A Compleat Practice OF PHYSICK.
ABORTION is a symptom of things thrust out.
The Cause is the expulsive faculty, provoked; or the retentive, hurt: which is done by the air, too much voiding of excrements, motion, Venery, diseases, natural debility of the womb, or the child; of the retentive faculty, by the first birth; the stinck of a candle put out, Castoreum Galbanum, from the child diseased by naughty seed; from want of superfluity of nourishment from the disease of the mother, distempers, sharp fevers, loosness of the Ligaments, the womb gaping, shortness of the Intestins, dissolved unity of the parts adjoyning, from swooning, convulsion, pain, sneesing, slipperiness of the matrix from a flegmatic▪ humour. Aph. 45. s. 5. [Page 2] Diagnostick Signs, Aph. 37, 38,—52. 53. Prognosticks. In Abortion women are in worse condition then in natural birth: for unripe apples fall not unless they be pulled oft times, especially the first Abortion, causeth barrenness. Abortion is most dangerous in the sixth, seventh and eighth moneths.
Preservation. The cause must be resisted; it oft times proceeds from a stegmatick humour, Internal and Topical remedy must be astringent. Specialties are Corals, cochineal, shaving of Ivory.
Take Red coral prepared I dram, Pearl prepared half a dram, shavings of Ivory I dram, Mastick half a dram, Manus Christi with Pearls 2 drams; make a powder.
The Cure. If you cannot prevent it, you must by all means procure Abortion.
Question. Whether straightnesse of the Matrix can cause Abortion? It is affirmed: as straightness of the stomach may case vomiting.
Affection Hypochondriacal is a sink of humours melancholick, and oft times of slegmatick and cholerick collected [Page 3] in the branches of vena porta, the Caeliaque artery and the Meseraiques, especially in the left hypochondre, by reason of the concoction of the spleen hurt, without putrefaction from whence vapours that have the nature of these things, and part of the humour, do stir up various symptoms, as loathing, vomiting, belching, sowre corruption, and burnt like sut, (whence it is that Senn. will have the case of Fabr. Cent. 4. obs. 32. not to proceed from the seed, but to be hypochondriacal) many winds, which Senn. will have to be contained in that cavity of Spiegelius on the left side, sadnesse after meat, costiveness by the drines of the vessels, heat of the hypochondres, urine sometime thick sometime thin, troubled panting of the heart, swooning, thirst, difficulty of breathing, Vertigo, falling-sicknesse, palsie, Wearinesse, troublesomesse, it differs from hypochondriacal melancholy, because in the affection hypochondriacal, many are not melancholy.
The Cause is a sink of humours collected, by reason of the cold of the stomach, weaknesse of the spleen, hear [Page 4] of the liver, driness of the intestines, & the Pancreas, obstruction of the vessels, especially of the Pancreas, and fault of the milky veins, chiefly in virgins, and in women by the fault of the womb, and stopping of their Courses.
Diagnostick signs. If it come from the Spleen, it is stretched out and hard, the face is ill coloured.
If from the Liver, that is stretched forth.
If in the Mesentery vessels, &c, there are winds, noyses, and hard nesse.
If in the stomach, concoction is hurt.
If from the womb, there is a noise of the womb, and the Courses are stopped.
Prognosticks. The disease is obstinate by reason of a contrary temper of the bowels and grosnesse of the humour.
The Emrods, Melancholick veins, the Courses do often cure it: also bleeding of the left nostril, black urine.
Women are seldom troubled with it but never cured.
Thick urine is best.
The Cure. The first Indication is, [Page 5] that the humours must be evacuated by gentle moistures and coolers, by opening the Emrods, by vomit, by diureticks. If this be fruitlesse, we must respect two things, 1. Steel, which is the best for all obstructions and melancholick diseases, by reason of the brimstone it abounds with: wherefore we must see to it, that it be not over calcined; for so it will rather bind, the brimstony part being taken away: the filings of steel or prepared steel is given, which is done, if the filings be steeped in vinegar, dried, and powdered: or else the crocus, or tincture, or wine, or oxymel, or syrup, or electuary, or roles of steel. The dosein substance, for middle age is 1 scruple, or not under 2 scruples, nor above 1 dram and half be administred. It is given best in the Spring and Fall; for in Summer the hear, in the Winter the cold hinders. Let it be taken fasting, and after that, let the Patient walk one hour or two; if the party be weak, walking may be omitted. Let him dine four hours after. At first let it be given every third day, and afterward every day. Some the first days cast it off [Page 6] again: but sometimes it is conveniently given to 30 days. We must see that the steel passe thorough the Belly, which is known by the black Excrements; and if it come not so, every 4. day we must purge with pills, or Clysters. After the tenth day, purge gently, and abstain two days from the use of it. That it may descend the sooner, you may add purgations to it & correctors, & give it in pills, 2. The Patient may go to the sharp waters and hot baths, they that drink of them purge forth black excrements by reason of the vitrials. The sowre waters called Swalbacenses, Griesbachienses, Egranae, the hot Baths of Baden, Carolius. Also medicaments made of Tartar.
2. The weak parts must be corrected and strengthned by internal and topical means: so a cold stomack by inward heats, a hot liver by topicals, or by cooling Clysters, or give the pulp of the citron with the shell for so it will longer stay in the stomack, or whole grains of pepper. Or to a man that is long fasting give some Cooler, which will presently go to the Liver, especially if [Page 7] he do not exercise moderately, or give such heats that are below the heat of the Liver, and which for that do not increase its distemper, as Egrimony Fumitory, Succory. So the stomach being strengthned, you may safely give cool things that concern the Liver; or give such things to drink, the mixture whereof is not discovered by a new and first concoction, but by the second and third, as Spirit of Vitriol.
If it come from the Courses stopt, a vein must be opened.
ANEURISMA, Is not a humour from the running forth of the arterial blood, as Galen and Platerus &c. will have it; for so the bloud should as well spread it self broad waies, because it would colour the skin, because it would easily putrisie; but it is a humour by the opening of the inward coat of the Arteries, and by dilatation of the outward coat: it is opened either by unskilful opening of a vein, when as the outward coat which is the softer groweth together again, and the inward coat remaineth open: or from some [Page 8] external cause. Sen. l. 5. p. 1. c. 42. Fabr. obs. 44. cent. 3.
Diagnostick signs. It is a soft humour yielding to the touch, sometimes with, sometimes without pulsation; it differs not in colour from the other skin, it yieldeth to the touch, and sometime not. Prognostick, New Aneurisms may be cured, but old not. Section is most dangerous, it proceeds oft times from hard child-birth, also in the throat.
The Cure. Lay on an astringent, & some repelling remedy. A plate of lead any way. The manner of cutting, see in Sen. l. cit. but it must not be attempted. See Pareus l. 6.
APPETITE Wanting: the Cause, Because there is either no sucking, or it is not perceived. 1. When nourishment aboundeth in the whole body. 2. When raw humours & grosse, stick in the stomack. 3. When there is obstruction of the veins. 4. From the use [...]f far, sweet and clammy things. Sucking is not perceived. 1. When the brain is hurt. 2 By reason of some disease in the mouth or the stomach, as from distempers which whether it be hot or cold, [Page 9] exceedingly, causeth want of appetite: Oft times it cometh from drinking of wine, from worms, from the matrix. Some will have the Devil to be the cause of long abstinence, who conveyeth meat into the body, and yet there are no signs of it; and the same things doth naturally happen to Beasts. Some say, it comes from some hidden quality: some, they are fed by the aire; but what shall be changed into the nature of the body wasted? Some say, they are fed by vapours that are inherent in the aire: but why then are not all men nourished the same way? Some live by drinking water, but many drink no water. Some say that fleame sticketh in the body that cannot be wasted; but many of these were not flegmatick, but rather dry and costive, and so old men would live long without meat. Some will have it that they live by their grease melted and turned into blood; but it is false that their grease is melted and floweth to the stomach, and is changed into blood, and by hunger it is not changed into nourishment, but is discussed, Fort. Liceous saith, that [Page 10] there is no necessity of nutrition: because neither the soul, nor the body stand in need of it: so old men are lesse nourished: also generation and augmentation ceaseth. Senn. saith, that the cause is, by reason that nothing (or else, not but in a long time) is consumed, because of a certain proportion of the humour to heat: So Scal. Ex. 328. writes that coals of Juniper will keep fire a whole year unwasted; but that disposition is brought upon the humor, when by diffusion of a melancholy humour it is fixed, that it cannot receive the activity of heat. Now a peculiar quality is communicated to a melancholick humour from the Matrix; for they were almost all maids, at those years that the Courses are wont to break forth.
Signs Diagnostick. If there be no sucking, the forces cannot fail, and there are signs of repletion; but if it come from obstruction, the Belly is loose. If sucking be not perceived, the forces are cast down. Progn. Aph. 33. s. 2. Respiration, Appetite in the sick is is excellenr. Aph. 6. s. 6. Want of appetite [Page 11] in children is dangerous; but if want of appetite fall upon the beginning or vigour of the disease, it is not so dangerous; for they want little nourishment, and if they eat well, they are the worse. If it fall upon the declination, that is ill. If in a disease the appetite be cast down, and it suddenly come again, that is deadly; for the Brain is hurt unlesse a Crisis went before it.
The Cure. The cause must be taken away: sharp and sowre things cause hunger, as also scowring things, as figs, sauce. If it proceed from the matrix, there are signs of the matrix affected, Symptoms somtimes abate, and there are many symptoms present. How aid shall be given to the matrix; See (concerning Suffocation and distemper of the matrix) Senn. l. 3. p. 1. s. 2. c. 2.
ANTHRAX, or a Carbuncle, is a Tumour that riseth from adust blood that is extream hot, making an eschar on the part affected, of a diverse colour like a rainbow, with a little wheal on the head.
The Cause, is grosse adust blood, or black choler. [Page 12] Signs Diagnostick. It begins from a smal push, or from many; pricking going before: in a short time by way of fluxion it alwaies increaseth with extream heat and pain; especially toward the evening: then followeth a Feaver, and a Troup of most naughty symptoms. Prognostick. That is most pernicious, pestelential, black, wan, which vanisheth away, which is fastened near a principal part, which had a Feaver going before it. That which is red, small, not pestilent, is the safest.
The Cure. The first Indicant is a cooling of the blood by general means, as Diet, opening of a vein, alteratives, but not purgatives. 2. The heart must be freed from the malignity, by internals and topicals, chiefly by the urine or water, or decoction of Scabious. 3. The cause that is joyned with it must be voided, with scarification deep enough, with cupping glasses, Leeches; yet if the humour flow thither too much, lay plantain boyld with bran upon the Carbuncle, to repel, especially if it be neer a noble part, and then wash the wound with salt water. Lay [Page 13] not on the scarified place emollients, but dryers, and such as resist putrefaction, as Egyptiac, or meal of Orobus with oxymel, or scabious or divels bit green, brayed with old hogs grease, the yolk of an egg and salt. Pareus l. 21. hath proved often this following.
Take S [...]ot. 4 ounces, Common salt 2 ounces, 2 yolks of eggs, mingle them. Radish roots cut in pieces, draw the poyson mightily. Paracelsus.
If all be fruitlesse, lay on a caustick, for the sense is lost. The Eschar must not be taken away by emollients, or when the Carbuncle it self makes a crust. Senn. had rather use roots of Scabious and Comfrey, Radish, Treacle, Soot, Mithridate, Leaven, Figs, Rue, wallnuts that are old, vitriol, &c. and with these remove the crust if it impostumate round about, and there appear a red circle it is a sign of future safety; for the crust being taken away, the ulcer will be cleansed with honey of Roses, and juyce of Smallage, &c.
The Cure of a pestilent Anthrax differs. For a vein must not be opened, unlesse perhaps under the Carbuncle for [Page 14] evacuation: alwaies attractions must be applyed, as Pigeons dung, Sope, Doves-foot, Onions roasted under the embers, and the uppermost of them. Some say if a circle be made about a Carbuncle with a Saphire, that will stop it from spreading any farther, and quench the poyson. Senn. l. 5. p. 1. ch. 11.
APOPLEXIE is a symptome whereby all the animal actions perish.
The cause is not, obstruction of the ventricles of the brain; for they breed no animal spirits, experience is against it, in those that are opened: nor do those fall into this disease, that are sick of water in their head, in whom only the ventricles of the forepart are obstructed; but first fleam or a melancholick humour stopping the beginning of the marrow of the back, as it is demonstrated in the Varolian Section. 2. Blood, either running forth by a stroke, or some other way, and stopping that part. 3. A flegmatick disposition, where in the vessels of the brain extended by plethory, presse upon that part. 4. If a contusion of the skull presse on [Page 15] that part of the brain. 5. From a narcotick vapour, whence ariseth stupidnesse in those that are cured. 6. A wound of the brain, & from thence an effusion or troubling of the spirits. Aph. 58. s. 7.
Differences, The strongest i [...], wherein breathing ceaseth, and there is neither froth nor snorting: the weaker is, where there is froth with snorting. The weakest, where breathing is violent unequal with intermission: Weakest of all, when breathing is ordinate.
Signs Diagnostick. It differs from a Lethargie, because such as are in a Lethargie may be wakened, and fall asleep again, there is a Feaver with it; Those that have an Apoplexie cannot be awakened, but when they are wakened, they fall into a Palsie without a Feaver. This differs from Carus, for in Carus breathing is entire, it creepeth on by degrees, being pricked they feel; but it is otherwise in an Apoplexie, It differs from the suffocation of the mother, because in this the colour of the face is changed and made more wan, but not in an Apoplexy, in this the power of feeling often remaineth, nor is the breathing [Page 16] hurt: and if breathing should be hurt, the pulse would be hurt also: but not in an Apoplexy. It differs from swooning, because in swooning the colour of the face is changed, the teeth, the mouth, the hands are fastned; but they are loose in an Apoplexy: in swooning there is no breathing and no pulse: it differs from a strangling distillation, because this strangleth a man that is sound in his sense and motion. Prognostick. An Apoplexy of the first and second degree, is mortal. Aph. 43. s. 2. An Apoplexy is from the first cause which Hippocrates meaneth, Aph. 42. s. 2. An Apoplexy which comes from the third and fourth cause, is easily cured. Apoplecticks must not be buried before 72 hours be past, because all the humours are moved within that time.
The Cure. The first indicant is, freeing from obstruction, which is done if they can be awakened. The second is, the fortifying of the brain, head powders described by Senn. l. 1. p. 1. c. 2. If it come from the first cause, means to awaken them being premised, if the forces will bear it, and there be plenty [Page 17] of blood, in summer, spring, and the party be young, a vein must be opened by turns in the arm, with a large orifice, Or if we may not do this, cupping glasses with scarification must be applyed to the Legs, Arms, Loyns, Shoulders; but not to the back part of the Thorax. After this by general and by topical means, the matter must be derived and voided from the head; yet vomits must not be given, because they would put the party in danger to be choked: Strong purgations must be administred, as Pills dissolved if he can swallow them. 2. The brain must be fortified, but if it come from the second cause there is need to open a vein, or to apply cupping glasses with scarification, and to use diversion, evacuation, and strengthening.
Question. Whether repulsives may be used? Galen useth them: Forest us denyeth; because this disease hastneth most quickly to its state; because there is no defluxion. Sen. distinguisheth, and saith, that it belongs to an Apoplex from the third cause.
ARTHRITIS is a pain or swelling with a pain, of the joynts from a [Page 18] sharp watery humour, which partly by extending, partly by sharpness, doth rend the membranous parts, and causeth them to endure pain.
The Cause is a watery, sharp, salt, lactaceous humour, as is collected by the pain▪ the hard swellings, and the indisposition of them to come to suppuration, heat and driness of the Liver and Spleen, the diet, an Arthritical disposition; for though there be the same temperatenesse in diet, yet one man will be Arthritical, another not. A suppression of urine and of sweat, which alwaies almost gooth before the paroxisime. Pareus l. 17. saith, It is a malignant matter: because the pains are sharper then in an ulcerated Cancer: because when remedies are applyed, it is often more violent. Galen prescribeth Theriac.
Signs Prognostical. Arthritis preserveth from many diseases. Aph. 49. s. 6. Swelling or melancholy veins appearing are good; If it return not again, it is mortal. They that are costive can never be cured of it. It is taken away either being dissolved, or else it is changed [Page 19] into bloody watery matter, or to hard knots, or is carried to the principal parts. Laur. saith it is sometimes brought to suppuration, if the humour by ligature be pressed forth into the fleshy parts.
The Cure. 1. Revulsions must be applied: as if there be plethory, feavers, and strength, a vein must be opened, of the same side, or if the hand be ill, in the opposite hand, by cupping glasses with scarification, blood-suckers by chasings, ligatures. 2. Means to evacuate. After that, give one purgative at the beginning, before meat, whilst the forces stand, of such things that are indifferent strong. Whilst the purge worketh, the foot, or part affected, must be laid higher, or must be guarded with defensatives. Vomits are excellent. Then diaphoreticks at first, and colder diureticks, as Harts-horn, and the root of the Clot burr 3. Topicals that are Anodyns. Forestus praiseth Duck-weed and flowers of Camomill with Barley meal boyld in milk, that they are wonderful good. Spiegelius commends the distilled water of the [Page 20] roots and flowers of Meedsweet. Fat things are hurtful, we must often proceed to Narcoticks. See Aph. 25. s. 5. First use resolvers and moderately repecussives, of Plaintain, Frog-spawn water, Housleeke, Purslane, Roses, with moderate resolvers in any form; but the repellers must be cold and moyst. Resolvers are the water of the flowers and leaves of Mullens, Earth-worms, decoction of Mugwort roots in sea (or salt) water. Spiegetius commends the Urine of men, salt of Urine, and the spirit of salt tempered with water of Meede-sweet, anointed on the part with a feather. The liquor of Snails resolved with salt in a copper vessel, or boyld in vinegar and oyl of Roses. Resolving suffumes are profitable: Pigeons dung boyld in vinegar is good, and nettles boyld in wine.
Hard humours are cured with softning cataplasmes of old cheese, juyce of Tobacco, and by Fumes. Rotten cheese with the broth of a gammon of bacon, Scal. addeth the powder of a fire-stone burnt. See Senn. concerning Arthritis. Storks-dung boyled in Hogs-grease. [Page 21] Schrekevos. The Sciatica requireth only resolvers and attractives.
If the pain be stretching forth, if the part will not retain the print of the finger pressing it, wind with fleam doth seem to be a true Arthritis. Some unexperienced Chirurgians, supposing matter to be under; have opened it, with great hurt to the patient. Fabr: Cent. 1. obs. 79. Cent. 4. obs. 84. saw the Gowt cured by torture.
The Physitian is oft times deceived thinking the cause to be hor. 1. If he say, He is helped with hot means therefore it is cold, whereas by opening the pores hot things may be cooled. 2. The pain is asswaged by cold things, therefore it is hot; because cold things take away the sense, but not the cause. 3. The pain is intense, therefore it is hot; since cold things by a malignant poyson can do the same. 4 The colour is yellow, therefore it comes of choler, because much fleam is died with a very little choler. 5. There is a Fever and fiery coloured Urine, therefore: but by reason of watchings and pain, a Feaver may arise. Pareus l. 17. Rulandus cured [Page 22] it by purging, sweating, with the roots of Afarum 2 ounces, Centory the lesse two handfuls, a lath of Juniper wood 1 pound, Juniper berry half a pound.
Preservation is made by diet: dunghil cocks and capons must be avoided, for they are gouty by eating sand. Senn. Fat things must be eschewed, and things that are fried; all must be seasoned with Mugwort, as it is wont to be done, and Parsley. To ride and walk overmuch is very hurtful. The feet must be put into new hot liquor of grapes prest out. Some every moneth open a vein in the great toes, or the feet: others, every month before the ful moon, set cupping glasses to the soles of the feet; without scarification one may purge. Medicaments against the Gowt are profitable, which see in Senn. The joynts must be strengthened many wayes.
Question. What is the cause? Fernelius saith, that the antecedent cause is without the Scull: 1. Because many Veins end there, and there is heavinesse of the head. 2. Because the excrement [Page 23] gathered in the brain is purged, forth by the nostrils & the palate. Laur. and Senn. argue against this; But should it be collected within the scull, and should run from thence by the palate, alwaies nauseating, vomiting, a cough should go before Arthritis. If it come from the Heart or Liver, bubo's in the groins and arm-holes, should go before it; for there are properly the emunctories.
Fernelius will have the matter descend, not by the vessels but under the skin: Laur. denieth it. 1. Because Feavers end in Arthritis, whose causes are in the veins. 2. It is often cured by opening a vein. 3. Because before the paroxysme, the veins swell and are red. 4. It should cause shivering.
Fernelius will have fleam to be the cause: it is not blood, for that without the vessels would corrupt, and putrefie; not melancholly, for that would go to a scirrhus, nor would it suddenly affect us; not choler, for that would turn to matter: not salt fleam, for that would exulcerate.
2. Whether every pain of the joynts [Page 24] be Arthritis? I deny it: for so disjonting and pains of the pox, and pains of the hips in maids, and women in child-birth, also a humour bred by degrees in the joynts should be Arthritis, which is false; for as oedematous humours is rather caused by it then Arthritis: so by the drying up of humours in the joynts there groweth pain in the joynts, Aph. 16. s. 3. yet not Arthritis.
3. Whether may we purge, when the pain is? Crato denyeth it: Ep. 167. also he denyeth that causticks are convenient in the feet, because we may not evacuate the part affected: whence Erastus saith, that the Leprosie is ill cured by diaphoreticks, and Crato saith, the same of a dysenterie by Clysters, but Pareus calls it an opinion full of errour. l. 17. Hollerius.
Arthritis that is vagrant is Scorbutical, and a pain of divers parts.
The Cause. It is a thin watery matter of all the humours, swelling and malignant. The parts affected are the Nerves: because it is very luxuriant in the back and the loins, by reason of [Page 25] the marrow of the back that lyeth under, because the action of the nutritive faculty is hurt: because it is cured with remedies good for the Nerves.
The kinds. 1. It hath Tumors about the joynts, which if they last long they bring forth spots, as in the Scurvey, which sometimes coming to suppuration, are turned unto a malignant ulcer: chiefly about the feet, whence worms like Cantharides are brought forth. Sometimes the whole matter lyeth upon one part: whence the whole body is freed from pain, an Impostume groweth, which endeth in a Fistula.
2. Without swelling: this often causeth learnesse, with weaknesse of the joynts.
Diagnostick signs. There are wandring fierce pains all the body over, especially in the back and the Loyns. First, It seaseth on one part only, then suddenly it fasteneth on the next: the most are bound in their bellies: their Urine is like to those that are well; but that sometimes little worms, like those thar breed in rotten cheese, swim in the bottom of the urinal, and are mingled [Page 26] with the excrements of the belly. Some have a good stomach, others not. Prognostick. The cure often extends to some weeks.
The Cure. Empiricalls are: Earthworms provided divers wayes. Some give the ashes of a quick Mole, burnt with wine at the decrease of the Moon. Dogmaticalls. Take Serna powder 2. drams, infuse this 12 hours, in Betanywater 6 ounces, strain it hard, adde Diacarthamum half an ounce, mingle it.
Take roots of Devils-bit 1 ounce, round Birthwort 3. drams, Sage, Betany of each one handful, Southernwood, Rue, Perwinkle, Savin, of each 1 pugil, boyl all in fair water, with 4 ounces of this decoction for a dose; passe through a colender 5 Earth-worms, thrice washed in wine & powdered; then mingle Treacle half a dram, cinamon in powder 1 scruple, Sugar what may suffice: drink it, and sweat upon it, repeat this for some dayes together.
The Impostume is broke with Plantane and salt, beaten in a mortar, and applyed; the Impostume being broken [Page 27] some lay on a Cataplasm of Salomons seal with Ale, with the roots of the Oke-fern. Others do strew on the powder of a Mole. H. de Bra.
ASTHMA, is the hurt of Breathing, without a Feaver, with a noise, and frequency of breathing, from the straightness of the wind-pipe: if it be taken properly the disease is stubborne and long.
The Cause. use increased by the straightnesse of the wind-pipe, obstructions from the plenty of the humours, the thicknesse, stone, hard swelling, that matter is seldom sent from the head, it is often collected by degrees: it is most commonly sent by the veinartery, or the arterious vein; for should it flow often from the head, there would be a cough: because those that are asthmatical are commonly Cachecticall, and their feet swell, because it often ceaseth without expectorating: because by suppression of the Emrods ariseth constipation from some swelling humour, compression by sinking down, and growing together, constriction by grosse vapours rising from the womb.
Whatsoever is troublesome to the instruments of breathing, if it cannot easily be removed, it causeth one to Cough; if hardly, it causeth Asthma; for there is not strength enough to cough it out: but if more hardly, it causeth Orthopnoea; and if it cannot be cast out, it is a strangling Catarrh.
Diagnostick signs. If it come from a thick cause bred by leisure, an Asthma comes by degrees, and it is continual. If it floweth thither, it increaseth at sometimes, an in Autumn, winter, in the night. If it come from the Brain, there be signs of a Catarrh. If it come from the Liver, there is a swelling of the Feet, and an ill habit. If a thick humour stop the Wine-pipe, there is a Cough with a noise: it is bred by degrees, there is Catarrh, the Patient is sound. If the fleam stick in the stomach, there is a Cough with a sound, and seldom any thing is expectorated, and the disease being obstinate, and lasting long killeth a man.
If it proceed from the drinesse of the Lungs (so Heurnius saw a mans Lungs so dry, that they were like a dry Apple) [Page 29] there is no spittle, the whole body is lean.
Prognostick. It strangleth children, old folk cannot be cured, Aph. 40. s. 2. young people hardly. It is dangerous in a sharp Feaver. It is sometimes changed into Peripneumonia, a Dropfy and an ill habit of the body.
The cure. In the Paroxism the cause must be pulled back, by chafings, Ligatures, Cupping-glasses, Clysters, and opening a vein if the forces will admit; if the humour be thin, they must purge, Topicals must be emollient and resolving. When the Paroxysm is extended beyond the fourth day, Vesicatories must be laid ro the Back, against the region of the Lungs.
Out of the Paroxysm, the matter prepared must be evacuated, then expectoratir [...]eans must be given. The Breast mu [...] be annointed. If it come from a Catarrh, the Brain must be purged. The Catarrh must be hindered. Use of old Treacle is excellent, as of Diacalaminth, as of Aqua vitae with Elecampane: then dry the matter with a decoction of Guaiacum, let the diet be [Page 30] attenuating: the drink thin wine, water and honey; motion before meat, must not be sudden or vehement; for so many have been choked.
APHTHAE. The cause is sometime a fault in the Mouth, when humours are collected in it; or of the whole Body, as in malignant acute Feavers, or of some part, as of the Head, Lungs, Liver, Spleen, Belly, Matrix; in children sharp milk corroding the Tongue, also milk corrupting which sendeth forth sharp vapours.
The difference: Some are new, some old; some malignant, some not: some are on the Tongue, some come on the Palate: some from Blood, some from choler.
Signs diagnostick. Little swellings are seen, sometimes red, sometimes black, sometimes white, sometimes black and stinking.
Prognosticks. Stinking, black, ulcerated, crusty, inveterated in children are mortal: because you cannot apply means to them, by reason the parts are soft, moyst, whence they easily corrupt, corruption, of the bone in those that [Page 31] are of years is dangerous. If they happen in acute pestilent Feavers, they are deadly.
The cure. For children, take away the sharpnesse of Milk from the Nurse by general and Topical means. Give the child a draught of Honey of Roses, Diamoron with Oxymel. First give astringent Syrups, then add discussers, if the Milk concoct ill, suckle it not so often. If that be in vain, bring them to suppuration, laying Figs on them; or boyl Bran in water til it grow clammy, strain it, and add Honey to the liquor; or with Milk or Mucilage, or syrup of Juleps, or Gargarisms, or Pills to hold under the Tongue, and Lohocks for Infants.
Where the Patient is of years, the humours must first be temperd. 2. The conineut cause first requires astringents, and then Resolvers; If they be malignant, Actius prescribes the Green water or Aegyptiac, or to dip the Probe in scalding Oyl, or in Aqua fort is which is not strong enough to work on mettals; this following, repelleth.
Take water of Honey suckle, Plantaine, Nuts, of each 3 ounces, Flowers of dry red Roses 1. pugil, strain it, and dissolve in it syrup of Pomegranats and Diam [...]ron, of each 1. ounce, mingle them.
The Spirit of Vitriol 2 drops, and of Honey 1 ounce is good. Crato Ep. 183. For inveterate Aphthae, the ashes of Fennel-root burnt, either alone or mixed with Honey are most profitable. Least, they should proceed from being anointed with Mercury, Forestus bids to anoint the Mouth with oyl of sweet Almonds. But if a Gangreene or suffocation be feared, Repulsives may be used when they are malignant.
BELLY STOPT. The Cause: Want of choler as in Jaundies, and after purgation, the choler and excrements being voided out: when the choler by a sedentary life, and perpetual bending of the body flyeth back to the stomach: from hunger, when all moisture is sucked from the starved parts, which happeneth also to those that grow well: Fleam, covering the Intestins. So in the life of J. Heurnius [Page 33] we read that J. Lipsius voided fleam by siege like to Guts: a hot Liver, hard Excrements, the Palsey. Laur. c [...]ns. 7.
The cure varieth as the cause is. If from hardnesse of Excrements, a purging Clyster bringeth forth the thin, and leaveth the thick behind; wherefore you shall give two or three Clysters merely emollient. After a purging Clyster, emollients in meat are good, Whey, Malloes, fat things; much drink. Savanarola perswaded the Duke of Ferrara when he was bound three days, to walk bare-foot on a marble pavement that was sprinkled with cold water: when he had gone fifty paces, he went to stool exceedingly: But Brasavola saith, This was a dangerous remedy; for Torments and Flux of the Belly might follow. Some loose the Belly with rear Eggs, some with the smell of Purgatives, others hold them in their hands. Platerus used coughing and sneezing. Things are also profitably laid outwardly to the Navel. In children it is stopped by Milk which is flegmatick, a weak stomach, error in Diet [Page 34] but not continual, with fainting and Diet, heat of the Liver, and they seldom live healthfully.
The Cure. You must oppose the cause. The childs Nurse must use emollients, Honey of Roses solutive may be given; If the Passage for [...]holer be obstructed, the decoction of the Roots of Grasse, Fennel, Asparagus, is convenient; the Belly must be moved by Suppositories and Clysters: The Belly must be anointed with a softning Ointment, to which you may add sometimes some grains of Scammony & Coloquintida: let him drink such things as are loosening.
A BOTCH is a Tumor or inflammation of the glandulous parts in the Groins, Arm-pits, and under the Fars. Phyma and Phygethlon differ little from a Botch.
The Cause is faulty Blood, a Crisis, a Feaver.
Signs Prognostick. If they are not malignant, they are not dangerous: if they are long before they come to suppuration & continue long they commonly make a Fistula; they are soonest ripe under the Arm-pits, later in the Groins, latest under the Ears.
The Cure by general means. A Vein is good to be opened when the defluxion ceaseth, purging in the beginning and the end. Topicals must never be Repellers, but Drawers and Resolvers, as cupping glasses, Leaven, Rosin, Diachilum with Gums. It is best to cause suppuration, for being resolved they soon return: the suppuration must be opened and consolidated. The cure of Pockey botch is the same, but that the Pox must be cured also. The cure of a Pestilent Botch. The tumour must first of all be scarified; for so the venome is let out, and the humours are attracted by pain, or lay on a vesicatory after attractives, as Ammoniacum, Roots of Li [...]ies, Scabious, Onions, filled with Treacle and roasted: Cock chickens, young Pigeons, made bare at the Fundament, Whelps cut in two: then lay on ripeners, and then digestives; but the wound must be carefully kept open. If you fear it will Gangreen you must hinder it. See Sennertus l. 4. c. 6. d. pest. l. 6. p. 4. c. 23. l. 5. p. 1. c. 6. Laur. de Lue Ven. Paraus l. 21, and 18.
BULIMIA is Appetite increased, but [Page 36] dejection of forces. A dogs appetite is alwaies with vomiting, as in dogs, or in Diarrhaa.
The cause, is sucking in the Mouth of the Stomach; a humour that is melancholick, sharp, sowre, want of nourishment, because the heat consumeth it, by reason of Worms, use of scowringthings a long time; as Figs and Sauce, which Rondeletius found true in himself. It oft times comes from the Womb.
The cause of Bulimia is the cold of the stomach: But how? it is not credible that a flegmatick humour should prick, presse forth, bind fast; because in living Man there is no actual cold. Platerus saith, It proceeds from the contraction of heat by reason of the cold round about it; therefore we eat most in Winter. Also Senn. thinks that the cold that encompasseth, doth rend the Orifice of the stomach; but doth this disease happen alwaies in Winter?
Signs Diagnostick of a dogs appetite: If it proceed from a sowre humour, it causeth sowre belchings, if from want of nourishment, the sick grow lean.
Prognostick. It easily passeth into a constant vomiting, the Cholick, a Dropsie, great hunger after diseases, threateus the making it to come again. In chronical diseases, as the Quartane and Quotidian Feavers, and in a Dropsie, it is mortal.
The cure of Dogs appetite: The cause must be evacuated, chiefly by vomit. Meats must be given that bridle hunger, fat and clammy, Ox flesh, Hogs flesh, the Brains of living creatures, new white starch; but they must be taken sparingly. The most commodious alteratives are Wine, Spirit of Wine, Sagewine, Treacle, Mithridate. Evacuating with Hiora, and then corroboratives.
Cure of Bulimia. If it come by fainting, it happeneth in the very paroxysm: when the paroxysm is over, we must not presently feed the sick, but when the forces are recollected; and then it is cured as is the Dogs appetite.
BLOOD-SPITTING. The cause is either a breaking of the vessel, which is known by the great flux of Blood, and coming forth by heaps, and [Page 38] by the precedent cause, as a blow, a fall, anger, much coughing or a corroding: and then some sharp distillatives went before, or eating of sharp things, sorrow: little pieces are cast forth with the Cough, bloody spittings are cast out but at some times, or an [...]stomesis, and not by heans, but by little and little, some little blood is cast forth, as from Venery. The other signes are absent.
The remote cause is the stopping of wonted evacuations; the fault of the Spleen or of the Liver.
The Subject. If it come forth by spitting alone, it proceeds from the Gums; if by scrawing, from the Throat; if it be voided more plentifully, and there be signs of the Head affected, it cometh from the Head: If by vomit, from the Stomach; If by coughing, from the Brest.
Diagnostick signs. If the Cough be long it cometh from the Brest, by reason of the length of the way: If short, from the sharp artery: If mean, from the Lungs; Blood black clotted, and sometimes stinking come forth of the [Page 39] Brest. Like froth between white and red from the substance of the Lungs. A little blood from the sharp Artery. A dull or no pain sheweth the Lungs to be affected; a great pain, the Brest.
Prognostick signs. Spitting of blood from the Brest is dangerous, from the Lungs more, from the sharp Artery lesse: because the vessels of the Brest are smaller, and the corrption is poured into the Chest. The worst of all is ulceration, Rupture is a lesse evil; an opening is easily cured. An ulcer of the Brest is curable, but not of the Lungs.
The Cure. If it come by rupture or opening, the only Indication is to stop the blood, and to heal it. Therefore, if a Vein be broken by coughing, let the Catarrhs be stopt by all means. [See, for the Catarrhs.] After that, the blood must be stopt by all kinds of revulsion: the quality of the blood that exceeds must be tempered, the Choler must be purged, by mild remedies; Aloes and Scammony must be for born: let Honey be mixed with all medicaments, because it openeth the Passages. Then we must consolidate with Syrup of [Page 40] Comfrey, Fennel: which see in Senn. Take for six days every morning 4 ounces of juyce of Nettles, 1 dram of bloodstone, with the water or juyce of Knotgrasse. Trallianus giveth 4 Scruples. It is given in Roles, Electuaries, infusion until the liquor be red. See bleeding at the nose. If all be in vain, you must give Laudanum opiatum, or some other Narcotick. The continual use of Germander is most profitable. Crato ep. 184. Rul. Nettle-seed, Manard. commendeth the Roots of the sharp Dock. If matter run out by corroding of a Vein in the Brest, or else spittle with blood; it is cured as a Consumption, which commeth from the Lungs being corroded.
BLEEDING at the Nose, The cause is either the mouths of the Veins opened, or plenty of blood and there are signs of plethory, of some urging of the expulsive faculty by some sharp humour: and then there are signs of Cacochimia: or the weaknesse of the Retentive faculty, and then often at times, and for very small causes the Nose bleeds: or from outward causes, as [Page 41] provocation, tickling, anointing with hot things, or from diairesis, or diapedesis if the blood be watery, if flegmatick Cacochymia do trouble the Patient.
Differences; It either comes from the Veins of the Nose; or of the thick membranes of the third: sinus: and then for revulsion, Banhinus admonisheth that Topicals must be applyed to the hinder part of the Head; oft times it cometh forth of the Artery. If it be critical, it must not be stopped.
Prognostical. Melancholick and flegmatick People endure it the worst.
The Cure. If it come by the mouth of the Veins opened by Plethory, that must be taken away, and the blood must be pulled back from the Nostrils by opening a Vein on the same side, and make a narrow Orifice: draw away at times one ounce or two or sometimes four, by cuppings, ventoses must be applyed to the Liver. They stop it better if they be applyed to the Foot on the same side, and to both Feet, if blood run out at both Nostrils. Yet this caution must be used, that they [Page 42] must not stay long on the same place, but before they cause fainting they must be taken off. Forest. will have them with scarification to the Legs and Shoulders, painful Ligatures must be made to the Limbs. Use chafings with Salt and Vineger. You must not stop the blood by internals and topicals, until revulsion be made. Internals are good in any form. For. gave Hogs dung mixt with Bole Armenick, that it might not be discerned; for this oft times stops an uncurable bleeding at the Nose.
Take seeds of Purflane, Plantain, Sorril, Endive, white Poppey, of each one dram, Roots of great comfrey▪ ounce: boyl these in sufficient water to nine ounces, to the strained liquor add the syrup of My [...]ils, Pomegranates, Poppey, water Lillies, of each half an ounce, mingle them; the juyce of Nettles and the seed, blood stone. The last help Narcoticks. These that follow Heurnius holds for secrets. Take white Poppey seed half a dram, of white Henbane one scruple, blood Stone one scruple, red Coral one dram, mingle them, make a powder and with Conserve of [Page 43] Roses six drams, for one Dose. Also water of Nettles one ounce, powder of Mans Skull one scruple, mingle them; the juyce of Nettles, Purslane, Plantain, Yarrow.
By Topicals: Hogs dung applyed to the Nose, cold water poured upon the Wrists, if there be a Feaver. Let the Mouth be kept full of cold water, if any thing be drawn up into the Nose, this serveth at all times. Juyce of Nettles and Plantain must be put into the Nose. Also glutinous medicaments, and Epithems, and Fomentations; the ashes of white paper burnt must be put into the Nose. A piece of chalk held in the ring finger on the same side. The Testicles must be fomented with cold water, a spunge wet in Oxicratum must be put under the Arm-pits, a Prony root must be held under the Tongue: the Stone of a Carp held in the Mouth, the root of Nigella chewed held to the Nose; a Bank doller must be bound close between the Eye-brows with bands; the flowers of the lesser Dasie must be held in the Hand. The same taken inwardly do suddenly dissolve [Page 44] clotted blood. Moss, water of Frogs spawn.
If it come from Acrimony of the matter, the Choler must be purged out and temperd.
If it proceed from diapedesis, the watery humours must be purged; use the decoction of Guaiacum, the meats must be thickning, &c. Heurnius useth first Cupping glasses, and Ventoses to the Feet and Liver; afterwards to the second spondil of the Neck: then he useth chafings, Ligatures; after that, bloodletting, then Internals and Topicals, that Moss which is called Crepituslupi.
BLEEDING of Wounds. This proceeds from solution of continuity of the Veins and Arteries. It is more hardly cured if the Artery be cut long or overthwart-waies, then if it be cut crosse in two; for oft times Physicians perswade that if the blood cannot be stopt, the Artery shall be cut crosse asunder.
The cure. Those things being used we said before, first the Orifice of the Wound, or rather of the Vessel must be stopt; either by pressing of the Fingers till it clots, or when this in Arteries [Page 45] hath no place, in which the blood congealeth not, and but seldome in Veins, the Vessel must be stopt with the Fingers, or with medicaments. The most convenient is that Toadstool which is called a Fuss, or that Matter beaten. Intercipients must be laid upon the part affected. If in vain, Par. bids to take and bind the mouth of the Vessel toward the root with a needle or a thread with as much of the flesh as the part will suffer; for which end we are sometimes constrained to divide the skin that covereth that part, and to be long before we unbind it. But if the condition of the part will not admit of this, we must apply Causticks, that may make a crust, which Sen. alloweth not, & coōmends rather in the place of them Vitriol, which is not escharotick, but when it is burnt; but when it is Crude it binds vehemently, and burns but little. Some strew on it powder of Crude Vitriol. Others conveniently dissolve it in liquor, and apply it, unlesse Nerves be undet. Sometimes we are forced to cut the Vessel in sunder being brought to light, [Page 46] that the heat of the parts may compress the end of it. Some when the Spring comes, that Frogs first cast forth their spawn, take a coorse linnen cloth so much as may serve, and wash it often in this spawn, and lay it in the Sun to dry, and this they repeat three or four times, and so the cloth being dryed, at the time they need it, they cut a piece off twice greater then the wound, and lay it on the wound.
BARRENNES. For. prescribed this that followeth.
Take Saffron, long Pepper, Cardamnum, Pellatoty of Spain, of each half a dram, tails of Scincus with the Reins 2 scruples, Galanga 4 Scruples, Rape seed, Parsnip seed, Rocket seed, Nettle seed, ash-keys, of each one dram; Leeks, white Ginger, choise Cinamon, of each 2 drams, Electuary diasatyrion of Mesues description 6 drams, with syrup of preserved Ginger, make an Electuary; keep it in a Vessel of glasse; Take one hour before supper the quantity of a Nut, and drink a cup of wine upon it; Let the Patient take about bed time one dram of this following powder [Page 47] with wine. Take white Ginger 1 dram, Gallinga 2 drams, Bulls pisle 3 drams, make a powder.
Root of Egyptian Bean raw, or boyled eaten, Oyl of Marjoram, with Hares runnet and a little Musch. The secret of Lobelius. Schrekevos commends this following, as revealed by God. Take yolks of Eggs, fresh butter, Bulls pisle, Chiches, Galanga, Satyrian, Zedoary, Ginger preserved, Mints, Cocks and Wolfs testicles, of each 1 dram; Rocket seed, Cloves, Ginger, Pepper long white and black, Anniseed, Ash keys, Cinamon, of each half a dram: brains of Pigeons and Sparrows well boyled, and roasted, of each half a pound, the heart of the Indian Nut, Pine kernels cleansed, Fistich nuts, sweet Almonds cleansed, Mallow seed, Mercury, Haslenuts shaled, Dates, of each 2 drams, boyl all in sheeps milk and water, bruise them strongly; and add Tailes of Scinci half a dram, make a Confection with Honey of Roses, or Sugar what may suffice, boyl all at a soft fire for an Electuary.
