The workes of that famous chirurgion Ambrose Parey translated out of Latine and compared with the French. by Th: Johnson

OF THE LUES VENEREA, AND THOSE SYMPTOMES VVHICH HAPPEN BY MEANES THEREOF. THE NINETEENTH BOOKE. (Book 19)

CHAP. I. A description of the Lues Venerea.

THe French call the Lues Venerea, the Neapolitane disease, the I∣talians * 1.1 and Germans [as also the English] terme it the French disease, the Latines call it Pudendagra, others name it otherwise. But it makes no great matter how it bee called, if the thing it selfe bee understood. Therefore the Lues Venerea is a disease gotten or taken by touch, but chiefly that which is in uncleane copulation; and it partakes of an occult quality, commonly taking its origi∣nall from ulcers of the privie parts, and then further manifesting its selfe by pustles of the head, and other externall parts; and lastly, infecting the entrailes and inner parts with cruell and nocturnall tormenting paine of the head, shoulders, joynts, and other parts. In processe of time, it causeth knots and hard Tophi; and lastly cor∣rupts * 1.2 and foules the bones, dissolving them, the flesh about them being oft-times not hurt; but it corrupteth and weakeneth the substance of other parts, according to the condition of each of them, the distemper and evill habit of the affected bo∣dies, and the inveteration or continuance of the morbificke cause. For some lose one of their eyes, others both, some lose a great portion of the eye-lids, othersome looke very ghastly, and not like themselves, and some become squint-eyed. Some lose their hearing, others have their noses fall flat, the pallat of their mouthes perfo∣rated with the losse of the bone Ethmoides, so that in stead of free and perfect utte∣rance, they faulter and fumble in their speech. Some have their mouthes drawne awry, others their yards cut off, and women a great part of their privities tainted with corruption. There bee some who have the Urethra or passage of the yard ob∣structed by budding caruncles, or inflamed pustles, so that they cannot make wa∣ter without the helpe of a Catheter, ready to die within a short time, either by the suppression of the urine, or by a Gangrene arising in these parts, unlesse you succour them by the amputation of their yards. Others become lame of their armes, and o∣thersome of their legges, and a third sort grow stiffe by the contraction of all their members, so that they have nothing left them sound but their voice, which serveth

for no other purpose but to bewaile their miseries, for which it is scantly sufficient. Wherefore should I trouble you with mention of those, that can scantly draw their breath by reason of an Asthma, or those whose bodies waste with a hecticke feaver and slow consumption? It fares farre worse with these, who have all their bodies deformed by a Leprosie arising there hence, and have all their throttles and throates * 1.3 eaten with putride and cancrous ulcers; their haire falling off from their heads, their hands and feet cleft with tetters and scaly chinkes: neither is their case much better, who, having their braines tainted with this disease, have their whole bodies shaken by fits of the falling sicknesse; who troubled with a filthy and cursed flux of the belly, doe continually cast forth stinking and bloudy filth. Lastly, there are no kinde of diseases, no sorts of symptomes, wherewith this disease is not complicate, never to be taken away, unlesse the virulencie of this murrain be wholly taken away, and impugned by its proper Antidote, that is, argentum vivum.

CHAP. II. Of the causes of the Lues Venerea.

THere are two efficient causes of the Lues venerea; the first is, a certaine occult and specificke quality, which cannot be demonstrated; yet it may * 1.4 be referred to God, as by whose command this hath assailed mankind, as a scourge or punishment to restraine the too wanton and lascivious lusts of unpure whoremongers. The other is an impure touch or contagion, and principally, that which happeneth in copulation. Whether the man or woman have their privities troubled with virulent ulcers, or bee molested with a virulent strangury (which disease crafty Whores colour by the name of the whites) the ma∣lignity catcheth hold of the other; thus a woman taketh this disease by a man ca∣sting it into her hot, open and moist wombe; but a man taketh it from a woman, which, for example sake, hath some small while before received the virulent seed of a whore-master polluted with this disease, the mucous sanies whereof remaining in the wrinckles of the womans wombe, may be drawne in by the pores of the stan∣ding and open yard, whence succeede maligne ulcers, and a virulent strangury. This virulencie, like a torch or candle set on fire, will by little and little bee propa∣gated and sent by the veines, arteries and nerves to the noble parts; whose malig∣nity a strong liver not enduring, by the strength of the naturall expulsive facultie, will send it into the groines, whereon follow Abscesses, therefore called venereall Bubo's. These, if they returne in againe, and cast not forth matter by being ope∣ned, they will, by their falling back into the veins and arteries, infect the masse of the * 1.5 bloud by the like tainture, & thence will ensue the Lues venerea. Yet this disease may be got by a more occult manner of touch, as by breathing only. For it is not alto∣gether besides reason and experience, that a woman long troubled with this disease, may by importunate and often kissing, transfuse malignity into a child; for the ten∣der and soft substance of a little childe may bee altered, infected, and by little and * 1.6 little corrupted by receiving of filthy, and in their whole kinde maligne vapours. For it is knowne, and now vulgarly believed, that mid-wives by receiving the child of a woman infected with this disease, to have got this affect, the malignity being taken and drawne into their bodies through the pores of their hands by the passa∣ges of the veines and arteries. Neither doth it spare any condition, sexe, nor age of men: for, not onely whosoever use copulation, but such as onély lye with them, may bee taken by this virulencie; yea verily, if they onely lye in the sheets or cove∣rings which retaine his sweat, or the virulencie cast forth by an ulcer. The same dan∣ger may assaile those who shall drinke in the same vessell after such as are troubled with this disease. For by the impure touch of their lips, they leave a virulent sa••ies and spittle upon the edges of the cup, which is no lesse contagious in its kinde than the virulencie of leprous persons, or the some of madde dogs. Wherefore it is no * 1.7 marvell if children nursed by an infected nurse, draw in the seeds of this disease to∣gether

with the milk, which is only bloud whitened in the breasts; or infected suck∣ing children by their hot and ulcerated mouthes, may trans-fuse this malignity in∣to the body of the nurse, by the rare, loose and porous substance of the dugs which it frequently sucketh.

This following history is very memorable to this purpose. A certaine very good * 1.8 Citizen of this Citie of Paris granted to his wife being a very chaste woman, that conditionally shee should nurse her owne child of which shee was lately delivered, shee should have a nurse in the house to ease her of some part of the labour: by ill hap, the nurse they tooke was troubled with this disease; wherefore shee presently infected the childe, the child the mother, the mother her husband, and hee two of his children who frequently accompanied him at bed and board, being ignorant of that malignity wherewith hee was inwardly tainted. In the meane while the mo∣ther when shee observed that her nurse childe came not forward, but cryed almost perpetually, shee asked my counsell to tell her the cause of the disease; which was not hard to bee done, for the wholebody thereof was replenished with venereall scabs and pustles, the hired nurses and the mothers nipples were eaten in with viru∣lent ulcers; also the fathers, and the two other childrens bodies, whereof the one was three, the other foure yeares old, were troubled with the like pustles and scabs. I told them that they had all the Lues venerea, which tooke its originall and first off-spring by maligne contagion from the hired nurse. I had them in cure, and by Gods helpe healed them all; except the sucking child, which died in the cure. But the hired nurse was soundly lashed in the prison, and should have beene whipped through all the streets of the Citie, but that the magistrate had a care to preserve the credite of the unfortunate family.

CHAP. III. In what humour the malignity of the Lues venerea resides.

THough in the opinion of many the antecedent cause of this disease be the masse of bloud conteining the foure humours, yet I had rather place the matter, and primary, and chief seat thereof in grosse and viscide phlegme infected with the maligne quality of the venereous venome, and from this beginning and foundation, I thinke by a certaine contagious growth it sooner or later infects the other humours, as each of them is disposed or apt to suffer. Of which my opinion there are many arguments, but this chiefely, That by the evacua∣tion of a phlegmaticke humour, whether by the mouth and salivation, or by stoole, urine, or sweate in men of what temper soever, whether cholerick, sanguine or me∣lancholy, the disease is helped or cured. Secondly, for that the excesse of paine is * 1.9 more by night than by day, because then the phlegme bearing sway, severs the peri∣o••tium from the bone, or else offends it and the rest of the membranous and nervous bodies by the acrimony of its malignity. Thirdly, because the patients are hurt by the use of cold things, but usually finde benefit by hot medicines, whither they bee oyntments, plasters, fumigations, or whatsoever else, inwardly taken, or out-wardly applyed. Fourthly, for that in venereous pustles, there is found a certaine hardnesse at the roote, though outwardly they make shew of choler or bloud. For being opened, you shall finde them stuffed with a certaine plaster-like and ••ophous matter, or else with tough phlegme, or viscous pus; whence arise these hard tophi, or bony excressences upon the bones, if not from phlegmaticke humours there hea∣ped up and concrete? Fifthly, for that the spermaticke and cold parts doe prima∣rily and principally feele the harme of this disease. Sixtly, for that the ulcers which over-spread the body by meanes of this disease, admit of no cure, unlesse you first cause sweats. Therefore if the matter of the disease, and such ulcers as accompany it were hot and dry, it would grow worse, and be rather increased by a decoction of * 1.10 Guajacum, the roots of China, or sarsaparilla. Seventhly, because oft-times this disease, the seede thereof being taken or drawne into the body, so lyeth hid for the

space of a yeare, that it shewes no signe thereof, which happens not in diseases pro∣ceeding from an hot matter, which causeth quick and violent motions. By this it appeareth that the basis and foundation of the Lues venerea is placed or seated in a phlegmatick humour; yet may I not deny, but that other humours confused there∣with may be also in fault, and defiled with the like contagion. For there are scarce a∣ny tumours which proceed from a simple humour, and that of one kinde; but as in tumours, so here the denomination is to be taken from that humour which carryeth the chiefe sway.

