other Cure but that of other wounds.

[Page 631]The Cure of all Bleedings at the Womb is by Evacuati­on of blood, and turning it from the womb, with things that make it more pure, thicker, and less flowing, and stop the places by which it is carried thither. Or that act by a hidden Property, you must proceed according to the cause with some of these, as considering whether it came by vio­lent use of hot and sharp Meats, the violent Motions of Body or Mind.

Blood-letting is good to prevent it in those that are sub­ject to it, if it be in the Arm, and in women with Child, if they formerly had the same in Child-birth, for it hath bin so often used to the same woman, being full of blood and hath not taken the Nourishment from the Child, as some suppose.

In the time of the Flux to drive it back, it is good to o­pen a Vein in the Arm, or Hand or other place above, not below, for in the Foot it provokes the Terms. And you must take a little at a time and by degrees, for much will weaken.

Great Cupping-glasses, or many little ones are applied under the breasts to draw up the blood, because the Veins there, and of the womb consent. And they may also be applied to the right side, and to the shoulders. Frictions of the extream parts, are here also good.

If water in the blood causeth it to be fluid, you must sweat often in dry baths before the flux to prevent, but in the flux it will heat and move the Humors, and do more hurt then good.

If there be Water and Choler in the blood which cau­seth the flux, you must purge them away. But this is bet­ter to prevent before the flux comes from them; you may use the stronger Medicines, which you cannot well do in the flux, because it would more weaken, and inflame the body, and by moving it, increase the Flux.

And then if the belly be bound, use gentle Lenitives, that leave an Astriction, as Rhubarb, Myrobalans, and the like, mentioned in Dysenteries.

And this Potion. Take Tamarinds and stoned Prunes, each six drams; yellow Myrobalans half an ounce: boyl them in Water and the third part Wine, and when it is strained, in­fuse half a dram of Rhubarb, of Spikenard one scruple, strain them, and add Syrup of red Roses dryed one ounce, give it at once. It will work better with a little Senna, and not stir up Nature much, because the Juyce being taken out by Decoction, is very like the Juyce of Rhubarb, and of Saf­fron Colour, by which we gather that it doth not differ in strength: And because it is used as Rhubarb in many dis­eases from Choler.

Or this. Take yellow Myrobalans poudered two drams, infuse them in red Wine, with one scruple of Spike, strain them, add Syrup of Roses solutive one ounce, Rhubarb finely poudered two scruples, or a dram, give it at one dose.

Half an ounce of Tryphera Persica taken doth the same, because it hath many astringents, and things that allay the heat of the blood.

It is not safe to give other hot and sharp Compositions which have Scammony, or Agarick, or Turbith, in a great flux, because by pricking, they force the Terms.

We give things that alter which thicken the blood, and allay its heat, and bind the Passages, and stop it. Many whereof have been mentioned in the Bleeding at the Nose, and Spitting blood which are good here, but these are chiefest that follow.

Let them eat things that breed thick blood, of Flower of Bread-corns, and Pot-herbs of glutinating flesh, and green Cheese; to which they add sour Milk, and Eggs, and the like, mentioned in immoderate Pissing.

Let them use astringent Fruits crude or boyled, or di­vers Sauces made hereof, as Quinces, Pears, Services, Cor­nel-berries, Medlars, Mul-berries, Black-berries, Sloes, Straw-berries, Currance, Myrtles.

Of Pot-herbs, Purslane, Lettice, Endive, Succory, Sor­rel, Plantane; boyled in broath, or raw in Sallets: to which you may add other plants, mentioned in the Decoction which tast less like Physick.

Let him drink Decoctions often, and if they must be kept, boyl them to Syrups.

The best ordinary Syrups are of Myrtles, and red Roses dryed.

Or this Decoction. Take Comfrey roots one ounce, Plan­tane with the Roots, Shepheards-purse, Yarrow, each one hand­ful; red Rose flowers one pugil, Pomegranate flowers two drams, Myrtle and Plantane seeds, each one dram; boyl them in Rain-water, add to the straining, as much Sugar as will make a Potion for three doses, or boyl it to a Syrup with Sugar.

Decoctions may be made of divers others, mentioned in Bleeding at the Nose, as of Herbs for the vulnerary or wound-drink, of Winter-green, Agrimony, Horse-tayl, Sanicle, wild Tansey, Moufear, Comfrey, Solomons-seal, Straw-berries, Bears-ear, Sumach, Shepherds rod, Lung­wort, Blood-wort, Burnet, Sorrel, Purslane, Moon-wort, wild Basil, Mints, Arsmart, Phoenice, Rock-Comfrey, flo­wer, Leaves and Roots, Myrtle leaves, Mastick leaves, O­live leaves, Oak leaves, Brambles; also Roots of Avens, Ras-berries, Water-lillies, Sulphur-wort, Sanders, Brasil, Lote-tree, Olive-tree, Pomegranate-peels, Roses, Grapes,

The Indian Milium-flower gentle.

Some Juyces are given, either crude or boyled to a sy­rup, as those of sour Fruits, Quinces, Pomegranates, Cur­rance, Bar-berries. These Juyces with Sugar may be set in the Sun, and so they will have a tast and scent like wine. These Juyces are made into Lozenges with Sugar, and are very delicate, with Rose and Plantane water and the like. And instead of these, you may use other sour Juyces, as of Citrons &c.

You may likewise use the Juyce of some plants by them­selves or boyled, as of Plantane, Sorrel, Purslane made in­to Syrups; and of Shepheards-purse, and Yarrow; and as Dioscorides teacheth, the Juyce of Water-bettony, and Goats-beard, and Arsmart.

Waters simple or mixed, are of Plantane, red Roses, Shepheards-purse, Purslane, Sorrel, and the like above­said.

Some approve the water of Snails: and that wherein I­ron is quenched.

Mucilaginous or slimy things also, as whites of Eggs, Mucilage of Quince-seeds, Gum Traganth &c.

The old Conserve of Roses, and Tablets of Pouder of red Roses, with Sugar candied, or conserved Comfrey­roots; also the Conserve of Peach-flowers: or others of Sorrel, or of the Plants mentioned.

These following Troches may be taken with sugar of Roses, or with wine and water, or in Electuaries, or Po­tions.

The troches of Amber, thus made. Take Amber, Gum Arabick, Traganth, Mastick, Frankincense, Lacca, Acacia, or Juyce of Sloes, burnt Harts horn, Coral, Pomegranate-flo­wers, black Poppy-seeeds, Saffron and Mucilage of Fleabane.

The troches of Terra Lemnia. Take Terra Lemnia, Bole, Blood-stone, Coral, Pearl, burnt Horts horn, and Ivory, Amber, Gum Arabick, Traganth, Frankincense, Juyce of Sloes, Dragons blood, Roses, Pomegranate-flowers, Seeds of Purslane, Roses, black Poppyes, Galls, burnt Starch, Plan­tane-water.

The troches of burnt Ivory. Take Spodium, or burnt Ivory, Gum Arabick, Seeds of Sorrel, Purslane, Coriander, Grains of Sumach, Bar-berries, burnt Starch, the Juyce of Grapes.

Instead of which you may make these pouders follow­ing, as this of Plants. Take of the Leaves of Plantane or Agrimony, or Horstayl, Myrtles, or Oak, Roses, Pomegra­nate flowers, each one dram; Seeds of Plantane, Sorrel, or Docks, Purslane, Coriander prepared, Cummin torrefied, each half a dram; Cypress-nuts, Galls, Myrtle-berries, Bar-ber­ries, Sumach, Pomegranate and Grape Kernels, each one drams; Hazle-nuts, Ches-nuts or Acorns, each one scruple; red San­ders, Cypress-nuts, each half a dram; Spike half a scruple, A­cacia, Gum Arabick, Frankincense, Mastick, Dragons blood, [Page 632]each one scruple: make a pouder. Which with the Infusi­on of Gum Traganth in Rose or Plantane-water, make into Troches.

Another is thus made. Take Amber, red Coral, Bole, or Terra Lemnia, each one dram and an half; Blood-stone half a dram, Pearl one scruple, burnt Harts horn, and Ivory, each one dram, Cuttle-bone half a dram, burnt Egg-shells one scru­ple: make a pouder.

This is stronger. Take Corke, Pomegranate peels, Dates, Roses, Mary-thistle, Acorns, roasted Chesnuts, Berries of bloo­dy Rod, Nut shells, burnt Date stones, Ashes of Bee-nettle, dryed Mulberries, Services, Cornil-berries, Medlars, Lemmon Kernels, and of Sea bull-rushes, Water-lillies, Piony, Juni­per-berries, Mummie, the Runnet of a Kid and Hare, Snakes skins, precious Stones, Jasper, and burnt Oyster-shells: Some add the filings of Iron.

There are divers Mixtures of the aforesaid, as Juleps, Waters with Syrups, or Potions, Decoctions, Pouders, E­lectuaries, Conserves, Syrups.

You may make pills of those that are unpleasant, that they may be the better taken, or of prepared Steel or Iron quenched in Vinegar, not in Aqua fortis, as Crocus Martis is made, though some say this makes women bar­ren: Also of dryed Goats dung. To which you may add other things, and with Syrup convenient, make pills.

Some women say this is experienced, you must swol­low nine turds of the greater sort of Mice.

Also things mentioned for the Haemorrhoids are good here, as pills of Bdellium, Micleta, Electuary of Myrtle-berries, or the Consection of Rhasis, made of Filings of Iron.

Narcoticks stop the Terms as well as other Fluxes, and because they provoke sleep (which stops all fluxes but Sweating,) they are good. You must give those Compo­sitions that have Opium besides the things that stop blood, as Troches of sealed Earth, of Amber, with Opium, and Diacodium Galeni, Philonium Persicum, and others that have Terra Samia, Lemnia, Bole, Coral, Starch, Juyce of Sloes, pomegranate flowers, Juyce of plantane, with Hen­bane seeds and Opium. There are other Narcoticks, as Syrup of poppies, the Decoction of poppy topps and the like, mentioned for the Colick, with things which stay fluxes, as Syrup of Myrtles, Bole, Acacia, it is good to give one scruple of Henbane seeds with some of the same, or as in the Spitting of Blood. Some give poppy seeds instead thereof.

Outwardly you may stop the blood with Oyntments and Applications to the Reins and privities.

Anoint them with Oyl of Roses, Myrtles, Quinces, Mastick.

Or Oyl wherein sour and unripe Fruits have been boy­led, as pears, Sloes, Medlars, Cornil, and Service-berries, or Juyce of plantane, Shepheards-purse, Solomons-seal, Leaves of Brambles, Oaks, adding red Vinegar as much as Oyl.

Some think that Stupefactives to the womb are good, as Oyls that do take away sense, as Narcoticks, and so they stop Fluxes, and not by cooling. Oyl of Henbane or the like, wherein Opium is dissolved, or Barks of Man­draks, and the like.

Of Oyntments, that of the Countess is the best, made of these following boyled in Plantane-water, as inward rinds of Acorns, Chesnuts, Beans, Celandine, Snakeweed, or Tormentil roots, Horstayl, Capars, Sloes, Medlars, A­corn cupps, Galls, Myrtle-berries, Grape stones, with Galls, Ashes of Ox bones, Troches of Amber, Oyl of Myrtles and Wax.

The usual Oyntments are of Roses, that cooleth the Reins. Such take away the Heat from the Blood which is sent plentifully from the Emulgents to the Kidneys, and so stop the Flux.

Also the Plaister against the Rupture, applied before and behind to the Region of the Womb.

Or this Oyntment. Take Bistort, or Snakeweed, Tor­mentil, Galls, Acorn cupps, Cypress-nuts, Pomegranat peels, each one dram and an half; Pomegranate flowers, Myrtle-berries, Grape kernels, Acacia, each one dram; Dragons blood half a dram, Bole one dram and an half, red Coral one dram, Mastick two drams, with Oyl of Roses or the like, in which Vinegar hath been boyled, and with Wax make an Oyntment, or with Rosin and Pitch an Emplaster. These may be also applied to the Soles of the Feet.

The Troches of Amber, sealed Earth, Ramich &c. are better inwardly then outwardlp used.

You must use Fomentations about the Privities, or baths to sit in, of the Decoction of these, Roots of Snakeweed, Tormentil, five leaved Grass, Acorus, Comfrey, Pome­granate peels, Plantane, Shepheards-purse, Solomons-seal, Brambles, Horstayl, Sumach, Mullein, Tamarisk, Sage, Mints, red Roses, Pomegranates, Galls, Acorn-cupps, Cypress-nuts, Myrtles-berries, Sumach, Sloes, Acacia and other sour Fruits, and if stronger is required, burnt Chalk, Bole, Allum, or Vitriol: boyl them in Iron-water, or red Wine, and a little Vinegar.

An Epithem to be laid to the part, is made of Plan­tane-water, and Shepheards-purse two parts, and one of Vinegar, it is good also laid to the Soles of the Feet with a Spunge, as also Allum boyled in Vinegar.

Apply this Cataplasm. Take Plantane, Shepheards-purse, Rupture-wort, Mints, each one handful; boyl them in red Wine, beat them, add Lentil meal half a pound, Goats, As­ses, or Hoggs dung dryed two ounces, Juyce of Sloes half an ounce, Dragons blood, Frankincense, each two drams, burnt Chalk and Bole, each one ounce: mix them with the white of an Eg, and Vinegar, and apply them to the Region of the womb, or with Oyl of Roses and Myrtles.

Things put into the womb, do well to stop the Mouths of the Menstrual Veins if they be open: also Injections are good if the Flux come from the bottom of the womb, for their vertue will reach thither.

They are made of the Decoction mentioned for a Fo­mentation; Or of the Juyce of Plantane, Shepheards­purse, Yarrow, Horstayl, Solomons-seal, with the like.

Or this. Take of the Decoction or Juyce of the Plants mentioned one pint, ad Juyce of Sloes, or sour Grapes six drams, Dragons blood two drams, Bole half an ounce, the red Juyce which is taken from Grinding of a Blood-stone half an ounce, Asses or Hoggs dung two drams: make an Injection, it is better with a little Vitriol.

Or the Decoctions or Juyces of Herb Willow, Goats beard, Coriander, Yarrow, Rue, Housleek.

Pessaries are made of the Oyntment of the Countess, or the Linaments mentioned with wool: Or of the Plants mentioned, as Plantane in a bag.

Or thus. Take Galls one ounce and an half, Acorn-cups one ounce, Starch, Roots of Snakeweed, or Tormentil, each half an ounce, Pomegranate flowers, Myrtle seeds, each two drams, Frankincense three drams, Acacia, Dragons blood, each two drams, Blood-stone one dram: pouder them finely, and with the White of an Egg, Juyce of Plantane, and Vinegar make a Pessary.

Or, Take Pomegranate peels one ounce and an half, Cypress Nuts one ounce, Meal of Lentils, Roots of Docks, each half an ounce; red Roses and Sumach-berries, each two drame; Ma­stick three drams, Mummy and Juyce of Sloes, each one dram and an half; Gum Arabick one dram, Bole or Oaker half an ounce, Allum or Vitriol one dram, dryed Goats dung two drams mix them in pouder, with the Infusion of Gum Traganth, with Juyce of sour Grapes, or Wine-Lyes for a Pessary.

You may add astringent and drying Pouders, of Roots and Herbs, Ashes of an Oak, Down of Willow flowers, and the like, the pulp of Wolves fat, Spiders webbs, Hares dung, Rust of Iron, Coral, Troches of Amber, of sealed Earth, with Micleta.

It is experienced by some Women that a Pessary made of hot ashes, and hot red Wine, with Juyce of plantane cureth: but one spoyled her privities by applying it too hot.

[Page 633]Let her take this Fumigation from the hot Decoction. Take of Frankincense and Mastick, each two drams; Labda­num one dram, Amber, Cypress-nuts, red Roses, Pomegranate-flowers, each half a dram; Spike one scruple, with Gum A­rabick infused in Rose-water, make troches.

Also the Fumes of an Asses or Horses hoof, Shoe-soles, and burnt Harts horn, with Frankincense and Mastick to make them smell sweet.

Also the Fume of Vinegar from a hot Iron.

Also the Vapors that comes from a piece of green Oak warmed hot, and sprinkled with Vinegar, put between the Leggs.

Things also applied to the Liver when it is too hot, and weak, as Oyntments, Cerots, and cooling things that strengthen it, are good, as in bleeding at the Nose, and In­flammation of the Liver, especially that Cerot of San­ders.

These Amulets stop blood, hung about the Neck, or held in the Hands, as Blood-stone, red Coral, Corneli­ans, Onyx, Jasper; also the great Celandine, wild tan­sey, Sorrel, perwinkle, tyed to the Leggs and Thighs. Eggs beaten, and Cotton dipped therein, tyed to the Soles of the Feet, and renewed when they are dry.

The Flux of the Haemorrhoids, though it be troublesom at the first, The Cure of the preternatural Flux of the hae­morrhoids. yet must it not be stopped, because it cureth many dangerous Diseases, and prevents others.

But if it do weaken by being too large, too often, or too long, then you must moderate and stop it. And it is done by Evacuations and Alteratives, as the terms over-flowing are cured.

There are divers Evacuations, and Blood-letting is good when it abounds in the Meseraick Veins, and though the blood comes not from them, because they reach not to the skin, but because the hollow Vein is emptied thereby, and then takes blood from the Meseraicks, it must be good. Especially if it be taken in great quantity from the Arm or Hand, or from the Legg or Foot, by which means the flux will not be provoked as in the terms, because these Veins are not continued from the Haemorrhoids, as from the Menstrual Veins, and therefore it will rather stop by Re­vulsion then increase the Flux.

Scarifications, Cupping-glasses, Frictions, although they cause Revulsion in other fluxes, when the blood comes from the branches of the hollow vein, yet in this they do no good, because they can neither draw the blood from the hollow vein, or from the Meseraick, you may purge when the Body is bound, least straining provoke them, with Laxatives mentioned in want of Stools. You may also purge the Humors, if the Haemorroids flow frym too much Choller in the Meseraicks, or the like, to pre­vent when any are subject to them, and to hinder yellow, or black Choller which is made of the yellow, and not of blood; this is best before the Flux, when those Excrements lying in the first passages, are sooner carried into th e Guts.

Nor must you neglect purging, when the Haemorroids flow, to keep the Excrements from increasing the Flux, with such things which stir up Nature to stool, and yet provoke not the Haemorrhoids or Pills, with gentle things that leave a binding, and not with strong and hot. But such as are mentioned in the over-flowing of the terms, as Rhubarb, Myrobalans, Syrup of Roses, and the like, also Tryphera persica.

Then we proceed to alter, with things that thicken, as­swage, and stop, as in the immoderate terms.

Many things may be used here, as in the terms, as those Meats which make thick blood, and make it less hot and cholerick, by which the blood in the Meseraicks will be more temperate, and flow less.

The Medicines there mentioned are good here, as the Decoctions, Syrups, Juyces, Conserves, pouders, Mix­tures, whose vertue going by the Guts to the Meseraicks and Haemorrhoids, which joyn to the Guts, doth sooner worke then in any other Flux.

Micleta is also good, made of parched Myrobalans, Pomegranate-flowers, Water-cresse feeds, Cummin, Anise, Fennel, Ameos, Caraway seeds steeped in Vinegar, the Medicine used for Spodium called Antispodium, Mastick, Gum Arabick, pouder of Sumach, Syrup of Myrtles.

Also Electuaries of Myrtle-berries, Myrobalans, Anise, Cummin, Smallage seeds steeped in Vinegar and Syrup of Quinces.

Also the Confection of scales of Iron of Rhasis, of My­robalans, Schaenanth, Cypress, Ginger, Pepper, Ammi, Frankincense, scalls of Iron.

And chiefly pills of Bdellium, Amber, Sea-snails, Am­meos seeds, and Juyce of Leeks, and others of Myroba­lans only, and Bdellium, with Rust of Iron.

Narcoticks are good, if the expulsive Faculty be stirred up too much to stupifie it, they are mentioned in the over­flowing of the terms.

Outwardly these are applied to shut the Veins of the Fundament.

You must foment with Decoctions made of Mullein, which is specifical and proper, boyled in red wine, and I­ron-water.

To which you may add things mentioned in the over­flowing of the terms.

As Cataplasms there mentioned, or the Fomentation, with Hog-fennel, and Perwincle.

Or this following easie to be made. Take Mullein, Plantane, Oak leaves, each one handful, Housleek, or Night­shade one pugil; boyl them in red Wine, and Iron-water, ad Oyl of Myrtles one ounce and an half. make a Cataplasm.

You may add the pulp of Quinces, Medlars, and of o­ther astringent Fruits.

Also apply Oyntments, Cerots, and Plaisters to the Fundament, as the Oyntment of the Countess, plaister for Ruptures.

Or this: Take Snakeweed roots two drams, Galls half an ounce, Frankincense two drams, Acacia, or Dragons blood one dram and an half, Bole half an ounce, Rust of Iron two drams, make a fine Pouder, and add Oyl of Roses Omphacine, or Myrtles, or Oyls in which the Juyces of Mullcin, Plantane, Shepheards-purse, Sparrow tongue, or Brambles, or Basil, with red Vinegar have been boyled, and with Wax makè an Oynt­ment, or Cerot, or with Rosin, an Emplaster.

There is another Oyntment or Plaister which is good here, and the dripping of a roasted Eel, is excellent there­with.

This plaister is stronger without Oyl, take those pou­ders, with Amber, and the White of an Egg, or Mucilage, of Fleabane seeds, or Infusion of Gum Traganth, in plan­tane-water, and let it be applied and renewed before it be too dry: Or to keep them from drying, mix them with Syrup of Myrtles, or other Astringents.

Mix also other pouders if you please, as of the Stones of Myrobalans, burnt Spunge, Hedg-hogs, Chesnuts, Ashes of Hare-foot, Mummy, Amber, Mastick, burnt Harts-horn, Eggs and shells, Ceruss, Antimony, Lytharge, Bloodstone &c. also Soote of a Chimney.

This plaister stops it excellently. Take Aloes, Fran­kincense, Bole or Chalks each half a dram, Dragons blood, or Juyce of Sloes two drams: mix them with Syrup aforesaid, and apply often renewing it, least it should stick too fast.

Things are put into the Fundament to close the Veins, as those Oyntments and plaisters with Cotton, or Spunge, or the pessaries, mentioned in the flowing of the terms.

And if these come forth by their sharpness, use these sup­positories. Take Colophony, Frankincense, each three drams; Bole half an ounce, Ceruss, burnt Lead, each one dram; A­caeia half a dram, pouder them finely, and with the White of an Egg, or other Glew or Wax, make a Suppository.

The Mush-room called Wolfes-fart, being dryed and poudered fine is good; also Spiders webbs, and Hares hair.

You may inject with a Syringe, with things made of plantane, or the like, mentioned in the Flux of the terms [Page 634]Mans blood, or other Blood injected, doth wonderfully stop the flux of the belly. Sheeps Lungs hot applied to the Fundament, is also good to stop Bleeding.

Also a Fume of Decoction of things mentioned, taken into the Fundament, and of Bdellium, and things mentio­ned in the Dysentery.

Also if the Vein appears, when the Patient straineth, you may apply strong astringents, as Bole, burnt Allum, Vitri­ol, and the like, or things that burn a little, when there is Necessity, but warily, least you hurt the strait Gut, as the Pouder of Roots of Cabbage, Dogs dung, burnt Wine-Lyes, burnt Vitriol. It is an excellent Remedy to touch the Vein with Oyl of Vitriol, or in great Desparation with Aqua fortis. It is dangerous and unprofitable to use o­ther potential Cauteries, because they cannot stick long. But the actual Cautery, is the onely last Remedy with a touch.

Also if you take up the vein with a forceps, and sew it with silk.

You must apply cooling Oyntments that strengthen to the Liver and Spleen, when they are too hot, because the Meseraicks are in them: such as are mentioned in the In­flammation of the Liver.

The Leaves of black Hellebore, green, and bruised, and tyed on, like a Girdle next the skin, and renewed when they are dry, do cure this flux, as well as the terms, and flux after birth.

The Cure of bleeding is different accor­ding to the divers parts and veins. The Cure of bleeding from divers Orifices

If blood flow from the adnate tunicle of the Eye being hurt, or from a wound: the Cure is mentioned in the hurt of the Eye.

If blood flow from the Ears, from hurt by things put therein, it is treated of in the Wounds of the Ears: if from a Contusion in the Head, that must be first cured, because it is most dangerous.

If blood come from the Yard by a Catheter put in, or by the passing of a Stone through; it is not worth the Cure, but if Heat of Urin follow, or there be fear of an Ulcer, that is to be prevented with things mentioned in their proper place.

Bleeding of the Neck of the Bladder in a Woman, from the taking out of a Stone, requires no other Cure but to asswage the pain, as in other wounds, for it will cease of it self.

If the Privities bleed from hard travail or violent Copu­plation, you must cure it as other bleeding at the part by Anastomosis. If the Haemorrhoids bleed from sending forth, or taking in any thing, you must cure it as formerly mentioned. But if it bleed little, you must respect the wound more then the bleeding. But if the terms flow at the Fundament from a fistulated Ulcer which pierceth the strait Gut, it is to be cured as a Fistula.

You must cure bleeding of wounds in the external parts according to the part wounded. The Cure of bleeding by Wounds.

If it be from the skin taken off, it is not worth the Cure; for it will cease of it self, or with little trouble. Also it is easie to stop a vein, either opened by art, or broken. But if a great vein be cut, or an Artery, it is hard to be stopped; if the Arte­ry be small, for I have known a great flux of blood not to be stopped from the tearing of a small Artery, at the draw­ing of a tooth, and one dyed thereof. And the reason was because the Artery lay so deep, that the medicines could not be conveighed to it. And therefore in wounds they hurt the internal part, because it is dangerous to fill up the Cavities with medicines, in which the blood lyeth, it is impossible. In other wounds though great, and with a great flux, yet is blood easily stopped, because medicines may be applied. In the stoppage of all which we proceed as followeth.

We revel or draw back the blood from the part whence it flows, and turn it another way to abate its force: By Letting blood, Scarifying, Cupping, Ligatures, Frictions, as in other fluxes. And that in the remote parts from that which bleeds, if we intend Revulsion, or in the adjacent part, if we intend Derivation.

We hinder the flowing of blood to the part, by applying upon the Passage of the Veins not far from the womb, Epi­thems, Unguents, Plaisters, which may bind the Passages, and cool the Blood, and repel or drive back, and thicken: such as were mentioned in other fluxes, as of the Nose, to the sides of the Neck of the Eyes, to the Fore-head and Temples.

For the same you may cut off the Vein first above, ope­ning the skin gently, and laying the vein bare, and bind­ing it at both ends, that it go not back, but this is not to be done but at last, and when all fail.

Or when the Vein is bare, bind it till it cease.

We stop Veins with Astringents and Causticks, by Li­gatures we do not only keep things on that are applied, but hinder the flux; these Ligatures are to be made as we shewed in the Cure of Wounds.

Surgeons usually stop Blood with a Bolster of Lint, and good Ligature only.

Bleeding is also stanched by pressing the wound if nar­row, with the finger, by which means the blood stopped congeals about the wound, and hinders the flux.

We keep it from flowing, by keeping up the wounded part above the rest.

Also by stuffing it if deep, we stop or restrain it, this is done with soft Lint. And if things be added that will al­so stanch blood, it will be the better, as these following.

Spiders webs thrust into small wounds of the skin, be­cause being light and thin, they get into every part, and stop the blood, not so much by drying as by filling the part, and glutinating the Lips, by help of the blood which grows hard, and these are better with Mill-dust.

The Down of Flowers and Fruits, and Cotton, or Lint, with Hares hair, are good with Plaisters that stanch blood, but without well cleansed, if put into small wounds.

The round Mush-room or Fuzball, being very light, laid upon the vein, or thrust into the wound, sticks close, and keeps the Blood from flowing, especially mixed with other Pouders, or Plaisters.

The spungy skin in old Trees between the Bark, or Touch-wood laid upon small wounds, is also good.

Also a Spunge laid on, or thrust in, if the wound be large; And if the Artery be dilated as in an Aneurism o­pened, and bleed; because it requires large stuffing, a Spunge is good; yet the flux was so great, and the Ori­fice so large, that the Spunge would do no good to one Man, but he bled to Death of an Aneurisin opened.

There are divers things laid upon the part: first such as dry, bind, and glew, as the Pouders alone, or with Lint, or the like, or with Glew like a Plaister, either laid upon the Vein or Artery, or upon the wounds, or put in when it is deep, and bound on, for divers dayes, till the fear of bleeding is over, and then after gentle moistning taken off. Also if the wounds be deep, a Plaister is put in. And when it is after cutting off an Arm or Legg, let the pouders be put into a Bladder, and laid on, and the Bladder tyed fast about. Those Plaisters were mentioned in the Cure of Wounds, and they are to be applied at first to stop the flux, and heal the wound. As that of three parts of Bole and Frankincense &c. to glew the lips of the wound; and to heal them, as that with Frankincense and Myrrh; or that of Galen, which is one part Aloes, two parts Frankincense, with the White of an Egg, and Hairs of an Hare; and others there mentioned, beginning thus. Take Galls &c. Or, Take Colophony &c. Some that are mentioned against Fluxes in the Eyes, are good here, as that which begins thus. Take Mastick, Frankincense, &c. Or, Take Bole half an ounce, Sanguis Draconis &c. without Oyl of Roses. Also Pouders of burnt things, ashes of Froggs, Worms, Asses or Horses dung, Eg-shells, Spunge, Rags, Cotton, Paper, Nettles. Also Soote, [Page 635]burnt Blood, Rosin poudered, Gum Arabick, and Tra­ganth parched. Also Blood-stone, Stibium, burnt Lead. Also other fat Earths besides Bole. And Downs mention­ed; of Flowers and Fruits, as that in the shells of Ches­nuts, or Cotton, Down, or Lint: All which mixed with the Pouders mentioned for Plaisters, and incorporated with the things mentioned, may be applied like a Plaister. Or you may apply the pouders with the Juyce of Plants, as of Plantane, Solomons-seal, Shepheards-purse, or Blood made into a past, with some Glew or Rosin to make it stick.

There are other Fumes, as that which we saw stopped presently, the blood of a Theif that had both his Hands cut off; It was thus made: The Wife of the Executioner put the wrist where the hand was cut off into a Hen, in which she had made a large Orifice about the Rump, and tyed her with the feathers to the part, and so he lived till he was brought to Execution without any great loss of blood. And this Course have I taken often with good success, when fingers have been cut off.

This remedy may be used in other parts, by tying it fast upon the part, when it is cut or slit in the middle, whether it be Hen or Chickin, or the Lungs of a Sheep bleeding, or other fresh Entrals; such as we prescribed for the Cure of a Phrensie.

Also Mans blood, or other blood hot, and mixed with Bran to a past, may do the same.

A Linnen-clout three or four times doubled and dip­ped in Frogs-spawn when squeesed, will surely stop blood: and it is usual to keep Clouts dipp'd in the Spawn of Froggs at the time of the year, for the same purpose.

The last remedies are Causticks, which cause an Eschar, and stop the Blood.

Burnt Vitriol is the best, or Copperas what Colour so­ever it is of; or burnt upon a hot Iron till it be red, which the Chymists call Colcothar, with burnt Allum, and burnt Tartar, or Wine-Lyes. Or if you will have it burn more, a little Arsenick, or Sublimate, which you may apply with the White of an Egg, and a little Lint.

Quick-lime poudered doth the same, which you may make of more force with the other.

Somtimes we add other astringents, which allay their violence, and by straitning the part, stop the blood, as that pouder for healing Plaisters for Wounds, which be­gins thus. Take burnt Bones &c. also Vitriol, and burnt Allum. Also things which are used to take down proud flesh, which begins thus. Take burnt Allum three drams, Pomegranate-flowers &c. Or, Take Vitriol half an ounce, Allum &c. especially the corroding pouder there menti­oned.

The Spirit of Vitriol dipp'd in Cotton, and applied to the Vein, doth astringe and somwhat burn; which if it ly deep, must be stopped in, as you do for an hollow tooth.

Aqua fortis doth it more powerfully, so applied, and burns more. Of which sprinkled upon filings of Iron, you may make Crocus Martis from the yellow Colour so cal­led; which you may use for the same.

Clouts wet in Vinegar or Steel-water, wherein the Phy­sical Stone hath been quenched, and dryed. Or in Aqua fortis, or Oyl of Vitriol often dryed and wet, will do the same.

The actual Cautery is the last, which will presently stop Blood, if you can touch the Veins or Arteries. This is done with a hot Iron proportioned to the wound, either small pointed, or flat, or with a round bottom, for great wounds: such as are used in Disinembring. But this is done with small success, especially when the amputation or cutting off is in a thick fleshy part, because the burn­ing reacheth not to the Veins, but only to the flesh. And by this lingering before the Plaister is put on, there is a great loss of Blood; and the new pain which comes after the pain of amputation, doth much weaken the Patient.

If you thrust the remaining part of a finger cut off into melted Pitch, and presently pull it out, it will stop Blood, not only by the burnining of the wound, but by the stick­ing of the Pitch thereon, which will grow hard, and stop the Veins. And this you may do in other parts.

If you lay Cotton upon the wound, and set it on fire, it will by the flame insinuating into the wound stop wonder­fully, and the rather if it be dipped first in Oyl of St. Johns­wort.

You may stanch Blood by Potions which we use for the Cure of Wounds, for they thicken the Blood by a drying vertue, which healeth, and also stoppeth the Flux, especi­ally if you mix things proper to stop blood. As that Potion for a wound from a Contusion, which is chiefly used for to dissolve blood congealed, which begins thus. Take Mum­my &c. to which to stop bleeding, you may add Bole, sea­led Earth, Dragons blood, Sperma Ceti &c. or the like.

Many other things which are given against bleeding at the Nose and Womb, may be applied here while it lasteth. Which will be most proper when the wounds pierce into the internal Cavities and Bowels.

The Brain of Hens given in Drink, is good against any flux of blood from the Head, saith Dioscorides.

They attribute much to Amulets, about the Neck, and held in the Hands, supposing that they stop all sorts of bloody Fluxes. Those that were mentioned in other fluxes of blood, may be here made use of.

CHAP. VI. Of Excretion, or Voiding of Matter.

The Kinds,

A Purulent or Mattery Excretion, is when liquid Mat­ter made of some other Humor by Suppuration, and turned white is voided, differing according to the Humor, somtimes concocted, somtimes crude, and stinking, and filthy: All these are called Matter. And this is preterna­tural in respect of the Excretion and of the Matter, and it comes from divers parts. We shall speak of that Excreti­on of Matter, which is in Spitting, Vomiting, Pissing, and going to the Stool, in those Diseases.

Oftentimes there is in the Eye without any other Infirmity, Matter in the Corners, Matter from the Eyes, or about the Ball or Sight thereof, and it falls off of it it self. Or it gets at night into the Eye-lidds being shut, and glews them together. Somtimes it is seen in red inflamed Eyes; sometimes it comes from Ulcers there, either white and concocted, or thin and watery, from the Corners of the Eye, or through the Nostrils, smel­ling strong somtimes. And we have seen it get out under the lower Eye-brows by a Passage there made.

Oftentimes Matter flows from the Ears at certain times, Matter voided from the Ears. and for a long sea­son, especially when any part adjacent is hurt: Either with pain, or without, as we shewed in the Pains of the Ears.

In the Disease called Coryza, Matter from the Nose. Matter flows from the Nose, especially towards the end, stinking and white, after a thin flux of wa­ter.

Or Matter and Snot are voided together in an Ulcer of the Nose: as we there shewed.

And we saw in a Child, a little before he dyed of a co [...] sumption, thick matter that flowed like milk out of his Nose. And I saw in my Fathers dayes, the like matter with some of the substance of the Brain, come out of the Nose in two Virgins which had the Falling-sickness from their Birth, it came forth in the fits, and they presently af­ter dyed.

[Page 636]From the Yard or Passage of Urin in Women, Matter from the Yard, Vreters, or Neck, of the Bladder. there comes either yellow or white matter, somtimes that souls the lin­nen: This is accompanied with burning of Urin, pain in the Yard, or Vreters, when Urin is rendered, or it flows without sense, and is less troublesom. This is called an Ulcer in the Yard, or neck of womens Bladders. This Disease in Men comes from unclean Copulation, and somtimes from a venemous Go­norrhaea. This ends somtimes in a hollow Ulcer, about the lower part of the Yard and Seam, where it opens in one or divers places, and sends forth Matter and Urin.

I observed in one that when his Yard was squeezed, a great deal of matter came forth, which before was mixed with Urin a long time. And after he voided matter at the Yard and Fundament, especially when a Clyster was given, and he had great pain about the Os sacrum and Rump; but an Inflammation upon each Buttock followed, and Imposthumes out of which the matter flowed, and not from the other Parts.

To these we may refer the Voiding of tough Matter by Urin, and at the Yard without it, or after Urin made, which stops the Passage, and will not pass but by degrees and with pain. Somtimes it will not come out without pulling, hanging like a long string. This is joyned with the Ulcer of the Bladder, or the Stone: as shall be shew­ed in the Causes.

Somtimes it flows from the womb with cutting pain. Matter from the Womb. From the ope­nings of the body.

Also from openings made by a Disease or Cutting: somtimes from Ulcers in the superficies of the Body; otherwhile from deep ulcers. And inward Cavities, som­times more or less, and of different Co­lour; somtimes with other filth: as we shewed.

The Causes.

The Causes of al Excretion of Matter from divers parts, are different, as the Excretion is either with, or without an Ulcer.

If it be with an Ulcer, it is from Suppuration of Blood or Flesh, turned into Matter, after an Imposthume broken: this is in divers parts of the Body ulcerated.

There may come Matter from an Ul­cer in the Eye, The ulcer of the Eye, is the cause of matter void­ed. and more usually from that which is in the inward corner of the Eye, from whence it flows, or it fixeth it self in a hollow, and falls into the Nose, or eats a way through another part. As we shewed in Ulcers of the Eyes, and Fistula Lacrimalis.

There comes Matter from the Ulcer of the Ears. The ulcer of the ears, is the cause of matter void­ed. If it be deep, when the Ear is pressed, the matter comes forth, if it be higher, it flows of it self, and if it got to the drum of the Ear, and eat through, it takes away Hearing. But if it be ex­ternal, it doth not hurt the Hearing.

There comes Matter from ulcers in the Nose, The ulcer of the Yard inwardy is the Cause of matter from it for the Causes there mentioned. From the ulcer of the internal Passag [...] for Urin and Seed in the Yard, there flows Matter. This ulcer is from some greater hurt then that of the Catheter which fetcheth blood; or from venemous Seed, which breeds the Gonorrhaea. Also it may come from seed not corrupted, but out of its place when it stops there, which will cause great pain by Irritati­no, or Pricking, and Heat: as we shewed there, and also an Ulcer if it be sharp.

There comes a Pissing of Matter from the Ulceration of the Neck of the Bladder in both Sexes, The Ulcer of the neck of the Bladder, the cause of matter with­out Pissing. and som­times it flows without Piss, especi­ally when it is in the fore part of the Bladder, out of which if it be foul, there will come much matter.

And in the same Ulcer of the Neck of the Bladder, the Matter which comes with, and without the Urin, is the Cause of the Excretion.

The Excretion of Matter from the Womb, An ulcer in the neck of the Womb, the cause of Matter voided. is caused from an Ulcer in the Neck of the Womb. As we shewed in the Ulcers of the Womb.

There is a Voiding of Matter from the external Ulcers, External and inter­nal Ulcers, are the Causes of the Excreti­on of matter by the o­pened places of the Body. dispersed by the Superficies of the Body in the skin and flesh, either made by force external, or opened of them­selves. And from the internal Im­posthumes also opened. From whence if the Matter have been long there, it will freely come forth, either ripe or stinking, pure or venemous, or mixed with Venom: the Causes of all which we shewed in Ulcers and Imposthumes.

When an Empyema is opened, of which we spake in its place, there comes forth as much matter from the Ca­vity of the Breast, which came by the Ulceration and Cor­ruption of the Lungs, somtimes as will fill divers Basons.

That Matter which is in the Belly from an Imposthume in the Liver or Spleen, as we shewed, can scarse be dischar­ged by opening of the belly. For although matter may be in the belly, from Imposthumes which broke of their own accord, yet, in regard it is seldom known, nor can it be discovered by a tumor external, because so much cannot be gathered together, you must not be rash in opening a part to let it out. And if matter be gathered within the skull, you must be as wary: For it is not to be known cer­tainly that matter is there, and therefore we must not open the skull but upon necessity, when we know there is mat­ter, because it is dangerous; and Nature (if death pre­vent not,) will discharge it at the Nose.

There is also an Excretion of Matter without an Ulcer, in the Eyes and Nose, which are alwayes wet, which cau­seth it.

In the Eye when the water is con­cocted, The moisture of the Eye turned into matter, is the cause of the Excretion of matter. and made thick.

This comes from the Heat of the Eye-lidds, which dryeth the humor, as we see in red Eyes, which goes a­way when the Heat and Redness is gone, which caused it. But while they continue, there are alwayes tears, as in Epiphora, and Filth. As we shew­ed in this Disease of the Eyes.

When slimy Flegm stayes too long in the Cavities of the Nose, The moisture of the Nose turns into matter. it causeth an Excretion of Matter concocted, as in the end of a Coryza or Pose.

That Flux of white Matter like Milk out of the Nose of a Child, came from the Brain, where it was made of blood and flegm; because the brain was affected, so that there were continual Convulsions and Death.

The Cure.

If Matter come from the Eyes, The Cure of mat­ter in the Eyes. and that from an Ulcer, first cure the Ulcer. If the Eyes be mattery without an ulcer as in Epiphora, you must cure it as was there shewed. If it come from too great a Heat of the Eyes, when that cea­seth, the Matter will cease. If Matter be in the Eye from any Cause, and hinder the Sight, it is taken away by gen­tly rubbing the Eye with a fine Clout, to bring it to the corner, that it may get out.

We shewed in the Ulcers of the Ears how any matter flowing from thence should be cleansed away. The Cure of filth or matter in the Ears.

If the Matter in the Nose come from [Page 637]concocted Flegm, The Cure of matter from the Nose. in regard it signifieth that the Flux or Coryza ceaseth, it must not be stopped, but rather provoked with Errhines and things mentioned in the Stoppage of the Nose. As also the milk-like Flux which is seldom seen, must not be stopped, though usually death follow. But if the Matter come from an Ulcer in the Nose, the Cure is mentioned there.

When there is Matter voided at the Yard not with Piss, The Cure of the ulcer of the yard and the matter that flows from it. but by it self, and when there is heat of Urin also, which comes from an Ulcer in the Yard, it is less dangerous then pissing of matter, which comes from an Ulcer in the neck of the Bladder, because the part is less noble. And if it be not old, or lie too deep, it is more easily cured, but more hard when more filthy and deep, then it requires a long Cure, or else it eates through the Perinae­um, and lets out the Urin there.

Voiding of Matter from the Ureters in Women without Piss, or with it, because it comes from an Ulcer in the neck of the Bladder, it is as hard to be cured, as pissing of mat­ter.

The Cure of the Ulcer of the Yard, and the Heat of U­rin from thence, is as that of the Ulcer in the Neck of the Bladder: And the things to heal the Ulcer, and abate the Heat, are to be used here.

In Women it is cured, as pissing of matter, to which dis­ease I refer you, for both come from an Ulcer in the neck of the Bladder. But if it come from the neck of the womb or an Ulcer there, the Cure was mentioned in the Treatise of those Diseases.

In both Sexes, we give Clysters, to loosen the Belly, there mentioned.

And the Cleansers and Dryers there mentioned, because this Ulcer is near the neck of the bladder, and in the same Passage, so that the medicines good against those Ulcers, must needs be good against the Ulcers in the Yard, if they be used often.

The Decoctions mentioned in the Cure of Ulcers in the neck of the bladder, may be here given to be drunk, be­cause good both against Ulcer and Heat, and also they have Guaicum, and the like which heal Ulcers.

Also the Vulnerary or Wound-drinks, are good here, as in other Ulcers. They are best which are mentioned in the general Cure of Ulcers, as the wines and distilled wa­ters, or the Decoction that begins thus. Take Comfrey­roots, Fennel &c.

Juyces, Waters, Milk, and Rosin are here to be used, as in the neck of the bladder.

And the Compound Pouders, and those three Pouders, two whereof are good against heat of Urin and Ulcers, and the third only against Ulcers.

Simple Pouders are of Acrons, Horstayl, perwincle &c.

To asswage pain when violent, the Narcoticks mention­ed in Heat of Urin are to be administred alone, or mixed.

Injections into the Yard come sooner and easier into the part affected, then when it is in the neck of the bladder, and therefore are here of more concernment. And those mentioned there, which first cleanse, and then dry and heal; also Milk, Decoctions, Juyces, Waters &c. to which you may add Aegyptiacum, if it be very foul.

For the Ulcer in the Yard, when you must cleanse, make this Injection. Take Liquorish one ounce and an half, Bean­shales six drams, red Pease one pugil: boyl them in Goats Whey, with a little Lye, and Honey of Roses, Sugar, or Tur­pentine dissolved with Honey, and the Yolk of an Egg.

Another Injection to heal. Take Roots of Comfrey one ounce and an half, Horstayl and Plantane, each one handful; Litharge six drams: boyl them in Iron-water, and in one pint thereof, dissolve Honey of Roses, or Sugar of Roses two ounces, Turpentine one dram, dissolve it in the Yolk of an Egg, for an Injection.

Or thus: Take the white Troches of Rhasis half a dram, Lapis Calaminaris, Tuity, burnt Lead, Bole, each a dram, dis­solve them with convenient Liquor, or Milk, or Whey.

Another. Take Ceruss half an ounce, Lytharge two drams, Tutty prepared three drams, Starch one ounce: make a Pouder, and inject it with Water, or drop it into the Nut or head of the Yard.

A good Water for an Injection. Take Comfrey roots half a pound, Roots of Snakeweed, Tormentil, each two ounces; ten Heads of Daffodil roots, Horstayl and Plantane, each two handfuls, Tops of St. Johns-wort, with the Flowers two pugils, Allum one ounce, Honey of Roses as much as is sufficient, twelve Eggs beaten, if the Herbs be dry, sprinkle them with Plan­tane-water, and distil them all.

If you add to these Injections, some Drops of Spirit of Vitriol, or of Salt, they will be stronger. And if these spi­rits be used alone with Whey, they will cleanse and heal.

The Balsom of Suphur invented by Roland, doth cleanse and heal excellently.

These may be dropped into the Yard, if the Ulcer be not too deep; as also Juyces.

They put some Oyntments also, as Pompholygos, with a wax Candle, which is better then other Instruments, be­cause it will bend better in the crooked Passage. But you must remember that you tye it with a thread, least it should get into the Bladder, and the Oyntment go beyond the Ulcer. The distilled Oyl of Henbane dropp'd into the Yard, doth asswage pain.

You must anoint the seam or suture between the Stones and the Fundament, and soment it, when there is heat and it will be felt within, and the Passages must be loosned, with Oyntments mentioned in the Ulcer in the Neck of the Bladder, to which add Opium, if the pain be great. Anoint also the part with Oyntments, there mentioned to heal the Ulcer.

And let the Diet be as there men [...]ioned.

The Excretion of slimy Matter from the Yard without Urin, The sure ofe U [...]cer in the Neck of the Bladder & the slimy Matter. and in Women from the Urin-passage, is cured as that of the Stone and Matter, with Injections which cleanse the slimy Matter, and if it stick in the Yard, it must be drawn out. Or if you put the Yard into a hollow Raddish, the matter will be drawn forth.

The Matter which comes from the Womb, The Cure of the ul­cer in the womb & the matter that slows from it, as al­so from other parts of the Body. is to be cured as the Ulcer of the womb. When it flows by any o­ther Orifices, from any internal filthy Ulcers, which lye deep in the Body, and are made of Imposthumes that break or are opened, you must cleanse and heal: As we shewed in Ulcers, Imposthumes, and Wounds. And we shewed in the Cure of Empyema, how you should order the Matter that flows from the Breast af­ter Incision.

CHAP. VII. Of Excretion, or Voiding of Water.