Helidaus holds this for a secret. Take [Page 48] Pennyroyal, Origanum, of each two handfuls, boyl them in Malligo wine, adding musk three grains; let both be perfumed. Also the fume of Sage boyled, received. The same Author giveth one, or at most three grains of Amber in a rear Egg in the morning, shavings of Ivory and powder of Sage, of each alike; the decoction of Eringo roots in wine.
CACHEXIA is a cold and moist distemper of the body, with a symptome of the colour changed, and a disease of magnitude by the swelling of the Feet.
The Cause is a watery Flegmatick raw blood; the fault is of the Liver, the Spleen, of the stomach, of the Brain, an nicer of the Reins, because the wheyish humour running back hath infected the blood, stopping of the Courses, too much glutting and craming themselves.
Signs Diagnostick, A pale leady colour, a soft tumour about the Eyes, Cheeks, Feet, Hands.
Prognostick. It often afflicts children by too much greediness, old men and [Page 49] women. It may be cured unlesse it come from an incurable disease.
The Cure. The vicious matter must be evacuated; The cause must be removed. The distemper must be taken away, by general remedies and topicals. The Powder called Cachectical is profitable as some other powder of filings of Steel, steeled wine. Senn. l. 3. p. 6. s. 2. c. 2. Fer. l. 9.
A CANCER is, a hard Tumor, sharp, unequal, round, unmoveable, wan, sticking deep in the Veins that swell with a black humour, and are spread in the body like to a Crab.
The Cause, is black choler. Heurnius in Aph. 38. s. 6. saith, there is a double poyson, one putrifying, which is enraged by suppurating remedies: another corroding, that is enraged by Cleansers.
Signs Diagnostick. The Tumor is hot and painful, and is ulcerated. The Ulcer is foul and stinking; the lips of it are swolne, thick, wan.
Prognostick. Aph. 38. s. 6. by hidden Cancers are understood such as are not ulcerated. Senn. Fabr. cent. 3. obs. 87. [Page 50] No Cancers, though they be of the Breasts, are cured by cutting off, but they will grow again. Cancers of the Lips, How they must be extirpated Pareus teacheth. l. 6. c. 29.
The Cure. It is performed by exact cutting away. The increasing of an ulcerated Cancer must be hindered, and of one that is not ulcerated, that it come not to ulceration. Palliative is made, 1. By Diet. 2. By evacuatives and alteratives. 3. By revulsion and derivation by Issues. 4. By Topicals. The juyce and decoction of Nightshade, Endive, the flesh of Snails boyld, River Crabs, green Frogs, Oyl of Frogs: (See Senn. l. p. 1. c. 20.) ashes of Crabs, Senn. Scabious, heath Robert, Chervil, Dill, Honey-suckles, Mans dung in powder. For. l. 17. ashes of Mullens, of the lesser Celandine, of Robert, Oyl of Eggs and wan, mixed in a leaden Mortar with water of Night-shade, with a leaden pestle; Asses milk is good, and Treacle; Wild Cresses bruised, or in fomentation: also blood-suckers, laying on of Cats and young Whelps divided; Powder of Galls, of burnt [Page 51] Crabs mingled with Oyl of Roses, and laid on with Lint. Pareus his Plate of Lead anointed with Quick-silver, is excellent. and an Antidote for all malignant Ulcers; but because it keepeth in vapours, Forestus liketh it not. Par. l. 8, bids that it be made full of holes. Crato Ep. 59. Crabs eys, ground small on a Marble, taken in broth or wine, can do much in the greatest pains of a Cancer.
Aegyptiac is mortal for cancerous Ulcers. Fabr. l. 3. obs. 86. An old woman cured a Cancer, laying on Sage chewed with her Teeth. For. l. c.
The Cure of that is ulcerated is done by Minerals, with Unguent of Tutty, Diapampholigos, or juyce of Nightshade clarified, and stirred in a leaden mortar, with a leaden pestle, 8 ounces; of common Tutty, ten times washed in Night-shade water, 2 drams; of burnt lead, washed likewise, 1 dram; Oyl of Roses, half an ounce, juyce of Nightshade what may suffice; make a Liniment in a leaden Mortar with a leaden Pestle. Some lay on daily a Hen which the Cancer eats. For. l. c. Emplaister [Page 52] of Ceruss; it is truly cured either by Section, or burning, or burning means. If there be good blood and matter that runs from it, the cure is perfect. See Senn. l. c. No Atractives or Digestives profit, nor Oyls or fat things, except Juyces, white wax, and Goats suet. For. l. 28. A small Cancerous push growing slowly about the Chin, Mouth, Nose is called Nolime tangere. A Cancer in the Legs and Shanks, is called a a Wolf. Senn. l. c. Blood is sometimes commodiously drawn by distance of time. The hearb Carduns benedictus, and also the Eys of Crabs Magistral is given succesfully in water Arsemart; Senn. l. 4. p. 3. s. 1. c. 7. See there, the manner of Section. See what must be looked to, concerning the Muscle of the Brest, in the Anatomists. A Hen cut through the middle, is excellent to lay on, being every day renewed. Famous is the Receipt of Antonius Fuchsius an Italian, which see in Senn. l. c. the excellent water of Fab. and many more: see Senn. l. c.
CARUS is a deep sleep, with losse of sence and motion, the spirits being [Page 53] hindered; yet the breathings remain free.
The Cause is the compression of the Scull and the Brain: So Fern. saw a man for three moneths in a Carus, not remembring that the Scull must be opened. Forestus cured one that lay in a Carus fourteen days. Obstruction of the Brain, overcooling concussion, motion, troubling the animal spirits by a stroke or fall, hurting the temporal muscle, and the Carotick Arteries, Narcotick force, worms, the Matrix, the fume of coles, the Moon beams.
Signs Diagnostick. Deep sleep, if pricked they feel, draw themselves in. If there be a Feaver, it followeth the fits. It differs from an Apoplex, and Swooning, as before: from a Catoche, because in Carus the Eyes are shut, nor doth a man abide in the same stare he was taken. From a Lethargy: because a Lethargy is alwaies with a Feaver. In a Carus ask questions, and the sick will not answer.
Prognostick Carus coming upon a Feaver is mortal.
The Cure. If it come from the first [Page 54] cause, it is cured as a depression of the scull; If from the second, as an Apoplex, and flegmatick Head-ach; If from the third, as a commotion of the Brain; If from the fourth, it is cured according as the hurt is; If from the fifth, it is cured by Antidotes, as poysons are; but they must be raysed the common way. A vein must not be opened. There is no better remedy then the eating of Cresses in saller, either boyled or leasoned. Forest.
CATALEPSIS. The sick remain stiff in the same fashion they were taken; yet sometimes they hear a little, see, remember, and tell it afterwards; if any thing be put into their Mouths, they swallow it, and go if they be driven by force. The Souldiers in the siege at Mets held their Spears in their Hands, the Horsmen followed the Troop; both of them no lesse then almost quite frosen.
The Cause is a freezing vapour, fixing, rising from Minerals in the ground, or from a melancholick humour, fixing the spirits, not those which already are flowen to the part, but such as are subservient [Page 55] to the imagination in the Brain: but the cold Aire brings not a Catoche, but a Sphacelus and stupidity.
The Cure. First, they must be raysed. 2. It is cured as head melancholy. Vinegar must not be mingled in Topicals; for that fixeth them also. A vein may be opened, if there be Indications, Senn. Forest.
A CATARRH, is a Symptome in things put forth, whether it be taken generally for any kind of defluxion, or specially for a defluxion upon the Lung.
The The Cause of the defluxion is known, yet the pain draweth not, but by the weaknesse of the part it cannot discusse it. Lau. de Catarr. The humours are things natural, not natural, and preternatural: a hot Liver, a cold Brain, which is often the cause of a hot defluxion, when salt steam is gathered in it; and so contrarily.
The chief difference is from the place whence, so it may arise from the Spleen, or otherwise by consent, and then many medicaments are in vain [Page 56] laid to the Head. It is with or without a Feaver.
Signs Diagnostick: or the causes are proper, and collected by concourse, as colour, tast, motion, heat, pain, sostness of the part affected, or that sends the matter. If it come from the Brain, it afflicteth easily, long and continually. If there be Intermission, and if there be signs of some other part affected, as the belly or Courses stopped, they are caused from some other part.
The Cure. If it come by consent, that part must first be respected. Revulsives draw not from the Head, but pull from the part first affected; yet the Brain must be strengthned. If it proceed from a proper passion of the Brain, and fall with force upon the Brest, things that derive and stay are useful. If not, the 1. cause must be evacuated, by generals, & then by topicals. Also in a cold Catarrh a Vein may be opened, if the Liver be hot. 2. The humour prepared being evacuated, the Head must be dryed by Internals, and Topicals. Also in a cold Catarrh, conserve of Roses is commodiously mingled with hot Cephalicks, [Page 57] Revulsion must be made by setaces, chafings, cupping glasses. Gallen layeth on a plaster of new Pigeons dung for three hours, left it should burn too much upon the place shaved; for it heats and dryes wonderfully. One grain of the whitest Frankincense taken at bed time, is a secret. The decoction of Guaiacum wood, drying Cephalick powders. Senn. l. 1. p. 1. c. 11. Med. Pract. If the Catarrh be hot, give a purge, a Vein must be opened, Purgatives after preparatiues must be administred, and Topicals that dry and corroborate must be applyed. If there be danger of choaking, we must draw it back by all our might, with Pigeons dung, Causticks, Clysters, Lotions, Ligatures, Chafings, Cuppings, Vesicatories, Errhins, Topicals and Generals. We must stop it by internals, also by Laudanum opiatum, and Narcoticks. Let the diet be drying, the supper little, sleep sparingly; change his manner of lying: if we will hold the Catarrh in the Head, let the Head lye backward; if it do more harme in the Head then in the Breast, let the Head [Page 58] be lifted higher. Laur. de Cat. For. Senn.
CHOLERICK Passion moist, is a continual and immoderate casting forth of a naughty humour both upward and downward.
The Cause is, a sharp humour corrupted, strugling about the stomach and Spleen, and mesentery and Veins, or poyson taken.
Signs diagnostick. There is no Feaver, but pain, Inflation, vomiting, purging.
Prognostick. It kills in three or four days; if it end in 18. hours, it hath been often healthful.
The Cure. 1. If the vomiting be little, it must be furthered by drinking much warm water; for a little will turn to choler, Decoction of hulled barley with Sugar or syrup of Roses, Goats whey, or of Cows with syrup of Roses. 2. If vomiting be immoderate, the belly must be moved; therefore give whey or broth with Manna, or syrup of Roses solutive. Cast in a Clyster emollient and cooling with Diacatholicon Cassia. If the belly purge too much, [Page 59] cause vomiting. 3. If they void too much, Revulsives are profitable, as Ligatures of the upper parts if they vomit, of the lower parts if they purge too much. Also the matter must be temperd by internal and topical means. A most present remedy is half a dram of Crystal alone, or mixt with other things, laudanum opiatum must be given often if we fear swooning. 4 The Forces must be strenthened by Internalls and Topicals.
CHOLERICK dry Passion, is the casting forth of a windy vapour, above and beneath, with Inflation of the Belly, and noise, with the pain of the sides and loyns.
The Cause is the weaknesse of the stomach which breedeth winds, or a clammy tenacious humour, with a strong heat of the stomach and Intestins, which resolves the humour into winds, or else windy meat.
Signs Prognostick. This is not so dangerous as the moist is.
The Cure. 1. The winds must be brought out, discussed, tempered with Clysters of sweet oyl, or of linseed, or [Page 60] sweet Almonds, with a decoction emollient and Carminative: also by Topicals. Oyle and wine must be given, if nothing hinder.
2. The matter must be evacuated by syrup of Roses solutive, and tempered by broths. If it be from poyson, it is cured by Antidotes.
The COLICK, in general, is a pain of the Guts, violent, and wandring.
The cause 1. Is wind, either from feeblenesse of heat, or from strong heat, and tough fleam, or from a windy melancholick humour, or from windy meats.
2. The dung hardned, the Stone, worms, a Hernia, all which by dissolving continuity, cause pain.
3. A wind or humour collected between two coats.
Signs diagnostick. It differs from pain of the stomach, for that is alwaies above the Navel, and often comes to the Back bone between the Shoulders, because the stomach is bound to the Back bone of the ninth spondil. It is eased by parbreaking. It differs from pain of [Page 61] the Mother: because the pain of the Mother is communicated to the Groins and Hips, and goeth no higher then they, Child-bearing went before the Courses are stopped.
Prognosticks. The Cholick often followeth the Jaundies, coming by obstruction of the Passages that choler passeth in: so the Jaundies often follow the Collick for the same reason.
If it lasteth long, it causeth a Dropsie, a Hernia, and Rupture of the Navel.
The cure. 1. The cause must be taken away. 2. The pain.
The pain is removed by Internals, and emollient Topicals, Baths: also by Narcoticks if the cause be hot. But if it be cold, they make the cause of the disease worse, and shortly after greater pains arise. Seldom must things be given by the Mouth. It is safer to give them by Clysters, as one scruple of Philanium Romanum. For. gives laudanum opiatum, to three grains. Specificals, are, the whitest dung of a Wolf to one dram, or hanged outwardly; The guts of a Wolf to one dram, in liquor. A [Page 62] roasted Lark in powder, Harts-horn one dram in drink; Guts of a Hen dried to one dram, or half a dram of the powder of the stones of an horse washed in water and dried in an Oven. Whilst the pain lasteth, they must eat nothing.
A COLICK, from Excrements, from wind.
Signs diagnostick. There went before it a stopping of the Belly, with weight of the Belly, pain, head-ach, and palpable hardnesse.
The Cure. 1. Cast in emollient Clysters, and lenitine; and by degrees strong Purgatives are to be mixed, until the excrements be voided: if they awake not, a lenitive may be given by the Mouth, as Manna one ounce and half, Oyl of sweet Almonds one ounce, with Hen-broth, Oyl of Galbanum is good with the plaister of Bay-berries applyed outwardly. The last remedy is Hippocrates Bellows, whereby the Intestins are so blown, that they are separated from the internal Excrements in their Superficies. After that, a Clyster is given.
If it come from worms, it is cured as Worms.
If from Hernia, as a Hernia.
Cupping glasses applyed to the Navel have cured it miraculously. The Belly must be bound with broad swathbands.
This following Clyster hath helped wonderfully. Take Maligo wine, Oyl of Nuts (which also For. commends) of each three ounces, Aqua vitae one ounce, Oyl of Juniper and Rue of each three drams, give it hot.
The COLICK from a cause between the Coats.
Signs diagnostick. A most sharp pain it is, fast as a stake.
The Cure. Clysters emollient and carminatives must be given: take heed of vomit by all means, after let the Clysters be made sharper. Carminative dissolvers as Garlick, may be exhibited by the Mouth. Outward Remedies help.
If it proceed from a sharp humour, as in the Scurvey, sticking in the Veins and Coats of the Intestines, it is cured by Coolers, moystners, Internals, and by [Page 64] Topicals that void choler, &c. as in the dysentery.
If it come from inflammation of the Intestines, it is cured as an Inflammation.
Question. Whether purging Clysters are convenient? I deny it, because they draw to the affected, nor are they evacuated; for the Belly is stopped. Senn. For. Pareus.
A COMA that is slepy, is an action diminished, the influence of the spirits being hindred.
The cause is, a Narcotick force, obstruction of the Brain, worms, the Matrix, compression of the Scull.
Signs diagnostick. The sick sleeps long and profoundly with his Mouth open.
It differs from Carus: because in Coma, if you ask them they answer; from syncope by the pulse; and the face in Coma is not like to one that is dead.
Prognostick. Aph. 1. s. 2. 3. s. 2. in continual Feavers it is mortal. That is less dangerous, that comes by consent.
The Cure. He must be raysed, purged, Revulsion made, the cause must be [Page 65] derived, the Brain must be dried and strengthned.
If it come by consent, the parts that first offend, must be cured.
COMA that is waking, is, when the sick with his Eys shut, striveth to sleep and cannot, with a delirium or without: so, one sick of a Coma, cut off a Monks head that was his Keeper when he slept, as Heurnius saith.
The cause is a Narcotick vapour, but it is turbulent also, or joynd with a hot vapour that hinders sleep.
Signs Frognostick, It usually changeth into Lethargie or Phrensie.
The cure. Since it alwaies enters allmost with a malignant Feaver, besides the cure of it, we must oppose the malignity and venome of it, make revulsion, and strengthen. &c.
COMBUSTION. The differences: either heat is only felt in the part, or only bladders arise, or an Eschar is made.
Prog nostick. From Thunder commonly it is mortal; In the Abdomen it is hardly cured; the deeper the Eschars are, the lesse do they pain.
The cure. 1. The Empyreuma, or Atoms of the fire must be called forth, which is done by heat. If the burning be small, presently put the part to the fire, or stove it with hot water; then beat Onions in a Mortar with salt, and lay them on. Or, take raw Onions one ounce and half, salt, Venice soap, of each half an ounce, mingle them in a Mortar, pour on Oyl of Roses, and of sweet Almonds what may serve. Fab. obs. 93. cent. 4. Fresh horse dung, Sage, Dwarf elder, Elder leaves beaten with Salt and Oyl of Nuts, Quick lime washed nine times with Mallow water, and Butter. Oyl of Linseed, juyce of Onions, May butter, juyce of Elder Hogs grease, Camphir, Oyl of Olives, Lime to washed is mingled with oyl of St Johns-wort, or juyce, or some Cream. Take Lard, cut one pound, melt it in Rose water, strain it through a fine cloth, wash it four times in water of Henbane or Plantain, three new laid Egs, mingle them. Unguents for scaldings, must be so made that they stick not too fast, but may easily be wiped off.
If bladders be raysed, they must not be opened before the third day, nor after, but about the third day; but if the burning be in the third difference, all the bladders must be cut, and the Eschar must be taken away by the emollients: or if it be great, by scarification deeply even to the quick, that passage may be made for emollients, & the dark fumes may breath forth or take it off with a pen knife. Lay a defensive on the part. If a Gangreen be feared, we must prevent it. Par. l. 11. Unguent of Alabaster is excellent to bring it to Cica [...]rise.
Combustion by Gunpowder leaves a filthy colour with grains of powder, which oft times can be put out neither by scarification, nor cuppings, nor vesicatories.
Combustion by thunder, is most cured by internal Cordials, and Topicals of Rue leaves, Onions, Theriac; &c. All Topicals must be made of Antidotes; If the bone be broken withal, common glutinatives restrain the venome, &c. Lay on medicaments of Angelica Roots, Swallow-wort, Rue leaves, and also a defensative.
Burning of the Eyes: drop in warm milk. Forestus cured his son by an Emulsion of Quince seeds made in Rose water: the other emollients are useful.
Combustion of the joynts, will admit of no sharp remedies, but softnesse, first premising generals.
CONCUSSION of the Brain, is made from an external cause. So Hippocrates tels us of a woman killed with a box on the Ear.
The signs are vomiting as in the fracture of the Scul.
Prognostick. If the Blood be poured forth between the pia and dura mater, it is past hopes.
The cure is made by Revulsives and Repulsives, as by opening a Vein in the Arm; give a Clyster. A repelling Cataplasm laid on, of Scordium, Beans, of each six ounces, Oyl of Roles three ounces, Vinegar what may serve, the use of this is until the fourth day. Cupping glasses fastned to the shoulders, the next day open the Vena puppis, which is above the Lambdoides. The next day a Vein in the Fore-head, under the [Page 69] tongue; from the fourth day we must use Resolvers, as the Cerate of Vigo, or unguent of Alabaster, a plaister of Ivy gumm. The last remedy is to open the Scull, after the second moneth. Fabcent. 4. obs. 2. Par. l. 9. Senn. l. 1. p. 1. c. 20.
CONTUSION, with running forth of blood, is, when the blood is pressed forth of the Vessels by extension or breaking.
The cure. The blood gone out of the Vessels must be evacuated, either sensibly, as by opening a Vein, by cupping, scarifying, Leeches, so the sick have not a continual and vehement Feaver; or by internal Resolvers, and sweating Baths, thin Diet: So Galen opened a Vein commonly, though there were no fulne's, then he exhibited 4 ounces of Oxycratum.
Topicals must be first Repulsives; then dissolvers as Unguent of Alabaster, which is alwayes good, but at the beginning of a Feaver.
If a Gangreen be neer, which is known by the hardnesse of the Tumor, and wannesse, (for if it be soft, it is a [Page 71] small contusion) it must be strongly resolved with a little bag torrified &c. or scarify it, or open it with a knife; cure it as a Gangreen. Effectual is the root of Solomans seal prest, bruised, and laid on, or steeped in wine. If it be with a wound, first lay on an astringent, after a digestive to the parts about, causing suppuration, Par. l. 11. otherwise a suppurative hath no place on the part affected.
If it chance to infants, Caesar Arantius was wont to use Section, whereby by their crying and pain he brought them into very great danger. Afterwards growing better skilled, the first day of all, he layed on a linnen cloth wet in whites of Eggs, and Rose vinegar; which must be often made wet: after that until the ninth day he laid on a Cataplasm of flowers of Red roses, leaves, and berries, of Myrtils, of each two ounces, meal of Beans and Barley, of each one ounce; Wormwood & Betony, of each half an ounce, Cummin seed with black wine; make a Cataplasm, add oyl of Roses and Camomil, of each one ounce; lay it so [Page 70] great, that it may lye on the neighbouring parts also. After the tenth day he laid on the plaister Diapalma or Diacalcithcos. Senn. l. 1. p. 1. c. 21. and concerning swellings.
Contusion with a fracture, or wound of the Scull.
If much blood be run out between the Scull and the films, which is known by the blood running forth at the Nostrils, Ears, by the heavinesse of the Head, stupidnesse, sleep.
If the Bone be pressed down, and presse on the Brain, which is proved by the Fingers.
If pieces of the Scull prick the Films, which is known, if while the sick bloweth his Nose he feeleth them prick; or or there be a delirium, the Scull must be opened or lifted up.
But if there be none of these; first opening a Vein, and giving purges of choler, it is cured by a plaister of Ivy Gum: So Forestus cured one, by only oyl of Hyperici. Vidus Vidius, Lanfrancus, say, That it is oftner cured by Medicaments, and safer, then by the drepane.
Contusion with flux of blood, by and upon the upper parts.
In this case 4 things are feared. First, Least the blood should run out too much. 2. Lest it should strangle the sick. 3. Lest it should congeal. 4. Lest it should putrefie: and seeing that congelation requires Dissolvers, Ruptures, means that consolidate, we must apply to that which urgeth most. Wherefore after opening of a Vein, when blood is more seldome cast forth, and seems not so fluent, exhibit a resolvent, as Posca allayed with water, or Medicaments of the Hares runnet, or Kids, Avens, Mugwort, Red cole [...] Betony, Rhabarb, Rhapontick, Terra sigillata, Sperma ceti, Crabs eys, Harts horn, Coral prepared, Bole armenick, Chervil water, Decoction of our Lady, leaves of the lesser Dasie, Hyericon, Fumitery, Scabious, Angelica roots, Swallow-wort, Seeds of Carduns Benedictus, Madder. Mumie is not useful; for it causeth vomit, &c. Par. l. 11. Afterwards we must joyn together with all we can do, as in spitting of blood. Amber. If there be paine of the Belly from congealed [Page 73] blood, purge it forth with Rheubarb: &c.
If there be a Cough stop the Rheum.
CONVULION is a depraved motion of the Muscles.
The cause is not Emptinesse: because Hellebour will do it: because it seldom happeneth in hectick and burning Feavers; nor is it Repletion: because in Plethory it comes not, nor doth Hellebour fill.
The subject is the Muscles, especially the nervous and fibrous parts of it, when their expulsive faculty is urged, whereby the animal faculty is drawn into consent: as in vomiting and coughing, &c. If it stick fast to the part, it causeth Convulsion; but if the vapour or matter be moveable, it causeth a convulsive motion. If the muscle that is one or of one kind be affected, as the bending Muscles, there is a Convulsion; but if two that are contrary, there is made a convulsive motion. In a convulsive motion the Brain is affected also; but in a Convulsion but seldom. If convulsion come from a wound, it comes [Page 74] from the sharpness of the matter: when parts are contracted beyond their extension, they are dislocated, distorted, that they cannot again be extended.
Prognosticks. In Hippocrates Aphorism: a Convulsion, growing suddenly, if a loosnesse of the Belly or a Feaver come upon it, it is ended: If they escape four days, they are well.
The cure. If it be by consent, the part that principally offends must be cured. If it: be by essence, opening a Vein is good, or cupping-glasses with scarifying; If the Legs be drawn, set them to the Hips; if the Hands, set them to the first Vertebra of the Thorax; If the Tongue, the Eye-lids, set them to the first Spondils of the Neck. Purging, chasing, sharp Clysters, anointing of the Back bone are good. Topicals must be resolvent beginning from the milder, oyis of Camomil, Dil, &c. Goole-grease, &c. Internals must be as in the Palfey. The Mouth drawn awry must by no means be opened with Instruments.
If it be from a wound, the soul matter [Page 75] must be wiped away, and Inflamation must be cured.
If from eating Mushroms, Galen gave Hens dung with Oxymel for a great secret; The Nerves hardned by too great dryers cannot be cured.
CRISES, Though they be imperfect, the matter being not yet concocted; yet are they good. For. saw, when a Crisis was often repeated, yet the sick escaped: so from an Apoplex, a Palsey; from a Lethargy, swellings under the Ears is good.
Fern. l. 2. c. 1. saith that profitable Crises are not made by bleeding. 1. Because alwaies red blood runs fresh. 2. Because it pulls not away the root of the disease without an irregular flux. See Aph. 25. s. 4. Zach. answererh, l. 1. histor. 64. that that blood appeareth red, because it droppeth out by drops, so that the heat of it is taken away by the ambient aire, wherefore the cold will not suffer the Heterogeneous parts to be separated from the good; So the blood remaineth red: In the Arm it floweth out by heaps, so that the heat [Page 76] remaining, the grosse parts are separated from the good.
CHILD-BIRTH. In hard labour some have the bones of the privities stretched out. Paraeus will have it that the bones without names are separated from the Os sacrum. Also they may be distended with the Perinaeum, and the bone of the Crouper; Wherefore those that are in labour must not bear upon the Perinaeum. And Topicals must be applyed to the Perinaeum, and to the Crouper bone, and of the Privities.
Signs: A most greivous pain, which if it cease suddenly, the Child being not delivered, the Mother dyeth.
The Cause. Hard labour is either the fault of the Mother, when the expulsive faculty is weak; or of the Child, when it is greater and not well postured; or of the Passage, namely when the membranes are too strong, the Neck streight from ayre too hot or cold; In women of the first Child, from plenty of Excrements, driness. If the Child be dead, or the Physitians hand put in, not the Mother seeleth any motion, the water [Page 77] runs forth. If the Secondine be thrust forth before the Child. If the pain be greater, the breath stink, the Perinaeum be cold. If the Mouth of the Womb be soft and hot, it is the Birth.
The cure. The places must be softned by all means. The Child-bed Woman must be placed in a Bed, as in cutting of the Stone, or in a stool, that she may lean on the side of the Bed. Let her hold her breath, and not cry. Cause her to sneeze, give her Clysters, sharp suppositories. Put stinking things to her Nostrils. Let her drink Beer with Butter, and oyl of sweet Almonds, one ounce. Let her Belly be empty, feed her sparingly, anoint her with oyl of Amber; Give her one drop of it, with Vervain water. Also let her take first of all Cinamon water: or take white Dittany, Amber, of each one dram and half; give half with hot wine. Oyl of Cinamon, oyl of Hasle-nut tree, the powder of the Secondine torrified, five or six berries of Juniper, taken with Figs five times, wonderfully helps forward delivery: Dittany, Cassia lign [...]a, Myrrh. Many have been delivered by taking [Page 78] half a dram, or one dram of pills of Asa foetida, Powder of Ladies. Bind to the thigh an Eagles Stone, which also draweth the Matrix to it; wherefore use it not long. Also Coral, Roots of knot-grasse, green Coriander bound to the soles of the Feet, or to the Hips. Use none of these till the Moon of the ninth moneth be past. They that have broad shoulders bring forth great children; with the Child let the Secondine be taken out gently, or presently after, lest the Matrix follow. If there be many children: so many Secondines there are. If it stay behind, it must be taken forth with medicaments, or by the hand. The Navel being tyed, the Womb must be swathed with a swathband. The Secondine being drawn forth, put in the Matrix. It is a wonderful secret to drive out the Secondine; for the Terms stopped, strangling of the Matrix, the dead child, a Mola; bruise the green leaves of Lovage, and drink the juyce pressed out, with wine or Mugwort water. In the Winter give Lovage seed, boyled with Mugwort water. Also one [Page 79] scruple of the Trochis of Mirrh, with two ounces of wine. If it help not, it must be taken forth with the hand, (see Paraeus) or by incision. The oyl of Hazle-nuts. Bitter things kill the child.
If the after burden come sparingly away by chafings, &c. they must be drawn in the lower parts to the womb. A vein must be opened in the Ankle; Topicals, Clysters must be emollients. If some days after child-birth be past, a Purge of Rheubarb & Agarick are good. Give things to attenuate the blood, and the five opening Roots, &c. If they flow too much, cure them as Diarrhaea.
Pains after child-birth, are either in the belly or in the womb, which are like to a Tenesmus, when the force of expelling is prolonged. They proceed either from the cold Ayr or clots of blood, or blood too sharp. Senn. cureth it by removing the cause; he prescribes not purgatives, but internal heaters, and Topicals. For. holds for a secret beer boyld with Camomil flowers, or without purging, the Ladies powder, or the infusion of Camels meat, Cinamon &c. If the privy member be broken, when [Page 80] it is cured again, at every child bearing it must be opened with a rasour.
Feavers of one day, continuing sometimes many days, called Feavers of milk, do commonly go away of themselves; if they be really continual putrid Feavers, they proceed from the suppression of the Terms, or the vitious provision of the humours.
CHILD-BLANES are an inflamation of the Feet by the Winter cold. Preservatives, are socks wet in Aqua vita, and keep them warm. They are cured as Aples and Egs congealed if they be put into cold water, or rubbed with snow: So the cold being drawn forth which is known by the pricking pain abated, the part must be fomented with milk boyld in Rosemary, &c. The Feet and Hands must be bathed in water wherein Turnips (especially frozen) are boyled; or anoint the part with oyl of wax or Bays: also with Honey, Turpentine. If they be ulcerated, anoint them with oyl of Roses, boyled in the root of a Rape or Radish made hollow; or with the ashes of Crab-fish with Honey and Oyl of Roses. When [Page 81] the part is mortified, it is cured as a Gangreen.
Child suffocated, may be known if it were very well before; if the Mouth and Nostrils be wet with froth; if the Lungs diffected be frothy.
The COUGH. The cause is 1. a naked distemper, and then there preceeded Procatactick causes. 2. A humour: now what that is, is known by by the spittle, a Catarrh. 3. Dissolved unity of the Lungs. 4. Inflammation of the Liver, Spleen, Dropsy. 5. Smoke, dust, sowre things, and many external things, Worms.
The cure. The cause must be taken away: and the Cough, if it be from a Catarrh, is cured as a Catarrh, and by expectorating means. If it come from a thin, hot, sharp matter, after generals, we must cool, moisten, thicken: also this that followeth is good. Take Honey, Butter, of each half an ounce; Cumminseed, 1 dram, mingle it, give it by a spoon. Forestus often prescribeth to short-winded people in a Consumption, Take juyce of Colts-foot, half a pound; Mucilage of Marshmallowes [Page 82] drawn with barley water, one ounce; Sugar what may suffice; make a Lohock; fumes of leavs of Alchoof drawn up by a pipe are good. 1. Generals being premised. 2. If there be no Feaver. 3. Whilst the forces remain. 4. Fasting, 5. Let it be first tried in the smallest quantity. 6. If there follow difficulty of breathing, it must be cured by moistnesse. If there be fear, lest by coughing a vein should break, or the sick should be choaked, or the Lungs corroded, being forced to it, we use Narcoticks; especially if there be long watchings, as syrup of Poppies, Juyce of Houndstongue. For. proved this that followeth often. Take juyce of common Parsley, half an ounce; Womans milk, one ounce; powder of Cummin, one scruple; give it a boy to drink warm, and anoint his stomach.
DIABETE. The Cause is the retentive faculty or the Reins hurt either by plenty or by quantity of the Urines plenty of Urine is made from heat of the Liver, Spleen, melting the watry humour: from the weaknesse of the stomach, loosenesse of the passages. It [Page 83] comes chiefly in burning and malignant Feavers.
Signs Diagnostick. It beginneth by degrees that it can hardly be known, there is heat in the bowels.
Prognostick. It brings consumption and death, if not cured at first.
The Cure. Opening a Vein, purging, vomiting, sweating, are not good, but internal and topical astringents, and coroboratives which moderately cool. Also Narcoticks may be used.
DIARRHOEA, is a flux of the Belly caused by excrementitious humours.
The cause is the obstruction of the Veins of the Liver, or weaknesse of the Liver, or a preternatural disposition of the whole body with, or without a Fever; or a hectick Feaver, burning, Consumption, Inflammation of the bowels, whence followeth a Syntectick or melting flux; or corrupt meat, or worms, or the Liver and choller, or the Spleen and a melancholick humour, or the Matrix, or the Brain, or hypercatharsis, or toothing of Children. [Page 84] Signs Diagnastick. See the signs of obstruction, and the weaknesse of the Liver.
If from corrupt meat, such kind of meat was eaten, or the stomach is weak. If from the Liver or the Spleen, there are signs of their infirmities, and signs of any other part hurt are not.
Prognostick. The Belly to be loose for one or some dayes is healthful, so there be no Feaver, and it stop in seven daies.
The cure. If it come from obstruction, first we must open by things that are good for the Liver; then we must cleanse, then we must bind and strengthen.
If it be from a sharp humour, corrupt meat; first we must cleanse, and take off the acrimony of the humour, as, Take the decoction of unhulled Barley three ounces; syrup of Roses, one ounce; Violets, half an ounce. A vein may be opened. Then we must gently evacuate by Clysters, Potions, Pills of Rheubarb, Mirobolans, Mastick, whereof make Pils, which are safely given in all fluxes.
Take Citron and Chebul, Mirobolans, [Page 85] of each half a dram; Mastick, one scruple; Spick, fix grains, with Honey of Roses; make Pills. Take first half a dram, then I scruple; not but when the greatest part of the matter is voided, and if the Forces be much weakned; In these two cases we must bind, which is done within eight or twelve dayes; first by Topicals and Diet, after that by internals, and all derivations, as opening a vein and Ligatures, to take away the flux.
If it come with a Feaver and be critical, we must do nothing but prescribe Diet. Yet if it be too much, the acrimony of the humour must be removed, and we must bind and strengthen. If it be more sparing, we must help it forward. If it be symptomical, it must be cured as before.
If there be melting, it must be cured by Restoratives and a little astringent; also with Narcoticks, as three heads of Poppy may be boyled in a Clyster.
If it happen to Children toothing, it comes either from salt fleam flowing from the Head, or from the Milk corrupted by a Feaver. Give Honey, syrup [Page 86] of Roses, syrup of Succory with Rheubarb. Then bind by Topicals.
DYSENTERY is an exulceration of the Intestins with a frequent bloody dejection, and mattery, with pain and torments of the Belly, rising from a sharp eating matter, peculiarly an enemy to the Intestins.
The Cause, chiefly is a cholerick humour offensive to the Intestins, by a hidden quality; the remote cause, eating of Grapes, drinking sweet wine, or cold water, the humours being Coagulated, and after that corrupting, obs. 46. cent. 3. water running through leaden pipes that are old, drank, by reason of the plenty of Mercury and lead Ore: Purgatives mingled with meat: Poysons as Quicksilver, Clouds, malignant aire, contagion.
Differences, There are three degrees. 1. Wherein are fat bodies mingled with a little moisture. 2. Wherein are shavings of the Intestins. 3. Wherein is the substance of the Intestins voided like peices of flesh. The last of these is meant, Aph. 26. s. 4.
Signs diagnostick. They are known [Page 87] by the definition: A Feaver is not alwayes joyned. Aph. 3. s. 6. It must be diligently distinguished from an Impostume in the Guts. If the small Intestins be affected, it makes a pricking pain; blood is perfectly mixed with the dung, or voided after it. If the great guts, either corruption swimeth above, or sticketh outwardly unto them.
Prognostick. These happen out chiefly about the Summer, and beginning of Autumn. Black spots behind the Ear, with great thirst is mortal. Women, old men, children are more greivously afflicted.
The Cure. 1. The cause must be evacuated, and tempered, by opening a vein, and purging by turns, as with syrup of many infusions of damask Roses, or rather first, with simple infusions of Mirobolans, Tamarinds, Rheubarb; the infusion whereof we give to purge, the substance to bind. Mechoacan, Senna leaves, Diacatholicon, Diapheaenicon. Clysters: in great quantity if you would scowre the guts; but small to glutinate. Antidotes against poyson, as Bole armenick, &c.
2. If the pain be vehement, sometimes we must cast in such things as ease pain; Give broth of oyl of sweet Almonds, apply internals, topicals, narcoticks.
3. We must bind, yet not before seven dayes unlesse it be with gentle means. A powder of Elder berries, of Turtles, and Hares burnt, is commended. Also the juyce of ground Ivy taken. The use of Wax in a roasted Apple. The Apple is made hollow, and filled with white and yellow Wax, it is roasted, it must be eat before meat: by external topicals also, whatsoever many would have: by revulsives.
4. The Ulcer must be cleansed, and filled with flesh.
The Diet. Much drink is naught for a Dysentery; and if they grow well, too much exercise.
That snotty white matter is not the fat of the guts, nor fleam, nor crust; but the humours coming out of the Veins, changed by the part hurt, as in the whites of women.
Question, Whether Purgatives may be given? Valesius denieth it, com. 4. [Page 89] in 4. Epid. Fuchsius. Massarias. because Galen useth them not: because they bring the humour to the part affected.
Senn. affirmeth it: Galen knew not Rheubarb, Mirobalans; yet he used Honey, Milk: and Crato for the second reason denieth that Cauteries can be good in the Gout, Ep. 167.
Whether milk be good? It is not good if there be a Feaver, and where the Body is impure. It must be given warily; if whey be much it clenseth, if whey evaporate with long boyling, it bindeth.
Whether drinking water, milk, steeled wine be good? Crato denieth it. Ep. 261. Doringus obs. 42. cent. 3. saith, That water of fresh steel, that was never yet quenched will trouble the Belly; but if it be drank from steel often quenched, it binds the Belly. Wherefore if you will bind, cast away the first water. Senn. will not allow this; because it is of an Homogeneal nature; but thinks that steeled water must be drank sparingly; for the more iron is communicated to the water, the more [Page 90] it troubles the Belly, and moveth vomit; neither let it stay long, but quench it suddenly; for if it stay long in the liquor, it is turned as it were into rust, and troubles more. Wherefore the first water must not be poured forth. Crocus Martis made by reverberation alone is good, but not by dissolving by water.
DYSURIA is diminishing of Urine, it differs from Ischuria in degree only: sometimes it is with, but often without pain: it comes not forth by drops, but sometimes in due quantity by heaps.
The Cause, is the sensitive faculty or expulsive of the Bladder hurt, or some other diseases of the Bladder.
Signs Diagnostick. If it proceed from fault of the Ureters or Reins, there is no pain, no heavinesse about the share. It is called hot piss: which is not a diminishing of urine, but when the urine comes forth as it should, only with heat. See the Strangury.
The Cure. When the cause is taken away. For. applyed to the Secrets of a woman in a Feaver great with child; [Page 91] Take green Pelletary, 2 handfuls; Chetvil, one handful and half; Oyl of Scorpions, one ounce and half; Butter, two ounces; it seldom faileth. You may first give a Suppository or Clyster. He cured another with oyl of Camomil and of Scorpions, first anointing with oyl, a decoction of Rue and Dill. Fernelius saith, That one Ureter being stopped, the Urine cometh forth by the other. For. observeth the contrary.
DRUNKENNES.
Preservatives, Bitter. Almonds are commended, five, six or ten before meat, as also Peach kernels; which seem to help by their diuretick force. Arculamus writes, That if any man eat tops of Wormwood or Rue in the morning fasting he shall be defended from drunkennesse. Coleseed eaten before meat is good.
Platerus avoids drunkenness, by drinking very sparingly at first.
Mnesitheus Athen. saith, three things must be observed. 1. To drink wine mingled. 2. Not to fill your self with [Page 92] Junkets at the second Course. 3. Sleep not before you vomit.
The cure. Vingegar drank recovers drunken men, and other sowre things. For. gave small beer to drunkards, and bad them sleep; if they sleep not, they recover not but by abstinence the next day, and by taking syrup of the decoction of garden Currance.
Leaves of Coleworts wet in Rose water cure a drunken man, if after drink you lay them to his Head. Those that are dumb after drunkenness will dye saith Hippocrates, unlesse a Feaver come upon it.
DANDRAFF. It proceeds from a salt watery blood, and also cholerick. Some hold it for a sign of a sound brain. It portends no danger.
It is cured by Generals, Topicals, softesse, afterward with Detergents, as with urine, pickle, with the decoction of Lupius, with Soot, with the juyce of Squills; Scarification and Leeches are good.
The DROPSIE called Ascites. Is a tumor of the Abdomen, Scrotum, Thighs, Feet, from a watery humour, [Page 93] which sometimes presseth the Diaphragma, oft times it sweateth through into the Chest, whence groweth a little Cough, and in time it corrupteth, whence cometh a Feaver, and thirst, from salt vapours. The water is ingendred by the parts between the stomach and the Reins; the Liver in Anasarca, but not in Ascites: for the whole body should be hurt, unlesse we shall say that it is affected in the end. The water is collected in the cavity of the Abdomen, not by fault of the Liver, nor by reason of the straight passages to the Reins; but because of little urine. They make water sparingly, because the water stayeth in those places. It holdeth up, by reason of the attraction of the Spleen hurt, and obstruction of the Vessels of it: or Scirrhus. For the smallest part of the wheyish humour is carried by the Veins to the Reins. The greatest part is drawn by the Spleen from the stomach by the short Vessel, and from thence by the Arteries, it is derived to the Reins. It cannot be made from the faculty of making blood only hurt; for though the Chylus may [Page 94] changed into raw blood, as in Anasarca; yet it cannot all be changed into water, and if it were changed, yet the Reins can vent it forth. It floweth down into the cavity of the Abdomen, and the caule by the veins, by way of anastomosis and diapedesis and dissolved unity: the water is often times yellow.
Signs. There is alwaies swelling of the Feet, especially toward the evening, and after exercise. The feet often swell when men recover from sharp diseases, and long, from plenty of meat or some outward cause. This tumor is not dangerous if you timely help it.