CHAP. IIII. Of the signes of the Lues Venerea.

WHen the Lues venerea is lately taken, maligne ulcers appeare in the pri∣vities, swellings in the groines, a virulent strangury runneth oft-times with filthy sanies, which proceeds either from the prostata, or the ulcers of the urethra; the patient is troubled with paines in his joynts, head, and shoulders, and as it were breakings of his armes, legges and all his members, they are weary without a cause, so that neither the foot nor hand can ea∣sily performe his duty; their mouths are inflamed, a swelling troubles their throats, which takes away their freedom of speaking & swallowing, yea of their very spittle; pustles rise over all their bodies, but chiefly certaine garlands of them engirt their temples and heads; the shedding or losse of the haire, disgraceth the head and chin; and leanenesse deformeth the rest of the body; yet all of these use not to appeare in all bodies, but some of them in some. But the most certaine signes of this disease * 1.11 are, a callous ulcer in the privities, hard and ill conditioned, and this same is judged to have the same force in a prognosticke, if after it be cicatrized, it retaine the same callous hardnesse; the Bubo's, or swellings in the groines to returne backe into the body without comming to suppuration, or other manifest cause: these two signes, if they concurre in the same patient, you may judge or foretell that the Lues venerea is either present, or at hand; yet this disease happeneth to many without the con∣course of these two signes, which also bewrayeth it selfe by other manifest signes, as ulcers and pustles in the rest of the body, rebellious against medicines though powerfull, and discreetely applyed, unlesse the whole body bee annoynted with Argentum vivum. But when as the disease becommeth inveterate, many become impotent to venery, and the malignity and number of the symptomes encrease, their paines remaine fixed and stable, very hard and knotted tophi grow upon the bones; and oft-times they become rotten and foule, as also the hands and feete by the cor∣ruption of salt phlegme are troubled with chops or clefts, and their heads are sea∣zed upon by an ophiasis and alopecia; whitish tumours with roots deepe fastned in, arise in sundry parts of the body, filled with a matter like the meate of a chesnut, or like a tendon; if they be opened they degenerate into divers ulcers, as putride, eating, and other such, according to the nature and condition of the affected bo∣dies. But why the paines are more grievous on the night season: this may bee ad∣ded * 1.12 to the true reason wee rendred in the precedent Chapter; first for that the ve∣nereous virulencie lying as it were asleepe is stirred up and enraged by the warme∣nesse of the bed and coverings thereof; Secondly, by reason of the patients thoughts which on the night season are wholly turned and fixed upon the onely ob∣ject of paine.

CHAP. V. Of Prognosticks.

IF the disease be lately taken, associated by a few symptomes, as with some small number of pustles, and little & wandring paines, * 1.13 and the body besides bee young and in good case, and the consti∣tution of the season bee good and favourable, as the spring, then the cure is easie, and may bee happily performed. But on the contrary, that which is inveterate and enraged by the fellowship of many and maligne symptomes, as a fixed paine of the head, knots and rottennesse of the bones, ill natured ulcers in a body very much fallen a∣way and weake, and whereof the cure hath beene already sundry times undertaken by Empyricks, but in vaine; or else by learned Physicians, but to whose remedies, approved by reason and experience, the malignity of the disease and the rebellious virulency hath refused to yeeld, is to be thought uncurable, especially, if to these so * 1.14 many evils, this bee added, that the patient bee almost wasted with a consumption and hectick leanenesse, by reason of the decay of the native moisture. Wherefore you must onely attempt such by a palliative cure; yet bee wary here in making your prognosticke: for many have beene accounted in a desperate case, who have recovered; for by the benefit of God and nature, wonders oft-times happen in dis∣eases. Young men who are of a rare or laxe habit of body are more subject to this disease, than such as are of a contrary habit and complexion. For as not all who are conversant with such as have the Plague, or live in a pestilent aire, are alike affected; so neither all who lye or accompany with such as have the Lues venerea, are alike infected or tainted. The paines of such as have this disease, are * 1.15 farre different from the paines of the Gout. For those of the Gout returne and torment by certaine periods and fits, but the other are continuall and almost alwaies like themselves; Gouty paines possesse the joynts, and in these condense a plaster-like matter into knots; but those of the Pocks are rather fastened in the middest of the bones, and at length dissolve them by rottennesse and putrefaction. Vene∣reous ulcers which are upon the yarde are hard to cure, but if being healed, they shall remaine hard and callous, they are signes of the disease lying hidde in the body.

Generally, the Lues venerea which now reigneth is farre more milde and easie * 1.16 to bee cured than that which was in former times, when as it first began amongst us: besides, each day it seemeth to bee milder than other. Astrologers think the cause hereof to bee this, for that the coelestiall influences which first brought in this dis∣ease, in successe of time by the contrary revolutions of the Starres, lose their power and become weake; so that it may seeme somewhat likely, that at length aftersome few yeares it may wholly cease; no otherwise than the disease termed Mentagra, which was very like this in many symptomes, and troubled many of the Romans in the raigne of Tiberius; and the Lichen, which in the time of Claudius (who succeeded Tiberius) vexed not onely Italy, but all Europe besides. Yet Phy∣sicians had rather take to themselves the glory of this lesse raging disease, and to re∣ferre it to the many and wholsome meanes, which have beene invented, used and opposed thereto by the most happy labours of noble wits.

CHAP. VI. How many, and what meanes there are to oppugne this disease.

MAny sorts of remedies have beene found out by many to oppugne and * 1.17 overcome this disease. Yet at this day there are onely foure which are principally used. The first is by a decoction of Guajacum; the second by unction; the third by emplasters, and the fourth by fumigation; all of them by Hydrargyrum, the first excepted. Yet that is not sufficient∣ly strong and powerfull; for experience hath taught, that the decoction of Guajacum hath not sufficient strength to extinguish the venome of the venereous virulency, but onely to give it ease for a time; for because it heates, attenuates, provokes sweate and urine, wastes the excrementitious humours by drying them, it seemeth to cure the disease, for that thereupon, for some time, the paine and all other symptomes seeme more remisse; but these endeavours are weake and deceitfull, as whereby that only which is more subtle in the humours in fault, is exhausted and dispersed by sweat. But Hydrargyrum, as a certaine higher power, conteines therein all the power of Guajacum, yet much more excellent and efficacious; for besides that it heats, at∣tenuates, * 1.18 cuts, resolves and dryes, it provokes sweat and urine, and besides it expels noxious humours upwards and downewards, by the mouth and stoole. By which evacuations not onely the more subtle, but also the more grosse and foeculent ex∣crements, wherein the seat of this disease is properly fixed, are dispersed and eva∣cuated; by which the Physician may bee bold to assure himselfe of certaine victory over the disease. But after the use of the decoction of Guajacum, fresh paines and knots arise by the reliques of the more grosse and viscous humours left in the cavi∣ties of the entrailes; but Hydrargyrum leaves no reliques behind it.

CHAP. VII. How to make choice of the wood Guajacum.