The Kinds,

VVE call that a watery Excretion, when a moist Humor, thicker or thinner, made of the Excre­ments of Flegm, or of that which is Natural and crude; and of the Serum or Whey mixed together, so that the one is more then the other floweth forth. Which Excretion is preternatural, chiefly when it is much and often, and cor­rupted, or comes not out at the proper place. This comes from divers parts, besides that of Spitting, Vomiting, [Page 636] [...] [Page 637] [...] [Page 638]Pissing, and Purging: Of which shall be spoken in their places.

Tears flow from the Eyes often, which are like Whey, Tears. or Serum, or Flegm mixed with water, they break out in sound people, especially in Children, and doting old Men, from a small Cause, and in others from a great Passion of Mind. And therefore are not counted preternatural. But when they are trou­blesom, and of long Continuance, in some Diseases of the Head and Eyes, they are Symptomes of the same. Some Tears are hot and sharp, others cold.

There is often water from the Nose which is natural, The dropping at the Nose. because it is by the right way, but when it aboundeth, it is preter­natural. And it is in some from whose Nose, water flows like tears, and a drop hangs at the end of it. Or it is like slimy Flegm which being usual in chil­dren, is counted less noisom then in Men.

The same is in the Kind of Defluxion called Coryza; Coriza or Pose. there falls at the first a thin moist Hu­mor constantly, actually cold, sometimes hot and sharp, that makes the Nose smart, and pro­vokes Neesing, and causeth Tears, inflamming and corro­ding the Nostrils and Lips, with great Spitting, Hawk­ing, and Coughing somtimes. And this Humor at the last, is thick, white, or of another Colour.

The same happens in other Diseases of the Head and Defluxions: As was shewed.

There comes a water out at the Ears thin, or thick somtimes, Water from the Ears. but seldom. And a cer­tain Maid had divers measures of water that flowed from her Ear without any other hurt.

It is usual in Women to have the white Flux. The Flux of the womb or the Whites. And because it useth to come when women are past their Courses, they are cal­led the white Terms. But these use to be out of order, and with women that have their Courses, and last more or less time. And somtimes they trouble such as have their Courses stopped: As those who are past them, and are in old Women. In Virgins it is but seldom, and often in women with Child.

Somtimes this Flux is of water, and very much, and clear, and milk, somtimes sharp or salt, yellow, green, or black, somtimes mattery, stinking.

Sometimes it is mixed with Flegm that is tough, without scent, cold and little, or as much or more then the water.

If this Flux be immoderate, there is no other accident, and both Wives and Virgins have it many months and years without hurt. But if it be immoderate, there is an evil Habit of Body therewith: Also Faintness and Weak­ness, also Barrenness in some, although it hinders not some. If the matter befoul there is an Itching, Pricking, and Heat in the Privities. And it is very noisom when it stinks, and makes the Husband loath her.

Usually there sweats a whey or water out of the Pores of the skin, Preternatu­ral Sweat. it is Natural and common to all Complexions: but it is pre­ternataral, when it is too much or soul, as it is in Diseases, and somtimes without.

There is too much Sweat without a Disease, when it is caused oftner then it should be, or continued longer, so that they faint, and if it be often, they grow faint.

The Sweat is evil when it stinketh. This is somtimes al over the Body, or in the parts, as Feet, as we shewed con­cerning the Stink of the Feet. Also that which is cold and clammy, not hot, moist and like water, is preterna­tural: As also that which staineth the shirt with any Co­lour, or like Saffron.

That Sweat is also counted unseemly, when the Hands and Soles of the Feet are constantly, or for no, or little Cause, wet as is usual with some.

In Diseases, if Sweat be not convenient, or at an unsea­sonable time, as in Feavers, or too great, as in the English Sweats, it is preternatural, because the Patient is not re­freshed thereby, but is worse and weaker. Also it is evil, when the Sweat is not over all the Body, but only in some certain places. And if it be cold and tough, but when it stinks, if it be beneficial, it is not evil: as we shewed in Feavers and other Diseases.

In the Dropsie Ascites when the Belly is opened, there is great store of Water, The Voiding of Water at other Parts opened. and if the Thighs be opened, it drops and continueth long. Also in the Water-rupture it flows freely from the Codd being opened, and out of the Bladder, Pustles, and watery Tumors. Also there flowes a watery Humor from Ulcers; as we shewed in Ulcers.

The Causes.

This watery Humor which flows at the Eyes, Ears, Nose, Womb, Pores, and other openings, comes from the Brain, or from other parts of the Body.

It is plain that Tears come from a Defluxion of Water from the Brain, A watery humor from the brain, is the Cause of tears. be­cause they are somtimes without sharp­ness, and heat, like water, but somwhat clammy. As Flegm somtimes thin and clear, as whey, somtimes sharp, salt, cholerick and hot. And that these Humors flow from the Brain is plain, because Tears break forth so speedily, and in such plenty. For though that Moisture with which the Eyes are moistned for their better Motion, come from the Serum which sweats through the Veins of the Eyes; yet those little Veins cannot contain so much as will make Tears to flow. This Defluxion of water into the Eyes to make tears is more easie, because there is an usual Passage to the Nose, by which it is evacua­ted Naturally, by a private Hole at the Roots of the Eyes, and another in the inward Corner of the Eye. By which means upon the least Motion, the Eye is filled with tears. Also an Excrement of Flegm and Water, gathered in the brain, as we shewed, may flow forth divers wayes, and so it may descend into the Nose and Eyes. We cannot grant that the tears should flow by an internal or external Veins, as some have supposed; because the Veins carry Blood, and not Flegm, and the water cannot be quickly separated from the blood, but we say it comes from the Brain by Passages ordained therefore. And if by Chance such excrementitious humors should flow to the Eyes from without the Skull, we suppose it would rather lye under the skin and Eye-lidds swell them, then make many tears.

And the reason why this Flegm and whey is carried in­to the Eyes and causeth tears, which in sound people are flegmatick, in sick more watery, which are of long Conti­nuance, is the abundance of those excrementitious humors in the Head, by which means they flow into the Nose, and also into the Eyes, keeping them alwayes wet and full; and the rather, when the Eye is made fit to receive it by be­ing often watered, or is weak, and loose from some Dis­ease. And these Kinds of Tears do not wayes inconveni­ence, but by their Moisture, especially when they come from a flegmatick Humor. But if they come from abun­dance of water, being salt, sharp or hot, with Itching, or redness of the Eye-brows, mentioned in Epiphora, they are troublesom.

Also from an Ulcer of the inward Corner, or the Eye, when the little flesh that grows there is consumed, and the Hole enlarged, by which the Moisture of the Eye falls up­on the Nose, or from a Fistula there, when it falls into the Nose, and fills the Eyes, and causeth a continual weeping. As we shewed in Epiphora, or Rhewm of the Eyes, and fi­stula lacrymalis.

The expulsive Faculty being stirr'd up by the provoking of the Eye, or the parts adjacent, driving the Humors sud­denly into the Eyes, causeth tears, though not of long Continuance. As the Sun-shine, Smoak, any sharp Fume, as of Onions, or Mustard, and the like, or things fallen in­to [Page 639]to the Eyes cause Tears. Also the pain of any part near, as the Tooth-ach.

Tears usually break forth from a violent motion of the Humors by straining; or from a disturbance of the mind, in which, by reason of that wonderful Convulsion of the Muscles, Cheeks, Lips and Eyes, which we observe to go before tears in crying: these watery Humors near the eyes being moved, insinuate themselves into the Eyes, and cause tears. As we may observe tears to fall from violent laugh­tre, when the Mouth is strained with too much Joy. Al­so we may observe that tears will fall in other strainings or forcings, as at stool, or in Child-birth, with Coughing or Sneesing.

VVhen a moist Humor falls from the Brain into the Nostrils that are ordain­ed for the discharge thereof, A moist Humor comming to the Nose from the brain, is the cause of dropping and Coryza or Pose. it causeth the dropping of the Nose. In which the Flux is greater, by how much it a­boundeth in the Brain. And there fals a thin Humor like water, if it comes di­rectly from the Brain, because it is gene­rally that of the Brain, and if it be kept long in the Cavi­ties, it quickly grows thick and clammy. Also there is a serous Humor in the Brain which is an Excrement as we shewed in other Defluxions mixed with Flegm, and flows to the Nose, and either causeth or increaseth this Flux, and then it is thinner, sharper, and hotter, and causeth Itching and Sneesing, and that which is called Coriza or Pose. The Collection of Humors in the Brain causeth this Defluxion: And these things that stir up the expulsive Faculty, do in­crease it. As we shewed in other Diseases from Defluxi­ons, especially in the Cough.

That water which flows out at the Ears comes from other parts besides the Brain, A watery humor comming from the Veins, is the cause of the moist Flux of the Ears. for it cannot come to the place of hearing any way, but by the hole in the hearing Nerve, and if it should en­ter by that, it can only come into the internal seat of hearing, and cannot pass to the external, except it pierce through the Tympane, which it cannot do without hurting of it, and loss of hea­ring. But when this Flux is without the loss of hearing, and comes externally, it is plain that the water was carry­ed to the outward Passage of the Ear, into which the serous Matter sweating through doth moisten; and when it is too much, it comes from the Veins there about, and cau­seth this Flux: this is seldom, because there are better Passages for it; and but somtimes, especially when the Passages are loosned. As we shall shew in the Whites, that water and flegm comes from the Veins.

As we shewed that the Terms come from the veins of the neck of the womb, A moist Humor coming from the Veins to the neck of the Womb, is the Cause of the Whites. so the Whites come from the same; and not from the Cavity of the womb, as some dream, because that is so narrow, that it cannot hold such a quantity as usually floweth, neither can it be con­tained therein, or pass through the veins which are small, and are not enlarged till the woman be with Child; as it may through the Veins of the neck of womb which are larger. And this is, when this excre­mentitious Humor is mixed with blood, or with the terms, which makes it ill-coloured; or after the terms are gone, when it presseth by the same wayes they did, for which Cause it is called the white Terms. And this may be at other times, when Nature is burdened, both in such as have, or such as are past their Courses. As it is somtimes in women with Child: In whom in regard the inward O­rifice of the womb is closed it cannot flow from the cavity of the womb, but from the neck; and in them who are not with Child it is the same. Nor is it a wonder, that nature should purge these Excrements by the same way that blood is evacuated, because she doth the like in other Vessels or­dained for other Evacuations. And the reason why they are white. and without Blood is, because Nature discha [...] ­geth them at that time, when there is no blood to be sent forth. As also because Nature separates the blood from the Impurity, and keeps it, and sends out the Excrements as noxious. Which Excrements, if serous or watery, come from the whey, if flegmatick, from crude blood, if mattery from blood stained. And if other Humors be mixed, as yellow, green, or black Choller, it is discoloured therewith. And if they be sharp, or the whey salt, then by pricking, and burning in the Parts to which it sticketh, it causeth Itching, and sense of Heat; and if it continue long, ulce­rateth. But when it is alone, it flows without sense, like water, or the white of an Egg beaten, nor is it then noxi­ous, except it be immoderate.

The Cause of these Excrements in the Blood which feed this Flux, is that which is eaten or taken in, and the weak­ness of Concoction, and of those Bowels which separate the Excrements, as in a Cachexy, of which we spake suffi­ciently. These Excrements are sent forth by nature when she is burdened, and the sooner if there be weakness of the womb, as may be from divers Causes, and also from this Moisture which wets and cools the Part. As also when Nature is stirred up to expel them by other means. As we have known women who never had the whites before af­ter they have taken a Purge, which stirred up Nature have had them. And many have had the same by sitting long in a Bath, not from Infection, as they have thought from other that were in at the same time. But Nature throw­ing out Excrements by bathing, doth cause the whites which are too thick to be sweated forth.

That water which is swet forth through the whol Body, is serous; Serous Matter getting through the Pores, is the Cause of Sweat, and mixed with blood, gets into the Superficies of the Body, by an obscure solution of con­tiguity of the skin, it goes through the Veins.

This Solution of Contiguity comes from the opening of the Pores, or Anastomosis, or Rarefaction of the Skin, or Diapedesis: For then the Serum being very thin, passeth through the Pores of the skin, and causeth Sweat, being either drawn, or driven thither.

Serum or water is attracted by Heat external, for then that with the Blood is snatched to the superficies of the bo­dy, and goes through the skin, as water is distilled from Plants, as I shewed. And the rather, when the water is made thin and hot, that it may pierce. And if there be plenty, or if it be thin, sharp, or cholerick, it will be more easily drawn out by the heat. And as Heat doth cause a Natural sweat, so if it be vehement or long it is pre­ternatural. This Heat is from Exercise or Baths, dry and moist, and the immoderate use of these causeth immode­rate Sweats. Therefore Baths are said to weaken.

In Diseases, as Feavers, though the whol Body burn, yet it scarce sweats, till Nature expells the Cause thereof by sweat, which is in intermitting Feavers when the heat cea­seth in the day of rest, and in continual Feavers, when they decline. For when the Body is hot, and Nature is busie in the Concoction of the Cause of the Disease, it cannot be sent forth by sweat, but when it is prepared, and made thin it may.

Nature drives water to the Superficies of the Body, where it is burdened therewith, and then the expulsive Fa­culty labours to cast it out by sweat.

Nature is burdened, when the quantity or quality of the Serum is offensive; when it is too much in the Veins for want of Evacuation by Urin; then when it cannot be pur­ged from the blood, otherwayes it is sent forth, or drawn forth by sweat. Therefore they which piss little, sweat much, especially they that use moist Diet, and drink much.

If it be offensive in quantity, and be impure by mixture of other Humors, and so burdensom to Nature, it is sent forth by sweat as well as urin. In Cacochymicks or Bo­dies of evil Juyce, Sweats are not Natural, but are stink­ing or clammy, and somtimes discoloured; now all over [Page 640]the Body, and somtimes in some places only; wherefore some sweat in their Hands and Feet, and are filthy: as we shall shew in Filth. All these Sweats are evil, and fore­runners of Diseases.

If the Cause of a Disease be in the Blood, part whereof is Serum; as in Feavers, Nature if she can find no other way, as the Urin sends it forth by sweat. And this if it comes kindly is healthful, though it stink and be discolou­red. But if it be immoderate, or not sufficient, or at an unconvenient time, when Nature is not prepared for Ex­pulsion, it is evil and unprofitable. This is usual in Con­tagious Diseases, Nature oftentimes sends forth the evil Quality with the Whey with Sweat, which is sometimes healthful, and somtimes deadly. And if it come when Na­tural Heat begins to be extinguished, and the Body is out­wardly cold, then a cold sweat will appear. All which we have mentioned in such Diseases.

Also when Nature is moved by Passion, and drives the Spirits inward or outward, there will be sweat, which will presently be cold, if the heat go in, as in a swounding, and in the pangs of Death.

There follows a Flux of moisture from solution of continuity in any part of the Body; Moisture getting into the openings of the skin, is the Cause of the flux. and if the skin be only scratch­ed, the water is little, as in Scarificati­on, Incision, Burning, in Water-pusles, or Hydropick Leggs: but if the Orifice be large, by cutting, pricking, tapping in a Dropsie, or when water is taken out of the Codd, or from watery Tu­mors. Or when it comes from an Ulcer, it is larger.

The Cure.

Some Tears are to be cured, The Cure of Tears. some not. For if they come from a Cause that continu­eth not, as Passion of Mind, or be provoked by Brightness, Scents, Smoak, and the like, they will be gone, when they are removed. And these are to be avoi­ded that are subject to Tears. But those Tears that come from a lasting Cause which returns, require Cure. And if they are joyned with Redness, Heat, and Itching, as in Epiphora or Flux of the Eyes, and come from thence, it is cured as that is. Also if tears be with an ulcer of the Eye or Lachrymal Fistula, and come from thence, they must be first cured before the tears will cease. And in regard these Diseases of the Eye are hard to be cured, the tears from them are hard to be cured also. Except it happen as som­times it did in the Cure of a Lachrymal Fistula, that it grows so big, or there be so great a hole from the eating a­way of the bone of the internal corner of the Eye, that all the water falls no longer by the Eye, but from the Nose.

If often, or constant tears be without the Diseases men­tioned, by reason of water flowing not by usual Passages, but into the Eyes, it must be cured. Thus the Humors that abound in the Head must be purged, and they are to be hindered in their Passage, and the Flux sent from the Eyes to another Passage, and stopped, the tears consumed, and the Eyes strengthened.

Thus you must purge by stool, by mastication, or chew­ing, by sneesing, for though sneesing cause tears, yet be­cause it sends them to the Nostrils, it doth good: such as are prescribed in Defluxions, and the Pain they cause, in the Cough, Ophthalmy, or Inflammation of the Eyes, and in Weakness of Sight.

Sweating often doth chiefly take away those Moistures from the Head and whol Body, which may be done by the Decoction of Guaicum, and other Sudorificks long conti­nued, because Baths are not so good for the Eyes: As we shewed in Defluxions.

We hinder the increase of these Humors by a wholsom, slender Diet, by applying and giving things to the Head that dry and strengthen, and by Fumigations, mentioned there.

VVe divert or turn away these from the Eyes by Cup­ping-glasses, Frictions, and other things that revel and de­rive: And last of all use Causticks and Vesicatories to the Neck behind, and to the Shoulders. And use actual and potential Cauteries to thoseparts, or to the Crown of the Head.

Every day after he hath combed his Head, let him rub his Neck with a rough Cloth, this is good against all De­fluxions.

Apply Dryers and Binders to the Fore-head and Tem­ples, to hinder the comming down of the Humor, especi­ally the Emplaster, mentioned in the cure of a salt rhewm in the Eyes.

At Bed-time, use things to the Eyes at their corners, that they may be better kept in, with Cotton, or Spunge, the Patient sleeping upon his back; or Oyntments, or Pouders, or Fumigations.

Those are prescribed in Epiphora, and in the Cure of the Ulcer of the Eyes, as that Pouder in Epiphora which begins thus. Take Cadmia, or Brass, Ore &c. Or thus: Take Antimony prepared, or that of Blood-stone, Smoak of Frankincense, &c. and that of Salt, and the Collyria or Eye­medicines made of white Vitriol, and the strong astringent Pou­der there mentioned.

And the Oyntments mentioned for the Ulcers of the Eyes, both white, red and black, and that with Sarcocol, &c. And the three Collyriums of Rhasis, called Eleiser, of Lead, and Polycreston, leaving out the Opium in the two last.

Besides these you may add some drying Waters, as of Myrtle, Honey-Suckles, Sumach, Agrimony, Privet leaves, wild Vine, Osiers; or of sharp Fruits, Pomegranates, and Sloes distilled.

The Decoction of the same is good, chiefly of Pomegra­nates, and Dioscorides commends the Decoction of plain Tree leaves.

He also commends Buck-wheat, and dryed Flower.

Also the Pouder of Ebeny.

This is an excellent Oyntment to put into the corner of the Eyes. Take the Juyce of sour Pomegranates, or of Bram­ble tops, or Roses as much as you please, boyl it to the con­sumption of half, mix it with Pouder of burnt Myrobalans, sour Grapes, and add a little of that Juyce which is taken from a Blood-stone, or a Hone, such as Barbers set Raysors with, be­ing rubb'd with another Whet-stone, and convenient Liquor. And other drying Pouders.

Burnt Vittiol with Sugar dissolved in Water is excel­lent.

In regard the dropping at the Nose and Snot, is an Excrement of the Brain, The Cure of the dropping at the Nose. you must rather prevent the increase of the Humor then stop it.

In the Coryza or Pose, The Cure of the Coryza or Pose. water slows from the Nose abundantly, and the No­strils are offended, and the Parts adiacent, which brings also a Cough. You must purge the Excrements of the Brain and the Defluxion, as there mentioned; Not neglecting the Nostrils which are sore, but using things against Inflammations and Ulcers.

If a Water-flux from the Ears be little, and do no other hurt, The Cure of matter from the Ears. you need do nothing but take away the Humor in general, and if it be large, use things that hinder the in­crease of the Humor, and purge it with wa­ter-purgers and Diureticks that is by urin; of which there are divers in the Cure of the Dropsie Ascites. If it be thick Snot, and flows not so readily as the other, you must use Cleansers: such as are used to purge the Ears, there mentioned.

The Whites, although women have them without hurt a long time; yet at length it makes them discoloured, and slothful, and unfit to conceive, and distastful to Men, for which Cause they desire much to be cured: which is dif­ficult when it is old, and scarce absolutely to be done so, but it will return. And if the Whites be malignant, then besides the Filthiness and Stink, there are hurts in the neck [Page 641]of the womb to the bottom and ulcers: And somtimes o­ther Diseases are caused by the too great Evacuation.

The way of Cure is, to hinder the Bleeding of these Hu­mors in relaxation to the Stomach, and so fetch them out of the Body, and consume them, and to draw them, and turn them from the womb, and to dry and strengthen the Part. But if other Diseases be joyned therewith, that came before, or after it, as Cachexy, Dropsie, then you first must look to them; and those parts that are ordained for Concoction, and are faulty, must be amended. If barrenness follows, and the woman be troubled therewith, you must aim at both in the Cure: And if Conception be hindered by moistness or plenty of Excrements, you may use the Course mentioned in the Cure of Barrenness. But for the Whites alone, you must use things to evacuate and to alter as follow.

There are divers Evacuations to purge these Excrements from the whol Body, as Blood-letting, Purging, Vomiting, and Sweating.

Blood-letting is good in full bodies, because some of the Excrements are taken away thereby, either at a Vein or with Scarification: As also by provoking the terms is stopped, because thereby the Excrements that cause the Whites are totally taken away or in part.

First we must purge, and the more by how much the greater the Flux is: and we must regard the Constitutions and purge with things proper for the humor abounding, alwaies using those Purgers which have an astringent qua­lity, as in other Fluxes.

In moist bodies, in whom this Flux is most ordinary, we prepare before purging; first we give a Clyster or a Laxa­tive, then we give these following three, four, or sive daies.

As this Julep. Take Honey of Roses, Syrup of Hysop, each two ounces; Syrup of Staechas, Mugwort, each one ounce; Water of Balm, Bettony, Nep, Penny-royal, Sage twice as much as the Syrups: mix them with a little Cinnamon, or Diamoschum, or Diambra.

Or this Decoction. Take Orris roots one ounce and an half, Madder, or Valerian one ounce, Cypress roots, Elicam­pane, each half an ounce; Bettony, Nep, Balm, Mugwort, or the like, three or four handfuls, Rosemary tops, Lavender, Wal­flower, red Roses, each one pugil; the great hot Seeds two drams, the lesser hot Seeds one dram, Pease one pugil: boyl them in Waters, and with Sugar, and Honey, and Cinnamon, mix them for four or five doses.

Purge afterwards thus. Take of the Decoction mentioned as much as will serve for once, add Carthamus seeds, and Senna each half an ounce; boyl them, and infuse two drams of A­garick well mixed with Honey of Roses: make a Potion.

Or give Diaphaenicon, Diacarthamum, de Citro soluti­vo alone, or dissolved with the Decoction, or preparing Waters, or Pills of Agarick, Cochy, Foetidae.

You must purge often, gently, as with Pills of Hiera, Mastick, Assaiereth, Alephangine, or with the stronger mentioned, among which the preparative Decoction in­creasing the quantity thrice, and adding Agarick five drams, Turbith three drams, Ginger half a dram may be given ordi­narily: Or you may infuse them all in Wine, with a little Wormwood.

Things good to prepare and purge Flegm, as in Deflu­xions, are good also here.

When the body is corrupted, and the humor malignant and evil coloured. Prepare thus,

A Julep. Take Honey of Roses two ounces, Syrup of Bet­tony, Endive, Fumitory or Hops, each one ounce; Wormwood, Maiden-hair, Bugloss, and Fennel-water twice or thrice as much as the Syrups, take it often.

Or with this Decoction. Take Liquorish one ounce and an half, Succory, Fennel, Dandelion, Elder, and Danwort barks, each an ounce; Endive, Succory, Bugloss, Fumitory, Hops, Bettony, each one handful; Cordial Flowers, and Broom­flowers, each one pugil; the four great cold Seeds half an ounce, Fennel, and Anise-seed, each two drams, Dodder seed one dram: make a Decoction, strain it, and sweeten it with su­gar, Cinnamon, and Diarrhodon.

Purge thus: Take of the preparing Decoction, as much as will serve, add Senna half an ounce, yellow Myrobalans one dram and an half; boyl them, infuse Rhubarb one dram, Sy­rup of Roses one ounce and an half, or Juyce of Roses one ounce: make a Potion.

Or with the Potions mentioned in the Flux of the terms beginning thus. Take Tamarinds, Prunes &c. Or, Take yellow Myrobalans &c.

Or give the Electuary of the Juyce of Roses, Diasenna, Confection Hamech, dissolve it with the aforesaid Deco­ction or Waters, or Goats whey; or give aggregative Pills.

When we will purge often, we give gentle medicines, Catholicon, Diasebesten, Tryphera Persica, or Syrup of Roses, or the Infusion of Senna, Rhubarb, Agarick, or of Fumitory, or Epithymum, or stronger mentioned.

Or this Apozem. Take the Decoction mentioned to pre­pare, add Raisons ten pair, Prunes six, Tamarinds one ounce, Polypody two ounces, Senna three ounces, Epithymum two drams, Myrobalans yellow, Chebs and Indian, each two drams; boyl them in water, and infuse the straining Rhubarb three drams, Spike one scruple, strain them, add Sugar to sweeten it.

You may use many Preparatives and Purges, mention­ed in Cachochymy, and the like Diseases, as Cachexy and Dropsie, when the Body is inclined thereunto.

A Vomit makes a great and sudden Evacuation, and is good here. When the body can endure it afore meat; or after, meat when they are weak. And this draws the hu­mors upwards.

Diaphoreticks are either insensible by transpiration, or sensible by Sweat, and they are good in flegmatick bodies, when the Diseases are old.

Also Exercise to provoke Sweat, is good.

And to lay on Cloaths to provoke Sweat.

But a hot House is best, because it is stronger, especial­ly if it be heated with the Decoction of things that pro­voke Sweat: As Chamomil flowers, Melilot, and other sweet Herbs, of which we shall shew how to make moist Baths, in which they may sit. And which also do pro­voke Sweat.

Fumigations also for the whol Body, and Oyntments for the Back-bone; these do not only sweat, but dry the body, and consume the humidity. Among which is that of Cinnabar for the Pox. But here we use but a little with other things, least the Jawes should be infected, and it is good when the Disease is desperate.

Also you may give things to drink, that provoke Sweat. And continue them for some weaks, when the Disease is old, with a spare Diet. And this is to be done by the de­coction of Guaicum and Sarsa, as in the French Pox.

You may give Alteratives to dry and consume the Hu­midity if it be very watery, with Astringents if it be immo­derate; such as are mentioned in the Cure of the over­flowing of the Terms, which stop them, and may also these. But because the filth is purged by these, and not profitable blood, as in the Courses, and the body is not so much or so soon weakned by these, they are not so suddenly to be stopped, therefore let the medicines be rather drying then binding, and warm to comfort the womb: They are thus made.

Pouders are best alone with red wine, or steeled wine, or the like, or with Sugar in tablets.

The first Pouder. Take burnt Harts horn two drams, I­vory one dram, red Coral burnt one dram and an half: make a Pouder.

Another. Take Amber two drams, Frankincense, or Mastick one dram, Gum Arabick, or Traganth half a dram, make a Pouder.

A third Pouder. Take Date-stones burnt two drams, sour Pomegranate kernels, or Rose-seeds one dram, the inward down of Chesnuts, or Hazel-nuts half a dram.

The fourth Pouder. Take burnt Cork two drams, Grains [Page 642]of Sumach one dram, Acacia, or Hypocistis half a dram.

The fifth. Take dryed Berbery seeds, of the two low Bram­ble-berries, Ras-berries, or Mulberries, Myrtles, each one dram, Agnus Castus seeds half a dram: make a Pouder.

The sixth. Take Comfrey leaves two drams, Ladies-man­tle, or Yarrow one dram, Mints half a dram: make a Pou­der.

To any of these you may add half a dram of the follow­ing Pouder which is pleasant. Take Cypress roots, and Ga­langal, each one dram and an half; dryed Citron peels, Cin­namon, each one dram; Anise-seeds (which Dioscorids com­mends) one dram and an half, Coriander seed parched one dram, Spike one scruple.

Or, Take as much Aromaticum Rosatum, Diagalanga, or other Dryers.

Of these you may compound others. Others are of the Roots of Avens, Fullers thistle, Mead sweet, Oak leaves, Brambles, Sumach, wild Tansey, [...]ungwort, Adders­tongue, Moonwort, Rosemary, Flower gentle, Millium, Roses, Piony seeds; also Ashes of Cray-fish, Shell-fish, Spunge.

If you must bind more, you may add some of this Pou­der following to the former. Take Galls, or Pomegranate­peels one dram, Pomegranate flowers half a dram, Bole, or the like one dram, Bloodstone half a dram, Acacia, or Dragons blood half a scruple. Or use the Astringents, mentioned in other Fluxes.

You may make Decoctions of the same Plants, or you may make Wine in the Infusion of them dry.

You may also use the Juyces of the same, alone, or with other Drinks.

You may make Syrups of the same, or give some astrin­gent usual Syrups, mentioned in the Terms, as of Mug­wort, Stoechas, &c,

Drink Waters of Plantane, Oak budds, wild Tansey, Yarrow, Ladies-mantle, Roses, Water-lillies, Mints, Ser­vice-berries.

Conserve of old Roses, Pomegranate flowers, Acorus, Rosemary flowers, Stoechas, candied Citrons.

You may make Electuaries of the same, with Pouders and Conserves, and give Waters to drink after them.

Pills of Bdellium are good here, as in other Fluxes.

Cymbalaria, or that wall herb which is like Ivy, is good in Sallets, and Bee-nettle.

The Chymicks cry up the Vitriol of Iron for a great se­cret, and give every night one grain thereof at bed-time for a month, in Plantane-water, or red Wine, and make Pills of Magistery of Coral and the same.

Many things are applied outward, which dry up the hu­mors, and being astringent, do six the Vessels about, which conveigh the humor, and strengthen the womb.

The use of Natural Baths for many daies, or weeks after purging often, and good Diet, with drying and sweating, is good; therefore women that have the Whites, and are barren, do much use them. All Dryers are good, as in Sterility or Barrenness, Allum, Niter, Salt, actually hot by Nature or Art. Also the Sulphur Baths, by use whereof women as I shewed had the Whites, and were cured by the same.

Artificial Baths to sit in, do the same, used long or often, as we shewed in Barrenness: Of Salt, Allum, Sulphur, boyled in Rain-water, till the water tast of them, adding Vitriol to bind, or Rust of Iron.

Or you may use Iron-waters, with burnt Plaister of Pa­ris to make it dry more.

Baths of Plants, decocted in the Waters mentioned, or with Iron-water, or Bean-water, or Lye, or red Wine, with Snakeweed roots, Docks, Madder, Valerian, Cypress, Per­wincle, Mugwort, Bettony, Tamarisk, Savine, Ivy.

If you will bind more, use Galls, Acorn-cupps, Pome­granate peels, Cork, Sumach, Roses, Pomegranate flo­wers, Oak moss, Myrtle-berries, and the like. In cold women, add the hot sweet Plants, as Penny-royal, Organ, Calamints, Mints, Balm, Sage, Nep, Marjoram, Rosema­ry, the great and less hot Seeds, Rue, and Agnus Castus. To which Decoction add Earths that are dry and salt or Bole, or Blood-stone, and then they will astringe more.

You may use Fomentations instead of baths, or bags to be sitten upon hot, full of the said Herbs, wild Rocket boyled in wine, is the best. It is good to put in some sweet plants to take away the stink of the excrements, chie­fly Bay leaves, and Myrtles, Angelica roots, Coriander­seeds, Cloves and the like, Vinegar of Roses, Elder flo­wers, or the like.

Oyntments and Plaisters applied to the Privities, Reins, and Loyns, stop this Flux, as well as that of the terms: and the Oyls there mentioned, especially of Henbane. To which you may add hot things, because the humor is watery, and some of the pouder for a Pessary. Gallia Moschata, Musk, & Ambergreece, yet the scent wil be lost with other things.

Many things are put into the neck of the womb to dry, and astringe the loose Orifices, and stay the Flux, and strengthen the Part.

Some Herbs are put in stamped, Perwincle, Yarrow, Ta­marisk, and the like, also Asarum roots which cleanseth, and takes away the stink.

A drying Pessary is thus made. Take Galls, or Acorn­cupps three drams, Cypress-nuts two drams, Pomegranate flo­wers one dram, Frankincense one dram and an half, Ashes of Tawarisk one dram, Savine, or Mugwort half a dram, Goats dung, or Ashes dryed one dram, with Juyce of Shepheards­purse, and the White of an Egg, and fill a bag for a Pessary.

To take away the evil Scent. Take Cypress roots two drams, Marjoram, Mints, Penny-royal in Pouder, each one dram; Schaenanth, Spike, each half a dram; Cloves one dram: make a Pouder to be used alone, or with the afore­said, you may add Sanders, and wood Aloes.

Gallia Moschata, Musk, and Ambergreece will make a better Scent.

You may use cleansing Injections, such as are mention­ed in the Ulcer of the Womb, and these following.

You must make drying and astringent Injections of the Decoction that dryes and heal the Ulcer of the womb, or of the Baths and Fomentations, which we use outwardly. And if there be a stink, let them be qualified as afore.

Fumes pierce best into the womb, they dry, bind, and strengthen, and refresh the womb by their Scent.

These are made of the Decoction of Plants, mentioned for a Bath hot, and taken in with a Funnel, or under the Cloaths.

Or you may cast Pouders, or the Troches, mentioned in Barrenness, upon Coales, Or thus: Take Mastick two drams, Frankincense, Labdanum, each one dram; Amber, Hypocistis, Storax, Benzoin, each half a dram; with Bde­lium, make a Pouder.

Keep a good Diet. Let the Air be dry, and avoid cold and moisture. Eat little, and that which is of a good Juyce and breeds little superfluous Moisture. Let the D [...]ink be little, rather wine then water. Avoid idleness and too long sleep.

Evil Sweats that stinke, are clammy, The Cure of pre­ternatural Sweat. or stain Linnen, because they purge Excrements from sound and sick must not be stopped, but rather furthered. And you must cure it by taking away the Cause of the abundance of Excre­ments, and prevent those Diseases which sweating fore­runneth. And if this Sweating be in a Disease, and the Disease not cured thereby, you must use all diligence to take away the remainder of the Cause of the Disease.

There is nothing peculiar for cold Sweats, for in Dis­eases they are deadly. If they come from fainting, they cease when the Patient comes to himself. If Heat causeth sweating with faintness, that must be allayed. If the a­bundance of Moisture that must be diminished. If Sweats in Diseases be superfluous and unprofitable, and cannot be well stopped without weakness: though Nature endeavors to discharge her self thereby, yet being so great that the Patient may sooner die then the Disease be discharged, they must be stopped.

[Page 643]We open a Vein when there is fulness, and the Body sweats too much, that with the blood some water may al­so come forth.

Also by purging water, or such humors as make it too fluid. Also in Diseases, if the Sweat be too much, and neither cures nor abates the Disease, we are thereby admo­nished to purge again often.

Forcing of sweat doth somtimes cure sweat that comes of it self, as often bathing, or hot Houses, which taketh a­way the Matter.

We give Drinks to thicken the water, to cool and a­stringe, and so hinder Sweat. As we shewed in immode­rate Pissing, that they would stop it, which are proper here, if we mix Restauratives when there is weakness, al­so the Diet there mentioned is proper here.

Provoking of Urin doth hinder sweating, by diverting and evacuating it.

Also Syrups, Decoctions, Waters, Conserves, Mucila­ges, Pouders there mentioned, with Cordials, as Diamar­gariton frigidum.

Outwardly apply things to repel the Flux of water, and that bind the skin, and stop the Pores, by degrees.

Anoint the Back and other parts, with Oyl of Willow­leaves, or of Myrtles, Roses, Quinces.

Or, Take Oyl of Willows three ounces, Myrtles two ounces, Juyce of Housleek, or Nightshade, Vinegar, each one ounce and an half; boyl them till the Juyces be consumed.

To this you may add things to close the Pores, as of Mu­cilage, of Fleabane, or Quinces, one ounce and an half, Infusi­on of Gum Arabick, or Traganth in Rose-water one ounce, one white of an Egg, and Wax.

Or, Take Mastick two drams, red Sanders one dram, red Roses, Pomegranate flowers, Myrtle leaves or Berries, each half a dram; with this Oyl mentioned make a Liniment, or with Wax an Oyntment. Dioscorides adds Sulphur, Gypsum, and the Stone Morochthus.

Smoak the Linnen with Frankincense, Mastick, Gum of Juniper, Roses, and Pomegranate flowers, to dry the Bo­dy.

The Smell of Camphire in Rose-water is commended.

Actually cold things close the Pores, if they touch the skin, these are to be used by degrees, not suddenly.

Cold Air is the best, by opening windows, and casting off Cloaths, or by sprinkling cold water in the Chamber, Vinegar, or cool Herbs.

Sprinkle the Face with water and vinegar, it is excellent.

Apply cold things to the Heart and Pulses, being cor­dial.

Let the Air be free, and not hot, and the Garments thin. Let Baths be avoided, the Exercise moderate. Let sleep be little, if the Sweat be most then.

That Flux of water which comes from the tapping for the Dropsie in the Belly, The Cure of a wa­tery Flux from a Tumor opened, or an Ulcer. or from other pricks or cuts, or burnings in the Water-rupture, or in Pustules, or watery Tumors, or Ulcers is cured: As we shewed in Tumors and Swellings.

CHAP. VIII. Of Spitting.

The Kinds,

SPitting by which Spittle is sent out of the Mouth, with Hawking, and somtimes Coughing is preternatural, chiefly when it is much and filthy; because other humors are also spet forth, it differs, and is either of Flegm, or Blood, or Matter.

There is a Spitting of flegm or water more often then is sit, in sound Men, Spitting of Flegm. so that some spit when they are speaking at every full point. This is not commendable in Orators, except it be seldom, and after a long Sentence.

In some Diseases, as Catarrhs, Ptyalismus. and Moist­ness of Stomack, there is the same continu­al Spitting called Ptyalismus.

That great Spitting which comes from Medicines for Salivation or Head-purgers, cannot be counted preterna­tural, because it is good for Health; nor that which comes from Quick-silver in the Pox, because it conduceth to the Cure.

Flegmatick old Men use to spit Flegm with more diffi­culty. This is either hawked out of the Passage of the no­strils, or Jawes, or coughed from the Breast. In flegma­tick Diseases that cause a Cough, this Spetting of Flegm comes often. In which it is somtimes thin, somtimes thick and mattery with scent, and without somtimes, som­times with more ease, somtimes harder fetcht up: As we shewed in the Cough.

There is somtimes a Spetting of Blood without a Cough or Pain, Spitting of Blood. in which the Spittle is onely bloody which defiles the Meat, somtimes pure, thin, or thick, with a bleeding at the Nose, going before, or with it. Somtimes it is with pain, or hurt about the Jawes, Tongue, Palate, Gums: as shall be shewed.

Blood is coughed out at the Mouth, either alone, or with spittle like matter, in a Pleurisie, or Imposthume of the Lungs, with a pricking of the side, and a Feaver, as we shewed in the Pain of the Breast.

Pure Blood is sometimes spet out at the Mouth with a Cough, Spitting of Blood. somtimes more plen­tifully then others, and at a certain time, at a distance. A Consumption follows this if it continue.

We have known divers women that have without hurt coughed up pure blood every month, but not much.

Others have cast forth great quantities, which have been otherwaies sound, or short breathed, and some have lost their lives thereby.

And some in Feavers, and other Diseases, have filled ba­sons with blood, and then died.

As I knew a young widdow that had a Consumption from her Husband that died but a little before, who af­ter she had with great difficulty, voided sharp Stones or Gravel with great pain by coughing, voided abundance of blood by the rough Artery, twice, and the third time died.

Somtimes there is Matter spit up with Flegm or follows it; somtimes it is clear, Spitting of Matter. thin, or snotty; somtimes thick and white, yellowish, greenish, or blackish; somtimes without tast; somtimes ill-tasted. Other voidings of matter follow o­ther Diseases, and are joyned to their great Symptoms.

The chief are pain in the Ulcers of the Mouth, Nose, and other parts, as of the Jawes in the Squinzie, in which dis­eases, Matter is spit up. Also in spitting of blood with Matter and a Cough, in the Pleurisie and Ulcer of the Lungs, in which we have seen a bason full of thin Matter spit up in a little time. The Consumption of the body is joyned with spetting of matter with a cough in the Phthi­sick, which continueth till death. As we shewed at large in those Diseases.

Also an Empyema joyned with a Pthysick, the Spetting of Matter is the more.

There is also a Spitting of Matter by which there is Matter sent forth with its bag, as big as a pease or nut, The Spitting forth of an Im­posthum. one or more at a time, when they are little. Somtimes the Matter is spet forth before the bag, which is broken; this is accompanied with a shortness of breath, a Cough, and ends in a Phthisick.

The Causes.

The Cause of all these Kinds of Spitting is from Spittle, or Flegm, or Blood, or Matter, or a corrupt Humor.

Often spitting comes from much wa­ter which is Naturally in the Mouth, Plenty of Spittle is the Cause of Spitting of flegm to moisten it, mixed with Flegm; from an evil custom, as of Orators who that they may not seem to be out, will spet at eve­ry full point, or oftner. Also much water gathered to the Mouth by long moving of the Tongue in Discourse, may cause the same, Also medicines may cause the same, but because it is then profitable, it is not preternatural. Also the phansying or remembring of sharp, bitter, four, or things pleasant to the Tongue and Palate, may cause the Mouth to water, but it is preternatural.

The great Spitting in the Diseases cal­led Ptyalismus comes from a water with­out tast or salt, Flegm from the brain is the cause of Spetting. or four, falling from the Head into the Mouth, and mixing it self with the spettle. And if this Humor falls as low as the Lungs, it causeth the Spetting with a Cough which is mentioned. In which at first the humor is thin, and then thicker by continuance, and at length be­ing baked with heat and white, it resembleth Matter: As we shewed in the Causes of Spetting of Matter.

Flegm made of the Excrements in the Lungs, Flegm sent from the Lungs to the jawes, is another Cause. either like Snot or Matter, if it be coughed into the Mouth, causeth the like spetting. And this is usual in sound and old men: And in the Disease of the Cough, and somtimes in the Asthma, in which it is not spet forth, and being clammy, causeth no Cough: As we shewed.

Moisture carried up from the Stomach and mingled with the Spittle in the mouth, Moistness of the stomach, is ano­ther Cause of Spetting. is the Cause of Ptyalismus or Spitting, as it is from the Head. In which Nature by often spetting, labours to dis­burden her self in the morning fasting, when the Stomach hath nothing in it but that water. The Cause of which Moisture of the Stomach, we shewed in the Weakness of the Stomach from that Distemper.

Spetting of Blood comes from Blood brought to the Mouth, from a Vein or Artery opened in the Nose, Mouth, Jawes, or Lungs, or Breast.

We shewed in Haemorrhagy, how blood might flow from the Nose to the Mouth, The blood from the Nose, is the Cause of Spet­ting it from the Mouth. but the plenty thereof, or when the lower Veins are opened, or when the Nose is stopped, and the Patient lyes upon his Back to stanch it, is the Cause of the Fal­ling of it into the Mouth.

Blood easily gets into the Mouth from the Gums easily when they are swollen, The Swelling, sucking, or hurt of the Gums, is the cause of spit­ting Blood. because they are soft, and so loose flesh. Or when they are sucked, as in the tooth­ach, or otherwise hurt, as by picking the Teeth, or eating hard things. But espe­cially when a tooth is pulled out, and torn from the Gums and Membranes. I once saw so great a Flux of Blood from an Artery opened by the drawing of a tooth, that it could not be stopped, and the Patient died thereby.

Without great violence, blood will not flow from other parts of the mouth, A Wound in the inward part of the mouth, is the Cause of Spetting of Blood. as from the tongue, cut, or bitten, as it is usual in Convulsions, or from the skin of the Mouth wounded. Also Blood flows plentifully from the Veins under the tongue when they are opened, cal­led the Ranunculi or Frog-veins. And I knew a widdo­wer that caused both those Veins to be opened, who spit blood till he died.

Blood from the Lungs is often spet at the Mouth, The opening of the Veins of the Lungs by corro­sion, is the Cause of Spetting blood and it comes from the in­ward Vessels of the Lungs, which sill them with blood; being opened or bro­ken, it is carried into the branches of the rough Artery, and thence into the wind­pipe, and so by coughing into the mouth, and then spet forth. Somtimes the Veins are opened by Anastomosis, and there is a Disease called Haemoptoica Passio, or spetting of blood. As when there is a plenty of blood in the lungs which stretcheth the Vessels, and opens the Mouths there­of, till it sweat through, or flow forth, more or less. And this is often without other hurt, if the Mouths do shut themselves again, as we have seen in men of full bodies, and women that wanted their Terms through Concepti­on, or the like. But it is dangerous, and deadly often, when the Mouths of the Veins are so enlarged, or conti­nually moved, that they cannot be shut. Or when any part of the blood gets into the substance of the Lungs which putrifieth them: As we shewed in the Phthysick.

From the same Blood of the Lungs, that gets out by A­nastomosis, and doth not go directly into the branches of the rough Artery, but first into the substance of the Lungs causing Inflammation, and thence into the branches of the rough Artery: There is a Spetting of Blood and Matter in the Pleurisie, and the Imposthume of the Lungs, or Pe­ripneumony: As we shewed.

When the great or small Veins of the Lungs are broken, there is a Flux accordingly with a Cough, and that is cal­led Haemoptoica Passio, which being hard to be cured, ends in an Ulcer of the Lungs, with the Phthysick. And this breaking of the Veins may be from violent Dilatation, or Contraction; as great blowing or whooping, or trumpe­ting; somtimes from a Cough or Sneesing but seldom; somtimes from violent holding of the breath in straining and Child-birth, or in carrying of burdens. Hence I have known divers Stone-cutters, which removing of great Stones spet blood, and became Phthysical or Consumptive, which the Vulgar supposeth to come from the Saw-dust which they breath in, but falsly, for if the dust should get into the rough Artery, it would presently be coughed out by its roughness, rather then sharpness which it hath not, and therefore cannot hurt the Lungs. The same may come from other violent labour, or from a bruise of the Breast, by a fall or stroak, or the like that breaks the veins.

When the Vessels of the Lungs are corroded, and the substance of the Lungs also, it is by degrees, and causeth a silthy Ulcer, there is the Phthysick rather then the Haemo­ptoick Passion or Blood-spetting; Yet blood is from the Ulcer spet up: As we shewed in the Phthysick.

When Veins are opened in other parts of the Breast be­sides the Lungs, and they sweat through, or pour sorth blood to the Lungs, there may be Spetting of Blood, as in the Inflammation of the Membrane, in the Pleurisie▪ or breaking of any Veins in the hollow Breast. But when the blood flows into the Cavity of the breast, and not into the Lungs and stayes, and corrupteth, causing a Phthysick, or Empyema; we shewed in the Causes of a Pleurisie: we cannot make this the Cause of spetting of blood. Except from a wound in the Breast and Lungs, when the blood flows not only into the inward parts of the breast, but into the Vessels, and so to the Mouth. And the rough Artery be wounded, the blood flows into the Lungs, and it is coughed up.

Matter is spet from an Ulcer in some parts; as the mouth and nose, Ulcers in the Mouth, Nose, Jawes, Lungs, Breast, Causes of spit­ting of Matter. and the Jawes in the Squincie. Al­so from ulcered, rotten Lungs, in the Phthysick, as we shewed. In an Empyema there is Matter in the hollow of the breast which fals from the Lungs, and if the Lungs be rotten, and a way open thereby, it is coughed up, neither can it be sent any other way then by opening it externally. As we shall shew.

[Page 645]But the Matter of the Lungs is not alwayes from an Ulcer, The Blood of the lungs turned in­to a matter, is the cause of Sper­ting of Matter. but from blood when the Lungs are inflamed without an Ulcer. And that Spetting of Matter in a Pleurisie and Peripneumony is blood ripened.

Somtimes Blood flowing in a small quantity from the Veins of the Lungs into some other part of the Lungs, where it stayes, and turns to Matter by degrees, which is by the dryness of the outside turned to a Bladder. And this is the Cause of the Spetting of Imposthumes, with lit­tle skins or bladders. And this may be without any other inconvenience, except the Matter so inclosed, hath hurt the Lungs. And then a Phthysick or Consumption fol­loweth.