Prognosticks. Anasarca is the safest, because the natural faculty is lesse hurt; and the blood comes nearer to natural blood then water. Ascites if it proceed from a Scirrrhus, is more dangerous then a Tympanum; for the rest, Tympanum is worse then Ascites. If it proceed from a faulty Liver, a Cough is easily moved, and the Belly is hard. If the Belly be loose and moist without ease, the parts, as the veins about the small guts, are affected with a hectick [Page 95] heat, and are the cause of ît. In which case purgatives are often mortal. If it follow melancholick diseases, it cometh from fault of the Spleen. They that are in an agony hope well, which is wonderful: it is sooner cured in servants then Masters, young men then old men. Those that have their bowels sound, they in the beginning are freed of the disease by vomit, scowring, sweat urine.
The Cure. 1. The remedies must be varied. 2. They must abstain for some daies between from Physick. 3. We must not proceed to stronger remedies, unless the milder be in vain. 4. Let the form be rather dry.
The continent cause is evacuated by purging, feldom by vomit; If it wander in the Abdomen and the Mesentery, by sweat and urine: if it be on this side the Liver, Purgatives are, besides the common, the juyce of the root or middle shell of the dwarf Elder, pressed forth, not boyled with Barley water or Raysins; for should it be boyled, it vanisheth. The Dose is one ounce, Oyl is pressed forth of the berries of Elders [Page 96] as out of Linseed, it is given to one dram. The extract of the berries of dwarf Elder. The grain or seed of Ricinus, one or two hulled: they are called grana Tilli. gutta gummi, which some think to be the juyce of Ricinus. The juyce of our Orris with Honey, Raysins, Gum traganth, for given by itself it burneth the Throat. The juyce of wild Cucumber, is not so vehement as they commonly report, Mucilages are added to it. The golden Spirit of life of Rul. which many say is nothing else then the essence of Trochis Alhandal. For. commendeth or prescribeth these that follow; Take the species of the lesser Indi, one dram and half; root of Mechoacan, four scruples; roots of Elecampane, Burnet, of each half a scruple, make a powder, give a third part with wine. Or, Take roots of Orris, dwarf Elder, Parsley, Smallage, Kneeholme, Elecampane (fern) of each one darm; Hysop, Centory, Wormwood, leaves of Elder, which are the best; Savory, Finger-ferne dodder, of each one handful; the middle barks of Elder, Gratiola, Betony, of each half a [Page 97] handful, Madder roots, sweet Cane sliced, of each two drams; Anniseed and wild Carrot seed, of each one dram and half; seeds of wild Saffron bruised, half an ounce; leaves of Senna, one ounce, and half; Polypod of the oak, half an ounce; Broom flowers, half a handful; Juniper berries, one dram; Sea cole half a handful; Raysins, one ounce; Liccoris scraped, half an ounce; Cinger, Cinamon, of each one dram; boil all in sufficient water to one pound and half: to the straind liquor add syrup Bizantine, or Eupatory and Calamine, of each one ounce; make a decoction. Or, Take Senna leaves, half an ounce; Anniseed, one dram; leaves of Mountain Pepper, half a dram; Roots of green Orris a little bruised, three drams and half; Sea cole, half a dram; infuse them in nine ounces of whey, boyl them and presse them out; add honey of Roses, two ounces, for to take at twice being first strained. If there be a Feaver. For. puts for Mountain Pepper 4 drams and half of Rheubarb, Spicknard, one scruple: Or, Take juyce of Orris, half an ounce; [Page 98] whey, two ounces and half▪ raw Honey, one ounce and half; boyl them and strain them: add Spicknard, half a scruple; Cinamon, one scruple; Diagridium, three grains. Apply purgative Topicals. Liverwort and juyce of Scurvey-grasse, taken daily to one ounce strengthen well. Crato Ep. 123. gives with great successe the extract of the root of Orris. He puts Henbane under the feet, in the same Epistle. For. with the only use of Garlick cured many.
Topicalls are. Take unguent of Agrippa, two ounces; juyce of dwarf Elder, or Elder, 1 ounce; boyl them to consumption of the juyce; make an ointment for the Belly and the Feet. If there be a Scirrhus, apply emollients. A certain old woman cast Frogs, called land-roads alive into a pot, and boyled them with oyl of Olives; she annointed the Belly & Feet with that, miraculously. This following is a secret of For. Take of the roots, of dwarf Elder green, six handfuls; roots of Briany, one pound; outward bark of Elder, four handfuls; leaves of wild Cucumbers, two handfuls; Red cole, six handfuls; Mallow leaves two [Page 99] handfuls; Marsh mallow leaves, three handfuls; grosse Bran, five handfuls; Camomil flowers, three handfuls; Mellilot flowers, two handfuls; dry Wormwood, three handfuls; boyl them sufficiently in sufficient quantity of water, beat together: add unguent Agri three ounces; Barly meal, half a pound; make a Cataplasm for the Legs unto the Knees. Or take juyce of Orris, juyce of the roots of dwarf Elder, and of Elder, juyce of Briony, of each one ounce; unguent of Agrippa, three ounces: boyl them for a soft ointment. A woman died by a Vesicatory applyed to her Feet. Fab. obs. 49. c. r. Gradus saith, that it wonderfully draweth watery humours to it, if living Frogs be put into an artificial Bath. Paracentesis, hath only place when the forces are strong, and the Bowells safe; otherwise the Belly quickly swelleth, and other remedies are but vain, when the Navel is lifted up into a large and light bladder. Sanctorius saith, That the Vessels of the Navel may be so dilated with an Instrument, that they may void out the water. If it swell not below [Page 100] the Navel, on the right side; if the Liver be ill, on the left; if the Spleen, let it be cut three or four fingers from the White line, and put in a Pipe closed with linnen, that nothing may come forth but by little and little when the Physitian pleases, as in Empyema. The Scrotum is conveniently [...] as is taught of Feb. cent. 1. obs. 48. In an that are Hydropical, Rondelet saw the Pancreas hardened.
Sweat, unlesse Nature brings it to that of its own accord, will hardly profit. Internals are and insensibly take away water Theriacal salts for to sweat. Let Steel, topical Resolvers, and Fomentations alone. A spunge steeped in Wine, wherein Salt, Bran, and Mugwort are boyled. Thirst is not taken away by water, but by Oxycratum.
If there be a Feaver, mingle cold things with hot, burnt braffe made up in Pills, from one dram to one dram and half. Above the Ankle four days skin is profitably opened with a penknife, a little deeper then when a Vein is opened, and it must be rubbed with [Page 101] salt, least the blood grow together, and so the water is happily let forth. Put Henbane leaves under the Feet. A Dropsy from melting comes in a hot burning Feaver: from burning heat, it is cured by things that cool heat, and by such as void water.
The Dropsy Tympanites, it scarce differs from Ascites; for you shall seldom find wind without water, & so contrarily. It is also called a dry Dropsy.
The Cause is wind shut up in the Abdomen, and also in the Intestins, by Platerus observation, and Smetius. Winds are made of grosse matter; especially of black choler and heat, strong enough of it self, but weaker in respect of the matter. In Tympanites the heat is almost burning, but the matter is melancholick.
Signs Diagnostick. The Belly gives a sound like a Drum.
The cure. The matter must be cause of the wind must be taken away, the wind must be discussed. Alwaies let Carminatives exceed Purgatives. Arculanus thinks it were a singular Remedy, if in a Clyster you dissolve [Page 102] three drams of the Electuary o [...] Bay berries; you must discusse by Internals, & Topicals, by the Plaister of Bay berries; If heaters help not, we must pass to Coolers; the beer of the decoction of Camomil flowers is miraculous.
In Leucophlegmatia or Anasarca it is good to open a Vein; if it come from stopping, it is cured as Cachexia.
A DROPSY of the Womb, is either in the cavity of the Matrix, or in the Coats of the Marix, or in the Vessels of the Matrix, or it is shut in a Vessel or not. It is either with Child or without. Oft times it killeth the Child, most frequently it makes belief of being with Child.
The cause is either sent from some other place, or is bred in the Womb: stopping of Courses.
Signs. It is distinguished from Conception because a Dropsy of the womb is equally extended according to the largness of the womb. If it last above ten months, it continually waxeth greater in the following moneths. In great with child it is contrary: the Symproms that afflict in the first moneths, grow [Page 103] milder in the latter. The Brests that are hard, are made soft. In a Dropsy of the womb, some blood runneth forth. It is distinguished from Mola, by the weight; from Inflation of the womb, by weight, and sound; from a Dropsy of the Belly, because that riseth from the superiour parts, and goeth down to the lower parts; In a Dropsy of the Matrix, it is contrary; When it remaineth in the cavity, the Mouth of the Matrix is shut: when in a Bladder, it seems to be shut. If the whole Body be well, and child-bearing were very tedious, it cometh from the fault of womb.
Prognosticks. If the water be not corrupted, nor sharp, which is collected from the Symptoms, it is cured by length of time.
The cure. If it proceed from stopping the Courses, they must be voided, also by opening a Vein; but in other cases it is not profitable. The water must be voided by injections, Diureticks, Purging Pessaries, Externals, Vomit, Sneezing, Clysters. Fontanels are not good.
A DROPSY of the Brest is seldom knownz and yet it is frequent. It [Page 104] is not likely that so much water should fall from the Head, but it is either bred in the Brest, or sent thither.
Signs. A pain of the Brest that is weighty, and a sound when the Body is moved. A dry Cough. There is danger of being choaked, chiefly about the first sleep, thirst, lost appetite, pale visage; the Feet often swell.
Prognosticks. It is seldom cured. Once cured it easily returns into a Dropsy.
The Cure. The water must at several times be evacuated by Purgatives. Hippocrates orders the Incision of the Brest if the Bowels be sound. By Diureticks, wherewith Maximilian the 11. Emperor cured himself for twenty years, and when that motion was hindered, he was strangled. Crato Ep. 137. Senn. commendeth Incision at the beginning.
DROPSY of the Head, Is either within or without the Scull. It runneth out by Anastomosis and diapedisis, of the Veins: It happeneth to children from the violence of Mid-wives in delivery.
Signs. If it be without the Scull, it is proved by the touch. If within, the Eys weep and are hardly shut, and it is mortal.
The Cure. Generals premised that evacuate if the age will suffer it, the part must first be softned then wee must use Resolvers; Spirit of Wine with a fourth part of Scabious water. Also Aquapendens commends for children water of quick Lime, the Lime being thrown away. If these fail, lay a Caustick to the hinder part of the Head. The manner of cutting, see in Senn. Lastly, lay on remedies that dry the Brain. Fab. obs. 10. c. 1. found in the fore Ventricles of the Brain, 18. pound of clear water.
DISTEMPER of the Spleen hot, hath with it, thirst, a dry Tongue, yellow colour, red Face, dejected Appetite, a cold distemper contrarily. They that have a weak Spleen are properly called spleenetick.
The Cure. The Spleen cannot endure Attenuatives nor Relaxatives, but things that bind moderately as Wormwood; yet moderately lest they make [Page 106] a Scirrhus, sweet things taken any way are hurtful, and so is Vinegar. Wherefore the rinds of the five opening roots must be steeped, not in Vinegar, but in Wine. It can endure stronger Remedies then the Liver. Stoppers must be chiefly avoided. It is evacuated by the Piles, Vomit, Purging, Urine: bitter medicaments are the most profitable. The milt of an Ox burnt in an earthen Vessel; the milt of a Kid to one dram. All outward remedies must be made with Posca, that they may penetrate.
DISTEMPER of the Stomach. If it be cold it is cured by Generals, Topicals. Topicals must be laid to the pointed grissle toward the Navel, and to the back to the twelvth and thirteenth Spondils. Corals are most profitable, Myrobolans, Chebulae, and the extract of Galanga. Other cold distempers of the Shoulders, Matrix, Intestins, are cured by Generals, Topicals: as in the Dropsy, Anasarca; chiefly with the decoction of Guaiacum, China, &c.
DEAD BODY, If it ly in the house or field, and it be a question how it died, either by Thunder, or some other mischief: [Page 107] If it be from thunder, the Body smelleth of Brimstone: so as Dogs &c. will not touch it. Under the part whole or wounded, the bones are broken, the wound is black: If he fall on the side that was stricken, Beasts fall on the contrary side. If he were smitten waking, his Eys are shut: if sleeping, contrarily. The Body is not corrupted.
If the Question be, Whether he that was wounded, received the wounds, dead or alive? If alive, the Lips of the wound are red, bloody, swoln, wan round about. He that was drowned if he were thrown in living, the whole Belly swelleth with water, snotty matter comes forth of his Nostrils, frothy matter from his Mouth, the ends of his Fingers are supposed to be excoriated.
DEAFNES. The Cause is either the fault of the Spirits and Brain, and so the other sences suffer also, or the outward ears are wanting, or the passage of hearing is stopped, or the Tinpanum or Nerve is hurt. Platerus saw an Abbot who by the Pox was blind, deaf, dumb.
Signs. If it follow other diseases, and the other senses be well, the Nerve is affected. If the Tympanum, the Cause was either internal or external. It is ill in Feavers unlesse it shew a Crisis.
The Cure. The cause being removed, it ceaseth. If it be from fleam, that must be dried and removed. The water of Origanum is commended, distilled with wine from the dry hearb. Gall of Patridge with equal part of oyl of Amber. Water of an Ash with its salt is specifical. Querc. Crato Ep. 59. Carduus benedictus, four handfuls; infuse them twice in two pound of Carduus water; distil it, after 24 hours infusion, he puts a clout into the Ear dipped in that water: Water of bread. It is seldom cured after six Moneths. An old woman put one or two grains of musk into the Ear succesfully with cotten. Another used the oyl of young mice steeped newly littred, miraculously. Juyce of I [...]y clarified, dropt in with wine. Juyce of Onions with some convenient liquor. Oyls of bitter Almonds, Marjoram, of yolks of Eggs, of Hempseed, of [Page 109] Turpentine, Wax, Juniper, Mustardseed, Guaicum, juyce of Tobacco; Let all be warm, put in no new till the former be well purged; to which end serveth coughing, sneezing; three or four drops of the medicament is enough to drop in at once; let the sick, ly on the sound Ear. Stop the Ears with cotton. Avoid unctuous things as much as is possible.
ECSTASIS is either true, as when the mind is drawn away to contemplate heavenly things: or Demoniacal, as the dancing of witches, to which belongeth the Ecstasis of Cardan, and those of Lapland:
Or Natural, whereby men think their dreams were so indeed, and that they saw quires of Angels.
ELIPHANTIASIS of the Greeks, or a Leprosy of the Arabians, is a Cancer of the whole Body, or a disease in augmented magnitude, from a hot dry distemper, and solution of continuity.
The cause is black malignant Choler; the remote, is Conception whilst the [Page 110] Terms flow, a hot and dry distemper of the Liver and the Spleen.
Signs Diagnostick. A Nose wan, red Cheeks, cleaving of the Nails, a shrill voice, stupidnesse in the Legs and the whole Body, that they can scarse feel the prick of a needle. If some grains of salt be cast on the blood of a Leprous person, the salt dissolveth; if the blood swim on clear water, he is infected: If the Ashes of burnt Lead swim on his water, he is Leprous. Lemn.
Prognostick. It is not cured but at first.
The Cure. Diet is prescribed, opening of a Vein, purging, Cordials, Baths; after bathing, give the Ashes of a Kites Head, Feet and Bowels burnt in a pot; but the flesh must be eaten for three days together, which some hold for a secret.
That the use of Vipers will not suffice, Palmarius observed. Fernelius, Erastus, That it is sufficient, and whereby Gisb. Horst. said, He cured himself and many others. See Vidius Schenkius. Palmarius his greatest hopes lieth in Quicksilver.
ELEPHANTIASIS of the Arabians, is a swelling of the Foot, wan, and looks like an Elephants Foot.
It is cured at the beginning, but old cannot be cured. Senn. often observed, that the Hands also will swell so, that pressed by ones Fingers they leave pits like Oedema. It is cured as before.
EMPYEMA, is a collection of Matter in the hollow of the Brest.
The Cause. It followeth chiefly the inflammation of the Tonsils, or the Pleura of the Lungs, &c.
Signs diagnostick. If such an Inflammation went before which could not be cured, there is a weight about the Diaphragma, fluctuation when men change the side they lye on. At last a Feaver cometh softly, which is partly putrid, partly hectick, about the evening and morning it is fiercest. A continual Cough, bloody spittle; if they lie hid in the right side, there is felt heat and weight. Hippocrates bids to lay a wet cloth to both sides, where it is soonest dried, there lyeth the matter.
Prognostick. Thirst, lost-Appetite, [Page 112] loose Belly, stinking spittle are deadly. Oft times it degenerates to a Consumption; then the Temples are mightily extenuated, the Feet swell, the Nails are crooked. If the matter lye on the left side, it is the more danger. Aph. 44. s. 7. 27. s. 6.
The Cure. The matter must be let forth where Nature carryeth it. For. gave a Clyster of a decoction of Barley, and honey of Roses, anointed the Brest with oyls of Camomil, Lillies, Cats grease, Whelps grease: using an emollient fomentation: then he gave Cassia, and when the urine grew thick Diureticals: then a Purgative; with these the Patient was cured; If there be a Cough, expectorating things must do it, as juyce of Ivy, four ounces, thrice or four times in a day. If all be in vain, Incision must be made whilst the Forces last. If the Lungs be not ulcerated, cut between the four and five, or five and six Rib of that side where the greatest pain is.
EPILEPSIE either is essential to the Brain, or by Sympathy from the Stomach, Marrix, Worms, outward [Page 113] parts, in children, and those that are of age.
Differences, There are three degrees. 1. The fall is felt before hand, they fome not, it lasteth not long, and the sick after the paroxysm remembers all; in a great Epilepsie it is worse, in a mean it is betwixt both.
The Cure. Let the sick be freed from the paroxysm, which is done, if so soon as the fit cometh, you give one Pill of laudanum opiatum, with a fourth part of oyl of Camphir: or the Antepileptick Pill of the roots of Piony, mans scull, or oyl of Amber. The Head must be laid higher, a wedge must be put into the Mouth; the sick must not be moved violently, but not at all, for the fit is prolonged by it. Let him be raysed.
After the fit he is cured, as Head-ach from fleam or melancholy, by preparatives, evacuatives for some time, even continued for a whole moneth, by Sweatings, and other general means; by Topicals that are proper. A Partridge Liver powdered at the fire in a por, and distilled with water of Yarrow in a glasse vessel. Crato Ep. 104. Syrup [Page 114] of juyce of Carduus, with the extract of sweet Cane, Ep. 140. Mans blood is allowed by Zac. l. 1. hist. 23. because milk is good: alwaies hang on an Amulet: as, Take Piony root, half an ounce; seeds of Male-piony, one dram and half; also roots of Briony.
Diet. Goats blood, Heart of a Goat, of a she Goat, of an Eel, are the worst, eating of Turrles the best; Quails are naught, the Feet must be kept hot; drunken people beget such as are troubled with Epilepsies.
If the disease be proper to the Brain, the fit is more violent, it comes about the new and full Moon; there are signs of the Brain affected, the other are well; Setaces are principle good, applyed to the Neck.
If an infant be affected, it may be prevented, if as soon almost as it is born, you give it the Epileptick powder with milk; if after milk you procure vomit, which is done by pressing down the childs Tongue, and put a feather anointed with oyl of sweet Almonds, or some other in the Throat. The Nurse must be cured as though she [Page 115] were sick of the Falling sickness. The infant must be purged with honey or Raysins. Holl. In the paroxysm they must be cured as elder people. If it be from worms, they must be killed and driven forth.
ERYSIPELAS. The Rose, or Holy fire, it is made, not of pure Choler; for that exulcerates, and it would become the Shingles: but from the Cholerick or more hot part of the blood.
Signs. A Feaver with quaking, shivering, great pain and heat, a Rose colour. It is distinguished from Phlegmone.
1. Because if you lay your Finger on the Rose, the part groweth white, the blood flying away; it is not so in Phlegmone unlesse the part be pressed.
2. The heat, pain and Feaver are greater; so that the part is often lifted up into a little bladder.
3. The colour of Phlegmone, seemeth blackish, but of Erysipelas yellowish. Prognostick. Aph. 26. s. 6, 7▪ 2.
The Cure. If there be Plethora, the antecedent cause must be evacuated by opening [Page 116] a Vein and purging; aster that the endeavour of nature must be furthered by sweating Antidotes, with water of flowers, and Rob. of Elders, Theriac. &c.
Some roast a Nutmeg wrapped in Flax or Hemp, in the Embers, and with Colambine seed, so roasted they give it with Scabious water, for an excellent Antidote.
Commonly they lay on a linnen, or woollen red cloth, or Barly meal. The common people abhor moyst things; yet a linnen cloth wet in Elder water, and strongly wrung forth, is fitly laid warm to it.
Topicals, as for Scaldings, if they be cold they easily cause a Gangreen: better therefore is the oyl of Elders, which they call golden milk, then the water of Elder flowers: also the water of all flowers, lean bran. Wierus writes for a secret, That the Gall of a Carp anointed warm, with a Feather upon the part affected, and then a dry linnen cloth laid over it, will do it. If you will use cold things, use them so long till the heat be something [Page 117] abated which the Patient will declare.
The Diet must be cold and moyst which also serveth for Preservatives.
The EYES Affected, either the Coats Adnata and Cornea are affected. as,
EYES inflamed, which if it be but light, from smoke, heat of the Sun, drinking of Wine, it is called, Taraxis; if it be very great, so that the white swell above the black, it is called Ch [...] mosis; if it proceed from Plethory or Choler only, that is known by the signs; it is cured by Generals, by those that pull back, the precedent cause first being removed. The temporal Veins must be tyed. Letting blood is good in the Arm of the same side, though it come from Choler: the Choler altered must be purged. Open the Vein of the Forehead. A Setace is most effectual for a long disease. These first done, you must come to Topicals. Most often it is taken away by Generals alone, & Mercurial. Galen, Mercatus warn us, that we do not apply Topicals in the begining to an Inflammation of the Eys; for [Page 118] many have been blinded with multitude of remedies: Apply them very sparingly, yet to the Fore-head and Temples Repellers are safely applyed at the first. Milk dropped into the Eys corrupteth and groweth sharp, unlesse it be changed every hour. Alwaies add to Repellers Scowrers, as to Milk, Saffron, Sarcocolla. Opiats thicken the optick Spirits, let them be seldom used. Alwaies mingle such things that are proper for the Eys. Cold things are good for a sound Eye for preservation; warm things inclining to cold if you would repel, to heat if you would discusse; You must not at the same time apply a Repeller to the Eye and to the Temples. For. dropped into the Eys the white collyrium of Rhasis without opium, half an ounce dissolved, sometimes in Milk, sometimes in Rose-water: also with opium in extream pain. In the declination, Sarcocolla alone soaked in Milk to one dram, or dissolved in water of Fennel; Ey-bright oyl made of the flowers of Succory, or Blew bottles made by setting them in the Sun. An Emulsion of Poppy seed, Saffron, [Page 119] Opium, of each three grains with a Cataplasm. Fon. commendeth Crocus metallorum. Ruland. with Ey-bright water. Hipp. commends Wine. But Zwinger in his Theater, reports that P. Ramus at Paris by too much watching fell into an Ophthalmy, who, when as J. Sylvius bad him to drink wine according to the Aphorism, the disease increased mightily, that he grew almost blind. Gallen commends a Bath after Universals. Sarcocolla is soaked in milk often, and sparingly powred on lest it grow sowre. If Chemosis be made, beat the yolk of an Egg with the flesh of a Fly, and with a clout lay it on. Gal.
EYES inflamed being dry, if it be without pricking, it is with hardnesse of the Ey-lids, it is called Sclerophthalmia. If the Eys itch with pain, and swell not, but are red, it is called Xeropthalmia. If they itch with a little flux, it is called Psorophthalmia. It is cured with Generals, softning Topicals. One gave counsel to his Patient, to lay the white of an Egg with Rosewater to the Eye. Roots of Celandine [Page 120] bruised laid on with leaven, and the leaves & roots bruised to be laid to the Soles of the Feet. In all Inflamations of the Eys that are very great, that which followeth is profitable before other Remedies. Take white lead washed, one ounce; white Starch, six drams; Gum Traganth, Sarcocolla, Tutty prepared, of each half an ounce; Camphir, Opium of Thebes, of each one dram; Rosewater what may suffice, make a Mass. Dissolve a little of it in Rose-water, and drop it into the Eye with a Feather. Infinite have been cured with it.
A HAW in the EYE is a little nail: it is a nervous membrane, commonly rising from the inward corner, sticking close to the Coat adnata; sometimes stretched forth to the Apple of the Eye, rising from Ophthalmia, the small Pox, or some continual Flux. The Skin is not membranous, but something made up of the swelling Veins. It is often Cancerous, it is discerned from the weeping flesh, because the roots of the Nail ever inclineth most to whitenesse.
Prognostick. If there be a beginning of suffusion, the nail may not be cured, that which toucheth the pupil of the Eye, should it be taken away by Chirurgery; yet the scar will hinder the sight. Those that are white and with narrow bottoms are more easily cured.
The cure. Besides Generals and Astringents, Topicals applyed to the Temples must be first emollient, then detergent. The powder of Egg-shells soaked in Vinegar, and dryed are effectual, if you strew the powder into the Eys. For. saith, there is a red nail that is moveable: He prescribed first of all this that followeth. Take Mallow leaves, four handfuls; Night shade, two handfuls, by reason of the Inflammation if there be any: Violets water, Lillies, flowers of red Roses, of each one handful; make two little baggs, boyl them in the water, wring them out; and moderately hot lay them to the Eye four times. After this, Take Camomil flowers, Melilot, of each one handful; Fenygrec seed three ounces; make two little bags, five times in a day foment the Eys with them. After fomentation [Page 122] a Collyrium was still dropped in of the juyce of Mallowes, Fennel, Rue very well clarified. Purging was continual with decoction of Mallows, Fennel, Rue, Ey-bright, Fumitory, Rheubarb, Senna, made like Claret. After softning detergents, as juyce of Mallows, Fennel, Rue, clarified with the Gall of an Eel and Sugar-candy; afterwards also a little white Vitriol was added: After that juyce of Rue and Celandine, double; of Fennel, lesse; of Vitriol, one dram and half; Verdigrease, five grains; and the party was cured.
A certain Matron cured the poor with this following water. Take the Entrals of a Pike, and, together with the Gall, Liver, Bowels, cut them small in pieces; add one handfull of Fennel, and distill them; The juyce crushed forth of Pismires. The green of brasse corrodeth lesse when it is burned, then unburned. That which Covers the whole Pupil the Chirurgion must not meddle with. Par.
A Cloud, wherein the sick seem to look through smoak, is from a humor compacted in the Cornea. A white spot [Page 123] is made either from a scar, and it is incurable: or from fleam collected between the Cornea. They are cured by Generalls, Topicals emollient and detergent, with the juyce of Pimpernel, with a blew flower; and first with Rosemary flower water, water of Honey: if it cannot be cured, the white colour is taken away with the juyce of sweet Pomegranates. If a yellow colour in the Jaundies seize on the Cornea; receive the vapour of Vinegar cast on a burning tile, by the Eys: the decoction of Rheubarb, if Choler; of Agarick, if fleam; drop into the Eye, snuff up into your Nostrils.
Blood-shot, is an effusion of blood in the Adnata and Cornea, from a stroke, a fall. It is cured, if it be greater with topicals, revulsives, repelling, & then with discutients alone. With the decoction of Fenygrec exactly cleansed, or in the form of a fomentation. Pigeons blood, Colewort leaves boyld and applyed, new Cheese. If it be old, it requireth stronger means: tops of Hysop beaten, tied in a sinnen cloth, let down into boyling water, laid warm to [Page 124] the Eye, takes out the blood, that it will stick to the cloth. Root of Devils-bit, Root of Solomons seal, Vine, water.
Hypopion, is when Matter is gathered under the Cornea; there went Blood-shot before, running of the Eyes, inflammation. Fern. cureth that as the Haw. Galen, Paraeus, by opening the Cornea to the Iris: Or they affect Ʋvea. as,
The falling down of the Ʋvea, by reason of the unity of the Cornea disolved. If a small part of the Ʋvea fall down, it is called Myocephalus; if a greater part, Staphyloma; the greatest is called Clavus, when it is grown a Callous. No man hath cured Staphyloma, but a little pipe artificially drawn may derive them by Channels.
If it be from an Ulcer of the Cornea, it is curable; if it come from a Rupture or wound, it is also cured.
Dilatation of the Pupil, called Mydriasis, when the Apple is greater then it should be. It is either natural or cometh from extension, from dryness, or flowing thither of humours, [Page 125] from a stroke, a fall, too much holding their breath in women with child. All things seem lesse to these men, but the humour doth not affect the whole Ʋvea, otherwise the Apple would be made lesse, for the weight of the Ʋvea would contract it; but the Pupil. The same is to be said of drinesse. If it come from drinesse, it must be softned; if from a humour, it must be evacuated, revulsed, resolved by Topicals, it must be restrained. Fern. useth this following, Take dry Roses, dry Mints, Spicknard, of each two drams; Bark of Frankincense, Mirrh, of each half a dram; Saffron, one scruple; Pompholyx, Acacia, Spodius, all of them washed, one dram; washed Aloes, half a dram; powder them, sift them, make Trochis with Gum Traganth; dissolve one of them in Rose water.
A Cataract, Suffusion, is the obstruction of the Pupil by a humour. Paraeus saith by a skin. It groweth between that space, that is between the Cornea and the Crystaline humour. It is counted counterfeit by the Ancients, The black is incurable. Copulation [Page 126] makes for this, about the break of day they see clearest: because a few spirits are dispersed by a great light; by a lesse, they are collected. It is made also from the subtilty of the spirits, from the finenesse of the Body, from Dilatation of the Pupil. Generals premised, Revulsives, Topicals, resolving, the hot breath of one that eateth Fennel must be often received, the Eys being gently rubbed with the Fingers. If it be old, see first if it be ripe, the sign where of is, if he can see nothing but light, can distinguish nothing. Those are incurable that are not dilated by rubbing the Ey-lids so. That which is with a consumption of the Eys, that which followeth great diseases, those that are green, black, yellow wan, plaister-colour: Contrarily, those that are chest-nut colour, sky colour, sea green, are curable. 2. Let the Moon decrease▪ let it be two or three days after the full, let her not be in Aries, let there be no pain of the Head, nauseating, Cough; Let the Needle be of iron, let the sick look with his Eys toward his Nostrils; then the needle must be thrust in the middle space between the [Page 127] lesser Cornea and the Iris, avoiding the Veins; and the Cataract must be thrust down from above downwards, laying on the white of an Egg, with Rose water. Let the Eys stay bound up to the eighth day.
Or they affect the weeping piece of flesh: as,
Excathis, which is a Tumour of that flesh from blood. It is cured by Topicals corroding, by Generals, with the Iron.
Rhyas is a diminishing of it, which followeth other diseases. It is cured by Sarcotick remedies. Squinting comes from a Convulsion of the Muscles. It is either natural, or from a faulty situation of the Crystalline.
Or without any manifest cause they hurt the sight: as,
Amblyopia, which is called Gutta serena, wherein the Eye and the Apple remaining clear, the sight is depraved.
Myopia is when they see only what is before their Eys.
Nyctalopia is when men see nothing in the night, sometimes well. These [Page 128] are cured by Generals▪ rather then Topicals. If the cause be in the Brain, the other senses suffer with it. If it began suddenly, it is obstruction: If by degrees, it is either distemper or restraint. It begets too great light in the Eye by the heat reflected, and so hurts. A white colour is by dilating of the Pupil. Topicals are, the secret of Maximilian the Emperor, namely, distilled water of fresh Goose dung, a Goats Liver eaten roasted, the vapour of it boyled, the liquor droping from it in roasting; it must be anointed. Rondelet found this to be more effectual, if the leaves of Fennel, Celandine, Rue, be stuck into it. The powder is strued into the Eye. The meats must be seasoned with salt of Eybright: Saphyr water, called so from the colour. See Sennertus: the species of Occonis, &c. also the Collirium or Sieff. that follows, is useful. Take water of Fennel, and Ey-bright, of each four ounces; Tutty prepared, one ounce and half; the best Aloes, one scruple: infuse them all night, wash your Eys with the water. Water of bread, kneaded with powder of Rue, Fennel, Ey-bright. [Page 129] Use of Spectacles weakneth the sight, unlesse you wear them for need. Dud. Ep. 27. Fab. cent. 1. obs. 27. by often washing the Eys with cold water, the sight is darkened; from too much sneezing voluntarily, groweth blindness. Oft times things actually cold may be applyed to the Eys, but not to the Ears. Zach. l. 1. hist. 56. For. prescribeth three medicaments for the Eys.
The first is of Crystal, which he would use to read with.
The second of green glasse, which he would use sometimes.
The third like a Pyramid not bored through, of thick green glasse, whose Basis should be broad enough to cover both the Eys.
For. used this following secret in many. There is a muddy Fish greater then an Eel, it is called Aelpuick, the Liver whereof bound to a tyle, must be set against the Sun, and the liquor dropping from it must be received by a Vessel underneath; With this anoint, not your eys, but your Ey-brows, and upper Ey-lids. Concave glasses profit by the [Page 130] circumference; for those thick glasses represent all objects greater▪ as Convex glasses make them lesse: and plain glasses equal. They that have Owl eys▪ desire but little light. They that have plenty of humours in their Eys, have black Eys: because the plenty of the humours cannot be transparent enough. Cat-eyed, that have but little humours, cannot bear much light. See the Ʋlcer of the Eye.
Epihora, it is a thin watery humour, like to tears in the Eys. It is cured by Generals, Driers, Revulsives, astringent Topicals, &c.
EY-LIDS Roughnesse. It is the ruggednesse of the inside of the Ey-lids with itching and rednesse, and oft times with pushes like Millet seed, from a sharp humour. A callous roughnesse. Besides Generals, Revulsives, Intercipients, Topicals must be emollients; afterwards Coolers, as Rosewater, or water of Dandelion; lastly, detergents. Par. saith this that followeth is best of all, If you dissolve a little Vitriol in much water of Roses, Aloes, [Page 131] Myrrh, Saffron. The Ey-lid inverted may be rubbed with Fig-leaves.
Hordeolum is a little swelling on the top of the Ey-lids neer the Brows, which suppurating is like a Barly corn. It is contained in a Vessel. Foment it with white wax, or hens grese, or fasting spittle, or rub it with the body of a Fly, the head being cast away. For. premising Generals, foments it with white wax, or Hens grease▪ washed with Rose-water hot, then with the decoction of Barley and Camomil. Then with the blood of a Tuttle, Pigeon, Patridge. He used on himself, Rose-water, two ounces; Vitriol, one dram; he dropped one or two drops in a day into his Eye: Or Rose-water, two ounces; Aloes, half a dram; If this help not it must be cut. If the matter be stony as hail, it is called Chalazion.
Ectropium, is when the inward part of the lower Ey-lid appeareth inverted, from a Palsey, or Convulsion, or wound ill cured.
For. cureth this with Astringents, as Rose-water, where in burning iron hath been quenched; that which followeth, [Page 132] he oft times proved. Take new butter nine times washed in water sufficient, then wash it nine times in juyce of Plantain, then three in Rose-water, two ounces and half; Tutty prepared, once washed in Rose-water, and Aloes washed in Plantain water, white Sieff. with Opium, of each one dram and half: Camphir washed, one scruple; make an unguent, anoint with it in the Evening, and wash with hot water.
Hares Eys, is when the upper Eylid is shorter then it should be; it is either natural, or from a scar or Convulsion, or when Infants in their Cradles look alwaies backward, or upward. It is cured by Emollients: If it be from a scar, Incision is made above it, in form of a hooked Moon. An unguent must be put into the wound.
Aquap. contrarily with rains fastned with glew to the Ey-lids, joyns both Ey-lids together.
Hydatis, is a fat substance, as a piece of fat lying under the skin of the upper Ey-lid, whence the whole Ey-lid in Infants becometh Oedematous. The cure is made by cutting that part. The [Page 133] whole Eye must be covered with the white of an Egg and Rose-water. Lay on salt chewed with Cummin seed and Sage, to dry it, unlesse pain hinder. Hydatica are bladders full of water in the Lungs, and the Liver, &c.
Essere, are little swellings something hard, with exceeding itching; they suddenly seize on the whole Body like stingings of Bees, they vanish of themselves. They are made from watery humours: They foreshew a Tertian, and must be cured as a Tertian.
FASCINATION, Is a bewitching, whereby, by the sight, praysing, or touching, Men, Beasts, Corne, do dye.
Fascinations of the first and second kind, prevail not by force of words, but by the Devil.
Signs. If the learnedst Physitians doubt of the cause of the disease; if it be forthwith in the state, if preternatural things, as stones are voided.
It is cured by prayers, by purging the melancholick humours, by vomit.
A FEVER of one day, is a Feaver risen from the heat of the vital spirits: [Page 134] to this belongeth Synoche of many days, rising from the overheating of the Spirits, and the thinner part of the Blood.
Signs Diagnostick. 1. It beginneth from a precedent cause, is a sign inseperable. 2. The Urine is like to those that are sound. 3. The pulse is next to natural. 4. The heat is mild, easy. 5. It seizeth us without cold or shaking. The causes of the heat are, 1. Motion. 2. Corruption. 3. Nearnesse to heat. 4. Constipation of the Body. 5. mingling of hot things.
The Cure is made by Bathings, frictions, unguents.
A Putrid FEAVER. Cause of putrefaction is concoction hurt by natural things, and things not natural, and preternatural. 2. Stopping of the Pores, either by Astringents, or drinesse, or heat of the Sun, or stopping of the Vessels by plenty of clamminess or the humours. 3. The calling forth of natural heat, by a one dayes Feaver, anger, &c. 4. Nearnesse to a putrid thing.
Signs diagnostick. 1. The heat is sharp, biting. 2. They begin without a procatarctick [Page 135] cause, which is a proper sign. 3. The Urine, Pulse, differ much from natural. 4. They begin with cold, a proper sign. 5. It returneth by fits, a proper sign.
Question. May we purge in putrid Feavers?
I deny, Because Purgatives are hot, and inflame the Feaver.
2. Because, before and in the dogdays, Purgations are difficult, by reason of the hot ambient ayre, how much more by reason of a Feaverish.
3. Because Purgatives are contrary to nature.
4. Because neither in the beginning nor in the augmentation, for all things are crude: nor in the state: for nature is troubled from digestion, and rest is better. Aph. 29. s. 2. nor in the declination: for in that no man dieth, &c. It remains that it is best to purge in the end. Zach. l. 1. hist. 6. 3.
Whether a Feaver may rise from putrefaction? It is denyed.
1. Because putrefaction is no heat.
2. Because all putrid things are cooled at length.
[Page 136]3 Because those vapours are not so hot as the heart. Zach. refut. hist. 84. l. 1.
A FEAVER putrid continual, is distinguished from an intermittent: because an intermittent alwaies comes with cold and shaking: but that seldom, with the least. An Intermittent seldom lasts above 24. hours: a burning Feaver hath alwaies a black Tongue joyned to it: whence it is that Chirurgeons foolishly cure only the Tongue. For. l. 2.
A Tertian intermitting Feaver. It intermits, because every fit, the matter is discussed, which is proved by the departing of the Feaver. 2. Because it can easily be discussed. 3. Because the Symptoms, as quaking, nauseating do shew that in one day intermitting new matter is recollected.
Differences. An Exquisite differs from a bastard Tertian. 1. Because an Exquisite never exceeds twelve hours, seldom seven. 2. Because the cold is vehement and short. 3. Because straight way signs of concoction do appear.
Signs diagnostick. It is known from [Page 137] a Quotidian by the cold: for in this there is only shivering: by the lasting of the fit, Aorimony of the heat, by the Urine and pulse.
The Cure. Fern [...]l. 2. m. m. c. 3. approves of long opening a Vein in cholerick Feavers.
1. Because both Choler and Blood are evacuated.
2. Because sometimes cholerick Feavers end by bleeding at the Nose.
3. Because it cooleth.
4. Because Plethory is often the cause of it. Zach. denyeth it, because the boyling of the Choler is to be feared: whence in too great bleeding at the Nose. Hippoc. saith Convulsions may be made, in Aph.
In the end Purgers of black Choler must be added. Cold water may be allowed to those are used to it, in the state, and the matter being convicted.
A double Tertian Feaver. It is often mistaken for a Quocidian: but the fits of a Double Tertian which fall out upon unequal days, are unequal to themselves in their manner and time; but [Page 138] the fits falling upon equal dayes, are equal to themselves, and differ from them.
It is cured as a single Tertian, Specificals are given, flowers of Camomil, lesser Centory, Scabious, Devils-bit and Plantain.
A Semi-tertian Feaver, or a Hemitriteus, is either lesse, which riseth from an intermitting Tertian, and a continual Quotidian, or betwixt both, which riseth from a continual Tertian, and an intermitting Quotidian; or greater, which riseth from a continual Quartan, and an intermitting Tertian.
S [...]nn. saith, there is an Intermitting Feaver of all kinds, which afterwards, either by malignity, or some other cause, makes inflammation of the stomach, Liver, Spleen, Mesentery, Lungs, whence groweth a continual Feaver, or a continual Feaver symptomatical, from the inflammation of the part, and intermitting; for Spiegelius found it out in bodies alwaies inflamed. They follow con tagious Dysenteries: they end in Fluxes of the Belly and Colicks,
The cure. That must chiefly be respected that causeth a continual, not neglecting that which causeth the intermitting; Wherefore some for both, mingle hot and cold things to serve for both Fevers; but this way neither Fever shall be cared for. Let them therefore be given by turns, let the Purgatives be gentle, not-strong.
A Quotidian Feaver. A continual is not ended before fourry days, often not before sixty. If the fit be long the stomach cast down, sleep long; this threatneth death. Oft times it changeth to Cachexia, a Hectick, a Dropsy.
A Double Intermitting. whereof For. hath but one example; that lyeth hid, & is slow, wherewith For. was sick, together with a Hectick. 1. Let Diet be opposed to that which urgeth most. 2. Let digesters respect the Hectick, and the Quotidian. 3. Let vacuations and vomit be moved: let meat be given at the time of the least accesse. 4. Use Restoratives.
A Quartan Feaver continual, is allmost alwaies mortal. For. saw one, who so grew melancholick, when he [Page 140] would admit no Physitian, and for 12. weeks and three days never went to stool: at last he went by himself, and died.
Intermitting, is distinguished from others; because at the first and second fit it is hardly perceived; there is no pricking cold, but as it were breaking of the bones, with a wonderful slowness, and scantness in the Pulse. Opening of a Vein for trial is here good. The use of Peach kernels, and decoction of Rape roots are good. Crato Ep. 103. anoints the back bone with oyl of Camomil; and he gave the juyce of Carduus in a syrup; then a little boyld with butter. He purged with syrup of Violets, of Aples, of Hellebour, one scruple. Ep. 112. Also he laid a linnen cloth dipped in Aqua vitae, upon the stomach when the fit was coming. Monavius Ep, 229. sets down such a secret for a Quartan. Take the Heart of a Hare, and prepare it as ye do a Fox lungs: then powder it, and divide it into three equal parts, give it at three several times, one hour before the fit, with white wine or some other liquors, [Page 141] if manifest signs of concoction appear. Specificals are, roots of Gentian, Plantain: as also one dram of root of Masterwort, juyce of Verven, Wormwood, Steel.