THat is preferred before the rest, which is of a great logge, of a dusky co∣lour, new, gummy, with a fresh strong smell, an acride and some what bi∣ting taste, the barke cleaving very close to the wood. It hath a faculty to * 1.19 heat, rarifie, attenuate, attract, to cause sweat, and move urine, and besides by a specifick property to weaken the viculency of the Lues Venerea. There are three substances taken notice of in this wood: the first is the barke, the other is a whitish wood which is next to the barke, the third is the heart of the wood, that is, the in∣ner, * 1.20 blackish, and more dusky part thereof. The barke is the more dry, wherefore you shall use it when as you would dry more powerfully; the middle substance is * 1.21 more moist, because it is more succulent and fat; that which lyeth betweene both is of a milde temper. Wherefore the two last are more convenient for delicate na∣tures and rare bodies, which require lesse drying. Furthermore, the barke must be gi∣ven to dense and strong natures, that by the more fierie force thereof, the humours may be made more fluide, and the passages of the body more passable. But I would here bee understood to meane such barke as is not putride and rotten with age, to which fault it is very subject, for that long before it bee shipped by our people, the wood lyeth in heapes upon the shore in the open aire, untill they can finde chap∣men for it; which, when it is brought aboard, it is stowed in the hold or bottome of the ship, where beneath by the sea through the chinkes of the bords, and above by the mariners, it usually gathereth much dirt. When it is brought hither to us, it is bought and sold by weight, wherfore that it may keep the weight, the Druggists lay it up in vaults and cellars under ground, where the surface thereof bedewed with much moisture can scarce escape mouldinesse and rottennesse. Wherefore I doe not like to give the decoction either of the barke or wood which is next thereto to sicke people.

CHAP. VIII. Of the preparation of the decoction of Guajacum.

FIrst you must have your Guajacum shaved into small pieces, and to every pound of the shavings, adde of faire water eight, ten, or twelve pints, * 1.22 more or lesse as the nature of the party, and condition of the disease shall seeme to require, according to the rule of the formerly mentioned indications. Let the water be hot or warme, especially if it be in winter, that so it may the more easily & throughly enter into the body of the wood, & draw into it selfe the faculties thereof in the space of twenty foure houres, wherein it is * 1.23 macerated; then boyle it in balneo, to avoyd empyreuma, or taste of fire, which it will contract by boyling it over a hot fire. Yet some nothing regard this, but thinke the patient sufficiently served, if they make a decoction in an earthen pot well glased, o∣ver a gentle fire, so that no part of the liquor may runne over the mouth of the ves∣sel, for that thus so much of the strength of the decoction might vanish away. How∣soever it be made, let it be boyled to the consumption of half, a third, or fourth part, as the nature of the patient, & disease shall seem to require. There be some who mixe divers simples therwith, which have an occult and proper simpathy with that part of the body which is principally hurt by the disease, which at the least may serve in stead of a vehicle to carry the faculties of the decoction thither where the disease most reigneth. Others adde thereto purging medicines, whose judgement I cannot approve of, for that I thinke it is not for the patients good to attempt two evacuati∣ons * 1.24 at once, that is, to expell the humors by sweat by the habit of the body, and by purging by the belly; for that as much urine, so also much sweat shewes little eva∣cuation by stoole. For these two motions are contrary, which nature cannot brooke at once. For purging drawes from the circumference to the Center, but sweat runs * 1.25 a quite contrary course, and this is the opinion of many & great physitians. This first decoction being boyled out, & strained the like quantity of water shall be put to the stuffe, or masse, that so being boyled again without any further infusion, & strained, with the addition of a little cinamon for the strengthening of the stomacke, the pa∣tient may use it at his meales, and betweene his meales, if he be dry, for his ordina∣ry drinke. The quantity of the first decoction to be taken at once, ought to be some five or sixe ounces, and it shall be drunke warm, that so it may be the sooner brought into action, and lest the actuall coldnesse should offend the stomacke; and then the * 1.26 patient being well covered, shall keep himself in bed, and there expect sweat, which if it come slowly on, it shall bee helped forwards with stone bottles filled full of hot water, and put to the soles of the feet. If any parts in the interim shall bee much pai∣ned, they shall bee comforted by applying of swines bladders halfe filled with the * 1.27 same decoction heated. Neither will it bee unprofitable before the decoction bee drunke, to rubbe over all the body with warme linnen clothes, that by this meanes the humours may be attenuated, and the pores of the skinne opened. When he shall have sweat some two houres, the parts opposite to the grieved places, shall first be wi∣ped, then presently, but more gently, the grieved parts themselves, lest a greater confluxe of humours flow thereto. These things being done, he shall keep himself in bed, shunning the cold aire untill he be cooled and come to himselfe againe, some two houres after, hee shall so dine, as the disease and his former custome shall seeme to require; sixe houres after, betaking himselfe to his bed, hee shall drinke the like quantity of the decoction, and order himselfe as before. But if he be either weake, or weary of his bed, it shall bee sufficient to keepe the house without lying downe; for although he shall not sweate, yet there will be a great dissipation of the vapours, and venenate spitits, by infensible transpiration; for the Lues venerea by the onely communication of these, often times catcheth hold, and propagates it selfe in lying with a bedfellow tainted therewith. But as it is requisite to have let blood, and pur∣ged the body by the advise of a physitian, before the taking of the decoction of Guajacum; so whilest hee doth take it, it much conduceth to keepe the belly soluble

(which is much bound by the heat & drinesse of such a drink) and to preserve the pu∣rity of the first veines by a glyster, or laxative medicine taken every fifth, or sixt day. But for the use of it, we must warily observe, taking indication not onely from the malignity, and contumacy of the disease, but also from the particular nature of the patient; for such as have their body wasted by heat and leanenesse, and their skinne dry and scaily, (whence you may gather a great adustion of the humours, and, as it were, a certaine incineration of the habit of the body) must more sparingly make use of these things, but rather temper the body by humecting things taken inwardly, and applyed outwardly, as bathes, ointments without quicksilver, and other such like things. And then a very weake decoction of Guajacum shall bee used for a few dayes before your unction with Quicke-silver. A more plentifull diet, as it drawes forth the disease, which of its owne nature is long, so a more sparing and slender di∣et * 1.28 makes the ulcers more rebellious and contumacious, by a hecticke drinesse.

Therefore a middle course must be kept, and meats made choice of which are fit, and naturally engender good and laudible juice in the body. For it is not only great ignorance, but much more cruelty, to goe about to conteine all patients without a∣ny difference, within the strait allowance of four ounces of Ship-bisket, and twelve damaske prunes: for I judge it farre better to diet the patient with Lambe, Veale, Kid, Pullets, fat Larkes, and Blacke-birds, as those which have a farre greater fa∣miliarity with our bodies, than Prunes and the like Junkets. Let his bread bee made of white wheat, well leavened, neither too new, or tough, neither too old or hard. Let his drinke be made of the masse, or strainings of the first decoction of Guajacum boiled with more water, as was formerly mentioned; yet if there arise any great weakenesse of the faculties, you may permit the use of some little wine, drinking es∣pecially before each mealea cup of the last mentioned decoction. Let him avoyd * 1.29 sleepe presently after meat, for so the head is filled with grosse vapoures. Passions or perturbations of the mind must also be avoyded, for that by these the spirits are inflamed and dissipated; all delights of honest pleasure are to be desired, but venety wholly avoyded, as that which weakens all the nervous parts. Many in stead of a decoction of Guajacum, use a decoction of China. Now this China is the roote of a certain rush, knotty, rare, & heavie, when it is fresh, but light when it is waxed old; it is * 1.30 also without smell, whence many judge it voyd of any effectuall quality, it is brought into use out of India, it is thus prepared, it is cut into thin round slices, boyld in foun∣taine or river water, and is given to patients to drink morning and evening after this manner. ℞. rad. chin. in taleol. sect. ℥ii. aquoe font. lb xii. infundantur per hor. xii. & co∣quantur * 1.31 ad consumption. tertiae partis. Let him take ℥vi. in the morning, and so much at night; let him expect a sweat in his bed: a second decoction may be made of the masse remaining of the first, but with a lesse quantity of water put thereto, which also by longer boyling may draw forth the strength remaining in the masse, & be used at meals for ordinary drink. There are some who make a third decoction therof, buthat is wholy unprofitable and unusefull. Sarsaparilla is prepared also just after the same manner. * 1.32

CHAP. IX. Of the second manner of curing the Lues venerea, which is performed by friction, or unction.

THe cure of the Lues venerea which is performed by unction and friction is more certaine, yet not in every kinde, condition and season thereof. For if the disease bee inveterate from an humour, tough, grosse, viscous, and * 1.33 more tenaciously fixed inthe solid parts, as you may gather by the knotty tumours of the bones; for then we are so farre from doing any good with a friction used at the first, that on the contrary wee bring the patient in danger of his life, un∣lesse we shall have first prepared the humour to expulsion, by emollient & digesting things first used. But if it be lately taken with moveable paines, pustles, and ulcers in

the jawes, throate, and privie parts, then may it be easily cured without such prepa∣ratives, especially if the humour be sufficiently obedient, and as it were prepared of it selfe, and its owne nature. Therefore first using generall medicines, you may af∣terwards come to use the unction with Hydrargyrum.

CHAP. X. Of the choice, preparation and mixing of Hydrargyrum.