There is a also a Spetting of Matter with Flegm for the most part, The Flegm of the Head, or Nose, falling upon the Lungs, is the Cause of Spetting of Matter. when Rhewm from the Head, is fallen into the Cavity of the Nostrils, or upon the Lungs, where it lyeth, till by Heat it be baked into Matter. This we have often seen in sound people, and in fleg­matick Diseases that cause Coughing, when there hath been neither Ulcer, nor Consumption.

It may come to pass, that a putrid Humor concocted, The substance of the Lungs corrupted, is the Cause of Spetting of the Lungs. may so eat the substance of the Lungs, that a piece of them may be spet up.

The Cure.

The Cure of most kinds of Spttings joyned with other Diseases, is mentioned in those Diseases: But we shall speak of the Cure of other Spittings according to their Causes.

Often Spetting from an evil custom, as in Orators, The Cure of Spet­ting of Flegm. is not to be cured, but by forbearing by degrees: If it come from much speaking, let him be silent. If a Ptyalismus or Spetting come from Rhewm in the head or from the Stomach, when a watery Humor riseth up and fills the Mouth. For that from the Head, you must hinder the increase of Rhewm, and purge it, and consume it, and stop the Defluxion, as in the Cure of a Catarrh, and Cough mentioned. As for that from the Stomach, you must hinder the increase of Flegm in the Stomach, and that which is must be purged, and the weakness of the stomach strengthned, with things mentioned in the Cure of a weak Stomach, which done, in both Causes, dry up the moisture in the Mouth, and draw it away with Masticatories to chew and the like, mentioned in the cold Diseases of the Brain, and in the Tooth-ach.

Spetting, by reason of a Defluxion upon the Lungs, or Flegm bred in the Lungs, is cured as a Cough.

The Cure of Blood-spetting is divers, as blood is from one part or another. The Cure of Spetting of Blood. From the Gums when blood floweth, we take blood, because it is a sign of Plethory, least it should cause worse accidents: And we cure it as a Plethory. And if it continue, we use astrin­gent Mouth-waters. Bleeding from a Tooth drawn, al­though it stop usually of it self, yet it stops sooner, when the Mouth is washed with red Wine, Rose Vinegar, and Rose-water. But if it stop not by reason of a Vein or Ar­tery broken, then you must use Astringents, mentioned in the Inflammations of the Mouth, and loosness of Teeth: And if it cease not, you must stop the place from whence the tooth was taken, with Pouders mentioned in Bleeding of Wounds. Burnt Vitriol is excellent. If these will not do, use an actual or potential Cautery that will burn spee­dily, least it be held long in the Mouth. And this is done well with a Pill made of Cotton, and dipp'd in Aquaf or­tis, and stopped into the space between the Teeth. And this we have found by Experience, to have done the work, when others fayled, in this and other bleedings. When bleeding is from other parts of the month, [...]urt or woun­ded, it is stopped with the same washings of the mouth. And if there be a great Flux from the biting of the tongue, as I have seen after Convulsions with danger of death, then you must use stronger Causticks.

When Blood falls from the Nose into the Mouth, it is cured, as the bleeding at the Nose. But if there be dan­ger, least it falling into the Mouth should be swallowed, or fall upon the Lungs, which can scarce be, for when it comes to the rough Artery, it causeth a Cough which casts it forth: He must lie with the Face downward, that it may rather flow out at the Nose then backward. Also you may keep it from flowing down, with holding water in the Mouth.

Blood-sweating from the Lungs, and mixed with Spet­ting, and coughed up in a Pleurisie or Peripneumony, is cured, as is mentioned in the Pains of the Breast.

The Haemoptoical Passion, although it be in some, especially women, The Cure of Hae­moptoica Passio, or Spetting of Blood. with­out other hurt; yet is it somtimes dan­gerous, if often, and in great quantity: And somtimes deadly, though the sud­den loss of blood, both in Diseases and without. But usually it turns to a Consumption. There­fore it must be stopped in time, and if the Mouths of the Vessels be open, they must be closed: And if they be bro­ken, they must be healed. A [...] [...]n both cases, the blood that clodders in the breast mu [...] be cleansed, least it hurt the Lungs, and the Cough cured. But if the Lungs be ul­cerated, and there be blood voided with matter, from the corroding of the Veins; then you must cure it as a Phthy­sick by healing the Ulcer, and the like.

For the Cure of the Haemoptoick Passion, or Spetting of blood, is as followeth.

There must first be Evacuations by Blood-letting in the Arm, upon which side there is a pain, or heavyness, or pricking.

Also by Scarification, with Cupping in the Shoulders, sides of the Neck, and Wrist; or by a great Cupping-glass under the Ribbs, or Hypochondria's. Also by using Li­gatures, and Frictions, as in Bleeding at the Nose.

In full bodied Women we provoke the terms, if stopped or but few. And in Men the Haemorrhoids, if they for­merly had them.

If the Blood be watery we purge, but with mild things, and not hot, least they should cause Vomiting, which would do hurt. And with things that astringe, & stay other Fluxes, though they open the belly, as Rhubarb in pou­der, with Juyce or Syrup of Plantane, or Purslane, and a little Spikenard.

Alteratives must be in their Meat, and Medicines.

Let the Air be cool, and dry, eithe [...] Naturally or Artifi­cially, because it being taken immediately into the Lungs, will dry well, as burnt Frankincense, Mastick, and the like.

Let the Meat be glutinating of boyled Flesh, boyled Snails are commended, and the blood of Turtles and Kids. Let him eat Starch boyled in Rose-water; and things made of Rice, or Barley, and rear Eggs, with boyled or raw purslane in Sallets: Also sour Fruits. Let him drink water, milk, ptisanes, and the like, avoid strong wine, and other things, actually or potentially hot.

You must provoke sleep, if it be absent.

Let him beware of coughing and speaking loud, or much.

The Emplastick Medicines and Astringents mentioned in the Haemoptoick Passion, which stop the Mouths of the Ves­sels and heal, not with too much binding, least the blood be stopped in the breast, with such things as dissolve and cleanse the breast, not too sharp and sour, may also be used.

[Page 646]Let him drink morning and evening for two or three dayes this Decoction. Take Comfrey roots two ounces, Marsh mallows roots one ounce, Purslane, if it be to be had green, Plantane, Shepheards-purse, Solomons-seal, each one handful; red Roses one pugil, Seeds of Purslane, Plantane, Sorrel, Endive, Coriander, white Poppies, each one dram; Myrle-berries three drams, Jujubies, and Sebestens, each six pairs. Boyl them in Rain-water, or Cistern-water, when it is strained, add to one pint and an half thereof, as much Su­gar, Penidyes, or Honey of Roses as will make an Apozem.

Other things are good in a Decoction, as Roots of A­vens, Brambles, Oak barks, or Acron-cupps, Sumach, Horstayl, Comfrey, Willow-herb, Vervain, Flowers of Teazles, Cheese-wort, Osiers, Reeds, Pomegranates, Haresoot, Leek, and Rose seeds, the Berries of bloody Rod.

They mix with these Plants for Wound-drinks, to heal the Veins, as Winter-green, Mousear, Sanicle, Golden Rod, wild Tansey, Yarrow, Agrimony, Nosebleed.

You may add for the Breast, Liquorish, [...]oltsfoot, Me­lon seeds, and Herbs that thicken the blood, as Violets, Endive, Bugloss, Water-lillies.

Some commend the Decoction of Iron, and Harts horn, in plantane-water, or the Decoction of the pouder of Blood-stone.

You may make a Syrup of the former Decoction to keep it longer, with more Sugar, and give it by ounces.

Or a Syrup of the other plants, as of purslane, which is best; it is made of three parts of the Juyce of Purslane, with two parts of Sugar boyled to a consistance. In the want of which, you may use the Syrup of Purslane by Mesue, of it, with Juyce of Endive, Vinegar, and Sugar. Juyce of plantane in a Syrup is also good.

The usual Syrups are Astringents, as that of dryed Roses, Myrtles; and Thickners, as of Jujubes, Violets.

You may give also the Juyces of the plants aforesaid, a­lone, as of plantane, purslane, or with others, and with Honey, or Sugar.

Some give Juyce of Sage, and Mints, with Sugar or Honey.

The distilled Waters are good in three ounces or more at a time, especially of purslane, plantane, Solomons-seal, Shepheards-purse, Comfrey, with other Astringents, as Horstayl, privet, Myrtles, Oak leaves, Roses. Some com­mend Water of Sowbread; others that of Mints and su­gar.

A Compound Water is thus made. Take red Snails out of the shells one pound, Comfrey roots half a pound, Plantane, Purslane, each one handful; red Roses one pugil, Myrtle-ber­ries half a pugil, Juyce of Quinces, Bar-berries, or Cornel-ber­ries four ounces, Spikenard half a dram: distil a water.

There are pouders of divers things to be given with Su­gar, because they are unpleansant, as this. Take Comfrey­roots one dram and an half, Seeds of Purslane, Plantane, white Poppy, St. Johns-wort, each one dram; red Roses half a dram, Pomegranate flowers one scruple, Starch, Amber, each one dram; Gum Arabick and Traganth, each one scruple; burnt Harts horn half a dram, Bole, or sealed Earth, red Coral pou­dered, each two scruples; Dragons blood one scruple, Sugar of Roses, or Penidyes as much as all the rest, make a pouder, give a dram, or a dram and an half at a time.

The Pouders of the Troches of Amber, or sealed Earth without Opium, or of burnt Ivory, are also good.

To which you may add Grape seeds, Bar-berries, Myr­tles: Also Frankincense, Mastick, Ashes of Egg-shells, Cuttle-bone.

Old Conserves of Roses also, often taken, and that of Comfrey roots, and Sugar, or Honey, or of the strongest Herbs mentioned.

Also candied Comfrey roots.

And this Electuary. Take Conserve of Roses, Violets and Comfrey, each one ounce and an half; of Quinces one ounce, of the Pouders mentioned, two drams, Acacia one dram: mix them with Syrup of Myrtles.

Another when there is fear of congealed Blood. Take of the Looch of Furslane, Pouder of Comfrey roots half a dram, Amber one scruple, the Runnet of an Hare half a scruple, with Syrup of dryed Roses: mix them, let him take it often. Some add Mummy, when the blood is clotted.

Or this Lohoch. Take a White of an Egg well beaten, and add as much Mucilage of Fleabane, made with Purslane­water, and the Infusion of Gum Traganth in Rose-water, with Penidyes, and a little Starch.

The Lohoch of purslane is the best against blood-spittlng, made of Juyce of purslane, Gum Arabick, Dragons blood, Troches of Lemnos, Earth, Amber, burnt Hares hair, and Sugar.

Another of Traganth, and Arabick infused in Rose-wa­ter, and old Conserve of Roses, Syrup of dryed Roses, Lemnos, Earth, and Bole.

You may make Lozenges of the aforesaid pouders, to be held in the Mouth, with Gum Traganth infused in Rose­water, or with Sugar dissolved in proper Water.

Sugar of Roses, and Diatragacanth frigid, are good to be held under the tongue.

Potions are thus made, or Juleps. Take the Syrup of Purslane, and Plantane, each one ounce and an half; Water of Solomons-seal, Shepheards-purse, and Roses, each two oun­ces; sweeten it with Sanders or Spike. Let it be given at thrice.

Of other Waters and Syrups you may make the like.

Or: Take one dram and an half of the Pouder mentioned, and give it with Water, or Milk, or Water and Honey, or with some Syrup, and then you may give half a dram without Sugar.

Or this: Take [...]yrup of Purslane, or Plantane one ounce, of Myrtles, and red Roses dryed, and Wine of sharp Pomegra­nates, each half an ounce; Bole, or sealed Earth, Coral, each half a dram; Bloodstone and Amber, each one scruple; or of the Pouders, or the Troches mentioned, one dram, give it with Water of Shepheards-purse, or of Solomons-seal.

We make these stronger with Narcoticks, which do not only astringe, but stupesie the sense, and keep the motion of Nature from bleeding, and asswage the Cough, they are thus made.

An excellent pouder. Take Sugar boyled with Rose-wa­ter, or Violet water till it be thick, one ounce, Pouder of Hen­bane seeds one dram, give one dram at a time, alone, or with convenient Liquor, you may add Pouder of red Coral, Bole, or other fat Earth, each half a dram, Gum Arabick one scruple, Penidyes two drams, then give one dram and an half, if the Flux be violent, or add the pouders that begins thus. Take Comfrey roots &c. and Henbane seeds two drams.

They may be made into Lozenges, with Gum Traganth infused in purslane-water.

Or give this Opiate. Take Conserve of Roses, or Violets one ounce and an half, white Henbane seed poudered, one dram and an half, Syrap of Poppies, or Diacodium one ounce: The Dose is a dram at a time.

Philonium persicum, and Diacoralium of Galen, the Troches of Winter-cherries with Opium; which have be­sides the binders, and the Opium, Henbane seeds. Also the troches of Amber, with Opium. All these are given a a dram in weight with convenient Liquor.

Athanasia Nicolai is commended, Treacle and Mithri­date are not so good here.

Seven grains of Cynogloss pils which have Opium, and Henbane seeds, are good to stop Blood and Fluxes.

The Syrup of poppy, or Diacodium, with Syrups, Juy­ces, and other convenient Waters, is good also.

Outward Applications can do little to stop Veins in the Lungs, because they grow not to the breast, and strong a­stringents laid to the breast, do keep in the blood; there­fore use only a little Oyl of Myrtles, Mastick, or Quinces which do but little good or hurt. And if the Vein be ope­ned in the breast, apply stronger things where the pain is, for then there is no spiting of blood, as I shewed.

You may here if the bleeding be great, apply things to the Liver, Stones, and other parts, as in other Fluxes. As the Amulets for bleeding at the Nose.

[Page 647]That Spitting of Matter which is from Flegm changed into Matter, The Cure of Spitting of Matter. is cured as the the spitting of Flegm.

If it be mixed with blood comming from the Inflammation of the Lungs, cure it as a Pleurisie or Peripneumony, or Inflammation of the Lungs.

If it come from an Ulcer in the Lungs, cure it as the Phthysick. If it come from the cavity of the Breast in an Empyema, passing through the Lungs ulcerated, cure it as the Phthysick also, opening the Breast: As we shewed in the Excretions in the Superficies of the Body.

If a Bladder with Matter be voided by spitting, The Cure of a bladder or im­posthume spet up. either whole or broken, cure it as an Ulceration of the Lungs in a Con­sumption. But if the Lungs be not hurt or no signs thereof, you must not take that course; except, after they have bin often voided, there be a suspition that others may grow, then by the medicines mentioned for the Cough, you must hinder the growth of them. And if they be new grown, as will appear by the heaviness of the Lungs, least it should hurt the Lungs by Continuance; Dioscorides or­ders that Goats Organ, and Sowbread seeds be often drunk, or licked with Honey. The Fume of dryed Colts­soot will do the same. And other strong expectorating Medicines.

CHAP. IX. Of Vomiting.

The Kinds,

AVomit or Vomiting by which the thing taken, and other Humors and Excrements are sent forth from the Stomach by the Gullet and Mouth, is almost alwayes preternatural, though it doth good, because it is not usual and necessary as spitting, pissing, going to stool, nor is it so easie as those, when they are according to Nature; but is like a Cough with labour, pain, crying, and sweat, and there goes before a loathing moistness and bitterness of the mouth, trembling of the Lipps, and other accidents, worse in them who are unfit, and hard to vomit. And it is chief­ly preternatural, when it is often and much, or things are voided that ought not.

These are of divers sorts, both in Disea­ses whose symptoms they are, Preternatural Vomiting. and with­out Diseases.

When Vomiting is without a Disease or other accidents, but only those of Vomiting, that is after Gluttony or Drunkenness: They cast up their gorge, and immoderate wine, and therewith somtimes many Excre­ments, both of Flegm and Choler. This happens to ma­ny, either suddenly or after sleep, with a Diziness. And though it refresh, yet if it be usual, and continue long, it weaknens the Stomach, and leaves thirst and other acci­dents.

There is another Vomiting after nauseous meats, by which they, and other things are cast out of the Belly; and this, if immoderate is hurtful.

There is also another which is usual, and comes after the giving of venemous medicines purges especially, which are suddenly thrown up again; or when they begin to work downwnrds, with divers Excrements.

Also that Vomiting which is from a Vomit given on purpose, if it be violent or much, is dangerous. And such symptomes as follow Cholar, follow these Vomi­tings.

There is another usual Vomiting with Women with Child, who Vomit after their Conception, when fasting, or after meat.

And though this is without hurt, yet if it be with great force, and continue, it hurteth.

There are some Vomitings when Men are sick, in which some throw up easily too much, or nauseous meat, crude and unconcocted.

Some vomit much Flegm, Snot, Choler, especially in the morning, with pain of the Heart before, and sourness, bitterness, and roughness of Teeth after it. All which, though they give ease, yet by continuance, they hurt, and bring other Diseases. As that excellent Printer Frobenius that used after his first sleep for many years, to vomit cor­rupt matter blackish, dyed after of the same Disease.

In divers Diseases of the Stomach, Guts, and other parts, Vomitings are with other symptoms: As I shewed in them which are different in respect of Flegm, Choler, or Blood.

There is in divers Diseases, Vomiting of Flegm. Vomiting of Flegm alone, or with other Humors. And it is either clammy, snotty, glutinous, mud­dy, frothy, or watery, either sweet, sour, or sharp, al these are called flegmatick. We shewed this in other Diseases at large.

Vomiting of Choler is as usual in many Diseases, where it was described, Vomiting of Choler. in which yellow, or like Brimstone, or like the Yolk of an Egg is voided, which is tough, or green, and that like Herbs; moist and thin, like Leeks, or Horehound in colour; or so green, that it is compared to Verdegreece, or black, or skie-coloured; which I saw plentifully vo­mited by women in a Dropsie alone. And then there are worse Symptoms.

There is a kind of cholerick Vomiting, The Disease of Choler. worse then the other accidents, which is ac­companied with purging of Choler, this is called the Disease of Choler: differing from the Colick.

A continual Purging or Vomiting with great force and conturbation, is of sharp and bitter Choler, thin, or thick, green, black, or yellow, pure, or mixed, and sometimes bloody.

There are great Pains in the Belly, and Guts, with pric­king, and pain of the Back and Loins.

There is often herewith burning of Urin by reason of Choler.

And an intollerable thirst without a Feaver, which is but somtimes, called a Synochus, which we described in chole­rick Diseases, which is not great, nor can be, except ano­ther Feaver come.

Then follows great weakness and faintness, the pulse is swift and weak, and when the Disease continueth, and in­creaseth, there is fainting and swounding, the Heart beats, and when the outward parts begin to grow cold, and of a cold sweat, Death is at hand. Usually a Convulsion fol­loweth, before which went the Hickets, and Cramp of the Legs, which foretelleth the Danger.

There is Vomiting of blood but seldom, Vomiting of Blood. in Diseases that have others joyned therewith, and in women that want the terms, in which blood is vomited alone, or mixed with them; somtimes more plentifully pure or mixed; somtimes clodded and tough like Pitch, and black, somtimes like Ink, which a famous Lawyer vomited in abundance, and purged also: Not only purging of blood, but great Diseases follow this Vomiting.

There is also a Vomiting of Excrements by themselves, or with Humors mentioned: Vomiting of Dung. when the dung of the belly which should be sent forth by stool, is vomited at the mouth, of which we shall speak when we treat of the wrong passage of the Dung.

The Causes.

It is necessary in all Vomiting that the Stomach be trou­bled, from whence the expulsive Faculty is stirred up, to [Page 648]expel that which troubles it, and throws out all, or some part that is in the Stomach into the left upper Orifice, and so into the Gullet, by the help of the Midriff which is near to it. This Vomiting is called the subvertion of the Sto­mach. The stomach is thus affected, either when it is troubled, or oppressed, or pricked. And the sooner when the Cause is great, or many meet, or when the stomach hath a most exquisite sense, and easily suffereth, or loosned from an evil custom of Vomiting, cannot so righty contain the meat, and cannot contain them, when they are too many, or unpleasant. The Cause of the troubling, pres­sing, or pricking of the stomach, is either from external force, or from things taken in, or from the Humors, Ex­crements, and other things in the Stomach.

Outwardly the rubbing of the stomach, The trouble, oppression, or pricking of the stomach either from outward force, or things taken in, is the cause of preternatural Vo­miting. or violent thrusting, or bending forward, or motion by Wagon or Ship, especially after much eating, or drinking, or ly­ing down after Drunkenness, causeth Vomiting, by disturbing the meat in the stomach.

The Finger, or a Quill, or the like, thrust into the throat, by tickling the tunicle of the mouth, which consents with the stomach, causeth it by labouring to expel what of­fends it, to throw out whatsoever is contained therein.

From too much meat and drink, especially wine, the sto­mach being too full, vomiteth; and the rather, if they of­fend the stomach. And this may come from a Physical Diet.

If things be taken that are loathsom, they are vomited up again. As unusual meats, (as we shewed in Loath­ing) and such as Nature abhors, or filthy, and abhomina­ble things, either by chance, or necessity: the very con­ceit, or imagination of which maketh some vomit. Also ill-scented things, as medicines, especially Purges cause a Loathing, and therefore are often thrown up again; some meats are loathed, not because they are unpleasant, but because they are contrary to some Natures, so that if by chance they be eaten, they are spewed up again. In ma­ny Diseases where meat is loathed, any smell of Food, flesh especially fat or roasted, which is of it self pleasant, is loathsom, and they vomit it up.

Medicines taken, that prick the stomach, or burn it, or that purge, as Hairs cut, or shavings of the Nails will pro­voke Vomiting, and if they work long, or violently, they are the Cause of hurtful Vomiting. Other vehe­ment medicines, especially purges do the same by troubling the stomach. And they are vomited as soon as taken, or when they begin to work, they cause the pain at the Heart, and so Vomiting. But chief­ly corroding medicines or poysons taken by chance, or o­therwise. In which Vomiting, whatsoever juyce, humors, or Excrements are in the stomach, are thrown out toge­ther or a sunder: But chiefly thin Choler, as we see after the giving of Stibium or the like, it hath been voided by basons full. Which was not in the stomach or Guts be­fore, because there were no symptoms of it; but it was forced by Nature from the Meseraicks, through the vio­lence of the medicine, as we shall shew in Vomiting of Choler.

Besides many things swollowed by chance, Choler pricking the Stomach, is the cause of the vomi­ting thereof. have caused Vomiting.

Among Humors and Excrements, Choler is the chief cause of Vomiting, either fasting, or in Diseases of Choler. And if it be clammy, as that like yolks of Eggs, or sharp, as the green and black, it pulls and burns the stomach, and makes not only Vomiting, but purging; and the more, if it be plentiful, and sent to the Guts, espe­cially the thin Guts which are united to the stomach. And it is greater or lesser, as it is more or less offensive to the Stomach and Guts.

This Choler breeds in the stomach from meats, which are too hot, and of sharp cholerick Juyce, or turns such by Corruption in the stomach. As appears by the use of Cowcumbers, and Melons, as we shewed in the Disease of Choler. Also Choler that is sent from the gall, and cor­rupted, may turn to such, and cause the same. Also when it hath been long in the Meseraicks till it corrupt, Choler may get into those parts, and cause the Disease of Choler. As we shewed in the Causes of intermitting Feavers, how it was gathered in the Meseraicks, and of what it was made.

Somtimes vomit is raised from other Humors and Excrements which fill, The Cause of Vo­miting of Flegm is the fulness of the Stomach or Loathing. or offend the stomach. As from crude Juyce made of meat not well concoct­ed, which flowing in the stomack, and filling it with wind, compels it to vomit it up four for the most part. Or from other sharp Juyces, besides Choler, made of the Corruption of meat. Whence come Vomitings not long after eating, or when Conco­ction is beginning. Also Vomiting may come from any Flegm, or from tough Matter in the Stomach, long retained, or from water, which cause Loathing; as we shewed in the Want of Appetite: Or from other immoderate things, es­pecially if there be other evil Humors mixed. These a­lone, or with other Humors bred in the stomach, or sent thither, offending the stomach, cause Vomiting in divers Cacochymicks, and in Women that are with Child, and want their Terms, or others that have not conceived, by reason of the filth stopped with the terms; and in the begin­ning of Feavers, and other malignant Diseases, when the stomack consenteth, or is hurt by them. As we shewed in the Causes of these Diseases.

Blood getting into the Stomach by the Meseraick Veins which go through the same, Vomiting of blood from the stomach filled with the blood from the me­seraicks. or rising from the Veins of the Guts, is the Cause of Vomiting blood, and as the Blood is, so is the Vomiting; somtimes watery, filthy, or black, such as is laid up in the Meseraicks, as we shew­ed in Feavers; sometimes when it hath been long in the stomach, it grows thicker. Now it gets out of the Veins, either from the plenty thereof; as we shewed in the stop­ping of the Terms, that Women with Child may vomit blood without hurt, or from the ceasing of other bleeding at the Nose, or when blood is in the Body from the taking off of a Member. Or from the thinness of the blood mix­ed with water, or from the thinness of the Choler in di­vers Diseases, or from other impurity or malignity. Also Blood is vomited somtimes from a Contusion, about the stomach, upon the parts adjacent; or from some hurt of the stomach, by any thing swollowed, or a wound. Also blood from the Jawes, or Nose, or Breast swallowed down, is vomited up in clodders. As I lately observed in our Cap-maker, who being loaden with his wares, and com­ming from a fair, towards night, made great hast to get into the City before the Gates were shut, but being tyred, he lay in the Suburbs all night in a sweat. And comming into the City the next morning, he grew very weak with Vomiting of clotted Blood, with a Megrim, and purging also of Blood.

The Cure.

When any thing is sent forth by Vomit, profitably or necessarily, it must not be stopped, but provoked, if it come not freely. But if by violence, and long continuance, the strength decay, or the like, then you must make it more ea­sie, or shorter. When it is unprofitable, as of meat or medicine, it must be prevented and stopped.

If Vomiting come after surfeiting, The Cure of preternatural Vomiting from things taken in. or Drunkenness, it must not be stopped, but furthered. But if it be often, take heed of it, and use things mentioned in Alienation of Mind, and let them not sleep presently upon a full stomach, nor let them cause [Page 649]Giddiness usually goes before, with reading or motion. And if it continue, give things mentioned Agarist, Vo­miting, Choler.

When Vomiting is from Loathing of things necessary which were better kept in the Body, that must be preven­ted, especially after a purge is taken, because if it be sud­denly vomited up, the working is lost, but if it be kept a­ny while, the medicine may have an Operation, though cast up with many Excrements, which could not go down­wards.

And though the stools are not large, because of the dou­ble Evacuation, yet the medicine will work its effect. And the rather, if it be not all vomited up.

You must prevent the Vomiting up of a medicine, with pleasant scents and tasts, which resist the evil scent and tast thereof; as with a crust of bread toasted, and dipped in Vinegar, applied to the Nose, with the pouder of Nutmeg or Cloves; or by tying a clout dipped in Vinegar, about the Neck; or washing the Mouth with Vinegar and Wa­ter. Or by eating or chewing some sharp fruit, or other pleasant thing.

An Eg held to the throat, is thought by the common people to hinder the Vomiting of a medicine. Also there are many things in Vomiting Choler, which will prevent it here.

But if Vomiting begin when the purge should work, with pain at the Heart, it is not amiss, because Evacua­tion is made both wayes. Yet because they are weakned by the heart-pain, so that they sound somtimes, let them wash the stomach from that which pricks it, when it first begins. As Barley-water, which Hippocrates saies must be taken warm with Sugar, or Cream of Barley, with Sugar, or Pease-broath, whatsoever allayes pricking is then good: As any Broath of flesh.

A Clyster then given, takes away the Heart-pain, and quickens the medicine, and hinders the Vomiting.

If Vomiting follow the violence of any medicine or poyson, then we give things to resist the sharp burning, and malignant force, and to cleanse, that they may vomit easi­ly, and stop it not. Or if we do, it is with stupefactives, to take away the sense of the stomach. Or we give Anti­dotes against poyson, which if they have Opium as Trea­cle, are the better. Such as are mentioned in the Pain of the Heart.

If Vomiting be from Flegm, or any crude Humor, The Cure of Vo­miting of Flegm raised from Ex­crements. or Excrements, whether in Cacochymicks, Women with Child, or Diseases, and Excrements be voided thereby, it must not be stopped, But if it come often, and in sound men, or sick, it is convenient, or if it be too violent, you must stop it, observing diligently if it be in women with child, or the Patient be sick of another Disease, that proper medicines may be given.

Vomits are given in Vomitings, when there is a tough Humor in the stomach, which continually provoketh, and yet will not be voided, but alwayes provoketh to vomit. Then you must give a Vomit that cleanseth and cutteth, when it is clammy. The Kinds of Vomits are mentioned in the Cure of Weakness of the Stomach.

Purgers to provoke downwardly, are given when vomits cannot work, or sufficiently discharge, that they may cease to molest, and pass the usual wayes. Such are mentioned in the Weakness of the Stomach. But you must make choice of the best, and pleasantest Purges, least they be vomited up again. Among which the purging wine is the best: Or Pills, if they can be swallowed.

Clysters also draw down the Cause, and are good in great Vomiting, not given in great quantity, nor too sharp or loosning, least when they get into the Colon, they shouldpress the stomach that is near, or relaxe it, or pro­voke it: such as are mentioned in the Colick.

When in a constant Vomiting no meat can be retained, you must preserve the Patient with nourishing Clysters▪ such as are prescribed in the Hectick.

When the Matter is voided by Vomit, by Nature, by Art, by Stool, you may give things to stop such are in this Cause, hot and binding, proper for the stomach, such as are mentioned in the Weakness of the Stomach. To which you may add the following, which are good when Vomi­ting is too violent.

Cinnamon-water being pleasant, is good to stop Vomi­ting, and other distilled Spices, that are not loathsom, mentioned in the weakness of the stomach.

Wine is best to stop Vomiting, because it is pleasant to the stomach, especially Rich-wine.

A Physical Wine made by Infusion, which is bitter, is better then sweet, because that provokes Vomiting. That of Wormwood is best, to which the matter is very tough, we add Squills, Gentian, and topps of Centaury.

Another of Mints, Marjoram, topps of Rosemary, Bet­tony, Myrtle-leaves, red Roses, Cor [...]ander seed infused in wine, with Wormwood, Cloves, Nutmegs, Mace.

Hippocras is good also, or other Wines, mentioned in weakness of the stomach, or made of the Aromatical Pou­ders in wine, as shall be shewed; with Pouder of red Co­ral, with but a little Sugar, least the sweetness offend.

Decoctions are not so pleaseant, but are easily vomited up, but they may be made into a Syrup, and given by spoonfuls: As of Wormwood, and Mints, with wine, with Juyce of Mints, Pomegranates, and Quinces

Or this Decoction. Take Roots of Cypress, Galangal, white Thorn, each half an ounce; Mirts, Bettony, Burnet, each one handful; Rosemary topps one pugil, Coriander seed▪ two drams, Piony seeds one dram, Schaenanth, Spike, and Co­ral poudered, each one dram and an half; boyl them in wine, and Water, and with Sugar make a Syrup.

It is good to eat Beans, Kidney-beans, Lentils.

Dioscorides directs twenty two Lentils.

Divers Stomach-pouders, mentioned in the weakness of the stomach, which are astringent, as Aromaticum Rosa­tum, and Gary ophyllatum, Rosata Novella, and Diaga­langa.

Or make this astringent Pouder. Take Roots of Cypress, Galangal, Acorus, Cassia Lignea, each one dram and an half; Nutmegs, Mace, Cloves, each one dram; Schaenanth Spike, Wood Aloes, each half a dram, Pepper, and Ginger, each half a scruple: make a Pouder, which will be stronger, but less pleasant, with Marjoram, Mints, Roses, each half a dram; Mastick, or Frankincense two scruples. These are given with Wine and Sugar.

Also there are many Conserves, and Candyes good, as that of old Roses, Mints, Marjoram, Citrons, Nutmegs, and the like.

You may apply to the Stomach, strengthners and astrin­gers, mentioned in the weakness thereof, choosing those which are best scented.

Anoint the Stomach with Oyls there mentioned, which strengthen and bind. And least the greafiescent offend the stomach, keep the Head off, and use some sweet Scents. Or sprinkle some sweet Pouders there mentio­ned, after anointing, or mix sweet things with the Oynt­ment. Oyl of Nutmegs is good for that.

The Oyntment mentioned for a moist and loose sto­mach, is good if you sweeten it.

It is better to apply Plaisters, least by chasing the sto­mach, you cause Vomiting, as that of Mastick, mentioned in the weakness of the stomach.

Also the Fomentations there, which strengthen and a­stringe, which are the better for being sweet-scented.

The sweet pouders also there, are to be sprinkled here upon the Oyntments, and to be applied in bags to the sto­mach.

Also use the Cataplasms without the unctious things, which are well-scented, and there mentioned.

The Juyce of Mints with Leaven, laid like a plaister to the Stomach and Guts, doth quickly cure Vomiting of flegm and wind. And the same is good for cholerick Vo­miting, and the Disease Choler.

[Page 650]Also Cupping, Dropax, Ligature, Amulets, are good, but best in Vomiting of Choler.

Remembering alwayes a spare and convenient Diet.

If Vomiting come from Choler, or a sharp Humor, The Cure of cho­lerick Vomiting and the Disease Choler. from corrupt Meat, or o­therwise which pricks the Stomach, when these are voided, you must pro­voke rather then stop it. But if it be often in Cacochymicks, because it is worse then that of flegm, and causeth hurt, threatning dis­eases, it must be cured. As also when it is immoderate, and vehement. And in regard Vomiting is the chief sym­ptom in the Disease Choler, and so dangerous: The cure in general must be aimed at. This Disease of Choler is most acute and dangerous, if it come without a manifest Cause, but it is less dangerous, when it is from eating of Cowcumbers, Mellons, or the like turned into Choler. And it threatneth Death, if the Pulse be weak, the Heart beat, and faint, with Hickocks and Convulsions: And if the Pulse intermit, and the Urin be blew, and the outward parts cold, Death is at hand.

Your aim in curing of these immoderate Vomitings of Choler, or sharp Humors, is to cleanse away the Choler that sticks so fast with other Humors, alwayes regarding the Disease and other Symptoms if there be any,) and to abate their force, and drive them down when they ascend too much. And then to strengthen the Stomach and Outs by astringents. And if need require to take away their sense of feeling, with inward and outward Applications. And to have regard to the strength, and to drive away all accidents approaching, and to mind the flux of the belly in Choler: which are all done by these following.

The Vomits mentioned in Heart-pain from Choler, are good here to take away the Cause. These also evacuate Choler that cleaveth, and stop the violent Flux of the Bel­ly by Revulsion.

Also Purges mentioned for the Heart-ach, from Choler chiefly Myrobalans, and Rhubarb, with Spike which cor­rects it, and stops all Fluxes, giving alwayes things which stop the Vomiting by drawing the Choler downwards. The things mentioned in Dysentery, are good in the Disease Choler, because the belly flows too much, when the Cho­ler sticks to the Guts. Stronger remedies are not given but to prevent in such as are subject to it. And therefore in the time of the Disease, abstain from them.

Clysters are best to draw down Choler, which cleanse and allay Heat.

Many Alteratives are good, which are mentioned in cholerick Heart-ach, if you choose those that bind, and are not nauseous, as also these.

Sour Fruits raw, or boyled, eaten, or used as Sauce, or the Juyces thereof in Meats, if not too ripe, as Grapes, Cherries, Medlars, Services, Cornil-berries, also four Pop­herbs, or eaten with Vinegar, candied Cabbage topps, and Turneps.

The conserved or candied four Fruits are good, also Myrobalans, Citron barks candied, Conserve of Roses, and Sorrel.

Also the Juyces of the same four Fruits and Herbs, with­out Meat stay vomiting. Also vinegar drunk alone, after a surfeit, or Drunkenness, as it allayes Drunkenness, so it hinders vomiting. Wormwood-wine cures the vomiting of Choler, therefore Drunkards use it for their mornings­draught, when pain of the Heart forerunneth it. Also to drink cold water after Meat, will stay vomiting.

Those four Syrups mentioned in Heart-pain are good, given alone, or with Sortel-water. And you may add which is the best of the Syrup of four Pomegranates four parts, of Mints one part.

Or boyl the Juyces of both to a Syrup, or boyl a little Mints, with the Syrup of Pomegranates therein.

The Chymists give some drops of the Oyl of Pearl in this Disease.

You may make a Pouder to be given in wine, or other­wise thus, Take Pulp of Quinces, or of sour Pears, Med­lars, or Services, or Cornil-berries dryed before they be ripe, half an ounce, dryed Citron peels one dram, Galls half a dram, Cynk-foyl roots, Sorrel seeds, and of Plantane, Grapes, Bar­berries, Sumach, Pomegranates, Roses, Coriander, each one dram, Roses and wild Vine, each half a dram; Antispodium of Ivory, or Harts horn, red Coral, each one dram and an half; Crystal half a dram, Pearls one scruple, Bole, or other fat Earth one dram, Hypocistis half a dram, red Sanders, and Gross Cinnamon, each one dram: make a Pouder.

Also the Pouder of Mastick, Frankincense, Amber, with the Yolk of an Eg, and a little Salt.

Also Pouder of three leaved Grass, Chesnuts-shells, Mallow-seeds, Cherry, Gum drunk with wine.

The Moss of Trees called Lungwort, and the Leaves of Harefoot, with the Seed, is commended by Dioscorides.

Also Diacydonites without the Species, Troches of Spo­dium, with Sorrel seeds. Also Troches of Frankincense is good, except the scent offend, as that of Rhasis, of Fran­kincense, Mastick, Bole, Amber, Champhire, Gallia Mos­chata, with Cloves to sweeten.

The Pouder of Liquorish with Ivory and Cinnamon gi­ven in Broath, stayes both Vomiting of Choler and Flegm, and are good after the taking of a Purge.

Also the Electuaryes and Candyes, mentioned in Heart­pain.

Or this: Take Conserve of Quinces two ounces, Citron peels candied, Conserve of Roses, each one ounce; Conserve of Sor­rel half an ounce, Rose, Sorrel and Coriander seeds, each half a dram; red Coral one dram, with Trionsantulon, or Diamar­gariton frigidum. If they swound, Narcoticks, Antidotes, mentioned there also, by taking away sense from the Sto­mach, stay Vomiting by themselves, or with other things.

You must apply strengtheners to the Stomach, before and behind, temperate, or somwhat cool, but actually hot, because the Stomach is quickly offended with Cold: there­fore we mix cold things with hot. These are alwayes good in Fluxes, especially when there is a loathing of meat, be­ing of sweet scent.

Oyls relaxe actually, therefore are not to be used alone, but with cold Astringents, adding some that are hot, as in Heart-pain. Vinegar, as there said, is good, but in a grea­ter quantity, or with other four Juyces, and astringent Pouders that are sweet.

Or this which is more binding. Take Mastick two drams, Frankincense, Cypress roots, Pomegranate flowers, each one dram; dryed Wormwood and Spike, each half a dram: make a Pouder.

The cooling strengthning Oyntment, mentioned in Heart-pain also, or this which is more binding. Take Oyl of Mastick, Quinces, Roses, Omphacine, each one ounce; Oyl of Myrtles six drams, Oyl of Wormwood half an ounce, Vinegar of Roses, old white Wine, each one ounce and an half; Juyce of Quinces, or Pears, or of Citrons, and Lemmons one ounce, boyl them to the consuming of Juyces, then add Pouder of Mastick, Olibanum, each one dram; Bole one dram and an half, Aca­cia, or Hypocistis, or Juyce of Sloes, each one dram; Galls, Pomegranate flowers, red Roses, each half a dram; with Wax make an Oyntment.

Or an Emplaster, adding to the aforesaid doubled in weight, Dragons blood two drams, Acorn-cupps, Cypress­nuts, Citron peels, Bramble leaves, Myrtles, Wormwood, Mints, Myrtle seeds, Coriander, each one dram; Antispodium one dram and an half, Spikenard, Nutmeg, each half a dram; red Sanders one dram, Gallia Moschara two scruples, with Pitch, Rosin, and Oyls aforesaid, make a Plaister.

Pouder of Mastick with the White of an Eg, and some of the Oyls aforesaid is good, if it be applied as a plai­ster.

Rose-cakes sprinkled with Rose-water, and Vinegar of Roses, with red Wine, is excellent.

A Crust of Bread toasted and steeped in Vinegar of Roses, and then dryed, and tyed with a fine linnen-clout, that it may stick to the stomach, is a good and easie remedy­on which you may sprinkle Mastick, Cloves, and the like.

[Page 651]Or you may wet the Tost in Juyce of Quinces, or of four Grapes, or the like astringents, or red Wine; or apply the Juyces with Bran, or Barley-meal, These will be stronger, with the Pouder of Mastick, Wormwood, Mints, Roses; or boyl the Plants, in red wine, and beat them with Bread, and other Astringents, mentioned in the Em­plasters.

The Compound Plaister of the Crust of Bread, with Oyls is made of the Crust of Bread, toasted and steeped in Vinegar, with Barley-meal, each two ounces; Oyl of Quinces and Mastick, each one ounce; Mastick, Antispodium, Coral, red Sanders, Mints, each one dram. To which you may ad Wormwood, and other Astringents.

The Emplaster made of Dates by Alexander, with Bread, Quinces, Vinegar, Oyl, and many Astringents, is also good to stay vomiting.

Or that made of Pulps; thus: Take Quinces, or Pears, or sour Apples that smell sweet, or the like, bake them if they be green, if they be old, boyl them in red Wine, with Vi­negar, beat them, and apply them. Add Oyl of Mints, and Wormwood which are good by themselves, and keep the other from drying, and from being too tough.

An Epithem of Rose-water four ounces, Vinegar of Roses two ounces, applied hot with a red Cloath, with two drams of Ma­stick, one dram of red Sanders, red Roses and Cloves, each half a dram; and some grains of Camphire. Also a Clout dipp'd in Juyce of Quinces, Pears, or sharp Apples, with Juyce of Citrons, Lemmons, Pomegranates, and applied hot with the Pouders mentioned.

An astringent Fomentation is made of the Decoction of Wood and Leaves of Pears, Quinces, Oak Services, Bar­berries, Privet, Olive, Medlars, Sumach, Myrtles, Bram­bles, Roses, wild Vine, Pomegranate flowers and peels, and Galls, with Wormwood, and Mints, Coriander seeds, and Myrtles, and Sanders, with Spices, in red wine alone, or with water, or in Iron-water.

Cupping-glasses fixed to the Stomach, or at the bottom thereof, stoppeth vomiting. And if done while the Pa­tient is eating, he will not vomit it up. But if Choler be carried from the Meseraicks to the Stomach, you must ap­ply the Cupping-glass to the Liver or Spleen, where the great veins are, or a Dropax, or sticking Plaister of Pitch dissolved in Oyl, laid to the Stomach, and violently drawn off, doth stop vomiting.

Ligatures also, and Frictions of the extream parts, and sprinkling of the Face with cold water. Let him smell and eat things pleasant to the Stomach, as Apples, Pears, Quinces, and other things mentioned for the keeping down of a Potion, or put his Hands in cold water.

A broad Plate of Ivory laid to the Stomach, is reported to stop vomiting.

Also a Jasper-stone hung about the Neck to touch the Stomach.

As for Diet. Let his meat be little, and often of good Juyce, pleasant, not loathsom, rather thick then thin, with Sauces aforesaid.

Bread of Wheat or Barley, with Juyce of Pomegranates, or with Rose-water, Rose-vinegar, and Sugar is proper.

And Gelly of Capon-juyce, boyled between two dishes, with Juyce of Citrons, and other Cordials, when swounding seared.

Let the Drink be actually cold rather then hot. Let the wine be sharp, or if they love not wine, let them drink wa­ter boyled with Coriander seed, or water with sharp Sy­rups, with a regard of Nature and custom.

Cold water drunk after meal, doth the same.

They commend the drinking of Spaw-waters, for them that are subject to vomiting, not only for to stay it, but to cure the Cachexy from thence. Also sharp Drinks.

Let them rest, and speak little, and not move the mouth with chewing.

Sleep is profitable, because it stoppeth Fluxes, and to provoke it, you must give Dormitives.

We cure the accidents of Choler as we cure choler, as the Flux of the Belly, with outward things that stop vomi­ting.

Also Thirst, with sharp Drinks. The Feaver with things that void Choler. The Convulsion which is present, or at hand, with Oyntments to the Back, and the like, men­tioned in the Cure of Convulsion. Faintness or Swoun­ding we cure with cordials, and good victuals. Or if there be heat of urin, or the like, let medicines be sought for in their proper places.

If Blood be vomited, The Cure of Vo­miting of Blood. and sticks clot­tered in the mouth, then you must pro­voke vomiting, rather then stop it, least other Symptoms be produced. If blood come from the Meseraicks, it shews the danger, and greatness of the Dis­ease, and then the Disease must be chiefly looked at. If it come from the hurt of the Stomach, or any part adjacent it is very dangerous, and the remedies must be applied to the wound, or contusion. In every cause, when blood is vomited in great quantity, you must rather hinder the flux of blood into the Stomach, then stop the vomiting, with inward and outward means. And you must hinder the Flux, with things that dissolve congealed Blood in the sto­mach, which causeth dangerous accidents. Thus,

Blood-letting can draw but little from the Meseraicks, which fill the Stomach and Guts with Blood: Yet in Ple­thory or Fulness, when the cause requires it, you may open a proper vein. And if the Terms be stopp'd, open that in the Foot.

Revulsion of this Blood-vomiting, is also made with Cupping-glasses to the Hypochondria under the Ribbs, in the Belly, below the Stomach, or to the Hipps, when the Terms are stopp'd.

Also with Ligatures and Frictions of the extream parts, especially of the Thighs.

Purge not, except the Disease do require it, and then not with strong medicines. But with a little Rhubarb, to take away the congealed blood, which will bind also af­terwards, or with Syrup of Roses.

Also if blood be voided by vomit and stool, congealed and black, give Clysters to cleanse, and stop the mouths of the veins, such as are for a Dysentery. And when clots of blood stick in the Guts, Water and Vinegar will dis­solve them.

Let him eat Pap of Starch, Rice, Barley flowers, Gelly, and Milk.

The White of an Eg, and Mucilage of Quince seeds, and Gum Traganth extracted with Rose-water, or Plan­tane, well beaten; may be given alone, or with Sugar pel­lets, or Sugar of Roses, or with red Wine, or Vinegar of Roses.

Or make a Syrup of the Juyces mentioned, boyling them with Sugar; or of the Herbs with one pugil of red Roses, Pomegranate flowers half an ounce, red Sanders one dram, boyl them in Iron-water, with Vinegar and Sugar, to a Syrup.

The usual Syrups are good, as of Myrtles, Quinces, dry-Roses, Bar-berries, of unripe Grapes, of Plantane-water also drunk, or Water of Nuts to dissolve blood.

Let him drink steeled Water, with one ounce of Mastick, white Coral half an ounce, Crystal, or Jasper two drams, or Vinegar and Water.

A Pouder. Take Bloodstone two drams, red Coral one dram and an half, Bole, Acacia, each one dram; Gum A­rabick, or Traganth parched, half a dram, make the Pouder, add the Roots of Snakeweed, Pomegranate flowers, Horstayl, each half a dram; of Henbane seeds: let him take one dram, with Wine alone, or with a little Water and Sugar two drams, or make Lozenges thereof with Sugar, boyled in Plantane­water.

To dissolve clotted Blood, give Amber, true bitumen, Mummy, or the Runner of a Kid, &c.

The Pouders usual, are of the Troches of Amber, of Lemnos Earth, which both stop blood, and by reason of the Amber, dissolve it when congealed. Also the Troches [Page 652]of Antispodium, with Sorrel seed. These are better, be­cause of the Poppey therein.

A good Electuary. Take Conserve of Comfrey roots, and old Roses, and Quinces, each one ounce; Troches of Amber, or Lemnos Earth, or the Pouder mentioned two drams, and if he be faint, the Pouder of Diamargariton frigidum, or of Gemms half a dram, with Syrup of Quinces, make an Electuary, or with Sugar, Lozenges, give as much as a Chesnut, and let him drink after it some distilled Water that is proper.