A Quintan Feaver: For. saw two that followed a Quotidian. Hence Authors will have this to proceed from adust fleam; it is cured as a Quartan with a Dropsy.
A wandring Feaver, is made 1. By transmutation of the humour, as when yellow colour degenerates into black. 2. By errour of Diet. 3. By confusion of the mixt matter.
A Hectick Feaver, it either followeth other diseases, as a one days Feaver, or a putrid Feaver, or it beginneth of it self from a Procatarctick cause, as from anger, heat; it never happens unlesse one days Feaver go before. It is either single, or hath a putrid Feaver, or some other disease joyned with it; and then it is deadly, except with Anasarca.
Differences, There are three degrees.
1. When the dew, or dewish moisture, which is spread through all the small spaces of the similary parts, is [Page 142] consumed; and it is called a Hectick without a consumption, and may be cured.
2. When the fleshly and fatty parts are consumed, it is called, a Consumption Hectical, but not Exquisite, and may be cured.
3. When the fibrous parts are dried, wherein the heart is burnt and made dry, it is called, a Marasmus hectical, or an exquisite Consumption, and is incurable; for a Marasmus, or a burning Hectick, or a dry and cold, as in a Hectick of old age, or called old from the disease: Another is Syncoptical, which is hot in respect of the Feaver, and cold in respect of the Syncope.
Signs diagnostick. The heat is equal, so that the sick perceive not that they are sick. One or two hours after meat they grow hot, though they eat five times or more in a day, as it is with Lime, or if upon burning stones in a Bath water be poured. The Pulse is small & swift. Fat Urine is an inseparable sign of a Hectick of the second degree. &c. Fern. cured one, whose water [Page 143] was so thick that the fat might be taken off with ones fingers.
The cure. In a single Hectick, to open a Vein, or Purge, is mortal. We must only moysten and cool; yet lest the little heat should be choaked; we must refresh; meat must be given every four hours. All are by Internals and Topicals. The Antients gave cold water to the full after meat at the beginning; for in the stare he would die of it, or fall into a Hectick of old age; it is better to give Barley water, small beer. They gave milk, from two ounces to one pound, rising by degrees.
Feaver Hectick pestilent. The signs are, a weak Pulse, small, swift, swooning, tossing, restlesness, watchings, a delirium, sleepiness, an equal Feaver: so without any pain, they die, their forces being spent. For. Senn.
A Feaver Quartan is known three wayes from a Quotidian; because in that the first fit is strong, the second milder, the third most mild: and so the first fit answereth the fourth, the second the fifth, the third the sixth.
A Feaver Symptomatical. 1. Such as [Page 144] accompany the Inflammation of some of the Bowels; as a Feaver called Phlegmonodes, typhodes; Lypyria, which is cured by opening a Vein, by Coolers, Moystners, Internals, Topicals. Fern.
2. A slow Feaver, from a humour out of the Vessels corrupting in the substance of the Bowels.
3. That which accompanyeth the corruption of the part, as a Consumption.
4. When either from Milk, Seed, Terms corrupted or Worms, a Feaver groweth; to which appertains the Convulsion of the Brain in children, or in the Hypochondres: windiness from raw humours collected in the first passages, which begin to putrefy, and are changed into winds.
A Feaver called Epialos, is when in one and the same part cold and heat meet. It is an intermitting Feaver, they say commonly that it is made from the coldest or glassy fleam putryfying. Platerus saith better, that it is made, when the beginning of one fit falls upon the end of another, or an intermitting comes to a continual. For. cureth this as a Quotidian.
A Feaver Syncoptical, is either cholerick, and continual, or intermitting, or flegmatick; and that again continual or intermitting. A continual is deadly.
The cure varieth, as the cause is, alwaies give cordials which may correct the diseased humour. By all means refresh, by Internals, externals, raise them from their swooning. If need be of purging, do it quickly by Manna, Honey of Roses solutive, Cremor, Tartar, &c. Frequent swooning comes from the weaknesse of the upper Orifice.
A Feaver Assodes is, that wherein the sick are troubled, they are very hot and unquiet, they cannot be pleased; they are vexed, they loath all things, they have most vehement pain of their stomach, and stretching of the Hypocondres.
The Cause is a sharp cholerick humour soaked into the Coats of the stomach.
It is cured with a Detergent decoction of Barley, with Syrup of Roses; moderate Diet, cold and moist: For.
A Feaver called Elodes, of which few have spoken, is that wherein the Body is dissolved by continual sweating; for where there is long sweating, the Body must needs be dissolved.
It is cured by Dryers, and such as void the Serus humour, General, Topical.
A Pestilent Feaver differs from the Plague, by the vehemency of the mischief and contagion, which is greater in the Plague. A malignant Feaver is yet lesse dangerous, and few dye of it, none are infected by it. There are no Pestilent Feavers of one day, but putrid Continuals, and some Intermitting, according to Pareus, L. de Peste.
Signs diagnostick. In the beginning there is a greater weaknesse of the Forces then the nature of a Feaver, or heat do cause, a small pulse, urine like to those that are sound, and oft times also crude, and the face saith Hippocrates sleep or waking oppresse them, a delirium, Vertigo, Convulsion, Vomiting, Scowring; It is observed that bleeding at the Nose in the beginning of a Feaver, [Page 147] sheweth that it is malignant: spots of divers colours, driness of the tongue, blacknesse, inflammation which they call D [...]e Breun.
The Cure. Since two things do urge, either Malignity or the Feaver; If that urge, most Antidotes are necessary; if this, we must go about the cure of it; wherefore presently give Diaphoreticks, as much as we can, temperate; for the matter admitteth not concoction▪ Then a Vein may be opened; gentle Clysters, and such as bring forth the dung are useful; Vomiting is sometimes good, &c. Then come again to Antidotes. This following Electuary is excellent. Take two Pome-citrons sprinkled well with Rose water, and with Sugar what may sweeten them; boyl that to the consistence of an Electuary.
A Spotted Feaver. The spot differs from Freckles, and other Pushes, in a Feaver in greatnesse; for they are not high▪ nor long but round, like Flea bites; It differs from Flea bites, because in Bites there appears a bite in the middle, which remaineth still, though you drive [Page 148] away the other rednesse, by pressing or rubbing it. Spots if they be prest vanish but return; they are seldom in the face, by reason of the smallness of the Arteries, and the cold aire driving them back. They are without ulceration, pricking, or risings-up.
Signs Prognostick. If they come forth plentifully on a critical day, and there follow ease, it is good: but if when the matter is raw, as they often do, they are mortal. The few or many spots do not certainly shew life or death. They dye whose spots are black: they that have them seen in their face; they whose urine is stopt.
The Cure. First give a lenitive, open a Vein before the fourth day, but after the fourth forbear it. Give sweating means. If a Flux of the Belly come upon it, stop it not unless it be too much, but leave the whole work to Nature. In the mean while use Alteratives and Corroboratives. Apply Theriac to the Heart and Pulses with juyce of Lemmons, oyl of Scorpions; and use an unction of Nitre, as before, by Vesicatories, [Page 149] the poysoned vapours are fitly derived from the Heart.
An Hungary Feaver, or a disease of Hungary. It is a Pestilent Feaver, and cometh neer to the Plague. Crato refers them to putrid continual Feavers, Langius to a Causus; for the heat is extream: Others to a Spotted Feaver. Yet here, though sometimes, yet alwaies there are not spots. It began in the year 1566.
The cause. Rulandus and Jordanus say, There is the highest malignity, and the highest Cacochymia, and that rightly; but they say, the Cacochymia comes from fleam. 1. Because at the beginning Purgers of fleam profit, but not opening a Vein. 2. It is more sharp about night. 3. It is more violent when the South wind bloweth, and it spreadeth in cloudy weather. 4. Because there is pain of the stomach. 5. Because it ends by sweat and urine. 6. Because it lasts beyond seven or fourteen days. 7. Because it often ends by an Aposteme. Sennertus holds it to be Causus, yet so, that there is great quantity of fleam, yet not as the cause of it.
Signs Diagnostick. An extream pain of the Head: the spitting moisture of the Tongue is dried, and the Tongue becomes black by the black smoke of the blood: which effect is called, Die Breun, it cometh with shaking. As led by the Hand, they shew the pain of the stomach, and cannot endure to be touched there; for it is hard. There is an unquenchable thirst, and a delirium. They, almost all, fall into deasnesse, and swelling behind the Ears.
The Cure. If it come by contagion, giving a gentle remedy to bring forth the dung, give presently an Antidote; but if there be pain of the stomach, anguish, heat, nauseating, those humours must first be taken away by purging or vomiting with Agarick, Senna leaves, Diaphaenicon Rosarum Mesves, &c.
Vomits here are often the most profitable. The humours being voided, or if there were no such, the first or second day open a Vein, though the first day the spots should appear, so there be strength. Almost all who neglected bleeding at the first, died. If there be Vomiting or Scowring, it is more safely [Page 151] let alone. Open the Liver or Medias of a Vein in the Foot, which is most commodious of all, chiefly in women. Also it may be done on the third day. After the third day, Vomits & Purges; for opening a Vein is mortal. Cupping glasses instead of opening a Vein, may be set to the lower parts, then we must fight with Antidotes, yet with such as do not increase the Feaver. One dram of Species liberantis, Bezar stone, Harts horne, flowers of Brimstone, Amber, Zedoans, all things of a Pome-citron; The roots a part, and Bezar a part are all most effectual. Afterwards Diureticks may be given. The drink must be neither wine nor beer; let it be the decoction of Harts-horn, with spirit of Vitriol: or Barly water with juyce of Lemmons.
Symptoms of Feavers. Pain of the Head is cured by general means, by Topicals. Many commend a Radish root cut in slices, and laid to the feet, first washed with Salt and Vinegar. Juyce of Housleek, and Alces of America; For Housleek on houses is full of juyce in the greatest heat, but flags in a cloudy [Page 152] aire; because it draweth the dryer vapours for its nourishment. The root of Rhodia is commended, one ounce with Rose water, half a pound; boyl them, & apply the decoction with a linnen cloth to the Head. The unguent of Alabaster with Populeum must be anoynted on the Coronal suture.
Driness of the Tongue is cured with scraping of cuttle bone, and moystners that are of the strongest, as with the water or juyce of Housleek, Sal prunella; spirit of Vitriol, Barley water.
Thirst if it be from heat of the Lungs, the Mouth is dry, they can hardly speak; which cannot be quenched with drink, but it will presently come again.
Here it is better to take in the coldest Aire than to drink. It is good to hold cold water in the Mouth, preserved Cherries; Lettice leaves, Purslane preserved, or sprinkled with cold water. Oxycratum, pieces of Pome-citrons, conserves of Sorrel, pieces of Cucumbers, Gourds, first sprinkled with Sugar, Crystal, Tamarinds, Strawberries, garden Currence to hold in the [Page 153] Mouth; The decoction of the Roots of Sorrel, which will look like red Wine; Give drink in the vigour. If the cause be in the stomach, the humour must be voided, namely, that is hot and sharp.
The white Feaver, is a disease or a symptome with a pale colour of the Face, languishing of the Forces, heavinesse of the limbs, loathing of meat, panting of the heart, difficulty of breathing, sadnesse, a flegmatick swelling of the Face, Hands and Feet, from depraved nourishment; and plenty of crude humours proceeding from an ill disposition of the Bowels, Liver, Spleen; Stomach, and so from obstruction of the Vessels about the Womb, and the Bowels that are neer, and from thence the Courses being stopped.
The cure is the same as for Leuc [...] phlegmatia, yet so that the Womb must be regarded; & as in the stopping of the Courses, yet so that the Bowels must be looked too. A lenitive, opening a Vein unlesse the disease be inveterate, the Blood, and Forces being corrupted, Purgatives, Aperients, Diaphoreticks, [Page 154] Marriage, unlesse the Cacochymia be too great, are good; cheifly Steel, after general Remedies: The root of Scorsonera taken any way, Bezar stone.
A FICUS cancerated. Fab. obs. 1. c. 1. A cancerated Ficus in the right Ey. A fit Dyet being prescribed, a Clyster given, water of Borrage, Sorrel, Betony being drunk with syrup of the juyce of Lemmons, and Pomegranates, a Vein being opened, and Leeches set behind the Ears, on the same side, and cupping glasses applyed to the Shoulders, an infusion of Rheubarb and Senna being given, made of waters of Betony, Eybright, Agrimony with syrup of Roses, and the Feet being washed in the decoction of hot things; he washed the Ey with distilled water against the Cancer, and applyed an Intercipient to the fore-head. Yet the Tumor increasing, when out of it at once there flew 73. ounces of blood and a half, by Chirurgery he took out the Eye. The fear of the Patient stopped the Flux of blood, and a painful Ligature about his Limbs; wherefore a Lenitive drink is ordered, and a Cordial, or water of Buglors, Roses, [Page 155] Violets, balm, of each one ounce; syrup of Citron pills and Sorrel, of each one dram; confectio Alkermes, one dram; Powder of Diamber, half a dram; and to the Heart was [...]aid an Epitoeme sowed between, of flowers, leaves, seeds, cordial powders, made up with Cotton on red Sarsnet. The stomach was annointed with a stomach ointment. The Chirurgical part being done, a powder of the Author to stay blood with the white of an Egg was plentifully cast on. A defensative was laid to the Fore-head, and a Digestive to the wound. And lest nature should again send the humours thither, he set a Settace between the first and third Spondi [...].
A FISSURA on the Nipples or Chaps; It proceeds from violent sucking, and a cholerick humour. It is not credible that it comes from drinesse here, as it doth in other parts; It is prevented if in the three last Moneths, or the last Moneth only, two cups of wax, like to Acorn cups, or Fox gloves, be made and filled with Rosin of the Firr tree, and laid to the Nipples, and held there with linnen cloths: when the [Page 156] Rosin is spent we must put in more. Topicals must be emolient, also the juyce of Crab-fish with Cream. If they cause pain when the Child sucketh, lay on the Nipples a cup of pewter, or silver, peirced through and covered with the Dug of a Cow new killed: for so the Child will suck, and yet not touch the Nipple with his Lips. General remedies are Coolers, and such as purge choler. The same way all other Chaps, are cured.
A FISTULA, is a winding Ulcer, white, straight, callous, from dried fleam, and oft times is without pain.
Signs Prognosticks. Fistulaes with notable rottennesse of the bones, as of the Huckle and the Hip-bone, which pierce to the Bowels, which are in a part that hath principal Nerves, the Body being weak, are to be left by Prognosticks.
Signs Diagnostick. Prove them by a leaden Probe, a wax Candle. If there be many of them, make injection of some liquour, which if it run at once through all the holes of the same colour, it is one Fistula.
If it hath lasted many years, and do shut suddenly, it is mortal.
The Cure is either Palliative, when by General means, Revulsives Settaces, and by Topicals the matter is voided and pulled back.
Lime water, and also Ly, Treacle water: or True, which is accomplished, general means being first used, and by vulnerary potions. The Callous must be removed, and first the Orifice of the Fistula must be enlarged, either by fire or Steel instruments, or which is more commodious, with Tents made of Sponge, Elder piths, Gentian roots, Bryony, Rape roots, as in Issues. Perhaps it were not unfit to make an Issue in the opposite part, long before the cure, to make diversion. The Callous is afterwards taken away, either with fire or the Instrument, or Medicaments, as Unguentum Apostolorum, ashes of Figtree, decoction of Bryony root and Centory the lesse especially: or with stronger, as Aegyptiac. They differ according to the age of the Patient, and temper, &c.
The root of black Hellebour is not [Page 158] safe, the green water, whereby sometimes the whole Callus is taken off like to a Sheath. If this be in vain; in a part that can admit Incision, open the whole Fistula with an Instrument, take off the Callus with a knife or with fire, yet lay a good defensative about the part. The rottennesse of the bone must be cured, if there be an Eschar it must be taken away. Nicol. Florentinus saith, that this which followeth will draw forth broken bones, and such as are rotten, will eat off the dead flesh, and cure the Fistula. Take burnt Salt, Tartar, Agarick, powder them, mingle them with Honey. See F. 570. l. 5.
A FISTULA of the Chest: It is almost incurable. 1. Because the Muscles are in perpetual motion. 2. Because the Pleura is without blood. 3. Because it cannot be cut.
The Cure, is by drying Diet, vulnerary Drinks, by general and Topical means: a little Aegyptiac may be added to the injections; If there be very much corruption, a golden, silver or leaden pipe may be put into the Brest, full of holes streightly bound, fitted [Page 159] with a great Spunge dipt in Wine and Aqua vitae, set to the Orifice, that the sick, having his Nose and Mouth stopped, may, through that, void out the filth.
A FISTULA of the Gums is cured by generals, a decoction of Agrimony with Allum, or by a Caustick, or by pulling out the Tooth as Celsus thinks. A drop of Ammoniacum is an excellent remedy: For. Honey of Roses, one ounce; and one or two drops of oyl of Vitriol mingled, is excellent. Crato. Ep. 183.
WOMENS FLUX. It is distinguished from an Ulcer, for that which floweth from an Ulcer of the Womb, is thicker and more stinking▪ comes forth not so much, will not admit copulation; from the Seed, because in the Flux the humour is thin, or watery blood, and runs alwaies. The Cause is the fault of the Matrix, or the whole Body, or some principal part. Some have fallen into this by some purging Medicament taken, some after Bathing.
Prognostick. It brings the Patient to a Dropsy, a melancholick Ulcer.
The Cure. First the cause must be evacuated: the distemper of the part must be taken away: the matter must be dried by general and topical means: also by Diureticks. See Senn. Then it must be dryed by Astringents. Senn. For.
The Form, in the first Creation was given to natural things, which, as it is communicative of it self, is multiplyed either by Seed, as in living Creatures which are said to generate, not when they generate their young, but their Seed: but there are in Plants, forms that are distinct from the Soul, as the purgative force left in the Carkase of Rheubarb sheweth. Those forms may be mingled as the form of a Pear, grafted on an Apple tree, also the form of an Asse and a Mare, also of a Man and Woman according to Senn. or, it is communicated by Atoms which contain the forms in them; hence is the beginning of all things that breed of their own accord.
A FRACTURE. The signs are, that we can feel the pieces of the broken bone by the touch, we hear the crackling of them, the part is hollow [Page 161] which the bone left, bunched where it came in, it is painful, and unlike to the sound part.
Signs Prognostick. That which is longwaies, is soonest cured, for there needs no reduction; If it be in the joynts, it is most dangerous.
FRACTURES of the Nose, Cheekbones, Canal-bone, Brest, Shoulders, Ribs, Back-bone, Ankle, Heel, Hand, Foot, fasten again in twenty or twenty four days, of the Leggs and Arms in fourty days. Marrow bones are sooner fastned then hard bones.
The cure. The first scope is to reduce the bones, which is done by extention, which those that are moist will best endure; & to set them again either by the hands or by Glossocomion, wherein, when the bone is sufficiently extended, the coard stretched, must be let slack; You shall know that the bones are restored if the pain suddenly cease: If you feel no inequality, if it be like to that is sound. 2. That the bones restored may be kept so, by Medicaments of the white of an Egg, what is sufficient, and Bole-Armenick, half an ounce: by [Page 162] forms made of linnen cloth three or four double, which fill up the hollow, as in the Ham, or make the slenderness of the part equal, as in the Wrist; by Splints, which because at this day we want, they are made of much paper, and thin Chips of Wood; yet soe that the Wood be not green. Fab. c. 4. obs. 98. makes of soles of Shooes, of plates of white Lead or Iron: about the ends let them be alwaies thinner, and where they lye upon the Fracture, let them be thicker, by wispes or wreaths made of small sticks, about a finger thick, wrapt up in linnen. For a Fracture of the Leg or Thigh, two are laid on, from the Heel to the Groin, that by their stiffnesse they may hold the part unmoved; by boxes made of plates of Iron or Wood. The use of them is in the Bed, or when they are taken out of their bed; by Swaths, which are either of leather, as in a Fracture of the Nose, or of wollen as in Inflammation, where there needs no Ligature, or linnen. Every part must be so bound as we would have it remain. If on the right side the Fracture be more eminent, or [Page 163] in the outside; you must begin to swath on the outside, and bind it harder on that side; but if in the inside, now-adays contrarily, the first band is put upon the part disjoynted or broken, and there they bind it fast with thick rollings toward the Body. The second band laid on they swathe with fewer rollings toward the extrem parts. The third is put upon the end of the part that is hurt, and is rolled gently upward, cutting the rollings of the first and second Swath-band cross-wise, and restoreth the Muscles removed by the first & second from their places. Afterwards they apply Splints. The binding being done, the sick must be asked whether the Limb be not too hard bound? If he say I, unbind it, and bind it looser. Too loose is unprofitable, too hard causeth defluxion. It is a sign of right swathing, if the next day the part swell with a flegmatick Tumor. If the part swell hard, it is too straight; if it swell not, it is to loose; If it be too straight, next day bind it more loose; Foment the part with water and oyl: otherwise before the fourth day nothing must he [Page 164] moved. From the third to the seventh the part groweth smaller; wherefore on the seventh day it must be bound closer then before, because there is no more fear of Symptoms. If it be a simple Fracture, wet the bands and plagers in Oxycratum, or in red wine, if it be with a Wound. In Summer wet them oftner; when the Symptomes cease, leave off wetting them, lest the breeding of the Callous be hindered. 3. Cure the Symptoms, and prevent them by Generals and Topicals. Clammy nourishment generate the Callous, yet Fab. obs. 92. cent. 1. disallows this; because some by this means have fallen into a Dropsy, and many have been cured without it; taking the juyce of Primroses, and the powder of the root or the juyce of Agrimony: Also the powder of the stone Osteocolla to one dram, with water of the root of Comfrey, Ptisan, or some broth every day taken fasting, wonderfully makes the Callous, especially if it be mingled also with Topicals. Fab. obs. 90. cent. 1. Topicals are, Emplaster Diapalma in Winter, barbarum or the black plaister [Page 165] in Summer. In progresse of the disease some wet the swaths with Rosemary water, which they write to be most effectual for Fractures.
General. If the ends of the bones prick the Periosteum, or flesh, the place must be opened, and the splinters taken away; if they stick only to the Periosteum, but do not prick it, they must not be taken out; If they stick neither to the bone, nor the Periosteum, take them out; We must often move it up and down for fear it should be crooked. If there should be inflammation, strive not to restore it for fear of Convulsion; yet never stay beyond four days before you reduce it. Place the parts in that posture that is lest painful. Fab. cent. 1. obs. 93. Give them a bottome of thread to hold in their fingers, that they may remain in a mean posture. The Arm must be carried in a scarf, bent at right angles, not higher lest nothing should come forth, not lower lest too much. 1. Alwaies let the part lye easily. 2. Equally. 3 Something high.
A FRACTURE with a wound, is more hard to cure; for the bones [Page 166] must be reduced, and the wound must be cured. If there be inflammation, reducing must be deferred, till that is over; the bone being reduced, the wound must be cured. Binding is done either with larger swath-bands, and looser then in a Fracture without a wound, and in the bottome of the Plaister or Cataplasm in the middle of the Swathbands a hole is left, that the wound may be cleansed, the bands shall only hold the bones together. Splints must not be laid on: there is no use for Chests. Or the binding is made with one Swath, and once coming about; which is woven with a double or treble linnen cloth like a plager, and sewed exactly at the borders, so broad that it may cover the whole wound. Pareus l. 13. the coming forth of the matter is not hindered.
A FRACTURE of the Leg with a wound, Pareus l. 14. for a wound of the Leg applyed the white of an Egg, Butter and Meal, and bid to extend the Foot; If the wound was not open enough to take out the Splinters, to enlarge it with a rasour and to try whether [Page 167] the Splinters could be taken out with the Fingers to crush out the clots of blood with the Hand, to bind up the cavities of the Ham and Ankle as it must be and fill them up with hards wrapped in linnen, lest by the hardness of the wisps the heel should be inflamed, that he should place his Foot foftly, equally and something high, defended by a Cover, to draw out three small Porrengers of blood, from the Liver Vein, on the left side. At the second dressing he annointed the edges of the wound with oyl of Roses for six days; used longer it stops up the Pores, he sprinkled the Plagers with Oxycratum and red wine; for nine days the Patient eat nothing but twelve Damask Prunes, and six mouth-fulls of Bread. The drink was nothing but sugered water, or water alone; he was purged with a Bolus of Cassia and Rheubarb. On the eleventh day a Feaver and a defluxion came upon him, which came to be an Impostume flowing forth with much matter, from the portion of the corruption suppressed, and more loose Ligature; a convulsive motion also [Page 168] threw the bones reduced out of their place, so that they were to be reduced again; the Feaver ended the seventh day; after that he laid on a Detergent digestive, when the matter should break forth. He laid in the bottome a Bed of Onions, their Pills taken away; He hastned the Callus with clammy meats, and so in four Moneths he was cured.
A FRACTURE of the Scull with a wound of the Membranes. The signs are, if the Patient fell with the blow, without sense or hearing: If by his Nostrils, Mouth, Ears, Eys, the blood run out: Lastly, if he Vomited: If with the Probe the roughnesse of the bone may be felt; If Ink (of Galls alone, if we fear Vitriol) being anointed, and scraped with rasping Instruments, it leave a line.
Differences. 1. If there be a Fissure with a wound, for two or three days we must leave the work to Nature, shave the Haire, apply something to stop the blood. The next dressing the musculous skin with the Pericranium must be cut, yet missing the Temples [Page 169] and Sutures, it must be pulled from the Scull, and either by the scraping Instrument or Ink, the Fracture must be searched out; but to be more sure, whether the Fissure hath passed both places, the sick must be bid to shut his Mouth and Nose, and to breath forcibly: for then by the Fissures will come forth bloody matter. Then with most soft cloths with Cephalick powders, the whole wound must be filled; we must strive to ease the pain, and unto the fourth day, we must apply a repelling Medicament of Barly Meal, and Bean meal, of each six ounces; oyl of Roses, three ounces; make a Cataplasm. The second dressing, the Fissure must be made clean by the scraping Instruments, or the Trepan must be set on. If it be a small Fissure of but one Plate, whether we must follow it exactly to the end. Aqua Pend. Celsus denieth it. When as Galen warns us, that if the Fissure be long ways, that we must not follow it to the end. Also in Europe those wounds are not so dangerous. To the scraped Bone, never apply moist or oily Remedies, but Cephalick powders, unlesse [Page 170] there be fear of inflammation by extream pain. If the Membranes be hurt also, when the Skull is opened; if it be not open enough, the Membrane must be uncovered, something must be applyed to stop the blood, chiefly that excellent remedy of Galen, of Aloes, one part: Frankincense half as much. To ease the pain, powre in Pigeons blood which is also detergent, and for to wipe off more, use Honey of Roses with the juyce of Smallage, and if need be Egyptiac. Mathiolus commends especially oyl of Eggs. Oyl of Hypericon is good, Mastick and the Cephalick ointment, which you may find in Senn. Turpentine with Aqua vitae, juyce of Calamint, Nip. Many apply to the Dura mater, Oyl of Roses, and other Moistners, because it strengthneth, and hinders the defluxion. Others require only dryers, because the Tympanum, and Nerves delight in dryers; so do all Ulcers: because oyl offends the Nerves: because cold is an enemy to the Nerves. Senn. distinguisheth: If the Membrane be white, pure, unhurt, driers are useful, as Honey of Roses with [Page 171] four drops of Aqua vitae; but if the Membrane be touched, and there be fear of inflammation from pain, Oyl of Roses, Omphacine is good; then it varieth according to the temper, as in soft Bodies and Children, Oyl of Roses is good; for strong Bodies, Rosin of the Firr-tree, or oyl of Hypericon mingled with it: if it must be drier, put in more Rosin then oyl; In Summer, oyl of Roses: in Winter, Rosin of the Firr-tree. The Dura Mater by reason of the aire, alwaies looseth its motion, and the superficies of it resolveth into scales; sometimes with a stink, which frights those are not skilled by practise in it; but this is common and superficial, it is washed off with Honey of Roses. Senn. in this case prescribed in alClyster, roots of Piony, one ounce; seeds of Piony, two drams. The scales of the bones must not be pulled away by force, but we must further the motion of them, not the falling off, we must further the Callus to come.
2. Is a Contusion when the bone is pressed down; yet so, that it is not broken into many shells. It is reduced [Page 172] with a Cupping glasse with a great flame, but this causeth fluxion; the sick with his Mouth and Nostrils shut, must force his breath upwards, which succeedeth in children; or lay on a cleaving Plaister, or raise it with a Trepan, or a Trefine. A Plaister of Ivy Gum sodders bones wonderfully.
3. Is Effracture, when the bone broken into Splinters, is thrust inward; those Splints must be taken out, or the bone must be cut away either with Beaks or Rasps, or with Pullers, and with a leaden hammer, it must be broken. Sometimes a Bone so pressed down, settles to his natural equality.
4. Is Sedes, when the print of the blow remains in the Bone: it is reduced as a Contusion.
5. Is Resounding, when either some other part or place is cleft then where the blow was, but the place of the Counter-Fissure is guessed at; If the hair being shaved off, a Plaister be laid on of liquid Pitch, Wax, Turpentine, Aloes: for hence if any place appear to be more swollen, moister, softer, it is [Page 173] likely the Fissure is there; so that the Patient also, thinking of no such thing, is compelled now and then to put his hand upon that place.
Signs Prognostick. There are four Fractures wherein a Chirurgion may be deceived.
1. When the Fissure under is very small as a hair.
2. When the inward place is Fissured, the outward remaining unhurt.
3. When a Bone pressed down, forthwith returns to its natural posture.
4. When the Bone receives the blow in one place, and the Fissure is in another. Fab. cent. 1. obs. 17. In a Fracture of the Scul anger was mortal. Obs. 19. A venereous act. obs. 20. Too great noise, langhter immoderate, sneezing. obs. 24. Let the aire be most carefully hot. Fab. c. 3. obs. 22. A Cucupha is common for the wounds and contusions of the Head. Also the roots of Aveus, the leaves and flowers of Betony. &c.
FUNGI. Oft times by the hole made with the Trepan comes forth [Page 174] Sponges, namely, a Fungus red flesh. The Subject of them is the Membrane hurt.
The Cause are grosse vitious humors. They are cured by evacuatives, also by Topicals. Take Savin in powder, two drams; Ocre, one dram; make a Powder, which sprinkled on them consumes them. Par. Faby. hath another Powder.
FURY of the Womb, is a delirium, with an unmeasurable desire of Venery, growing from the heat of the Seed, and of the Matrix, communicated to the whole Body.
It is cured by Coolers, opening of a Vein, and purging of black Choler. Specificals are such as quench the Seed, as Lettice, Water-lillies, Willows, Purflane, Agnus castus, Rue, Dill, Hempseed:. chiefly Corals, Emralds. All these beaten anointed to the Teflicles, extinguish Venery. We must cool by Internals and Topicals. See the water of Chastity in Senn. l. 1. p. 2. [...]. 10. l. 4. p. 2. s. 3. c. 5.
The FROG. It is a swelling under the Tongue that is common to [Page 175] children, seldome it hath the nature of Inflammation but rather of Oedema. The filth of it is like the white of an Egg, and sometimes yellow.
The Cause is a Tartareus humour or fleam coming from the Head.
The cure is by Generals, besides Topical Resolvers, as powder of Salt, Hysop, Pomegranate Pills, of each two drams; rub it with this. Senn. requireth Cutters and Resolvers. For. nseth the powder aforesaid, as also Plantain water, half a pound; Honey of Roses, half an ounce; flowers of wild Pomegrantes, one dram and half; Allum, half a dram; let them boyl: these are Astringent, and (may be) are good at the first. Senn. looketh to the declination or the state. If in vain, Pareus provides a Plate of Iron-bored through, equal to the Mouth when it gapeth wide, and he applyeth it so to the Mouth, that the swelling may be answerable to that hole; afterwards by the hole make a burning with an Iron, crush out the filth, and wash the Mouth with a decoction of Barley, Sugar and Honey of Roses, leave none of the humour: for [Page 176] it makes it come again. Gal. will not willingly open it with an Iron, for fear of a Flux of blood. A wound also made under the Chin, the matter will presently come forth; which is done, if the Mouth cannot fitly be opened. For Children, Senn. mingleth powder of Sage or Origanum, with Honey of Roses and spirit of Vitriol, two drops; or Cuttle-bone, Sal gemmae, Pepper, of each one dram; make a powder: he layeth under the Chin or upon the Chin a Plaister of Goose dung.
FRECKLS, Either come from heat of the Sun, namely, where the colour is changed into swart; It is prevented if the Face and Hands be anointed with the white of an Egg beaten with Rose-water, or with the emulsion of the four cold seeds. It is cured in women, by rubbing them with the green leaves of Cherry-tree, or with Rose-water, wherein Camphir hath been dissolved. Others use Cherrytree-gum dissolved in Vinegar, with a little Oate-meal.
Or, from an inward cause, as in women with Child, in Maids from their [Page 177] Courses stopt, eating of roots of red Beets, &c. The spots are swart, sometimes as broad as ones Hand, they are cured by an emulsion of Hemp-seed, and the juyce of Bugloss root, pressed out.
A FELLON, Is a swelling at the ends of the Fingers, with inflammation, pain, a Feaver, tossing, from a venomous humour; it is held incurable. Pareus often made Incision in the inward part of the Finger, even to the Bone, according to the length of the first Joynt; it is effectual, so it be done before it be ripe. Let much blood run forth. Then the Finger must presently be thrust into strong and hot Vinegar, wherein Treacle is dissolved, to call out the venome, to asswage the pain. Fab. obs. 97. c. 1. In the beginning very often, cut by degrees the only Superficies of the Skin, when spots appeared, which being cut the watery blood ran forth; he laid on Aqua vitae with Treacle, and he cured all.
GANGLIUM is a Tumor about the Bones of the Joynts, which are covered [Page 178] only with skin. The Cause is the weaknesse of a Nerve or a Tendon, from a stroke or labour: so that it cannot concoct its nourishment. It belongs to Scirrhus Tumors, not to Oedema, as Scrofulous Tumors do. It differs from Atheroma, by the inequality and resisting of the Tumor. It is cured by Generals. The Topicals must be emollient, then apply heat to it to discusse the Ganglium, or break the Bladder with your hands: lay on a Plate of Lead, cut or burn it if you may; on the Joynts you may not. Bring it to suppuration, if the rest be in vain.
A GANGRENE, The hot fire, as a Sphaecelus is a cold fire: It is first made by too much cold. 2. From a venemous quality. 3. Transpiration being hindered, or from superfluity of humors, as in Inflamation. 4. From too much outward heat. 5. For want of nourishment, and influence of heat; which causes exstinguish al natural heat. Signs. If it come from the 1. cause, there proceedeth a pricking pain, rednesse, then coldnesse, numnesse.
If from the 2. there is swooning, a continual Feaver, a delirium.
If from the 3. the pain and pulsation is diminished, without any resolution or suppuration of the Matter; the colour is wan, and it stinketh. The part, if it be black is colder then a Marblestone, and most soft. If it neither move nor feel at all, if it stink much and green corruption floweth, it is a Sphacelus; yet oft times some motion is perceived even in a Sphacelus; namely, when the head of the Muscle is not hurt, it moveth the benummed Tendon, wee must beware we be not deceived by it.
The Cure. Evacuate the humour if there be any, prescribe a Diet. The Heart must alwaies be corroborated by inward and outward means.
If it be from cold, and the Gangrene be not yet, either rub the frozen part with Snow, (Senn. of a Gangrene) afterwards give Theriac with wine to make him sweat; when the cold is something abated, gentle Chafings with oyl of bitter Almonds, and with Milk of the decoction of Rosemary are profitable. [Page 180] But if a Gangrene be, you must rather scarify, as in that which followeth &c.
If it come from the second cause, besides Generals, opening a Vein, Purgatives not violent, sweating means and Cordials take place. And 1. Incisions must be made if it pierce to the bone, eschewing Vessels, or scarification will suffice, or we must burn it. 2. The Incisions must be washed with a sharp decoction that is detergent, of Scordium, which is principally good here, roots of Angelica. 3. Put in Aegyptiac with Tents into the cuts, so often untill the dead flesh be consumed to be cut off with a rasor; which the smell, colour, sense of the part will shew. 4. Apply over the whole part a Cataplasm, that is drying and resolving. 5. Upon the part affected an Astringent.
If it be from the 5. cause, repelling means have no place, unlesse there be a manifest Gangrene.
If there be a Sphacelus, some make incision in the sound part, some in the dead: because in this there is no fear of symptoms, or bleeding. Senn. distinguisheth: [Page 181] If the putrefaction spread no farther but ceaseth, which when it falleth out, there appeareth a Circle exactly red, and very tender about the part affected; let the incision be made in the dead part, otherwise not. Senn. likes Pareus his way how he stoppeth the blood: See Senn. Oft times the sick many days after complain of the pain of their Foot that was cut off.
Also there is a Gangreen Scorbutical, which beginneth commonly from an internal cause, without any manifest cause, about the end of the Foot, with black and blew spots; with a crusty dry Ulcer that yields no matter. It lasteth sometimes above six Months; It seizeth on the Tendons, which do not so soon corrupt as the flesh, it is with most bitter pains.
GONORRHEA comes either from the retentive Faculty hurt, from a cold and moyst distemper, or from watery sharp Seed provoking the expulsive Faculty. It is insensible. If it be from distemper, it is corrected by contraries, chiefly with the water and juyce of [Page 182] Mints, Astringent. Baths, Driers, by Generals, and Topicals; yet we must distinguish well, whether it be Seed, or a flegmatick humour that runs forth; It maketh a consumption of the Back, which alwayes accompanyeth Gonorrhea.
GONORRHEA Ʋenereous, is an inflammation of the Parastatis, from unclean copulation, with sharp matter, pain, heat of the urine, extension of the Yard, which may last at the least ten years.
The Cure. At first you must cool and moisten, by Clysters, Lenitives, opening of a Vein, Generals, Topicals; In the declination use Resolvents, as Turpentine; If in making water the heat be intollerable, let the Patient make water with his Yard put into a Pot full of warm Milk or water. If there be an Ulcer, cast in detergent means, as Barly water, syrup of Roses, Plantain water, Honey of Roses; Pareus oft times addeth a little Aegyptiac. Make it cicatrise with a drying and an Astringent injection. If in vain, then make recourse to Guaiacum.
GUTTA Rosacea. Sometimes it is a preternatural rednesse without Pustules, Bladders or Ulcers: Sometimes with Pustuls and Bladders: Sometimes with an Ulcer, which lastly also is called Noli me tangere. It infects the Nose chiefly.
The Cause, is hot thick Blood, bred from the fault of the Liver, which by its thicknesse can neither go back nor be discussed; It is hard to be cured.
The Cure. The blood must be cooled by Diet, opening of a Vein, Cupping glasses with scarification, and general means: as purging the cholerick humour; the Topicals are, the water of all flowers, which is distilled from Ox dung; first let the Face be softned with the vapour of warm water. Lac Virginis, water of white Lillies, Solomonsseal, Bean flowers. &c.
GALLING is cured with the juyce of the hearb wild Tansey bruised, with Dears suet, Goats suet, a tallow candle, with oyl of Roses, yolks of Eggs, Goose grease, Mucilage of Gum Traganth, made with Rose water.
GUMS SWOLN, is an inflammation [Page 184] of the Gums; it is cured with Generals. Topicals must neither be strong nor sharp. Poyson must be avoided, if it suppurate, open it with a Lancer, &c.
Gums with flesh growing too much about the Cheek-teeth, are oft times with pain, and a Feaver. This followeth inflammation, It is cured, by binding it daily with a thread till it fall off, or else by an Instrument of Iron.
HEAD-ACH. The cause is either a bare distemper, and then there is no heavinesse of the Head, the Eys move easily, there went before some procatarctick cause.
Or Matter, from the common and proper signs; so blood possesseth the fore head, fleam the hinder part of the Head, Choler the right side, melancholick the left.
Or winds, There is extension without heavinesse, it quickly riseth, and remits, there is tinckling.
Or watery humour: The pains are wandring, distillations frequent, much spittle.
The subject. If the hair being lifted up the pain is increased, which cometh not to the roots of the Eys, it is without the scull.
If it come to the roots of the Eys, it is within the scull.
The differences. It is either by essence or by sympathy from the stomach, Liver, Spleen, Courses, Emrods stopt, or from Ulcers shut up, which is known if it come at distances of times, if it be intended by the increasing of some other disease, if there be signs of some other part affected, the fore-part be most affected.
The Cure. If it come from a naked distemper, the indications are for contrary Alteratives, by General Topical means.
If from Matter, that must be voided, revulsed, the Head must be strengthned and altered by General, Topical means.
Unguent of Alabaster is of wonderful force; opening a Vein is alwaies good, if by too great pain there be fear of inflammation. Also Potions must be given in great quantities, ten ounces [Page 186] at a time. Let Sugar for pain of the Head be the whitest, for that which is not so pure, doth hurt. In all Cephalick means, for every humour, you must add such as bring forth fleam.
That which is called Clavus, is a pain in the Ey-brows from sharp matter with wind, shut up between the scul and the Pericranium. In Cephalick melancholy, a Vein may be opened for to make proof of it. Arthritick powders dry excellently, which see in Senn. l. 1. p. 1. c. 11.
F [...]rnelius saith, He never met with any Head-pain which he cured not. Take Aloes the best, half an ounce; Species Electuary de gemmis, Trium santal, red Roses, of each six granes, with syrup of Wormwood and of Violets; make a mass. The dose is 1 dram twice a week, two hours before Supper. Scholz Ep. 121.
If it be from drunkenness, it is cured as Choler in the Head.
If from watery humours, as fleam in the Head, especially by sweating and diureticks.
Topicals must be laid to the forepart [Page 187] of the Head, about the Fore-head, Temples, the Coronal suture, to which alwaies add Vinegar. The hinder part cannot bear it by reason of the Marrow of the Back.
Actual cold things may be applyed, yet carefully in old people and children, &c. If they grow hot or dry, remove them. Also hot means in hot Head-ach are convenient, and seldom cold things.
Veiven is commended, a crown also of Roses, Knot-grasse, Clivers worn, Plantain root hanged on.
Put under the Feet Colewort leaves, beaten with Pigeons dung, and Elder Vinegar: lay Leaven, Sope and Salt mingled upon cole leaves to the Feet, it is approved. See Symptoms of Feavers.
HERNIA of the Intestines. The cause is either the falling down of the Peritonaeum, or rupture, or loosening. Fabr. denyeth the first, Ep. cent. 3. annexed: because in Aneurisma, the starting of the Navil, swelling of melancholick Veins, Arteries, the Peritonaeum and the Vein is dilated: because [Page 188] in cutting for Hernia, binding and Ligature of that falling down cannot be made, for the parts broken are drawn one from the other.