HYdrargum which is cleere, thinne, white and fluide, is the best: on the contrary, that which is livid, and not so fluide, is thought to be adulte∣rated by the admixture of some lead. That it may be the purer, straine it through some sheepes leather, for by pressing it, when it is bound up, it passeth through by its subtlety, and leaves the filth and leaden drosse behinde it on the inside. Then it may be boyled in vinegar with sage, rosemary, time, chamomile, melilote, and strained againe, that so many waies cleansed, it may enter into oint∣ments and plaisters. To kill it more surely, it shall bee long wrought, and as it were ground in a mortar, that it may bee broken and separated into most small particles, * 1.34 thatby this meanes it may not bee able to gather it selfe into the former body: to which purpose you may also adde some sulphur, or sublimate, as we shall shew here∣after. It is most usually mixed with hogs grease, adding thereto some oyle of tur∣pentine, nutmegs, cloves, sage, and Galens treacle. If a Leucophlegmatia together with the Lues venerea affect the body, then hot, attenuating, cutting, and drying things shall be added to the medicine, which shall be provided for unction; the same * 1.35 shall be done when as we would have it to enter into the substance of the bones. But if the patient be of a cholericke temper, and his blood easie to be inflamed, you shall make choice of lesse hot, attractive and discussing things. As when the body shall be replenished with knotty and scirrhous tumours, or squalide by excessive drynesse, then shall emollient and humecting things bee mixed therewith. But that such oint∣ments may have a better consistence, I use to adde to each pound thereof, four, five, or sixe yolkes of hard egges. Therefore this shall be the forme of the ointment cal∣led Vigoes. ℞. axung. porci, lb i. olei chamaem. anethi, mastich. & laurini, an ℥i. sty∣rac. * 1.36 liquid. ʒx. rad. enulae, camp. parum tritae, & ebult, an. ℥iii. pul. euphorb. ℥ss. vini oderif. lb i. bulliant omnia simulusque ad consumpiionem vini, deinde colentur; colaturae adde lythargyrae auri, ℥vi. thuris, mastich. an. ʒvi. res. pini, ℥iss. tereb. venet. ℥i. argen∣ti vivi, ℥iv. cerae albae, ℥iss. liquefactis oleis, cum ceraincorporentur omnia simul, fiat li∣nimentum ad usum. Or else, ℞. argenti vivi praeparati, ℥vi. sublimiti, ʒss. sulphuris vivi, ℥ss. axung. porci; salis expertis, lb i. vitellos ovorum sub cineribus coctorum, nu. iii. * 1.37 olei terebinth. & laurini, an. ℥ii. theriac. vet. & methridat. ℥ss. fiat linimentum ut ar∣tis est. You shall compose it thus, first the sublimatum and sulphur shall be finely pou∣dered, * 1.38 then some part of the Argentum vivum and hogs grease putto them, then presently after, some of the hard yolkes of egges, continually and diligently stir∣ring and mixing them all together. All these being well incorporate, adde some more argentum vivum, hogges grease, and yolks of egges, and incorporate them with the former; at the last adde the oiles, then Treacle, and Mithridate, and so let them all be beaten together for a whole daies space, and thus you shall make an oint∣ment of a good consistence, which I have often used with good successe. Yet the * 1.39 hogges grease shall be first boyled with the hot herbs good for the sinewes, as sage, rosemary, time, marjerome, lavander, and others which the season affoords. For so the axungia acquires a more attenuating faculty, and consolidating of those parts which the Lues venere•• afflicts. Besides, when unguents are made for this purpose, that such virulency may be drawne from within outwards, by sweats and transpiration through the pores of the skinne, no man need doubt, but that they ought to be fur∣nished with relaxing, rarifying, and attractive faculties. But axungia, besides that it is very fit to kill the argentum vivum, it also relaxeth and mollifieth. Now Oleum lan∣rinum, de spicâ, rutaceum, rarifie, digest, and asswage paine. Turpentine also extin∣guisheth,

and bridleth the argentum vivum, moderately heates, resolves and streng∣thens the nervous parts. But argentum vivum is the proper antidote of the Lues ve∣nerea, as that which cures it howsoever used, drying by the subtlety of the parts, and provoking sweat. Verily Treacle and Methridate somewhat conduce to retund the virulency of this disease, but unlesse argentum vivum assist as a ferret to hunt, and an alexiterium to impugne the disease, they can doe no great matter.

CHAP. XI. How to use the Ʋnction.

THe body and humours apt to cause or nourish a plethora or inflammation, being prepared by digestive syrupes, and evacuated by purging and blee∣ding as is fitting, according to the direction of some Physi••ian, the patient shall be shut up in a parlour or chamber, hot either by nature or art, & free from cold blasts of wind. For cold is most pernitious in this disease, both for that it hurts the nervous parts, already ill affected by reason of the disease, as also for that it * 1.40 lessens the efficacy of medicines. Wherefore many doe ill in this, who, whether in winter or summer, anoint their patients in a large room, exposed on every side to the winds. They deale somewhat more wisely, who put a cloath fastened like halfe a tent presently behinde the patient, though anointed by the fire side, so to keep away the cold aire from him. Yet it is safest to set, and anoint the patient either in a little roome, or else in some corner of a large roome, separated from the rest of the room by some hangings, and building a stove, or making some fire therein, for so he may stand or sit as he best likes, the longer, and with the lesse offence, and be equally hea∣ted on every side, whereas such as are anointed in a chimney by a fires side cannot but be heated unequally, being ready to burne on the one side, whilest the other is cold, which motions are contrary and hurtfull to that we require: besides, if the pa∣tient shall bee weake, hee cannot stand and endure the heat of the fire. Or if hee bee shamefac't, he will bee unwilling to shew all his body at once naked to the Surgeon, but he may without any harme, and with modesty, lying on a bed in a little roome, wherein a stove is made, have all his limmes anointed about the joints, and presently bound up, either with stoupes, or carded cotton, or browne paper.

CHAP. XII. What cautions to be observed in rubbing or anointing the patient.

HE shall be anointed or rubbed over with the ointmēt in the morning, the concoction & distribution of the meat being perfected, which functi∣ons otherwise would not be well performed, the powers of nature be∣ing * 1.41 distracted into severall operations. Yet if the patient shall be weak, you may some houre before the unction, give him some gelly, the yolk of an egge, or some broath made of meate, boiled to pieces, but very sparingly, lest nature, intent upon the concoction of solid meats, or in great quantity, should bee drawne away from that which we intend. At first let onely the joints of the limmes be anointed, as about the wrests, elbowes, knees, anckles, shoulders. But afterward, * 1.42 if the patient shall be more strong, and a greater commotion of the humours and bo∣dy seem necessary, the emunctories of the principall parts may also be anointed, and the whole spine of the backe; yet having much care, and alwaies shunning the prin∣cipall and noble parts, lest we should doe as those butcherly Emperickes doe, who equally, and in like manner daube and rubbe over all the body, from the soles of the feete, to the crowne of the head: moreover, diligent regard must bee had of those parts, which are seazed upon by the symptomes of this disease, that they may bee more anointed, and that it may be more throughly rubbed in. Yet you must al∣waies