One dram of Philonium Persicum is highly commended, to which you may add half a dram of Rhubarb, to dissolve the congealed Blood.

Outwardly the Fomentation and Epithem described in Vomiting of Choler are good, as also the Oyntments and Plaisters there.

Or these: Take Oyl of Myrtles, and Quinces, each two ounces and an half; Juyce of Plantane, or the like, one ounce and an half, Vinegar of Roses one ounce, boyl them till the Juyce is consumed, add Acacia, and Hypocistis, each one dram, make an Oyntment, or add Mastick half an ounce, Bole two drams, Pomegranate flowers and peels, Galls and Su­mach, each one dram; with Wax make a Cerot, or with Ro­sin an Emplaster.

CHAP. X. Of Pissing.

The Kinds,

THat Pissing by which the Urin in Males, Preternatural Pissing. passeth through the Yard; in Women through their pissing place is Natural. But when it is involuntary, or immoderate, or often, or little, or thick, or bloody; or cometh by a wrong passage, it is preternatural.

When the Urin flows out of its own ac­cord, Involuntary Pissing. without the Will of the Patient, it is involuntary. And this is somtimes with­out Feeling, as in Apoplexies, Palsies, and Swoundings. And some who have been cut for the stone have it for ever.

There is another involuntary Pissing, which they have who piss their Beds, Pissing of Bed. espe­cially Infants, if it be a fault in them: It is unseemly in young people that know it, and ought to avoid it. But worse when they come to years.

It is called immoderate, when it is too much, Immoderate Pissing. too often, or unseasonable, as in Drunkards. They fill themselves with wine and rise from meat to piss. This is thought unseemly among people of reputation, which hold Drun­kenness for a great shame, as indeed it is.

There is another immoderate Pissing, when it is not af­ter large Drinking, but oftner then it ought to be: For which cause they cannot tary long in Assemblies, but are forced to go forth, and piss.

But that is chiefly immoderate Pissing, when they piss more then they drink or eat of moist meats. This is in sound Folkes, which are called Vritici without another in­firmity. And in sick in the Crisis or Declination of a dis­ease. And because it is profitable, and not hurtful, it is not preternatural, except it continue to the loss of strength, which will easily decay by such an Evacuation.

There is another in the Disease, called Dia­betes but seldom; Diabetes Dipsacus. which is a large and unmo­derate Pissing, when what is drunk is little or nothing changed, with an unquenchable thirst from whence it is called Dipsacus, when the Body is hot and consumeth.

There is another, Dropping of urin. Strangury. often and little Pis­sing, when the Urin is voided by drops, called Strangury, which is somtimes with­out pain: Of which we spake in the want of Pissing.

There is often a burning pain in pis­sing, called scalding Urin, or Dysury, Hot Pissing, scalding Urin, Dysury, or dif­ficulty of urin. though this word is more proper to pis­sing with difficulty or pain, as Dysentery is in the Guts, then to little Pissing. In this Disease while the Urin drops, there is pain: but when it comes more freely, it begins at the Conclusion. And continueth a little after, and begins again before the next Pissing, causing such a straining, that it produceth horror and sweat. A grievous pain in Males about the end of the Yard or Glans, which is then touched; hence the Ger­mans call this, cold Pissing, though it be hot. Women are pained also in the passage for Urin.

This Dysurie or Difficulty of Pissing troubles young and old, somtimes without other Diseases, and is short, if it come from the taking of any thing, or from some cause that continueth not, as we shall shew. Somtimes it is lon­ger in which there are some signs of a foul Body.

Somtimes it is with other Diseases, as in thick Pissing, when it is mattery, slimy, or like Milk with Urin, for the Diseases of the Reins, Bladder, or other parts: Also in the Ulcer of the Yard, and Bladder, matter is voided alone; and Seed involuntary in a Gonorrhoea, or Running of the Reins, especially when it is venemous: As we shall shew concerning them.

Somtimes symptoms of the Stone in the Bladder, are with this Dysury, as Itching about the Privities, standing of the Yard, sense of Heaviness about the Fundament, in­to which, if the Finger be thrust, the Stone in the Bladder may be felt; also straining with crude Urin, sometimes thick and bloody, and sometimes it is quite stopped.

There is often turbulent or thick pis­sing as of matter which settles in the urinal like a Pultis, Thick Pissing. and mixeth again with the urin when it is shaked, and goes to the bottom again when it settleth. It is somtimes white, without scent, somtimes stinking, somtimes white Filmes do fly in the Urin, as in the Ulcer of the Kidneys: As we shall shew. Somtimes it is without scalding, but with heaviness, and pain of the Reins, somtimes with scalding.

They say that pissing of Matter may be from an Impost­hum in the Liver which is rare, and from a Pleurisie, or Pe­ripneumony, or Empyema, which is most rare and sel­dom.

There is another thick Pissing of Slime with the Urin, which sticks to the bottom of the Urinal, like Glew after the Urin is poudered out, this is from the Ulcer of the Bladder, and then there is also scalding of Urin. Also this slime is voided alone: As we shall declare in the Ex­cretions of the Yard without Urin.

Another thick Pissing is like Milk, Milkie Pissing. and then there is a great white sediment at the bottom of the Urinal, and is mixed with the urin when it is shaked. I have observed this in my self and others, somtimes for many daies, and somtimes at certain hours, especially at night, after Exercise without other accident, except heat in Pissing and straining after.

Pissing of Blood, Pissing of blood. is when the Urin is coloured like blood. In which after set­tling there is a thick and black sediment.

This is often with other accidents in the Stone of the Kidneys, and after violent Exercise; also in the Stone of the Bladder. And if there be an Ulcer, there is Matter with Blood.

They who use the Catheter have often a little blood in the Urin. And they who have had a great [...] or Stroak piss blood.

And they who have taken Cantharides, or Spa [...] flies, or the like.

[Page 653]Otherwise there is seldom Pissing of Blood. Only in Feavers it may be a Crisis, or for Judgment: And I knew a Maid in a pestilential Feaver, that pissed some chamber­pots full of blood before she dyed.

Also Bloodhath been pissed without a Disease: As we shall shew in the Causes of all sorts of Pissing Blood.

There are also other kinds of preter­natural Pissing. Urin of a pre­ternatural color or mixed. As when the Urin is of another strange colour, mixed with sand, slime, which shew Diseases, or the approaching of them. Of these we shal not speak, because when the Disease is cured, they va­nish.

Here may be mentioned Urin with dung, Urin mixed with dung, bones, or the terms. as we shewed in the preternatu­ral Voiding of Excrements of the Belly, or with bones, or the like, which we spake of in preternatural Excretion. Or with the Terms, as we shewed in their preternatural Flux.

Somtimes the Urin flows another way, as out of a Wound, The Flux of urin by a Wound. as in cutting for the Stone, it flows at the Perinaeum, till it be healed. The same may be about the loins and lower parts of the Belly, from a wound there: As we knew one who made no Urin, but at his Groins for many years.

The Causes.

The Cause of all preternatural Pissing, as involuntary, immoderate, often, little, thick, bloody, dyed, or mixed, is from an evil custom, or Disease in the Reins or Bladder, as a hot Constitution or weak, a cold or hot Distemper; or forcing, or solution of continuity or contiguity: Or from a Disease by consent of the Bladder. Or some Dis­ease in a part like the Reins and Bladder.

Somtimes often pissing is from an e­vil custom; An evil custom is the Cause of often Pissing. for when Nature is not dis­ordered by Diet, she keepeth her order and time for voiding the Excrements of the belly: And if you disorder her by any means or forcing, it will not be seasonable. There­fore Infants that have long pissed their beds, are familar­ly troubled therewith, an it continues with them, when grown up, which is unseemly.

Some kinds of Pissings come from the Constitution of the Reins and Bladder. The Constitution of the Reins and Bladder. As when there is exquisite sense in the bladder, which being pricked by the u­rin, sends it forth before the time. And this may be the cause why Children piss a bed, except they be raised at night. And if to this exquisite sense, there be a sharpness of Urin, it will be rendered oftner, and sooner scaul'd, as shal be shewed.

A Natural Heat of the Kidneys, may cause more, Heat and weak­ness of the Kid­neys, is the cause of often Pissing. and oftner Pissing, because heat makes a sooner separation. As also weakness, when the retentive Fa­culty cannot retain the Urin long e­nough.

This is often from the Birth, through want of heat, or from the loosness and softness of the Vessels, or from much drinking: Or from immoderate Venery, which weakens these parts.

When the Bladder is weak, loose, or soft, there is often Pissing. Or when it is over-stretched, and too thin, which is from the birth in some, or from long retention of Urin, in Assemblies.

Also strong Imaginations in a Dream, may cause this, when they dream they piss in a convenient place, which stirres up the expulsive Faculty.

When the retentive Faculty is weakned by a cold distemper in the reins and blad­der, there is often Pissing: A cold Di­stemper of the Reins, is the Cause of often Pissing. this is from external cold, so cold at the Feet by con­sent of these parts, may cause Pissing.

Many think that Diabetes comes from a hot distemper; but the Reins are many times hot with­out that distemper: And if the Reins were very much in­flamed, pissing would not be increased, but diminished, or suppressed, and the attractive vertue rather destroyed then increased. Moreover though there be Thirst and Consumption, with the Diabetes, or often Pissing, yet it is not proved to come from the heat of the reins. Because thirst may come from want of moisture, through continu­al pissing. And the heat of the whole Body cannot be kindled, only from the heat of the Reins, without an In­flammation, whence pissing will be diminished: neither can the Body be consumed thereby. Therefore there is another cause of Diabetes, which is seldom seen. We free­ly grant that pissing may be hastned from a hot distemper of the Reins, if there be much water: As we shewed it might be in the hot Constitution of the Reins, but we de­ny that this confused and unusual pissing can come from heat thereof.

But scalding Urin comes from the heat of the Reins, or is increased thereby: A hot Di­stemper in the Kidneys, is the Cause of scald­ing Urin. As we shewed in the Inflammation of the Reins, in which the Urin is made hot. And this may come from a simple distem­per without Instammation, but the Urin is sharp and hot, first from other Causes, and thenis far­ther inflamed by the Reins,

From the pricking of the Reins and bladder, Pricking in the Reins and Bladder, is the cause of preternatural Pissing. there are divers kinds of preternatural Pissing. And it is caused by Urin, by Matter, by Seed, or by a Stone.

There is a large Pissing from too much Urin that pricketh the blad­der. Much Ʋrine, is the cause of large Pissing. And that is from the use of watery things, and drinking much.

From great Drinking, Too much drink is the Cause of immoderate Pissing. it hap­pens that the Drink is little chan­ged, but passeth through the veins to the Reins, and so to the Blad­der. When the Drink taken is so much, that it cannot stay to be changed and mixed with Humors, but passeth through unconcocted.

An immoderate Pissing may be when a great quantity of water, Plenty of Water, is the Cause of immoderate Pis­sing, and Dia­betes. which lay in the veins, is suddenly sent this way. As in many superfluities of the Body: and in some Diseases, as in Ca­chexy or Dropsie, and the like, especi­ally in continual Feavers, in which the cause of the disease is expelled by urin in a Crisis: Or when an intermitting Feaver declineth.

There is also a large pissing after a long suppression of u­rine by a Stone, or slimy Matter in the Vreters. As I obser­ved two years since in a Preacher, who made no urin in eleven dayes, by reason of the Stone, and slime in the U­reters, and was in a miserable condition: But in one night on a sudden the Vreters opened, and he voided eight measures of water con­containing every one three pints, with great refreshment to his whole Body.

But if this Evacuation be too much, and nature sending forth the Cause of the Disease, be so profuse, that all the moisture begins to be voided, there will follow a Diabe­tes. Thence comes the heat of the whol Body, and thirst, especially, if there be a Feaver; and Leanness, especially if the Feaver be consumptive. And because in Feavers this pissing is seldom seen, only in a Crisis, when the Fea­ver [Page 654]is cured thereby. Diabetes is a rare Disease, which weakneth exceedingly. Nor is it a wonder, when the u­rin passeth through so quick, that it is crude and not co­loured. And this is the cause of a Diabetes, and not the hot distemper of the Kidneys, from which alone it cannot proceed. And though the practical Physitians did not plainly mention a Feaver in the Cause of a Diabetes, yet in their Prognosticks, if it be joyned with a Feaver they pronounce it deadly, and prescribe cool Remedies. We suppose that a true Diabetes in which there is sudden mel­ting of the Body with heat and thirst, is an accident of a burning Feaver, and gives some occasion also of the mel­ting; and therefore it is a Symptom joyned therewith, as the Feaver is also, except there be a Diabetes without a Feaver, by reason of abundance of drink, long kept in the Meseraicks, (for it cannot stay so long in the Stomach and Guts) and after thrust by Nature to the Reins, rather then attracted. Hence the drink is as it was drunk, and not altered in the first Concoction which it escapeth. And if there be then heat of the Body or thirst, these come from great emptyness, and not from the h [...]t of the Kidneys which cannot do these things, or so weaken the body, as I shewed. But in regard drink is seldom so contained in the veins. This Diabetes is very seldom seen.

There is a scalding Pissing with a Strangury from the quality of the Urin, Sharpness of urin the Cause of scal­ding Piss. provoking and pricking the Bladder to render it. And if it be sharper then it is by Nature, by which it naturally pro­vokes the bladder to let it out, presently after it comes to the bladder, though in little quantity, it provokes it to get out, especially when the bladder is very sensible, hence it falls often by drops, and being in a narrow passage that is very sensible, it pricks, and causeth this heat and pain in Pissing.

This is especially in the top of the Yard, because when sharp Urin comes into the neck of the bladder which is narrow, and into the Yard, it causeth pain there by scald­ing. And this is felt chiefly in the Head or Glands, which is most sensible. And because through great pain the Yard hangs down, and grows loose for want of blood and Spirits: It turns cold and pale. And this pricking is when the urin is too hot and inflamed; or when it is cor­roding, or too salt; or too four, by which means it doth not only prick, but bind the passage.

From this provoking or pricking of urin, Sharpness of urin is the cause of pis­sing. there is a bloody pissing also, when it is corroding to the bladder.

The Urin takes these qualities, by which it causeth scalding and bloody pissing, from things taken into the Body, somtimes mixed with Humors and Excrements.

As from Diet, as too much Wine and Spices, and hot Oyls, of Water-cresses, Onions, and Mustard. It receives saltness from salt Meats, fourness from four things, espe­cially four wine, as hath been experienced, and a clean­sing quality from the things mentioned, and other abster­sives. Among which is beer which makes the urin sharp in them that are not used to it. The same may be from Medicines, and from hot Purges, as Spurge, and Colo­quintida which provoketh urin, as stools by their sharp­ness. Also Cantharids inflames the urin, and such things cause pissing of blood, and ulcers in the Yard. And it appears that Spanish-flies do it by heat, because outward­ly they raise Blisters. The Urin may take the same quali­ties from the mixture of Humors, as of Choler, it may take heat, sharpness, and cleansing, when it is preternatu­ral and burning; for Natural Choler in the Gall mixed with water, cannot make the urin so sharp, as it is in the Jaundies, though the water be dyed with Choler, yet the urin is not scalding. There are divers Causes of this cho­ler, both in Diseases, and without; of which heat of urin is a symptom. The cause of this Choler mixing with the Serum, and so with the Urin, is mentioned in other Dis­eases. And if the Serum be salt and four from other hu­mors, the urin will be such.

Pricking comming from other matter mixed with the urin, may be the cause of Scalding or Dysury. As from the matter which comes from Ulcers in the Reins, and o­ther corruption in foul Bodies ripened by the heat of the Reins. These may cause burning, and matterry urin to­gether. Matter without Ulceration, causeth foul Urin without other accident, except heavyness in the Reins.

Corrupt Urin from matter like milk, is like the former, except the colour, when there is also heat, which though it come from the Reins, as the other, is more salt, as ap­pears when it is dry, being like white salt in colour and tast: And I collect that it comes from the saltness of the Serum in the Reins made thick and concocted, because when it is more hard, it turns to sand, or a stone, as we shewed in the Stone.

From Seed in Men, Seed out of its place, is the Cause of scal­ding Urin. moved from its place, and not sent forth, pricking and burning, may come scalding urin, for seed by Nature is sharp, and in its one place it doth no hurt, as Choler in the Gall, but going forth, and sticking in the passage, it corrodes and exulcerates which causeth heat of urin▪ As it is in them who have nocturnal Imaginations or diurnal Lusts, which stirs up the Seed, without action or spending. This is in old men from the little quantity of seed, and insuffi­cient extension of the Yard, and in sick people, and cau­seth scalding Urin.

In a venemous Gonorrhaea the same happens from corrupt Seed, Corrupt Seed is the Cause of [...]al­ding urin in the Running of the Reins. so that it runs not only from the sharpness, but also corrodeth the passage, especially when any part sticks by the way, and causeth scalding Urin.

There is a dropping of Urin with pain, and desiring to piss, A Stone in the bladder, is the cause of hot urin. from a stone in the neck of the bladder which pric­keth, and i [...] it be great, is burdensom. These Stones fall first from the Kidneys by the Ureters in­to the Bladder, and there being kept, they increase dayly by the Urin which washeth them: As we shewed in the Causes of the Stone of the Kidneys. And in Hypochon­driack Pains, where we shewed how sand and stones, which are the causes of preternatural Pissing, grow in the Kidneys, and somtimes in the Liver.

There comes Pissing of Blood from the Solution of Continuity in the Reins and Bladder, The Solution of Continuity in the Kidneys & Bladder, is the cause of Pissing of Blood. when the substance of the Reins is wounded or bruised. But usu­ally from a Stone in the Kidneys, which rubbs and chaffs them till they bleed; which blood is mixed with water, and pissed forth, and separateth from the urin to the bottom when it is settled: But if the urin be too long in the blad­der, then it is so mixed with blood, that it will not be se­parated. This also happens when a stone moved from its place, cannot get forth, but by forcing a passage, bruiseth the Reins with its hardness or unevenness; or when it is forced by external motion through the pressing of the Reins, by which means the Hypochondria are also trou­bled, and so causeth bleeding within, which blood being rendered with the urin, signifieth the stone in the Reins, es­pecially if there be other signs therewith. And if there be an Ulcer in the Kidneys therewith, the Stone by chaffing it, causeth it to void not only matter, but blood.

A Stroak in the Bladder, or a Wound piercing to it, may cause bloody Urin, or a touch with a Catheter, which is an Instrument to let out urin. Also a stone striving to pass the neck of the bladder, may cause bloody urin; and then onely some few drops come after the urin is made with great pain. And t his is one of the infaillible signs of the Stone.

[Page 655]When the Sphincter Muscle which is the Cause of the stopping of the Urin is wounded, A Wound upon the Sphincter mus­cle of the bladder, is the cause of in­voluntary Pissings there is involuntary Pis­sing, as is usual in cutting for the Stone, and though the wound be cu­red, yet by reason of the hurt of the Muscle, the urin cannot be contained.

Somtimes there is a preternatural flux of the urin from a wound of the bladder, A Wound in the bladder, is the cause of urin pas­sing that way. not only by the cutting for the stone, but by other external means: As when there is an Incision made for a fleshy rupture in the Groin, as I shewed in the want of Pissing, how one alwayes pissed that way. And we saw one that gored with an Ox whose horn pierced through his bladder that voided urin at both Orifices.

And this may be from any other Wound in the Blad­der.

From an Ulcer in the Kidneys follow­eth a pissing of Matter with urin, An Ʋlcer in the Reins, is the cause of pissing matter. which settleth at the bottom, which causeth pain in pissing, if it be sharp, with other accidents. The cause of the Ulcer is an Inflammation.

Those Causes of Solution of Continuity in the sub­stance of the Reins mentioned, may cause pissing of blood, if the wound be not cured, but turn'd to an Ulcer.

When there is a wound in the neck or bottom of the bladder, The Ulcer of the bladder, is the cause of pissing hot matter. there is pissing of Matter, with Urin, and somtimes with­out, where the wound is in that part of the neck which is farther from the blad­der. This matter makes the urin stink. Or is pressed with difficulty, and sticks to the bottom of the chamber-pot. And then there is hot pissing, because the ulcer is disturbed, and then the mat­ter is sharp. This Ulcer comes from a wound.

That strange pissing of the Dung and Bones mentioned, Hurt of the neck of the bladder is the cause of pissing of dung, bones, or terms. comes from an Ulcer in the neck of the bladder. This Ulcer comes from a Wound in the neck of the womb, or strait Gut, which eats into the bladder. And hence womens terms are mixed with Urin.

Somtimes Blood is pissed from so­lution of contiguity by Anastomosis or Diapedesis of the Vessels; The Anastomosis, or Diapedesis of the Veins of the Reins, is the cause of pis­sing of blood. when through plenty of blood, or founlness thereof, in Plethory or Diseases from thence, Nature purgeth blood from the emulgent veins, into the Reins, and from thence by the Ureters into the Bladder. And then the blood is voi­ded without pain, or other distemper. And as I shewed, Feavers have been cured thereby, but seldom. And it is probable in the wench that had the plague, and pissed blood before she died, that Nature was stirred up by the force of the venom, to throw it out that wayes, which it could not compleat.

The thinness of the blood, is the Cause of the Anasto­mosis or Diapedesis of the Vessels of the Reins, which causeth pissing of blood. By which means before the blood is separated from the Serum in the Kidneys, Guts, through the Vessels into the Bladder, and causeth, blood with urin, more mixed then when it is carried to the blad­der alone.

The next Cause of pissing blood, is the weakness and loosness of the Reins, Loosness of the Vessels, is the cause of pissing blood. and then there is often pissing also.

There is also involuntary pissing from a Disease by consent, as when the blad­der is hurt, and the Muscles suffer also.

The Sphincter Muscle suffer from the want of Animal Spirits, Want of animal or vital Spirits is the Cause of involuntary pis­sing. for then being relaxed, they cannot contain the Urin. This want of Spirit is from a distemper of that Nerve which moveth the Sphin­cter Muscle, either alone, or with all the rest in a Palsie. Therefore some men in Palsies and Apo­plexies piss involuntarily.

In a Swounding, when there is a total privation of vi­tal spirits, so that all the Functions rest, the sphincter mus­cle being idle, the Urin flows forth.

The same is in the Convulsion of the Muscles of the Belly, A Convulsion of the Muscles of the belly, is the cause of involuntary pissing. when the U­rin is driven out of the Bladder by constriction or straitness of the Mus­cles, and pressing of the belly, and if the sphincter be also strained, it can­not stop the veins.

Preternatural pissing comes also from other parts, An Impostum in the bowels, is the cause of pissing of matter. as from an Imposthum of the Liver turn'd to an Ulcer, the mat­ter being mixed with the Serum, and there with the Urin. As also from the Lungs and Breast in a Pleurisie, Peripneumony, and Em­pyema. And if it may come from thence to the Ureters, then it may come from other parts internal being ulcera­ted; the matter may go back into the Vessels, and so be carried with the Serum into the Reins, and mixed with the Urin.

From Diseases in the Stomach, The diseases of the internal bowels may cause a tin­cture in the urin, and a mixture. Li­ver, Spleen, and other parts, especial­ly in Feavers, and from their distemper and humors; the urin may be disco­loured, or mixed with other matter, and cause preternatural Pissing. As we shewed in those Diseases.

The Cure.

There are divers sorts of Cures for divers Pissings, as involuntary, immoderate, often, or hot pissing, thick, and bloody. Or when it passeth a wrong way.

If involuntary pissing comes from a Palsie, or want of strength, or the like, The Cure of in­voluntary pis­sing from want of animal or vi­tal Spirits. you must cure it as the Apoplexy, Palsie, or Swounding. Apply medicines to the Back, and Loins, and to the Fundament, where the neck of the bladder is; such as were mentioned in the Palsie.

If involuntary Pissing come after a wound in the Mus­cle of the bladder, or when it is torn for the taking out of the Stone, it is incurable ordinarily. But you must use such things for the allaying of the urin, and binding the passages, as are mentioned in immoderate pissing.

That involuntary pissing in the sleep, when young Children, The Cure of pissing a bed. and others piss their beds, must be cured by preventing an evil custom; by pissing before they sleep, and by being raised at midnight to piss, till Nature is brought to another custom. And this is the best Cure, es­pecially if you take away the Causes which provoke urin, as large drinking, especially at bed-time.

But if it come from weakness, or too much sense in the bladder, then you may use things to abate the sharpness, and make it thick, and bind, and a little stupesie: As shall be shewed in immoderate Pissing.

These following are good by propriety, boyled, or roa­sted, as a Hedg-hog, Mice, Lungs of a Kid, the Brain and Stones of Hare, or Fox, the brain of a Vultur, or Eagle, and Fat of a Partridg.

Also the Pouders of these following, or the Ashes, as the pouder or ashes of an Hedg-hog, a Hares head, with the skin burnt, the Bladders of an Ox, Hog, Goat, Sheep, [Page 656]and Swimms of Fishes, the inward skins of Hens Gizards, Cocks necks, Geese tongues.

It is good against Pissing of bed to put the Yard into a dryed Bladder, or the like; others use a Spunge, but the bed will be wet, notwithstanding that.

Immoderate Pissing, when it is too much or too often; The Cure of in­voluntary Pis­sing from the di­stemper of the Reins, immode­rate pissing. if it come from an evil custom of pissing often, let them not piss at every motion. And that will bring Nature into order.

When it is from the exquisite sense of the bladder, then keep the urin from be­ing too sharp, and if it continue, abate the sense with remedies mentioned in hot Pissing, yet not so strong, because this is not so considerable.

If too much Urin be made by reason of a hot Constitu­tion, because it doth little hurt, let them only take heed of hot meats and drinks, and use temperate things that cool.

That often pissing which comes from weakness, or want of Natural heat, or loosness of vessels, or enlarging, or making the bladder thin, if it come from the Birth, is hard to be cured, but if from much drinking, and long holding of the water, then take away the Causes, as also when it is from too much Venery, which weakneth the Reins.

But if being old, it will not so be cured, in regard there are worse accidents begin first with them.

If often pissing come from a cold distemper of the reins and bladder, chiefly from the cold of the Feet, it is but of short continuance, and not regarded. But if the cold di­stemper remain in the parts, these hot remedies mentioned in the Palsie of the Bladder are to be used, as also when there is weakness from that Cold.

If much pissing be from much wine, be­cause it is good, The [...]ure of much pissing after much Wine. there is no other course to be taken, to prevent rising [...]rom the table, or pissing Breeches or Bed, but to avoid drunkenness, and use the reme­dies against pissing a bed.

When much pissing comes from abun­dance of Serum or Whey in the veins, The Cure of much pissing from abun­dance of serum. it is necessary, and good in sound men to prevent, and in Dropsies and achexies to cure the Diseases, except it be immo­derate.

But if from the sudden Evacuation, the strength is aba­ted, it may be hurtful, as in the tapping for a Dropsie, if much water be taken out at once, so here though the way be Natural, yet the Flux being great and sudden, may be dangerous.

This immoderate pissing in Feavers, when Nature expel the cause, in a Crisis of a continual Feaver, and in the de­clination of an intermitting, is good to cure the Feaver. But if be too much, and too long, and the matter not con­cocted without a Crisis, because then the Cause of a Dis­ease is not abated, nor the Patient refreshed thereby, but weaker, thirst increased, and the body withered, there fol­lows the deadly Diabetes. But when the cause of the dis­ease is taken away by pissing, you must not stop it.

In other violent pissings that weaken, as in Diabetes which is seldom seen, The Cure of Diabetes. which consumeth the body, and causeth thirst, you must speedily stop them; first hinder the increase of Serum, and then evacuate it otherwayes, af­ter correct the thinness, heat, or sharpness, with things that thicken, cool, and asswage. Also stop and astringe the passages, and stupesie the sense of the bladder. As we shewed in hot Pissings; and use these following with res­pect to the Disease accompaying them. If the Disease hin­der not, in full Bodies let blood.

Also give cooling, and gentle astringing Clysters, with the Decoction of Rhubarb, and Myrobalans, and stilled Waters of Roses, Plantane, with glutinating things, as whites of Eggs, Mucilage of Fleabane, Quinces, or Infu­sion of Gum Traganth in proper Water.

Let the Diet be sparing, only that which will keep the strength: Let them beware of four things, salt, sharp, burning, and hot Spices, all which provoke urin.

Let them rest, and not heat the Reins by lying upon their backs.

Purges to derive the Whey and Serum from the Veins to the Guts, and so to hinder the plenty of urin, are good, because when men purge they piss little; and often pis­sing in sound men doth signifie the need of purging: and in Diseases it shews that the Body is not sufficiently pur­ged.

These must be gentle, if the strength abate, and astrin­gent with Rhubarb, Myrtles, Citrons, Syrup of the Infu­sion of Roses, with other astringent Syrups, Decoctions, or Waters, as in the Dysentery.

Sweating is good to send the serum through the Habit of the Body, and derive it from the Veins, and so to abate Urin. And it must be provoked betimes, when we fear too much pissing, before the strength be abated.

There are divers Drinks that thicken, bind and cool, and heating Meats, as Bread, Pulse of Wheat, Starch, Groats of Barley hulled, as Ptisans of Rice, Almonds, di­vers wayes prepared; Lentils boyled, Almonds, Nuts, roasted Chesnuts; also gross and clammy Flesh, Whites of Eggs, Lettice, Endive, Bugloss, Purslane.

Also Broaths of Corn and Flesh, Milk, steeled water, Emulsions of Almonds, thick binding Wine, with water of Myrtles, Bugloss, or the like.

Also Syrups of Myrtles, dryed red Roses, Juyce of Sor­rel, and others that bind, and heat not.

Or this Decoction. Take Comfrey roots, and of both Bu­glosses, each one ounce; Plantane leaves two handfuls, Cordial flowers one handful, dryed Pomegranate flowers, yellow Myro­balans, each half an ounce; Myrtle seeds one dram, Plantane, Dock, Purslane, and Sorrel seeds, each one dram; boyl them in six pints of red Wine. Let him drink thereof.

Plantane and Shepheards-purse-water, and the like, if there be heat, are good.

Also candied Comfrey roots, Myrobalans, Quinces, Elicampane, old Conserve of Roses.

Also Mucilages of Fleabane, Quinces, Infusion of Gum Traganth in Rose or plantane water, given half an ounce, with Sugar or convenient Syrup.

Also pouders, with sugar of Roses, red Wine, or other Liquors.

That of Acorns only is excellent, or mixed with Len­tils, husked and baked.

Or this: Take Coriander seed two drams, Agrimony one dram, red Roses half a dram, red Sanders, Cinnamon, each one scruple, Spikenard half a scruple.

With Acorn-cupps, Galls, Pomegranate flowers.

Or, Take Frankincense, Amber, each one dram and an half; Myrrh two scruples, the Ashes of burnt Ox, or Hoggs, or of other domestick Creatures Bladders, half a dram, make a Pouder.

Another. Take yellow Myrobalans, Date stones burnt, each two drams; Bay-berries, Rose seeds, Pomegranate seeds, or of Myrtles, each one dram; plantane and purslane seed, red Roses, Gum Traganth, or Arabick, each half a dram; A­cacia, and Dragons blood, each one scruple, with burnt Ivory, and Camphire, make a pouder.

Or, Take red Coral, and Bole, each one dram and an half; Bloodstone half a dram: make a pouder, give it alone, or with the other the fourth part of this.

To these you may add pouders and ashes of living crea­tures, which have a propriety mentioned in involuntary pissing; and others, as wild Rue seeds and leaves, Mints, Calamints, Myrtles, Dates, Snakeweed, Tormentil, and Elicampane.

The Chymists in the Cure of Diabetes and Dysentery, extol the Essense of Crocus Martis according to Crollius, and the tincture of Smaragds, which Hartman commends, and shews how to prepare it in his Practice of Chymistry. And they also extol to admiration the tincture and salt of Coral.

[Page 657]If the Urin prick, give Stupefactives, as Syrup of Pop­pies, Philonium Persicum which also bindeth, and the like. Treacle is commended against Diabetes, and they say it quenceth thirst: which being hot, it cannot do, but it may help by its Narcotick Quality.

Externally apply Coolers to the Reins and Binders, as the Oyntment mentioned in the Inflammation of the Reins and Liver, beginning thus: Take Oyl of Roses, Quin. &c. to which you may add Oyl of Violets, Water-lillies, Juyce of Lettice, Mints. Also Oyl of Earth-worms which is thought to stop pissing by a propriety. Also Seeds of plantane, purslane, Camphire. Also the cooling Oynt­ment there mentioned, and that of Roses, the Cerot of Sanders, made of Oyl of Roses, Sanders, Roses, burnt I­vory, Bole, and Camphire.

The repelling Epithem mentioned in the Inflammation of the Reins and Liver, is also here good, and this of rose­vinegar. And that mentioned which begins. Take wa­ter of Nightshade, and Lettice &c. to these you may add Sorrel, and Wormwood-water, with Bole and Spike.

A Fomentation or Bath for the reins, is made of the de­coction of plantane, Shepheards-purse, Mullein, Violet-leaves, Mallows, Water-lillies, Vine leaves, Roses, Pome­granate peels and flowers, Sumach, Bar-berries, Myrtles, Roses &c. with Smiths-forge-water, or Iron-water.

You may make Cataplasmes of the same, with Barley­meal, and the Oyls mentioned, and Earth-worms.

If Heat of Urin come from Irritation in the neck of the bladder, The Cure of scalding urin. or passage of the Yard, it is more easily cured, then when it comes from an Ulcer in the pas­sage of the Yard. If it come from an Ulcer in the neck of the bladder, it is most difficult, because the heat of the urin will not be gone, till the ulcer be cured, which is ve­ry seldom done. If it come from the Stone, it is not cu­red, till that is taken away. And if there be many causes together, and the heat comes both from the ulcer, and u­rin, it is worse and worse, when there is a stone there, which cannot be voided

As for the Cure: we shall first speak of scalding Urin from Irritation. And if there be an ulcer, because then the urin is muddy; we shall treat of it in turbulent Piss­ing: As also if it come from a Gonorrhaea, we shall speak of it there. And lastly we shall shew the Cure of it when it comes from the Stone.

If pissing be hot from heat and sharp­ness of Urin, The Cure of scal­ding pissing from heat of urin only. from things taken, or from the mixture of humors, with the heat of the reins, it must be cured, by taking away the cause, correcting the heat and sharpness of the urin: And by deffending the blad­der and passage from the sense of the pain. These are done by internal and external remedies that cleanse and alter.

If the Belly be bound, it must be loosned, because strain­ing at stool causeth a pressing of the passage of the urin and pain. Then we purge Choler or sharp Humors with gentle means.

Cassia is the best, which is also Anodine, and Diacassia, Diaprunis, Diabesten.

This common Electuary doth loosen and lenisie. Take Cassia newly drawn two ounces, Manna one ounce and an half, Pulp of Sebestens, Tamarinds, or sweet Prunes, each one ounce; Mucilage of Fleabane six drams, the four great cold Seeds half an ounce, Juyce of Liquorish one dram, with Syrup of Roses solutive: make an Electuary, give one ounce at a time.

We chiefly respect Choler in purging, and therefore ad Rhubarb, Myrobalans, Syrup of Roses laxative, Violets, Catholicon, and the lenitive Electuaries mentioned, with Senna, if you will have it stronger, or Diaprunis.

A Potion is thus made. Take Polypody two ounces, Sen­na one ounce, Liquorish one ounce and an half, Raisons one ounce, Prunes ten, Jujubies, Sebestens, each ten pair, Barley one pugil, Anise seeds one dram; make a Decoction, add Syrup of Roses solutive two ounces, Syrup of Violets one ounce, you may infuse Rhubarb.

Also use Clysters of Mallows, Marsh-mallows, Violets, Prunes, the four cold Seeds, with Cassia, Honey of Vio­lets, Oyl of Violets, red Sugar, &c.

Vomiting, because it draweth Choler from the Mese­raicks, which keeps the urin from sharpness, is good.

They also use Frictions and Sweating, to revel or draw back the Choler.

If you fear an Inflammation in the lower parts by rea­son of pain, let blood in the vein under the Knee.

And open the Haemorrhoids when they are usual, to take away Choler.

Give Alteratives which cool the urin and reins, and le­nisie the passages, and stupesie, and take away pain, of which there are divers forms.

Any Milk drunk, doth lenisie, and heal Excoriations of urin.

An Emulsion is excellent, of cold Seeds the greatest, be­ing bruised, and mixed with Barley-water, and strained; or of Almonds, pine-nuts, or altogether, with white pop­py seeds, which take away pain and heat.

Make a Mucilage of Quince seeds, Lime seeds, Mal­lows, Marsh-mallows steeped in proper water, or boyled in the former Decoctions, give one ounce and an half, with Broath or Milk, the Mucilage of Fleabane is excellent, and the Infusion of Gum Traganth.

The White of an Eg well beaten, and the froath cast off, taken often alone, or with Sugar of Roses, or Oyl of sweet Almonds.

Also a Decoction of Marsh-mallow roots, Mallows, Se­bestens, the great cold Seeds, white Poppy seeds, Fleabane or Quinces in Water or Broath, with Sugar.

To this we add to provoke urin, red pease, Liquorish, Winter-cherries, and in cholerick Natures, these Coolers, Endive, Lettice, Violets, Bugloss &c.

The Julep and Syrup of Violets, purslane, and Jujubes, and other Coolers, is also good.

The Waters also of Mallows, and Marsh-mallows.

A Pouder to abate heat in the urin. Take the Seeds of Guords, or Pompions husked, and other new cold Seeds, one ounce, white Poppy seeds three drams, white Henbane seeds one dram, Sugar pellets, or Sugar of Roses one ounce: make a pouder, give one dram with Milk or Broath, or Julep, or con­venient Water.

Or, Take of the great cold Seeds one ounce, white Poppy­seeds fresh three drams, Line-seed, or Quince seed one dram and an half, Mallow seeds, and white Henbane seeds, each one dram; Purslane seeds, and Winter-cherries, each half a dram; or Smallage seed to provoke urin, Starch one dram, Almonds, Nuts, Pine-nuts, or Pistachaes three drams, Gum Traganth, Arabick, each half a dram; or Gum of Peaches, or Al­monds: make a sine pouder, use it as the other. You may add pouder of Liquorish, or the Juyce thereof.

Somtimes we add Opium when the pain is great, to two ounces of the Pouder half a dram, mixing it well, and giving one dram at first, to try the Operation.

When necessity urgeth, we give stronger Narcoticks, as Syrup of Poppies, and the like, mentioned in the Co­lick.

Injections are used to lenisie the passage, and the blad­der, and to take away pain which the urin causeth.

Of Womens Milk, or other Milk; or of the Emulsion of the cold Seeds, or of white poppy seeds.

The White of an Eg, the Mucilage of Quince seeds, Line-seeds well dissolved, with water of Violets, Mallows, Nightshade, Guords, or with Milk, or the mucilage of Mallow seeds, with Henbane and poppy seeds, is also good.

A Decoction. Take Marsh-mallow-roots one ounce, mal­lows one handful, Barley one pugil, the great and less cold seeds and white Poppy seeds, each two drams; boyl them in Milk. It will more asswage pain, if you boyl therewith half an ounce of the Barke of the Roots of Mandraks, or some Heads [Page 658]of Poppies, or two drams of Henbane-seed.

Also the Oyl of sweet Almonds, and Violets mixed with the Injections. Or to take away sense of pain, the Oyl of Mandraks, or that of Poppy seeds, or Henbane-seeds.

These Oyls are to be put into the Yard with a tent.

You may mix Opium with these Injections, or with Milk, one dram to twelve ounces. Somtimes you may add Camphire also, with Opium, and Saffron to the tents.

A Bath to sit in is good, of Mallows, Violets, Chamo­mil, and Melilot flowers, and the like: Or you may fo­ment the Pecten, and Perinaeum therewith.

Also bath the Yard therein, or in warm Milk and Oyl.

Or soment it with the same warm, with hot Clouts, and also the Fundament, and this will do well, because while the pain remains, the Glans is cold, and when it is gone, it is warm. It is good also to heat the Feet, because Cold doth them hurt.

To piss in running water, till it make a noise, we have found profitable.

Also to piss often in a Sheep-fold, where the Dung is hot, or in Horse dung, is good against heat of Urn or Strangury.

Epithems to the Liver and Reins, and Oyntments are good when the urin is cholerick, especially when they are hot. They are mentioned in the hot Distemper of the Li­ver and Reins.

The like are to be given at the mouth.

A certain Soldier affirmed that he was cured of the strangury by only looking upon the Flower of the milkie Mary-thistle.

Let the Air be temperate and cool, beware of too much heat, and things that cause Choler, from great motion of the Body, or passion of the Mind; from hot, salt, and sharp Meats and Sauces; from Wine, except with much water, and a little. Let him drink Barley-water, or Syrups with Water, or Whey. Let his Meat be such as allays sharpness, and gleweth the passages as Neats feet &c. Al­so Pap of Milk and Meal, or Starch: Also Barley-cream, of Almonds, Pine-nuts, Pistachaes, small Nuts, and rear Eggs. Also prunes, Apples, Jujubes, Sebestens, with Lettice, Spinage, Orach, purslane, Bugloss, boyled in Milk, also Oyl and Butter.

Copulation is hurtful, because as I shewed, the Seed is sharp, and will provoke as it passeth.

If scalding Urin come from the stone of the bladder, The Cure of hot pissing from the Stone. without ulceration; of which we spake in troubled Urin. And if the Stone hath not been long there, but fell from the Kidneys, nor be too great, it comes forth with the urin of it self, or by the use of medicines. But if after it is fallen into the bladder from the reins, and it grow so great that it cannot pass the neck of the bladder, but when it comes thither, causeth pain and heat, then it must be taken out, either by medi­cines to which it will scarce yeeld, or by cutting which endangereth the life: As shall be shewed in the Cure of the Stone of the Bladder.

Turbulent or mattery pissing, like slime, The Cure of the ulcer of the reins and bladder. comming from the ulcers of the reins and bladder with heat of urin, is not cured but by the Cure of the ulcers. And that being difficult, maketh the cure also difficult of that which comes from the ulcer. The ulcers of the reins being old, increase matter in the vein, and devour the substance of the reins, leaving only a hard skin like a purse. And if this be but in one Kidney, the Patient may live long, and the other Kidney may perform the duty. The ulcers of the bladder are either incurable, or very obstinate, because they cannot unite by reason of the moisture, and because the urin being salt, doth alwaies provoke. The greatest hope is when the fleshy part of the Neck is only ulcerated: but when the membranous part suffereth it cannot be healed, except as we shewed in Wounds of the Bladder, it grow to the flesh adjoyning. If a Stone he with these ulcers, either in the reins or bladder, it makes them incurable, because the ulcers cannot be cu­red, except it be taken out, and that is impossible.

We shall speak of the Cure of the Ulcer of the Reins and Bladder together, because they agree in many things. They are to be cleansed, and then dryed and healed, al­wayes mixing things that resist sharpness of urin, and leni­sie the passages, and stupesie the pain; or using somtimes one, and somtimes another, as necessity urgeth: For the ulcer of the bladder and neck thereof, use Injections. And if a Stone be therewith, mix things to break it, but gen­tle, least you enrage the ulcer, or cut out the stone, for the ulcer will not else be cured: As we shewed in the Stone of the Bladder. Many Cleansers mentioned in the Cure of the Ulcers, are good here to break the Stone.

Also slimy and glutinating things which defend the ul­cer, and take away sharpness, and cover the stone, and make it smooth. But for the Cure of the ulcer of the reins and bladder we take this course. As for purging it is sufficient to purge the Guts for excrements and wind, which increase the pain, bewaring of strong purges, which would do the same, and not cleanse the ulcer.

Gentle Laxatives mentioned in the heat of pissing for the urin, are good, especially Cassia, with Liquorish pou­der &c. Also Manna which cleanseth ulcers, and Whey, and chiefly Turpentine, which loosneth the belly, and heals the ulcer.

Things that alter, cleanse, and heal, and allay the heat of urin, are given in divers sorms.

Also the Decoction mentioned in scalding Urin, with the Roots of Comfrey, Agrimony, Plantane, Ceterach, Myrtle seeds, and the like.

Or this Decoction. Take Guaicum half a pound, Com­frey roots two ounces, Skins of Guords dryed one ounce and an half, Horstayl one handful, red Roses one pugil: boyl them in Rain-water to four pints. Let them often take a draughat with Honey, Sugar of Roses, or Syrup of Myrtles &c,

Also the Juyces of the Plants alone, or made into Sy­rups, are good.

Also Water of Horstayl, Plantane, Myrtles, &c.

As Milk is good in ulcers of the Lungs by cleansing, glewing, and lenifying, so especially here, because it can better get to the reins.

Rosin of Larke-tree, or Tutpentine is good, for it clean­seth and glueth, and you may know the vertue of it reach­eth to the reins by the violent scent of the urin; give one dram or more, if you will have it loosen the belly, or in pills with Liquorish, Sugar, and the like: It wil work best with the Yolk of an Eg, and Honey, with water and wine.

The chiesest Pouders to cure ulcers in the Kidneys and Bladder, are made into Troches, with Gum Arabick, that they may keep. These are poudered again, and given one dram with, or without Sugar, with Milk, or Water, and Honey, or the like in the morning fasting, or at night, especially if they be Narcotick, that they may sleep four hours after supper.

These pouders may be made a bolus, or pills, with tur­pentine.

The troches of Alkekengi are usual, being made of Seeds of Nightshade, Winter-cherries, the four less cold Seeds, Poppy, sweet Almonds, Pine-nuts, pistachaes, Bar­ley, Liquorish, Roses, Gum Arabick, Myrrh, Bole, Spo­dium, Sugar-candy, pellets, and Hydromel.

Others that cure the ulcer, and asswage pain, are thus made.

The first. Take the Pouder to abate heat, mentioned in often Pissing, Comfrey roots one dram, red Roses, Amber, Franksncense, each two scruples; Bole, or sealed Earth one dram, Dragons blood, Spodium, each half a dram; make a pouder, give it as formerly.

Another made of divers things, and very excellent. Take Almonds, Nuts, Pistachaes, Pine-nuts, each half an ounce; bitter Almonds, and Peaches, Cherries-stones each two drams; Chesnuts, Acorns, and cold Seeds, each half an [Page 659]ounce; Barley, and Rice, each three drams; Comfrey roots two drams, Liquorish half an ounce, red Roses, Pomegranate­flowers, Purslane, Lettice, Endive, Fleabane, Cotton, Line, Quince, Mallow, Myrtle, Coriander, Winter-cherries Anise, Smallage, and Parsley seeds, each one dram; white Poppy seeds half an ounce, Henbane seeds two drams, Date-stones five, Cherry, and Plum-tree Gum, each two drams; Gum Ara­bick, Traganth, each one dram; Turpentine half an ounce, Frankincense, Amber, each one dram; Juyce of Liquorish, Wheat, or Starch, each two drams; Acacia, or Juyce of Sloes one dram and an half, Sanguis Draconis half a dram, Opium when there is pain, one dram, Bole, or sealed Earth six drams, red Coral, Osteocolla the stone so called, Crabbs eyes, each two drams; Spodium one dram, Ashes of a Bulls or Dears pizle half a dram, red Sanders one dram, Sugar Candy, and Penidyes, each one ounce: make a Pouder, give it a­lone, or with Gum Traganth made into Troches, or with ten ounces of Sugar mixed, give two drams by it self, or made into Troches.

The third Pouder is only for curing of Ulcers. Take red Coral washed two drams, pouder of Horstayl, and ashes of the shells of Pompions, each one dram; Frankincense, Mastick, Sarcocol steeped in Milk, each half a dram; Sanguis Draco­nis one scruple, Sugar candy, or of Roses, the weight of all the rest.

Half a dram of the Pouder of Cuttle-bone, or from six grains of the Magestery thereof to ten, given in a rear Eg, or old Conserve of Roses, in the morning, as it stops the running of the reins, so doth it the burning of troubled urin, from the reins and bladder ulcerated.

To these Pouders you may add Opium, as in the Tro­ches of Winter-cherries.

Or other Narcoticks as in scalding urin, which I have observed a hundred times and more, being taken every night in this and other painful Diseases, hath allayed the pain, and refreshed the Patient that he hath lived, though without it he could not for pain.