The Signs. A hard swelling, sometimes great, sometimes almost quite gone in the Scrotum, pressed with the Fingers goeth back with a murmuring noise, and pain: if the Peritonaeum be broken it cometh suddenly; if it be loosened, by degrees. Oft times by the sluggishness of Nature, the Testicle resides in the Groin, causing pain and swelling, supposed to be Hernia. It is cured by leaping, &c. Epiplocele is driven in without pain or murmuring.
The Cure. The Intestin must be put up again, if by reason of winds and hardnesse of the Excrements it cannot be sent back, it must not be forced by violence, but first we must apply emollients resolving. If in vain, cast in a resolving Clyster; If this be also to no purpose, by consent of the friend incision must be made in the Scrotum, that the Rupture of the Peritonaeum may be made greater: So the Intestine being [Page 189] put back again, the Peritonaeum must be shut by stitching. If the wind be from fleam the cure is difficult; for strong discussives increase wind, in which case some give oyl of sweet Almonds. Suppositories and Clysters do more safely bring forth the fleam. Incision I spake of before doth very seldom good. Senn. It often maketh the Physitian suspected of man slaughter.
The Intestin put in, is kept in with a Truss; let the Diet be healing and astringent: and all internals also must be the like. Then we must be careful that the Excrements of the Belly be soft: So often as the Patient goeth to stool the Intestins must be kept up with the Hand; let him ly upwards some days in his bed. Topicals are, great Comfrey, Sanicle, Panfies white and black, Solomons-seal, Cinque-foyle, Tormentil, Cypress nuts, Female fern, Mous-ear, Thorow wax, Rupture wort; the hearb called Holleriana, because Hollerius saith, that the juyce of that hearb for nine days drank in red wine doth perfectly cure Herniaes. The root of Aveus, of which internal remedies [Page 190] may be made under any form as well as Topicals.
The Cure by the golden paint, as they call it, is performed three ways: either with a thread of linnen, or by a leaden rod, or a golden rod. Par. l. 7. Paraeus never would subscribe to take out the Testicle, unlesse a Gangrene, or fleshly Hernia befell them. Platerus hath another way, whereby Herniaes are cured without incision. See Senn.
A HERNIA of the Groin, is a round swelling in the Groin, which is easily thrust inward.
The Cure. For. l. 27. cured it with a gentle purging Clyster, with an emollient and resolvent fomentation, the Intestins being thrust in again: the place is anointed with oyl of Eggs, Myrtils, Hypericon, of each what may suffice; then for many daies, he applyed the Cerate against Rupture, and a Truss. The drink was Beer of the infusion of great Comfrey, with Sugar, or Claret of the decoction of Solomons-seal, Liccoris, of each half an ounce; Valerian, Nip, the lesser Comfrey, water Fern, Plantain, flowers of red Roses, of each [Page 191] half a handful; Anniseed, one dram; some give Marigold flowers with wine, in a rear Egg; there was one that gave the powder of Earth-worms: For. happily useth Solomons-seal.
HERNIA of the Matrix. It is not found in Authors. Senn. hath but one example: Doringius in Epist. ad G. Fab. records two more. It is when the Matrix lieth down on the Groin, and there by degrees, as the Child groweth greater, it is augmented to a greater Tumor. It is cured by Section only.
A Windy HERNIA. Signs. The swelling of the Scrotum, without weight or heaviness, with a sound: it is easily cured.
The Cure, is by Generals that take away Wind and Fleam, by Topicals, that Resolve; it is not cured by Incision.
A watery HERNIA: It often followeth the Dropsy, or rather accompanieth it. It is seldom bred in the Scrotum. It floweth by the Veins from the Reins. When only one side is affected, the right Testicle never, but the left is [Page 192] seized on by reason of the Spermatick matter.
Signs. It is distinguished from a fleshy Rupture by the only clearness of it, the Tumor goeth not into the Abdomen, though it be pressed. If it be in the Scrotum, the Testicles may be felt; the Scrotum swelleth. If it be between the Erythroides Coat, the Tumor is like to an Egg, the Testicle can neither be seen nor felt, if the Tumour be but on one side.
The Cure. If the left Testicle be affected, and the lefr Kidney be faulty, we must either wholly abstain from the Cure or the Scrotum must be cut only in the lower part, that the watery humour may come forth; which every year Griffonius Ap. Fab. did successively on one that was threscore years old. If the Reins be not affected, the water is resolved insensibly by Resolvers, and discussive means. If in vain, besides universals, the Scrotum must be opened with a Pen-knife, if the water stay in the Scrotum: If it be in the Coats, it is not safe; if with a watery Rupture, flesh grow about the Testicle, as in the [Page 193] sick man of Fabr. it must be handled warily. Cent. 4. ob. 65. Let the Testicle be cut away, it can be done, as also if the Testicle putrifie by water, which is known by the stinking smell.
A fleshy Hernia seldom riseth on the left side, by reason of the Spermatick vessels. It proceeds from grosse blood as Warts do.
Signs. It is a hard Tumor without swelling of the Groin, increasing sensibly, the figure is like the Testicle. It is known from a watery Hernia by the clearnesse. A young man that held back his Seed in copulation, because a friend came to him, fell into a fleshy Hernia. obs. 64. cent. 4.
The Cure. Generals premised, at the first we must use Repellers, afterwards Driers, or by Chirurgery take away the whole Testicle. For. cured some. He that undertakes to cure a Cacochymical person, or a weak old man by incision, doth apparently desire to be called a murderer.
Authors say it is safer not to attempt the cure. The powder of the root of Rest Harrow taken is most profitable.
A HERNIA called Varicosa, or a Rupture of swollen Veins with ill blood, or Circocele, is a crooked Vein swelling with melancholick blood: It is proved by touch and sight.
The Cure. For. besides Generals applyeth the Plaister of Mucilage and Ammoniacum. Paraeus cureth it by incision as Varices. Senn. saith, this is dangerous, and the Testicles should rather be carried up with a Truss, and Astringents to be applyed, as the water of Cypress nuts. Others soften it, and after resolve it, as For.
A HERNIA of the Navil. It oft times happeneth, when the Intestines and the Caule, ly down upon the Navel loosned.
Signs. If it be from the Intestins, the swelling is neither soft nor hard, when the breath is stopt it increaseth; When the sick lyeth on his back, the Intestins oft times return into their place with a noise and roaring. If it be from the Caule, the Tumor is broad at the bottome, but narrow at the top.
Prognosticks. In Children easily, in Men of years it is hardly to be cured.
The Cure. Besides Generals and Topicals as before, For. for Children makes four Rolls in the form of a stiver of red leather, moistned with Oxycratum, the Intestins being first put up. The first he applyeth for four days; and this being taken off, he layeth on another. He praiseth oyl of Egs. A Swathe for the Navil is safe, but incision is not so: especially, in children. When a Chirurgion opened the Tumor in a Child, the Guts with the Life came forth. Par.
A HERNIA of the Navil that is watery.
Signs. A lank swelling with waving up and down; being pressed, it neither is diminished nor increased. At the Candle it seemeth clear.
Prognostick. In a Child it hath no danger; in one of years with a Dropsy it is dangerous.
The Cure. The Nurse must use a dry Diet. In one of years, the water must be purged forth. Topicals must be Resolvers. For Children a Cataplasm of Plantain, and Lintels boyled together is good. If in vain, incision must be [Page 196] made, which is approved by Laur. Fabr. Hild. Senn.
A Windy HERNIA of the Navil is cured as Hernia before, but with difficulty.
A fleshy HERNIA of the Navil.
Signs. It is a Tumor that yields not to the touch, though the sick lye on his back; it admits no cure by Chirurgery. Pareus, Benivenius. Fabr. cent. 5. obs. 62. consumed a spongy flesh like a Cancer, by a thread, bound by degrees more close.
A HERNIA of the Throat called Bronchocele, is a swelling between the sharp Artery & the Skin, wherein, sometimes a dull flesh, sometimes some humour like honey or water, is contained, and oft times with Hairs. Platerus saith that wind is only the cause of it: but the remote cause to be the pulling off of the Skin with the Membrane from the sharp Artery. Senn. denieth the first. In the first place, apply Astringents, then Driers and Resolvers.
HARE-LIPS are cured, 1. By excoriation of the Lips that are parted [Page 197] and gape 2. By future of them being excoriated. 3. By vulnerary means.
HAIRS fall off, either from the whole Head equally, or from some one or other part, and it is called Baldness, Ophiasis, falling of the Hair. That, proceeds from want of nourishment, sharpnesse, drinesse of the Pores, as in those that out of Germany go into Italy, or from loosnesse: This, is from a sharp humour, and by this the outward Skin▪ groweth dead; if it be purged, the blood will be watery; it waxeth not red by rubbing. The Hairs are made by the hairy Faculty, and are truly parts according to Senn.
The Cure. Generals premised, and a Ly of Maiden-hair; Forestus applyed a liniment of Bees ashes, and oyl of Myrtils to a Bald-head, another be rubbed only with powder of Bees: another he covered with a plaister of Flies beaten with Turpentine and yolks of Eggs: another with the liquor of Snails strewed with salt, the place being first rubbed with a sharp cloth, he cured with oyl of Nuts, decoction of Southern wood, Mugwort, oyl of Juniper, [Page 198] Conies-fat, Goats dung, ashes of Walnut shells, Mouse ashes with Honey: Fat of green Frogs dried, first using the Ly of the ashes of Frogs, produceth hairs every where, even in those that are Lepers; ashes of Nigella with goldsmiths water, cured one that was bald by Quick-silver. For. used Goats milk, and nervous things, hot urine. The fat of a Pike, the froth of lean flesh. Monav. Ep. 284. commends Ladanum chiefly.
HAIRS are made black by the decoction of astringent things, by Internals purging fleam. By Topicals, the green shells of Wal-nuts, Cypress-nuts, Galls boyld, oyl of Nuts, Cadmia, a Ly wherein Coliquintida is boyled, Myrobolans as well inwardly, as applyed outwardly, Cloves, Bean-stalks.
They are made yellow, if they be washed with Ly of the Ashes of the old Cole-worts adding Barley straw: Some to that Ly add green wheat, Liccoris, shavings of Box, or put Saffron in the Ly: the decoction of Broom flowers, Mullens with yellow flower, Citron Pills, water and oyl of Honey.
They are made to curle, if you wash [Page 199] them in the decoction of the root of dwarf Elder, or anoint them with Harts-horn and oyl of Olives.
The ends of the Hairs cleave from a burnt humour. It is cured by a cooling Diet, by purging black choler, by an emollient fomentation.
Worms which shorten the Hair, are described by few, they can scarce be seen by the Eyes; they eat the ends. They are killed by Vinegar of the infusion of Nettle-seed: also by Scabious, Southern-wood, Centory, &c.
Platting of the Hair, Die Mahrflechten, it troubles Men and Horses. It began in Poland: It is hereditary, springing from the water and aire. If the platting be cut off, the poyson slips in again, and makes dangerous affects. Opening a Vein and purging are useless here.
HICKOP. The Cause is the rending of the upper orifice, which proceedeth from humours, vapours rising from the Womb, Hypochondres, driness, inflammation of the Liver, a Wound of the Membranes of the Brain.
The cure. The Ancients held their breath, held cold water in their Mouth, they sneezed. If it be vehement Hickop, cure the symptom, neglecting the cause, by Narcoticks, as by syrup of Violets, Poppeys, or this following of For: Take seeds of Dill, or Carways, one dram; white Poppey seed, two scruples; Manus Christi with Pearls, one ounce; make a Nodulus, infuse it in small Beer. If it be by consent, take away the cause, if from cold, by heaters; if from wind, likewise. If it be from too much evacuation, it is cured by sharp moistners; If it be from plenty of meat, evacuate it; If it be from poyson, first give a Detergent, then Specifical to drink; If from worms, drive them out. Castoreum, Cumin bound to the left Wrist. For. anointed the Back-bone against the Region of the Stomach with oyl of Violets; he gave syrup of Violets to moisten, and syrup of Mints to strengthen, Astringents of syrup of Mints, Wormwood, are not good till the matter be evacuated.
YELLOW JAUNDIES, is a spreading of the Gall.
If it come from the straightness of the Passages, or from the Vessel of the Gall, the Excrements of the Belly are white, there is no Feaver, but heavinesse; it cometh suddenly without losse of strength. If effectual remedies do not profit, the straightnesse proceeds from the stone. If there be signs of the Liver affected, that is affected. If it lasteth long, it threatneth a Dropsy.
The cure. First we must open, and chiefly by Dodder, than which there is nothing better. Saffron, Agrimony, Hore-hound, Centory the lesse, Germander, Wormwood. The yellow stone found in the Gall of a Bull is profitable. One dram of Earth-worms; with juyce of Succory, roots of greater Celandine, Elecampane, Tartar Vitriolated, Cremor, Tartar dissolved in steeled Wine, spirit of Salt; A decoction of Straw-berries, 3 handfuls, Raysins, four ounces; Hore-hound, half a handful. For Children, seeds of Columbines. Openers and Purgatives may be mingled. After that we must evacuate. Gal [...]l. de vi purg. denieth here to open a Vein. For. useth it in Plethorick [Page 200] [...] [Page 201] [...] [Page 202] Bodies. The Purgatives may be strong. For. gave a woman with child that had the Jaundies, half an ounce of Electrary of the juyce of Roses, Rheubarb, one scruple; Diagridium, one grain; Spicknard, three grains, with water of Balm Hops, Fennel, of each one ounce at once. It is a sign the obstruction is opened, when the excrements of the Belly are again yellow coloured, and the urine is not so yellow as it was.
If it proceed from the Colick, when the Passage for Choler is stopped by st [...]am and winds, it is cured as the Colick. From the Colick come the Jaundies from the Jaundies the Colick.
If it come from heat of the Liver without a Fever, here is too great quantity of choler, & from thence groweth a Feaver; the Urine and dung are yellow, the hands and Feet are hot.
The Cure. Opening a Vein is convenient if there be Plethory; the distemper must be corrected, and the cause evacuated.
If it be critical, the urine and dung hold their natural colour; it must not [Page 203] be cured. If it be symptomatical on a day that is not critical, the matter not concocted invadeth. It is taken away the Feaver being cured.
If it come from inflammation of the Liver, it is cured as an inflammation of blood.
If it be from poyson, it is cured by Antidotes.
Rondeletius promiseth health to women with child, if these things following be laid to their Wrists and Feet. Take the leaves of Missleto of the Oke, two handfuls; Celandine, Hore-hound, of each half a handful; beat them in a mortar with a little wine. Par. useth this that followeth, Take goose dung, two drams; white wine, three ounces; drink it, two hours before meat. Querc. gives Goose dung, one dram: or half a dram; or dung of a white Hen, half a dram, for four days.
BLACK JAUNDIES. It is commonly thought to come from the Spleen, when the melancholick humor is not attracted. Platerus saith, preternatural Choler is the cause of it, which is collected in the Vessel of the Gall, [Page 204] and is corrupted in the meseraique Veins; and gets a green and black colour from corruption: Because in the Spleen there is no cavity, no hollownesse, nor can it be carried to the hollow Vein: because it invadeth suddenly; It is cured as the Yellow Jaundies, by steel, &c. If the colour cease not, it must be discussed by sweaters; also by a dry Bath, and after the Bath rub the Body with emulsion of Hempseed. A Tench cut through the back layd to the Abdomen, or Soles of the Feet, draws forth the yellow and black humour.
The ILIACK Passion, is the motion of the Guts turned, wherein the Chylus is not rightly distributed, and the dung is retained, and at last are cast forth at the Mouth.
The cause, is said commonly to be the inflammation of the Intestins, from the hardnesse and plenty of dung, also from a Hernia, or from poyson. Yet Senn. doth not believe it can be from obstruction of the small Guts; for the Excrements could not come forth at the Mouth: but he saith, that as in vomiting the circular fibres of the stomach; [Page 205] so in the Iliack Passion, the cause is in the winding of the small Guts; because Clysters in the Iliack Passion are often cast forth by vomit, and Suppositories also.
The cause of that motion is, 1. The inflammation of the Intestins. 2. Retention of the dung. 3. Ulceration; Most commonly it seizeth on the small, but sometimes the great guts also.
Signs Diagnostick. The Belly stopt, Vomiting more then in the Colick, the pain lesse. If the small Guts be affected, vomiting and nauseating is greater.
Prognostick. All Iliack Passions are dangerous. When the dung is vomited up, it is mortall. Aph. 44. s. 6. Aph. 10. s. 7. it killeth in four days.
The cure. Emollients are useful, internals and Topicals. One ounce of oyl of sweet Almonds is singular. Let the Fundament be alwaies fomented with Emollients; Apply Emollients to the Abdomen. A Bath is good, fat broths, softning Clysters.
If it come from inflammation, it is cured as inflammation of the Guts. If [Page 206] from the dung hardned, it is cured as the Colick. If it cannot be cured; Hippocrates with a pair of Bellows separates the guts from the dung by blowing them, and then giveth a Clyster. If it come from Hernia, it is cured as a Hernia.
IMAGINATION, of it self neither alters nor moveth, because it is an apprehending power, and the action of it is immanent; but only by accident so far as it maketh for desire or hate; and so the natural Faculty of moving is drawn into consent, which either sends or brings back the humours and the Species. It produceth diseases only by frights and fears whereby the humours are moved and corrupted. But if the imagination be of a great Nose, a great Nose is not made. It cureth not a disease by it self, but so far as it makes confidence and joy. It affects the Infant with ill conformation, by the Passions of the mind, and the motion of the humours and spirits proceeding thence, whereby the forming faculty is troubled. In a determinate conformation, when bloody spots are [Page 207] made like Mulberries, the Imagination doth represent such forms to the forming Faculty, as the soul of the Mother so affected, affects the soul in the Seed; and that, the Infant.
Regiment of INFANTS. The Navil string being cut off, if the Infant be plethorick, let the blood run forth; if it be lean, let the blood be pressed inward with the Hand; yet the Infant will have fewer Small-Pox, if the blood be not pressed in with the Hand: as Riol. observed. If it be of a reddish colour, and cryeth aloud, it is sound. Let it be washed with wine of the decoction of Rose leaves, Myrtils, &c. Galen bids strew it with Salt, but amiss. An Excrement like to chalk sticking in the Mouth, must be wiped out with a stick tied in a clout, wet with oyl of sweet Almonds, Honey and Sugar. All the common Joynts must be unfolded. Before the Tet be offered to it, give it Honey or syrup of Roses with oyl of sweet Almonds and Sugar. Some say that the Mothers Milk is not good for the Child, till the excremental blood that is with the after-burden be purged away. [Page 208] But the condition of the Milk must be considered: if it be bad, give it not; if it be wheyish, Spiegelius saith it cannot hurt, but it doth much profit. Put no great light nor a candle neer the Child: Let it ly one Month on the Back, and afterwards on the side: Let the light be right over against the Eys; wherefore the sides of the Cradle must be vailed, that the Child may look only straight forward. Hanging Cradles are the best. Let them sleep more then wake. The Body of the Infant must be daily rubbed gently. After four Months the Hands and Arms may be let loose from swath-bands. Let it never accustome it self to one Breast only; for so it will use but one Hand. After some moneths make it Pap of Wheat-meal a little dried at fire, or of the whitest Bread: before it have teeth, solid meats must not be given it. When the teeth come forth, use it to more solid meats. Let it not stand too young. Put it in a little Cart to learn to walk: put a roundle about the Head. The Child must not be removed from sucking till the number of its teeth be compleat. [Page 209] It is best weaning it when the Moon increaseth, in Spring and Autumn.
INFANTS Feavers. They proceed either from corrupt Milk, or breeding of Teeth, or Worms. The Nurse or Mother must be purged with Diacatholicon, syrup of Roses, &c. Give the Infants Alteratives, as the juyce & syrup of Violets, syrup of juyce of Lemmons, water of Endive, Succory, Violets. The Back-bone must be anointed with the Mucilage of Flea seed, with oyl of Violets and Wax. Lay an Astringent as oyl of Quinces to the stomach. Heurnius commendeth this which followeth, Take conserve of Violet flowers, two ounces; Borrage, half an ounce; Pulp of Cassia new drawn, one ounce; Mucilage of Flea seed, half an ounce; the Dose is one or two drams. Syrup of Roses, Violets, of Succory with Rheubarb, Cassia may be given, &c. Senn. saw a Child dy by 3 drops of oyl of Amber given to it by an old wife; the Belly is loosened most conveniently by suppositories & clysters, whey & syrup of Roses:
A disease of Infants called Siriasis, which is an inflammation of the Brain, [Page 210] and the Membranes, which there followeth upon, a hollownesse in the forepart of the Head and the Eys. It comes from flegmatick blood corrupting, also from milk too hot. Women call this Das blatt Schissen, because the Membrane of the Fountain falleth and causeth a hole. In three days commonly it killeth: the Belly must be loosned, with oyl of Roses the Fountain must be anointed, afterwards add oyl of Camomil; the Nurse must use cold and moist Diet, and dwell in a colder aire.
Fear in sleep, if it come from worms, or a Feaver; it is cured by a particular way: If it come from corrupt Milk, Vomit removeth it. Give Honey of Roses solutive with Milk, confection of Jacinth or Coral. Hang upon the Infant outwardly, a Wolfs tooth, Corals, the horns of Italian Beetles, which they call the flying Hart.
Watchings. If they proceed from corrupt Milk, take that away; if from worms, remove them. The Nurse, but not the Childe, must take sleeping Medicaments. Washings of the Feet, are rather profitable, of Dill, Mallow [Page 211] leaves, Willows, Vine leaves, &c. The soles of the Feet are profitably anointed with the marrow of Harts bones. Oyl of Dill new, is safely applyed to the Head: to the Nostrils, oyl of Violets, with a little juyce of Lettice for an Ointment.
Moisture of the Ears, which unlesse it be cured, the Bones corroded will cause deafnesse; the pain must be mitigated with warm Milk, oyls of Roses, Violets, Saffron; To wipe away, Honey of Roses is good, and water of Honey put in by a Tunnel. Also Orris root, Myrrh, Saffron, All um melted in wine. Inflammation of the Tonsils is cured by Repulsives, as by syrup of dry Roses.
The Ligature of the Tongue is often loosned by Mid-wives, with their nails or the edge of money, but they do this oft times where there is no need: be it as safe as it wil, it hath been sometimes mortal. Oft times there is no need of Incision. Nothing of flesh is cut but only what is Nerves. If it grow again together it must be cut again. Fa [...]r. cured his own brother that was dumb to [...] [Page 212] years old, by cutting the string, so that he ever spake plain. Cent. 3. obs. 28.
The Catarrh is cured, if Diet be observed, give the Nurse a Pectoral decoction; to the Child a Clyster, or Suppository, or a Vomit with oyl of sweet Almonds; give expectorating means. Anoint the Stomach, cause sneezing, &c.
Gripings of the Belly. Heurnius in the first spoonful of pap, gave one scruple of Anniseed very profitably, Clysters, Solutives, Topicals are good. The decoction of water of the hearb Cardiaca is given by Mid-wives for gripings of wind, and that very well; for that hearb mightily helps the pain of the Heart: whence it hath the name.
Scowring, when they breed Teeth proceeds from a Feaver, watchings, pain. The heat of the Feaver troubleth the humours. It is cured as Diarrhea.
Maw-Worms. Signs, The Mouth is full of spittle, sleep is troubled, they scratch their Noses, they chew often, there is a dry Cough.
Preservation is by Diet. Before meat give the decoction of Sebestens, or roles of Diaturbith with Rheubarb, decoction of grasse roots, Mous-ear, juyce of Lemmons, Citrons, two drops of spirit of Vitriol. Infants cannot away with bitter things. They are cured with Corallina, Worm-seed, Roots of white Dittany, Harts-horn: the water and decoction of grasse roots. Remedies against the Epilepsy, are fitly mingled with them. If there be a Feaver, we must give cold things, as juyce of Lemmons, Pomegranates, Oranges, Vinegar, Harts-horn, Bezar, a Clyster of Milk. Apply bitter things outwardly. Heurnius commendeth this that followeth for Children. Take syrup of Succory with Rheubarb, from two drams to half an ounce; water of grass, one ounce; it is given for one Dose every other day. See, Worms.
Little Dragon, Because they are like little dragons the Indians are troubled with on Midsummer day. Senn. saith, they are true Worms with heads like black hairs; Their back is pricked as with a Needle, they toss themselves up [Page 214] and down, and wax lean. Heurnius saith, you must rub their Back-bone and Shoulders till they wax red; next, only with skin pulled from fat Bacon, and the hairs will appear. Paraeus cured them, with a fomentation of warm water, afterwards with anointing with Honey and Barley meal. The heads that peep forth, must be pulled out with Pullers.
Dudith. Ep. 27. cured his Children from them with a Bath, into which he cast crums of Bread rubbed out, one handful, and a little ashes; The Children being washed with the strained water, the Bread shewed forth innumerable hairs, the second day fewer; then he anointed the shoulders with meal mingled with Vinegar, which being washed away, there appeared little swellings, which being scraped away with a knife, they were called little dragons, but unless they were presently scraped off, they hid themselves within; they are thought by old women in Poland to be little worms.
INFLAMMATION is Phlegmone, a swelling with heat, rednesse, [Page 215] stretching out from abundance, with resistance and pulsation, which are the marks to discern it from Erisipelas. It is either Resolved, or comes to suppuration, or grows to a Scirrhus or a Gangrene.
The Cure. The antecedent cause, namely, blood must be altered, evacuated, revulsed, intercepted. It must be altered by cold and moist things by reason of a Feaver. It must be evacuated by hunger, opening a Vein, purging, if there be Cacochymia: it must be revulsed by opening a Vein, Cupping, Ligature; it must be intercepted by Astringents laid on the part, and a thickning Diet. If it flow from heat and pain, this must be asswaged, that discussed. Topicals at first must be Repellers, in the increase add Resolvers; yet so, that the other may bear the sway. In the state, let the Forces of Repellers and Resolvers be equal: in the declination use only Resolvers. Also consider the temper of the part affected; for it must be cured in the flesh one way, in the Nerve another: the dignity, so the heart must not be tryed by vehement [Page 216] remedies: Situation, so things lying deep require stronger means. The shortest way must alwaies be chosen; Morning sleep is allowed, for then the blood moveth which by sleep is called inward. If the blood neither change to matter, nor be resolved, Scarifications are very necessary; if it come to suppuration, cure it as suppuration.
INFLAMMATION of the Brain, or Frensy, comes from Inflammation of the Brain, or of the Membranes, or both; it proceeds from cholerick blood: sometimes the memory is hurt: sometimes the Phantasie alone.
Signs. A continual Feaver, delirium, virulent vomiting, insensibilitly, sharpness of the Tongue, breathing great and rare, urine sometimes fiery, sometimes white: In a bastard Frensy, the breathing is sometime little, there is a stretching forth of the Diaphragma, there were no signs that foreshewed a Frensy. If the Brain only be affected, all the Animal actions are abolished, except most violent motion.
Prognostick. It often degenerates into a Lethargy, also into Convulsion, and Dysentery. Clear urine, and white dung are deadly. If they were mad before, and suddenly grow quiet as if they slept, they dy. We must not sit neer to Frantick or mad people, or to those that are sick of the Plague, nor let them put their Fingers to our mouths. For. saith, that Lud. was so hurt by mad people. Fab. cent. 1. obs. 84. telleth how he was bitten by a Frantick woman.
The Cure. The cause must be pulled back by opening the Liver Vein, then the median-Vein, it must be derived by opening the Veins of the Fore-head, Nostrils, under the Tongue. The Orifice must be made straight. Also after the third day, if there be strength to endure it, For. used Cuppings with Scarifications, Ligatures, &c. Iutercipients must be applyed to the Temples. We must evacuate by true Purgatives when the disease is sharpest, and the matter swelleth. If there be Cacochymia, it must be altered by such means as prepare Choler. Topicals at first must be [Page 218] Repellers, sor strong people in Summer they must be cold, otherwise warm; in the augmentation we must add Resolvers, &c. Lay cold Epithems to the Liver and Heart: Let sleep be carefully provoked by sleeping remedies. The Chymists commend the Spirits of Terra sigillata, distilled without any addition, being yellow and sowre, it is given to one scruple. They must be admonished to make water. The Secrets must be fomented with the decoction of Pellitory, &c. If the sick be offended. with light, he must be laid in a dark place, and so on the contrary.
INFLAMMATION of the Wind-Pipe. Gorgareon is a pendulous kernel, which if it be swollen below and small above, it is called the Uvula; If it swel long-waies above and beneath it is called Columella.
Prognosticks. The Chirurgion must not meddle with it if it be blackish. If you cut it, there is notable danger of bleeding; If you cut it our, there is fear of a Consumption.
The Cure. Generals being premised, [Page 219] the first Topicals must be repellers; yet Honey may alwaies be added: in the declination add Resolvers and softners. Outward means, before the Flux must be Astringents, laid to the sides of the sharp Artery. When the Flux is made, you must soften outwardly; yet the Gargarisms at first must be Repellers, &c. If it suppurate, it must be helped forward by a Gargarism. If it open not of it self, it must be opened with an Instrument. And if a Gangrene be neer, Aegyptiac is good. If it be in vain, the Uvula that swelleth no longer, must be cut out by the Hand, which is the last remedy. Before and after the Gargarisms, must be Astringents. When it waxeth red, it threatneth choaking by bleeding: or let it be tied every day straight with an Instrument and a thread. The bleeding is hindered by a Cautery. Rul. makes a fume of one dram of white Amber to take at the Mouth; and layeth on the Head, one ounce of old leaven by day, and another at night. Cherries eaten cause this Inflammation.
INFLAMMATION of the Jaws, is [Page 220] the first kind of Quinsey, when the inward compasse of the Jaws is inflamed; the Tumor appearing inwardly and outwardly. 2. When the outward muscles of the Jaws, of the Neck, of the forked bone of the Wesand are inflamed, the Tumor spreading it self to the Brest. 3. When the inward muscles of the Larynx are affected, so that the Tumor appeareth neither without, not within. It causeth shortness of breath, and the sick loll forth their Tongues, like Dogs, whence it is called Cynanche. The second is called Paracynanche or the Mumps: neither of these is the Quinsey with Dod: The first is called Cynanche, That which is made by the luxation of the Vertebras of the Neck, is a bastard Quinsey.
Prognostick. The mumps is the least, then the Quinsey, then Paracynanche, which is the fourth kind, when the outward muscles of the Throat are inflamed; the Tumor appearing inwardly, the worst in Cynanche. An obscure voice, froth about the Mouth, a black Tong [...]e, raw spittle are mortal.
The Cure. Revulsives being premised, [Page 221] and derivers, as opening a Vein in the Arm, and under the Tongue. If a Feaver went before or invaded at once, because the matter is wandring and swelleth, experience teacheth us to purge. If Inflammation went before, and a Feaver follow, it is not so convenient; but this must be quickly done: as in the morning open a Vein, and purge at night; for the fourth day it either suppurates, or Resolves, or kills; but you must be very careful that the medicament move not vomit▪ for there is fear of strangling; wherefore Clysters are safer to be given. Gargarisms must be Repellers at first, as, Take water of Honey-suckles, Plantain, Nuts, of each three ounces; flowers of dry Roses, one pugil; boyl them in the strained liquor; dissolve syrup of Pomegranats and of Mulberies, of each one ounce; mingle them. For [...] for Children licking medicaments are good. Fumes are not good. The juyce of green Wal-nut shels clarified with Honey is commended by Galen. We must begin from lighter Remedies. The decoction of Oats, leaves of Cherry-tree. Physitians [Page 222] warn at the beginning to add at first some discutients least the humour should be thickned too much. In the declination also Astringents must be added, lest the part that is soft of it self should grow too soft. For. in the declination prescribeth for a Gargarism, one Swallows nest, cut with the feathers. Others hold for a secret, ashes of Crab-fish, or a Dogs dung, or Hens dung anointed with Honey. Alwaies mingle detergents: In all Inflammations which are covered with a thin skin, there sweats something through, to be washed away with detergents. Rondelet, when the humour floweth thither, cured himself and many more from the Quinsey, and scrofulous swellings with Astringents, which though it may be done where the body is clean, and the Flux but small, so in a great Flux it is mortal. Topicals must be emollients, after that discutients. Apply Cupping glasses to the Chin, or to the second and fourth Vertebra, if the Jaws or their muscles be affected. If it suppurate, lay on ripeners: afterward; open the Impostume by crying aloud, [Page 223] and the Head down-wards, lest the corruption run upon the Lungs. Some when the disease is desperate, make deep scarification under the Chops, or above the Neck, by which the sick have been eased, by blood or matter running forth. Ivy wood is held to be specifical, if you use a spoon or dish made of it. The last remedy is cutting off the Larynx about the third or fourth ring. Liquid nourishment is cast in by a Pipe put in the Throat, and a Hogs bladder, Erysipelas coming upon the Face is a good sign.
INFLAMMATION of the Lungs; The Cause of this disease is also cholerick blood; for though it be said by others to penetrate the Lungs by its thinness, yet when Inflammation of the Lungs comes from a Pleuresy, which often proceeds from cholerick blood, it doth no hurt to it; for as water sticketh in a spunge, so doth this here: but the cause of the Flux are, as in other internal Inflammations, il humours, which when Nature sends away, she drives forth blood also with them.
Signs. Difficulty of breath is greater then in a Pluresy, which Hippocrates calleth sublime: The pain is burdning, unlesse perhaps the Pleura be affected also, which is often found. The tongue is yellow covered with much clamminesse; the Cheeks are red, Thirst is great, a Palsey is often made, the matter flowing back into the Arteries, between the sides that presse the Nerves. The spittle is first coloured with matter, and shortly after with blood, with a kind of snoring.
Prognostick. It is more dangerous then a Pleurisy. There is no spittle or but little; if it ease not the pain, it is naught. Aph. 16. s. 6. Sneezings are ill.
The Cure. Revulsives being premised, if it proceed from the Quinsey, a Vein must be opened diverse times; then spitting must be procured by all means. Oxymel mingled with the rest is the most convenient. Topicals and other Remedies must be as for the Pluresy.
INFLAMMATION of the Pleura, not alwaies, but only when the upper [Page 225] part is affected, hath Inflammation of the Lungs joyned with it. Every pain of the side is not the Pleuresy, as that which Heurnius puts us in mind of, Quere. c. 8. it grew from Worms in the Small-pox, in the Scurvey from wind. Now the Plurisy is an Inflammation of the side and Mediastinum, from over hot blood, with a pricking pain, a continual Feaver, or else every third day, or every other day, or every day, according as the cause is, so it afflicts us, with difficult and small breathing, a hard pulse, a violent Cough.
Signs diagnostick are fetched from the spittle, and drawing-in the breath. If there be no Feaver, nor Cough, nor spitting forth, is is from wind.
Prognostick. If presently on the first day there appear matter concocted; and that is easily cast forth, the disease will be short or will end in seven days. All clear spittle is nought, except it be blood. Ill urine is naught, good not alwaies a good sign. It is worst to spit out nothing, but lesse evil to spit only clear spittle. It either passeth into some other disease, or it is resolved, &c.
The Cure. The humour that floweth thither, must be pulled back, derived: that which hath flowed already must be taken away; you must cure the pain and the Forces. Wherefore if the Plurisy be gentle, an emollient and resolving fomentation may be used: or rather, if it be greater, the Liver Vein for revulsion, must be opened in the contrary side, after the Flux is ceased, [...]e same must be opened in the same side to derive. If the blood flow out of an Artery, to open a Vein doth little good; to repel or intercept we may not. For. on the same side, not only before, but after the fourth day, and also upon the eighth day opened a Vein: also in the time it groweth ripe; he draweth a little, but warily, if the Forces be strong and extream pain urge him to it. For Children, Cupping glasses may be applyed. If it be long ere the Physitian be cal'd, it is good to open a Vein on the side affected. If it come from Courses stopt, and the time of the Courses to flow be at hand, and the stopping be suddenly made, a Vein must be opened in the Ankle. If the time be not at [Page 227] hand, and the stopping come by leisure, open a Vein in the Arm the usual way. After this a fomentation emollient and resolving, may be applyed; and if there be a Feaver and malignity, care must be taken of them. These things premised, if there be Cacochymia, and the matter inclineth to the Belly, which is conjectured by the noise, liquid Excrements, and the anguish; we must purge the second, fourth, fifth day, namely till the Flux is ended, which is commonly on the fifth day. For. also on the seventh day gave Diacatholicon, six drams; Cassia, half an ounce; six ounces of pectoral decoction; syrup of Maidenhair, one ounce; Rheubarb, Senna; Mechoacan▪ agaric, and medicaments that bring forth but the dung; are good. By Pills and Vomits many have dyed. Rondeletius commends Clysters. Alteratives are for the Feaver, Antidotes for the Malignity yet such as secretly respect the disea [...]e. These being premī sed, Specificals may be exhibited; for though the disease be manifest, yet there is a peculiar malignity, which is cured by Specificals. Also expectorating Remedies, [Page 228] that cut o [...] thicken, as the spittle is. After the seventh day, if the pain remain, Aetius and Celsus apply Cupping glasses with scarification to the side affected. Whence Senn. saith, we may look for extream good or extream mischief; few will endure this, it must not be used but on a strong Body. After the fourteenth day, if it neither resolve nor suppurate, we must help forward to suppurate it. If it cannot be resolved, the Impostume must be broken. If those things profit not, use something to open the Impostume, some open the part. But the Tumor feldom sheweth outwardly: yet it is done most profitably, if the part affected can exactly be found. If the matter fall into the Chest, it is cured as Empyema. The Diet must be thin, Fab. obs. 31, 32. c. 5. he bids open a Vein on the side affected. To a Boy of seven years old that had a loosness of the Belly, with a Pleuresy, he gave Bezar-stone, five grains; red Coral prepared, Terra sigillata, of each half a scruple: mak a Powder. Take the Mandible of a Pike, half a scruple; Seeds of our Ladies Thistle, red [Page 229] Coral prepared, of each six grains; flowers of Corn-Poppy, four scruples: make a Powder. A pectoral unguent, pectoral Rolls.
INFLAMMATION of the Liver is known by a heavy pain, and somtimes pricking, by reason of the Ligament tied to the Diaphragma. For. A Feaver also cometh presently with it, Thirst, a dry Cough, Hickop, difficulty of breathing, the easiest lying is on the Back, the Tongue is red, the Belly is bound, unless there be weakness of the Liver joyned with it: for then oft times the Excrements are moist or cholerick, or like the washings of flesh. There is cholerick vomiting if it affect the Convex part of the Liver, the Tumor appeareth round outwardly, and it followeth not the fibres of the skin, whereby it is discerned from an Inflammation of the Abdomen.
The cause. Fab. cent. 2. obs. 46. from hot Topicals of Cardamomum, Cinamon, laid to the stomach may cause Inflammation of the Liver. obs. 47. c. 2. From Cupping glasses set to the Region of the Liver for bleeding at the Nose, an [Page 230] Inflammation of the Liver hath followed; wherefore Senn. layeth Astringents rather then Cupping glasses to the Liver.
Prognosticks. It is often mortal, that which is on the Convex part, causeth rather short windednesse and a Cough: that which affects the Concave part, causeth Vomit; that is the more dangerous by reason of Symptoms. It is sometimes terminated by bleeding at Nose. It is critical from the right Nostril, much sweat and much urine if the Convex part be affected; if the Concave, by Excrements, and Vomiting. If they be cut, and there is matter like to Lees of oyl, it is deadly.
The Cure. Make revulsion by opening of a Vein, before the fourth day, For-Aetius also after four days, also in the Liver Vein on the right side. If the Convex of the Liver be ill, Remedies that only bring out the dung are good; if the Concave, only Clysters; If that, Diureticks are good, but here not. Internals must be Coolers, chiefly, Succory, Endive, Dandelion, juyce of Lemmons,. If it be gentle, Agrimony, Mayden-hair [Page 231] may be added, sweet things are hurtful, being concocted, it must be broguht forth either with diureticks, as syrup of Endive, Byzantinus, &c. or with Eccoproticks according to the part affected; in the declination add Mechoacan, Agaric, &c. Topicals, presently after opening a Vein must be cooling Repellers, or hot, but lest a Scirrhus should be made, add oyl of Capers: And such Astringents are convenient also in the declination mixed with Resolvers. Topicals actually cold must not be applyed: we must take care by all means that it suppurate not. If that cannot be, let the Topicals be suppurative. If the matter be carried into the Intestins, give Remedies to temper the sharpness of the corruption. If it be not perfectly evacuated, you must give a Clyster of the decoction of Barley and Honey of Roses: where the matter goes, there it must be evacuated. If it flow into the Abdomen, it is mortal.
INFLAMMATION of the Spleen. There is pain, swelling, heaviness on the left side: which yet oft times affects [Page 232] the right side; and doth as it were compass a Man. There is a continual Quartan Ague, the Feet and Knees look red, there is difficulty of breathing, the Nostrils and Ears look pale; it differs from obstruction because here is no great dissention, it is without pain or Feaver. If it proceed from wind, there is no heavinesse, exercise endeth the pain, it is contrary in Inflammation.
Prognosticks. It seldom suffers Inflammation, but most seldome an Ulcer, it is changed into a Scirrhus.
The Cure. Open a Vein in the left Arm, or in the Ankle if the Courses be stopt. Then apply a Repeller, as oyl of Roses, with which mingle cutters, or Vinegar, Oyl of Camomil. After that, evacuate the humours prepared with true Purgatives. Thirst must be endured so much as we can. Afterwards Topicals must be Resolvers, as the custome is.
INFLAMMATION of the Breasts. It is cured by opening a Vein, Purgatives and Alteratives. Let the Topicals [Page 233] be Repellers, but yet weak ones, lest there grow a Cough, difficulty of breathing, Consumption, Scirrhus. Afterwards add Resolvers, but such as are moderate, lest they make a Scirrhus. If it suppurate, it must be helped forward: if it open not of it self, open it with a pen knife. The Ulcer is not cured, if the other Brests Milk be not dried up, which will be done if she do not let the Child suck, and lay on a woollen cloth wet in cold water.
INFLAMMATION of the Stomach. Signs. There is a sense of extending the Tumor often appeareth outwardly. If it be the outward part, the pain after meat is not so sharp, but when the meat is digested, the appetite is better, nothing is cast forth of the Impostume. If it be the internal part, the pain is sharper after meat; if the external, when the meat is digested, all the Symptoms are more vehement. There is heat, thirst, a most hot Feaver, delirium, swooning, vomiting. It is very hardly discerned from Inflammation of the Abdomen about that Region, but [Page 234] only by vehemency of the Symptoms.
The Cure. Revulsion, Clysters, internal Repellers, and outward, those allmost actually cold, these hot. After that, add Resolvers: yet alwaies add Astringents and strengthners. Help the pain with one ounce or two of syrup of Poppy. If it suppurate, cure it as suppuration, and let the Diet be almost as Topicals. From hot Topicals applyed to the Stomach, grows Inflammation of the Liver. Fab. cent. 2. obs. 46.