begin your anointing or rubbing at those parts which are lesse offended, lest the humours should be drawne in greater measure to the grieved part. And as gen∣tle * 1.43 frications do not sufficiently open the pores of the skin, so more strong and hard ones shut them up, cause paine, and more plentifully attract the morbificke matter. Wherefore it will be more convenient to use moderate frictions, taking indication from the strength of the patient, as that whereto we must still have the chiefe regard. There is also another thing wherto the physitian & Surgeon must diligently attend, as that, which if it be not carefully prevented, will either hasten the death of the pa∣tient, or make him subject to a relapse; that is, the quantitie of the remedies and unctions, and the number of the frictions. Which consideration, together with that which is of the degrees of the temperaments of the whole body, and each part there∣of, much troubles and exerciseth the mindes of good Physitians, and maketh the art conjecturall, it is so farre from being attained to by Empericks. Yet we must endea∣vour * 1.44 by method and reason, that by the rule of indications so frequently mentioned, we may attaine to the knowledge thereof, as neare as may bee. For to have perfect knowledge hereof, and to say that those need only foure, others five, and other some sixe, more or fewer frictions at the beginning, which Emperickes commonly doe, is a thing both impossible and vaine. All these must bee changed and ordered ac∣cording to the malignity and continuance of the disease, and the condition of the affected bodies. Verily wee must so long use frictions and unctions, untill the viru∣lent humours bee perfectly evacuated by spitting and salivation, by stoole, urine, sweat or insensible transpiration. Which you may understand by the falling away & drying up of the pustles and ulcers, and the ceasing of the paines and other symp∣tomes proper to this disease. In many, by reason of the more dense and compact ha∣bite * 1.45 of the body, nature is more slow in excretion. Yet I have learnt by long expe∣rience that it is best to anoint and chafe such twice in a day, to wit, morning and eve∣ning, sixe houres after meate. For so you shall profit more in one day, than by the single frictions of three dayes. But on the contrary, I have often, and with good suc∣cesse, rubbed over but each other day more rare and delicate bodies, giving them one or two dayes rest to recollect their strength, which by the too much dissolution of their spirits becomming too weak, were not sufficient to expell the relicks of the morbifick matter. And certainly about the end of the appointed friction, especially when as the patients begin to fluxe at the mouth, the bodies, together with the noxi∣ous humors are made so fluid by the means of the precedent frictions, that one fricti∣on is then more efficacious, than two were at the beginning. Therefore as Galen bids, * 1.46 when as the disease is great, and the strength of the patient infirme, that wee should part our blood-lettings, and draw a little and a little at once; so also here when as we shall observe nature stirred up, and ready bent to any kinde of evacuation by the mouth, stoole, or other like, you ought not to use any unction or friction o••••ner than once in a day, yea certainely it will bee better to intermit for some few dayes. For thus Massa reports, that there was a certaine man who almost wasted with a con∣sumption, being continually afflicted with the most grievous paines of this disease, & reputed in a desperate case by other physitians, was notwithstanding at length reco∣vered by him, when as hee had anointed him thirty seven times, putting sometime between for the recovery of his strength. I my self have observed others, who thus, by the interposition of one or two dayes, being rubbed over some fifteene or seven∣teene times, have perfectly recovered. Wherefore you must take this course in resol∣ved and weake bodies, yet in the interim must you have a care, that the frictions bee not too weak, and so few, that the morbifick cause may not be touched to the quick: for in this kinde of disease nature doth not of it selfe endeavour any Crisis, or excre∣tion; * 1.47 it requires the auxiliary forces of medicines, by whose assistance it may expell all the malignity. These are signes of such a Crisis, either at hand, or already present, if the patient be so restlesse, so loath all things, that hee cannot remaine in one place either standing or lying, he can neither eat nor drinke, if he be oppressed with a con∣tinuall wearinesse, almost ready to swoune, yet have a good and equall pulse, and gripings in his belly afflict him with bloody & viscous dejections, untill at length na∣ture after one or two dayes, portion of the morbifick matter being spent, be somwhat

freed, and all paines and symptomes so much abated, as the excretions have pro∣ceeded. But whereas medicines are not sufficient in number or strength, there fol∣lowes an unperfect Crisis, which leaves behind it some relicks of the morbifick mat∣ter, which like leven do so by little & little infect the whole mass of the humors, that oft-times after ten years space, the disease riseth as out of an ambush, or lurking hole, * 1.48 and becomes farre worse than before. But wee must in like maner have a care lest these medicines, that are either given inwardly, or applyed outwardly, be not too strong: for by causing such colliquation of the radicall moisture and solid parts, ma∣ny have been brought into an incurable consumption. In others ••ordid and putride ulcers have thence arisen in the mouth, which having eaten a great part of the pal∣late and tongue, have degenerated into a deadly Cancer. In others hereupon the tongue hath so swelled up, that it hath filled the whole capacity of the mouth, so that it could not be bended to any part of the mouth for chawing, whereupon they have by little and little beene famished. In other some there hath beene caused so great colliquation of humours, that for a whole moneth after, tough and filthy slaver hath continually flowed out of their mouths. Other some have the muscles of their jawes relaxed; others troubled with a convulsion, so that during the rest of their lives they can scarce gape. Others by losing a portion of their jaw, have lost some of their teeth. But you must not alwaies so long anoint and chafe the body, untill a fluxe of the mouth or belly appeare. For you may finde sundry persons, who, if you should anoint or rub them to death, you cannot bring them to fluxe at the mouth; yet these will recover notwithstanding, excretion being made either by insensible transpirati∣on, or evacuation of urine, or some gentle fluxe of the belly, either procured by art, or comming of it selfe. In which case I have observed that many have received much good by a purging decoction of Guajacum, administred according to the quantity of the peccant humor, and given for some dayes in the morning, adding thereto white * 1.49 wine, if the body abounded with tough and viscide humours. Dysenteryes, or bloody-fluxes caused by unctions, may be helped by Glysters, wherein much hogs-grease is dissolved to rotund the acrimony caused by the medicine and humor which nourisheth the Dysentery. Also new Treacle dissolved in new milke, is thought wonderfully to mitigate this symptome.

CHAP. XIII. Of the third manner of Cure, which is performed by cerates, and emplasters, as the substitutes of unctions.

FOr that sundry by reason of the name, abhorre the use of friction, which is performed by the forementioned ointments, therefore there is found out another manner of cure, by cerates and emplasters, as substitutes of Frictions, but that usually is somewhat slower: for which purpose it is not needfull onely to use the things which are described by Vigo, but * 1.50 you may also devise other, which are more or lesse anodyne, emollient, attenuating, discussing, or drying, according to the condition of the present disease, symptomes, humors and patient, never omitting Hydrargyrum, the onely antidote of this disease. Such emplasters mitigate paines and knots, and resolve all hardnesse, and are abso∣lutely very effectuall, for continually sticking to the body, they continually operate. * 1.51 Wherefore they are of prime use in relapses of this disease, or when the humours are thicke and viscous, or otherwise lye deepe in the body, and very difficult to roote out. But for that they worke more slowly oft times, such as use them are forced at length to use some frictions to stimulate nature, and cause the speedier excretion. Yet in some whose bodies and humours have beene fluid, either by nature or art, the ap∣plyed emplasters have in three dayes space procured evacuation sufficient for the disease, so that if they had not beene taken away, they would have caused a colli∣quation, like that which we lately mentioned in too violent friction. Wherefore you

shall use the like discretion in taking off these, as you use in your unctions and fricti∣on. Instead of Emp. de Vigo, this following may be fitly used. ℞. massae emp. de melil. * 1.52 & oxycrocei, an. lb ss. argenti vivi extin. ℥vi. ol••o laurino, & de spica, reducantur ad for∣mam emplastri. These plasters must be equally spread upon leather, and layd upon the same places of the joints, as were formerly mentioned in the cure by frictions. Yet some there bee, who cover with the plaster all the arme, from the hand e∣ven to the shoulder, and all the legge, from the toppe of the knee, even to the ends of the toes, which thing I doe not disallow of, if so bee that the places of the joints bee covered over with a thicker plaster. They must bee left sticking there so long, untill nature be stirred up and provoked to cause excretion of the virulent hu∣mours. Yet if in the interim great itching shall arise in the parts, you may take them off so long untill the parts shall be fomented with a decoction of the flowres of cha∣momile, melilote, red roses, and the like, made in wine, to discusse that which cau∣sed the itching, and then you may lay them on againe. Some, to hinder the rising of any itch, lay not the bare plaster to the part, but cover it over with sarcene••, so to keepe it from sticking, and thus intercept the transpiration of the part, the cause of itching. They shall bee stronger or weaker, and lye to the part a longer or shorter space, as long as the indications, so often formerly mentioned, shall seem to require. The effects of emplasters are the same as of frictions, for they cause excretion, one while by insensible transpiration, otherwhiles by a Diarrhae••, or fluxe of the belly, sometimes by urines, but most frequently (which Crisis is also most certaine) by sa∣livation. Sordide and virulent ulcers often breed in the mouth, tongue, pallate, and * 1.53 gummes by salivation, by reason of the acrimony of the virulent humors adhering to the sides of the mouth: to hinder the growth of these, many inject glysters made of e∣mollient things, especially at the beginning of the salivation, so to draw downwards the humours forcibly flying up in greater quantity than is fit, although the part it selfe may endure them.