Healing and narcotick Pills. Take Frankincense, and Mastick, each one dram; Myrrh, Storax, and Gum Traganth each half a dram; the Barks of Mandraks one dram, Hen­bane seed half a dram, Opium, and Juyce of Liquorish dissol­ved in Wine, each one dram; with Syrup of Poppies, make Pills, give one or more, as you shall think fit.

Injections are not for the Kidneys, but for Ulcers of the Bladder, to which they scarce reach in men, by reason of the bending and length of the Yard, but return again, though not in women; and if the Instrument be thrust to the neck of the bladder, it will hurt the ulcer: yet they are to be used for necessity.

For making whereof, take Cleansers and that also dry, which is hard by reason of the constant moisture, and things that abate heat of urin, as those Anodine Injecti­ons there mentioned.

They are made of Milk which asswageth pain, cleanseth and healeth Womens and Cows Milk asswage pain best, or Goats, with Sugar, or Honey, Water, and Whey, when you will heal, use Sheeps milk, or other boyled and mix­ed with Sugar, or Honey.

Also the Decoction of Barley, with Bean shales, Sugar, and Honey.

Wine is good to cleanse, if white and thin, with some drops of Spirit of Vitriol.

Also Whey, and some drops of Spirit of Vitriol injected with a Syringe, doth cleanse.

A Decoction for an Injection to cure ulcers. Take the Roots of Comfrey one ounce and an half, the dryed barkes or skins of Pompions one ounce, Horstayl, Plantane, Nightshade, each one handful; Rosemary, and St. Johns wort flowers, each one pugil, the four great cold Seeds six drams: boyl them in Barley-water, in a pint where of dissolve four ounces of Sugar, or Honey.

If you must dry more, add Mousear, Solomons-seal, Shepheards-purse, Ceterach, Bettony, Herb Robert, Das­sodil roots which glew well, also plantane and purslane­seeds.

Adding also the Juyce of Plantane, Horstayl, Shep­heards rod, also Starch.

Also the Waters of those Plants are good, especially plantane, or Myrtles, Brambles, or Olive tops, Roses, Centaury, of St. Johns-wort.

Also steeled Water, or wherein Iron is quenched, or melted Lead hath been often infused.

There are glewing mixtures for Injections. As, Take Sarcocol steeped in Milk one dram, the Infusion of Gum A­rabick or Traganth half a dram made in an ounce and an half of Plantane-water, Ceruss half a dram, Dragons blood one scruple, dissolve them in Milk, or a Decoction, or stilled Wa­ters.

This oyly Injection heals ulcers. Take Hens dung, fry it in a pan with Butter or Oyl omphacine, then put them in cold Water, preserve the Oyl that swims at the top.

Mix with these, somtimes things that asswage pain, as the Decoction of white poppy seeds, Rinds of Mandraks, or Mucilages, the white of an Eg, and Opium in case of great pain.

In obstinate Ulcers the Decoction of Litharge is good, two ounces, in plantane, or Rose-water four ounces.

Or mix with the Injections mentioned, Bole, Cadmia, or Brass ore, called Lapis Calaminaris, Tutty, Ceruss, Lead burnt and washed: Antimony, and the Juyce from the grinding of a Bloodstone. And in filthy ulcers a lit­tle Myrrh.

The troches of Alkekengi, and Gordonius, are good to be taken at the mouth, and those of Amber, sealed Earth, Spodium, dissolved in the Liquors aforesaid.

Some drying Collyriums for the Eyes are good here, as that white one, and the yellow one, and that of Frankin­cense of Rhasis; also of Tutty, and the like, of Ceruss, Sarcocol, Frankincense, Gum Traganth, Arabick, Starch, which asswage pain, with Opium.

A little Aegyptiacum is good when ulcers are very foul.

The Chymists commend the spirit of Mercurius dulcis, with plantane or Horstayl-water, injected to cure ulcers in the Yard and Bladder, cool Oyntments for the reins are good to cool the urin: As we shewed in burning urin.

You must anoint the privities, and perinaeum, or seam, with Oyl of Roses or Violets, with Oyl of Myrtles, Quin­ces, and a little Vinegar, if the pain threaten Inflamma­tion.

To these Unguents are added, Ceruss, Litharge, Juyce of plantano, and Horstayl to dry the ulcer, yet they do lit­tle outward, and because by astringing outwardly, they will stop the passage of urin, it is better to use relaxing Oyntments to open, as Oyl of sweet Almonds, Chamo­mil which also stay pain.

You may make Fomentations of the same for the pecten or perinaeum, as of Mallows, Chamomil, Melilot, with Coolers if there be heat, as Water-lilly roots, and flowers, Violets, &c.

The Diet must be as in the Cure of scalding Urin with­out an ulcer, and glutinous Meats that cover the ulcer, to keep it from sharpness. Fat things soul ulcers, and are not here good.

Other thick pissings as of matter, The Cure of turbulent pis­sing from the Reins. or of milkie white from the Reins not yet ulce­rated, come from a filth that is bred there, and mixed with the urin, because they cause heat in pissing, and by continuance also excoriation of the bladder that causeth an ulcer, must be cured.

This is done by purging the Body from foul excre­ments and humors, which cause the filth to grow to the reins, and is turned into matter: then by cleansing the reins with things mentioned in the Cure of the Ulcer of the Kidneys. Among which Turpentine is excellent, and Milk, and the like, with Lenitives which take away heat, mentioned in Heat of Urin, which allay the acrimony of urin, and of this matter also.

[Page 660]As for the Pissing of Matter which comes from Imposthumes in the Li­ver or other parts, The Cure of pissing of matter from the Liver and other parts. besides the Reins and Bladder, or from an Empyema a Pleurisie or Peripnumony. In these you must help Nature in her motion, and not stop, with things that cleanse the filth of the blood by urin, mentio­ned in Feavers, and for the rest, go to the Disease rather then the Symptom.

If Pissing of Blood come from a stone which grateth upon the Loins, The Cure of pissing blood from the stone through motion, because there is then but little blood mixed with urin, and it continueth not but when motion ceaseth, the urin comes to its colour again, it requires no other Cure but that of the Stone, which is the cause thereof: As we shew­ed in the Cure of the Stone.

But if Pissing of Blood come from the Kidneys, The Cure of pissing of blood from A­nastomosis or hurt of the Reins. being too full of blood, which Nature sends forth with the u­rin, being impure or too thin, it must be cured, if it contiune. And also if it come from a hurt in the Reins, with these medicines following.

We revel or pluck back the blood when it flows too much, by blood-letting and cupping, in the extream parts, but if the Loins be cupped, the blood would be drawn thither from the great Veins.

If the Flux come from the blood being watery or un­clean, it must be cleansed with gentle purgers that astringe as we shewed in all other Haemorragies.

We stop the Flux with things that thicken the blood, and stop the passages, with some things that stupesie the sense, as follow.

Pouders are given with Sugar of Roses, or an Eg, or steeled Milk, or Sheeps milk, or old red Wine, Syrup of dryed Roses, Myrtles, or convenient Waters.

These are proper, pouder of Horstayl, Yarrow, Com­frey roots, Snakeweed, five leaved Grass. Myrtle seeds, Date-stones, Maudlin according to Dioscorides, wild Cum­min seed, Bole, or sealed Earth, Blood-stone, red Coral which dissolves the clotted blood, Amber, burnt Ivory, Gum Traganth, Arabick, Acacia, and the like.

The troches also of Amber, Winter-cherries, of Gordo­nius, and such as bind, mentioned in the Ulcers of the Reins, that allay the heat of the urin.

Waters, Juyces, and Decoctions of Plantane, Purslane, Yarrow, Shepheards-purse, Sumach, Quinces, and the like.

Also Narcoticks, as Philonium Persicum, as in other Fluxes, and other Troches, with Opium. And with Hen­bane seeds, as in Spitting of Blood.

Anoint the Reins with this. Take Bole, or other gluti­nating Earth, half an ounce, Rinds of Pomegranates, or Galls two drams, Dragons blood, Allum, each one dram; with Oyl of Myrtles, the White of an Egg, and a little Vinegar: make an Oyntment or Plaister, Juyce of Plantane instead of the Oyl, is better.

Mix Juyce of Purslane with Barley-flower, and apply it to the Reins.

If Pissing of Blood come from ta­king of Cantharides or Spanish flies, The Cure of pissing blood from taking of Spanish Fliks. we give things which allay the heat of urin, by which the mouths of the emulgent Vessels are opened, and this Flux is raised; chiefly the Decoction of Line-seed, and steeled Milk: Emulsions of the great cold Seeds, white Poppy seeds, and sweet Almonds. Also Oyl of Almonds, Roses, whites of Eggs, and Mucilage of Flea­bane seed. And if it continue other remedies mentioned.

If Pissing of Blood come from a hurt of the bladder, The Cure of pissing of blood from hurt of the bladder. in regard much blood cannot flow from so few veins, you must apply remedies to the hurt or wound, both at the mouth, and by Injections. And if it continue, use the remedies mentioned, and the Oynt­ments to the bladder.

If clotted blood stop the bladder, we give things to dis­solve it, as Amber, Kids Runnet, and the like, mentioned in want of Pissing from clotted blood, chiefly Savory dis­solves blood in the bladder. And if you put the Yard into a hollow Raddish, the clotted blood will come forth.

When the Urin comes forth at a Wound, as when you cut for the stone, The Cure of pre­ternatural pissing from a Wound. there is no way but to cure the wound.

When a wound pierceth the lower parts of the belly and bladder, and the urin comes forth, cure only the wound; but if it be incurable as usually it is, the urin will pass that way till death; neither will the ulcer grow together: As we shewed in the Cutting of a fleshy Rupture, when the bladder was divided, so that the wound turned into a Fistula, and the Patient pissed through it without other inconvenience, because the urin fell not into the belly, but came forth. Somtimes as in him that was gored with an Ox through the belly and bladder, when the wound is cured, the urin turns to its proper passage; which we suppose was done because the wound was in the fleshy part of the bladder, which will grow together, and be healed, otherwise in the membra­nous part it will not, except the wound be near to some flesh which is pierced, unto which the membrane may grow, so that the hole in the bladder may be covered with a Callus, and the urin return to its Natural passage.

CHAP. XI. Of Dejection, or going to Stool.

The Kinds,

DEjection is commonly that Excretion which is by the Belly, by which the Excrements thick and thin are voided with divers Humors. This is pre­ternatural when the Excrements voided are too many, and is called Diarrhaea. Preternatural Dejection. Or when other humors are mixed with the excrements or raw flesh, in the Lientery: Or the Chyle in the Coeliack passion mentioned, or blood in the bloo­dy flux, or matter, or fat, mentioned in the unctious De­jection. And if things are voided, as worms, and other things taken; we shall mention them in a Chapter by themselves. Also that is a preternatural Excretion of the belly, when the excrements pass the wrong way. Of which we shall speak in order.

Diarrhaea is a Flux of the Belly, Diarrhaea or Flux of the belly over purging. if it come after the taking of a purge, it is called an over-purging, this is a preter­natural, immoderate, and often going to stool, when the dung and other excrements and humors, are voided often, more or less. These are first thick, then thin and watery, of divers colours, ash-coloured, clay­like, yellow, black, equally or unequally tinctured: ma­ny times mixed with white, thick, clammy flegm. This excrement is somtimes waterish, frothy, clammy, clear, and white, like Froggs spawn; somtimes thick, like mel­ted glass, as we have seen after a stool, without evil scent. Somtimes frothy Flegm is voided in abun­dance, The Flux of the Brain. and then it is called the Flux of the Brain from whence it comes; somtimes it is yellow, cholerick, and froathy; som­times black and thick. These, because they are voided thick, and but few, rather cause a needing or Tenesmus, [Page 661]then a Dirrhaea: Of which we shall speak, which continu­ally molesteth without voiding much, and with great dif­ficulty.

In Dirrhaea's there are somtimes pains of the belly, greater and less, with stretching and rumbling, especially at first: Somtimes there is a heat in the Fundament, and desire to void often, especially in Tenesmus.

Somtimes there is pain of the stomach or heart as they say, with vomiting, yet not so violent as in the Disease Choler, mentioned in Vomiting, by which the meat, chyle, slime, flegm, or choler in the stomach is vomited up; som­times other natural faculties are hurt, and there is a Feaver.

Lientery is a preternatural Dejection of the belly, Lientery. in which the meat eaten is little chan­ged, but comes forth with other excrements in a Flux, not so great as a Diarrhaea: Somtimes with noise of the stomach and belly, and hurt of Natural Fun­ctions.

The Coeliack passion, is that preter­natural Excretion of the Belly, Caeliack passion. whether it be more or less, in which the Juyce made of the meat eaten, or the Chyle impersectly conco­cted or crude, and moist of an Ash, or Clay-colour, thick and whitish: somtimes more or less, pure, is sent forth. And the Patient is weak, and evil coloured.

Dysentery is a voiding of blood, either a­lone, Dysentery. or with other things, it is so called, be­cause the guts are affected. It is mamy times popular or Epidemical, most in young men, somtimes in old men, and men of such and such a constitution. In this there is an urging molestation to void somtimes more, som­times less, with often needing and gripings with noise and rumbling, and blood is mixed with the excrements, and besides that a slime like flegm, or like that fibrous sub­stance which is in blood that falls into water, when a vein is opened, this is falsly called flegm, and is voided som­times in great abundance: The Germans call it the white Dysentery. This slime is thought to be fat by some, be­cause the guts being turned by the Butchers are fat, they suppose that they are inwardly also fat, which is not so; some say it is the shavings of guts, which if they come forth, as seldom they do, are membranons. Also Choler yellow, green, or black is mixed therewith, and also Flegm as in all Dejections or Stools.

There is commonly a thirst in this Disease, and signs of heat, the urin is dyed and cholerick; and there is a Fea­ver called Synochus, usually, as we shewed in the Disease Choler.

Somtimes a Dysentery follows a Feaver, either putrid, continual, or intermitting, or which is more usual, malig­nant, and pestilential, which is contagious and epidemi­cal.

I have often observed a Hiccup to contiune till death in a Dysentery, and other great Symptomes.

Bloody Stools that come from an Inflammation, with gripings and symptoms of a Dysentery, not from an Ulcer, mixed with excrements, are taken for a Disentery.

Somtimes slimy matter mixed with a little blood is voided, Tenesmus. and it is called Tenesmus, or Needing from the great straining without in­termission, without other pains, if this continue, at length there is nothing voided but abundance of matter, without any ulcer appearing in the Fundament.

Somtimes waterish blood is voided like that water wherein bloody flesh hath been washed, The Liver-flux. and it is called the Hepatick Flux, because it comes from the Liver. This Flux is great and without pain, most in the night, and continueth long: It weakens the strength and the natu­ral Functions, and comes with thirst and other accidents. The bloody thin Flux in a Dysentery, is like to this.

Somtimes congealed blood or par­ched black like Pitch, Voiding of clotted blood by stool. is voided with the excrements more or less joyned with vomiting of the same: As we shewed in Vomiting, with great weakness and other accidents.

Sound people have often a Flux of pure Blood from the Haemorrhoids, which is not mixed with the excrements, and shall be mentioned in other Excretions of Blood.

The voiding of Matter in the Dysente­ry and Tenesmus, Matter voided by stool. is little and without pain, and somtimes when the Dysentery is gone, it continueth and weakneth the Patient. Somtimes matter is sent forth in abundance without pain, for a long time, and the Patient is evil co­loured, and consumeth, with other Diseases in the Natu­ral parts.

There is somtimes a slimy and fleg­matick Dejection in a Diarrhaea: Slime and Flegm voided by stool. and it is often mixed with blood in a Dy­sentery and Tenesmus, and towards the end in a Tenes­mus it comes forth pure matter. And Fernelius observes that more white Flegm may be voided without pain, after long Diseases and great riding.

Somtimes Stools are unctious and fat like Oyl or Butter, or other Grease. Voiding of Fat by stool. And we have seen them like tallow can­dles ends, with other excrements for a long time, and ma­ny. I have seen the same like suet not melted often, as big as Hazel-nuts in an old Diarrhaea. This is a kind of Lien­tery, if they come from things eaten, and often; or of a Diarrhaea. if they be voided with other things, and come from any thing but meat. And this they call the melting of the Guts, from a mistake of the cause.

When excrements or dung come another way then the ordinary, it it preternatural, as when they come from these places following.

Dung or Excrements are vomited somtimes which stink, and are thin, The voiding of Ex­crements by vomit. like Chyle with great pain, and won­der to the Spectators. In the Disease called Convolvulus in Hernia or Rupture: as we shewed.

We have seen the Faeces or Excre­ments of the belly voided by urin, The voiding of Ex­crements by urin. with bones of birds, with pissing of matter, heat of urin, and great pain. And I have seen the kernels of Apples voided the same by stool.

We have also seen the Excrements of the belly voided by the womb, The voiding of excrements by the womb. with mat­ter and other accidents.

Somtimes the Chyle as also the Ex­crements will come forth at a wound of the belly, The voiding of excrements at wounds. not in such only as die presen­tly, but in them that live long after, from a Fistula that hath remained.

The Causes.

The Cause of all these preternatural Dejections, being more or oftner then is fit, or strange, and unusual, is in the Stomach and Guts.

And the chief is the irritation or provoking of the bo­wels that are so sensible, which so stirs up the expulsive Faculty, that it strives to expel what is therein, especially if the parts adjacent be also stirred up by consent, so that they endeavor also to expel what is in them; this causeth divers kinds of Dejections, with gri­ping and pain. The irritation of the stomach, is the cause of preternatural De­jections by stool. For if the Stomach be stirred up, it sends things to the Guts, rather then to the mouth, ex­cept it be so disturbed, that it must presently discharge: as I shewed in Vomiting. Therefore the stomach avoids great evils, and is more seldom ulcerated then the Guts.

[Page 656]When there is an irritation in the long passage of the guts, The irritation of the guts, is the cause of Dirrhaea Dysentery, and bloody Flux. it causeth De­jections more or less. By this the expul­sive Faculty of the guts is stirred up, and sends downwards what is in them, and by straining causeth a Diarrhaea, with griping. Or if it be greater, and knaws or corrodes the substance of the guts there is a Dysentery; and if the Colon be affected, the pain is about it, especially on the lest side. And because the Colon passeth under the Na­vel, there is pain also. And if the thin guts are affected, the pain will be there. And the blood which is voided with the excrements, is more or less mixed, by how much the farther it flows from the thin guts, and the nearer from the strait gut. And the greater the hurt, the more the blood, and the less when the ulcer begins to [...]ink, for then there is matter also. And this blood is thinner or thicker, purer, or more impure, as it is in the Meseraicks. And from the pain there is a Feaver, especially if it cause an Inflammation of the guts, which is somtimes joyned with a Dysentery. And by reason of strong irritation, when the guts are not ulcerated, through the opening of the mouths of the vessels, there may be voiding of blood by stool, seldom pure, often clotted, and somtimes black: as we shewed. Or there may be a bloody Flux like a Dy­sentery with an Inflammation, in which without an ulcer of the guts, blood flows with great pain, a Feaver and straining: As we have observed in Infants opened, that have been thought to die of a Dysentery.

If this irritation be in the end of the strait gut, The irritation of the strait gut, is the cause of Te­nesmus. or an ulcer, then by reason of the exquisite sense of the part, there is a continual provoking to stool, and is the cause of Tenesmus; which if it come from an ulcer, hath signs of blood and matter, this is the first kind of Tenesmus. If Choler flow, or other clammy Matter, it causeth the se­cond sort of Tenesmus, if nothing, the third. And then the strait gut is provoked or molested with the stone in the bladder that lies near it, or with a tumor, or hard excre­ments, or heat which inflameth the urin; or from worms called Ascarides: As shall be shewed. This Tenesmus which hath needing or straining, without voiding of any thing, may come from cold gotten into the Fundament. And this irritation may open the Haemorrhoids, and then pure blood is voided.

Some Diseases of the stomach and guts cause Dejections with less pain, Pain of the sto­mach or guts, is the cause of De­jection. then ir­ritation, as the being burdened with ex­crements and humors, and other bodies, or when they are so many that they can­not contain them longer, being preter­natural, and of an evil quality which provoketh Excreti­on. Hence are divers sorts of Dejections: In all which the stomach and guts do sooner void excrements, when they are dilated or loosned.

The Faeces of the Belly, and the Chyle coming upwards, The stopping of the guts, is the cause of vomiting Excre­ments. by reason of the stoppage of the guts, cause this preternatural Excretion by vomit, the cause of which stoppage we shewed in the Convolvulus, and in the Cure of the Rupture.

When the guts are wounded, A Wound in the guts, is the cause of voiding excrements thereat. the excrements come out there, if it pierce the belly, and wound the guts, and if the thick guts are wounded, thick Ex­crements flow out, if the thin, thin: And if the Jejunum be wounded, the Chyle comes forth. And somtimes being turned into a Fistula, the Excretion remains there, and the Patient liveth. And this is when the lips of the wounds of the guts and belly grow toge­ther, which is sooner in a fleshy part of the belly. And then if the ulcer be not closed as I have seen, it turns to a Fistula, and lets out the excrements, and keeps them from falling down. This is like that of the bladder: As we shewed in preternatural Pissing.

That voiding of dung at the womb, A Wound in the strait gut, is the cause of Excre­ments from the womb. and by urin mentioned, comes from an ulcer in the strait gut which joyns to the neck of the womb and bladder.

The Causes of all these Diseases of the Stomach and Guts, from whence these preternatural Excretions arise (besides wounds, ul­cers, and obstructions, from whence the excrements are sent forth by vomit, urin, or the womb: As we shewed in the Iliack passion,) are from these following.

If purging medicines do so stir up the expulsive Faculty of the Stomach and Guts, that they work too strong, Purges cause over purging, & bloo­dy Flux. or too long, there is super-purgation. And though this cometh commonly from strong medicines, yet gentle things, as Cassia, Man­na, may cause it by their cleansing quality being dry, un­ctious, and provoking Nature by contrariety. Some purges are sharp, and hot, as Spurge, wild Cowcumber, Coloquintida, Laurel, and these do not only over purge, but ulcerate by corroding, and inflaming, and cause Dy­senteryes, or bloody Fluxes, by opening the veins. If the force of them reach to the Fundament, it causeth Tenes­mus, as from Coloquintida, or they open the Haemor­rhoids. And the same may be done by Clysters and Sup­positories forcibly thrust up, which cause a Tenesmus. And this may be done by the violent use of a Clyster­pipe.

Besides purges, Clysters and Suppo­sitories, the cause of Diarrhaea and Te­nesmus. poyson may cause Diarrhaea's and Dysenteryes. A­mong which the pouder of a Load­stone drunk, is the cause of a Dy­sentery.

Also other sharp and pricking things swallowed, Also Poysons, and some Meats, Drinks. but they stay sel­dom in the Guts, Meat and Drink by plenty and corruption, or crudity, causeth preternatu­ral Dejections, especially when swallowed down, and be­ing crude, they lie heavy, breed wind, disturb, or being moist, loosen, or fat, and cause slipperiness, and so pro­duce a diarrhaea. Or things that easily corrupt, cause a Di­arrhaea sooner, being turned into bad humors: Of which we shall speak. Or things that breed many Excrements, Mud, or Filth, or sordid Matter, by their plenty and ad­verse quality, may cause a Diarrhaea.

This may be partly from the Meat that will easily be so corrupted, and from the Stomach which is apt to pervert them: As we shewed in Weakness of the Stomach. But if meat remains crude, without any concoction, there is Lientery, when it is much and burdensom to Nature, and thrown out as taken in. This is when things are taken that either cannot be digested, but with great difficulty; or when the stomach is so weakned, as that it cannot con­coct; as I shewed in Weakness of the Stomach; also a Scar left in the stomach from a wound, is reported to be a cause when these causes meet, there is a Lientery; and if they be at a certain time from meat that many eat, or the like, there is a popular Lientery, which they suppose comes from the Air.

Sharp pricking Humors that burn and corrode, cause preternatural Dejections, Choler is the cause of Diar­rhaea, Dysen­tery, or Tones­mus. as yellow and black Choler, which if bred in the stomach and guts, or sent thither from the gall or meseraicks, by its plenty, or in Diseases, as in Jaundies and Feavers, being mixed with the Flegm and slime of the Guts, and with water or serum, made milder, causeth on­ly a Diarrhaea, which sends forth moist, froath, yellow, or black Excrements, as the Choler is. But if the Choler bemore malignant, such as corrodes and grips the guts, whereit can lie longer then in the stomach, then it produ­ceth [Page 653]a Dysentery, with Inflammation or Ulcer, or such a bloody Flux as was mentioned, as Choler is, which flows with the blood and excrements, either yellow, green, or black. Also the same Choler descending to the end of the strait Gut, and there sticking if it be clammy, by pro­voking or ulcerating the part, causeth Tenesmus. And this may follow a Dysentery, by reason of Choler brought thither by it. This Choler may come from the same cau­ses, with that of the Disease Choler; and is chiesty in young people that eat much green Fruit, which corrupt and turn into holer, and therefore they have the Dysen­tery, chiefly in Autumne, when the Fruite is plentiful, and the rather, when the Fruit is not kindly but worm-eaten; or as Rondoletius saith when they eat astringent Fruit, which stops the passage of the former. This Dysentery is popular or epidemical, when many have it.

A Diarrhaea may also come from o­ther sharp Humors that gripe like yel­low or black Choler, Other sharp Humors are the cau­ses of Dysentery, Dyarrhaea, and Tenesmus. or are corrupt and malignant, when they are qualifi­ed with flegm: Or a Dysentery or Te­nesmus, may come from the same, be­ing more sharp and not qualified. And if these Dysenteryes have a malignant cause, they are epi­demical. And these humors come from evil diet, or hu­mors in the stomach and guts, or meseraicks. As it is of­ten in malignant and pestilential Feavers, that the putrid humors, or venom in the plague which is very hot, being sent by the force of Nature to the guts, as the common shore, and there retained, doth provoke and prick them, and somtimes ulcerate. As I have often observed in the small Pox, that the guts have been ulcerated by the hu­mors, which hath caused a deadly or long lasting Dysen­tery. These are either joyned with the feavers, or follow them. Also in other venemous Diseases as in the French Pox, when the malignant humor is carried by Nature or medicines into the guts, as by Quick-silver, it will cause a Diarrhaea or Dysentery, as well as a flux or ulcer in the mouth.

Somtimes Flegm mixed with dung or humors or water, Flegm is the cause of Diarrhaea, e­nesmus, and Flux of the Brain. causeth Diar­rhaea's, and is somtimes most perva­lent, especially at the conclusion, when all other excrements are purged away. And this Flegm is bred in the stomach and guts, being somtimes waterish, slimy, or glas­sie from the causes thereof; somtimes it is sent thin like water by the meseraicks, with other humors from divers parts of the body. And this may come from the brain to the stomach and guts, being froathy, and cause the flux of the brain, according to Hippocrates Aphorism, which teacheth that they who have froathy excrements, have a flux of Rhewm from the brain. The cause of which de­fluxion of flegm from the brain was mentioned in Deflu­xes. Also it is affirmed that salt flegm gathered about the Fundament, may cause a Tenesmus. And if it be not very sharp, there well be no ulcer, but only a straining.

This pricking in this kind of Tenesmus comes not from the sharpness or saltness of the slime, but from its sticking by which it cleaves to the gut, being very sensible, and continually provoketh a needing and straining to dis­charge it.

The Serum or Whey mixeth it self with the Blood, and other other Humors and Excrements. And the greater quantity there is of it, the more thin are the stools. Es­pecially in a Diarrhaea, where the stools are like water, because the serum mixeth with, and moderateth the sharp and cholerick humors; and this serum is made in the first concoction for moist meat and drink; or it is sent to the guts by the meseraicks, and carrieth divers humors with it, either by nature or medicine in time of repletion, and causeth a Diarrhaea thus mixed. And it appears that this could not come from the serum that sweats through the meseraicks, because the quantity is great, and the flux is constant, and so much cannot be retained in the stomach and guts, nor can the moisture taken in at the mouth cause it, being somtimes very little: Neither is that an objection, that being mixed with blood, it receives no co­lour from it; when the sweat from the whole body and the water that comes from wounds, and to the reins by the emulgents is not bloody: And after a vein is opened, when the blood is settled, the water or serum is separated from it.

It cometh to pass, but seldom, Bloody Serum or Whey is the cause of a Liver-flux. that Serum is voided in a Liver-flux in great quantity like water, wherein flesh was washed, tinctured with blood, which it receives from the blood in the meseraicks; And yet in other fluxes of water, are not discolour'd or red. The question is how this should be. Some say the weakness of the liver is the cause, and want of sangnification. And although this may be the cause of abundance of serum and crude blood which causeth a Diarrhaea, yet because the tincture is seldom, there must be another cause not or­dinary in the liver and meseraicks. As the thinness of the meseraick blood, or the dilatation or opening of the mouths of the vessels. And the cause hereof is rather the heat then coldness of the liver, as appears by the heat, thirst, and burning about the Hypochondria, with a Fea­ver somtimes, and somtimes after; as also in regard it is cured by cold things rather then hot.

From this heat of the Liver, and Constitution of blood, with the Anastomosis or opening of the Veins caused by this heat, it comes to pass, that the Serum returns the same way tinctured with a little blood, and falls into the Guts, causing this bloody tincture in the flux of serum, as in a Dysentery from an ulcer that opens the mouths of the veins.

That Slime which besmeareth the stomach and guts, Slime in the sto­mach and guts, is the cause of slimy Dejections and blood slime, is the cause of a Dysen­tery. cannot alone cause a preternatural Dejection, because it comes seldom forth alone, but when it is mixed with other excrements be­ing much in quantity. The cause of the abounding of this is clammy meat which breeds excrements. But that slime which is in a Dysentery, if it be voided more then other excrements causeth the white Dysentery, and the same causeth a Tenesmus. This slime from the ulcerated substance of the guts, which being membranous, causeth such matter, as we see in the ulcer of the bladder; which at first hath some signs of blood, and is after white matter. And because it is gathered into the strait gut about the Fundament, it being thick, comes forth alone in this Dis­ease.

Therefore we count this Slime, Matter rather then flegm, which some account salt flegm, that hath only a force of pricking, when it is not so. And the needing in a Tenes­mus, comes rather from the hurt of the gut which is very sensible, then from this flegm, though sharp. As for the Slime which Fernelius saith, is voided without pain, which some think to be Matter, it is he saith the dreggs of blood from the veins of the Fundament, in long melancholick Diseases, as the Whites in women.

We shewed formerly how Matter like Slime comes from a Dysentery and Tenesmus, and also from a Colick.

Besides these, Matter in a Dysentery from an Ulcer is continually voided, Matter voided by stool. and also without pain. Which must come from a great ulcer that is foul, because there is so much, and from a part that is insensible, and of no great Functions, because he dieth not suddenly, but consumeth by degrees. This hath been in the mesentery, which is an ignoble part, and sent by the veins into the guts, as appears by Anatomy. If it should come from farther parts, as liver or spleen, it may be brought by the meseraicks; and then there will be great symptoms, as the Dropsie by reason of the ulcers there. If it cannot [Page 664]come from the breast or head, because the matter may not be brought for want of passage, though divers have been invented. And if any should pass, it would be very little, and it must pass through the hollow vein into the branches of the gate-vein, which would rather then pass the emulgents to the reins and bladder: As I shewed in their places.

When the Chyle slips through the guts it is called the Coeliack passion; The Chyle is the Cause of the Coeliack passion. and by reason of the distribution thereof hinde­red, it is not carried into the meseraicks, but gathered into the guts in great quan­tity, corrupted, or mixed with sharp hu­mors, and so cast down by stool, as it is in quantity and colour, or mixed with other humors. This want of di­stribution, comes either from the weakness of the bowels ordained to sanguifie, which cannot attract the Juyce, or from the obstruction of the passages or meseraicks. Also Chyle made of moist and fat meats, doth sooner pass through.

Much fat in the excrements causeth greasie Dejections, and slipperiness of guts and excrements, but doth not en­large them. This comes from eating Fat, Fat Meats and Drinks, the cause of fat stools. Oyl, Butter, that come forth with­out concoction; as we shewed in a Lientery. And they which teach that fat may be voided by reason of the mel­ting and colliquation of the Fat of the Guts, being per­swaded that the guts are fat within, and that that Fat may be dissolved or shaked off, were perswaded thereunto, be­cause Fat may be carried from the mesentery, or cawle by the fat membranes that are joyned to the guts, (which if it should be, it must first be melted, that it may pass the me­seraicks) which being hard to be done, it is not probable that either that Fat or other that is more remote, should pass. Because there cannot be actual heat enough with­in to melt it, neither doth the heat of the heart melt the Fat which is about it. Therefore as we shewed in the He­ctick Feaver, it cannot pass by urin, so can it not pass here by stool: As we shewed concerning Matter.

We shewed how blood may cause a flux from the corro­sion and ulceration of the guts that flows pure with the excrements in a Dysentery, or in the Haemorrhoids or clotted. And how being mixed with serum, it may cause the Liver-flux.

And we shewed how Meat might pass not changed, in a Lientery.

The Cure.

First, I shall begin with those Dejections or Purgings that are most difficult, that is the Desentery, then Tenesmus, then Diarrhaea, then Lientery, Liver-flux, Coeliack or Chyle passion, and purulent Dejections, and voiding of sat by stool.

A Dysentery is a dangerous Disease that destroys Infants young and old, The cure of a Dysentery. and espe­cially when the Guts are hurt, which is known by the plenty of Blood and fleshy Fibres, and Matter voided, with griping of the Belly. And if there be an Inflammation, there is a Feaver and Con­vulsion. And it is worst when yellow, or yolk-like Cho­ler, or green, like Verdegreece, or black is voided. Al­so if the strength suddenly sail: And Hiccup following are deadly. It is very obstinate, if it be constant, or if when blood is stopped, there be a Lientery or Diarrhaea, or stinking Excrements. All these fore shew death which follows within a week two or three. If a Dysentery be a symptom of a continual malignant or pestilential Feaver or epidemical, it kills many. Somtimes it ends in a filthy ulcer; and then when the Dysentery is past, they have long after a purulent Dejection which consumeth and kil­leth.

The Cure is by taking away the Cause, whether it be Choler or other evil Humors, or corroding Medicines, or Poyson. By Evacuations and Cleansers, and by abating the violence of the Lenitives, Stupefactives, and Anti­dotes, if the Humor be venemous; and with Coolers, if there be Inflammation. Then we must cure the Disease, which is an Excoriation or Ulceration, with Dryers: As we shewed in Ulcers, with Astringents that dry, and stop the Flux, as followeth.

Among evacuating Remedies, Purges are best, to take away the Griping, venemous Humors of what kinds so­ever. And these are of the best Operation, when the Cause lyes deep in the small Guts, unto which Clysters cannot reach: And when they are given at first, before great hurt be done, and often if need require. You must make choyce of such Purgers as have an astringent quali­ty, to prevent too much Evacuation from the Disease and Medicine.

And Rhubarb is the best first torrified, to make it more astringent. And then it will be better poudered, but if it be over dryed, it is of no force. Give it at first while strength lasts, for if you give it after it requires more torri­fying or parching. The dose is from half a dram to four scruples or five, with red Wine, Rose-water, Plantane, Dock or Sorrel-water, or the like, with Juyce of Quinces, Plantane, or the Syrups of the same, or of dryed Roses, or Myrtles one ounce, or two drams of Acacia. And if you also dry up the Ulcer, use pouder of burnt Harts horn, seed of Roses and Plantane, and other drying Pouders to be mentioned.

To Rhubarb we add yellow Myrobalans, because these purge and bind after, twice as much, because they are weaker.

Also the Syrup of Roses solutive, or of red Roses which bindeth more, made with the Infusion of Rhubarb one ounce, or one ounce and an half.

In the beginning of a Dysentery the purging Extract of Quinces, given four or five spoonfuls is good, it is thus made. Take two or three ripe Quinces, paired and sliced, the Seeds taken out, put them in a glassed Vessels well stopped, and put it in another Vessel of boyling Water four or five hours, kee­ping the Water from boyling into it. Then pour off the Juyce which I call purging Extract, gentle, and keep it for use.

Of all these you may make this Potion, adding things that heal the Ulcer.

Take Liquorish one ounce and an half, Plantane and Roses each one pugil; Raisons one ounce, Tamarinds six drams, yel­low Myrobalans infused in Wine three drams: boyl them in Hydromel, when it is strained, insuse Rhubarb one dram, Spike half a scruple, strain it, and add Syrup of Quinces, or red Roses dryed one ounce.

When the Flux is more slimy, cholerick, or the Ex­crements many, and not so bloody, give Tryphera Persi­ca, or Sarasenica Nicolai two ounces, with astringent Sy­rup, and convenient Waters; or dissolve half an ounce of Triphera Saracenica in a Decoction of Citrine and Indian Myrobalans.

Catholicon is given to one ounce, with Rhubarb and Myrobalans, and the like; also Hiera, Agarick one dram by Dioscorides, which purgeth strongly, and is not sharp, if it be given with Honey, or Syrup of Roses, and Rhubarb. Some give Carthamus seeds in Whey: Others the Pulp or Decoction of Tamarinds, which allays the heat of Choler. It is dangerous to use stronger, which wil inflame the Guts.

Vomiting is only alowed in a Dysentery, when the cause reacheth to the stomach, and is nourished from it. And if it come from a burning Medicine or poyson.

Blood-letting will do little good, because little is taken from the Meseraicks thereby, which send the Blood into the Guts, and it weakens. Yet when the Hemorrhoids open of themselves, and flow not too much, they do good.

Sweating doth stop this Flux, and must be used while there is strength, with Coverlidds, Bricks, Bottles, or the [Page 665]like, provoking of urin doth the same, by carrying the mat­ter in part to the Ureters, as with this. Take of the four great cold Seeds beaten with their shells, each two drams; Mai­den-hair half an handful, Asparagus roots one ounce, or Seeds thereof one dram, Sumach three drams, Coriander and Anise­seed, each one dram and an half; boyl them in Broath, and let him drink it when he is thirsty.

If the thick Guts are hurt, Clysters are good, because they reach to the part, but if the Ulcer be deep in the sinal Guts, they cannot so well reach the part, and are not so proper; but only to take away pain and the Excrements, and to stop the Flux gently. You must give them in smal quantity, when the great Guts are hurt, and in larger, when the small are hurt, that they may reach the part, which if they do, they must be repeated.

These are made of Lenients, Cleansers, and Astringents, against the sharp corroding Humors, and the Ulcer.

Lentive Clysters allay the sharpness of Humors, and defend the Guts, take away pain, prevent further hurt, are given at any time, alone, or mixed, as with Stupefactives to take away pain, and stop the Flux. These are good also to cure the Ulcer, if they be mixed with Cleansers and Dryers.

Cleansing Clysters must be first given to take away the Humor that provoketh, and wash the Ulcer, with dryers. And must be continued while the Ulcer is foul; and least these should prick, the parts being very sensible, or in­flame them, they must be moderate, except the Ulcer be very foul: And then you use Lenitives after, if they cause pain, or mix Lenitives therewith.

Drying Clysters must be used after cleansing, to heal the Ulcer, with which use things to glew: As we shewed in Excoriation and Ulcers. Among which, they which dry most, and bind are best. These if they be strong, are used in the conclusion, after weaker, mixed with clean­sers, if the Ulcer be foul. And when we use strong A­stringents for the violence of the Flux, we add glutinous things, that they may not exasperate: And we do not hinder healing, but cause it to be more safely done. These forms following are best.

Among lenitive Clysters, Milk doth not only take a­way pain, but cleanseth and healeth. That cleanseth most which hath most Whey. And it will heal more, if you quench Stones or Iron in it, to consume the Whey.

It is more operative, and takes away pain better, if to one pint you add one or two yolks of Eggs, or four oun­ces of Mucilage of Fleabane, or Quince seeds, or one ounce of fresh Suet, which heals Excoriations; As was shewed, Goats suet is best, and then Dears, especially that taken from the Kidneys, which is hardest. This in a great pain is given with an equal proportion of Oyl of Roses.

When we must cleanse and lenifie together, we add one ounce and an half of Sugar, or Honey to the Milk. And if we will heal or glew more, three or four ounces of the Juyce of Plantane.

Cream of Barley, or Almonds, or an Emulsion with Rice, is good to be injected.

Mutton-broath, or Chicken-broath, with yolks of Egs, or Mucilages, are good here, as in the Colick.

A lenitive glutinating Decoction. Take Marsh-mal­low roots one ounce, Barley or Rice one pugil, Line-seed, or Foenugreek, Quince seeds one ounce, Fleabane seeds half an ounce, and against wind, Anise-seeds two drams, Chamomil, or Dill flowers one pugil. make a Decoction in Milk or Broath, adding yolks of Eggs, Suet, and Oyl, as in the Cly­ster of Milk.

To all these Decoctions, you may add in time of pain Philonium one or two drams, especially Persicum, which stops Fluxes, or one or two scruples of Cynogloss pills, or as I have done often with good success, one ounce and an half of Syrup of Poppies.

You may use one scruple, or one dram of Opium with the former, but it is better when it is dissolved in Compo­sitions, and fermented.

In time of extream pain, we are constrained to use oyls alone, which otherwise being greasie, and enemies to the Ulcers, we omit them, as Oyl of sweet Almonds, or of Roses that is more astringent especially Omphacine, or a little Oyl of Quinces, or Myrtles, with Mucilages, and yolks of Eggs.

The common cleansing Clyster is this. Take Barley-water one pint, course Sugar, or Honey two ounces.

When we will lenifie also, add to it two yolks of Eggs. And to astringe, use Oyl of Roses instead of common oyl, and one dram of Turpentine, dissolved with the yolk of an Egg, to cleanse and heal.

Whey alone, or Hydromel, that is mead, cleanseth, to which you may add the former.

Another cleansing Clyster. Take Liquorish one ounce and an half, Figgs, Raisons, each two ounces; Bran one pu­gil, Barley, Pease, Lentils, or Lupines two ounces: boyl them in Whey, or Mead, and dissolve therein Sugar, or Honey.

A stronger in foul Ulcers, add to the former Pellitory, and Beets, or Centaury, Wormwood, and Gentian, boyl­ed in weak Lye. And if corruption follow, use stronger, as Lye, or Piss, salt Water, Brine, or pickl'd. Some use Aegyptiacum, as in outward Ulcers; or Ovntments of Orpiment. The safest of which are mentioned in the Ul­cers of the Mouth; and are to be carefully used with Milk, Barley [...]ream, or Rice, and the like.

To glew and heal an Ulcer, a gentle drying Clyster is made of burnt Milk, with Flints or Steel quenched there­in, and Roses boyled,

Another is of Barley-water, and Rice parched, and one pugil of red Roses, with two yolks of roasted Eggs, Ho­ney of Roses, and if you will have it stronger, one ounce of Juyce of Plantane.

The third Clyster to glew and astringe. Take Comfrey­roots, and Mullein, each one ounce; lantane, and Consound, each one handful; red Roses, and parched Barley, each one pu­gil; Myrtle seeds two drams, Grapet half an ounce: boyl them in Cistern-water, and dissolve Honey of Roses one ounce and an half, a White of an Eg, or Gum Traganth one ounce, Goats suet two ounces, Juyce of Plantane, or Solomons­seal one ounce: make a Clyster.

The fourth Clyster to astringe and dry the Ulcer. Take Roots of Snakeweed, or Tormentil one ounce and an half, Com­frey one ounce, Shepheards purse, or Rod, Solomons seal, or Rupturewort, Horstayl, Monsear, each one handful; Pomegra­nate flowers, Acorn-cupps, Cypress-nuts, each two drams; Lentils, and parched Rice, each one pugil; boyl them in Forge-water, add Juyce of Plantane two ounces, and two yolks of roasted Eggs: make a Clyster.

To these Decoctions Astringents and Healers may be ad­ded, as Sanicle, Wintergreen, golden Rod, & other wound­herbs; also Myrtles, Mastick-tree, Olive, Sumach, Cete­rach, Agrimony, Brambles, Bloodworr, Osier, Sparrow­tongue, Flowers of Chamaeleon, Galls, Pomegranate­peels, and the Juyces of astringent Fruits, and Juyces of Plants aforesaid.

Juyce of Plantane alone, or with Milk, or Barley-wa­ter is good, two drams of Gum Traganth, dissolved in a Clyster, or infused in Rose and Plantane water, and so mixed, is excellent.

The Infusion of Gum Traganth, with Juyce of Plantane or Goats suet, is also good.

Also the Mucilage of Quince, or Fleabane seed, with water of Plantane, or Shepheards-purse, and an astrin­gent Decoction.

Gum Arabick is as good as Traganth, also Frankin­cense, Mastick, Sarcocol: these dissolved, glutinate, and do not exasperate the Ulcer, as strong Astringents.

Dryed Juyces, as Acacia, Hypocistis, Dragons blood, a dram or two dissolved in Clysters cause astringency.

Also red Wine from the grinding of the Bloodstone, with Plantane, or Rose-water two drams, added to the rest, doth glutinate and stop the Flux of Blood.

[Page 666]Also fat Earths that are not rough, but drying and smooth, as Bole, and Terra Lemnia, are good to be mixed two drams, with the former.

The Troches of Amber, or the white troches of Rhasis, two drams, with Milk, Juyce of Plantane, or Decoctions, or with other Clysters, are good here, as in the Excoria­tions and Ulcer of the Bladder. And if you add Opium, it will abate the pain.

Other Pouders are not necessary, because they settle at the bottom, and provoke and exasperate the part: Yet some add burnt Paper, and burnt Vitriol.

Oyntments are too greasie, as of Roses, Pompholyx, Diapalma, Divinum, though some use them.

Some commend the Blood of a Dear in a Dysentery.

If the Disease be in the upper Guts, there are other Me­dicines to be taken at the Mouth, besides Purges: to le­nifie, cleanse, and cure.

Cow milk lenifieth, cleanseth, and healeth all inward Ulcers, and is given with Honey, or Sugar of Roses, when you will cleanse, or Goats milk.

But if you desire to heal more, give Cow or Sheeps­milk, which hath had Flints, Iron, or Steel quenched therein.

Take three ounces of Cow milk, one ounce of Juyce of Plan­tane, and as much of Sugar of Roses, and it will heal.

You may boyl Comfrey roots in the Milk.

Veal-broath that is strong of the Flesh, is best.

Also Rice-porrage is good to heal.

And a Decoction of Barley, and Liquorish, with Sugar, or Honey, to cleanse.

A healing Decoction. Take Roots of Tormentil one ounce, Comsrey and Marsh-mallows, each half an ounce; Plantane, Shepheards-purse, each one handful; red Roses dryed one pu­gil, Sumach, or Grapestones two drams: boyl them in Rain­water, and a little red Wine, add to the straining Sugar of Roses. Let him drink it at twice or thrice.

Or, Take Cynkfoyl roots, or Bistort, Snakeweed one ounce, Water-lillies six drams, Yarrow, or Horstayl one handful, wild Vine one pugil, Plantane seeds, and Sorrel seeds, and Dock seeds, each two drams; boyl them in Plantane-water, and a little Wine, and dissolve therein the Syrup of Quinces, or the like: make a Potion, give it as the former.

You may add to these Decoctions the Roots of Avens, Fern, Sorrel, Polemount, Water-plantane, and these wound Herbs, as Consound, Wintergreen, Mousear, Straw-ber­ry leaves, wild Tansey, Sanicle, golden Rod, Willow­herb, Scordium, Agrimony, Knot-grass, or Rupturewort, Harts tongue, Balsom, Perwinkle, Oak leaves, Brambles, Myrtles, and Mastick-tree. To these we add Discussers of wind, as Chamomil flowers, Anise-seeds.

We mix Rhubarb to take away the Cause of the Dis­ease. As, Take Rhubarb parched one dram, Coriander par­ched two drams, infuse them in red Wine, or Juyce of Quin­ces; let them boyl, and strain them, add Syrup of dryed Roses one ounce and an half: make a Potion for two doses. If you add one dram of Acacia, or Hypocistis, it will be stronger.

Or two or three drams of Bole, or Spodium, or half an ounce of Mastick, boyled alone in Rose or Plantane-water.

Dioscorides commends Wax boyled in Broath.

The Decoction of Ass dung is counted a secret, to be drunk after boyled in wine, with things to take away the scent.

The Decoction of Earth-worms is also good, but let not the Patient know it.