INFLAMMATION of the Reins. Signs. Heat, great pain spreading to the Bladder, the Testicles and the bastard Ribs; by sneezing motion the pain is encreased, the sick cannot lift themselves up. There is astonishment of the Leg by compression of the Nerves; the outward parts are cold, the Urine is at first thin, in the increase red: there is cholerick Vomiting, and a vehement Feaver. In Inflammation of the Colon, the pain goeth inward, and there appeareth a change rather in the dung then in the Urine. If the [Page 235] Emroids come upon it, it is good.
The Cure. Revulsion, a Clyster in a lesse quantity. Alteratives without diureticks, Purgatives. In the declination, milder Diureticks are good. Topicals must be as before. The matter must be evacuated by Urine.
INFLAMMATION of the Mesentery. It is not seldom, yet is it seldom known. Oft times it hath a Semitertian for company, there is pain of the Lungs, which extends it self above and about the Stomach, the Belly is stopt. If it stick about the more ignoble parts, the Feaver is slow, without thirst, the matter is often voided by the Belly. It is cured as before. Also the same way is the Inflammation of the Bladder and the Peritonaeum.
INFLAMMATION of the Testicles. This is cured the wonted way. Let all Topicals be so applyed that the Testicles may hang down lesse. Lay an Intercipient at the side of the privities. Verven boyled in Wine is commended in the declination, or bread with oyl and water.
INFLATION of the Stomach. [Page 236] It commeth from wind bred from causes related in the Colick: There is a resisting Tumor, also belching and windinesse. If it come from weaknesse, the signs are perceived, if it come from windy nourishment the sick will declare that. If it come from other matter, there are oft times signs of Hypochondriacal affection. In one that groweth well, it threatneth to return: If it last long, a Tympany.
The Cure. If the Inflation be small, apply Carminatives without and inwardly, as oyl of Carways, three drops; Plaister of Bay-berries. First, take away the cause by Vomit, Purging, &c. There is no heaviness felt: the pain is not continual, with a noise, &c. The same way the windinesse of the Liver and Spleen are cured.
Pain of the Spleen, is not in the Spleen, but in the Peritonaeum and Muscles of the Abdomen, from wind, water, causing also a windy Cramp, Camomil, Hierapicra, are good.
ITCHING of the Ey-lids, is cured by Generals, Coolers, Moistners. Topicals, first emollient, as warm water, [Page 237] then more sharp, as water of Honey, three ounces; Sugar, one dram; Aloes, one dram and half, mingle them. Or, Aegyptiac, one dram, dissolved in Plantain water, and dipping a soft linnen rag into it, touch the Ey-lids bewaring the Eys. Or, Take White-wine half a pound; common Salt, one dram; let them stand in a Barbers bason for six days, or let the Urine of the sick stand for a night in the Bason or sharp Vinegar. For. prepared unguent of Roses with a little Tutty.
It is taken away with long time swathing, if every third day the Swathe be taken off, and the part be fomented with warm water, or water and oyl or with decoction of Camomil, Balm: in Wine or Pickle; the Bladders must be opened, they must be anointed with white unguent of Rhasis, red Desiccative &c.
Of the Yard and Matrix, is taken away with one dram of gold Lytharge infused twenty four hours in the sharpest Vinegar; oyl of Violets; sometimes one ounce, sometimes but half half an ounce; make an Unguent. The [Page 238] juyce of dwarf Elder extracted and dryed, with oyl of Roses made thick in a leaden Mortar.
KINGS-EVIL, is a Scirrhous Tumor of the Kernels, shut in a bag. Oft times it possesseth all the Kernels: seventy have been found in the Mesentery. If it be in the Throat, it is called Bronchocele; These differ from other Tumors in number for they are many, and take deep root. Oft times it fasteneth in the Groin, and under the Armpits. It is a hard Tumor, that yieldeth uot to the touch, is painful.
The Cause is fleam, or melancholy hardned. Platerus saith, it is made of a limentary juyce hardned, when as they are not changed into matter, nor corrupt, but last long.
The Cure. The antecedent cause is taken away by Generals; the weaknesse of the Bowels ingendring fleam must be corrected. Topicals must be Specifical Resolvers, as Viper-grasse, Pilewort, Crowfoot, Root of Sword-grasse; If it will not be resolved, it must be suppurated, cut it, burn it; a Plate of Lead [Page 239] must be laid on the Tumor rubbed: also it is taken away by Ligature with Horse-hair, which must be tied every day straighter, till it fall off for want of nourishment. The Kings of France cure them by their touching.
LETHARGY, Is an invincible necessity of sleeping, and the sleep is heavy, with a delirium, and hurt-memory, and a continual Feaver.
The Cause with the Antients, was fleam collected in the Head, which by its moisture and cold breeds astonishment, and by its putrifying heat, causeth watchings; but this is impossible. The cause is rather a Narcotick vapour elevated in concomitant Feavers, as a Quotidian, Continual, bastard Tertian, and Semitertian: or if it come on without a Feaver, from flegmatick blood causing Inflammation; When, as For. observeth, there is such an Inflammation, oft times which ends in Sphacelus: and so there is a double cause of Lethargy.
Diagnosticks. Being stirred up, they scarce answer being asked, they forget [Page 240] all; the pulse is great by reason of breathing, but small from forgetfulness. Their Urine is like Beasts urine. It differs from Carus by a Feaver.
Prognosticks. They dy in seven days: if they passe them, they escape. Sweat often, Trembling, Convulsion, Hickop, are mortal. Swelling, a Palsey, swellings behind the Ears succeeding a Lethargy; if the Lethargy cease, it is good: else mortal. If a Leach set to the Fore-head will not stick, or if you rub your Fore head with Bread or fat Bacon, and offer it to your Dog, and he refuse it, it is mortal. Men say the same holds for all pains in the Head.
The Cure, Consists chiefly in Revulsives, and opening a Vein, which must be quickly ordered: sometimes more sparingly, in cold weather, when it cometh from flegmatick blood, sometimes more largely. Opening a Vein of the Fore-head or Foot, Cupping glasses, Scarifications, Chafings and Ventoses set to the Neck, Suppositories, Clysters, Leaches are useful. Purge afterwards: for it is a sharp disease. Then [Page 241] apply repelling Topicals. In a flegmatick Head-ach, For. useth no Repe [...]ers; but in the Lethargy they must be wakened, we must not leave off Revulsives; after this it is cured as a flegmatick Head-ach, both outwardly and inwardly. If in vain, lay Synapisms to the shoulders and the crown, strengthen the Head. The Chymists commend sweet oyl of Vitriol, extract of Castoreum, and chiefly the Brimstone of silver. Hairs burnt anointed on with Vinegar, Castoreum, Hares-brains roasted, and Bisquet are Antidotes.
LIENTERIE, is when the meat is sent forth raw not concocted. It proceeds either from the retentive Faculty of the Stomach and Intestins hurt, or the expulsive faculty of them provoked. If the first, the Colick went before, no pain is felt: if the latter, the Colick did not go before, and bitings are felt.
Prognosticks. Aph. 1. s. 6. It brings to a Consumption. If the latter, it foresheweth a Dysentery.
The Cure. If the first, if there be matter it must be evacuated by the Belly or by [Page 242] Vomit, of the decoction of Barley unhuld. Myrobolans, Rheubarb, Agarick, &c. Corobboratives, Astringents. Fern. at last gave the yolk of an Egg, spread over with the powder of one Nutmeg, roasted on a hot tyle. If the latter; detergents, moderately dryers, Purgatives must be given. The Acrimony of humours must be tempered as in the Dysentery.
Lientery, is a continual flux, it is the Colick by turns.
LUXATION. The cause is either internal, as the humours, or external as a fal, or heriditary as when the Cups are not hollow enough, or the Ligaments too loose.
Differences. 1. When the head of the bones fall out of their Cups.
2. When bones joyned, gape asunder, as the Shoulder blade may recede from the Shoulders: the cubite bone from the Radius: the major fossile from the minor.
3. When with Luxation there is a fracture joyned, as when the Epyphysis is pulled from the Bone; that is more easily restored, this never; because the [Page 243] Ligaments are either broken, or weakened: this is altogether incurable.
Diagnosticks. The same as in Fractures. True Luxation causeth loss of motion, partly so, difficulty of motion; If it be from the loosnesse of the Ligament, Luxation is made by degrees, and is easily driven the contrary way. The Finger goeth into the joyning, no Body resisting.
Prognost. Dry Bodies are more hardly put out of their places, and harder to be reduced; moist Bodies contrarily.
The cure. If there be Inflammation, let it be taken away before you reduce the Bone. If there be a wound and a Fracture together, Hippocrates thinks it best not to go about to reduce it; for to try that, brings death certainly; if you let that alone there is only fear of lamenesse. Old dislocations before they be attempted to reduce, must be softned with Topicals: Or if you reduce a Dislocation with a Fracture, and Inflammation come upon it; the Bone restored without violence must be put again out of the place. First of all you must extend, wherein first you must see that [Page 244] you hold it straight: So when the Shoulder is out, or the Spondils, or the Bones of the Thigh, the whole Body; but in a Luxation of the Throat-bone, of the Elbow, the Hand, the Knee, the Foot, the Leg, the part affected must be held very straight by him that helpeth, lest the whole Body follow the extension. 2. That you may pull either with your Hands or Instruments, so far until the head of the bone be placed out of the Region of his cavity, and be free; let there be a distance betwixt the bone dislocated and the Cavity, that so the Lips of the Cup may remain unhurt. 3. That the heads of the Bone gently moved before and carryed about, may be put into their cavity, the same way that they fell out, which you shall find to be well done by the crackling; and whilst this is done, the stretching of the cord must be slackned, otherwise it is not possible. Secondly, it must be fitly bound with an astringent medicament. as in a Fracture. 3. The Symptoms must be corrected. The channel Bone being dislocated, many are deceived supposing it to be a dislocation of the Shoulder.
LUXATION of the Spondils inwardly, is death. Yet Fabr. teacheth a way to cure it, but not a safe one. Outwardly it is a bunch, it must be cured by putting it back again, with an iron Brest-plate made full of holes. It proceeds either from Asthma or some outward cause, or abundance of humours. Hitherto belongeth that mischief, when the sick hath tried to lift too great a weight: here the eleventh Spondil is commonly shaken; it is not dislocated but remains shogged. There is a pain of the Back about the stomach, the appetite is cast down, with vomiting sometimes, the Head-ach, in children chiefly; there is a Feaver almost malignant. In people of years this is cured as Luxation by some. The red potable ointment, is given with profit, Crabseys. Senn.
The Shoulder is reduced either with a Napkin with a neck knit fast, or with the Chirurgions heel, or with the higher shoulder of one that helps, or with a Pole or Ladder, or an Instrument to set bones, called Ambi. Dislocation of the Channel-bone is taken by many [Page 246] for Luxation of the Shoulder: for the Symptoms are the same: Also in 3 days the binding must be unloosed, and the part must be moved variously, but gently, lest it should grow crooked; The Thigh dislocated forward, the Groins swell [...] the Buttocks are wrinkled, only the hinder part of the heel toucheth the ground, the urine is stopped. If backward, the Buttocks swell, there is a hollowness in the Groin. The Leg is shorter then that which is sound, the Knee cannot be bent, the Heel toucheth not the ground; the sick stands by a staff. If outwardly, after some time the pain abateth, the flesh about it groweth hot, the head of the Bone in a neer place makes a new cavity, so that the sick can go without a staff; the Leg is made shorter, the knee and Foot look inwards, he cannot go on his Heel, the Leg can be bent, the whole Leg is something lesse. If inwardly, the lameness is less, they cannot bend their Leg, the Foot is longer; they go with their Leg athwart outwardly, leaning on a staffe, they rest more on their Heel then their Toes; at last a new Cavity being [Page 247] made they go without a staff.
The night MARE, is the hurt of breathing and of animal actions, with an Imagination of weight.
The Cause. Senn. will have the cause to be oft times a grosse vapour stopping the hinder part of the Head. But Plat. and Fern. say, it is fleam and melancholy sticking about the Midriff, which swells either by drunkennesse or crudity, pressing the diaphragma and the Lungs, and the grosse vapour exhaling into the Throat and Brain stops the Voice, and troubleth the sences. These two causes may be joyned together.
Prognostick. It threatens an Apoplexy or Melancholy. It is evil if it oppresseth those that are partly waking, and if a cold sweat follow.
The Cure. The sick must be raised from the fit: he must be cured by General and Topical Remedies, as is the Apoplex, a Wolfs skin is commended for a covering of the Head. Anniseed strewed in the Bed, is thought to help by the smell. It is familiar to children by over-eating; wherefore they must [Page 248] not sleep presently after eating. Honey is good for them to lick. One dram of Piony roots must be infused in Beer for to drink.
MILK. The more whey it hath, the more it cleanseth; the more Cheese, namely when the whey is evaporated by long boyling, the more it bindeth and gleweth. Medicaments made of Milk, in Summer every day, in Winter, must be renewed every other day, for it will grow sharp and cause pains. Milk hath a hot spirit in it, and will make one drunk. Scal. ex. 87. saith that the Tartars use the thin part of Milk separated by subliming, to make themselves drunk; for all fat things afford spirits for Chymists, and oyls differ from spirits scarce any thing but in the manner of their substance. The first note of good Milk, is that if you poure one drop on the Nail, it will stick and not run off. If it run off hardly, it is too thick. 2. A milky colour. 3. Tast. 4. Smell.
MILK wanting. If it be for want of blood, it is cured by meats of good juyce, by Medicaments that breed [Page 249] Milk, and open the Passages, these are moderatly hot and attenuating. The leaves, roots, seed of Fennel, all green and new, which must be observed of others, also Parsley roots new, Dill, Basil, Anniseed, Rocket seed, one dram or two of Earth-worms, soaked in juyce of Fennel burnt; Powder of Cows udder. By Internals & Topicals.
MILK too much, is taken away by Revulsives, Diet, moderate Repellers, not laid to the Brests, but above the Brests by the Arms, to those Veins. Resolvers laid to the Brests. If there be Inflammation feared, you may lay Repellers to the Brests also. Some happily anoint the Brests with Honey. Some put in a linnen cloth wet with Vinegar of the decoction of Saffron; green leaves of Nut-trees: Others lay on a linnen cloth smeered with Rapeoyl, and they put another over this anointed with Honey, and they bind the Brests moderately. Singular are leaves of Sage, Smaliage, Rue, Chervil, cut small, incorporated with Oxycratum, laid on warm thrice a day: Topicals are also made of Mints, Calamints, [Page 250] Smallage, Agnus Castus, Coriander, Hemlock.
MILK cloddering, it is made by a fermenting humour; but whether this be made in the Brests Senn. is doubtful; because there is no hollowness there, and he thinks that if Milk stay long in the Brests, the whey exhaleth, and the rest clodders. It differs not from curding of Cheese.
The cure. The Diet must be resolving: Topicals, besides Generals must be Resolvers, as in a Scirrhus, beginning, as oyl of Lillies, coming by degrees to stronger Remedies of Fennel, Dill, Parsly, Smallage, Balm, Mallow-leaves, Coleworts, &c. Inwardly, give Fennel-seed, Cumin, Smallage, Agnus Castus, Eringo roots, Mints, Saffron, Coriander-seed, &c. Screvelius also often cured it with green Chervil and Fennel of each a like fryed in a Pan with Butter, and applyed.
MADNES. The cause is the heat of the animal and vital spirits, whereby they very easily endure cold, yet it makes no Feaver though it last many years. Platerus will have it to be a hidden [Page 251] quality; The antecedent cause is either the Seed corrupted or burnt blood; and the sick sing. There are signs of Plethory or burnt Choler, and the sick are rash, bold; or black Choler, and there are signs of Melancholy, or poysons, as the blood, of a Cat, or Love potions: Wine thunder-struck congealed. Men possessed with devils speak things unknown, or Emroids stopt or an Ulcer shut up.
The Cure must be begun by opening a Vein, so Platerus saw many cured who were kept in Bedlam-houses by letting them blood threescore times here and there repeating it. Choice of Veins is not necessary; you must open the Emroids and Ulcers closed, then you must alter. Give them Whey to drink, purge them; the Heart must be cheered, as we shall shew in melancholy. Sleeping Medicaments. Emperical things are the Brain of a Ram that never leaped a sheep, the Brain of a Dog of but one colour, Boxleaves Roots of yellow water Lillies. Amulets are roots of Eringo, Briony, St. Johns wort, Nitre is commended because [Page 252] it fixeth volatil things. Spirit of Vitriol. Let Topicals be Coolers, and rather Moistners, as oyl of Roses, Camomil, &c. warm. The juyce of live Crabs, is held for a Topical that is specifical.
MARASMUS, one is burning or a Hectick Marasmodes, another is cold and dry. It is called a Hectick of old age, or a disease from old-age: a third is with swooning, which is hot in respect nf the Feaver, cold in respect of the swooning.
MELANCHOLY, is the vexation of the Mind, fastned upon one thought, without a Feaver or Fury, proceeding from a Melancholick Phantasme. The immediat Subject, are the Brain and the Heart, as the affects shew. For. saw Melancholy with a Feaver.
Differences. 1. When the Brain is primarily affected. 2. By consent of the Heart and the whole Body. 3. Hypochondriacal. 4. From the Matrix. That which comes from the Emroids, the Spleen, &c. belongeth to the Hypochondriacal. The first proceeds not [Page 253] from a bare distemper, for else the actions should not be diminished, and if it came from cold, it would affect old men: It comes from a humour in the Head that is too earthy. Hitherto belongeth mad love, or doting from too much care of the Mind, hunger, watchings, anger.
The second is made from a melancholick humour, either sticking in the branches of the hollow Vein, and of the great Artery, and from impure vital spirits, whence it is almost continual; there is present cold of the Heart with drynesse: there went before it, frights, watchings, &c.
The third is made of a Melancholick humour, sticking in the Vena porta, whence it afflicts by turns, about the Liver, the Caule, the Spleen. If the vapour be not communicated to the Brain, it is a bare Hypochondriacal affection. Hitherto conduceth rest, and the Belly bound.
The fourth is made in Widdows that are lusty for men, from stopt Courses, and a melancholick humour.
Diagnosticks. If it be the first, there [Page 254] is a continual doting, vehement, the Hypochondres are well, there is tinkling, a Vertigo, heaviness of the Head, &c. they trifle. If it be from mad love, they are merry. If it be the second, the whole Body is melancholick, the delirium is not continual, &c. they easily fall into Madnesse, Epilepsie, &c.
The Cure. The cause must be altered, evacuated, the distemper must be taken away at times, the Head and Heart must be strengthned. If it be mad love, things that extinguish seed must be given, they must change the Aire, &c. Vervin carried about exstinguish lust. Also Mints, whence grew the Proverb: In time of war neither sowe nor eat Mints. Opening a Vein is good. Mingle with all medicaments moistners and strengthners. Confectio Hamech is not so convenient; Vomiting, Whey in abundance, for a little profiteth not. Decoction of Wormwood, Steel, sowre waters, mineral Baths, & baths wherewith Galen cured many, Topicals laid to the Spleen and Heart, the Diet must be moist. Some use the Trepanum taught [Page 255] by chance. For. cured many with a Lenitive, after a decoction of Pennyroyal and the lesser Centory. Sometimes with syrup Byzantine, some times with Mints, sometimes Wormwood, sometimes with Borrage, Apples, Bugloss, easy Vomits, easy Purgatives, decoction of Wormwood, and with Diureticks. Aph, 11. s. 6. Scholtzius. Ep. 241. where Monavius speaks of a certain noble Bohemian who died of a love potion.
If it be the fourth, the pain is various, chiefly on the left side on the Region of the Heart, which sometimes seizeth on the whole Brest; there is a manifest pulsation in the Back, about the Diaphragma, the Courses flow sparingly. Let a Vein be opened in the Arm if there be Plethory; If the time for the Courses be at hand, in the Ankle. Purge wandring melancholy, which the Arabians call Kutubuth. It chiefly troubleth men in February. The sick cannot stay an hour in one place, but wander alwaies, not knowing whither they go. It comes from the proper passion of [Page 256] the Brain; they must be cured the ordinary way.
MEMORY. It is weakned by a cold moist distemper. It is cured as flegmatick Head-ach, by alteratives, Purgatives Strengthners, Confectio Anacardina is good, which is called a Confection of wise men, whereby many have gained an admirable Memory: the Dose is half a dram, and less. It drieth vehmently: wherefore if any principal part be hot, they get Memory indeed, but they cannot live long. It may be made without Castoreum that it may be more pleasant. Every morning rub hard the hinder part of the Head and Nape, with Ivy water distilled from the Tree, three or four times in a glass Stil. A secret, oyl of Frankinsence Myrrh, &c.
MEASLES. They have alwaies a putrid Feaver with them, sometimes Continual, sometimes Intermitting.
The Cause is the menstrual blood, the Aire, the Diet. If the blood be thicker, they are the Small-pox; if thinner, they are the Measles; they break forth critically the fourth day. Scowring, [Page 257] straightness of the Breast, bloody urine, hoarsness are mortal. For they either dy of a Quinsey, or Swooning or scowring.
The Cure. Before the Pox break forth in those that are not exceeding young; if there be a continuall Feaver, it is good to open a Vein, otherwise not. Give Lenitives or Clysters; In the augmentation and the state, Cordials and such things as expel: Mitigaters are useful, either temperate or cold, as the nature of the Feaver requireth. For. prescribed such a one. Take Barley cleansed, one pugil; Liccoris scraped, half an ounce; red Chiches, two drams; all the great cold seeds, of each half a dram; Cordial flowers, of each one pugil; three fat Figs, boyl them, in the strained liquor dissolve syrup of Pomegranats, half an ounce, for two Doses. Infants should (according to For.) be wrapt in red cloth: yet so, that it touch not their skin. The decoction of Lintels is good, but not in substance, Turnep-seed, Citron-seed, Columbine, Carduus Benedictus in form of emulsion. Epithems have proved mortal. Or never, or cautiously must they be ripened. [Page 258] Butter hath often done hurt. They must not be opened unless they be very Malignant. The ripe wheals must be anointed with oyl of sweet Almonds, so they leave not filthy holes. The eys are preserved with Rose-water, and a little Saffron. Afterwards you may add juyce of Fennel, Rue, Vervain, Straw-berries. A Saphir stone put to childrens Eys preserveth them. Crat. Ep. 160. The Nostrils are preserved with Rose water, with juyce of sowre Grapes, Posca, &c. Into the Ears drop oyl of Roses, Myrtils. The Throat is wonderfully preserved by a Gargarism of Goats milk and Plantain water. The Lungs with this following, Take syrup of sweet Pomegranates, two ounces; Sugar Penidiate, three ounces; Syrup of the infusion of Roses, Diamoron, of each half an ounce; Diatraganth frigid, three drams; Purest white Starch, two scruples; make an Electuary. It is a secret. Give children Figs with syrup of Pomegranates.
OBSTRUCTION of the Liver, is made when the Veins and Arteries, [Page 259] are stopped in the substance of the Liver.
Diagnosticks. The sick feels heaviness, and by and by after exercise or meat he feels pain in the Liver. When he ascends a steep place, he is pressed with an unusual difficulty of breathing, the Excrements of the Belly are moist and plentiful: If it be the hollow part, there is thirst, nauseating; if the round part, the Diaphragma is more pressed. It commeth from a vapour; and there is weight, or from wind, if the hollow part be affected, it is more easily cured.
The Cure. If there be Plethory, opening a Vein is good, that the use of aperients may be the safer, all which are hot. Purge the Body, give aperient means; be the cause hot or cold, give openers, as Succories, Lettice, the four great cold seeds, with other things that are hot. The most useful are Wormwood, Southern-wood, bitter Almonds, also Columbine seed. The opening syrup of Sennertns, of Scholtzius, of Dodder. From what cause soever it came Tartar Vitriolate is good, which [Page 260] Crollius calleth, a general digestive. Crystals of Tartar, Steel. Extream mischief may come from too much use of openers. When the sick hath taken an Opener, let him ly on his right side. Let the Topicals, be aperient also. For. writeth that this following helps miraculously, Take of a Wolfs Liver prepared one dram and half, species of Diarrhodon Abbatis, Diatraganthon frigid, of each half a dram; Rheubarb, Ammoniacum dissolved in Vinegar, of each four grains, dissolve it in the decoction of Dodder; Maiden-hair with water of Fennel, Bugloss, Scabious hops, with Sugar what may serve; make rouls of three drams. The Ancients gave one dram of a Wolfs Liver with Wine, when there was no Feaver; with a Feaver, the juce of Endive, Cremor Tartar, Troches of Capers, of Harts-tongue. Topicals are unguent, Fomentations, &c. The same way is to cure obstruction of the Spleen.
OBSTRUCTION of the Passage of hearing. If it be from a worm slipt in, that must be, if it can be, drawn forth alive with sweet things, as with a sweet Apple [Page 261] roasted, or laying on leaven, Honey. If this do not, we must kill it with juyce of Wormwood, Peach-kernels, Centory the lesse, oyl of Hazle-nut-tree, Philosophers oyl, Spirit of Wine, juyce of the Leaves of Elder, Hemp dropped in, or with Oyl and Vinegar. When it is killed, it is brought forth by pouring in water, Oyl, Wine, or putting in Tents dipt in Turpentine; for it will stick to that or the like.
If they be hard things, to make the Passages slippery drop in warm Oyl; but if the thing swell from the humour, moist things must not be applyed. Sneezing must be procured, the Nostrils and Mouth being shut. If in vain, you must take it out cautiously with Pullers. Pareus moreover with the Ancients, appoints cutting of the Ears, which Aquapendens condemns utterly, as hurtful.
If it be any watery thing, the Antients poured in Oyl, the Ear lying downward; the sick must hop on the Foot on that side the Ear is affected, inclining the Head upon that Ear. If in vain, sneezing must be provoked, or a [Page 262] dry Sponge must be put into the Ear. There is also another manner in Senn. Also it may be sucked forth with the Mouth, a Pipe being put into the Ear; but the Ear must be stopped with Wax.
OBSTRUCTION of the Throat by a hard thing it must be taken out with Pullers, if the thing can beseen. If it cannot be seen, strike the Patients Neck with your fist. More Vomit with oyls, as of sweet Almonds or fat broth. Some bid to swallow down great gobbets. A Wax-candle, or a leaden rule bended, anointed with Honey or Oyl, is thrust in, and the thing is driven forth. Cough must be moved by injecting sowre things. Fab. obs. 36. cent. 1. hath described a fitter Instrument. See Senn. If in vain, you must commit the matter to Nature and Time, and by Topicals emollient Plaisters cause it to ripen: for the Inflammation being ended, the thing is cast forth.
If any thing slip into the sharp Artery when you eat, sneezing is good, strike the Patients back with your fist. If sand fall into the Eye, Clary seed, [Page 263] Crabs-Eys, Pearls, must be put into the Eye; let the Eye be shut under the Ey-lid, and the thing sticking to Crabs-Eys will fall out together. If in vain, take it out with Pullers. Fab. wife took out Iron with a Loadstone.
OEDEMA, is either Phlegmonodes, Scirrhodes or Erysipelatodes.
The Signs are a whitish colour, a soft thin Tumor, the Finger pressing it leaves a print; If it be otherwise, it is from wind. Besides Generals, and the nature of the part, Topicals must not be applyed until the part be first heated by Chafing. It is cured either by Resolvers or Suppuratives or by Section, as also Atheroma, in the Vessel whereof there is matter like Pap. It is more loose, and returns slower; it is not so hard as a Wen, nor so unequal. And that out of which stones, horns and nails are taken, is harder, and resisteth the touch. Meliceris yeilds quickly, and returns. The matter is like to Honey. Testudo and Meliceris are on the Head and Skull. That which is called Talpa, differs from Testudo only by hardness, and belongs to Atheroma-Natta [Page 264] ost times is bred in the Back, the Shoulders, and belongs to Steatoma. Lupia. Pareus cut a Lupia from the neck that weighed eight pound.
OSSACRUM excoriated, is cured. Take Sheeps suet, Cream of one night, of each one dram; white chalk, half an ounce; mingle them, or add oyl of Roses or Quinces what may suffice. It is prevented, by rising with a cord hanging over the Bed; let the parts be born up with a hollow pillow; lay on linnen osten anointed with unguent of Roses.
PAIN is the action hurt, or the sensitive Faculty, a sad sensation.
The Cause. It is no distemper, as appears in Section, extention, nor dissolved unity, but when as of one thing there is but one next cause, solution of continuity is made from heat, cold, drieth, with and without matter; but not from moisture alone: from extension and a Malignant humour:
The Cure. All things that gently affect the sense of the part, take away the pain, as Arodyns: the pain is not felt, [Page 265] but the cause: or they take away the distemper of it; so cold things take away heat: or they evacuate the matter, as Cuppings purging, Topicals: or they tame the malignity as Aegyptiac: or take away the feeling as Narcoticks.
Question. Whether heat of the Aire can cause pain in a Nervous part, as in the Ear? I deny it: because the ambient air is alwaies colder then the heat of the Brain.
Whether Pain attract? Laur. denieth it: because Nature should more hurt then profit, but the humours more easily fall down on the part weakned, and the part weakned cannot discusse the humours.
PAIN of the Loins; In Feavers it proceeds from a diseased cause, sent into the large Veins of the Loyns.
The Cure. opening a Vein, Cupping, Unguent of Roses, &c.
PILES of the Fundament, are of two sorts that are outwardly, and but one internal from the Vena porta.
Differences. They are either open or blind in the Fundament or Intestin, or the sphincter. The blind are either [Page 266] bladders from fleam, or warts from melancholick blood, or Grapes, or like Mulberries called Mariscae. The Pain is not in the Veins that want feeling, but in the adjacent parts from distention.
The Cause is, the opening of the Mouths of the Veins provoked by gross burnt blood, hot Purgatives as Aloes: they that deny this are worthy to be whipt. The internal Piles cannot be searched but by Speculum ani.
Prognosticks. Aph. 11. s. 6. In the pain of the Piles, if there be not present help, there groweth Inflammation or an Ulcer. The blind swelling Piles, unless they swell mightily, and cause vehement pains, it is best to commit them to Nature rather then to open them. Great effusions of blood are from the outward Vein.
The Cure. The blind Piles if they swell, we must take care to void out the blood, Chafing with sharp things, with leaves of Mercury, Pellitary, Borrage cold, with juyce of Beets, Sowbread, Centory the lesse; yet lest the pain should increase, we must add Anodyns. [Page 267] Oyl of Elder, and the liquor that is made of the flowers of Mullens in a glasse set in the Sun is great help if you anoint them with it. Pilewort, the lesser Celandine inwardly, outwardly worketh marvelously.
But if the pain be great and there be fear of Inflammation, open a vein in the Arm; after that in the Ankle, if the pain cease not. After the opening of a Vein set on Leeches; when they are fallen off, let the blood run till it stop of it self: or let the sick sit over a Bath of hot water, by the vapour whereof the blood is moved; let a vessel swim in the water to receive the blood: or let it be drawn with a Cornicula. The pain is appeased with cooling Axodyns, both injected & applyed: Also with Moistners, chiefly oyl of Violets injected to one ounce. A certain woman applyed the ashes of burnt Cork with the yolk of an Egg, & oyl of Roses mingled; and it was miraculous. Section is not safe, because it will easily ulcerate. Purging by Hiera will provoke heat and Tumors in the Fundament, and the Piles. Solen. Also Chafing of the neather part. Fume [Page 268] of Mother-wort boyld in Wine: the same. But if they were never wont to run, nor there be hoeps that they will run, we must use means (premising Generals & Purgatives of the second sort, For.) that they may dry up by digestives and driers, as with Bole-armenick, Mulleus, Pilewort, Plantain, Yarrow, Hypericon, Scabious, Dogstongue, root of the lesser Celandine, in Fomentations, Insessions, Vapours, the smoke of Brimstone; Onions boyled with Butter. Amatus when all other remedies failed, took an Orange made hollow, filled with oyl of Roses, and Lavender-seed upon hot embers, and laid it on hot, and oft times renewed it. If they run but little the ways must be softned, and Aloes must be given. If they run too much, the cure must be with Revulsives, Alteratives, Astringents. Prevention is by Purgatives, &c. Rulandus stopt them on himself with little red bags applyed by turns, filled with Acorns beaten, or Oke leaves boyld a long time in Wine.
Senn. observed; so did Plat. and Fern. that oft times without blood or pain, [Page 269] snotty and whitish filth, which some falsly take for putrefaction, was sent forth for a long time after long melancholick diseases riding. The matter is made of corrupt blood as the Whites in women are, like to whites of Eggs. See Topicalls.
PILES of the Matrix. As in the Fundament, so in the neck of the Womb Piles are found: if the Veins in those parts are extended, they are found out by Speculum.
The Cure. Generals premised, the pain must be abated every way, by Insession, &c. If the pain be not, or abated, if they bleed not, but swell, the Ancients did only Scarify them; but rather let them be dryed by Generals, and by Driers, If they swell much, we must use means to evacuate them, by Softners in form of vapour, and by Chafing, setting on of Leeches: The last means is Incision, which yet is dangerous.
They are painful and by their pain alone are they known from the Courses.
FRENCH-POX, is an occult [Page 270] disease of the Liver and the other parts: whether it be cold or hot, with plenty of naughty humours, it is bred from unclean copulation. Fiorav. saith, it was bred from eating mans flesh. Leoninus from the Stars, and moisture, in the year 1493. Others say from a Leprous man lying with a whore. Hurtenus l. 6. de Guai. thinks it was brought from Spaniola.
It is cured, 1. By Guaicum, China roots which want smell and cast, and are not hot, Sarsoparilla, leaves of Saponariad as, Take bark of the wood, one ounce; pour on water six pound. Zwinger op. 234. or, Take shavings of the wood, one pound; the bark, one ounce; infuse them in ten pound of pure water, boyl them till three parts be wasted, Laur. With the froth kept, anoint the Fore-head, the Temples, &c. Drink every morning, eight ounces. To the reliques add of the wood two ounces: water, twelve pound; boyl all to five pound for drink. Boyl the dregs again, to wash the Hands &c Fore-head. 2. By Quick-silver, which Senn. thinks to be hot. See Fern, Laur. Par. who acknowledgeth [Page 271] two parts to be in Quicksilver, which thing Senn. rejecteth. It is poyson, though quick; it doth lesse harm, because it soon runs through. It is pressed through a Rams skin, then it is given to a Dog who shits it forth; it is cooked in Vinegar with hearbs for the Nerves. Senn. thinks this profits little, with Hogs grease, &c. Let them stay on the skin, and not peirce so deep to the bottom. Take Hogs grease, six ounces; fresh Butter, three ounces; oyl of Worms and of a Fox, of each one ounce and half: boyl in these Sage, Rosemary, &c. Quicksilver prepared, six ounces, Wax what may suffice: anoint the insides of the Feet & Hands, and the Joynts and back, lest spitting should cause Ulcers in the Mouth. For. prevents that with a Gargarism of oyl of sweet Almonds. When you are anointed hold a gold Ring in your Mouth: give Pills of gold dust, so the reliques of the Quick-silver will stick to the gold: Mercury doth not cure the disease, but taketh away the cause by a Purgative quality. 3. By Plaisters. 4. By Fumes, which way is the most [Page 272] dangerous: as, Take Vermilion, one ounce; Mastick, Mace, Tutty, of each two drams; Benioni, Myrrh, Storax, Frankinsence, of each half an ounce; make them up with Turpentine, and take a fume of it. If an Infant be affected, the Nurse for five days must preserve her self with Treacle water, let her alwaies wash her Nipple. The pushes of the child must be anointed with Unguent of Elecampane and a little Mercury. Paercus for the Plague and spotted Feavers, used an ointment with Mercury. If they refuse the decoction of the wood. Take Sarsaparilla, three ounces; Bark of Guaicum, one ounce; Cinamon, one dram and half; Senna leaves, half an ounce; Sugar, six ounces; make a powder: the Dose is half a dram. The quantity of Senna is variable; Let him sweat in the morning upon it own hour, and beware the North wind. Monav. cp. 242. and Zac. l. 1. bist. 72. holds the Spanish disease to be well known, and to proceed from too much Venery. Unguent of Mercury must be new made, for by fermenting it looseth its Porces. Par. l. 20. c. 5. [Page 273] holds that the Pox is poyson by it moisture only. Let not the diet be thin to lessen the Forces, because the disease is chronical; only in acute diseases which are short, a thin diet is profitable. Small Wine is allowed. Vehement motion hath cured many. Out of Guaicum, oyl is not distilled; a Spirit, with difficulty, An extract is made with a convenient Menstruum.
PIMPLS Red. They proceed from a vapour of burnt blood; The best Remedy is, water of Pilewort, distilled from the whole plant, Costus, Colewort seed, and Paints.
PISSING Involuntary, proceeds from the resolving of the Bladder and the sphincter Muscle, stopping of Urine is only from resolving of the Bladder. Solenand. commends as a secret the powder of a Cocks Throat broiled, raken with red wine, or soaked in Posca, about night: also the Testicles of a Hare burnt are commended.
PALPITATION of the Heart; comes first from something troubling the Heart, from vapour, humours, water collected in the Pericardium, the [Page 274] Stone, &c. 2. From some small defect of Vital spirits. 3. From preternatural heat increased which oft times hath broken the Ribs. See Fern. For. saith, the cause is hot or cold. Galen saith, in his time they all dyed before sixty years.
Signs. If it be from wind, the fit is sudden, short. If a humor be the cause, it is longer and slower in coming: It comes often from Hypochondriacal Passion, and stopping of the Courses. If it be from water, the sick say they swim in water.
The Cure. In young Men, or in declining age, opening a Vein is good, and evacuating the cause. The cause is discussed with oyl of Citrons or true Rhapontick, two scruples; that which followeth is a secret of Forestus. Green Balm bruised, laid on fire-hot Tyles, sprinkled with Rose water and Vinegar, laid to the Heart. Conserve of Balm, Treacle, water of Harts heart, or an Ox, is Rondeletius way.
The PAPS. If they ly hid, they are called forth according to Amatus, with a glasse Vial, that hath a straight Mouth, [Page 275] which being filled full with scalding water, the water poured forth again, it is laid hot to the Paps.
The PALSEY is made when the Nerves are either cooled or moistned by fleam, choler; for all Choler is not sharp, as appeareth in those that have the Jaundies; for either their Forces are laid asleep, or pressed by weight by a melancholy humour, or their continuity is dissolved.
Prognosticks. If a Member with the Palsy be made less, it is not, or is hardly curable; But if it should proceed from cold or a humour, the disease cannot be so violent, nor would it resist the most vehement Remedies, and those that are Cacochymical should be Paralitique, Nor yet from dryth, for so hectical people should be Paralitique. If the feeling cease, the motion remaining sound, then the Nerve, which is fastned into the Membrane of the part is affected, that being safe which goeth into the fl [...]sh.
The differences, Weakness differs from the Colick, and from the Palsey, because in this the Head and marrow of [Page 276] the Back, in that the Limbs only are affected as the cure sheweth; for medicaments are laid to the part affected, and the Intestins. 2. In that there is oft times great pain, and it goeth oft into a Convulsion. 3. That is cured at first in a short time: the same is the condition of a Palsey, Scorputick, only that in those that are sick of it, there remaineth some motion, and soon goeth away and returns. The cause of weakness is often Cholerick and raw; it cometh not from the Head, because that is seldom affected in the Colick, nor would the Colick cease; But the very same matter is carried through the Veins into the Limbs, as a Pleuresy comes from a dysentery stopt.
But Erastus saith, Wherefore should not nature provoked by Clysters, rather cast forth the matter by the Belly?
Answer, The Passage is not free. Spiegelius will have it done by the Arteries, and by them the purgative force of Clysters is carried to the Heart.
The Cure. If it be from fleam that must be evacuated by Generals, taken away by Topicals. The same cure is for stupidity. Topical Resolvers.
If it come from a sharp humour, as from the Colick, in the Scurvey, in that we must not dry so much, nor respect the Brain. Generals and Topicals are all useful. Monav. ep. 242. saith, that this that followeth is good in weakness. Take the fat of a Gray, a Fox, a Hen, a Duck, a Goose, a Stork, of each one ounce; juyce of Sage and Wormwood thickned, of each half an ounce; oyl of Bays, one ounce; anoint after Bathing. Specificals are, Marigolds, Lavender, Berries and shavings of Juniper, Meadsweet, Primroses, wine of the infusion of Marigolds, Lavender for one Month, one or two spoonfuls; It must be set in the Sun at an open window. If it come by way of Crisis, the Flux must not be stopped.
In the Palsey of the Tongue, after Generals, For. opened a Vein under the Tongue: Cupping glasses without scarification must be set under the Chin. Vomit is not good. Gargarisms must be first attenuating, then add such things as draw fleam. Cauteries to the Neck. The juyce of Sage alone rubbed on the Tongue, recovereth the speech.
In a Palsey of the Weasand, soft things can hardly, but gross things may easily be swallowed.
In a Palsey of the Bladder, add torrefied Turpentine, Trochis Alkekengi, without Opium. An astringent fomentation to the neither part. A Potion of the roots of Cyperus, Galanga, of each two drams; Lignum Aloes, sweet Calamus, Cypress nuts, Balaustia, Pomegranate Pills, Myrtils, Acorn cups, roots of our Ladies Thistle, great Comfrey, of each one dram; Galls, Frankincense, seeds of Agnus Castus, Rue, of each one scruple; &c. If all fail, use this that followeth approved. Take Acorns, I ounce & half; Galanga, half an ounce; boyl them in 2 pound of red Wine and Smiths water; Frankincense, 2 drams; boyl & strain & drink them. Topicals. If the Yard, it is cured with a Fomentation of a Ly, of the ashes of a Hart and Buls pisles. Foment the Spondils. Prescribe such things as take away barrenness. If the Fundament, use drying Clysters & astringent; apply Cupping glasses to the Buttocks. Make Fumes of the bark of the Pine-tree, one ounce; [Page 279] bark of Frankincense, half an ounce; Pix, Colophonia, Frankincense, Mastrick, of each three drams; Castoreum, one dram; shavings of Harts-horn, half a dram.
If it be from a fall, apply to the part Coolers, Astringents, for fear of Inflammation, and hot Resolvers.
If it be with wasting, Topicals and Internals must be moderate.
The PESTILENCE. The Cause is divine, Hipp. Which Erastus ep. 275. affirms to be a hidden quality of the Air. And Ep. 269. he saith purrefaction is the cause; not in making, but already made, which cannot be corrected by altering, but must be taken away by evacuating.
Signs. It infects many, is contagious, it suddenly casts the Forces down, the Pulse is deadly, a Feaver, Small-Pox.
Prognosticks. To be well in mind, and the appetite to remain, is good. If Vomit be absent; other signs are deceitful.
Differences. If it proceed from infection of the aire, it is very contagious, it quickly killeth; few have Botches, or Pushes breaking forth. The Urine is like to sound mens; there did precede [Page 278] [...] [Page 279] [...] [Page 280] signs of the Aire affected, for Beasts have died, Fishes, they have left their dens the waters, being half dead, &c. If it come from corruption of humours, that is known by the signs, there are Spots, Botches, Pushes. The Urine is naught, a vehement Feaver afflicts, also a Tertian, a Quartan intermitting, witnesse Pareus. l. 21. Those that are scabbed are lesse troubled with the Plague. A Botch to go before the Feaver is good; to follow, naught. The Moon decreasing is deadly; for the Terms come forth weaker. Arist. l. 7. de H. Anim. c. 2.