There are also some, who to the same end give a purging medicine at the very * 1.54 time when as the humours are ready to move upwards, the which I thinke is not a safe course. The cure of such ulcers is farre different from the cure of others. For they ought by no meanes to bee repercussed or repelled, how enflamed soever they be, but onely to bee mitigated by anodyne gargarismes, so onely to lessen the heat, and that by this frequent washing of the mouth, you may hinder the sticking or fur∣ring of viscide humours to such like ulcers. A decoction of barly, cowes milk warm, held and gargled in the mouth, the mucilages of the seeds of mallowes, marsh-mal∣loxes, psilium, lettuce, line extracted in the water of barly, mallowes, and pellitory of the wall, are good for this purpose; for thus the ulcers become more milde, and the tenacity of the adherent humours is loosed. You must at the first beware of strong detergent medicines, for almost all such have acrimony joyned with them, which will encrease the pain, but chiefly in the state of the disease: for so, the ulcers gently cleansed by frequent gargling, would become worse by the use of acride things. Therefore it shall be sufficient to make use of the forementioned medicines, so to hinder the encrease of the filth, and inflammation of the ulcers, if so bee that such ulcers be not too exceeding maligne and burning. For if it shall happen either by the powerfull efficacy of the applyed plasters, or by the violence of nature in its motion of the ill humours upwards, that such store of viscous, and grosse humours are carryed to the mouth, that it wants little, but that the part it selfe is over-ruled by the morbificke matter, so that by the violence and continuance of the fluxe, the mouth and jawes become so swelled, that a gangrene is to be feared, by hindering the entrance of the spirits, and extinguishing of the native heat of these parts. In this case wee are forced to leave the proper cure for to withstand the accidents, and for this purpose we use restrictive & repelling things, such as are barly water, plantain, * 1.55 night-shade, knot-grasse, shepheards Purse, &c. with syrupe of roses, violets, quin∣ces, berberies, pomegranates, &c. also such are the mucilages and decoctions of the seeds of lettuce, psilium, quinces, plantaine, cucumbers, melons, white poppy, hen-bane, in the waters of roses, plantaine, night-shade, water-lillies, wood bin••, &c. Also it is convenient to procure sweats by stoves, or the application of any hot and

dry things; for thus the humours which run forth of the vessels into all the surface of the body, are diverted. But when as the course of the humours running to the mouth, is beginning to stoppe, and the tumours and ulcers begin to lessen, then no∣thing hinders, but that we may use gently detergent things, as syr. rosarum siccarum, mel rosatum, Diamoron, Dianucum, and the like. But when it is time to dry the ul∣cers, they may be lightly touched with alome water, or with aqua fortis, such as gold∣smiths * 1.56 have used for the separation of mettals. They may also frequently use dry∣ing gargarismes made with astriction of the waters of roses, plantaine, night-shade, sheepheards purse, knot grasse, and dogges tongue, boiling therein balaustia, ros. rub. myr••il. sumach. alumen. acacia, berber. galla; malicor. and the like. During the time of fluxing or salivation you must diet and ••eed the patient with liquid meats, and those of good juice, and easie digestion, for that then he can neither chaw, swallow, nor digest hard things. For nature wholly intent upon the excretion of the noxious and peccant humours, as also weakened by the bitternesse of paine, watchings, and un∣quietnesse, and consequently a great resolution of the spirits, cannot insist power∣fully upon the worke of concoction. Therefore he shall be fed with reare new layd egges, caudles of the same, barly creames, culesses made of a decoction of knuckles * 1.57 of veale, and a capon, and gellyes, and with these in small quantity, but frequently administred, alwaies gargling his mouth before hee eate. For his drinke he shall use a decoction of Guajacum aromatized with a little cinamon, but if any desire that the drinke shall become nourishment, for that the patients cannot feed on more solid * 1.58 meats, you may give them old wine, claret and thinne, mixed with some barly wa∣ter. Some there are who steep some crummes of pure manchet in the aforesaid ••ine, and then presse it out, but yet so, that there may some part of the bread remain there∣in, which may make it more nourishing, and lesse sharpe or acride. Others steepe bread hot out of the oven, in wine, for the space of a night, then they distill it all o∣ver in balneo Mariae; the liquor which first comes over is more strong and hot, but that which flowes out afterwards, more milde, and such as the patient may use to mixe with his wine without any danger, for his better nourishment, and the recove∣ry of his strength.

For to refresh the spirits in fear of fainting, Muskedine, Hippocras, rose vinegar, and the like, put to the nose to smell to, will be sufficient, unlesse peradventure the patient should naturally abhorre such things, for so they would rather deject the powers and spirits. In the interim you must have care of the belly, that you keep it open by gentle and emollient glysters.

CHAP. XIIII. Of the fourth manner of curing the Lues venerea.

SOme have devised a fourth manner of curing the Lues venerea, which is by suffitus or fumigations. I doe not much approve hereof, by reason of sundry maligne symptomes which thence arise, for they infect and cor∣rupt by their venemous contagion, the braine and lungs, by whom they are primarily and fully received, whence the patients during the residue * 1.59 of their lives have stinking breaths. Yea many while they have beene thus handled, have beene taken hold of by a convulsion, and a trembling of their heads, hands, & legges, with a deafenesse, apoplexie, and lastly miserable death, by reason of the ma∣ligne vapours of sulphur and quicksilver, whereof cinnabaris consists, drawne in by their mouth, nose, and all the rest of the body. Wherefore I can never approve the use of such fumigations which are to bee received in ••umes by the mouth and nostrills for to work upon the whole body; yet I doe not dislike of that, which is un∣dertaken for some one part onely, as to dry up ill conditioned ulcers, which so affect * 1.60 it, that they cannot bee overcome by any other meanes, or for to disperse or digest knots, or to resolve fixed paines, otherwise unmoveable. These fumigations by rea∣son

of the admixture of Argentum vivum have an attenuating, cutting, resolving, and colliquating faculty. Those who prepare these fumigations for the cure of the whole disease and body, take this course. They put the patient under a tent or cano∣py * 1.61 made close on every side, lest any thing should expire, and they put in unto him a vessell filled with hot coales, whereupon they plentifully throw Cinnabaris, that so they may on every side enjoy the rising fume, just after the same manner as Farriers use to smoake their horses for the glaunders: they repeat this every day so long, un∣till they begin to fluxe at the mouth. The principall matter or basis of such fumigati∣ons, as we have already noted, is cinnabaris consisting of sulphur and argentum vivum mixed together; there is added also, radix ireos flor. thus, olibanum, myrrha, juncus * 1.62 odoratus, assa odorata, mastiche, terebinthina, & theri••••••, all which have a faculty to resolve and strengthen the spirits, and nature, and correct the stench and evill qua∣lity of the argentum vivum. There are also other fumigations made after another manner, but that also when as the argentum vivum is extinct, and as it were fixt after this manner; let some lead bee melted, and let there be powred or put thereto some argentum vivum, then let it all be poudred, adding thereto Antimony, Aloes, Ma∣stich, coprose, orpiment, and Benjamin made into pouder, and framed into Tro∣chisces * 1.63 with some turpentine. Or else, ℞. cinnabaris, ℥i. styracus rub. & calamitae, nu∣••is moschat. an. ʒiii. benzoini, ℥ss. excipe terebinthin. fiant trochisci ponderis ʒii. for the foresaid use. The terebinthina is added to incorporate the dry things, and the gums are added to yeild matter to the fume. But virulent ulcers of the Lues venerea shall not be fumigated before they be cleansed; also this following fumigation is good. ℞. •…•…baris, ℥i. benzoini, myrrhae, styracis, olibani, opopanacis, an. ℥ss. mastiches, ma∣cis, thuris, is, an. ʒ••••. excipiantur terebinthina, & fiat suffumigium.

CHAP. XV. The cure of the symptomes, or symptomaticke affects of the Lues venerea, and first of the Ʋlcers of the Yard.

CAllous and maligne ulcers in this disease may grow all over the yard; but these are far more maligne which arise on the prepuce, than those that * 1.64 grow on the Glans, or nut of the yard. Now they are rebellious to the common medicines of ulcers which happen other waies, & they are al∣so subject to turne into a gangrene, so that sundry, who have not in time provided for themselves by the use of argentum vivum, are forced for their negli∣gence to suffer the losse of their Glans, and oft times of their whole yard. Yet I am of opinion that I thinke we must begin the cure of all ulcers of the yard with the ge∣nerall remedies of ulcers. For all ulcers arising in these parts by reason of copulati∣on, are not virulent. But when as we shall finde that we doe no good by this meanes, and that the disease notwithstanding growes worse and worse, then must we come to make use of such things as receive argentum vivum, that by these we may resist the virulency which is ready to disperse it selfe over all the body, yet it is absolutely ne∣cessary that all these things be endued with such faculties as may retund the maligne acrimony of this venome, such an one is this following collyrium of Lanfranck. ℞. vi∣ni * 1.65 albi, lb i. aq. ros. &. plantag. an. quart. i. auripig. ʒii. viridis ••ris, ʒi. aloes, myrrhae, an. ℈ii. terantur subtilissime, & fiat collyrium. Also these ulcers may bee profitably touched with mercury water, or aqua fortis which the Goldsmiths have used, or else mercury in pouder, or our aegyptiacum: but the falling away of the Eschar shall bee procured with basilicon, or fresh butter. Yet I think it not fit to use these acrid things without very great caution, for fear of a gangrene, which easily happens to this part. But if such ulcers are so stubborne, that they will not yeild to these remedies, then must we come to the friction or unction of the groines perinaum, and ulcers, with the ointments formerly prescribed for the generall friction. Also fumigations may bee made, as wee mentioned in the former chapter. For thus at length the malignity of the virulent humour will be overcome, and the callous hardnesse mollified; and last∣ly

the ulcers themselves cleansed, and being cleansed, consolidated. Sometimes af∣ter the perfect cure of such ulcers, there will appeare manifest signes of the Lues ve∣nerea in many, which shewed not themselves before, for that the virulency flowed forth of the running ulcers, and now this vent being stopt, it flowes backe into the body, and shewes signes thereof in other parts; and these men have need of a generall unction.