Physical Wines are made of burnt red wine, with Steel, or Gold quenched therein, or Tormenril, and Snakeweed roots boyled, which makes the wine more astringent, and not unpleasant. To which you may add Sugar, or Cin­namon that it m y be like Hippocras.

You may boyl ripe dryed Sloes in red wine, and it will be astringent and pleasant, and other astringent Fruits.

Some highly commend Rice boyled in red wine.

Also Juyces, as of Quinces boyled, are good, one spoonlful, or two at a time, or of other Fruits that are not too sour to cause torments, as of Pears, Pomegranates of the middle sort, of which wine is made, pressed with the peels. Also the Juyce of Cornil-berries, and the like.

Three or four ounces of the raw Juyce of Plantane heals, and takes away Inflammation alone, or you may give it with Milk or Broath.

Hollerius saith that the Juyce of Ground-Ivy drunken, hath saved the lives of many.

Some give the milkie Juyce of English Galangal.

Some sharp Syrups not too sour, are given by spoon­fuls, as of Quinces alone, or boyl'd in Wine, Myrtles, or red Roses, or of Juyce of Plantane, or the Decoctions mentioned, with Sugar. Boyl one ounce, of Water­cress seeds parched in a pint of Syrup of Quinces.

Also Juleps are good, and quench thirst, as that of Roses, or Plantane water boyled.

Or give the Syrup with steeled water, or stilled waters, or Rose budds, or of Privet, Plantane, Shepheards-purse, Oak, Goos-grass.

Let the Diet be of nourishing Papps.

As of boyled Rice in Milk, with yolks of Eggs, and Juyce of Ground-Ivy, by which Lerius in his History, saith many Sea-men almost killed with Dysenteries, have been recovered: Also Rice boyled in Almond milk. And if Steel or Gold be quenched in the Milk, it is the better.

Also Starch boyled with Eggs beaten, and with Rose­water, Sugar, and Butter, or Veal suet, is good.

Also Milium boyled in Milk, with yolks of Eggs, or drink the pouder thereof, with a roasted Eg.

Oate-meal, or the Grewel made thereof is used in Ger­many.

To these Papps of Rice, Oats, Starch, Milium, you may add Bean flower, Tormentil roots, seeds of Plantane, Su­mach, and Bole.

Or two drams of Virgins wax sliced and boyled in the same.

Bread also made with whites of Eggs, Pouder of Galls, or Pomegranate peels, is good to be given in Pouder, with Wine.

Dioscorides commends Beans boyled in Vinegar and wa­ter; others commend Lentils.

Also Eggs poached in Vinegar or fryed, till hard, with one dram of new wax, to which may be added pouder of Sumach, Plantane seeds, or Hemp.

The Blood of a Goat or Dear fryed, is commended by Dioscorides. And chiefly that of an Hare, with Barley­meal, also a roasted Turtle stuffed with Myrtle-berries, and new Wax, each two drams; or two drams of Frankincense, and one dram of dryed Pigeons blood, and other Astringents, as Plan­tane seed, Roses, Sumach, and Cinnamon.

Among Fruits, Quinces, Pears, and Apples that are sharp, roasted, or boyled, are the best: Also sweet Meats made thereof. Or roast a Pear, or Quince, with Wax, and let him eat it.

Also Medlars, Services, Cornil-berries, Cherries, and sharp Plums before they are ripe, are astringent.

Also Goos-berries are astringent, and Bramble-berries. And Mulberries, but they cause pain, and therefore are to be used warily.

Dioscorides commends the Berries of the Lote-tree, and Bar-berries, and the Huskes of Beans.

Also roasted Chesnuts, and Acorns, with Almonds not roasted, but these will clog a weak Stomach.

Purslane is the best pot-herb for a Dysentery, it takes a­way the sharpness.

There are divers Pouders which dry and bind, or have a secret quality, given alone, or mixed from one dram to one dram and an half, commonly with sharp red Wine, or with steeled Water, Broath, or Milk, Plantane water, or the like, with Sugar, Honey, or proper Syrups.

The Pouder of the Roots of Tormentil, Snakeweed, are not ill-tasted. Water-lilly roots do wonders in Dysente­ries: Also Comfrey roots, wild Sage, and Avens roots.

[Page 667] Dioscorides commends the Pouder of Yarrow, Fleabane, Scordium, and the tops of Tragus; also Mousear, Cud­wort, Sun-flower with the Roots, the middle of the root of Mullein, Horstayl, Balsamine, or the like, mentioned for Decoctions.

Flowers of Ivy, Cistus, Palma Christi, Flower gentle, and Pomegranate flowers. Also red Rose cakes: Also the Fruit of the Rose, with its down and seeds, and Bar-ber­ries.

Roast a Pomegranate, and give it in Pouder.

Also Seeds of red Roses, Pomegranates, Raisons, Grapes.

Seeds of Water-cresses alone, or with others, is count­ed an excellent Remedy against a Dysentery, and because they are sharp and burning, they are first parched. Also Tamarisk seed.

The Seeds also of Docks, and Bloodwort, or Sorrel.

The Pouder of roasted Acorns doth wonders. Also of Chesnuts, or of Beech mast.

The Down of Chesnuts within the shell, as also of A­corns, and Hazel-nuts, is good in pouder.

Frankincense, Mastick, Myrrh, Traganth, swallowed or drunk in pouder.

The pizle of a Dear also poudered, and drunk in wine.

Also burnt Harts horn, or unburnt, and the pouder of Ox shanks.

The Runnet also of a Hare, or Kid, or Mare, is com­mended by Dioscorides.

He also prescribeth Goats suet, with Barley-flower, and Roses.

Also Hares, Dogs, or Swins dung, is given with Milk that hath had Steel quenched therein.

Also Bole, or other fat Earth, as that of Lemnos, red Coral, Crystal, Pearl, Sapphyres, Smarag'ds.

The Chymists commend the tincture of Smaragds, as specifical in a Dysentery: It is thus made. Let the sparkes or pieces of Smaragds be ground finely upon a Marble, with the Urin of a Boy, or distilled Vinegar, or Juyce of Lemmons, and the tincture drawn out at the fire. And then let it be evaporated, till it be a grey pouder, then draw out the green tincture with spirit of wine, and then evaporate the spirit of wine, and let it be brought to an Essence at the bottom; two or five tops of this they say, taken with Plantane-water, cureth Dysenteries mira­culously.

Some give Allum with an Eg.

And Dioscorides gives Salt with red Rose seeds for sauce with Meat.

There are divers Pouders compound of these, to be gi­ven in the like quantity, or with Sugar in a greater quan­tity, with a Sop in Wine.

The first is: Take Roots of Tormentil two drams, Snake­weed one dram, Seeds of Docks and Sorrel, each one dram and an half; red Coral half a dram.

Another: Take half of this Pouder that is three drams, Seeds of red Roses and Myrtles, each one dram; Pomegra­nate flowers, burnt Harts horn, or Ivory, each half a dram; Pearl half a scruple.

The third Pouder more astringent. Take with the for­mer Galls one dram, Sanguis Draconis, or Acacia half a dram, Bole, or Terra Lemnia one dram, and half a dram of Bloodstone which is stronger.

A Pouder of Acorns which bindeth and healeth won­derfully. Take roasted Acorn kernels one ounce, Coriander seed prepared one dram and an half, Purslane and Fleabane­seed, each half a dram; you may add roasted Chesnuts.

If you will heal more, mix Starch one dram and half, Gum Traganth a little parched one dram.

And if you will dry and astringe more, mix it with a dram or two of the former Pouders.

Ashes also are highly commended, as of a quick Hare, burnt in an earthen pot well stopped.

Land-turtles, or Snails also burnt with their shells.

Also Pouder of Mans bones, or ashes in red wine, or steeled wine.

These may be mixed with other Pouders, as Bole, Dragons blood, and Mummy, with pouder of Turtles, or pouder of Galls, with ashes of a Turtle, and a little white Pepper.

Also these Ashes following. Dip a hempen Cloath in two parts of Plantane-water, and one of Rose-vinegar, in which a little Allum, and Bole are dissolved, then dry it, and burn it to ashes.

Also the Troches of Amber, burnt Ivory, or sealed Earth, with Sorrel seeds, Ramich half a dram, taken every day: Give in pouder, with red Wine, or other proper Li­quor, Sugar of Roses, or convenient Syrups, or with old Conserve of Roses, or Syrup of Myrtles: make Pills or a Bolus.

These Electuaries following are made of Conserves and Candyes. Take old Conserve of Roses, and Marmulate of Quinces, each one ounce; Conserve of Comfrey roots half an ounce, Coral two drams, Troches of sealed Earth, or the like, simple or compound one dram, parched Nutmeg and Cinnamon, each half a dram; Sugar of Roses, as much as will make a Mixture.

Or, Take the Conserves and Candyes mentioned, with those of Services, Cornils, Roses, Medlars, and other Astringents, Pouder of Rhubarb parched one dram; mix them with syrup of Quinces, or Juyces or Syrups mentioned.

Micleta Nicolai of Myrobalans, Mastick, Gum Arabick, Sumach, Pomegranate flowers, burnt Ivory, Water-cress­seeds, and others that expel wind, is good in Dysenteries, and other Fluxes.

Two drams of Watercreess-seeds parched, and poude­red, boyled in Syrup of Quinces, till they be thick, and three spoonfuls given at once, is excellent.

Another that lenifieth and healeth. Take Mucilage of Quince seeds, Comfrey roots, Infusion of Gum Traganth, all made with Rose-water one ounce, Starch one dram, red Coral two drams, Bole one dram, Pomegranate flowers half a dram, Juyce of Services, Cornil-berries, or Marmalade of Quinces two ounces, Sugar of Roses one ounce: make an Electuarie, give two drams.

Narcoticks as we said in Clysters, asswage pain and stop Fluxes, and they do better taken at the Mouth, causing rest and sleep, which the Dysentery hindereth, and so do increase strength: these are to be given as oft as pain and watching require, for nothing doth better allay the ex­pulsive Faculty,

Philonium Persicum is best, one dram, and a little more.

Also pills of Dogs tongue called Cynogloss, stay Deflu­xions, and are good with Juyce of Plantane and Roses, and other astringents from half a scruple, to a scruple.

Troches of Amber, with Opium, do also cure Ulcers, and other Narcoticks, mentioned in the Colick and Stone, here are good, if mixed with astringents, as you mix Sy­rup of Myrtles, with syrup of Poppies, or Diacodium, and dissolve them with plantane-water, and add a little Dia­margariton frigidum, or boyl white poppies in Rose-wa­ter.

Or mix Bole, Terra Lemnia, Galls, Pomegranate-flo­wers, Acacia, Hypocistis, with Treacle, Mithridate, A­thanasia, with the like Confections, or Narcoticks.

Or if you add to the Pouders and Electuaries mentio­ned, a little Opium well prepared: As we shewed.

As for external Medicines, anoint the Belly with Oyl of Quinces, Myrtles, Roses, or Oyl onmhacine, if you will bind more, or add the third part of Vinegar, then boyl them till the Vinegar is consumed. And if the Stomach be disordered, add Oyl of Mastick, or Wormwood. If the pain be great, add Oyl of Chamomil, or sweet Almonds, if there be Inflammation or Heat, Oyl of Violets. Some anoint the Fundament with these.

After anointing, sprinkle these pouders following.

The first: Take Myrtle-berries, or Bar-berries, or Grapes, or Raison-stones, half an ounce, Galls, or Pomegranate peels, Cypress-nuts, or Acorn-cupps, each two drams; red Roses, or Ponegranate flowers one dram and an half, Mastick, or Fran­kincense one dram.

[Page 668]Another stronger: Take the Pouder mentioned, half an ounce, Bole two drams, Sanguis Draconis, Acacia, or Hipo­cistis, each one dram; Sumach one dram and an half, red Co­ral burnt one dram.

The third is made of the troches of sealed Earth, or of Bole, or Amber, with other Astringents.

Of these pouders is made an Oyntment, with proper Oyl and Wax.

Also an Emplaster with astringent Oyl, Rosin, and Pitch, with Aloes, and Varnish, each two drams.

Or this astringent Plaister. Take Bole six drams, Fran­kincense half an ounce, ragons blood, Masticl, Mummy, each two drams; with white of an Eg, and Vinegar, make a Plaister, and tye it under the Navel with a Clout.

This Cataplasm is excellent. Take green Quinces or dry as they are kept, or Pears, or other Fruit that is astringent, pul­ped four ounces, the Crust of Bread burnt and often sprinkled with Rose-vinegar at a time two ounces, boyl them in red Wine, Oyl of Roses omphacine, beat them, and add Pouder of Galls six drams, Bole, Mastick, each half an ounce; or one ounce of the compound Pouders mentioned.

Instead of these, apply Mullein, and the Roots, Shep­heards-purse, Plantane, Comfrey roots, red Roses boyl­ed in Oyl of Roses, and beaten up with the pouders men­tioned.

The Cawle of a Weather, or Goat, or Lamb, applyed hot, as is said in the Colick, doth take away pains in Children. And it must be taken anointed with Oyl that is astringent, as of Quinces, or Myrtles: Or add pouders of simples mentioned, or pouder of Mullein. Cummin­seed steeped in Vinegar, and parched, and applied to the Belly, doth the same.

Also the Emplaster of Mesue called Diaphaenicon.

Also a Rowler steep' din Vinegar, and bound about the Belly.

Also Cupping-glasses applied to the Navel, or Center of the Belly, or on both sides, about the Groyns, are good to stay a great Flux.

Foment the Belly and Fundament with a Decoction of astringent Herbs, as of Mullein with the Roots, Plantane, Solomons-seal, Oak leaves, Pears, Quinces, Services, Cornil-tree, Myrtles, Bar-berries, red Roses, Pomegra­nate flowers, Sumach, Fern roots, white Chamelion, Pomegranate peels, pine-nuts, Acorn-cupps, Galls, Myr­tles, Grape seeds made in red Wine, Vinegar, and steeled Water.

You may foment the Belly with the Oyls mentioned, to anoint, adding a little Vinegar, and Juyce of proper Herbs.

Dioscorides adviseth that the Belly be anointed with the Broath of a Sheath-fish, River-whayl. And to wash the Feet in the Decoction hot, before mentioned, is good.

And it is as good, if they be washed with a Decoction of Steel, or Iron, in strong Vinegar.

'Tis also good to let the Vapour of these Fomentations be taken up into the Fundament, or the Vapour of the de­coction of Eels.

Also a Fume of those Rosins mentioned in Tenesmus, burnt upon Coales, or hot Iron; or of the pouder of Mullein; or dryed Asses dung, or the Fume of strong red Vinegar, after a red hot Iron is quenched therein, in which Vinegar you may boyl the aftringents.

The Suppositories mentioned in Tenesmus, as that of Suet, which allay pain, are also good.

It is good after stools to cleanse the Fundament with Mullein, or Haresfoot leaves, which are soft, and streng­then: And also with Marsh-mallow leaves.

As for Diet: Let the Meat be of good Juyce proper for the Disease, as Milk, Eggs, Papps, and the like; Or boyled in Iron-waters, or Rose-water, with the Pouders and Juyces mentioned. Let the Drink be steeled Water, or Almond milk, or red Wine mixed with steeled water. Let all salt, sharp, and sour things be avoided.

Let the Patient be at rest, and not move from Bed, but void the Excrements with a Bed-pan, or the like.

And if there be another Disease joyned therewith of the Liver and Spleen: then if the Choler come from the Li­ver, or there be a Flux of the Liver, which is most to be feared, and is deadly; the Liver must chiefly be regarded, and Epithems, and Cerots proper, must be applied, men­tioned in the Flux of the Liver.

And if there be pain and weakness of the Stomach, you must mix things proper for it, with other astringents, as Mastick, Roses, Wormwood, as are mentioned in the weak­ness of the Stomach.

Other bloody Fluxes are from the o­pening of the Meseraick veins, The Cure of the bloody Flux without ulcera­tion. (besides the Dysentery and Liver-fllux) with an Inflamation thereupon: And are like a Dysentery, only there is no Ulcer. Yet are they not so obstinate and dangerous as a Dysentery, if the Inflammation be abated. And they sooner vanish then a Dysentery, if they be well ordered. But if the Inflam­mation and Feaver increase, they die of Convulsions through pain, as in the Colick. Or if they tend to Im­posthumation, they are changed into a true Dysentery, which leaves a filthy Ulcer from which matter is voided by stool. In the Cure of this Disease, the cause which provoked it, if it persist, must be removed, with the same Emptiers and Cleansers, as in a Dysentery, only they must be milder, in regard of the Inflammation. And Coolers must be used as in a Dysentery, with Inflammation, and the Colick. Then you must have regard to the Mese­raicks, the Inflammation being gone, and stop the Flux, with such astringents as are mentioned in the Dysentery. And if the Inflammation tends to an Imposthume, and so to an Ulcer, then use the things mentioned in Dysenteries for Exulceration.

If much clotted Blood that is black, The Cure of clot­ted blood voided by stool. be voided from the opening of the ves­sels, by reason of strong purging, or the like, or by vomiting, it is dange­rous: And we have known some die suddenly thereby. For the Cure thereof, you must use such things inward and outward: As we mentioned in Vomiting of Blood.

A Tensmus is less dangerous then a Dysentery, The Cure of Te­nesmus. because the Cause is in the end of the Guts, which may be easily reached with Medicines, only the diffi­culty is caused, and the cure prolonged, by the pricking and provoking to stool, which will not let a Medicine be retained, though it be gentle; and by the foulness of the Ulcer.

The end of curing is according to the diversity of the cause. For if it be the first kind of a tenesmus with ulce­ration, and voiding of slimy matter with blood, or if it come of it self, or follow a dysentery; in regard the ulcer is in the strait Gut, it must be cured as a dysentery, with the like medicines. But if only Irritation produce the o­ther kind of tenesmus, in which the Excrements are cho­lerick and sharp, the remedies must be such as abate the sharpness and heat, and then such as cleanse and heal. In the third kind of tenesmus, where there is needing with­out Excretion, you must remove it with respect to the cause, as if it come from hard Excrements, they must be mollified, if from cold, the part must be warmed. If it come from a Stone in the Bladder that passeth the Gut, or from worms, or from the passage of the Bladder: the cure was shewed in those diseases. In other causes you must use these remedies following.

Purges are seldom given, because the Humor that cau­seth it, is in the extremities of the Guts; except they be to take away the antecedent cause, which may increase the disease. And then use such as are prescribed for a dy­sentery, if there be an ulcer, such as purge and bind. If the cause be otherwise, use other Evacuations, such as are gentle, least the belly be provoked too much.

Things given at the mouth, can have but little operati­on [Page 669]open the Guts which are so remote; yet if they be gi­ven in great quantities to lenifie and heal the Ulcer, or of­ten, their vertue will reach to the part. As Milk, or Bar­ley water drunk much and often. The Decoction of Bet­tony, and Sage, mentioned against the tenesmus.

Clysters are chiefly given in this case, because they come near to the part affected, and wash it; and that they may be long kept, they must be little in quantity, and be given often with care that the pipe offend not.

Lenifying Clysters are good in all sorts of tenesmus, whether the part be corroded, ulcerated, or provoked by straining and pain, to mitigate the pain, and allay the sharpness. These were prescribed in Dysentery, of Milk, Decoctions, and Oyls, as you will have them cleanse or heal.

If there be a stinking Ulcer in tenesmus, or pricking from slime, you must use cleansing Clysters: As in a disen­tery of Whey, Water, and Honey, Barley-water, and the like.

Healing Clysters are only used in tenesmus from ulce­ration, made of things mentioned in a Dysentery.

Turpentine unwashed or washed in Plantane water, or Nightshade water, put into these Clysters, makes them cleanse and heal better.

Mollifying Clysters are used in a tenesmus, when the Ex­crements are hard. To which you may add Laxatives, if there be a needing, and no voiding of stool. If the Hu­mor be cold, or caused by cold or wind, use things to heat and discuss wind, and things gently warm do also asswage pain. When we will mollifie and loosen, we take the de­coction of the five mollifying Herbs, Line-seeds Foenu­greek, with Oyl and other Fats that loosen. If we will heat, and expel wind, we use hot Herbs, as Organ, Cala­mints, both Penny-royals, Baulm, Hysop, Sage, Marjo­ram, Bay leaves, Rue, Flowers of Chamomil, Melilot, Dill, Rosemary, Stoechas, or French Lavender, Caraway, and Fennel seeds. Such Clysters are mentioned in the Colick from Excrements, Wind, and Cold.

In every tenesmus you may use Suppositories to abate pain, and then such as cure Corrosions and Ulcers, if they cause it: these must do good to the part which they touch, if they can be retained, for the part is so sensible, that it is provoked by the touch of any hard thing, there­fore the Suppositories must be gently made of these fol­lowing.

Goats suet made like a Suppository, takes away pain and Excoriation.

And it is better, if you first melt down the Suet with Poppy, and Henbane seeds, and then cast it into a mould like a Suppository, to take away pain. And also if you put some drops of Oyl of those Seeds, or half a scruple of Opium dissolved in Oyl of sweet Almonds.

And it will heal better, if you add Starch, or Gum tra­ganth poudered or infused in plantane-water.

Or thus, infuse a little Gum traganth in plantane wa­ter, let it not be too thin, and mix it with Mucilage of Fleabane, or Quinces, and the yolk of a roasted Egg, and while they are hot, with a little white Wax: make a sup­pository, if it be too soft, dip Cotton, or Silk therein, and apply it. To these you may add the Narcoticks mentio­ned.

To these pouders may be added to cure great Corrosi­on, but they must be very sine, least they offend. As of Ceruss, Tutty prepared, Bole, Pomegranate flowers, and other dryers that are not sharp.

If you will astringe more, add the Juyce of Sloes, Dra­gons blood, with the Infusion of Gum Traganth.

Rhasis makes a healing and anodine Suppository of Ly­cium, which is the Juyce of Brambles.

When the Excrements are hard, use mollifying Suppo­sitories and Laxatives, with hot things to expel wind: As we shewed in Clysters for the Colick. Some are made of Labdanum, and Storax, with hot Oyls.

The Fumes and Vapors mentioned for a dysentery, are good here. Besides which, make Fumes of strong dryers that smoak much, as of Pitch, Bitumen, Amber, Colopho­ny, Turpentine, Rosin, Sarcocol. Some add a little Brim­stone, and steep them first in Vinegar.

If you must heat more, use the Vapour of the Clyster there mentioned, or the Fume of Savine, boyled in Wine, and Vinegar.

You may make a Fomentation to heal the Ulcer in Te­nesmus of Plants mentioned in the Dysentery, or a Bath.

A Fomentation of the Decoction of Myrrh, cureth a te­nesmus that follows a dysentery.

If much Blood be voided. Take Mullein, with the Roots, two handfuls, red Roses one pugil, Pomegranate peels, and Galls, each half an ounce; boyl them in two parts of I­ron-water, and one of Wine. You may add half an ounce of Prmegranate flowers, or of Pine barks.

It is stronger with half an ounce of Allum.

To heat, you may make Fomentations of Plants in the Clysters mentioned, for the Fundament, and lower parts of the Belly: And they may sit in the same. To which, if there be Corrosion, we add Plantane, and Mullein, or Mullein only boyled in Wine, if the Haemorrhoids be o­pen.

Or foment with warm Water, Oyl, and Wine, or Oyl of Chamomil, Dill, Rue, &c.

Use the Oyntments mentioned for Ulcers in the disen­tery.

When there is great pain in Tenesmus, anoint with Oyl of Roses, Violets, Water-lillies, Mucilage of Fleabane, yolks of Eggs, or the like, mentioned in the Haemorrhoids.

If you must heat, use Oyl of Chamomil, Dill, Bayes Rue, and the like.

You may make Cataplasms of the same Ingredients.

A warm Anodine bag is made of Milium, Bran, and Salt, fryed with hot Herbs dryed.

In an Ulcer make it of astringents, as Coriander seeds, Myrtles, Acorn cupps, Galls, and other Herbs, mention­ed in the Fomentations for a Dysentery. And let him sit upon the bag boyled in red wine.

A Brick that is black with Smoak, beaten, and steeped in wine, and put into a cloath, is good to be applyed to the Perinaeum and Fundament, when there is an Ulcer.

Let the Patient sit upon hot Mugwort.

Also warm Cloaths applyed to the Fundament and Pe­rinaeum, are good to abate pain.

If a Diarrhaea be a Flux of silthy Excre­ments and Humors, The Cure of Diarrhaea. by Medicine or Na­ture, which takes away the plenty of them, it must not be stopped, neither in those that are sound, because it preventeth Diseases; nor in those that are sick, from plenty of humors, and evil Juyce; nor in the begin­ning of acute Diseases, for as Hippocrates shews if things which ought to be purged, be purged, and the Patient en­dures it wel, it is good. Nor in the declension or Crisis of a Disease, which somtimes is cured thereby. But it is to be stopped if it happen in sound and pure Bodies, especially if there be an over purging. And in sick, when it is provoked, or comes of it self, when it will not cease, and takes not a­way from the cause of the disease, but weakneth. As in internal Inflammations, Pleurisie, Peripneumony, and in some acute and malignant pestilential Feavers: and o­thers that weakens, as in Hecticks, Consumptions, Drop­sies, with which it is deadly. In all which we must pre­vent it, or stop it, foretelling the danger.

Observing first, if it be alone, without other diseases, with it, or after it, whether it came from an over purging Medicine, or too much meat and drink that is crude or corrupt, or from Choler, or sharp humors or water. Then we must evacuate the cause, and abate the pricking. Then we fortifie and bind the Stomach and Guts, with hot, temperate, or cold things, as the cause re­quires, as followeth.

The Stomach and Guts are to be purged with gentle things, least the Belly that is already moved, should be [Page 670]too much troubled. And if the tumor be water or flegm with pills for the Stomach: As these of Mastick, and As­saiereth, and others in the Lientery.

Or give six drams of the Electuary of Hiera, or two drams of the Pouder, with one ounce of Syrup of Vinegar, to take off the bitterness, all dissolved in Wine and Water, or Liquor convenient, or sweet Wine. But Pills of Hiera are better taken.

There are other purges to be taken in wine, mentioned in Lientery and Weakness of the Stomach.

If the Humor be cholerick and sharp, use Remedies for the Dysentery there mentioned.

As a Potion of Rhubarb parched or not, or the Infusion thereof, with Wormwood wine, or Syrup, or that of Mints.

Also you may make a Potion of the Infusion of half an ounce of yellow or chebs Myrobalans, or of two drams of Myrobalans, and one dram of Rhubarb.

Or give two scruples of the Pills of Rhubarb, made with one scruple of Mastick, and half a scruple of Spike, with Juyce of Roses. Or a bolus of the same, with Conserve of Roses, or Quinces, or the Pouder of Rhubarb, with Cinnamon, and Sugar of Roses, and Myrobalans; if they make not the Medicine too large.

If you must purge in a Diarrhaea, use the troches of Ro­ses, burnt Ivory, Barberries, the cold great Seeds, with Diagredium.

The Tryphera Saracenica Nicolai, is given in six drams, when there is plenty of Humors, or so much Catholicon in potions of Myrobalans, and Rhubarb, it is not safe to use stronger Remedies to purge in this Disease.

A Vomit somtimes is good to revel, and take away the cause, as in a Dysentery. Also Sweating, especially when it comes from much water. And if strength will suffer, use them often, moderate fasting, is also good to hinder the increase, and to consume Humors, but in people of sharp, cholerick Constitutions, it hurteth.

All Clysters are good that have astringent qualities, though they be presently voided.

The fourth Clyster mentioned in a Dysentery, is good here, it is a strong astringent, to the Decoction of which you may add also other astringents; as Juyce of Plan­tane, Bloodstone, or drying Earths. And if the humor be sharp, and threaten Excoriation, you may give the third Clyster there mentioned, to astringe and heal.

But before, use Cleansers, if the Humor be sharp and cholerick, and fret the Guts.

And you may mix other things, if there be other Hu­mors; as Wormwood, Centaury, and in a phlegmatick Cause, against pains and noise of wind, things to expel wind, as Fennel, and Anise seeds, Chamomil, Melilot, and Dill flowers, or Oyls thereof.

If the Humors fret the Guts, use Lenitives, or when a violent purge hurts them, they are mentioned in Dysente­ry: As that which begins thus. Take Marsh-mallow­roots one ounce, Barley, &c.

Medicines must be given in divers forms, twice or thrice in a day, especially that bind, or that cleanse and lenisie, least Nature being accustomed to one, should be no way moved thereby.

Dioscorides commends divers Decoctions in wine and water, as of Maiden-hair, golden Locks, Marsh-mallows, Brambles, Cinquefoyl, or five leaved grass, Piony.

Also wine of the Infusion of dryed Sloes, and the like, Moss of a tree, Wormwood, Snakeweed, Citron peels, and the like astringents.

Also Juyce of Plantane, Solomons-seal, Horstayl, Gum Succory, Quinces, sour Pomegranates.

Also Syrup of Quinces, Myrtles, red Roses dried, Bar­berries, Currance, with the waters following in Juleps.

Waters of Plantane, Roses, Sorrel, Shepheards purse, Services, Sloes, Oak leaves.

Or the Decoction mentioned in Dysentery. One be­gins thus: Take Tormentil roots one ounce, Comfrey rorts &c.

Another thus: Take Roots of five leaved Grass, or Snak­weed, &c. Of which you may make Syrups.

Or make a Syrup of the Juyces to be kept. Take Juyce of Quinces, three ounces, of Bar-berries two ounces, Juyce of Plantane, or the like, one ounce and an half, red Wine, and Rose-water, each two ounces; Sugar four ounces: boyl them to a Syrup, and add a little red Sanders, it is better, if two drams of Juyce of Sloes, and in a cholerick Cause a little Rose-water be added to make it sharp.

The Syrup of Nicolas of the Decoction of Fruits, and the like, is good in all Fuxes of the Belly.

Also this distilled Water. Take Yolks of Eggs boyled hard twenty, Nutmeggs parched a little, two ounces, infuse them in red Wine. Let them stand a while, and then distil them according to art: the dose is one or two ounces.

Let his Meat be boyled in steeled water, with Sumach, or other things that bind, and are not unpleasant, as in a Dysentery.

Let his Broath be seasoned with Juyce of Quinces, or the like.

Let his Meat be thick, and not thin.

A Turtle prepared, as in a Dysentery.

And fryed Blood,

Steeled Milk of Cow, or Sheep, as in a Dysentery.

Yolks of hard Eggs, with Vinegar.

Take out the white of an Eg at a little hole, and fill it with Rose-water, stop it well, and boyl it till the water be consumed, and let him eat the Yolk, or drink it in Broath.

Also the Husks of Milium, with a roasted Eg,

Or an Eg and Wax.

Or Cheese boyled in Milk or toasted, which is the Hel­vetian Medicine, and commended by Dioscorides. Let the Bread be wheat, not new, nor mouldy.

Or made of Starch, Bean flower, and Eggs, with Plan­tane seed. Or of Barley, and Rice, with Yolks of Eggs, which well dryed, will keep long, and may be taken in Milk like pap,

Other Bread is made of Barley meal, with Juyce of El­der-berries, dry baked, give one spoonful, with red wine.

Rice boyled with steeled Milk, or Broath, with Gum Traganth, or Arabick.

Also Starch with Almond Milk, as in a Dysentery.

Also Pap of Oat-meal, Milium, and boyled Lentils, with Vinegar, and other Astringents, and with Beets, as Dioscorides.

Medlars, Services, Cornil-berries, wild Pears, green or dry.

Boyl Coleworts, Beets, with the Roots, plantane, En­dive, Smallage, and with Vinegar, eat them.

Let Meat be seasoned with parched Cloves, and Vi­negar.

Let him drink Barley-water, or steeled water, with the pouders, in a Dysentery.

The chief Roots are Marsh-mallows, Tormentil, which is good against poyson, Horstayl poudered and drunk in wine; also Leaves of Harefoot, Dock seeds, and of Sor­rel, plantane, Water-cresses parched with Mastick, and Gum Traganth.

Pouder also of pease, Earth-nuts, Hyacinth, Brank ur­sine, water-plantane, Tamarisk, Mullein, Rasberries, barks of Tamarisk.

Leaves of Burnet, Strawberries with the Roots, winter­green, Mousear, golden Rod, Lungwort, perwinkle, Al­kanet, Lentils, Harts-tongue, Housleek, Dates, Rue, wild Basil, Dill, Anise, Fennel.

Flowers of wild Vine, Mullein, Indian Milium.

Stones of Myrobalans burnt, Nut shells, parched Nut­meggs, Cloves, Coriander seeds, Huskes of Milium, Dill, and pomegranate stones, Hares Runnet, Dogs dung, and Harts horn.

Bole, Earth of Armenia, Crystal, Pearl, Coral, Gum Arabick, Traganth.

Also troches of Ramich, and Mesue against Fluxes, of [Page 671]sealed Earth, Amber, burnt Ivory, with Sorrel seeds, gi­ven as in a Dysentery, or in pills: Also Diacoralium.

A pouder with Rhubarb. Take Rhubarb parched one dram and an half, Bole, Bloodstone, each one dram; burnt Stones of Myrobalans, Amber, each half a dram; make a pouder: or make pills of it, with Gum Traganth, infused in Rose, or Plantane-water: Give a dram.

Add Cordial pouders, if strength fail, as Diamargariton frigid de Gemmis, Trionsantalon, Diarrhodon.

Or thus: Take roasted Chesnuts, or A corns half an ounce, the Rines of yellow and chebs Myrobalans parched two drams, Coriander, and Water-cress seeds steep'd in Vinegar and torri­fied, each one dram and an half; Myrtle seeds, Sumach, Med­lars, sour Pomegranates, Bar-berries, Roses, Plantane, and Dock seeds, each one dram and an half; Cummin seeds steep­ed in Vinegar, Frankincense, or Mastick, each half a dram; red Coral two drams, Bole, Bloodstone, each one dram, burnt Harts horn half a dram, Pearls, or precious Stones one scru­ple, Acacia, or Juyce of [...]loes one dram: make a pouder. Give one dram by it self, or with Sugar, or make an Electu­ary thereof.

Diacydonites, in a cold cause with the species, in a hot cause without, is given by it self, or with other things, as an Electuary, or pouder, with Sugar of Roses, from one dram and an half, to two drams.

Old Conserve of Roses, Galangal, Comfrey, and o­ther cordial Conserves, or Marmalade of Quinces, Ci­trons, Myrobalans candied, are given alone, or with the pouder of troches for that purpose.

Micleta, or the Electuary of Nicolas, is given in a Diar­rhaea, and other Fluxes, as in a Dysentery, where the way to make it, is declared.

The Electuary also of Mesue, of Myrobalans, Myrtle-berries, Anise, Cummin, and Smallage seeds, with syrup of Quinces.

I think it fit not to let pass unmentioned, the Electuary of smaragds, which is excellent in the Falling-sickness, and in Dysenteries, and Diarrhae's, and to stop all Fluxes, it is thus made.

Take Smaradgs well prepared one dram and an half, Piony seeds husked, and the Extract of the Roots of Piony, each two dram; red Coral prepared three drams, Salt of Coral one dram, Wood-Aloes well poudered, two drams and an half, the Extract of Saffron eight grains, of the best Cinnamon, Sorrel seeds, Citrons, Purslane, Dock seeds, Misleto of the Oak, Cu­cheneil, or grains of Kermes, each two drams; Pearls prepared four scruples, Salt of the same one dram, Harts horn, Philoso­phlcally prepared four scruples: mix them prepared exactly with syrup of the Juyce of Citrons, or Quinces three ounces, and let them ferment in the sun, or by the fire, and keep it close stopped for use.

Narcoticks, as in Colicks, so in Diarrhaea's mitigate pain, and stupefie the expulsive Faculty, which stayes the Flux. And they must be used as in a Dysentery, with a­stringents proper.

Outward Applications do better in a Diarrhaea then a Dysentery. And Clysters do better in a dysentery, by reason of the Ulcer internal; which the stomach is afflict­ed with cold, things to be mentioned in Lientery, are good: but in a hot Diarrhaea, things to be mentioned in a Dysentery, are good.

The same Oyls are to be used here, as in dysentery. And if the stomach be afflicted, use the things mentioned in a Lientery.

Or anoint the stomach and belly with this. Take Oyl of Myrtles, Quinces, Roses omphacine, each one ounce and an half; Oyl of Mastick one ounce, Wormwood, and Nard Oyl, each half an ounce; Juyce of Plantane, and Shepheards purse each one ounce and an half; Vinegar of Roses one ounce: boyl them till the Juyces are consumed, with Wax, make an Oynt­ment. And either mix therewith, or sprinkle upon it af­ter anointing some of the pouders mentioned for a Dysen­tery. To which you may add Nutmeg two drams, Sanders one dram, Galangal, or Cypress, Coriander seeds, Storax, each half a dram; Dioscorides mixeth Wine Lyes therewith.

Fomentations and Baths are made of tormentil, snake­weed, five leaved Grass, Calcatrippa, or prickle Herb, Fern, Mullein, Plantane, Horstayl, shepheards purse, Knot­grass, Bramble leaves, Barberries, sumach, Mastick tree, with Wormwood, and Mints for the stomach, Cypress­nuts, pomegranate peels, Myrtle berries, Water-cresses, Roses, pomegranate flowers, spunge boyled in red wine, or steeled water, with a little Vinegar, and Allum add­ed.

You may make a bag of some of the same, or two to be changed, and applied to the belly, after boyling.

Use the Vapors and Fumes for a Dysentery mention­ed.

Make a Cataplasm of the remainder of the Fomentati­on, with the Oyls mentioned, Goats suet, Bran, starch, or Bread, with pouders mentioned.

Or of the Juyce of the Herbs mentioned; or of astrin­gent Fruits, pears, sour Apples, sloes, Quinces, services, Medlars, Cornil-berries, Barberries, with Bran, or Bread, Oyls, and the pouders aforesaid.

The Emplasters and Cataplasms mentioned in a Dysen­tery, are good in a hot Diarrhaea, and those for a Lientery in a Cold.

Or this: Take of the astringent Fruits mentioned, well dryed, four ounces, Barley meal two ounces, fryed in Vinegar, Roots of Snakeweed half an ounce, Hyrstayl, Wormwood, Mints, Pomegranate peels, Galls, Myrobalans, Cypress-nuts, each two drams, Myrtle berries, Grape stones, Coriander pre­pared, Cummin, Water-cress seeds torrified after they are steep­ed in Vinegar, each one dram; Frankincense half an ounce, Mummy, Acacia, Dragons blood, each one dram and an half; Bole, Bloodstone, each one dram; Nutmeg two drams, red Sanders, Cloves, each one dram; Spikenard half a dram, old Cheese, and Glew of Fishes, pouder them, and mix them with red Wine, and Juyce of Herbs proper. And let them be fryed and beaten with Oyl of Mastick, Roses omphacine, each two ounces and an half: make a Cataplasm, or with Wax, and Pitch, Colophony, and Rosin, a Plaister.

The usual Plaisters are of Gallia moschata of Mesue, Mastick, Diaphaenicon, that against Ruptures, Ceratum santalinum, with strong astringents.

Also the Cawle of a Weather, with Oyl of Roses om­phacine, or others, may be sprinkled with the pouders.

And a Cupping-glass applied to the Navel.

Also wild tansey applied to the Feet.

Let the Fundament be wiped with Mullein leaves.

It is excellent to heat the Feet, either actually or poten­tially, to stop Fluxes, especially when a diarrhaea comes from cold of the Feet, or other parts. Or when Flegm or water washeth and cooleth the Guts; or when cold is ta­ken by sitting upon a cold stone, then the part must be warmed.

If another disease be with a diarrhaea, which is not mix­ed with it, or the cause thereof, then cure it distinctly, and look first to that which is worse. But if it be the cause of a diarrhaea, then take that away first: and then if it yeeld not after the cause is removed, proceed thus.

If a Catarrh or Defluxion meet with a diarrhaea, you must use medicines for both, The Cure of a Diarhaea, meeting with a Defluxion. especially when a salt or sharp water flows from the brain to the stomach, then first look to the defluxion, and after to the di­arrhaea. As for the defluxion, it is not good to purge with strong medicines, but with particular Evacuations by the Nose and Mouth, and diversions, as washing of the Feet hot, which is good for both, if the decoction be made of Head medicines and astringents. Also by Frictions, and Cupping galasses. Then strengthen the Head with Pouders, Capps, Emplasters, and Fumes: Of which there are divers Forms in defluxions, mentioned in Cephalaea, sleeping Apoplexy, and Palsie.

But for the diarrhaea, you must purge the stomach from flegm, gently, and then strengthen it, and apply astrin­gents: [Page 672]as we shewed in a flegmatick Diarrhaea and the Lientery. Making choise of things for the Head: as many astringents are, Nutmegs, Galangal, Cypres.

If a Diarrhaea follows an inter­mitting Feaver, The Cure of Diar­rhaea coming after other Diseases. and Choller be voi­ded from thence, you must purge as in a chollerick Diarrhaea, and stop the Flux as a disentery alwaies re­garding the Feaver. And this is to be observed in con­tinual Feavers when nature dischargeth choller, in which you must not stop except it cause much weakness: If it comes otherwise by weakning, it signifies no good: yet we must stop and strengthen. And the same must be done in Pestilential Feavers, in which if the Flux take nought of the cause away, it is dangerous.

If it come in diseases of the Liver or Spleen, you must observe the same rule. A flux of the belly after a Consump­tion or Phthysick, Atrophy, Hectick or Dropsie is usually deadly: yet it must be resisted, alwaies having regard to the disease that accompnieth it.

Lientery is a Flux wherein the meat is not changed, The Cure of a Lientery. but is voided, as eaten. If it come from the fault of things eaten, it is cured more easily. If from the Stomack, it shews much weakness, in regard the meat is no waies concocted, the Cure is harder, and in old men impossible. As also that which is joyned to great diseases.

The method of Cure is in respect of the Cause: If the distemper be cold and moist or simple weakness, or joy­ned with Water, it is to be cured as the weakness of the stomack: alwaies choosing in this case things that astringe and evacuate Flegm, and change the temper and streng­then the Stomack.

The Humor is to be voided by Vomits, if it cleave to the stomack: By which means the Flux of the Belly is diverted, with Oxymel simple or of Squils.

Also we purge the same humors with things proper for the stomach, and that strengthen it: as gentle Pills, of Hiera, alephanginae, Assajereth and stomach pills; or stronger, as of Mastick, or Agrick, such also as are mentio­ned in weakness of the stomack, good to purge and streng­then the stomack; beginning thus: Take Aloes pre­pared with juyce of Wormwood half an ounce &c. Or thus Take Aloes the best prepared half an ounce, Rhubarb &c. Or use the Physical Wine mentioned for the Cure of a loose weak flegmatick stomach: that begins thus: Take Rhubarb two drams, yellow Myrobalans &c. and others there that purge and strengthen the stomach.

Clysters are not here necessary, because the stomach is here worst which must be more regarded then the stools: except there be an immoderate dejection, as in other Diarrhaeas: And then things that stop other Fluxes may be used: Choosing those that re­spect the stomach, oe mixing such with the Decoction, as Cypress roots and Nuts, Wormwood, Sage, Roses, French Lavender, Rosemary and the like.

We strengthen the stomack with divers things menti­oned in the weakness thereof, choosing those that are most astringent for a loose and moist stomach: as Nut­megs and Cloves which must be torrefied a little: Or swallowing two or three grains of Mastich.

Old, Red, astringent Wine is good; by it self or after other strengtheners: in a smal quantity. Or that physi­cal wine that begins thus; Take roots of Masterwort, Ga­langal. &c.

Or this: Take roots of Tormentil or Snake weed one ounce Citron peels six drams, Nutmegs and Cloves, of each three drams; Coriander seeds two drams, Mastick one dram and an half: beat them for wine

Some commend the wine of the infusion of Tree Moss.

The stomack powders mentioned in weakness of the stomach are good, the usual are Aromaticum Rosatum of Gabriel and Mesue, Rosata Novella, Diagalanga.

And those after meat to be given, as that which begins: Take Cinnamon half an ounce, sweet Cassia two drams, Ga­langal, &c.

And those made into Lozenges which begin thus: Take of the eighth Pouder, and of Aromaticum Rosatum one dram, &c.

Or this: Take parched Nutmegs two drams, Cloves par­ched and Coriander seeds prepared, each one dram; Coral two scruples, give it with Wine or with Sugar of Roses or pulp of Quinces: Make an Electuary.

Or add to this pouder, Pomegranat seeds and Sorrel seeds one dram, Dock seeds, Raysons stones, each half a dram; and other stomachical astringents, as Acacia, Box-thorne, and torrefied Myrobalanes.

Other strengtheners and astringents for a loose moist cold stomack, are of Candies as of Acorus, Citron peels, Quinces, Nutmegs, Cloves.

Electuaries, are Diacydonites with the species, of wild Acorus, with the species: Or our Composition which consists of Marmalad of Quinces one ounce and an half, can­died Citron peelsone ounce, &c. and the two mixtures there mentioned.

Conserve of Rosemary flowers hath been often given with good success: with some drops of spirit of Vitri­ol.

After flegm is purged, apply outwardly to strengthen and bind the stomach, things mentioned in the weakness thereof, especially astringents which are good both to the stomach and belly. And some things mentioned in Diar­rhaea, if the loosness be very great.

Oyles mentioned in weakness of the stomach, streng­then and bind.

And the two Oyntments there mentioned, which begin thus: Take Oyl of Mastick and Spike, each one ounce; &c. Thus, Take Oyl of Myrtles &c.

Also Galens Cerot for the stomach or that which begins thus: Take roots of Birthwort, Galangal, each half an ounce, &c. Or thus, Take Mastick one ounce and an half, Fran­kincense, &c.

Also Emplaisters, as that of Mastick, which begins thus: Take Mastick two ounces, Frankincense one ounce, Storax &c. Or that Diaphoenicon of Mesue, or of Mon­tagnanus made of a crust of bread, all there mentio­ned.

Also the Cataplasm there of Juyces, which begins thus. Take Mastick half an ounce, Frankincense, Labdanum, &c. with the Pulp of Quinces apply it.

Or this: Take Pulpe of Quinces, or Pears (as in the ca­taplasm for the dysentery) three ounces, Rie-bread Crumbs eight ounces: boyl them in strong Wine, and towards the conclusion, add Pouder of Citron peels two ounces, Pomegra­nate peels one ounce, Nutmeg half an ounce, Roots of Galangal, or Cypress two drams, Cloves one dram, Spike half a dram, Wormwood dryed, Mints, each two drams, Labdanum three drams, Mastick half an ounce, beat them well together, and with Oyl of Myrtles, Roses omphacine, each one ounce and an half; Oyl of Spike one ounce: make a Cataplasm.

Also Fomentations, as that for a weak stomach, which begin thus: Take Galangal, Masterwort roots, &c. Or that for a flagging loose stomach, which begins thus. Take Citron peels half an ounce, Pomegranate peels two drams, &c.

Also that astringent bag, which begins thus. Take Mastick half an ounce, Frankincense two drams, &c.

Cupping-glasses to the stomach, (as we shewed in Vo­miting) keep the meat longer in the stomach.

Some use a Dropax or stinking Plaister, and Sinapisms, or those of mustard.

If a Lientery come from other cau­ses as from choler, The Cure of a Li­entery from a sharp Humor, or Choler, or meat eaten. or a sharp Humor which forceth the stomach to send out the Nourishment; then the first care must be to evacuate that, and allay its [Page 673]sharpness; and to stop the Flux and Vomiting, as in a Dysente­ry, and the Disease of Choler.

If a Lientery come from meats eaten, let those be after­wards forborn, and a good diet be kept, as in the weak­ness of the stomach. Let not the Food be moist, but thick and clammy, that will stay, and also will easily con­coct: as lean and moist flesh, green Cheese, Rice, Papps, not made of milk. Applying the mean while outward a­stringents, and a Cupping-glass.

If a Lientery proceed from an Ulcer of the Stomach, The Cure of a Lientery from an ulcer or scar. that must first be regar­ded: as we shewed in the Pain of the Heart, from the Ulcer of the Stomach, and the Flux as in a Diarrhaea.

If it come from a scar, it is scarce curable, because it cannot be taken away, except it depart of it self.