Preservatives. Chambers must be clean so much as we can. A sign of this is, If Eggs shaked, be not corrupted and stink in 24. hours in a place infected, or new Bread from the Oven. So if shaked Eggs be put between him that is infected, and one that is sound, the Eggs, but not the sound party, will be infected. So to those that are about to dy, they put hot bread to their Mouths, that the Chamber may not be infected. 2. Let the Body be cleansed with moderate Purgatives, and such as expel [Page 281] poyson, as Agarick, &c. By convenient Diet. 3. We must preserve by taking Antidotes, as Pills of Ruffus, half a dram; yet in old men, childing-women, and such as have the Emroids, cauttiously. Elixar vitae of Paracelsus▪ For. commends this following, even for Infants every day so much as a nut. Take Nuts, Figs, Rue, of each alike; beat them severally in wooden Vessels. Mingle them with syrup of juyce of Citrons, it is very good. Also this that followeth is to be taken to the quantity of a small Nut. Take confection of Nuts, one ounce and half; old Treacle, Mithridate, of each two drams; right Bole-armenick, Terra sigillata, of each one dram and half; with syrup of Lemmons, or in Winter, with syrup of Citron Pills, mingle it. He gave it in the Winter with Wine, in the Spring with Carduus water, or Scabious: in Summer with Sorrel water; Sometimes he added half a dram of Confectio Liberans. Every morning he washeth the Face, with water and Vinegar of Roses, with a sweet Nodulus. An unguent for the Nostrils, as oyl of Scorpions, [Page 282] to anoint the Wrists, Temples, Heart, Nostrils. Troches to be held under the Tongue. A little bag for the garments. Epithems Fab. obs. 34. c. 2. Monavius ep. 248. approves the powder of Arsnick, Toads. Crato is against it, Ep. 167. In the Pestilence at Lausanna, none died that had an Issue. Fab. had two c. 4. obs. 23. We must anoint under the Nails, the Arm-pits and Groins. Bags must be kept in the Wardrobe of cloths.
The Cure. To open a Vein is not good, if the Plague arise from contagion or fault of the air; If twelve hours be past, if there be spots, a Flux or Botches; otherwise before the eighth hour, giving first a Lenitive Clyster, you may do it. When there is a Botch or Carbuncle, draw blood on the same side, setting a Cupping glasse to the Botch, lest the venom be drawn inward. Fern. opens the Head Vein in the Arm if the Carbuncle be under the Arm-pits, the Liver Vein of the same side; if it be in the Groin, Thigh, Hip, Leg, Ankle, with scarifying and cupping, yet he alwaies did it before eight hours. After [Page 283] two hours he gave an Antidote; if it were vomited up, he gave it again. He purged not before the third, oft times the fourth day, with Lenitives as Rheubarb, Agarick, Epithym, &c. Cassia is not convenient by reason of its moisture, nor Rose water for its Astringency. To drink cold water in the Plague and malignant Feavers is deadly. Let them eat lustily though they have no stomach. The first day he will not let them sleep; on the second and third he willingly provokes it with unguent Populeum. Senn. Once he moveth sweat, after he opens a Vein if need be. All before eight hours past. Par. commends salt of Mugwort. If spots comes forth, Paraeus anoints the sick with Quick-silver, as if they had the Pox.
PTHYSICK. It either followeth the Pleurisy, or it proceeds from a sharp Distillation, or the breaking of a Vein. See Aph. 16. s. 7. Rondeletins holds it commeth most from the third cause, by ignorance of the Physitian, who neglecting Revulsives, will cure spitting of blood with Astringents. There is a lingring putrid Feaver joyned [Page 284] with it, or a Hectick, from an Ulcer of the Lungs, which lasts sometimes twenty years.
Signs of the beginning of it are a long during Cough, then something bloody, then mattery is cast forth, the Body wasts, there is a lingring Feaver, hard breathing, matter coming forth by Coughing, the Hairs fall, &c. How matter is distinguished from fleam; See Aph. 81. s. 4. 11. s. 5.
The Cure. The cause must be purged by Rheubarb, &c: and Lenitives, not strong, Clysters; It must be revulsed, intercepted. The disease or the Ulcer requireth detergents, and Mundificatives, or Expectorating means, (for the spittle must be bound up no way) afterwards we must glutinate. Fracastorius comendeth a Lohock of Turpentine with Myrrh and Bole to be miraculous. Laur▪ the juyce of ground Ivy, half a pound; Sugar, six ounces; make a syrup, let him take often with a spoon. Water of Alehove with Sugar of Roses. To use old conserve of Roses, or Species Haly against the Prhysick. Erast. ep. 272. saith, that all who had an Ulcer in [Page 285] their Lungs, though it were not discerned, yet they died by the use of Vitriol waters, Conserve of Roses must be often given in great Doses. Vulnerary Potions, as also the decoction of Guaicum, China, are much commended, unless there be a Hectick Feaver. Fumes are good taken at the Nostrils. (See Cough) Also the smoke of Tobacco. Topicals, let him often take Conserve of Roses, or a little preserved roots of great Comfrey. For. giveth by turns, things to expectorate, and glutinate, and at last remains upon them that consolidate.
PRIAPISM, is a stretching of the Yard without lust, and it is not asswaged by Venery. It is cured as the Fury of the Womb, with Mints; Especially with the root of water Lillies, by hunger, Vomit, Chafing of the upper parts.
A PUSH, A Fellon, differs from Phlegmone, by the smallness, blood, thickness, it suppurateth of it self, it paineth, is an acute little swelling. It is cured by suppurating medicaments; after that, by Sarcoticals.
Psydracia, are red Pushes of the Forehead, and the Head. They are cured with Driers, as with white Chalk, with juyce of Housleek, and with Vinegar and Lytharge, Ceruss and oyl.
Phlyctenae, called wild-fire, they are little blisters from a yellowish matter, and sharp, they last to the fourth day. Besides Generals, Topicals must be Coolers and Moystners. They are opened with a Needle, the Ulcers must be dryed.
Pushes of the Cornea, are cured as Ophthalmia.
All these comming again are most dangerous, because they set upon the Forces, cast down by the former matter▪ because those that grow well, require much nourishing, and diseases returning require slender Diet, we must deal warily here, and rather fight with medicamentary aliments, then with Medicaments.
POYSON, must alwaies be brought out the same way it went into the Body. Opening a Vein, purging, have no place before the third day. All unctuous things, as Oyl, Butter, &c. are [Page 287] good. So Causticks will not ulcerate the part anointed with Oyl. If it were taken by the Mouth, the first care is to cast it forth by Vomit, with fat things, adding Antidotes against Poyson. If it be got to the Intestins, then cast in fat Clysters, or give Purgatives with Antidotes, as Scorzonera, Citrons, Sorrel, Agarick, Aloes. Lastly, give Specificals. Outwardly on the Arteries beating, anoint the oyl of Caravita, often proved: the Basis is Hypericon and Scorpions, hide it in a hot carcase. Sweaters. Milk for meat. If it were communicated outwardly, let it be cured as these that follow: so if one have taken Cantharides sublimate, or the like, use injections, drinks, decoctions, Baths.
Topicals and all Internals must be Coolers, Moystners.
If it be the biting of a mad dog, close not the wound before fourty days, but as often as it would cicatrice, keep it open with ashes of a Vine or Fig-tree. First of all, make hard Ligature above the wound, that the poyson spread no further. Secondly, Call it forth: wherefore let the blood run out largely, scarify [Page 288] the wound, and enlarge it by cutting, set Cupping glasses to it: also other Artractives; to which always add Theriac, juyce of Hypericon, &c. as Doves-dung, Urine, Pickle, Ducksgrease, Aqua vitae, Wine, Vinegat, Salt, old Treacle, Mustard. Wash it with most forcible Chafing, Garlick, Onions, Leeks, Rue, Germander; hot Fowls dissected laid on hot: but nothing doth so much good as an actual Cautery, so the Poyson be not sunk too deep into the Body. The Eschar scarified deep, must not be removed by oyly means; because they hinder transpiration. Fab. obs. 87. cent. 1. old Treacle dissolved in Aqua vitae surpasseth all Remedies. Par. with this wash the part strongly, and let linnen cloths wet therein be laid to it, on which lay attractives. Sorrel, sharp Docks beaten, and laid on, the juyce, the decoction is good. Use these till the pain, and various colour cease, and laudable quitter be made. 3. Specificals, also Coolers must be given as cause shall be. With Galen, above all is the ashes of burnt river Crabs, two spoonfuls, with one spoonful of the [Page 289] powder of Gentian root, and strong Wine. Cauteries after the third or the seventh day will not do good. An Issue is profitably made on the place affected.
If it pierce to the inward parts, we must purge forcibly by Hellebour: also by Antimony, saith Paraeus. Wash all the Pulses every six hours with oyl of Caravita, which they of old called the oyl of the great Duke of Hetruria, or with the oyl of Scorpions of Mathiolus. Pliny above all, commends the root of the Eglantine, Eat Garlick, Diaphoreticks are most profitable; Bird-lime of the Oke, the wood is most effectual, taken or applyed. If madness be at hand, lay Sinapisms to the Arms and Thigns. Give Antidots in a double Dose, whether they will or not. Sleep must be avoided, till the force of the poyson be broke. Let them eat their fill. They that come to fear the water are past cure, unless they know themselves in a glass. A mad Dog seeing the water, is afraid of it, other dogs fly away; If they be taken, they fawn on him. If a house-Dog refuse to eat or smell to a piece of [Page 290] Bread sineared with the filth of the wound, the Dog that bit was mad.
RENUNCIATIO, is called a great wound, 1. For the greatness of dissolved unity. 2. For the principallity of the part. 3. For the ill custome of the Body hurt. Let the Chirurgion suspend his judgment until the ninth day, lest he be deceived.
RINGING in the Ears. The cause is some matter sticking in the Ear that moveth the Faculty. Oft times it is wind lifted up from divers parts.
The Cure varieth. Generals premised, some bid take the Fume of Hemlock-seed boyled in Vinegar, Fumes of Vinegar, and the vapour of it with one Gall. Some apply hot bread sprinkled with Spirit of Wine to the Far, resol [...]ing oyls, sneezing before supper, and in the morning apply Topicals; for when they are fed, the head is filled.
STONE of the Reins.
The cause is Tartar, a andy and stony constitution of the Reins. Fernelius faith, a driness of the Reins; Platerus, heat. Also Venery, exercise presently [Page 291] after meat: Meat, Ayre, Drink, Concoction hurt.
Signs diagnostick. A burning and painful making of water, snotty Urine, Belly stopt. Fab. obs. 63. c. 1 Sense of pain in the Glans. obs. 66. c. 1. Astonishment of the Leg on the side affected; because the Muscle Psoas is pressed, or the Nerve of it, there is Nauseating, and Vomiting from the Nerve of the sixth conjugation. It is distinguished from the Colick pain. 1. Because in the Colick, the pain is most acute, because the pain is extended above the Reins. 2. Pain of the Colick is moveable; of the stone, fast. 3. In the Colick, rather the Belly; in the Stone, the water is stopt. 4. The Nephritick pain, by reason of the Ureters descends oft times to the Testicles, but in the Colick not so. 5. The Colick is most commonly sharpest on the left side, by the straightness of the Colon there.
The cure. In the Paroxysm, cast in an emollient Clyster, evacuant; or give such a Potion of Bolus, &c. 2. If the Body be Plethorick, open a Vein in the Arm; but if it flow to the part [Page 292] affected, in the Ankle. 3. We must use all emollient internal means, and external, as a Cataplasm of the leaves of Pellitary, Mallows, beaten and boyled with the Mucilage of Linseed, Fenugrec, a Bath of Marshmallows, and a Semicupium of softning things. Internals are syrup De Althaea Fernel. Also that of Eorestus so much approved.
Take seeds of mallows, Marsh-mallows, of each 3 drams; red Chiches, 3 drams; the four great cold seeds, of each 2 drams; hulled Barley, 2 ounces; far Figs, 12; Sebestens, 7, scraped Licoris, 1 dram; boyl all in four pound of water to two pound.
Crato applyed Crab-fish boyled in Milk, Milk with crumbs of Bread, or:
Take juyce of Purslane thickned, one dram; Gum Arabick, half a dram; make Pills. The Passages thus loosned, give Diureticks to the Patient, sitting in a Bath, that the Stone may be moved. Crato used this that followeth.
Take Marsh-mallows, 2 drams; great Raysins stoned, 3 drams; Veronica and ground Ivy, of each one Pugil; boyl them, and give a draught thereof:
Or another of Turpentine, &c. If this be in vain, give such things will break the Stone, as blood of a Goat, or of a Kid hot, applyed outwardly, also oyl of Scorpions. The Patient must ride two miles upon a trotting horse, or must go up many stairs till he be weary, having taken a Diuretick, or chafe him from above nether-wards with oyl of sweet Almonds; set on a dry Cupping glasse to his Reins; then a little lower, & then one & another obliquely even unto his Groins. But when the pain is extream, they must nor be used. This must be done until the Stone fall into the Bladder. Paraeus L. 16. For. Lib. 14.
STONE of the Bladder. When the Stone is fallen into the Bladder, the pain abates. Therefore then, if the Forces will endure it, the sick must ride, or go a journey on soot: also he must drink freely, and forbear to make water after it as much as he can, that the water being augmented, the Stone may be driven forth with it. In the mean while outwardly and inwardly Diureticks must be applyed. When in is come into [Page 294] the Ureter we must be careful that it get not back; but with the Fingers it must be brought to the utmost Glans, the Passage being made slippery; if it stay in the Glans, it must be pulled out with Hooks; if that be in vain, it must be bored out with a piercer included in a Pipe. But if it be far from the Glans, and can by no Art be got out, then the Yard must be cut on the side with a straight line: nor above, because of the Vessels; not beneath, for it is a Membranous part: In the mean time the Ureter must be tyed with a Thread that it get not back again, and the fore-skin must be drawn out as much as may be that it may cover the whole Glans. Incision being made, and the Stone taken forth, the skin must be let go again, that the whole skin may cover the Yard that is cut; for so the uniting will be the easier. The last remedy is cutting for the Stone. See Senn. Paraeus Chirurgery, I. 16 The extream means are Narcoticks, but warily exhibited. Crato ep. 121. cured the greatest pains, discussing the winds by Clyster; the heat of the Bowels being increased, he so anointed [Page 295] the Navel with oyl of Turpentine, Juniper, Nutmeg; the Stomach with only oyl of Nurmegs; he gave by the Mouth the decoction of Veronica with Wine, or the decoction of Turneps, with Sugar-Candy, Butter, or Oyle of sweet Almonds; but the shell must be taken off, and the water of the first boyling must be thrown away; he anointed also with the water of whites of Eggs.
Fernelius saith, that all Stones of the bladder come from the Reins, because al slimy matter is voided from the Bladder by-Urine: wherefore every Stone of the Bladder, if you break the shell, there is a Kernel in it that was wrapped up by it, it is of an ash colour, and rough. Fab. cent. 4. obs. 5. see Hist. of Guilh. Laurembergius, who cured a Stone of the Bladder with Medicaments. Senn. l. 3. p. 8. s. 1. c. 2. Waters sent to the Bladder by a Catheter can break a Stone there, and one may make tryal of it by stones taken out of the Body.
The SHINGLES, rise from yellow pure thin Choler; it eateth because the choler is sharp, it causeth small [Page 296] creeping Ulcers, and excoriations that are not deep with wanness. Some call it Formica, but not properly.
The Cure is by Generals. The continent cause must first be cooled, as by Lettice, &c. It sheweth, when the heat is abated, digestives, discussives, which are useful. If there be Pushes, the Coolers must not be moist but dry, as Willow leaves, Knot grasse. Aquapendens used this following; Take the juyce of Tobacco, three ounces; yellow wax, two ounces; Rosin of the Pinetree, one ounce and half; Turpentine, one ounce; oyl of Myrtils what may suffice; make a Cerat▪ For. applyed leaves of Colts-foot. Paraeus found unguent of Elecampane with Mercury to be a sure remedy. The oyl of Birch branches dried, collected in a pewter vessel is commended. If it spread daily touch the edges of the Ulcers with the oyl of Vitriol or with Aqua fortis: So Pareus cured uncurable Ulcers. Par. l. 6.
SHIVERING. It differs in degree from vehement cold. The Subject is the Muscle. The Cause, the expulsive [Page 297] Faculty moved: and so it belongeth to the Symptoms of the natural Faculty; but because the animal faculty riseth up also to expel the mischief, it is referred to animal Symptoms. Gal. and others make the remote cause to be cooling, and the motion of the influence of heat from the Center to the Circumference, and contrarily; but in vehement cold stirred up by Choler: also where sharp things are put into an Ulcer, or a spark falls upon the Body, vehement shaking goeth before cooling. Therefore the cause is some troublesome thing suddenly rending the sensitive parts in the circumference of the Body, and stirring up the expulsive faculty. The opinion of Galen is sometimes true. In Feavers, extream shaking cometh from the rending of the sensitive parts, as of the stomach. &c. yet so that it draweth into consent the parts in the circumference of the Body: as also by the vapours sent thither.
Cure particular is not requisite for this, for it followeth other di [...]eases. In Feavers the back must be anointed with hot things, as with oyl of Camomil.
SPOTS natural, according to Senn. are bred from imagination of the Mother. Par. l. 23. they are made from a part of the menstruous blood, sticking yet to the sides of the Matrix, from a fresh Flux, or from a kind of dew distilling out of the Veins before the time: the greater sort incurable, also those that are like Warts, and wan; they are to be washed with the blood of the secondine, also with the Courses, or the Mothers fasting spittle.
SPITTING often, is of that spittle which is bred in the first concoction, and in the third, in the Brain and which falls upon the Tonsils, it is concocted and voided by the Mouth: sometimes it is sharp, sometimes white, &c.
The cause is fleam from the Brain or stomach, chiefly falling in the morning: it comes not alwaies from cold, but oft times in diseases from burning heat; It cometh also, especially that which is made after meat, from affection of the Hypochondres, & the Scurvy; It oft times preserveth from diseases.
It is cured, if the cause be taken away [Page 299] as the Catarrh, by Dryers and Evacuaters.
SAHAFATI must not be cured in an Infant, for it preserveth it from the Epilepsie; yet if we must do something, let the Nurse be purged gently: wash the Head with decoction of Mallows, Borrage, Barley; this being done, lay on warm Cabbadge leaves anointed with Butter, or of Ivy; also the leaves of Orache anointed, or roots of Marshmallows boyld in Boys urine: Topicals are allowd, or the juyce of Fumitory▪ Scabious, Elecampane, Lytharge, oyl of Nuts, Hogs grease. For. hath an infallible remedy for Boys and Infants, Take the yolks of Eggs roasted hard, sixteen; Myrth, one dram; root of Cuckoe pint, half a dram; black Hellebour, six grains; fry them in an iron frying pan, without flame until they froth, then presse out the oyl, and fry them so often and presse them out till they will froth no more, cast away the dregs, and keep the oyl in a close vessel for your use.
In those that are of years, it is cured by Digesters and chiefly by remedies [Page 300] that evacuate fleam and melancholy. Till these be often used, Topicals are not good, which must be to soften the crusts afterwards the juyce or decoction of Fumitory, sharp Dock, Celandine, Ivy leaves, Scabious, Bean-meal. Galen only used burnt paper soaked in Vinegar, and anointed the part affected, and so cured many, Urine, Brine. For. puts this following for a secret. Take Salt butter, Hogs grease, of each one ounce; Brimstone, half an ounce; Quicksilver killed with spittle, one dram; (a certain Boy was killed by Quicksilver laid to his Head) and Vitriol, one scruple; then Butter, Hogs grease, Brimstone must be melted a part in a Mortar: then add the rest. Cresses fried or beaten with Hogs grease. Lastly, it is cured as the Small-Pox, with the the decoction of Guaicum, fasting spittle, with liquor dropping from green wood in burning: Plum tree Gum, things that expell the matter, or Carduus Benedictus and Harts-horn are good. Balsam of Peru, or Turpentine, boyled with water or juyce of Tobacco.
The SCAB. A certain woman did happily cure all Scabs with juyce of Cresces, and Goose grease.
SCIRRHUS is a Tumor which is made of melancholy or natural fleam dried by degrees in the part, and is without pain. Platerus saith, that it may be made from nutrimental juyce, thickned and hardned.
Diagnosticks. It is hard, and without pain, though it be pressed. The colour is wan; if it be from melancholy, it is cold.
Prognostick. That which hath lost all feeling is past cure. They are cured either by resolution or suppuration; this is more rare, and more dangerous. It followeth Erysipelas, Inflammation, &c.
The Cure is wrought by Emollients, we must never moysten, or resolve alone; but either by Courses it must be moistned and dried: or together, as the Ancients warn us. A fume of Vinegar, with a fire-stone resolveth excellently. The antecedent cause must be evacuated.
A SCIRRHUS of the Liver followeth [Page 302] obstructions frequently. It is seldom known, there is an ill habit of the Body, little Urine, without a Feaver; See the rest in Obstruction of the Liver. It is cured as before, ever adding Spicknard, Saffron, Mastick; If the Convex part be so, Topicals are principal, Goose dung, Sarsoparilla, Fern root, Succories Emollients, Steel.
SCIRRHUS of the Spleen, is known by the touch, there is difficulty of breathing, a wan colour, weight on the left side; when the Belly is full, there is straightness about the Spleen. If the Mouth stink, the Gums be eaten; Ulcers in the Legs will not be cured, it is an old Scirrhus.
The Cure. Lenitives premised, Alteratives, Evacuatives, Opening of a Vein is seldome convenient. Aperients are good, to which add Vinegar and Oxymel. Coolers are, Succories, four great Cold seeds, &c. chiefly Fern root. Amatus denyeth Harts Tongue to be good for the Spleen; We must purge by course. For. exhibited this following opener for fifteen days, after the use of Generals, Take Fern roots, half an [Page 303] ounce; of Dodder, two drams; boyl them in eight ounces of White-wine and Beer, to the wasting of a third part; strain it, and drink it at once. The most effectual means is, the decoction of the Tamarisk wood, as Guaicum is wont to be boyled, especially if it be boyled in steeled water. Steel, water of quick Lime, Ammoniacum with Hemlock. See Senn. Some tried waters natural, others drink of the wood: they were preserved from falling further, but not cured; these were made worse I think by too much drying. For. values much the following Topical, Take of oyl of Cappars, one ounce; oyl of Lillies, sweet Almonds, Camomil, fresh Buttet, of each half an ounce; juyce of Bryony, Sow-bread, of each half an ounce; boyl them to the wasting of the juyces, adding Ammoniac dissolved in Vinegar, two drams and half; Hens grease, Marrow of Calves Legs; Mans fat, of each half an ounce: Powder of bark of the roots of Tamarisk, Cappars, Miltworst, Fern root, of each one dram; Powder of the seeds of Agnus Castus, Broom, of each one [Page 304] scruple: a little wax▪ make an Unguent, or a fomentation of water wherein firestone is quenched: Fumes, motion before meat is good. If it be incurable, they are kept alive by Diet, and by purging, in Spring, and Autumn.
The SCURVEY, Which in the year 1486▪ invaded Germany, as Spangenb. saith, is an ill habit of the natural parts, from a melancholik humour, especially corrupted. The Subject, is that hollowness of Spiegelius into which the Liver, Spleen, Stomach unload their Excrements. The fountaine is in the Liver, the Spleen; yet the Liver oft times, and oft times the Spleen hath been safe; The seat are the Veins and Arteries.
The Cause immediate, is a tanateous humour, bred from concoction hurt, either of it self, or by outward error: a watery blood oft times mingled with other things; if it become malignant, is the next cause, if it be not already the antecedent cause, for it is malignant. It is generated by reason of concoction hurt, by things natural▪ not natural, preternatural, and by the volatil salt that [Page 305] is in meats, and ventilation wanting. So Platerus determins, that meat and drink may become blood under the form of vapours. So it is cured by remedies full of volatil salt, as by Scurveygrasse, out of which, if either by length of time, or by boyling, the volatil salt should exhale, they grow unprofitable. Wherefore juyce and conserve are most profitable. So meats that breed the Scurvey, abound with fixed salt, to be cured by volatil; Vinegar makes for this, and meats hardned by smoke.
Signs. There preceeded grosse Dyet, sorrow, which if did precede, there will be no disease but will be joyned with the Scurvey. Signs at the beginning are, willing laziness, heavinesse of the Abdomen, difficulty of breathing after exercise, weaknesse of the Legs with pain, the colour groweth wan, a man seems to grow fat. Afterwards happeneth an itching redness of the Gums, a small Pulse, the water sometimes clear, sometimes troubled; after this stinking of the Mouth, a bloody swelling of the Gums; the Teeth are loose, the Legs have lead coloured [Page 306] spots and purple, specks innumerable. The appetire seldome fails. The sick say they are sound: some on certain days with and without a Feaver are more afflicted. Some are boundin their Bellies, others loose. The Feet are spotted, sometimes they swell, are made lesse. There are Ulcers on their Legs, a crooked melancholy vein under the Tongue. All symptoms of the animalfaculty, Dropsy, Gangrene, oft times Scabs, a bastard Pluresy, bleeding at the Nose, bloody stools, opening of Veins in the Legs. The Jaundies, shortness of breath Wild-fire, heat, pain of the soles of the Feet, noise of the Bones moved, spongy flesh under the Ey-lids. In hard breathing, the sick shew the cause to be under the Diaphragma, red little sands in their urine, also Tartareous matter, pain of the whole Body, pains increasing about the Joynts, pain of the Belly oft times with breach of the Peritonaeum. That pain differs from the Colick, because this, when the Belly is loose vanisheth, the Belly is lifted up. These pains oft times last beyond fourty days; they make hollow the Belly, they [Page 307] pull the right Intestine upwards, so that Clysters cannot be injected but byforce; the matter oft times sticks between the two Coats of the Intestins▪ pain of the Loyns, pain of the Kidnies, the Joynt Gout, with a Small Palsey and a wandring pain. A Palsey growing suddenly, quickly moveable, wandring sudden Tumors, trembling, Convulsion, sudden blindness; suffocation at the first morsel of meat, from a styptick vapour affecting the sharp Artery, and Weason. Vomiting, spitting, heat, sudden redness of the Face, and suddenly down. All scorbutical people have a stinking breath, wandring Feavers, wherein the cold fit oft times dureth six ot seven hours. The Pulse, besides the reason of Feavers is slow, the urines various, Tertians are frequent, oft times without cold. Erysipelas, Ulcers almost incurable.
Prognosticks. A most slow Pulse must not affright us; for it is not mortal by it self in the Scurvey. At first it cured by only changing the Aire. It bath been often mistaken for the Pox. Want of speech oft comes, with a kind of Epileptical [Page 308] Convulsion, from the Muscles of the Larynx contracted. In the beginning of Feavers, oft times Carus groweth, that ceaseth of it self. Swelling of the Knees are hardly cured. It is an ill sign for the spots to vanish without being better.
The Cure [...] Premising a Clyster, if there be Plethora, and nothing hinder, also in progress of the disease a Vein must be opened directly in the Arm with a broad Lancet. For. openeth the salvatella of the left hand; we must oft times open in divers parts sparingly. The spots indicate contrarily: the matter must be altered, and after that, at several times we must Purge gently. It is exasperated with stronger means. Many have been cured without Purging. If with a good urine the disease increase, it is a sign that the Remedies are weaker then they should be; We must open by turns adding Specificals. For. Syrup against the Scurvey, is made of the juyce of Scurvey grass, and Brooklime with Sugar. Senn. Powder of Senn [...] is this▪ Take choice Senna leaves, one ounce and half; Cremor Tartar, [Page 309] six drams, Cinamon, three drams; Cloves Galinga, of each half a dram; D [...]agridium, one dram; infuse for one night two or three drams of this powder in Whey, strain it, drink the infusion, Sweet Milk, the decoction of Brook-lime, Cresces, Mustard seed, evacuations and alteratives repeated, we must give Specificals, as Scurvey grasse, all kinds of Cresses. Brook-lime, which is less hot, & is moist, is good in Feavers; Mingle Scurvey grass with Brooklime it is excellent: Horse Radish, lesser Celandine. The third kind of Howsleek, which is not safe, some only commend. Mustard, Cuckoe pint, Succory, Endive, Sorrel, juyce of Citrons, Lemmons, spirit of Salt, Vitriol, Brimstone, are given most fitly in Whey by reason of their heat. The decoction of Wormwood, Birkmans powder with salt of Scurvey-grass, Cresses, Rocket seed, or spirit of Scurvey grasse, &c. which will take flame as well as spirit of wine, sowre waters; then Diureticals and Diaphoreticks, as Rob of Elder to three drams: then Coroboratives.
Symptomatical diseases, as the Jaundies, Dropsy, Feavers, are never rightly [Page 310] cured, and are often cured to no purpose by Physicians, unless the Scurvey be cured; the fault of the Gums is cured by abstergents, as Columbines, spirit of Vitriol, and specificals in Gargarisms: also by Scurvey grasse water, Brook-lime, Tobacco, Masticatories, powder of burnt Salt, ashes of the tendrils of Veins, Sage leaves, Allom.
The Spots are taken away with resolving Topicals, eating Oranges with their Rinds is very good, Milk.
SPHACELUS of the bones is made either from the contagion of the Aire, or matter, or moist medicaments. It is known by sight, when they grow wan, partly by the Prbe, when no slippery thing, but many sharp things meet with it, and when it easily entreth their spongie substance; yet often times rotten bones are most hard.
If flesh brought over the bone be too soft and fluid, having almost no sense; if out of a wound, the matter run more then it is wont or should run: if the brims of the Ulcer be turned inward: we must first strew in the powder of Orris root, Gentian, Birthwort, Centory, [Page 311] Pine bark, burnt Wax, Myrrh, Ceruss. If it be very great, scrape it off with Raspers; yet Fab. cent. 8. counteth this dangerous, not to be used, but in great rottenness of the bones. He rather obs. 92. cent. 2. strewed, even in children also, with great success, the powder of Gum Thistle very safely, upon Ulcers with rottenness of the bones: the lips of the Ulcers not having any defensative; Whence he collects, that Diosc. was deceived, or else we know not the Gum Thistle of the Ancients: Or if scraping Instruments be in vain, the scales must be removed or taken away by a Trepane, except in the Hip bones, Thigh, Head, Spondils, &c. If it be to no purpose, give a vulnerary Potion, to expect the scaling of the corrupt Bone, and not to force it off: or the scales being ready to fall, hasten motion, but not the falling.
SNEESING overmuch is taken away by Lenitives, Preparatives, Evacuating, &c. by smell of cold things, as Violets, Roses; snuff up the decoction of Poppies, Roses, water of Violets, avoid all spices. The Nostrils must be stopped, [Page 312] the breath held, smell of Bread, smell of opium, of Mandragora root: also sneezing coming upon a mortal disease presageth safety; put your Hands into cold water, snuff up Milk. See Aph. 13. s. 6.
STRANGURY, is wherein the water is made by drops with pain. Dysuria, is otherwise taken for only diminishing of urine, either with or without pain, as before; otherwise, when the urine is not made by drops, and in a due quantity, without interruption, but it is with pain.
The Cause. A sharp humor sticking fast to the Sphincter of the Bladder, as in Tenasmus: also a stone, inflammation, an Ulcer, sharp urine, either of it self, namely when by reason of crudity contracted in the Liver, either the coldness of the Bladder is corrupted, and becomes sharp, or by the mixture of sharp humours: if it be from thinness of drink, exercise; the raw drink is drawn to the Reins, and driven forth. Aph. 44. s. 6.
The Cure varieth as the cause is. If the urine be sharp, we must soften, cool, [Page 313] by Internals, Topicals, Emulsions. For. cured himself and others, when all failed with a decoction of Mallows and syrup of Violets, Whey of Goats-Milk, injections, candle tallow anointed, Nutmegs. The cause of Dysuria is the fault of the urinary passages, not of the Sphincter, also of the Bladder.
STRANGLING of the Womb. The cause is a malignant vapour sent from the Seed, menstrual blood, and other humours sticking in the Testicles and the Pipe. Fallop. his Pipe, and the Testicles; when these hang down, that being light, and stretched by wind, they often ascend upwards, and are taken for the rising of the Mother, which is alwaies fast bound. This is proved by the observation of Riol. Also oft times the Body ascending, is known by the touch, and is mistaken for the Womb. Three Symptoms urge, swooning, suffocation and Convulsion: and sometimes this, sometimes that: sometimes lightly, sometimes grievously torment them.
Signs. Weariness precedeth, a sad look, they are easily taken with horror. [Page 314] It is cured by putting stinking things to the Nostrils, and sweet things to the secrets. It differs from swooning, because swooning is more sudden, the Pulse is small in strangling, as in swooning, there is a cold sweat, they are often joyned. Swooning lasteth not long, suffocation sometimes for three days. They must not be buried before seventy two hours past; for in that time all the humours absolve their motions; put a feather to their Mouth, a dish of water to their Heart, or a glasse to their Mouth, Sneezing Remedies are more certain.
Prognosticks. It afflicts most in Winter, sneezing is good, cut them not up before seventy two hours. Vesalius learned this by his own example, witness Par. l. 23. 46. yet in his Ep. 30, and 31. he saith, Vesalius dyed not of grief, but when he had ended a sacred Voiage, he died in the way, of a burning Feaver.
The Cure. Loosing all Ligatures, raise the sick; put stinking things to the Nostrils, as fumes of feathers of Partridge, Hairs, Lether, Horns, Castoreum, underneath [Page 315] sweet things, chiefly a smoke of Horses warts dried. Clysters for the Womb, Pessaries; outwardly oyl of Rue, Treacle &c. an unguent for the Nostrils and Ears, oyl of Amber, Sage, &c. pour in Galbanum dissolved in Vinegar, and spread upon a round piece of leather, apply to the Navel. Make a nodulus of Asa foetida, two scruples; Castoreum, one scruple. Some are cured by only chewing Lovage seed and swallowing it down. See Child-birth, wine is hurtful. Powder for the Muther is this, Take Dittany root, seeds of Carrots, one dram; choise Cinamon, Cassia lignea, Balm, of each two scruples; Saffron oriental, half a scruple: fat Castoreum, one scruple: Dosis, half or one dram, with Beer or water of Camomil. Treacle with Mugwort water, root of Angelica, juyce of Garlick rub upon the Navel with Aloes, it is a secret; put the leaves of Bur-dock under the Feet. Fecula of Briony made in Pills to ten or twelve grains, with a little Castoreum; extract of Elder-berries dried, made with Aqua vitae, and spirit of Vitriol by distillation to one scruple. Preservation [Page 316] is wrought by Generals and Specials, of Balm, Penny-royal, Angelica roots, &c.
SUPPURATION, is not to be opened before it be ripe; for it will turn to a Fistula in a part that wants blood, as the Pleura: and, if the matter be malignant, and sharp.
If it be from a cold matter, it must not be opened before the concoction of the whole matter. The Signs are, if the pain, heat, tumour, a Feaver be increased; when the heat, pain, Feaver are remitted, and the tumor is lifted up into a point, the matter is concocted. Suppurative medicaments are necessary, when the humour is so impacted, that it cannot be repelled, either by reason of the nearnesse of some principal part or so thick that it cannot be resolved. It must be opened on that part it riseth to a point, according to the straightness of the Fibraes, [...]hat the matter may not run forth by heaps. Suppuratives shut the Pores that the heat cannot breath forth; and so they differ from Emollients. It must be opened either with an Instrument o [...] a Medicament▪ [Page 317] either with a hot iron, seldom, or cutting iron, as in a Ring. Medicaments are either potential Cauteries, or more gentle, as leaven, Onions roasted in the Embers, Garlick, Pigeons dung, black Sope, Mustard-seed, Salt, Figs, Diaquilon, Dogs dung, Nitre, coughing, crying, sneezing, vomiting, Scabious, Horehound, Carduus benedictus. Add some of these to ripening plaisters. Give syrup of Hore-hound, with water of Scabious.
STITCHING. 1. A little Pipe with a little hole is put to receive the point of the Needle, to hold the lips of the wound immoveable, then make a knot; yet the lips must not be wholly draw [...] together, that the matter may come forth. First, give a stitch through the middle of the wound. In great wounds take in much flesh. 2. A dry stitch with a sticking plaister. 3. That which belongeth to Hare-lips. 4. Stitching of the Peltmongers which belongeth to the Intestins. 5. Stitching of the Belly for wounds of the Peritonaeum.
SWOONING. Is a sudden failing of the Forces by reason of the vitall spirits [Page 318] affluence denied: or because they are not bred, for want of matter, or great heat, or are consumed by heat, malignity, vacuatives, grief, or strangling by some crude humor, as in a Feaver with Swooning, or by frights, &c.
Diagnosticks. There preceeds a languishing Pulse, and small; the Face is pale, the outward parts are cold, they sweat; in fainting there is no sweat, and the Pulse remains. It is distinguished by the Pulse from strangling of the Womb. Prognosticks. Aph. 4 [...]. s. 2.
The Cure. The spirits must be preserved, sprinkle the Face with Cinamon water, Rose water, Wine, Vinegar. For women, alwaies use stinking things. Apply Epithems to the Liver, Heart, little Bags, Ointments, Balm sprinkled with Wine that is pleasant, heated on a hot tile: give bread dipt in Wine, chiefly chafings of the ends of the Fingers is most profitable, and other Revulsives: lying down. Tormentil and other Cordials. Take two Pome-Citrons, pouring on Rose water, and Sugar sprinkled on them; boyl them, to an Electuary. If it be from wasting [Page 319] of the spirits, Chafings, &c. are not fit, but Rest. So, Take the best powdered Sugar, what you please, moisten it with the best Cinamon water, that it may be a little fluid, to which add some drops of spirit of Vitriol, oyl of Cinamon four drops, of Cloves, two drops; Mace, Nutmegs, Anniseeed, of each three drops, Give it in a spoon at pleasure.
TEETH, rotten and black are made so by over-hot, cold, sweet, sowre things, or paintings of Mercury.
Preservation. If after meat the Mouth be washed▪ with wine, and Cyprus, or Mastick be put into the Teeth.
The cure. If one every Morning hold a grain of Salt under his Tongue, and when it is melted rub his Teeth with it: The spirit and oyl of Vitriol mixt with water makes the Teeth very white. A Pumex stone fired, and quenched twice in white wine: and the third time fired, and so left until it be cold, then powdered and washed, makes the Teeth exceeding white: also not fired. For. l. 14.
Some use only tosted bread, Paraeus L. 16.
Cuttle-bone, Harts-horn, Cinamon, Coral, Crabs-eys, Egg-shells, Snails shells, the Jaw-bone of a Pike Mastick; roots of Birthwort, Orris, Rosemary flowers, Lavender, Roses, white sand most fine. Some use only oyl of Vitriol with Honey of Roses. The ashes of Rosemary branches. Tobacco ashes.
TEETH are pulled out with Iron, either by reason of extream pain, or because they are rotten, and make the breath to stink: or if a tooth stand out of order, great dexterity of the Hand must be used lest the Cheek-bone be removed from its place, or broken with the hole; whence may follow a Flux of blood, or the Bone may alwaies remain wrested: that the sound be not pulled forth for the unsound. The Tooth being taken out let the blood run freely, wash the Mouth with Oxycratum, and avoid the wind. That Teeth may be pulled forth without violence, put in Ivy Gum, or the roots of wild Cucumber steeped in Vinegar three days. Henbane seed, or root of the same rosted, must be laid hot [Page 321] to the root of the Tooth; but touch not the Teeth that are neer. Keep the Mouth open that the spittle may run forth, but swallow it not.
TEETH astonished. The cause is a sowre tast.
The Cure. Purslane chewed, the juyce of it is good; bitter Almonds, small Nuts, Wal-nuts, Mastick, dry root of Liccoris, Wine, Salt.
TEETH Pain. It proceeds from a hot or cold cause, or Worms in the Teeth, that watery humour flows thither from the Head, or from some other part.
Signs Prognostick. A Tumor after pain is good.
The Cure. The cause must be evacuated, pulled back and derived by all means, the Veins behind the Ear, may be cut, by Vesicatories, &c. Astringents must be applyed to the Fore-head and the Temples. Topicals in a hot cause, Rose water with a third part of Vinegar, juyce of Plantain, Housleek, of Lettice, Sorrel, &c. Rul. useth water of Night-shade, with water of Vitriol.
If the Gums be affected also, Vinegar must be left, because of its acrimony: unguent of Alabaster. Senn. root of sharp Docks, cut in pieces, and put into the aking Tooth, helps wonderfully: also the decoction of the leaves of Bur-docks. Fer. Paraeus with three remedies cured the greatest pains of the Teeth.
1. Setting on Leeches, the swelling Gums being gently scarified.
2. Open a Vein under the Tongue.
3. The Veins behind the Ears.
If it be from a cold cause, Garlick rosted in the embers, put into the aking Tooth.
Aqua vitae, Pepper, Juniper Gum, half an ounce; Rhenish Wine, eight ounces; boyl and strain them: hold the strained liquor hot in the Mouth; hot oyl of Juniper and smoke of Tobacco, hath been often approved. Senn.
Take root of Fern, Cinquefoil, of each three drams: Bistort, two drams; leaves of Rue, Sage, Betony, flowers of red Roses, of each half a handful; boyl them in red Wine and water, of each [Page 323] a sufficient quantity, to wash the Mouth in any cause. The last means are Narcoticks. Rul. puts in some oyl of Camphir, or some drops of the Hazle-nut tree with Cotten.
The last remedy is pressing a hot iron to the roots of the Teeth, or Narcoticks, or drawing them out; yet first use the milk of Spurge and Frankincense, mingled with white Starch, or touch the Tooth with the distilled water of salt Ammoniac.
We have seen the greatest pains of the Teeth cured, so soon as the Patient hath Vomited. Crato, ep. 182.
TEETH loose. It either comes from too much moisture, or the Pox, or anointing with Quick-silver, or from the Scurvey.
The cure. If from moisture, premising general dryers, use Topicals, hot and astringent, but forbear such as black the Teeth, as Pomegranate shells, Balaustia, Galls, Vitriol, binding with a golden thread is often followed with Inflammation.
TOOTHING of Children, is about the seventh Moneth.
The Cure. The Nurse must be cured, and if it be feaverish, things actually cold must not be put into the Childs Mouth. By all means the Gums must be softned with a Liccoris stick, or with oyl of sweet Almonds or Hens grease, or Butter. For. stamps the Brain of a Hare and Honey together, and rubs the Gums with it: the Brains of Chickens, and Birds; also the juyce of live Crabs bruised, is commended, drawn forth with the water of the flowers of Beans, if the Gums be washed with it. Par. l. 23. c. 67. opened the Gums with a Pen-knife. The right Dog tooth of Wolf, is wont to be hanged on with a silver chain.