CHAP. XVI. & by us vulgarly in English the running of the 〈◊〉〈◊〉. How a Gonnorhoea differeth from a * 1.66 virulent strangury.

EVen, to this day very many have thought that the virulent strangury hath some affinity with the Gonnorhoea of the Ancients, but you shall under∣stand by that which followes, that they are much different. For a Go∣nnorhoea is an unvoluntary effusion of seed running from the whole bo∣dy to the genitals, by reason of the resolution and palsey of the reten∣tive faculty of these parts, as it is delivered by Galen, lib. de loc. affect. This disease befalleth others by the collection of the bloud and seminall matter by the vessels of the whole body, which not turning into fat and good flesh, takes its course to the genitals; but on the contrary, a virulent strangury is a running, or rather dropping * 1.67 out of the urenary passage, of a yellowish, livide, bloudy, filthy sa••ies, like to pus or matter not well concocted, oftentimes fretting and exulcerating the passage with the acrimony, and causing a painefull erection of the yard, and distension of all the genitall parts. For in this erection there is caused as it were a convulsive contraction of these parts. And hence it is that the patients complaine, that they feele as it were * 1.68 a string stretched stiffe in that part, which drawes the yard as it were downewards. The cause hereof is a grosse and flatulent spirit, filling and distending by its plenty, the whole channell or hollow nerve; yea, verily, the whole porous substance of the yard. If to these symptomes this be added, that the urenary passage be exulcerated, a grievous paine afflicts the patient whilest he makes water, for that the ulcers are irri∣tated by the sharpe urine passing that way. Such a virulent strangury or running of the reines oft-times continueth for two or three yeares space: but the Gonnorhaea, or running of the seed cannot endure so long, but that it will bring the body to an extreme and deadly leanenesse, for that the matter of the seed is of the more be∣nigne and laudible portion of the bloud, as you may perceive by those who have too immoderately used copulation but the space of one night. For such have their fa∣ces more leane and lanke, and the rest of their bodies enervated, languisheth and be∣commeth * 1.69 dull. By this we have delivered, it may be perceived that the running of a virulent strangury, is not the running of a seminall humour, fit for generation of is∣sue, * 1.70 but rather of a viscous and acride filth, which hath acquired a venenate malig∣nity by the corruption of the whole substance.

CHAP. XVII. Of the causes and differences of the scalding, or sharpenesse of the urine.

THe heat or scalding of the water, which is one kinde of the virulent stran∣gury, ariseth from some one of these three causes, to wit, repletion, inani∣tion and contagion. That which proceeds from repletion, proceeds ei∣ther * 1.71 from too great abundance of bloud, or by a painefull and cedious journey in the hot sunne, or by feeding upon hot, acride, diureticke and ••larulent meats, causing tension and heat in the urenary parts, whence proceeds the inflamma∣tion of them and the genitall parts, whence it happens that not onely a seminall, but also much other moisture may flow unto these parts, but principally to the prostatae, which are glandules situate at the roots, or beginning of the necke of the bladder,

in which place the spermaticke vessels end; also abstinence from venery causeth this plenitude in some who have usually had to doe with women, especially the ex∣pulsive faculty of the seminall and urenary parts being weake, so that they are not of themselves able to free themselves from this burden. For then the suppressed matter is corrupted, and by its acrimony contracted, by an adventitious and putre∣dinous heat, it causeth heate and paine in the passage forth. The prostata swelling with such inflamed matter, in processe of time become ulcerated, the abscesse being broken. The purulent sanies dropping and flowing hence alongst the urinary pas∣sage causes ulcers by the acrimonie, which the urine falling upon, exasperates, whence sharpe paine, which also continueth for some short time after making of wa∣ter, and together there with by reason of the inflammation, the paines attraction, and the vaporous spirits distension, the yard stands and is contracted with paine, as wee noted in the former chapter. But that which happens through inanition, is acqui∣red * 1.72 by the immoderate and unfit use of venery, for hereby the oily and radicall moi∣sture of the forementioned glandules is exhausted, which wasted and spent, the u∣rine cannot but be troublesome and sharpe by the way to the whole urethra. From which sense of sharpe paine, the scalding of the urine hath its denomination. That which comes by contagion, is caused by impure copulation with an unclean person, or with a woman, which some short while before hath received the tainted seed of a virulent person, or else hath the whites, or her privities troubled with hidden and secret ulcers, or carrieth a virulent spirit shut up or hidden there, which heated and resuscitated by copul••tion, presently infects the whole body with the like con••agi∣on, no otherwise than the sting of a Scorpion or Phalangium, by casting a little poi∣son into the skinne, presently infects the whole body, the force of the poison sprea∣ding further than one would believe, so that the partie falls downe dead in a short while after. Thus therefore the seminall humour conteined in the prostatae, is cor∣rupted * 1.73 by the tainture of the ill drawne thence by the yard, and the contagion in∣fects the part it selfe; whence followes an abcesse, which casting forth the virulency by the urenary passage, causeth a virulent strangury; and the maligne vapour carry∣ed up with some portion of the humour unto the entrailes and principall parts, cause the Lues venerea.

CHAP. XVIII. Prognosticks in a virulent strangury.

WEE ought not to be negligent or carelesse in curing this affect, for * 1.74 of it proceed pernicious accidents, as wee have formerly told you, and neglected, it becomes uncurable, so that some have it run out of their urenary passage during their lives; oft-times to their for∣mer misery is added a suppression of the urine, the prostatae and neck of the bladder being inflamed and unmeasurably swelled. Co∣pulation, and the use of acride or flatulent meates encrease this inflammation, and al∣so together therewith cause an Ischuria, or stoppage of the urine; they are worse at the change of the moone▪ certaine death followes upon such a stoppage; as I obser∣ved * 1.75 in a certaine man, who troubled for ten yeares space with a virulent strangury, at length dyed by the stoppage of his water. He used to be taken with a stopping of his urine, as often as he used any violent exercise, and then he helped himself by put∣ting up a silver Catheter, which for that purpose he still carryed about him; it hap∣pened on a certaine time, that he could not thrust it up into his bladder, wherefore he sent for me, that I might helpe him to make water, for which purpose when I had used all my skill, it proved in vaine: when he was dead, and his body opened, his bladder was found full and very much distended with urine, but the prostatae preter∣naturally * 1.76 swelled, ulcerated, and full of matter resembling that, which formerly u∣sed to run out of his yard, whereby you may gather, that this virulency flowes from the prostatae, which runs forth of the yard in a virulent strangury, and not from the

Reines, as many have imagined. Certainely, a virulent strangury, if it be of any long continuance, is to be judged a certaine particular Lues venerea, so that it cannot bee cured unlesse by frictions with Hydrargyrum. But the ulcers which possesse the neck of the bladder are easily discerned from these which are in the body or capacity thereof. For in the latter the filth comes away as the patient makes water, and is found mixed with the urine, with certaine strings or membranous bodies comming forth in the urine: to these may be added, the farre greater stinch of this filth which issueth out of the capacity of the bladder. Now must wee treat of the cure of both these diseases, that is, the Gonnorh•••• and virulent strangury, but first of the former.

CHAP. XIX. The chiefe heads of curing a Gonnorhoea.

LEt a Physitian be called, who may give direction for purging, bleeding and diet, if the affect proceed from a fulnesse and abundance of blood and seminall matter; all things shall bee shunned which breed more * 1.77 bloud in the body, which increase seed, and stirre to venery. Where∣fore he must abstaine from wine, unlesse it be weak and astringent, and he must not onely eschew familiarity with women, but their very pictures, and all things which may call them into his remembrance, especially if he love them dear∣ly; * 1.78 strong exercises do good, as the carrying of heavie burdens even until they sweat, swimming in cold water, little sleepe, refrigerations of the loines and genitall parts by annoynting them with unguentum rosatum refrigerans Galeni & nutritum, putting thereupon a double cloth steeped in oxycrate, and often renewed. But if the resolu∣tion or weaknesse of the retentive faculty of these parts bee the cause of this disease, contracted by too much use of venery before they arrive at an age fit to performe * 1.79 such exercise; in this case strengthening and astringent things must both bee taken inwardly, and applied outwardly. But now I hasten to treat of the virulent strangu∣rie, which is more proper to my purpose.

CHAP. XX. The generall cure both of the scalding of the water, and the virulent strangury.