A Liver-flux, if it follow a Dysentery, and the strength be spent, The Cure of the Liver-flux. and the Liver naught, is deadly. There is another which weakneth, by reason of the great Evacuation of water; as we shewed in Diabetes and drop­sie. And the Liver hath then a preternatural Heat, and is weak: For the Cure of which, the temper must be alte­red, and the Liver strengthned, and the Flux stopped, as in a Dysentery. Therefore it is good to take heed of too great openers that are hot, and of opening the Veins, ex­cept with temperate things that carry the whey to the U­reters: Thus,

Opening of a Vein is not needful, for the bleeding is so little in this Disease, that it requires not so large an Eva­cuation, which will weaken.

Rhubarb is called the Soul of the Liver, and is good here as in a Dysentery, where there is any thing to be pur­ged. The pouder is given to two drams, with half a scru­ple of Spike, or half a dram of Cinnamon, with Myrobalans, or others mentioned in a Dysentery. Or make pills of Rhubarb and Mastick, as in the Diarrhaea: Take heed here of Aloes, for it opens the mouths of the Veins.

Clysters are not good but of milk, if there be pain or other accident, use a cleanser, or a healer, or an astringent Clyster, as in a Dysentery.

Or use these Potions to stop the Flux, and to correct the distemper of the Liver.

Take Syrup of Quinces, and of dryed Roses, of Myrtles, each one ounce; of Succory alone, or with Rhubarb, and of Endive, each half an ounce: mix them.

Or make a Julep thereof, with water of plantane, of Oak leaves, Endive, Liverwort.

Also Syrup of Liverwort, boyled with Sugar, is good.

A proper Decoction. Take Asparagus roots, Sorrel, Plantane, Fennel, each one ounce; Liverwort one handful, Endive, Agrimony, each one handful and an half; Raisons, with the Stones, three ounces: boyl them in Broath or Water. It is better with half a dram of the Pouder of a Wolfes Liver, given at every draught.

We allow Milk somtimes, because it stops the mouths of the Vessels, especially to them that have used it, and love it. It must have Steel quenched therein, and Sheeps milk is best, if the Whey be taken out by the quenching.

Also Almond milk, and Rice milk, and Barley cream, are good.

Raisons, and Currance are good for the Liver, especi­ally if unstoned or bruised.

You may make a thick Juyce of Raisons by boyling them in red wine, and straining them, and then boyling them again to a Rob or Quiddeny. This may be given alone, or with pouders.

Pouders are given alone, with Wine, Broath, Milk, or with Rob of Raisons, Quinces, or with Syrups, like E­lectuaries, or with Sugar of Roses, or Conserves, as of Succory, &c.

The first pouder. Take Coriander, and Dock seeds, each one dram; Endive, Purslane seeds, each half a dram; of red Roses one scruple, Sanders half a dram, red Coral two scruples.

The second: Take Sorrel seeds one dram, Seeds of Hat­chet Herb, or Dodder, or Water-cresses, each half a dram; burnt Ivory two scruples, the inward Skins of Hens Gizards one scruple.

You may add to these one dram of the Pouder of Wol­fes Liver, or to strengthen, Diamargariton frigidum.

The third Pouder: Take Rhubarb, Wolfes Liver prepa­red, each one dram; Barke of Frankincense-tree half a dram, Cinnamon one scruple, Spike half a scruple.

The usual Pouder for the Liver and the Flux thereof, is Dlatrionsantalon, by reason of the Sanders, and the Rhu­barb, which is somtimes doubled in quantity. And by reason of the Gumms, it stops the Veins, and of coolers, it allayes the Heat. It may be given in Lozenges or Pou­der. Diarrhodon Abbatis doth the same, being of the same Ingredients, and more. When the Heat is not great and the Stomach weak, you may use Aromaticum Rosa­tum.

Narcoticks are rather given against watching then pain, because the Flux is most at night. Among which Philonium Perficum is good to astringe.

Outwardly use things mentioned for the Dysentery to the Belly, because the Veins must be stopped, and the Flux stopped, alwayes adding things proper for the Liver, which lyeth under the right side of the Ribbs, and the Oyntment useth to reach to it. You may use the Oynt­ments, Pouders, Cataplasms, and Plaisters there mentio­ned, adding for the Liver Wormwood, Agrimony, San­ders, Spike, Schaenanth, Asarum roots, burnt Ivory, Sto­rax, &c.

You must apply to the Liver if it be hot, things that temper and strengthen, as in the beginning of an Inflam­mation, as that of Oyl of Roses, Myrtles, with Juyce of Endive, or Succory. Also the Unguent of Roses, and Cerot of Sanders, with Wolfes Grease, which is highly commended outwardly and inwardly. And the Epithem there mentioned, which repelleth, which is of Rose-water &c with burnt Ivory.

You may apply some Coolers mentioned for the Liver to the Reins, which suffer and consent therewith.

Also to bath the Feet, and use externals mentioned in the Dysentery, it is good.

Coeliack passion, The Cure of the Coeliack passion. or the Flux of the Belly, when the Chyle is voided pure, is an usual Disease in Children, and not dangerous, except joyned with other Diseases, or a Diar­rhaea. In this case when it comes from the Obstruction of the Meseraicks, with weakness of the Liver, and the Veins adjoyning, which cannot suck: You must first o­pen Obstructions, with things proper for the Liver, that disturb not the Belly; abstaining from astringents, be­cause the Flux is not immoderate: Nor must they be used except after Obstruction is opened, there follow another Diarrhaea or Flux. The remedies are these following, be­sides those mentioned in Obstruction of the Liver.

These gentle Pills are good to take away Flegm, Slime, and Filth, which stops the Veins. Take Rhubarb one dram and an half, Agarick one dram, Cinnamon half a dram, Spike, Schaenanth, each one scruple: make a Pouder. Or with Water, Juyce, or Syrup of Endive, or white Wine, Pills, let two scruples be the dose.

Or, Take that pouder, and sprinkle it with white Wine for a night, and with Fennel, Smallage, and Succory-water strain it, and add Syrup of Roses laxative of Endive, Maiden-hair, each half an ounce: make a Potion for once.

Then give these following, the Lozenges of Diarrho­don, Diatrionsantalon: Or if you will open more, of Diacurcuma, all which have Rhubarb.

Or give this Electuary. Take Conserve of the Flowers and Candyed, Roots of Succory, each one ounce; of Maiden-hair six drams, Conserve of Smallage, or Fennel, one ounce and an half, Conserve of Eryngus roots half an ounce, Pouder of Diarrhodon, or Trionsantalon one dram, Diacurcuma half a dram, with Syrup Bizantine, make an Electuary.

[Page 674]Corcus Martis made with Juyce of Citrons, or distilled Vinegar, is good to be put into Electuaries.

Let distilled Waters be drunk presently after the taking of Lozenges or Electuaries, of Fennel, Smallage, Succory, Endive, with the third part of white Wine.

The Syrup Bizantine, of the five Roots, or of two roots, of Succory, Endive, or Maiden-hair, may be given alone, or with distilled Waters.

Or this Decoction. Take Roots of Succory, Fennel, Smallage, each one ounce; Eryngus, wild Parsnips, each half an ounce; steep them in white Wine, of Maiden-hair, Sow­thistle, Endive, each one handful; red Pease one pugil, Cori­ander, and Smallage seeds, each one dram; boyl them, and add to the straining Sugar, and one dram of Cinnamon, San­ders, and Schaenanth, each one scruple. Let it be for three draughts.

A Wine of the Infusion of those Roots is better, ad­ding Monks Rhubarb, Madder, each one ounce; Cypress­roots half an ounce, Wormwood, and Agrimony, each two drams.

The Belly must be anointed, not with astringents, but things that open Obstructions, which will pierce to the Mesentery, and the Veins of the Omentum. Therefore, Make this Oyntment. Take Oyl of bitter Almonds one ounce and an half, Spike, Chamomil, or of Melilot, each one ounce; Juyce of Smallage, or Fennel, and white Wine, each one ounce and an half; Let them be boyled or mixed for a Liniment, used with the hand first dipped in Aqua vitae.

Or, Take the aforesaid Liniment, and with Asarum roots, and Gentian, each one dram; Spike, and Schaenanth, each half a dram, Smallage seed one scruple, and Wax make an Oyntment.

Apply things mentioned in the Weakness of the Liver, to the region thereof.

A Cupping-galss applied there, is thought to draw the Chyle thither.

If a Diarrhaea follow, then you may use gentle astrin­gents inward and outward, as in a Lientery, but not o­therwise.

If it come from the Dysentery, or co­ick, The Cure of mattery Stools. the Cure is there mentioned: or from the Liver or Spleen.

If this Voiding of Matter be of long continuance, and come from an Imposthume of the Me­sentery turned to an Ulcer, the Patient is of ill Habit of Body, and discoloured. And the Cure is difficult, be­cause the Ulcer is without the Guts: and the Matter may easily fall into the cavity of the Belly. But the same things must be used as in a Dysentery and Tenesmus, with Matter.

It is cured as a Lientery, if it come from eating of fat Meats that are not concocted: The Cure of fat and oyly stools. Or as a Diarrhaea, when fat is mixed with other Excrements.

The Excrements are voided otherwise then by the Fundament. The Cure of the Voiding of Ex­crements at the mouth. And if by vo­miting, it is dangerous, and few escape: As was shewed in the Iliack Passion and the Rupture. And then you must look to the cause of the Disease, as was shew­ed; and wash the Mouth with wine-vinegar, and sweet things, by reason of the abhominable stink, and streng­the Stomach, but you must not stop, least the filth be re­tained.

If Dung come forth with Urin, you must regard wholly the Ulcer fistulated, The Cure of the excrements voi­ded by Ʋrin. which passeth through the strait Gut to the Neck of the Bladder: As was shewed in Pissing of Matter.

You must cure the hollow Ulcer in the neck of the womb, The Cure of Excre­crements of the belly voided as the womb. which pierceth the strait Gut: As we shew­ed in the Ulcer of the womb.

If Dung or Chyle passeth through a wound of the Belly that hath pierced the Guts, The Cure of Ex­crements voided by wounds and and Fistula's. the wound must be cu­red. And if it be deadly, as usually it is when great, or if the Excrements fall with Blood into the hollow of the Belly, then it ends with death. But if the wound be turned into a fistulated Ul­cer, then the Excretion is permanent and incurable. But if this wound not only in the skin and flesh, but in the Guts, grow together by a Callus, as we have seen, or by the flesh that grows near to it: As we shewed in Wounds of the Bladder. This filthy Excretion may be cured, and the Patient may live.

And in these desparate wounds, if they be large, so that you may see the Guts that are wounded, or if you enlarge them, you may put in a silver Pipe or rather of Lead, and bind the Gut strongly thereupon, which hath saved many from their Graves.

CHAP. XII. Of filthy Excretions.

The Kinds,

VVHen other Excrements besides those mention­ed, come from the Body, they are preternatu­ral; as from the parts following.

There is alwayes Filth in the Ears, Filth from the Ears. and it comes not forth but by being taken out, it is commonly like wax yellow and thick, somtimes hard, and discoloured other wayes. This cau­seth Itching when there is much, and hinders Hearing, as we shewed in the Hurt of Hearing.

There is somtimes Filth in the Nostrils that is thick, moist, or dry, white, yellow, Filth from the Nose. or black, sticking so, that it cannot be ta­ken off without hurt, or filling the Nose, of an ugly as­pect when it is forth: And esepecially when Children, or other nasty people swallow it.

Besides Matter and Tears, there is thick, Filth from the Eyes. white, or yellowish Filth in the Eyes, in bleareyed people, and others, as I shewed in the Diseases of the Eyes.

Filth sticketh in the Corners of the Mouth which are called in Latin Bridles, Filth in the corners of the Mouth. and ulcerateth it, it continues long.

Sometimes in sluttish women there is Filth in the Privities besides other Fluxes, Filth in the Womb. and also in the Glans of Mens yards, that is covered with the Fore-skin, which cau­seth a stink.

Filth sticketh in many places to the Skin, Filth from the Skin. thin, and thick, which makes a stink like that of a Goat, called in high Dutch Briete­len; as if by long continuance in a place, like a Hen hat­ching of Eggs, they had contracted it.

They who have sweating Feet have filth and stink, this is usual, Filth between the Toes. especially in Sum­mer, which is offensive to their Compa­nions: And between the Toes there is thick, black Filth, that stinketh. As also under the Arms and in other hai­ry places, where it easily sticketh.

The Teeth are often foule all over, Filth of the Teeth. or at the Roots: And the Filth is either soft like Pap, or yellow; sometimes hard and like Gravel: And somtimes they are black, as with Soote.

The Causes.

The Colour and Bitterness shews Choler is the cause of filth in the Ears [Page 675]that Choler is the cause of the Filth of the Ears. This Choler comes with water or whey into the cavity of the Ear, and the water sweats out, and the Choler grows thick. And it appears that it comes not from the inward passage of the Ear, because it hurts not the drum nor the hearing, but by stopping the Ear outwardly.

The watery Humor which moistneth the Eyes and Ears, Water is the cause of filth in the Ears, Eyes, Nostrils, and Privities. being made thick by continuance, causeth the filth in the cor­ners of the Eyes and the yellow filth in the ears. And from Moisture especially, if they have the Whites, womens Privities smell strong. And the filth between the Glans and Praepuce in men which stinketh, and causeth Itching, is from corruption of Seed, or a slimy Humor.

And the same Humor dryed in the Nostrils by hot air, causeth the filth there, which sticks so close, especially in the night, if the Head lie back, so that the moisture cannot come to the Nostrils.

From usual Vapors and Sweats which come from the Body, Sweat causeth the filth in the Feet and Skin. that smell strong like a Goat, in slovenly people, the skin grows foul and stinketh. And Nature throws them to the extream parts, whereby men that sweat, have stinking Feet, especially in Summer. And when filth is long kept in strait places, or hairy, as in the Arm-holes, Groyns, Privities, and be­tween the Fingers and Toes, it sends a noisom Scent.

Those fluffs that foul the Teeth, be­ing thick and clammy, Meat is the cause of foul Teeth and Corners of the mouth. come from Meat that is slimy, and sticks thereto by chewing, except they be rubbed and washed. And also those in the Mouth that cause Ulcers, if they be not cleansed, come from the same.

Spittle being slimy, fouls the Teeth, Spittle is the cause of foul Teeth especially when the meat eaten makes it more tough, or hot breath when the mouth shut, dryeth it. And when the teeth are idle, and chew not any hard thing, as bread which useth to cleanse them, they are foul. Hence it is that they which chew with one side of the mouth only, have the other side filthy; and that Filth grows hard like gravel, discoloureth, and maketh the teeth uneven. And this may come from se­rous earthy matter in the Spittle growing to the Teeth: As we shewed other Stones may grow, especially where the Teeth are rough, and about the Gumms, and where they are worn. This Filth will grow hard and over the teeth, if they be not cleansed. Also in the French Pox the Spittle defiled with Quick-silver which blacks the teeth, and makes them loose.

From a hot Breath in hot Disea­ses, Vapors are the cause of foul Teeth. or malignant Vapors in the Plague, the Teeth and Jawes may be likewise affected.

The Cure.

We shewed in the Hurt of Hearing how the Ears are to be cleansed. The cure of Filth in the Ears.

The Eyes must be cleansed as in Epi­phora and Tears. And in the eyes.

The Filth in the Nostrils may be ta­ken out with the Finger, In the Nose. if not, let Milk or other Liquor be snuffed up first.

Filth must be wiped from the Mouth which the Spittle and Meat causeth: In the corners of the mouth. Or if there be an Ulcer it must be cu­red as the Ulcers of the Mouth.

It is taken of with water, In the Skin. especially if warm. And if it is much by bathing. And if it be too slimy, and tough, greasie, and stinking, it must be washed of with cleansers and oyly things. As with Lye of Ashes, with Lime somtimes, if we will have it stronger, which hath also a fat Slime besides its clean­sing vertue: Soap is of the same force, being made of a­shes, Lime and Suet boyled hard, adding a sweet scent, as Orris roots. Oyl is used for Suet, and then the Soap is softer and blacker. Rub these Soaps in the hand till it maketh sudds, and it will take off any Filth: wash the Hands in your own Piss, and it will cleanse almost as well as Lye. Other things to make clean white and soft hands are mentioned in Cosmeticks or Paints and Washes.

The stink of the Feet from Filth and Sweat is hardly cured, The Cure of the Filth of the Feet. because sweat re­turneth; it often continueth long, and is nauseous to company, and therefore re­quireth Cure. And it must be done as followeth; as al­so the stink of the Arm-holes. First purge away the mat­ter which occasioneth the sweat, as the humor is.

Then provoke Sweating that the abundance of Humors may be thrown to the Superficies, often, till it ceaseth.

Then wash the Feet or Arm-holes, with Cleansers and Dryers, mixing alwayes sweet Scents.

A Lye of Ashes is good for this, especially of drying Wood, and burnt Bones, with Bole, Tartar, Salt, Allum, Vitriol, if you will dry more.

All, or some of these may be boyled in Smiths-water, or water of other Minerals.

A Decoction of Vitriol alone in water, is good.

In all these for scent sake, boyl sweet Herbs, as Sage, Lavender, Spike, Myrtle leaves, Wormwood, and mix Wine therewith, and other astringent Herbs, to dry strong­ly.

Dioscorides commends Applications of Myrrh, and Al­lum, Carduus roots, and Daffodil roots.

If it be very strong, and hard to be removed, use dry­ing Baths, &c.

VVe shewed in the Cure of Whites, how the Privities should be cleansed from filth which is so stinking and of­fensive to the Husband.

All kinds of Filth of the Teeth, white, The Cure of foul Teeth. or yellow, or black, or gravely, hard are taken away with the following Reme­dies.

First by pricking them after meat, and by washing the mouth.

Tooth-pickers must not be made of Iron, least the teeth be hurt, nor must you pick them with the point of a knife which is an evil custom, but of wood, or a strong bone that will bend, as of some Fish, or the tendons of Cocks Leggs, or claws of great Birds.

Some are made of Wood that six the Teeth, and give a scent, as of Mastick tree, Myrtle, Bay, Juniper, Fennel stalks, laid in Musk.

A good Tooth-picker is made of a Marsh-mallow root, when we fear that hard will wear the Gumms, you must first dry the Root in a Oven, and then cut into Tooth­pickers.

The Mouth is to be washed also with water. And the Teeth must be wiped, or rubbed with the finger, or a cloth or with a piece of Scarlet. Or the outward bark of a Nut-tree, or with inward green, or the like cleansers.

This is better done with Dentifrices or things to rub Teeth, made of Pouders, to be taken wet with the finger or cloath. Or to be made into things like Suppositories, with Gum Traganth infused in Rose-water: Or with ho­ney like a Pap. These must not be used constantly, least the teeth be worn away thereby.

These Pouders do actually cleanse as Sand and the like, doth cleanse Vessels, or potentially, by a drying and clean­sing quality. And they must be beaten very fine, least they make the teeth rough, or wear them.

As Pouder of Cuttle-bone which is easily beaten, Crabs Eyes, Pumex, and Spunge stone, and that of the Froath of the Sea called Halcyonius.

Some must be burnt as the Pumex, instead were of fin­ders well burnt may be used.

[Page 676]This burning makes them cleanse more; Harts horn is of most use, Ivory, and divers Teeth, as of Horses, all kinds of shells, of the Sea, Land, as of Snails, and of Fruits, as of Dates, Myrobalans, Olives, Cypress-nuts; these are all best burnt. Also Pouder of Stones, as of A­labaster, the specular or clear Stone like Grass, and others that are easily beaten, or burnt, also Bricks or Tiles.

Some soft things are dryed in an Oven, as Crusts of Bread of Barley is the best.

Also of Plants, as Burnet, Pellitory, Beets, Maiden­hair, Coleworts, Myrtles, Mastick-tree, Olive-tree, and of sweet scented Herbs, as Penny-royal, Organ, Hysop, Mints, Sage, Rosemary, burnt as the other.

To these are added Pouder of Cinnamon, Cloves, wood aloes, to make them sweet; or Marjoram, Lavender, Or­ris roots, and Musk.

And to fasten the Gumms if loose, Mastick, Frankin­cense; and Myrrh, if foul. And if the Teeth be rotten, use things formerly mentioned for them.

And to take away Flegm, add Pellitory of Spain, mu­stard seed, Pepper, Ginger; or a little Hellebore, if flegm be abundant.

Salt doth not corrode, and yet cleanseth the Teeth, therefore is good to be rubbed upon the teeth, being it is alwayes at hand. And it may be mixed with other Pou­ders to make them stronger and more pleasant. The boy­led common Salt is good as well as that which is digged out of the Earth called Sal Gem. Also Allum and Niter burnt.

The fat that swims upon the Salt Leati or Glass-wort, dissolved with broken stones to make Glasses, which be­ing cold turnes into a stone and is called the grease of Glass, being poudered, doth wonderfully cleanse the Teeth.

And white Wine Lees or Tartar doth the same with o­ther Pouder.

You may make divers compositions of the former, and these are easiest made. Take Cuttle-bone half a dram, Co­ral finely poudered one dram, burnt Harts horn half a dram, Salt two drams, or more, make a Pouder.

Or, Take Pumex stone half a dram, burnt Ivory half a dram, Pouder of Alabaster one dram, of the Grease of Glass two drams.

Or, Take burnt Crusts of Bread two drams, Crabs eyes one dram, Date stones burnt half a dram, Ashes of Rosemary one scruple, burnt Alium half a dram.

You may make these sweet with Angelica, or Orris roots, or Cinnamon, or Cloves, or the Oyls thereof, or make them into Dentifrices with the musked infusion of Rose water, with a little Mastick to strengthen the Teeth, and other simples mentioned.

This Dentifrice is of excellent vertue: Take Barley meal and common Salt, each equal parts; and with Honey, make a Past, put it in Paper and dry it in an Oven till it be almost burnt, pouder it, and add to three drams thereof, ashes of Crabs, Pumex calcined, Egg shels, Cypress, Allum burnt if you please, two drams, dryed Citron peels, Camphire, each one dram: make a fine Pouder.

The Teeth are clensed by the juyces of some Plants, as of Burnet, and roots of Sowbread. Also with a clout dipp'd in some distilled waters. As this: Take common Salt, or Sal Gem three ounces, Sal Ammonjack one ounce and an half, Allum one ounce: let them be beaten, and dissolved with a little Rose, or Lemon water, and distil them.

Aqua fortis, if it be mixed with other waters, til it be made harmeless, is admirable to clense the Teeth, especi­ally in the French Pox.

Also Oyl of Vitriol used as the former.

By washing of the mouth, the meat that sticks in the Teeth is not only washed out, but also the filth and soyl which by breathing at night sticks to them is taken off, or prevented. If every morning you wash with water, Wine [...] a little Vinegar and rub the Teeth, and after use Dentifrices if need require, and then wash them again with the same. If this should be done dayly, as the Teeth need no less washing then the Hands, they might be kept clean and sound til old age, except some other accident, and without these they cannot be kept clean, white, and uncorrupted.

Eating keeps the Teeth clean, therefore on that side where the Teeth are rotten and they cannot shew, is soo­ner infected and there are scales. Therefore let them use to eat one both sides.

When meat fastned in the Teeth is picked out, som­thing is taken from the sides, because it cannot be so ea­sily come at, when it is lodged within, as when any filth is without. Therefore it is good to dip the Tooth pic­kers made of wood (as was shewed) in Salt, or Allum water.

You must take off the hard slakes with Iron Files or flegms for that purpose, made broad or sharp.

CHAP. XIII. Of the Voiding of Living Creatures.

The Kinds,

THere are some Living Creatures bred in the Body which are wholly besides nature, as also the voi­ding of them. And they are either Worms, or Insects, or Lice. As for Fleas it is a doubt whether they be bred in mans body or not: but no doubt they come from o­thers.

There are divers kinds of Worms that come from divers parts of the Body, Worms voided by Stool. which are like other Worms.

The long worms are called Lumbrici, Long Worms. because they are like Earth worms. They are round, sharp at the both ends like Earth worms, shewing neither head nor tail, whitish and hard usual in Children. They are voided more or fewer usually dead, and somtimes alive.

Divers accidents accompany them, the gentlest are pain of the belly, gnawing at the Heart, sighing, a dry Cough, Itching of the Nose, therefore they rub it con­stantly: grating of the Teeth, restlessness, heavy dreams, which makes them suddenly awake and cry out. The great accidents are greediness, vomiting, loosness, Lien­tery, Feaver, Convulsion and Swouning.

The short worms that come from the Fundament are called Ascarides, Arsworms. they are round, like Mites in Cheese, or Worms in Ulcers. These are voided alive with the Excrements, with great itching and bring scarse any other accidents.

They reckon flat worms with these, but because they neither live nor move as the other but are long membra­nes, that grow in the body, we shall mention them in o­ther excretions.

Such Worms come also out at the mouths of Children, in their sleep, Worms comming out at the mouth. and from others at other times cau­sing Vomiting.

I cannot omit the mentioning of a monsterous worm very great behind the Head like a Canker worm, hairy, with a black shell like a beatle upon the back, with many Legs like an Ear-wig voided by a souldier vomiting, after long heart pains.

Some thought that worms breed in the Teeth within, Worms of the Teeth. being deceived by the smal [Page 677]Fibres found in broken teeth, as in cavities of great bones. Some thought them to be Nerves: Others Wormes. But they may be in hollow teeth.

The Lumbrici or long worms will come out at the Nose, Worms in the Teeth. or Mouth, and cause itch­ing.

Somtimes little worms have been blown out at the Nose, from an Ulceration there.

A Bergen Physitian affirmed seriously to me that he saw a hairy worm with many Feet, like an Ear-wig sneesed out at the Nose by a woman, which a long time before felt a great Itching about her Fore-head.

It was shewed in Ulcers of the Ears, that worms come forth with matter. VVorms in the Ears. VVorms cou­ghed up. VVorms pis­sed forth.

Some affirm that men in Consumpti­ons have coughed up worms.

I saw a Man who had the Colick (of whom I spake in the Colick) that made Urin with infinite small worms like mites in cheese, swimming alive therein; which dying, sanke down in a great lump to the bottom. And I saw the same after in others. And have since read of divers that have seen the same.

VVe shewed in verminous or worm Ul­cers, VVorms in Ʋlcers. how they bred there.

VVe have seen in the bottom of the na­vel a long round worm, Navel-wor­mes. such as breeds in meal, that thrust it self forth, and drew in again.

Some affirm that the long worms of the Guts have come forth at an Ulcer which hath pierced through the Belly and Guts. VVorms in a wound of the Belly.

It is reported that in some Diseases there are worms in the Arms, Dracunculi or little dra­gons. Leggs, Thighs, and sides called Dracunculi, in high Dutch Mittfross. But we leave the description of them to them that have seen them.

Besides these kinds of worms, VVorms re­maining in­closed in the Body. others are bred in the Body, where there is no passage for them to get out. But after death are found in dissection or Anatomy; of which neither the Patient that com­plained of other Diseases, nor the Physitian knew. These belong not to things voided or Excreta, but to other ac­cidents, where they shall be spoken of.

Under the Heart, it is reported that worms breed which prick and molest, VVorms un­der the heart. but they express not the part: being deceived with those worms that rise to the mouth of the stomach, and there molest the Heart. For they can­not breed any where about the Heart or Pericardium or under it, because it grows to the Midriff.

Lice come from divers parts of the Su­perficies of the Body, Phtheiriasis or the lousie Disease. and cause an Itch­ing molestation, which is called Phtheiri­asis. The kinds whereof are distinguished by the parts of the Body.

Lice breed most in hairy places, Lice in hai­ry Parts. especi­ally the Head, usually in Children and poor people; and somtimes in other un­clean persons. When they are grown they are broad with many feet equal, because they leap not, but creep. And they have a black spot in their backs sometimes. The young ones are called Nits.

Somtimes they grow in the Beard and Eye-brows, and cause Itching there: But are little, and are quickly rou­ted from those small quarters.

Also in the Hair under the Arms, VVorms that eat the Hair. some teach that the Hair of the Head and Beard may be eaten and cleft with worms or lice, scarce visible.

There are Lice found fastned to the skin about the hairy parts of the Privities, Lice that grow to the skin, or crab­lice. that cause grievous itching and pricking, and stick very fast. Which the French call Morpions: Or kil-Doves, because they are like the Lice in Dove-cots that kill Pigeons. We call them Crab-lice, because they re­semble the Crab-fish. These somtimes creep into other parts, and there stick in the skin.

There is a peculiar sort of Lice that breeds in the Palms of the Hands, Hand-lice. and in no other part, except the Soles of the Feet, under the skin which causeth a little swelling or cleft, and a continual Itching. And when they are taken out, they cannot be seen to move but upon a clear glass. These are called Chirones from the Hand in Greek, and Acari.

The Causes.

All kinds of Worms or Lice breeds of Juyce or Filth.

Worms breed of Juyce that putrefieth by heat, which is either Chyle, or any putrid Matter.

The Lumbrici of the Guts breed of chyl in the hungry Gut called Jejunum, Chyle is the cause of long Worms. where any of it, which is not sucked away by the Meseraicks, because it is too thick, or too fat, but is wrought by the heat of the guts, through long continuance into one or more living worms. This Chyle is produced from the eating of certain meats which afford matter for worms. For which cause chiefly Infants that seed too soon upon flesh, and have not milk that is con­venient, are so troubled with worms. These worms as they breed of this Juyce, so are they nourished there­by. And when they consume it, they cause a great appe­tite. And if they creep into the guts, they torment them with tickling, sucking, and pulling, and cause griping and Fluxes. And if they get up to the stomach, whether they may easily go from the smal guts, then by molestation and hindering of concoction, they cause accidents and dis­eases of the Stomach and Lientery: And if they gnaw the mouth of the Stomach, they produce Symptomes of the Heart and Brain. And if they rise upwards to the Jawes and Nostrils, they trouble them. But they cause the grea­test accidents when they are killed and putrefied in the small Guts, and send up stinking vapors to the Heart and Brain, which cause Convulsions and Feavers. It is thought that worms a long time retained, can so gnaw the Guts, that they may pass through the Belly about the na­vel or Groyns. But this is not probable, for they have neither sharp bills nor open, nor teeth, and by sucking, they cannot do it. Therefore if worms come forth there these come from some Imposthume in the outward parts, and are not Lumbrici or long worms, but such as breed in Ulcers. And if they come from the Guts, there was first a wound which made the passage. But if worms come downward from the small Guts with the Excrements, into the Gut Colon, then if they pass presently through they come forth alive at the Fundament. Or if they be mixed with the Excrements and kept long, they are cast forth dead with the Excrements.

Ascarides or little Worms in the Fun­dament and elsewhere, Slime or flegm is the cause of Ars-worms and Nose­worms. come from a pu­trid matter which getting a new heat from putrefaction, produceth divers worms according to the diversity of the matter, which is simple or compound.

Ascarides come from Flegm or Slime long kept in the folds of the thick Guts, and they will lie long there, till they are sent forth by the Excrements. Also from flegm long lodged and putrefied in the cavities of the Nose, may come worms. And that hairy or downy Canker-worm which we reported to be sneesed out from a womans nose was so bred.

From Matter not only ripe, Matter is the cause of worms in the Nose, Ears, and Lungs, and Teeth. but putrefied in Ulcers of the Nose, and external Ulcers of the Ears. And from that in the Navel, come [Page 678]worms. And from that in the Lungs ulcerated, come worms which are spit forth. And if they be found in the teeth, they come from the putrefaction in the cavities thereof.

Ascarides or Arse-worms come more usually from Meat that easily putrefi­eth, Meat eaten that putrefieth is the cause of Arse­worms, and teeth­worms, and such as are pissed forth as Flesh, Cheese, Fruits, when it sticks in the windings of the thick Guts, then from Flegm. Because we may perceive that such things being out of the Body, produce the same. The same things sticking long in a hollow tooth, may produce worms.

VVe shewed formerly, that some worms bred of cheese were pissed forth, and it is probable, for they are very like mites. And the Patient as we shewed in the Colick, li­ved long upon Cheese, and voided a quantity of it by the use of a Clyster. Of which Cheese long retained and putrefied in the Guts, it is probable that these worms bred. And were sent by the Meseraicks with the Serum or whey into the hollow Vein, and so into the Kidneys and Bladder. And this is easie, because they are very lit­tle bodies. And in regard thicker Humors, and bodies do pass the same way. And this is the reason why others have pissed worms from eating Cheese, which had them or bred them after it was eaten. For in another corrup­tion of Humors, either in or out of the Veins; it is sel­dom seen that worms are voided by urin. And every cor­ruption doth not produce worms of this form like mites, but ascarides, or the like. Nor can they be from the ul­cers of the Reins and Bladder, because they come from Ulcers in another form.

Lice breed from filth sticking to the skin, which filth proceeds from Vapors, Filth of the skin, is the cause of Lice. Sweating, and the Excrements of the Skin, both under and above it, in Children, and poor peo­ple, and such as are nasty in certain parts of them where they putrefie. Especially in hairy parts, because filth will stick faster there, and can be less taken off then from the smooth skin. Especially in the Head, where they are most abundant, smal at the first, and sticking to the skin, but being nourished by the nourishment that comes to the skin, they grow great, and march about the Head, and somtimes into the Garments and other parts of the Body.

But if this Filth have any other Infection besides the ex­crementitial moisture, as about the Privities, where there is a venemous Vapor in unclean persons, it causeth a worse Progeny; and then the Lice are worse stick deeper in the skin, called Crab-lice. These come from Copulation when the hairy parts are united.

From that which causeth Scabs, being retained under the thick skin of the palm of the Hand, The Venom of humors, is the cause of Lice in the Hand. and corrupted, proceed those little Lice under the scarfe skin called Chi­rones, as appears by the Pustles and Scabs that are at the same time there.

And the thickness of the skin in the Palm of the Hand, is the cause why they are rather there, then in another part, which keeps these thin Excrements from being discussed. And the same may be in the Soles of the Feet.

The Cure.

Lumbrici or long Worms bred in the thin Guts, The Cure of long Worms. staying long, and nourished with Chyle: are not known when they do no hurt. And without other Remedies pass through the Guts with the Excrements, or get upwards, but sel­dom, through the Mouth and Nose. But when they do hurt, either alive or dead, by staying in the Guts, and pro­ducing accidents, in tender Bodies especially, and endan­ger life, they ought to be cured.

The intention of Cure is to keep them from breeding, and to expel them that are bred out of the Body. We pre­vent their breeding, when we keep the Chyle from turn­ing into worms; by making it moderate and thin like Milk, not much, and thick with Meat of good Juyce, not suffering Children to feed upon flesh and sat: but keep­ing them long to Milk and Pap.

VVhen worms are bred, we expel them alive or dead, with things that provoke Nature thereunto. When alive, with things that cause them to flie, or kill them by a con­trary quality, either manifest, as bitter and sharp, or salt, or sour, which worms hate. Or by fatness, which stops their breath. Or by a hidden quality which we know by Experience. Also we allure them to destruction, with pleasant things. All these are to be directed according to the constitution and the accidents. As when there is a Fever you must avoid hot things that are bitter and sharp, or temper them with things which by sourness, al­lay the heat, and yet resist the worms. If the Belly be loose, you must use things that bind somwhat, and also kill worms. If there be swoundings, give Cordials. If Convulsions, things proper against them. For the doing of all these, let this course be taken,

Purge to stir up Nature to expel the Excrements and worms, with things that are proper to kill them if alive.

Rhubarb is the best ordinary Purge, especially in a flux, for it bindeth afterward: and also in a Feaver. Also My­robalans, Juyce of Roses, and Peaches, Laurel tops, are enemies to worms. Especially Aloes, by reason of its bit­terness, and being good for the Stomach, it purgeth it from crudities, and makes the Chyle pure.

Most strong Purges are bitter and sharp, and therefore good. As Senna, Agarick, Turbith, Scammony, Colo­quintida, of which you must give more or less, according to the strength.

A pouder is thus made. Take Rhubarb two drams, pou­der against Worms half a dram, Coraline one scruple: give it with convenient Liquor, or Syrup, half to those in years at a time, and less to Children one dram, of Senna, or Turbith will make it stronger, and half a scruple of Scammony, if you will have it yet stronger.

Pills are thus made: Take Aloes two drams, Myrrh one dram, Worm seed one scruple, with Syrup or Juyce of Worm­wood, or Gentian. Make a Mass for Pills, give a dram, or half a dram to the younger fort. You may make them quicker with the former Purgers, or six grains of Niter.

A proper Infusion: Take Rhubarb four scruples, infuse them in Wormwood wine. Or if there be a Feaver in Pur­slane, or Knot-grass water, strain it, and give it with Su­gar.

A good Decoction. Take Knotgrass roots one one ounce and an half, white Dittany one ounce, Southernwood, Hysop, Peach leaves, each one handful; Lupines two drams, Worm­seed one dram, Cummin seed one scruple, Sebestens ten pairs. These are said to kill worms, Senna one ounce, Polypody six drams: boyl them, adding two drams of Rhubarb towards the Conclusion, and one dram of Cinnamon. Give it at twice, and to young people at three or four times.

A very good Wine, which is not so bitter and unplea­sant. Take white Dittany roots one ounce and an half, Tor­mentil roots one ounce, Fern, and Gentian roots, each half an ounce; Wormwood, Southernwood, each two drams; Mints, Hysop, each one dram and an half; Tops of the lesser Centau­ry one dram, Worm seed half an ounce, Senna one ounce and an half, Agarick or Mechoacan three drams, Turbith, Rhubarb, each two drams; beat them, and infuse them in four pints of Wine. Let it be given more or less, according to the O­peration.

The Syrup of Peach flowers is the best usual Purger, to kill worms. Or Syrup of Roses solutive, which kills them by its bitterness, and they are better with Rhubarb infused in them, or a little Scammony.

Pills and purging Lozenges, if there be a Convulsion with the worms, mentioned in the Cure of the Falling­sickness, may be given here.

[Page 679]There is a good pouder against worms that purgeth, made of Senna, worm seed, Coriander, and Harts horn.

Also the usual Pills of Aloes, and Ruffi, and Hiera, and other Pills that have Aloes.

Also purging Electuaries which are good against worms, adding other things that kill them therewith, you must observe the strength and Constitution, and other acci­dents, when you give them, especially if there be a Flux or Feaver, and give astringents for the one, and coolers for the other.

There are many things that kill worms by a manifest or occult quality, or make them depart. To which we put pleasant things, that they may suck them fasting, with things also that respect the accidents.

Some Food also, and Sauce is good against worms, as white Bread, green Nuts, Garlick, and Sebestens. And in Sallets, Beets, Endive, Succory, all green. Also Pur­slane, Water-cresses, Vinegar, Salt. Therefore when chil­dren begin to eat salt Meats, they are less troubled with worms, then when they did eat Milk, and fresh Meat. Al­so Salt keeps them from rising up at the mouth.

There are also Pouders to be taken with Sugar, or wine, water, or Milk, with Honey, sour or boyled wine, from half a dram to a dram, Or to be made into Lozen­ges, with Sugar dissolved.

The simple Pouders are, the pouder of Worm seed, Co­ralin, Harts horn, best for Infants, because not unpleasant.

The Compound Pouders are first of these three. Take Worm seed half an ounce, Coraline steeped in Vinegar, and dry­one dram, Harts horn two drams.

Another: Take Worm seed, Lupines, each two drams; Coleworts seeds, Coriander prepared, Purslane, Citron, or O­range seeds, each one dram.

A third: Take white Dittany two drams, Tormentil roots one dram, Gentian half a dram, Wormwood, Southernwood, each one dram; Thyme, or Mints, Flowers of Centaury, or Hysop, each half a dram, Zedoary one scruple.

A fourth Pouder: Take burnt Harts horn two drams, I­vory shavings one dram, Earth worms half a dram, red Coral one dram and an half: make a Pouder.

If you add Rhubarb to any of these, it will kill them, and expel them better.

You may make greater Compositions, with the Roots of Fern, Swallow-wort, white Thiftle, Birthwort, Devils­bit, Alkanet, Madder, Barks of the Roots of Mulberries, and Cappars; Rue, Polymountane, Goosgrass, Savine, Horehound, Calamints, Sea-wormwood, Tansey, Mints, Cat-mints; also Seeds of Orrach, Dill, Henbane, Gith, Pepperwort, Water-cresses, Rochet, Turneps, Lovage, Hopps, Sorrel; also with Brimstone, Saltpeeter, Pease, Earth-nuts, Myrrh, Gum of Juniper. And to make it pre­cious, with Gold, Pearl, precious Stones, Unicorns horn, Bone of a Stags heart, Musk, and Ambergreese.

Another is usually made of worm seed, Lupines, worm­wood, and Harts horn all poudered.

If there be a Convulsion or Swounding therewith. Take Piony seeds one dram and an half, Purslane, Citron, or Orange seeds, each one dram; Harts horn half a dram, red Coral, Diamargariton frigid, each one dram; Sugar of Roses as much as all the rest.

A Decoction or Syrup. Take Roots of Knotgrass, Dit­tany, each two ounces; (Tormentil or Bistort when there is a Flux of the Belly,) Orris, Elicampane, Fern, each one ounce; Carduus, wormwood, Horehound, Time, Calamints, Mints, Rue, Hemp, each one handful; Lupines, Bay berries, each two drams; worm seed three drams, Purslane, Colewort, Coriander, Citron or Orange seeds, each one dram; Sebestens ten pairs. Boyl them, and dissolve in the Liquor strained, Sugar, or Honey, adding Cloves, and Cinnamon, and make a Syrup.

A Decoction of Rie is good to expel worms.

Also Sebestens, because the clamminess thereof stops their breath, when other sweet things will not hurt them.

The Decoction of green Nut shells will kill worms, be­cause we find by Experience, if it be poured upon the ground, the worms come forth.

The Flowers of Lupins, which kills Flies boyled in milk, will also kill worms, and the seed also.

The usual Syrups are bitter, as of Wormwood; and it there be a Feaver, of Endive, Succory, with, and without Rhubarb. And sour, which are best in Feavers, as of Ci­trons, Lemmons, Oranges, Bar-berries, Currance, Sor­rel, Vinegar, Byzantine.

Also their Juyces, and of Goats-Rue, Germander, Mints, Agrimony, Elicampane, &c.

Wormwood-wine, with other bitter things mentioned, as worm seed, &c.

Also Wine of the Infusion of Groundpine, and of Agri­mony.

Also an Infusion of Rhubarb, Wormseed, and Scordium in Aqua vitae, or Brande-wine, may be given to Children.

A distilled Water of Wormwood, Gentian, Knotgrass, Purslane, Horsraddish, Rue, Mints, Flowers of Sloe-bush. And if there be a Feaver, of Endive, and Succory.

Conserves for the same, are of Peach flowers, Gilly flo­wers, Orange flowers, Lemmons, Citrous: as I have pro­ved. Also the Peels candied, so that they may keep their bitterness.

To drink your own Urin, or Lye, or Brine, is also good.

Also Oyl of Olive choaks the worms, and other things that breath. And if you take as much of the Juyce of Lemmons, and give them to drink, it will kill them effect­ually.

Also Oyl of bitter Almonds, Peach kernels, Indian Nuts, and Oyl of St. Johns-wort.

Also distilled Oyls, as of Spike, or Vitriol two or three drops.

There are divers Mixtures for the same Electuaries or Pils.

In fear of a Convulsion, This: Take Citron peels can­died one ounce, Conserve of Piony, Roses or Bugloss flowers, and of Mints, each half an ounce; of the Pouder mentioned one dram, Syrup of the Juyce of Citrons, or Lemmons, as much as will make an Electuary. Let it be taken, and water of Purslane, Piony, or Bugloss, &c. drunk after it.

Treacle and Mithridate are also good.

Some give a drop or two of Quick-silver, or half a scru­ple, and it will make the worms flie away. And it may be given safe: as I shewed elsewhere.

VVater in which Quick-silver hath been steeped and stirred and strained, doth wonderfully expel them. And you may do the same in wine, or other Liquor.

Give warm water that hath had Lead or Tinn quenched therein, and it will expel all sorts of worms, as I have known by Experience.

Clysters are given to draw worms out of the thin Guts into the thick, and keep them from ascending. They are made of these following which are pleasing to the worms: first giving things at the mouth that drive them down.

They are made of Milk, which may be omitted in Fea­vers; or of flesh Broath, or the Decoction of Figgs, Rai­sons, Barley, Wheat one pugil, with Sugar, Honey two ounces, and two Yolks of Eggs.

If we conceive that they stick in the thick Guts, we give in Clysters bitter things. As, Take Roots of Gentian one ounce, Wormwood, Southerwood, Arsmart, each one handful; Tops of Centaury one pugil, Lupins half an ounce, Wormseed two drams: boyl them, and dissolve in the strain­ing, Oyl of Wormwood one ounce and an half, Salt one dram.

The same, or made of pickle or Brine, or Lead, with one ounce and an half of the Oyl of Bayes, Hiera picra, Aloes, Juyce of Wormwood, Gall of an Hog or Ox.

VVhen you repeat a Clyster to fetch them out after kil­led, boyl them in Agarick, Carthamus seed, or dissolve Benedicta Laxativa, or Hiera, or other Purgers.

If there be a Feaver, leave out these hot things, and use others that are bitter. As, Take Endive, and Succory with the Roots, Dandelion, Purslane, Sowthistle, with the Roots, each one handful; Rie one pugil; boyl them, add [Page 680] Juyce of Beets, or Pot-Mercury one ounce and an half, Juyce or Syrup of Roses, Oyl of bitter Almonds, each one ounce; Salt half a dram, make a Clyster.

If there be a Flux of the Belly. Take Tormentil roots, Birthwort, each one ounce and an half; Pomegranate peels, Myrobalans, each one ounce; Lentils one pugil, Myrtle-ber­ries half a dram, red Roses one pugil: make a Decoction, ad Oyl of Mints one ounce, make a Clyster.

These following things are applyed outwardly to the Navel, where the small Guts meet, and where the worms are.

The Oyls to anoint with Hands dipped in Aqua vitae, or Vinegar first, are Oyl of Peach kernels, or bitter Al­monds, Wormwood, Rue; also Oyl of Coloquintida made by infusing Oyl in the hollow of a Coloquintida Apple, or boyling the Pulp of Coloquintida therein.

Another Compound Oyl. Take Oyl of Nuts six ounces, Juyce of green Nut shells two ounces, of Peach leaves, or Wa­ter-cresses, Vinegar of Squills, each one ounce and an half; Hogs or Ox gall one ounce: boyl them till the Juyce be spent.

An Oyntment of these Juyces is good. Take Juyce of Garlick, or Leeks, and Wormwood, or Arsmart, or Stonecrop, each one ounce and an half; Juyce of Orris, Aloes dissolved in strong Vinegar, Gall of an Ox or Hog, each half an ounce, Aqua vitae two drams. If you add the Juyce of wild Cow­cumbers, it will be better.

An Oyntment or Plaister is thus made: Take Gentian roots one ounce, Dittany, or Birthwort roots six drams, Orange peels one ounce, Coloquintida one dram, burnt Harts horn two drams, Saffron half a dram; make a Pouder, adding Gith seed, Agarick, white Hellebore: mix it with Oyl of worm­wood, Peach kernels, or bitter Almonds, and wax, and Rosin, make an Oyntment or Cerot, or with Pitch a Plaister. This Pouder may be put into the fore mentioned Oyntment, and with Rosin made a Plaister.

The Oyntment of Sowbread is usual to anoint the Bel­ly, which purgeth, and kills worms.

An easie Cataplasm to be made of Rie flower, or Lu­pins, and strong Vinegar; apply it so, or boyl it a little. To which you may add some Oyls, mentioned to keep it moist, or the Juyces mentioned.

Other Cataplasms are thus made. Take Garlick, O­nions, or Leeks, if the scent of Garlick displease, four ounces, Squills one ounce, Peach kernels one ounce and an half, Lupine meal two ounces, Gall of an Ox one ounce, Oyl of wormwood two ounces.

Or thus: Take of wormwood, Southernwood, Horehound, Mints, Motherwort, Tansey, Rue, Croswort, Scordium, Goats­rue, Peach leaves, Centaury tops: boyl them in Vinegar, beat them with Flower of Lupins three ounces, Oyl of Peach­kernels two ounces, Aloes dissolved in Aqua vitae half an ounce, Myrrh two drams: make a Cataplasm.

A Fomentation for the Belly of the same Herbs boyled in Wine, Vinegar, and Water, is also good.