TETTERS of the Greeks, is nothing but the Leprosy. Gelsus also cals the Leprosy, Tetters; but with the Latins, as Pliny, Tetters or Ring-worms, is a sharpnesse of the skin with dry pushes, and great tickling creeping to the next parts. Fern. makes four kinds of Tetters. 1. Itching. 2. Tetters. 3. The Scab with Pustuls. 4. The Leprosy.
The cause. (Fernel.) is Choler or corrupt [Page 325] fleam; Senn. a thin and sharp juyce mingled with a thick.
The Cure is the same as in Saphatus.
Falling out of the TUEL. It comes from too much straining in Child-bed, from Acrimony, as in a Dysentery, weakness of the Sphincter, from a moist distemper, cold, cutting for the Stone, from a fall.
It is cured according as the cause is. In old folks it is hardly curable: it is put up either by the Hand of the sick or of the Chirurgion: If there be a Tumor, it must be discussed by Resolvers, it must be continued by taking away the cause, and by Astringents, in the form of Fumes also and Insessions. Aetius oft times somented the Tuel, with only Brine. Paraus applyeth a Sponge to the Tuel, wet with an astringent decoction. Let him stand to do his businesse; for so it will not fall out. Hipp. bids to shake the sick hanging of his Feet; for so the Intestin will go up again. Anoint it with the spawn of red Snails.
Falling out of the Womb is from the [Page 326] same cause. It is cured, if you first give a Clyster of Mallows and Oyl, and the Bladder being emptied, let it be put up either by the Hand of the sick or of the Midwife, or of the Chirurgion; let her be set, as in cutting for the Stone. If it swell it must be fomented that it may be done the more easily. Let the Chirurgion hold a great actual Cautery in his Hand, and fain as if he would burn the Matrix with it: so by a fright it will reduce it self. It is retained by taking away the cause: also by Cupping glasses with much flame set to the Navel, with sweet things to the Nostrils, with a rotten Egg applyed to the parts. Lay on Bur-leaves to the Head; Vomiting is good. Topicals must be astringent Pessaries, Sarcoticks must be given inwardly and used outwardly, fumes of an Eels-skin seasoned with Salt. Fomentations, let inward means be drying, as roots of China, Guaicum. Note that at the time the Terms should flow, Astringents must not be used. See Pessaries in Senn. If it corrupt, that must be cut off, the rest must be burnt with a Cautery.
Of the Uvula. Some cut a new hard Egg, and strew it with Ginger, laying it to the crown of the Head: others Oke leaves with Honey, others Wallnuts bruised with Aqua vitae, others leaven, others Mugwort, others burnt Salt. See Inflammation.
Of the pointed Grissle. It is depressed, not broken from a blow, a Cough, humours, and so presseth the stomach. Signs. The meat is swallowed with some pain, nausearing: after meat they feel weight, their appetite abateth. There is difficulty of breathing after labour Cachexia, Consumption, Jaundies. It is cured by swath-bands; Let the sick take up a heavy thing with his Hands, it is retained by Cupping glasses and Astringents. From hence may grow what the Germans call, Dasz. Wehe thun; See Senn. of Dislocation.
TONGUE great, or a Tumour: sometime, it is without pain, from the plenty of profitable nourishment flowing to it: sometimes, from Cacochymia, and then it is either Oedema or Cancer, or Inflammation: and sometime from [Page 328] the French-Pox, from anointing with Quick-silver, from biting or touching of some venemous creature.
The cure. If it be from plenty of blood or Inflammation, it must be pulled back, and evacuated as in Phlegmone. In Galen, it was revealed to a Countrey-man in his dream, to use a double cloth of linnen wet in juyce of Lertice. If it be Oedema, or from the French-Pox, or Poyson, it is cured as Oedema. If it be a cancerous swelling, it is incurable.
TERMS of women flowing. It is made the same way as bleeding at the nose, &c. The signs are the same. It is often incurable. Diapedesis is most easy, Anastomosis easy, corroding is hard to cure
The Cure We must by times make Revulsion, by opening a Vein, Cupping glasses set to the Brests. 5. Aph. 50. Cholerick humours must be temperd, purged. We must bind by inward and outward means. A certain old woman cured one that was incurable, giving nine times one dram of powder of mens bones with red Wine. If it be from ill humours, we must not stop suddenly. [Page 329] Guainerius giveth for a great experiment, one dram of the ashes of Goats dung. If such an irregular Flux follow child-bearing, women use this secret: they dry a Wal-nut, and powder it, and give it at thrice in red Wine, or Martlemas flesh above a year old, tosted and dried in an earthen dish. For. used this that followeth with profit, Take red Coral, Bole Armenick, Datestones, of each half a dram; give it at twice in a rear Egg. Let all Topicals be astringent, Injections are good, and the juyce of Yarrow, Plantain, Bloodwort, &c. Pessaries, washing the Legs with cold water, roots of Nigella held under the Tongue, Blood-stone, roots of Corn-Poppy, Tree moss, bound under the Arm-pits, Sanicle and Straw-berry leaves bound under the Feet.
TERMS stopt. It proceeds either from the fault or want of blood, or from straightness of the Passages. It differs from Conceiving, because women with child for the most part keep their natural colour, are merry; but in Terms stopped it is contrary. Symptoms that [Page 330] befall great-bellyed women, at the beginning to grow lesse, but not so here: in great bellyed women, the motion and situation of the child is perceived the third Moneth; but not so here. If it last fix Moneths, Hipp. saith it cannot be cured. Straightnesse procceds either from grosse humours, or a swelling or an astringent Bath:
The Cure. They are not to be provoked in starved Cachectical people, who have but little blood; They must be moved when they were wont to run before. In the Inflammation or falling down of the Matrix, move not the Courses. If it come from Obstruction, as it often doth; and there be Plethora, open a Vein in the Arm to take away Plethory; for if that remain, to cut a Vein in the Ankle will do no good; for being that all blood is so drawn to the Womb, one hindreth and detaineth another. Contrary to this, Zach. hist. 76. l. 1. useth Cupping glasses with Scarification, Ligatures, Chafings of the lower parts. Mercurialis mightily commends Causticks below the Knees, which Sen. denieth, because they derive other humours from [Page 331] the Womb. Afterwards we must purge, alter, and that often. Lastly give things that move the Terms: as the powder of Ladies. Take seeds of broad Cummin, Ammeos, Cinamon, of each two ounces and half; Cumin seed, three ounces; seeds of Fennel, Smallage, Carways, Nutmegs, sweet Calamus, Galanga, of each one dram and half; Ginger, Mac̄e, Cloves, of each one dram; Saffron, three drams and half; make a powder.
Let the Topicals be Emollients, and such as move the Terms: as Baths, Oyls, Fumes, Evaporations, Clysters, Pessaries. For. in the stopping of the Terms with Cachexia, first exhibited Pils of Hiera with Mugwort water; then a long Purgative decoction, then a Purgative Potion, Treacle, one dram, with two ounees of white wine; the first decoction was repeated, such a Potion: Take Diacatholicon, six drams; Electuary Indum majus, three ounces; syrup of Maiden-hair and Mugwort, of each half an ounce: with three drams of the decoction of Mugwort, Rennyroyal, Balm, for one Dose. A Bath of things fit for the Matrix, after the Bath, [Page 332] he anointed the Thighs with an unguent. Take oyl of sweet Almonds, Lillies, Butter fresh, Marrow of Calves Legs, of each one ounce; oyl of bitter Almonds, Mucilage of Marsh-mallow seeds, Linseed, Fennygreck, of each two drams; juyce of Rue, Mugwort, of each half an ounce; a little Wax, make an unguent. After give one dram of Treacle, with one ounce of the broth of red Chichs. When the first quarter of the Moon was at hand, he opened the Saphena: but when the Veins did not appear, he set Cupping glasses with Scarification to the Legs, and so cured it. If these had not helped, the Authour would have proceeded to the decoction of the wood, mingling Dittany, the force whereof Jacchinus often proved. Savin. Nigella seed, one dram, in the decoction, or the meal of it bound in a woollen cloth and set under is excellent. See Difficulty of Child-birth.
TERMS dropping. This proceeds either from thickness and sharpness of blood, straightness of the Passages, and it causeth pain: or from the weakness of the retentive Faculty, and thinness [Page 333] of blood, and it is without pain. It is cured, the sharpness being allayed, the Faculty strengthned, the straightness removed, &c.
TENESMUS. The next cause is something provoking the expulsive Faculty, the remote cause, is stone of the Bladder, sharp Medicaments, Worms, salt humours: a Dysentary, an Ulcer of the Sphyncter, long Hickop is deadly, Dysentary.
The cure. The humour must be softened with Clysters, evacuated as the variety of the humour requireth; they must be injected in small quantities. The pain must be asswaged by Topicals. Suppositories are profitable, also fumes; if from an Ulcer, Dysentery, it must be cured by fumigations under.
The TREPAN hath place only in three cases. 1. When the Bone presseth the hard Membrane. 2. When it pricketh. 3. If matter be gathered within the Skull; Never apply it to the Bone wholly broken, but to the sound; yet as near as may well be to the fracture. It must not be used, 1. In a Bone so broken, that for the greatest part it [Page 334] is divided: for so it would be pressed into the Membrane. 2. On the sutures, for then rather two or three small Trepanes, should be applyed on both sides the future. 3. On that Region of the Fore-head which is near the Ey-brow, by reason of the hollow between both tables. 4. To the lower parts of the skull, lest the Brain fall out by the hole. 5. To Childrens forepart of the Head; 6. To the Temples, but set it neer by them. In the Winter and full Moon, Trepaning is more dangerous; for the Brain swelleth. It must be done in three days; yet Paraeus in Winter and Summer, used it after ten days. When it cometh to the second Table, the blood runneth forth, but not alwaies; for in some places the Skull is thin.
TREMBLING. The cause is a preternatural moving Faculty burdened by the fault of the animal spirits, or Nerves, or nervous fibras in the Muscle. If the spirit, by reason of disorderly motion hath not its influence from the Brain, as in anger, joy, fears, frights; for from hence the vital spirit is variously moved, and so the generation of [Page 335] animal spirits is wanting; a distemper cold and moist of the Nerves, or from malignity, as trembling from Quicksilver, Vermilion, in Gold-smiths, which For. cured with only Goats milk, & nervous remedies, from Obstruction, wine.
The Cure. If it be from a want of the spirits, it is cured by Restoratives; if from a humour with distemper, it is cured by Generals, Topicals. Chymists cōmend the essence of Balm in cordial water. A Bath, wash the trembling parts in water of Cinque-foil, or decoction of Juniper berries with Wine; let them dry of themselves, or with water of infusion of Mugwort. A Lotion with their own water. Sage beer, meat seasoned with Sage, flesh of Storks, wood Pigeons, a Hares brain fried; Infuse Juniper berries all night in water, then let them infuse in Aqua vitae eight days, swallow ten berries every day: the decoction of Guaicum. Monav. ep. 240. after Generals, giveth the extract of Calamus, he foments the hands with a decoction of Wine with Sage and Aqua vitae.
VEINS swollen with melancnolick blood, are cured by Chirurgery; for above and beneath the Vein it is bound, and when it is made naked of the skin, the Vein is cut, and the blood being let out, it is cured. But since this cure is difficult, and oft times leaves malignant Ulcers, Hier. Fabric. cuts the vein bound, not with great Incision, but by prickings that are small. Then he layeth on Medicaments of Bole armenick, Dragons blood, Mastick with Gum Traganth steeped in Wine of Pomegranates or Verjuyce made like a Candle, and he layeth this long waies on the Vein, and upon the Medicament a reed made hollow, to hold on the Medicament, for so the Vein consumes. If there be an Ulcer joyned with it, the Vein must be cut out.
VERTIGO is, when all things seem to turn round. Scotoma is when over and above the sight is darkned. Why they than look down from on high, should be taken with a Vertigo, the cause is natural, for that by looking on a thing that breedeth fear, the spirits are dissipated, & from terrour the spirits [Page 337] are drawn in again; whence follows a contrary Motion: the common sense and imagination, are primarily hurt.
The Cause of Vertigo is the circulation of the spirits animal by a thin vapour: Scotoma is from a thick. The antecedent cause sticketh either in the Brain, and there be signs of the Brain affected: or in the Liver, Spleen, Hypochondres, and there be signs of them affected: or from some outward cause.
Prognosticks. They that in a Vertigo see a green or purple colour, encline to the Epilepsy; they that see black, to the Apoplexie; they that see red, are thought to be more subject to madness.
The Cure. Let the Patient alone in the fit, and if the cause ascend from the lower part, Revulsion must be made by frictions, the Face must be sprinkled with Wine; give Suppositories, Clysters, put sweet smells to the Nostrils, hot or cold: rub the Nostrils with oyl of Amber, &c. rub the Temples with Rosemary water, the Forehead with wild Marjoram, annoint the Palate [Page 338] with Theriac. Senn. alloweth also opening a Vein, but with caution. If an Apoplex be feared, for preservation, is Carway seed soaked in Wine, and then dried, if daily half a spoonful be long chewed about bedtime, and lastly be swallowed.
When the fit is over, open a Vein, as the Head Vein. It is cured as the Head-ach by Generals, Topicals. Bearsear is commended, the water or extract of Scorzonera; a dryed silk-worm is strewed on the Crown. Take dung of a male Peacock for a Man, or a female for a woman, one dram; infuse it all night in white-wine, strain it through a linnen cloth, give it for a Vertigo from a new Moon till a full Moon. If it come from some other part by consent, the humour prepared must be evacuated, the Vapour intercepted, revulsed, discussed; we must strengthen.
VOMITING too much, is cured by Revulsives, Clysters, Oyls, Frictions, and principally by heating the extream parts. Give Astringents before meat; put Cupping glasses to the bottome of the stomach. Topicals, A crust of bread [Page 339] infused in Mint water and Vinegar of Roses, sprinkled with Mastick powder, baked opium.
An ULCER is the solution of continuity, from something that corrodeth, with the taking away of some parts: they differ in form; one is circular, &c. in subject, in cause.
Diagnosticks. The cause is known by the signs; when raw thin quitter runs forth plentifully with pain, pricking, it is then beginning. In the increase, the matter is better and more sparingly, &c. If the Rest diminish, it is the declination.
Prognosticks. White matter, or rather ash colour, light and equal, is good, See Aph. 45. 4. s. 6. Aph. 65. 67. 2. 21. s. 7.
The Cure. The humour must be evacuated by Generals, we must apply Digestives; yet it is safest even at the beginning, to mingle Detergents with Digestives unequally, as Turpentine, with juyce of Smallage, yolks of Eggs, oyl of Roses, Saffron. The part affected must be observed as in Phlegmone. If the Ulcer be scowred too much, it becommeth [Page 340] dry: the flesh is consumed, the Lips grow red, there is a sense of biting. If it become more dry, and there be a good colour, and neither quitter nor matter run forth of the Ulcer, we must use Sarcoticals. The purer the Ulcer groweth, so much the more mild must Detergents be. A scar is made with Powders or Emplaisters that heal, but not in a moist form.
If there be, for example, a dry distemper, the Ulcer being so long let alone, the dryness must be cured, most fitly with a fomentation of water and oyl warm, and by Emollients. If the distemper be with matter which is known by the swelling, pain, and plenty of Excrements, before all, the matter must be evacuated, the parts strengthned, the humour re [...]ulsed, intercepted, repulsed; the best Repellers are Issues made in the opposite part. And without these oft times Ulcers cannot be cured: and old Ulcers cannot be closed, unless an Issue be made in the opposite part. Lay Sarcoticks on the Mouth of the Ulcer; yet, without biting, stronger then otherwise. The circumference [Page 341] must be washed with Repellers, or some resolving Cataplasm laid on. The Medicaments must be oft times changed. Guido brought on the skin with a Plate of Lead.
If it be foul, the filth shews plentiful and clammy. If it be corrupt, and that from too weak a Medicament, there is a stink, and the Ulcer appeareth whitish. If it corrode▪ there is pricking pain, alwayes increasing. It is cured by Generals, Topicals detergent, as with spirit of Wine.
Fleshy excrescence in Ulcers, cometh either from too much blood, or because Sarcoticks are laid-on that dry not sufficiently. If the first, the flesh is good; if the latter, loose & spongy. If the first, it is cured by fasting, &c. The latter, with greater Dryers, Epuloticks and Corrosives without pain. The green water is good, which Senn. oftimes commends: as, Take raw Alum, Verdigrease, of each two▪ drams; boyl them in eighteen ounces of Wine, till a fourth part be consumed; strain it, then add Camphir, one dram; dissolve it in spirit of Wine, one ounce; and add it to the former.
If the Ulcer be with a hard Circumference, and the hardners will not yield to Emolients; the hard and wan flesh, is most fitly cut out to the quick flesh, that scarifying may be made, and strong Detergents used.
If the Ulcer be with a Tumor, eating not only the Cucula, but also the flesh, it is called an eating-Ulcer. It comes from a sharp humour, not so thin as in Wildfire, nor so thick as in a Cancer. It is cured as an Ulcer with tumor and distemper. That Ulcer, is very ill bound up three or four times a day, unless it be▪ by reason of extream pain.
Let there be an Ulcer within the Leg, alittle above, the Ankle, afflicting with great pain, that is hollow, corrupt, joyned with corruption of the Bone, circular, with brawny swollen Lips, compassed with inflammation, and swollen melancholly Veins. Suppose this be propounded to be cured, Generals first premised, first of all you shall ease the pain, taking away the cause of it, by Softners, Coolers, Narcoticks: so the pain with the Inflammation being asswaged, wash away the rottenness. In the mean [Page 343] time, by the way you shall make the Ulcer corner-ways, you shall cut off the brawny substance of it, you shall correct the putrefaction, you shall make the Bones scale; the Ulcer being cleansed, must be filled with flesh, & brought to cicatrise. Par. Querc. commendeth the Sugar of Saturn to be miraculous. Vulnerary drinks.
An ULCER of the Eye, is known by sight, and if it be in the Cornea, there preceedeth a white Push, a little Ulcer, the Cicatrix is made white; if it be in the Adnata, it will be red. It is cured by Generals, Revulsives, Intercipients, laid to the Temples, Anodyns, Detergents, as with Sugar, Honey, Myrrh, Saffron, Frankincense; water of Strawberries, three parts; Sugar, one part distilled, when they have been eight days in digestion in Balneo; Rue, Horehound, Ey-bright water. Infusion of Sarcocolla, Aloes, &c. bound in a linnen clout, and pressed forth. Take Frankincense, Mastick, of each one scruple, Myrrh, Aloes, Succotrine, of each half a dram; Tutty prepared, one dram; Sarcocolla infused, half a dram; powder [Page 344] them, mingle them with the white of an Egg, and juyce of Quinces, make Troches, to be dissolved in Fennel water. Give internal means to restore the sight: as, Take Conserve of Ey-bright, one ounce and half; Betony, Rosemary, of each one ounce; roots of Elecampane, candied, two drams; Fennel candied, half an ounce; extract of Rue seed, half a scruple; the essence, extract or spirit of Valerian roots, half a scruple; Siler mountain, one dram; Sage; Rue, Vervain, of each half a scruple: with syrup of Betony or Staechados; make an Electuary, let it be taken at Bed-time. Strew salt of the powder of Ey-bright on their meats. Montan. ep. 75. relates that he saw one use it by the Nostrils, because the Ulcer was not well cured; Vitriol in small quantity, dissolved in much Rose water, serveth instead of all Detergents. For. premising a Lenitive, purgeth with Fennel, Ey-bright, Senna leaves, Pillulae Lucis to one dram. Opening a Vein, Cupping, Scarifying, fomentation of Mallows, two handfuls; flowers of red Roses, one dram and half; Quince seeds, one dram and half; [Page 345] cleansed Barley, one pugil; boyl all in ten ounces of fountain water: add water of Mallows, Roses, of each half an ounce; soment it twice in a day, he dropped in the Collyrium▪ following, Take Troches that are white, of Rhasis for the Eys, without opium, two scruples; Rose water, two ounces; mingle them, and drop it in; lay upon it a double, linnen cloth wet in the former fomentation: after that, in the fomentation was infused Fenugrec seed, exactly washed, two drams and half; of Quinces, two drams in a Nodulus: after that Ey-bright water, half an ounce was added to the Ey water: after that, in the same Collirium, was put a little Sarcacolla, soaked in Brest milk; then a little Frankincense, Saffron, with the Mucilage of Fenugree seed. At first let the sick sleep on the opposite side, until the matter break forth in the side affected. Venatius for an Ulcer of the Eye ill cured, was commanded to forsake Padua.
An ULCER of the weeping flesh, namely an Aegylops. For. because of the danger doth not willingly undertake [Page 346] the cure of it. If it were not yet ulcerated, after Generals, there is need of repelling means; after that, add Discussives, as, rank nuts. If it be suppurated, open it in time, cleanse it. Verdigrease of it self, is a secret. If it be with rottennesse of the Bone, there is need of a Canstick. Fab. cured them with Setons.
An ULCER of the Ear. Signs are, pain, burning, great pricking in the Ear, matter. This sometimes is sent forth from the Brain inflamed, which is easily known. Sometimes, as in children, from the impurity of the Brain, without an Impostume; in the Veins of the Brain, and Passages of the Ears, matter is bred, and there is no pain, and the matter once spent, is heaped up again.
The cure. By Generals, Topicals, Detergents, as juyce of Betes, Horehound, oyl of bitter Almonds, juyce of Onions, with Honey of Roses, or Mel Rosarum; the side is anointed with unguent of Alabaster, juyce of wake Robin, Briony; the matter that comes forth must be put-by with wooll, with [Page 347] Honey-water: afterwards with Wine, then with Oxymel. The Probe must be wrapped with Wool. The pain is taken away with a piece of Frankincense infused in Milk till it be dissolved, and drop'd in by drops. If there be Plethory and the matter runneth not yet out of the Ulcer, pain urging, a Vein is fit to be opened. Galen for old Ulcers ufeth scales of Iron powdred, beaten with Vinegar, and seven times dryed, then with Vinegar it is boyled to the thickness of Honey. The matter must be drawn forth by a great Syringe, unless it come forth it self.
An ULCER of the Nostrils. If it be new, and stink not, it is easily cured; if old and stinking, hardly; it is called Ozaena, which oft times gives suspition of a Cancer; It is most difficult to cure. it hath crusts.
The Cure. Generals premised, also the decoction of Guaicum and a vulnerary drink. Let the Topicals be Astringents, and Discussives mingled. The Head must be dryed by all means. First of all, let the Crust be removed by a vapour of warm water with Fat; Butrer [Page 348] washed in Rose water; the Crusts must be cast out by sneezing. Afterwards Verjuyce with Honey is good, juyce of Hore-hound, Calamint, juyce of Pomegranates boiled in a brasse vessel, Mirrh, Allum. Rondel. cured Ozaenas, which neither French men nor Italians could cure, by the fume of Candles made of red Wax lighted, received at the Nostrils through a straight Tunnel. Celsus commendeth juyce of Cresses with Allum. The juyce of Calamints, or Galens powder. Some commend this that followeth:
Take red Roses, Myrtils, sweet Calamus, Angelica, Gentian, Mace, Cloves, of each half a dram; Camphir, Ambergrease, of each four grains: Musk, six grains: make a powder. If that fail, Salt Armoniac with Vinegar.
An ULCER of the Stomach, is cured by Generals, as opening a Vein, Lenitives. Vomit is mortal. With easy meats. Raw Honey is detergent, when you must glew together, add Gum Traganth, with an Astringent decoction, without Acrimony. Let the meat be moyst, a decoction of Figs, Dates, [Page 349] Prunes, Raysins, milk, yolks of Eggs, drink Hydromel, and a vulnerary Potion.
An ULCER of the Bladder, comes also by Cantharides. Yet Senn. though he had applyed them to all parts of the Body a hundred times, never observed it.
Signs are pain in the Privities, so oft as the sick maketh water, matter, blood, a Tenesmus, difficulty of urine, Priapismus: The matter is more tenacious and clammy then matter of the Reins.
It is cured by tempering the humors, by Coolers and Moisiners; then we must scowre by Internals and injections; Principally the Troches of Gordonius are profitable. See them. Conserve of Roses, Bole armenick. Milk: oglutinate. Vulnerary drink.
ULCER of the Reins. The urine is made without impediment, matter is mixed with the urine, it stinketh lesse. See Aph. 76, 77. 81. s. 4.
It is cured as an Ulcer of the Bladder. Whey; Make an Emulsion of the four cold seeds with Milk; If the matter come forth sparingly, glutinate, use vulnerary drink.
WEARINESS. One kind is, not natural or drying, which followeth labour; another, natural: this is either ulcerating, which makes a sense of pricking in the circumference of the Body from a sharp vapour or humour, as from cholerick or black Choler, or extensive from Plethory, or any humour that is not sharp, or from hot blood, which they that feel, complain that their parts are as it were bruised or broken, and it ariseth from Plethory, and Cacochymia together, or of leannesse, when motion is difficult by reason that the flesh and fat of the Muscles is consumed, after long diseases.
The Cure. When Wearinesse riseth from the humours about the Muscles, and in the circumference of the Body, they must be taken away; If from Cacochymia, that must removed, by rest, sleep, spare diet, and that breeds good juyce, and by moderate drinking of Wine. In ulcerating weariness, Purging, in extensive opening a Vein, in Phlegmonodes, both these are good: if it be from labour, it is not onely cured by rest, but by labour, but not-so-much.
WHEALES angry, or Pimples of sweat rising in the Neck, Brest, Arms, &c. they proceed from cholerick sweat exasperating the skin: of which, see Aph. 21. s. 3.
WHEALS rising in the night, that vex us in the night, and are of divers colours. It is never greater then a Bean, it exulcerateth, it is cured as the cause is.
WORMS. A Lotion of bitter things kills Lice: a shirt stayned with Saffron, and worn a while; wonderfully, a washing with Lavender water. Barly bread and Paper burnt, of each a like quantity, made up with Bores grease, takes away Cyrones.
WORMS are either round, or the Bots, or broad; these either Gourdfashion, or lesse like to a Gourd. Signs of round worms are pain and great prickings, of broad worms an obscure pain, other signs are common.
They are cured, by things that kill worms, as by Corallina to one dram in powder: Tanfey seed, roots of Primrose, Wormwood, Hore-hound, Citron seeds, Angelica, bitter Almonds. Powder [Page 352] of worms is suspected by Tabexnae Montanus. Water of the decoction of Graffe, Harts-horn, shavings of Ivory, juyce of Lemmons, Plantain, Purssain, Endive, Sorrel. To children give grasse water, one ounce, with syrup of juyce of Lemmons: or some grains of Salt are put into the Mouth. Spirit of Vitriol, Elixar proprietatis; broad worms require stronger Medicaments, as many Walnuts, chiefly roots of Fern of which powder, half a dram may be given to an Infant; to those that are grown, one dram or two drams. Treacle dissolved in juyce of Lemmons, Hiera. Yet sweet things must be mingled here, and Clysters that are sweet must be given to allure them downwards; being killed cast them forth with Diaturpeth, with Rheubarb in rouls, Sebestens with a decoction of syrup of Peach flowers, Aloes, Agarick. The Bots are cured by suppositories. For anointed the Belly with this following, Take oyl of Egs, Lillies, Oxgall, juyce of Onions, fried with new Butter, of each two drams; mingle them. He gave this following: Take Aloes, half a dram; red [Page 353] Coral or Diatraganth frigid, ten grains, with Scabious water: make three Pills, lest the Aloes should cause heat, let him sup upon it one spoonful of juyce of Citrons. He gave a child of three years old more then one scruple of burnt Harts-horn. Those things that are applyed outwardly, as Gall, &c. must not be laid to the stomach. Heurn, used this following for children: Take syrup of Succory with Rheubarb, two drams to half an ounce; Grasse water, one ounce, for one Dose every other day. For. cured a Boy that for one year was miserably afflicted, with the decoction of Wormwood, and little Centory: to another he gave juyce of Pomegranates, one spoonful; oyl of Olives, half a spoonful; mingle them. It is a secret of the French Queens. The same gave what followeth, for one Dose to a great bellyed woman in a Feaver: Take Harts-horn burnt, seeds of Zedoary, Purssain, of each half a scruple: mingle them. For children, let Harts-horn burnt be put into Raysins without stones. For the Bots the experiment of Aetius is good, namely a Suppository [Page 354] made of old salt Bief, the fat being taken off.
WARTS. A Nail, a swelling of the Fundament, namely, when a wrinkle of the skin groweth hard. Thymus, namely a Wart with a narrow bottom, and a large supersicies, of a colour reddish, like Thyme flowers. A Fig wart, is a great Thymus: a Crest from preposterous Venery. These are oft times malignant.
The cause is thought to be a flegmatick, melancholick humour. Platerus takes it to be the moist nourishment of the skin, and the Cuticula. Warts are oft times contagious.
The Cure. By Medicaments, as Fallop commendeth the leaves, and juyce of Willows, Purstain stampt, being wet with its juyce: also leaves and flowers of Marigolds, Figwort, roots of Cuckoe pint, Sow-bread, fresh Celandine, Nigella with urine. The liquor that runs from the flowers of Mullens set in the Sun in a glasse, of its own accord. Gum Succory, the juyce running from Dandelyon, stronger remedies are juyce of Spurge. They are cut off, either by a [Page 355] Ligature, or Cautery, or Iron. Schrekev. Take ashes of Walnut leaves burnt, Garlick and Suer, mingle them: and when the Moon decreaseth, apply them. Others lay on Hens dung, Garlick juyce, of Snails, of the Oke wood in burning.
A WOUND, is unity dissolved in a soft, by some cutting thing, wherein nothing is corroded by matter.
Prognosticks. Made in the full Moon, also on the forepart of the Head is more dangerous, because they abound with moisture, and the situation holds in the matter. That wound that was ever cured cannot be said absolutely mortal; or that which killeth by Symptoms that are only sometimes present: Nor those which are long a-curing, and at last degenerate into some other disease that is mortal, as a wound of the Lungs into the Phtysick. Those are absolutely mortal that kill within some hours or days, and can be cured by no Art; but those are incurable, which cannot be cured, and yet the sick may hold out some years. The spirits are suddenly [Page 356] suffocated, or dissipated. Wounds of the Marrow of the Back are mortal. Senn. saw a Butcher who did not knock down his Oxen, but with a little knife, where the Head is joyned to the Spondils, he thrust it into the marrow of the Back, successively. They are more easily cured in the Spring. For wounds, also critical days must be observed: Some have been invaded on the 20. day by Symptoms, and not before. A round wound is the worst. If a Feaver grow before the seventh day, it is from matter, and we need not fear it so much. If after seven days, it is from corruption, and dangerous. A Feaver from Erysipelas is not so dangerous. Cold, Venery, anger, too much joy, fear, are deadly; Pushes swelling by the Tongue are deadly, from a dropping of sharp matter, through the hollow of the Palate upon the Tongue, and Convulsion of the opposite part.
The Cure. 1. Take out all strange things. 2. Joyn the parts severed. 3. Let them grow together. 4. Keep the strength of the part. 5. Take away the Symptoms. First therefore, let the [Page 357] blood run away freely, shave away the hairs, wash out with Wine all extraneous small things, clotted blood must be taken out, but not all the first dressing, if there be fear of a Flux of blood. Take out all pieces of Arms, unless there be fear of great pain or bleeding at hand to hinder it; for so it is better to commit the whole business to nature for some days. If there be no hopes that the sick will live, if the weapon be taken forth, let not the Chirurgion take it out, lest he have thereby the report of a man-slayer. For some, as in the wound of the Heart, Brain, the Weapon, being let alone, live for one day, but so soon as it is drawn forth, they dy. That a thing that is extraneous may be drawn out, the sick must be left in the same posture he was in when he received the wound. It is taken out with the Fingers, or Bekes, with or without cutting, or making incision in the opposite part, it is thrust out thereby. Fab. obs. 88. cent. 1. sheweth Instruments whereby bullets are taken out without pain. If a stick fastned in the flesh cannot be taken forth, it is taken [Page 358] out by Medicaments made of Pitch, Galbanum, Sagapenum, Ammoniacum, Rosin of the Pine-tree, Dittany of Crete, round Birthwort: or the whole business is left to Nature. Let him be seated softly, equally, so much as can be by reason of pain, in the same posture we would have the part to abide. Unless it be very great, use no stitching. Suture with glew is convenient: but it will not stick fast until four hours. Senn. useth this Plaister. Take Bole armenick, Mastick▪ Dragons blood, Frankincense, of each one cruple; Gum Tacamahack, two drams; Make a plaister to glutinate. Caesar Magatus did not stitch but made the plaisters so long, and those many and thin, so that one part sticking, be might lay the other also over the wound to the opposite part. I would Chirurgions would use this stitching ordinarily. The first kind of suture is called, Intersection. Tents carry the Medicaments, and so keep the wound open. If there be a Nerve in the bottome of the wound, let not the Tent touch it. Fab. obs. 76. Where the wound is straight, smaller Tents must [Page 359] not, saith he, be put in, because of their flexibility. He wraps up a silver thread in a Tent, and anoints it with a digestive obs. 83. and 84. We must (saith he) mark well whether the wound be but one or doubled backward, so that being but one outwardly, it may be two inwardly. Afterwards if a fleshy part be hurt, the quitter must be provoked by Digestives, or Suppuratives, as by oyl of Roses, yolks of Eggs, Turpentine, Rosin of the Firr-tree, Wheatmeal, Frankincense, &c. If it be a dry part, by and by apply Sarcoticks, those being set aside; and truly the Medicaments must be changed often, and alwaies Sarcoticks must be mingled with Suppuratives. When the matter appeareth good, we use Sarcoticks. C. Magatus & Septalius, think the wound should seldom be uncovered, because the ambient aire corrupts the temper of the part, whence grows plenty of putrefaction, & difficulty of cure. 2. That Tents are uselesse. The Flux will be driven away, if the heat of the part, the pain, the heat of the humours and thinness, be prevented by opening of a Vein. If there need purging, give it at the first; when [Page 360] a Feaver comes, it is not safe. Alwaies let it be done by the gentler Purgatives.
A WOUND of the Nerves. The Signs are pain, hurt action, matter, pricking is most dangerous; for the straightnesse is hardly large enough for the Medicaments to enter, or the filth to get out. If the Symptoms appear not before the seventh day, there is good hope; let the Medicaments be temperatly hot, but dry. Not only the part affected, but also the beginning of the Nerves, and the whole part must be considered. If the wound be not large enough, it must be enlarged. Let Topicals ease pain and make way for the quitter to come forth. These things ease pain here, Oyl of worms, Bean-meal, Barley, Lupius, flowers of Camomil, &c. with a Ly or Oxymel. Fly from cold, moist, astringent things. For the quitter, which Cneuff. dasz glidt wasser calls Synavia, are convenient, oyls of worms, Rue, Castoreum, of Turpentine of the Firr-tree, Euphorbium, which the older it is, the weaker it is. Wherefore if a wound look red, &c. [Page 361] lay on a milder medicament, oyl of Hypericon, spirit of Wine, Gum, Tacamahac, Caranna. Paraeus for such a wound in. Charls the 9. laid on a Plaister of Basilicon, which should recard the healing of it: also he laid on double linnen cloths in the whole Arm, with an expulsive swath-band, even to the shoulder. The second dressing, he poured into the wound oyl of Turpentine with Aqua vitae. And he laid on the whole Arm, the Plaister Diapa [...]ma, dissolved in oyl and Vinegar of Roses, with an expulsive swath-band. Take oyl of Turpentine, one ounce: Aquae vitae, one dram; a little Euphorbium may be added: or, Take Venice Turpentine, one ounce; oyl that is old, one ounce; Aqua vitae, a little. After that, they cured the Tumor, the pain, with a Cataplasm. Take Barley-meal, and of Orobus, of each two ounces; flowers of Camomil and Melilot, of each two pugils; new Butter without salt, one ounce and half; Barbers Ly, what may suffice. If the pain ceased not with these, either he cut off the whole Nerve, or poured on it scalding [Page 362] oyl, and dipping a linnen cloth in it, bound to the end of a Spatula, he would touch the bottom three or four times.
A WOUND of the Ligaments & the Joynts. The Cure, is the same as for the Nerves, only the Joynts require more drying, and the Ligaments more then they. Par. Balsom is profitable, if the Dose of the powder be augmented, we must diligently take heed of the cold, the Ayre; lay on things actually hot. If the wound be on the forepart of the shoulder, we must put a thick or double linnen clorh under the Arm-pit, and the Arm must be carried in a scarff. If the Wrist or the hollow of the Finger be half bent, it must be sustained with props diligently brought about it; for so they may always be drawn in. If it be the Hip or Thigh-bone, we must not let it stir a Nails breadth from the hollow of the Thigh, which is performed by Swathes, and lying down on the Back-bone; when the Scar is made, move it for fear of being crooked. In a wound of the Joyne, the Leg must be placed out right. Signs of a Bone parting, are, 1. When more matter commeth [Page 363] forth. 2. When the Bone is exposed to the Aire; for, that parteth. 3. If it will not unite again, and soster flesh is bred.
A WOUND made by bullets, is not venemous, nor alwaies bruised. It is ill scorched with oyl of Elders. It is hardly cured, by reason of the contusion, and circular Figure. A sign is a small eruption of blood from the wound: for the Lips swell presently. First, if it be necessary and possible, the wound must be enlarged. The ball must suddenly be taken out of the wound with an Instrument, Fab. cent. 1. obs. 88. then we must suppurate, besides Generals, as with oyl of Whelps; but if the part be dry, we must take more Turpentine, and lesse oyl. If there be putrefaction, add Mercury praecipitat, or Aegyptiac, oyl of Linseed, Hempseed of Hypericon, of Eggs. Those Setons, whereby the wound is cleansed, by drawing them here and there, are not profitable, since the same thing may be done by Pensils. At the beginning, let it be bound but once a day: when the matter beginneth to run, [Page 364] twice a day: also thrice a day; and afterwards but twice: then again but once. The matter in these wounds come forth slowly. Vulnerary drinks, To take forth the Splinters, this that follows hath been long approved, Take roots of Orris of Florence opopanac, Cappars, of each two drams; round Birthwort, Manna, Frankinsence, of each one dram, with Honey of Roses and Turpentine, of each two ounces; make it up. A certain Man cured these desperate wounds with a suppurative made of melted Lard, the yolk of an Egg, Turpentine, and a little Saffron. After suppuration use detergents.
A WOUND of the Eye. First lay on a Repulsive, all things warm, to the Temples. Narcoticks are, Lungs of a Weather and the Caule boyld in Milk, and laid on hot. Womans Milk, the suckling being a daughter. Turtles blood, or of Pigeons or Hens, a Vein being opened under their wings. If these profit not, we must come to stronger Remedies. Detergents for the Eys are, Galls of a Thorn-back, Hare, Partridge, in waters of Ey-bright, Fennel, [Page 365] Sugar-Candy, Saffron. This that follows is sarcotical. Take the Mucilage of the Gums of Olibanum, Arabicum, Tragacanthum and Sarcocolla, drawn with Barly water, of each two drams; Aloes thrice washed in Rose water, one dram; Ceruss burnt & washt, Tutty prepar'd, of each half a dram; make a Collirium. A scar is made with Ey-bright water, Sugar, and Tutty prepared. If the Flux cannot be stopped, use the Seton. To open a Vein is most profitable at the beginning.
A WOUND of the Tongue endureth no stitching; but make Lohocks, and give syrup of dry Roses, Honey of Roses strained, &c. or a Gargarism. For. Take a raw yolk of an Egg, boyle it a little that it may harden a little: add one ounce of syrup of dry Roses make an ointment; afterwards, Take waters of Plantain, Honey-Suckles, of each four ounces; syrup of dry Roses, infusion of Roses, of each one ounce and half; make a Lotion for the Mouth, let him hold in his mouth sugar of Roses, syrup of Quinces. Paraeus addeth a Suture, whilst the Assistant holdeth the Tongue in a soft cloth of linnen.
A WOUND of the Ear, will not endure heavy oyly Cataplasms, but dry glutinatives: If suture must be made, let not the Needle touch the grisle; for it will Gangrene.
A WOUND of the Thorax; If it hath penetrated into the Cavity, the breath will come forth at the wound, if you stop the Mouth and Nostrils; the sick can scarce take his breath: it is tried by a Probe. Let the sick be set in the same posture he was when he received the wound. That blood is fallen into the Cavity of the Thorax, it is known, if there be a Feaver, if the weight of the Diaphragma, & difficulty of breathing be troublesome. If blood be sent forth. If nothing have run into the hollow of the Chest, we must make all haste to consolidate for fear of a Fistula. If blood stick in the Thorax, keep the wound long open by Tents. Therefore when you undertake to cure such a wound, you shall not shut it up the first dressing▪ but must hold it open two or three dayes, when then you observe that the sick hath no pain, [Page 367] weight, Feaver, nor to spit blood, take out the Tent and heal it up so fast as you can. If there be a Feaver, weight, &c. besides Generals stop the blood by inward and outward means, also by opening a Vein. The Tents, and all Topicalls must not be too long, lest they offend the Lungs. Also let them be fastned to the double cloths with a Thread, lest they fall into the Chest; Let them have a pretty thick head, let the sickly on the part affected. Blood is cleansed out of the Chest, by an Jnjection of Paraus made of the decocoction of Barley six ounces; Honey of Roses two ounces; which the sick, his body reclining, his wind comming forth at the wound, will return back in greater quantity then it was injected: let this be done so long till the clots of blood be voided. Cast in nothing that is bitter. Senn. draweth it out by a great Syringe. If a wound being received, the blood stay in the Chest, and commeth not forth of the wound, let the sick hold I grain of Musk under his Tongue: for so it will run forth: A pipe of Gold, Silver, or Lead may be [Page 368] put into it, that hath many holes through it, fenced with covering, or bound back with thongs, fitted with a great Spunge, wet in Wine and Aquavitae, wrung out, set to the Orifice, that the filth may run first through that. To dissolve the clotted blood, A mixture of Honey may be injected, which shall consist of one part Honey, two parts water, boiled to thirds, dissolved in Egrimony water, &c. Let internall expectorating means be given warme.
A WOUND of the Lungs. Signs, besides those before, is a casting forth of frothy blood at the mouth, with a Cough; red frothing blood runing forth of the brest without pain: The Veins of the neck swell, but when the flesh of the Lungs is wounded, there is no Cough, for the blood falls on the Diaphragma, and presseth it; but sometimes there is cold, somtimes heat, and frequent change of the countenance. A vein must be opened for fear of inflammation, unlesse blood hath run out very much: If the wound be narrow, it must be enlarged, that the [Page 369] matter may come forth. Apply a repelling Astringent, some things may be injected that are liquid. Senn. strews in a Powder, the Lungs being puffed up by drawing in of breaths; Vulnerary drinks. Let the sick use Emplastick meats. Let him avoid all Motion. It may be cured, if the wound be not too great, if there be no Inflammation, nor Cough. It is scoured by Lohocks of Milk, with a little Honey, cheifly with Sugar of Roses, &c.