Also Baggs filled with the remainder of the Herbs, or the same dryed in pouder, or sprinkled after anointing.

You may apply things to the Stomach, if you suspect the worms to be there, as wormwood, Mints, Aloes, &c. And if there be a Flux ad Oyl of Mastick, Quinces, Spike, Roses, Pouder of Mastick, Roses, Cloves: and the like proper for the Stomach.

Some approve of Oyntments for the Heart, of things that kill worms and Cordials: these are good in Fain­tings, and reach to the Stomach. Some apply them to the Pulses also, and Temples, and Back-bone.

Chiefly this following. Take Aloes an ounce, Myrrh two drams, Saffron half a dram, [...]er them, and add juyce of Citrons, Lemmons, or Orange [...] or Rose vinegar, for an Oyntment.

Instead hereof you may moisten the pestilential Pills in the Juyces, and apply them to the Heart.

Or this Oyntment. Take the three things mentioned, and add Citron seeds peeled, Ivory shavings, burnt Harts horn each one scruple; red Coral half a dram, Piony seeds, If you sear a Convulsion, two scruples, Cloves, wood Aloes, each one scruple: mix them with Juyces as the former, for an Oyntment or a Plaister.

Treacle may be mixed so, also with Pouders or Juyces, and applied to the Heart or Pulses.

The Urin of a Boar that is found in his Bladder, mixed with Oyl, and hung in the Smoak, is good to anoint the Pulses and Temples.

This Oyl following also to the Heart, Pulses, and Tem­ples is highly commended.

It is made of Oyl of Scorpions in which Treacle, A­loes, Myrrh, Scordium, Gentian, white Thistle, Gith, and Vinegar are boyled.

Others make Epithems for the Heart, adding to the former Wormseed, Cordial pouders, Piony seeds, and mix them with the Oyntments.

Of Amulets, they say that Garlick hung about the neck kills worms, and yellow French Lavender.

Ascarides that breed in the thick Gut, The Cure of Ars-worms. are often voided with Excrements, grea­ter or less. And if they come to the fun­dament, and cause Itching, they must be cured.

VVhich is done by keeping the Excrements from too much putrefaction, with good diet and purging, and things that resist putrefaction; as sour Juyces, and other Dryers, as Harts horn, and others mentioned in the Cure of Worms.

Also such things as draw them down, or kill them.

They are cured as the long worms, with Purges and proper Medicines. But especially with Clysters and Sup­positories, for things taken at the mouth, loose their ver­tue before they come to the part. For Suppositories they are to be put into the Fundament, and tyed with a threed, being made of things that allure them. As Flesh, Fat, Lard, a little Salt, or of a Fig the inside outward, or of a Beet root, or Cabbage stalk spread over with Honey.

Also a Suppository of boyled Honey without Salt, with Pulp of Figs or Raisons boyled, and put up, doth bring them forth, though it come not it self whole forth.

And to kill them, mix Aloes, and Gall of an Ox, with Honey, without Salt at first, that it may be kept in the longer.

Clysters to kill these worms, are the same with the for­mer, in a less quantity.

Or this: Take Gentian, and Birthwort roots, each one ounce: Wormwood, Horehound, Arsmart, Calamints, each one pugil, Lupins one ounce: boyl them, adding the Gall of an Ox, Goat, or Hog two drams, Sal Gem, one dram, make a Clyster. You may add Hiera, Benedicta Laxativa, or some bitter Oyls.

Also a Clyster of Lye, Pickle, Brine, or Urin, kills these worms in the Arse.

Anoint the Fundament with Quick-silver, Rosin, and Grease mixed, or anoint a Suppository therewith, this is the best Remedy to cure these Arse-worms.

For the Cure of all these Worms, you must as here pre­vent the cause that breeds them and kills them, and carry them away. The Cure of worms in the Nose. As the worms in the Nose must be cured by cu­ring the Ulcer: as we shewed in Ulcers. And by the smoak of Leek seed, Worm­wood, and Aloes taken into the Nose.

They are cured by curing the Ulcer: The Cure of worms in the Ears. as was shewed in Ulcers of the Ears. And with the Juyce of Calamints, and Hemp, and as Dioscorides shews, with the Juyce of Capar roots, or Urine boyled in a Pomegranate shell, and dropped in.

And with other things there mentio­ned. The Cure of worms coughed up. If from an inward Ulcer of the Lungs, worms be coughed up, which is seldom, you must cure the Ulcer as we shewed in the Phthysick.

[Page 681]If pissing of worms comes from ea­ting of any thing, The Cure of worms pissed forth. as Cheese mentio­ned. Let them abstain from it.

Bitter, The Cure of worms in Ulcers. sharp, and cleansing things cure lousie Ulcers, and kill worms in them, as Juyce of Wormwood, Centaury, Garlick, Leeks, Onions, and Galls of Beasts.

Or a Decoction of Hellebore, Dittany, Gentian roots, Wormwood, Centaury, Calaminth, Horehound in Lye, with Bran.

Or the Pouder of Dandelion, Hogs-snout sprinkled u­pon the Ulcer.

Especially the Oyntment of Quick-silver.

VVe have cured the worm that ly­eth in the Navel, The Cure of worms in the Navel. and drawn it out, with Flower of Lupins boyled in Vi­negar, without any hurt.

If worms breed in a hollow tooth, The Cure of worms in the Teeth. they cannot remain long there, but fall out, or are easily taken out, when the teeth are cleansed.

And if they stay, and be thought the cause of the tooth­ach, stop the teeth with Aloes, and Camphire mixed with aqua vitae.

Or take in the Smoak of Leek seed, Wormwood, and Aloes cast upon fire.

The Smoak of Henbane seed taken in with a Funnel, cures the worms in the teeth, as those in the Hands. Some write that by the taking in of those Fumes to allay the Tooth-ach, there are bred things like worms.

They say that worms are bred un­der the Heart, The Cure of worms under the Heart. and are killed with drinking of the Juyce of Garlick, Ra­dish, and Water-cresses: and if there be a suspicion of their breeding by an Itching about the Heart, that may be from the worms that suck the Mouth of the Stomach, nevertheless give the same Remedies.

Those Lice that march about, are more easily cured, The Cure of Lice. then they that are fixed to the Skin: they have been in such swarms in some diseases, that they have caused death. But this is rather imputed to Divine Judgement then to Natural Causes.

The Cure is first of the Cause, then of the lousie Dis­ease.

The Cause which is Nastiness, must be prevented and taken away. By Evacuations, if there be foulness of blood thereby, or Plethory which causeth the abundance of them: Such as we shewed in the Cure of the Itch. A­mong which Sweats are excellent to cleanse the skin, ei­ther with a dry or moist Bath.

To the Evacuations, joyn a good Diet, for some things drive the Excrements to the skin, and breed Lice, as Figs, and Vipers flesh: Of which we shewed the force in Ele­phantiasis. And for Figgs, they thought from the like­ness of the seeds to Lice, that they bred them, but were deceived.

VVashing often with Lye, rubbing, and combing the Head, is good to take away Grease and Dandrough, and in other parts of the Body.

VVe use strong Dryers and Cleansers to the Disease it self, to kill the Lice, and take away filth that breeds them, which are bitter or sharper.

They cannot do it by being taken inwards. But some eat Garlick, or drink it with the Decoction of Organ, to kill Lice, and Worms. And some Countrey-fellows eat Garlick to keep off the flies.

Outward things are best to kill them, and take away Itching: as Lotions for the Head, and other parts.

As this: Take Birthwort one ounce and an half, Helle­bore roots half an ounce, Beets, Arsmart, Wormwood, Hore­hound, Tamarisk, Tops of the lesser Centaury, each one hand­ful; Staphisager, Lupins, each half an ounce; Berries of the Spindle-tree, and Agarick two drams: boyl them in Lye. And wash the part affected.

It is stronger with Salt, Allum, or Niter, or Vinegar, especially of Squills.

When we wash the Head, we use things proper for it: as Bettony, Sage, French Lavender,

For Lice in the Eye-brows, wash with Vinegar, and A­loes, and Salts.

A Pouder to drive Lice from the Hair. Take Staphi­sager two drams, Salt three drams, Aloes one dram, Cinnabar two drams.

The Oyntment also of Quick-silver mentioned, is best here; for it kills infaillibly all sorts of Lice and Itch.

It may be thus made. Take Quick-silver one dram, Tur­pentine two drams, Hoggs grease, Butter, or Oyl six drams: make an Oyntment.

Or instead of Quick-silver, use two drams of Cinnabar, which is made of Quick silver and Brimstone.

Or for the Lice in the Hands, use one dram of Sublimate instead of Quick-silver.

There are other Oyntments of Staphisager, and Grease.

Thus; Take Staphisager half an ounce, white Hellebore one dram and an half, Pepper, Niter, each one dram; Grease, Butter, or Oyl, with a little Wax make a Liniment.

To these add some of that with Quick-silver, or one dram of Sandarck.

The usual Oyntment in shops is this. Take Staphisa­ger, white Hellebore, Salt, Quick-silver, Hoggs grease, Oyl of Bayes, Soap, and Vinegar.

Another Oyntment of bitter things. Take Aloes two drams, Myrrh, Gum of Ivy, each one dram; Hogs gall, or of an Ox one dram and an half, Quick-brimstone, Allum, each one dram; Oyl of Wormwood, or bitter Almonds, as much as will make a Liniment.

A Paste made of Ox gall, or other Gall and Meal of Lu­pins, and held in the Hands long, kills the worms there.

The linnen Clouts that Gold-smiths use when they guild Silver with Gold, and Quick-silver, applied to the part, kill Lice insaillibly.

The Fume of Henbane seed taken into the Palm of the Hands, kills the worms there. But we suppose it rather allayes the Itch, as anointing with the Oyl of Henbane seed, or Poppies, or Syrup of Poppies, or a little Opium dissolved in Aqua vitae.

Smoak your Cap with Tobacco, and the Lice will be killed.

Also Tobacco ashes and Piss cureth Crab-lice.

The worms in the Hands are picked out with a needle, not thrust in deep to wet the part, and hinder the sight of them. And then wash the Hands with Wine, or Vine­gar, Salt, Allum, or Niter often.

A very fine Comb will take them out of the Head.

Or a rubbing Brush which is invented for that purpose, with which Women daily cleanse their Childrens Heads.

CHAP. XIV. Of the Voiding of living Crea­tures or Animata.

The Kinds.

THose Bodies are called Animate which live, are nourished, and grow like Plants, and yet have no sense or motion: They are preternatural, and so is the Voiding of them. These are chiefly from the Womb and the Fundament.

There is an insensible and unmoving Body called a Mole, sent forth from the womb, A Mole. with­out shape, being soft flesh without bones, full of veins, co­vered with a skin. Somtimes it is more membranous, and still without shape, such as I saw voided by a woman, [Page 682]through the use of a Pessary after eigteen years barren­ness. Somtimes it is like a Sea-star; as I have seen and cast into the water, to the great amazement of the Beholders: and somtimes it is of other forms.

This casting forth of a Mole, is like a mischance or a­bortion, before or after the time, with such striving and voiding of blood. And the accidents before, are like those of Women with Child. We spake of the Tumor of the Mole and its accidents, and causes in the Tumors of the Belly.

The like but seldom come from the Fundament, The long Mem­brane from the guts called Fascia. The broad worm or fillet of the Guts cal­led Taenia. of divers kinds. One is like a long Ribband, like the smal Guts, as long as they, but not hol­low, a fingers breadth, this they cal a flat worm, but it is a Taenia or Fil­let of the guts, nothing like a worm, nor is it alive or moveth: coming forth so long, that the Patient is frighted, least his Guts should come forth. In which there are black stroaks a fingers space distant all a long, like the Vertebrae or Spon­dils.

This Taenia, The Gourd-worm. though very long, is of many little parts which may be divided, and they are like the Seeds of Gourds, and are so called from thence. This is seldom whole but in pieces, every one of which is called a Gourd­worm, but they are only pieces of the long Fillet or Fas­cia.

There is another kind of Taenia as long as the rest, The Ligula or round point from the Guts. but not so broad round like a worm, and even, called Ligula or a point, it moveth not, seldom seen from men, but usually from doggs whol or broken, not coming forth, till it be drawn out.

There are no accidents of this Disease, but the sudden fright, and the Patient is well: Except there be a greedi­ness before, and a heaviness in the Belly. And if any part remain and stink, the Symptoms are worse then if worms died in the Belly.

The Causes.

The Cause of these Bodies breeding, is either Seed or Chyle.

VVe shewed in the Swelling of the Belly, Conceiving of im­perfect Seed, is the cause of a Mole. that imperfect Seed caused a Mole. And the cause of voiding it, is that of Abortion, the expulsive facul­ty of Nature burdned with the preter­natural weight, which divideth the Vessels, by which it grows to the womb, and sends it forth the proper way: And the sooner, when there is external help: Of which we spake in Abortion.

As we shewed long worms bred of Chyle that is too thick or fat, The Chyle is the cause of the Taenia, and Gourd-worm. so if it be so much, that it be in the thin Guts from the Stomach to the Colon, growing thereto, that Membrane called a Taenia is caused. This Chyle is not in the whole compass of the Guts, but in some part as broad as it comes forth, only there where the Guts are fastned to the Mesentery al a long, and is turned into these Taeniae which are not alive as worms. Therefore they are somtimes as long as the small Guts. But they cannot grow in the thick Guts where the Excrements are, and no Chyle is, and from whence they will be expelled, but not from the thin Guts which contain moist and fluid matter, that may pass by. Hence it is that they may be long without any hurt but heaviness of the Guts, and hunger, because they are nourished with much Chyle; till by violent motion they fall off wholly or in part into the thick Guts, and are voided whole or in pieces, as when the Chyle grows by parcells to the Guts. The plenty of clammy Chyle in the Guts is the cause, which is seldom seen, as also the Dis­ease.

And the worse Symptomes are when they come not clean away, but stay behind, and putresie.

The Cure.

The way to cure a Mole in the Belly of a Woman, is to prevent it, The Cure of a Mole. and to expel it before it grow too big. For then it is dif­ficult and dangerous, by reason of great bleeding which it causeth.

VVe use preventions, when we know women have had them, before they conceive, or use man; you must labor to know which seed is imperfect by considering both con­stitutions, and if both be out of health, to prescribe them a good Diet, and convenient Medicines.

The woman must be let blood, if there be Plethory, and purged, If there be superfluous. Humors or evil, and the womb strengthened, and the rather if the Disease come from the weakness, and want of natural heat in the womb, which cannot conveniently cherish the Seed conceived. Those are prescribed in Barrenness and Whites, and other Diseases of the womb, Among which hot Baths are ex­cellent.

VVhen a Mole is bred of Seed, as we shewed in the Swelling of the Belly, we must hinder its growth, and la­bour to expel it. But we must not use violent Medicines before we know the certainty of a false Conception, and only take away a little Nourishment by Blood-letting, and so hinder the growth, and purge away other filth, with which Nature may discharge the Mole also; and we not fear thus doing to cause an abortion, if it should be a true Conception; for many women with child have been safe­ly purged, and had Diarrhae's; because Nature is not so ready to cast forth things Natural, as unnatural which are burthensom.

But if we are certain that it is a Mole, by many tokens, such as women have formerly had in the same. Or if the time of delivery be past, and the swelling and hardness re­maineth, then we must give, and apply, put in, and inject into the womb, things that may expel it. And open the passages. All which we must first attempt with the same things that we provoke terms with, and then with those that expel a dead Child and Secundine; and use a Mid­wise, if it appear, and need be to use manual Operation. Or if all fail, we must make Incision into the womb at the belly. All these Operations are shewed in the want of Terms, and difficulty of Travail.

The Taeniae or long Membranes, The Cure of Tae­niae, and Gourd­worms. whereof one is broad, called the broad Worm, the other made of many Joynts called the Gourd-worm, a third is round like other worms, if they grow in the thin Guts, which is seldom, they lye very long, and being they are not cer­tainly known, they are neglected.

But if they be suspected to be there, from stretching, heaviness, and great appetite, then they must be expelled, and kept from breeding again. And the rather because they seem monstrous, like Serpents.

They are cured thus: Before they breed, the matter must be diverted that breeds them; and cleansed. But when they are bred and grown to the Guts, you must use strong Cleansers to take them off, and Purges. It is need­ful to give things against worms, though they have neither life nor sense, as worms have. The Diet and Medicines must be as follow.

The Chyle must be made moderate and thin, like Milk, by taking away the increase and clamminess thereof, and by cleansing it, that it stick not, and this will keep them from breeding. It must be such as was ordered in the Cure of Worms, by eating Garlick, Nuts, bitter and sharp [Page 683]Herbs, Salt, and spiced Meats, Mustard, and taking Worm­wood-wine.

Purges force these from the Guts, and when they are corrupted, drive them out, and cleanse, being commonly bitter or sharp. They are mentioned in the Cure of the Worms, the best whereof are those of Aloes, and Worm­wood, and sharp things often given. To which you may add Tartar, or Niter to cleanse.

There are divers Cleansers which take away the Mat­ter that breeds them, and them also, and hinders their re­turn; or if they return, make them sooner fall off, and come forth. They were mentioned in the Cure of Worms.

As the Pouders simple and Compound, that are good here, by reason of their bitterness and cleansing. To which Dioscorides adds the Seed of great Sun-flower, and Gith seeds.

Also many Decoctions there mentioned are good here, and Syrups, Juyces, and Conserves.

VVormwood is best with other bitter things, as Cen­taury, and Horehound. Also Urin, Lye, pickle or Brine drunk, do cleanse much. Also Wine, or Water, with some few drops of Oyl of Vitriol.

Clysters reach not to the thin Guts, where these Rib­bands are fixed, and therefore cleanse not so well as things taken down at the Mouth. But if some pieces of them are fallen into the thick Guts, they will carry them forth, and their cleansing quality may reach to the small Guts, if they be often administred. And for that cleansing quali­ty you may give bitter things that kill worms.

Also Oyls, Oyntments, and Emplasters, and Cata­plasms, mentioned against worms, are good here to be applied to the Belly, being bitter, sharp, and cleansing, and they will in process of time do very much good.

CHAP. XV. Of the Voiding of earthy Bodies.

The Kinds.

THe earthy Bodies that grow in Man, are Sand or Mud, Stones hard and soft, and they are preternatural, as also their Voiding. They come from divers parts of the Body which shall be mentioned, from some often from o­ther parts seldom, or very rarely.

Many piss Sand or Gravel, Sand pissed forth. Stones pis­sed forth. with and without another Disease.

Also Stones are pissed forth forcibly, and this follows the pain in the Kidneys in the Cure of which these were mentio­ned. Somtimes Blood or stoppage of U­rin went afore, or burning of Urin, or slimy Matter: As was shewed in those Excretions. Somtimes there is a muddy white matter with the Urin with signs of the stone in the Bladder. The Gravel in the Eyes. There is often in the Corners of the Eyes and in the Eye-brows a sandie, rough Mat­ter, brittle and yellow, which sticks to the Hair in the night, when the Eyes are shut, so that the Eyes are hard to be closed: as we shewed in the Diseases of the Eyes.

Somtimes a stone as big as a pease hath been blown out at the Nose, A Stone blown from the Nose. white and brittle, which we keep in the trea­sury of our Physical Rarities.

Not only I, A Stone haw­ked forth. but others have known stones to be hawked forth with a cough some white, some brittle, and hard, round, long, or broad, equal, and unequal. And a great difficulty of breathing hath gone before, in which Disease as was shewed, Stones are oftner kept then voided. I keep by me some such that were voided by a comely wid­dow, that was marryed to one in a Consumption, that in­fected her: Of which I spake, she voided them with great pain and coughing.

Somtimes other Stones have come from the Mouth, Stones under the Tongue. In the Jawes. Stones voided by stool. as from a swelling un­der the Tongue, called the Frog, or from a swelling in the Jawes.

I keep at home a stone that was voi­ded by stool; and another that came forth of a Horse that dunged.

A famous Physitian of our time, A stony Birth. saith publickly in writing, and told me that a Woman was delivered of a Child hard as a Stone.

Somtimes they grow in the Pores of the skin, and are taken out, Stones fixed in the Skin. as in the Face: I keep one by me that was taken out of the Sole of the Foot.

One had a little Stone taken out of the white of his Eye with a Needle, Stones in the ball of the Eye. and he brought it to me.

There are often scales which co­ver the Teeth, Gravel upon the Teeth like Scales. and they are chiefly a­bout the Roots.

As we shewed in the Gout, Stones from the knots of the Gout. stones are often taken out of the Nodes thereof.

Stones are cut out of the Bladder by a Wound made in the Perinae­um. Stones from the Bladder.

From a Wound in the Groyne, Stones from the Fi­stula. when a fleshy Rupture was cut, which turned into a Fistula, there came, as I shewed Sand and Stones with the Urin a long time.

The Causes.

VVe shewed in the Pain of the Reins from the Stone that Sand and Gravel and Stones came from a earthy Matter and Flegm, especially that which is mixed with water fastned in dry parts. And when other earthy Mat­ter is gathered and fixed in certain Excrements or parts, it may do the same, because we find by Experience that wood and bones out of the Body may be turned to stones, and such are found in the Body. And we shall now shew how they breed in divers parts of the Body.

As we shewed in the Causes of the Stone, An earthy Matter in the Kidneys, is the cause of the stone. there comes sand and stones by urin from the Kidneys, ra­ther then other parts, and they are from an earthy Matter fastned to them. And they fall from thence into the Bladder by the Ureters, and if they stay there, as great stones do, and in­crease by the earthy part of the urin, Sand fallen into the Bladder, the cause of pissing of Sand & Stones. there is the stone of the Bladder. If they go farther, they are pissed forth: Otherwise they must be cut forth. Which we shewed was done by chance, from a wound in the Groine.

VVe shewed in Diseases of the Li­ver, that Gravel might grow there, The earthy matter of the Liver, is the cause of Sand that is pissed, & of gra­vel. by reason of the Serum that pierced into the Vessels, from which it might pass with the Urin to the Reins, and so to the Bladder, but stones cannot pass that way.

Also Gravel is bred in the Eyes, The sandy Matter in the Eyes, is the cause of Gravel. from water that continually moist­neth them: Or it is brought thither with tears, if they be hot and sharp, or [Page 684]earthy. And in sound Eyes this sandy Matter is gathered in the Corners of the Eyes and Eye-brows, at night when the Eyes are shut. And in diseased Eyes, if there be tears and heat, as in Epiphora is shewed.

From the same Cause come little Stones, when sand is fixed in the hard Tunicle of the Eye.

In the Cavities of the Nostrils from the Earthyness of the water and flegm, Earthy Matter growing to the Nose. which flows from the Brain, proceeds the stone that was blown out. For though stones are found in the Brain, yet cannot they get that way through the narrow pas­sages.

VVe shewed in Asthma the Cause of a Stone in the Lungs. An earthy Matter in the Lungs, is the cause of Stones.

VVhen Matter lyes long, and grows hard in the Guts, from the Serum which wetteth them with the Excrements, The Cause of Stones in the Guts is thick matter that groweth in them. a Stone may be caused there. But it is not much regarded, because it passeth with the Excrements without pain. And this is probable to be in a man, for I saw the same voided by a Horse. Other things turned into Stone, may be from an earthy salt Matter taken in, and hardned with the Excrements.

The rare bringing forth of a stony Child, The earthy salt Mat­ter in the womb, is the cause of a stony Child. comes from an earthy salt Matter in the womb which turns it to stone, even as other things are turned to stone out of the Bo­dy.

VVhen Earthyness is in the Se­rum in divers Pores of the Body, An earthy Matter in the Pores, is the cause of the Stone there. it causeth Stones by being exter­nally dryed, This is most in the Face, when it is exposed to hot and dry Air. The same is the cause of a Stone in the Eye.

VVe shewed in Tumors, The earthy Matter of Tumors, is the cause of stones under the tongue in the Jawes, and the Gout. And the Filth of the Teeth, is the cause of Scales. how stones grew under the tongue and in the Gout. And the same may be in other Tumors.

VVe shewed also in Filth, how from the Slime and Filth of the Teeth, Scales and Gravel grew.

The Cure.

The Cure of Stones is to be after some have been void­ed, or other signs have discovered them, from whence we conjecture that they may grow again. For that they are seldom, if they will not go of themselves, they must be ta­ken out.

The voiding of Stones by Urin is not to be stopped but furthered, The preventing and Cure of the Stone in the Bladder. or Gravel, and the growth must be hindered. And if a stone stick in the Bladder, it must be taken out.

A Caution must be for the prevention of the Stone in the Bladder, as in the Reins: As we shew­ed in the Pain of the Kidneys. The Gravel grows first in the Reins, and falls from thence into the Bladder. And the beginning of them must be prevented in the reins. And then the stone in the Bladder will not grow so fast.

For the Cure of the Stone in the Bladder, it must be worn, or broken, or expelled, or removed from its place, or taken out by these means following.

Purges are somtimes given, when the Body is full of e­vil Humors, to prepare it for things proper, that they may work the better.

And the Belly must be kept open: As we shewed in the heat of Urin from other causes.

Also strong purges are given to put nature to the ex­pelling of it, as it doth the other superfluous Excre­ments.

As we have often seen, not only Excrements but stones have been voided by strong purgers.

To all these are added break stones to diminish them, and break them. These Purges are mentioned in the stone of the Kidnyes and are good here, for the vertue of them will reach to the Urin and Bladder.

Mollifying Clysters are good, which are mentioned in many places, and Anodynes when the Urin burneth, mentioned in the Colick, alwaies adding things that break the stone: Such as are mentioned in the stone of the Kidneys, in three examples.

They who suppose the stone is bred of flegm, use Vomiting often to prevent. But it is better to cleanse and prepare the Body, then for any thing else.

And this Vomiting by great straining may force the stone from the Bladder into the passage.

The same things mentioned in the stone of the Kidneys are given here to open the passages, and to cleanse the Earthiness, which increaseth the stone, and to make less the stone; And they are good to prevent the Stone in the Kidneys, from whence heat in the Bladder cometh. And because the Bladder is farther off then the Kidneys, you must give the strongest Medicines and the greater quanti­ties, that their vertue may reach it.

As nourishing and Physical broaths, and divers Deco­ctions. And this: Take Liquorish two ounces, Knot grass roots one ounce, Asarum half an ounce, Bettony, Maidenhair or Goldy locks, Mouse-ear, white Saxifrage, Pellitory of the Wall, Sea fennel, Burnet, of each one handful, flowers of St. Johns wort, Broom, Roses, each one pugil, Myrtle berries, Annis seed, Fennel seed, each half a handful; Gromwel and white Thorne seeds two drams, Garden Smallage seeds and wild Smallage seeds, each one dram; Raysons stoned two ounces, red Pease one pugil, boyl them in Wine and Water; for five or six Doses in a good quantity, that so it may sooner come to the part affected, dissolving in every draught, syrup of Limons and Oxymel simple, each one ounce; Oxymel of Squils two drams.

To this Decoction, may be added other openers and stone breakers, as the opening roots, steeped in Vinegar, Madder roots, and Mulbery roots, Rupture wort, sweet broom, Ladies Gloves, &c.

Also the infusion mentioned in the stone of the Kidneys and the Lies.

Also the juyces, as Urin, Vinegar, natural waters, and the like there mentioned, with the sharp juyce of Barbe­ries, and of Sea fennel, Saxifrage, St. Johnswort, of green Nuts and Leeks, given alone, or with Sugar, or other Li­quor, or Decocted to a Syrup, or extract, or made into Lozenges. Those of juyce of Limons and Berberies are most in fashion and are very excellent and pleasant.

Simple and Compound waters distilled, for the stone in the Kidneys mentioned, are here also good. If the Pa­tient will use them freely.

The Urin of a Goat or Boar, is commended by Diosco­rides, if drunken.

Also Oyls mentioned in the Cure of the Stone of the Kidneys are here good.

And the same Diet may be used.

And those Medicines which are divers waies prepared of which we use the Simples, as the Rosins of Plants. Me­dicines given in substance, are divers waies prepared: some of Simples, as Rosins, Pouders of Herbs, Blood and Ashes of Beasts: Some are Compounded of Plants, Animals, and the like, into Pouders, Electuaries and Pills.

Besides which in the stone of the Bladder is commen­ded Mouse dung, Snailes shells, Stones in the Gall of an Oxe, the Stomach or Gizard of an Eagle that breaks bones, therefore called Ossifraga, Connies blood, burn, Glass, Sagapenum; Euphorbium with other things [Page 685]mixed, Gum of Almond-tree, Vine, Eryngus roots, wild Parsnips, Elder flowers, not open being dryed, and given often. Nettle seed, Cappars, Water-mints.

You must use Injections into the Bladder, of such things as allay Heat, mentioned in hot Pissing.

Lastly, to break the Stone if possible, use Oyl of Scor­pions, and Medicines made of Goats blood, or Wolfes blood. Of Juyce of Lemmons, and Bar-berries, and o­ther sharp things, as Vinegar, with Coral, and Pearl, which often, used dissolve the Stone. These may be injected with other things that allay them from hurting the Bladder.

Baths to sit in, and Fomentations, of such things as re­laxe, and open the passages, and break the stone, are made of such things as we use in the Stone of the Kidneys: Which as they are there good, when applied to the Hypo­chondria, or under the Ribs, so here to the lower part of the Belly. To which add these, Fennel, Spignel, Saxi­frage, Melilot flowers, St. Johns-wort, and other break­stones.

Also Natural Baths are good, if sharp, and of Brim­stone, instead whereof, you may make Artificial of Brim­stone boyled in Water.

Oyntments prescribed in the Stone of the Kidneys, which open the passages, asswage pain, and break the Stone, are good to be applied to the Breast and Back, Yard, and Stones. Among which Oyl of Scorpions is best alone, or with other; as Birthwort, Gentian, Cypress, and barks of Cappar roots boyled therein, with prepared Goats blood.

Instead of this, we make an excellent Oyl of Cantha­rides, and Beetles, and Grasshoppers boyled in Oyl, with Juyce of Raddish, Pellitory, and Goats blood, adding a little Vinegar of Squills.

We mentioned a Girdle with a stone in it, good against the stone of the Kidneys: The same is also good here in the stone of the bladder.

Also a Girdle made of divers things, used all night, is highly commended; as of Linnen washed with Juyce of Tansey, Plantane, Housleek, Bean flower, and Honey.

You must use Operations, when the Stone of the Blad­der sticks in the neck thereof, and stops the passages of u­rin; as shaking when the Patient lies upon his back, his Thighs drawn up, for the Motion of the Bladder and Loyns.

We thrust the Stone of the passage of the Bladder with a Gatheter thrust in, which is hollow, that the Urin stop­ped may presently flow forth, and crooked like the pas­sage of the Yard: The same is done with a wax Candle, because it will work into the passage better, being softer.

We take the Stone out of the Bladder by other wayes; some suppose it may be done by applying things to the Yard, which have a property to attract the stone; as the brayne of a Mag-pie tyed to the Head, or Glans, and Praepuce, called the Fore-skin. Or they leave the Yard thrust into a great Raddish made hollow.

Somtimes the Stone is expelled by forcible pissing, af­ter sharp wine long retained after great Draughts, especi­ally if the lower parts be shaken at that time by stamping upon the ground with the Feet.

Somtimes it is sucked forth of the Yard, when it sticks there. This is down often in Infants.

We are constrained to cut for the stone as the last re­medy, when there is great pain and stoppage of Urin, al­beit it is not without danger of death, or Convulsions, or some other following impediment, especially in Pissing, which they cannot hold afterwards. But many have been thus cured, and never had stone after in the bladder. Some have been twice cut, by reason of some signs of the stone falling from the Reins, or left behind at the first, and yet have recovered, when others have died at the first Cutting.

The Cutters for the stone do thus. The Patient sits u­pon a table bound to the back of another that holds him (so that he cannot hinder the Operation of the surgeon with his body or hands) with his thighs drawn up and spread abroad, then they put a Catheter into the Yard and Bladder, and thrust it outwards, above the Podex in the Perinaeum, or into the place between the Podex and Cods, where the Neck of the Bladder is; which thrusting out the skin, sheweth them the way, then they make Incision long wayes upon the Noch of the Catheter, made for that purpose, and open the Neck of the Bladder, not according to the future or middle part, but upon the one side, then they draw out the Catheter, and put a directory Instru­ment with a pipe or guttur upon the outside; or an In­strument like that which opens the Matrix, (made to en­large the neck of the bladder) into the wound so made. And then with a forceps or Instrument made at both ends where they meet, hollow like two little spoons, they lay hold upon the stone, and draw it out, through the hollow Instrument, or directory Pipe, if there be many Stones, they draw often, this done, the wound will easily be healed, ex­cept the Body of the bladder be hurt.

When a Stone sticks in the passage of the Yard it is ta­ken out with less labour and danger, by cutting it out un­derneath, between the two Bodies.

You may take a stone from a womans bladder, by en­larging the neck thereof without cutting, with an Instru­ment called Speculum Vesicae, which being put in, may be by degrees scrued, so that there will be room for the For­ceps or Tonges to enter. And because through the en­larging by force of so sensible a part, there is great pain, and somtimes a tearing, and wound of the part. This o­peration in women is not without danger of the accidents that we shewed would follow cutting.

There are some that say a stone may be taken out of the Bladder, by cutting the Belly in that part that is nigh to the same, and the Patient recover. This we saw in a Fi­sher-man wounded by chance in the bladder, who had a Fistula after the wound, through which he voided his urin and many times stones and gravel.

Some say that by the finger in the Podex, when the bladder is pressed down, you may thrust down the stone in the bladder into the passage for Urin, and through the the Yard afterwards without cutting. And when one try­ed it in my presence, he brought it to the entrance of the passage, but there it stuck, till he took it out by a small Incision. Thus by a new and less provision is the stone taken out, but not without danger neither, for some part of the bladder may be thrust into the neck of the stone, and so cut off.

They must use the Diet for the stone of the Kidneys, for this of the bladder proceeds from thence, and is nourished thereby, by the cleaving of earthy Matter, and salt of the Urin together: And the same things that hurt or help the one, hurteth and helpeth the other.

For the Cure of the Gravel sticking to the corner of the Eyes and Eye-brows, The Cure of Gravel in the Eye, and stone upon the Eye called Tophu­lus. it is by taking away the great moisture from the Eye. And this is done, as I shewed in the Cure of Weeping; and if there be redness as in the Cure of Epiphora or Rhewm of the Eye. And when the Eye­lidds are glewed together, to open them with ease, use Rose-water, or Milk, to soften this Matter that grows hard, especially in sleep. The Tophulus is upon the ball of the Eye, and hinders little, and will fall off of it self, or must be taken off with a needle, which is without danger in that thick Tunicle of the Eye.

If a Stone be blown out of the Nose, The Cure of Stones in the Nose. and you suspect from a new Obstruction thereof that there is another, you must pre­sently, use Errhines, or things to provoke Neesing.

If Stones be spit from the Lungs, The Cure of the Stones in the Lungs. and the shortness of breathing, and Asthma go not away, we may gather that there are more stones yet, and it is good to force them away, with things that expectorate, or cleanse the Breast, mentioned in Asthma.

[Page 686]If Stones are voided by stool, The Cure of Stones in the Guts. be­cause it is the general place for to discharge all Excrements, you must do nothing, except it be to prevent the growth of them, if they come often.

It is better to admire as a thing unheard, The Cure of an In­fant turned to stone. that the Child should turn to stone in the womb, then to attempt any thing to prevent it.

Gravel Tumors in the Pores, The Cure of gravel tumors in the Pores. go not away with the Nails, or needle opening the skin, when in the Face. But when in the soles of the Feet, they are taken out by cutting and dividing the thick skin thereof.

If Stones come from a Tumor in the Tongue, The Cure of stones in the tumors of the tongue, almonds of the ears, or in the nodes of the Gout. or Almonds of the Ears, or the like, or from the Nodes in the Gout, you must cure the Ulcer. And if there be more in the tumors, and be troublesom, you must bring it to matter, as an Imposthume, that they may come forth, or be easily taken out. And if they wil not be suppurated, or the Patient be impatient of delay, open it, and take them out: As we shewed in the Cure of the Tumors under the tongue called Rana or Frog.

When we spake of Filth generally and particularly that of the Teeth, The Cure of Gra­vel in the Teeth. we shewed how Gravel should be taken therefrom.

CHAP. XVI. The Voiding of things that get into the Body.

The Kinds.

THings without that get into the Body, and come forth again are divers, either such as get into the in­side of the Body, or only into the outside. And they are all besides Nature, as their voiding is, coming from di­vers parts of the Body.

Many things come out of the eye which fel into it, The voiding of things gotten into the Eye. and caused tears, pain, itching, redness, or ulcerati­on: As I shewed in the pain of the Eyes.

Some things creep in, or are thurst into the Ears, The voiding of things got into the Ears. which cause a noise, and deafness: As we shew­in the Cure of Deafness, before they come forth.

Things that are drawn by brea­thing into the Nose, The voiding of things gotten into the Nose. and cause itch­ing are voided by sneesing: And sometimes things taken at the Mouth came out at the Nose.

Some things that fell from the nose into the moth, The spitting out of things gotten into the Mouth. are spit forth, or cou­ghed out, if they fall upon the rough Artery. Or things taken at the mouth which offend the stomach, are vomited up, The vomiting of ex­ternal things got in­to the Body. or that stuck in the Gul­let: And somtimes things given, as a Clyster have been vomited at the Mouth.

Divers things taken which disturb the Stomach, are cast out at the Podex, and some without disturbance; and some things are put into it, or creep into it, and come forth again.

Some things have gotten into the Matrix, and come forth again. Voiding of things got into the womb, bladder, breasts, &c.

Some things taken have been pissed out.

Others have been swallowed, and sent out of womens breasts.

Some say that things taken, or by Witch-craft thrust into the Body, have been voided at divers places.

Hitherto may be referred things that get into the skin, and under the Nails, and come forth again.

The Causes.

Many are the things which by chance get into the Eyes, Ears, Nose, Mouth, Womb, and Podex, and come forth as they went in, or otherwayes; or that hath been in the outside of the Body. It is impossible to repeat them all, let the chief suffice, and those of most concernment, or which are most usual, and how they got in.

Many times Flies get into the Eyes by chance, and get out again, as Dust, Things fallen into the Eye. Moates, Hairs, Sand, Gravel, mentio­ned in the Causes of the Pain of the Eye, where we shew­ed how the Eye-brows getting into the Eyes, caused pain.

The things that get into the Ears, Things in the Ear. and out again, are chiefly water, when they swim; also Fleas, and Lice, Chinches, Ear-wiggs, and other creeping things, as worms, the ear­wig is most feared. Somtimes other little things, such as get into the Eyes, mentioned in Deafness, as a Cherry­stone, which getting into the Ear of a Child terrified the Parents that it might grow there.

There are also small things in the No­strils by breathing, Things in the Nose. and are either presen­tly blown out, or sneesed forth, or falling into the Mouth, are spit out, or upon the rough Artery, and are coughed out. Other little Creatures that creep into the Nose, in sleep, cannot stay long, because they provoke sneesing by tickling.

There are divers things that get in­to the Mouth, Things gotten in­to the mouth, is the cause of their voi­ding by stool, vo­mit, or urin. that are voided by stool or vomit, with griping of the Belly, or without.

Some kind of Meats eaten, are thrown out again, not only unconco­cted, as in a Lientery-flux; but when the Stomach is sound, and yet they are unconcocted, and come forth as they went in, because they were taken in too great quanti­ty for concoction, being fat or unctious, and then there is a voiding of fat, as we shewed, or are too hard to be con­cocted: As we shewed in the Colick, how one voided Cheese that he had long before eaten immoderately. And we saw two maids which after Clysters voided abundance of Chesnuts: And one in a Dysentery voided Chesnuts, which he had plentifully eaten, some weeks before.

For the most part, that which cannot be concocted in a mans stomach, is sent out unchanged, as in beasts, as are Cherry and Prune stones, and Cornil-berry stones, and of the like Fruits, as Medlars that are as stones very hard, five of which were sent to me for stones of the Kidneys, which upon Examination I discovered.

You may plainly see the skins of things, as Fruits, and the like, in the stools unchanged, when the insides are di­gested, especiallly after eating of Pease, which the vulgar count unholsom therefore.

I saw many Hens bones voided by a woman after a cly­ster, who had eaten hens feet for a diet.

Besides Meats, many other things are taken in and voi­ded. As some Creatures quick, some dead, which being whole. could not be digested, come forth so, contrary to other Creatures, who swallow mice, serpents, and the [Page 687]like, (as I have a Cod fish swallowed a Beetle) and di­gest them whole, and though it be alive, yet they hurt them not.

As it is manifest that a foolish fellow swallowed an Eel by jesting, and voided it by stool the next day, after great torments, dead, and as it were flead.

I knew a Soldier that in his sleep upon the ground, had a Lizard that crept into his Mouth to his Stomach, by which he was miserably tormented, but voiding bones by stool, he was free.

Some Fools, and Melancholick persons, that hear noise in their Guts by wind, perswade themselves that they have swallowed Snaks, and the like, as Froggs by drinking of Froggs-spawn, when they swam in the River. But this is false, because if these or other Creatures get into the Belly, which is hard to be done, they can live no longer, but are stifled, and killed with heat.

Hairs are swallowed and voided again, and if you look upon them while hot, you wil think they are alive by their motion. Thus the people think true, and I knew an Im­postor, that gave little short threads in pills, to make them think they voided worms, and after shewed them how they moved, and deceived many. I have seen, and have by me balls of hair found in the stomachs of Calfes, and Goats, made of hair they swallowed, compacted, and knit toge­ther, and hard all over. The like may be in a Man, if he should swallow hairs, as they delight to do.

Some earthy things are voided, as swallowed as sand, Clay, Stones, and Metals. As a Fool who for gain sake, swallowed Flints as big as Nuts, suddenly, and filled his Stomach, so that you might hear them rattle, wash them, and swalow them again in our sight. And I saw a woman that had swallowed Quick-silver, who voided it in my Chamber, while she was declaring to me the same. These no man can digest, being hard and earthy, as Sand and Stones, but I have observed certainly that sheep digest them, and Wolves in time of famine preserve themselves by eating Clay, and I keep by me stony Clay, taken out of the Stomach of a Wolfe, as a rarity.

Many Artificial of Earth or Wood, swallowed by chance, except they stay in the Guts, are voided by stool, as a bul­let which some swallow for death. Other Drunkards, and mad Men swallow glass that they have chewed.

One Drundard swallowed a spoon, wherewith he was eating Milk, being thrust by his Companion, which the next day hung at the Fundament, and was voided, after great pain.

Vesalius reports of one that lying with a Concubine, swallowed down her great golden Crucifixe, she had a­bout her Neck, least it should be found about him, and voided it again.

A famous Physitian writes that one swallowed a knife in a cloath, and after great pain thereby, it produced a great Imposthume in his Groine, and was there cut out, he living long after.

The famous Physitian of Regiomont writes a Book of the swallowing of a knife taken out of the stomach by Incision

Another writes that a Needle swallowed, was voided forth at a Vein.

A Physitian to be beleeved, did certainty affirm to me, that a Needle came forth of a Womans Breast with the Milk.

Many things taken at the Mouth, are vomited up pre­sently. Some, if they go aside, as they say, and fall upon the rough Artery, as Crumbs of Bread, after Water is drunk, or the like, they are coughed up again, or forced into the Nostrils with the Drink.

Some sticking in the Jawes, hinder swallowing and breathing, and somtimes choak; as Thorns, Bones, and Money swallowed: As we shewed in the Defect of the Throat, which stopt in the way.

Rhasis shews that a Horsleech suck'd in by chance, stuck in the Throat.

Some things eaten, and passing from the Guts by the Me­seraicks, have been pissed out, as Oyl in great quantity drunk off, and the like, neither doth that which swims u­pon the urin come alwayes from the Kidneys.

We shewed in the Treatise of Urin, that worms eaten with Cheese, have gotten to the Bladder, and have been pissed out.

Also some sand passing through the Meseraicks, may make the Urin gravelly, for it is not necessary that it be bred in the Body, which is rare.

I have observed also, that Birds bones eaten, have been pissed out at a wound of the strait Gut, which was fistula­ted, and pierced the neck of the Bladder.

Clysters ascending out of the thick guts into the small, and so into the Stomach, Vomiting of Clysters. have been vomited up.

Horsleeches are applied to draw Blood from the Hae­morrhoids.

A Countrey-man told me that his Neighbour carrying a quick Mole in his Pocket, had him so far in his Podex, that they could not get him forth without killing.

One told me of a Mouse that got into a Womans Ma­trix, and not unlikely, for women are very fearful of them.

We shall not here mention things put into the Body by Witch-craft.

Things like bones, hairs, and other things are bred in Imposthumes, but they are not here to be spoken of, be­cause they come not from without, except put in by Magick, which also may depend upon a Natural Cause: As we shewed in Tumors that imposthumated.

Those that cleave to the skin and are taken off, are chiefly filth, not that which is from within, of which we spake, but that which by touching filthy things in the Hands, Feet, and under the Nails, which infects them, and makes them black, as we said in Discolouration. Tel­ling of Money infects the Hands much, though the desire thereof tolerates the chief cause is, that so many thousands of Lepers, Beggars, and infected persons have handled it. Among Creatures, Fleas do most usually stick to the Body to bite, and suck blood, which we suppose, are not bred as Lice from the Body of Filth, but come from without, as we shewed, and appears, because they have a different shape from Lice are red, creep not, but skip with two long feet, they feed not of filth as Lice, but of blood. Nor are alwayes about the Body, and change their place; and though they may breed in Doggs, or increase there, yet not in a Man, whose Filth is distinct, as other Creatures have other Lice, from the diversity of their Excrements and Filth: which is not only from their Bodies, but from the Nests of Birds.

Horsleeeches are applied to draw blood, Horsleeches. and seldom fix upon Swimmers in the Ri­ver: As we see sometimes the little Horsleeches stick to the Fish.

The Cure.

These, or the like, getting into the Body by falling, or being taken in, or creeping in. If they continue, and we know not, or if we know not of them, are neglected, but if they declare themselves by hurt or pain, then we must get them forth, as we said in the Symptomes of some of them. And when they come of themselves, this is to be commited to Nature, and the pain must be helped, and they forwarned when they come forth.

Slowly it was prescribed in the Cure of the Pain of the Eyes, The Cure of things fallen into the eyes. how things got in might be taken out, and what you should do when the Hairs of the Brows hang in the Eyes.

We shewed in Deafness, Into the Ears. how you should take things out of the Ears.

Things drawn or gotten into the nose, Into the Nose. are sneesed out by their tickling, or they get into the mouth, and if into the rough Artery, they are coughed out, and spit out.

[Page 688]And so are they that get in by the Mouth, The Cure of things got into the Mouth. or by the Nose, you must use Ex­pectorations, if they be in the rough Arte­ry, and not let the Patient be choaked, as is reported with a Flie.

If they stick in the Gullet, or about the Throat, as we said of Horsleeches, and the like, which endanger Suffo­cation, we shewed the Cure in the Hindrance of swallow­ing.

If they come into the stomach, if they cause not vomi­ting, you must give a Vomit.

If they go into the Guts, and out at the Podex, help with Clysters, and Instruments, if they stick there.

If Clysters are vomited up, it is an evil sign, The Cure of things in the Podex. and when it is so in the Co­lick, you must cure it as was shewed in the Colick.

Horsleeches after they are filled with blood, will fall off, or be taken off. If they will not off, cut their tayls, (which they do to make them suck after emptying) and they fall off, or sprinkle salt or ashes upon them, which will make worms depart.

That Mole which got into the Podex, caused great pain with his Feet, when drawn out, till they kill'd him, The Cure of things crept into the Womb. and hurt the Po­dex, that it was after cured, and so did the Mouse in the womb of which we spake.

We shewed in the Cure of Filth coming from within, The Cure of out­ward Filth. how you should cure Filth without.

The Filth which is under the nails, The Cure of Filth under the Nails. for want of paring, must be taken a­way by paring.

It is not our purpose to shew how Fleas are driven from Chambers, To keep off Fleas. Beds and Cloaths, but that you may with a Decoction, wash your Body to keep off Fleas and Lice.

Horsleeches fall off as we shewed be­fore of themselves, or by Art. The taking off of Horsleeches.

FINIS.

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