WEe must diversly order the cure of this disease, according to the variety of the causes and accidents thereof. First, care must be had of the diet, and all such things shunned as inflame the bloud, or cause windinesse; of which nature are all diuretick and slatulent things, as also strong and * 1.80 violent exercises. Purging and bleeding are convenient, especially, if fulnesse cause the affect. Womens companies must be shunned and thoughts of ve∣nereous matters; the patient ought not to lye upon a soft bed, but upon a quilt or matterice, and never, if he can helpe it, upon his back; boyled meats are better than roasted, especially boyld with sorrel, lettuce, purslain, cleansed barly, & the four cold seeds beaten, for sauce, let him use none, unlesse the juice of an orange, pomgranate, or verjuice; let him shun wine, and in stead thereof use a decoction of barly and li∣querice, a hydromel, or hydrosaccharum with a little cinamon, or that which is termed Potus divinus. In the morning let him sup of a barly creame wherein hath beene boyled a nodulus of the foure cold seedes beaten together with the seedes of white poppy; for thus it refrigerateth, mitigateth and cleanseth; also the syrups of marsh-mallowes and maiden-haire are good. Also purging the belly with halfe an ounce of Cassia, sometimes alone, otherwhiles with a dram or halfe a dram of Rubarbe in pouder put thereto, is good. And these following pils are also convenient. ℞. mas∣sae pi••ul. sine quibus ℈i. rhei electi ʒss. caphurae gr. iiii. cum terebinthina formenntur pilul••; * 1.81 let them bee taken after the first sleep. Venice turpentine alone, or adding thereto

some Rubarbe in pouder, with oyle of sweet almonds newly drawne without fire, or some syrupe of maiden-hair is a singular medicine in this case, for it hath an excel∣lent * 1.82 lenitive and cleansing faculty, as also to helpe forwards the expulsive facultie, to cast forth the virulent matter contained in the prostatae. You may by the bitter∣nesse perceive how it resists putrefaction and you may gather how it performes its office in the reines and urenary parts, by the smell it leaves in the urine after the use thereof. But if there bee any who cannot take it in forme of a bole, you may easily * 1.83 make it potable, by dissolving it in a mortar with the yolk of an egge and some white wine, as I learned of a certaine Apothecary, who kept it as a great secret. If the dis∣ease come by inanition or emptinesse, it shall be helped by fatty injections, oily and emollient potions, and inwardly taking and applying these things which have the like faculty, and shunning these things which caused the disease. How to cure that which happens by contagion, or unpure copulation, it shall bee abundantly shew∣ed in the ensuing chapter.

CHAP. XXI. The proper cure of a virulent strangury.

FIRST we must begin with the mitigation of paine, and staying the inflammation, which shall be performed by making injection in∣to the urethra with this following decoction warme. ℞. sem. psi∣lii, * 1.84 lactucae, papav. albi, plantag. cydon. lini, hyosciami albi, an. ʒii. detrahantur mucores in aquis solani & rosar. ad quantitatem sufficien∣tem, adde trochisc. alborum Rhasis camphoratorum in pollinem redacto∣rum, ʒi. misce simul, & fiat injectio frequens. For this because it hath a refrigerating faculty, will help the inflammation, mitigate pain, and by the mucila∣ginous faculty lenifie the roughnesse of the urethra, and defend it by covering it with the slimy substance, against the acrimony of the urine and virulent humours. In stead hereof you may use cowes milk newly milked, or warmed at the fire. Milk doth not only conduce hereto being thus injected, but also drunk, for it hath a refrigerating * 1.85 and cleansing faculty and by the subtlety of the parts it quickly arrives at the urena∣ry passages. Furthermore it will be good to anoint with cerat. refriger. Galeni addita camphora, or with ceratum santalinum, ung. comitissae, or nutritum, upon the region of the kidneyes, loines and perinaeum, as also to anoint the Cods and Yard. But before you use the foresaid ointments or the like, let them be melted over the fire, but have a care that you make them not too hot, lest they should lose their refrigerating quality, which is the thing we chiefly desire in them. Having used the foresaid oint∣ment, * 1.86 it will be convenient to apply thereupon some linnen clothes moistened in oxycrate composed ex aquis plantaginis, solani, sempervivi, rosarum, and the like. If the patient bee tormented with intollerable paine in making water, and also some small time after, as it commonly commeth to passe, I would wish him that he should make water putting his yard into a chamber-pot filled with milke or water warmed. The paine by this meanes being asswaged, we must come to the cleansing of the ul∣cers by this or the like injection. ℞. hydromelitis symp. ℥iv. syr. de rosis siccis, & de ab∣sinth. * 1.87 an. ℥ss. fiat injectio. But if there be need of more powerfull detersion, you may safely adde, as I have frequently tryed, a little aegyptiacum. I have also found this following decoction to bee very good for this purpose. ℞. vini albi oderiferi, lb ss. aquar. plantag. & ros. an. ℥ii. auripigmenti, ʒss. viridis aeris, ℈i. aloës opt. ʒss. pulveri∣sentur pulverisanda; & bulliant simul. Keep the decoction for to make injection with∣all. You may encrease or diminish the quantity and force of the ingredients entring into this composition, as the patient and disease shall seeme to require. The ulcers being thus cleansed, we must hasten to dry them, so that we may at length cicatrize * 1.88 them. This may be done by drying up the superfluous moisture, and strengthening the parts that are moistened and relaxed by the continuall defluxion, for which pur∣pose

this following decoction is very profitable. ℞. aq. fabrorum, lb i. psidiarum, balaust. nucum cupres. conquassatorum. an. ʒi ss. s••••in. sumach. & herber. an. ʒii. syrup. rosar. & de absinth. an. ℥i. fiat decoctio. You may keepe it for an injection to be often injected into the urethra with a syringe, so long as that there shall no matter or filth flow out thereat, for then there is certaine hope of the cure.

CHAP. XXII. Of Caruncles, or fleshy excresc••u••••s which sometimes happen to grow in the Urethra, by the heat or sc••lding of the urine.

ASharpe humour which flowes from the Glandules termed Prostatae, and continually runs alongst the urenary passage, in some places by the way * 1.89 it frets, and exulcerates by the acrimony the urethra in men, but the necke of the wombe in women. In these, as also is usuall in other ulcers, there sometimes growes up a superfluous flesh, which oft times hinders the casting or comming forth of the seed & urine by their appropriate and common passage, whence many mischieves arise; whence it is that such ulcers as have carun∣cles growing upon them must be diligently cured. But first we must know whether they be new or old. For the latter are more difficulty to bee cured than the former, * 1.90 because the caruncles that grow upon them become callous and hard, being oft times cicatrized. Wee know that there are caruncles, if the Cath••ter cannot freely passe alongst the passage of the urine, but findes so many stops in the way, as it meets * 1.91 with Caruncles that stop the passage; if the patient can hardly make water, or if his water runne in a very small streame, or two streames, or crookedly, or onely by droppe and droppe, with such tormenting paine that he is ready to let goe his excre∣ments, yea and oft times doth so, after the same manner as such as are troubled with the stone in the bladder. After making water, as also after copulation, some portion of the urine and seed stayes at the rough places of the caruncles, so that the patient is forced to presse his yard, to presse forth such reliques. Sometimes the urine is whol∣ly stopped, whence proceeds such distention of the bladder, that it causeth inflam∣mation, * 1.92 and the urine flowing backe into the body, hastens the death of the patient. Yet sometimes the urine thus supprest, sweats forth preternaturally in sundry places, as at the fundament, perinaeum, cod, yard, groines. As soone as we, by any of the forementioned signes, shall suspect that there is a Caruncle about to grow, it is ex∣pedient forthwith to use means for the cure therof; for a caruncle from a very little beginning doth in a short time grow so bigge, that at the length it becomes incure∣able, verily you may easily ghesse at the difficulty of the cure by that we have for∣merly delivered of the essence hereof, besides, medicines can very hardly arrive ther∣at. The fittest season for the undertaking thereof is the spring, and the next thereto is * 1.93 winter; yet if it be very troublesome, you must delay no time. Whilest the cure is in hand, the patient ought wholly to abstain from venery, for by the use thereof, the kid∣neyes, spermaticke vessels, prostatae, and the whole yard, swell up and waxe hot, and consequently draw to them from the neighbouring and upper parts, whence aboun∣dance of excrements in the affected parts, much hindering the cure. You must be∣ware of acrid and corroding things in the use of detergent injections, for that thus the urethra being endued with most exquisite sense, may bee easily offended, whence might ensue many and ill accidents. Neither must wee be frighted if at some times wee see blood flow forth of secret or hidden caruncles. For this helpes to shorten the cure, because the disease is hindered from growth, by taking away portion of the conjunct matter, the part also it selfe is eased from the oppressing burden, for the ma∣teriall cause of caruncles is superfluous blood. Wherfore unlesse such bleeding hap∣pen of it selfe, it is not amisse to procure it by thrusting in a Cathaeter somewhat hard, * 1.94 yet with good advise. If the Caruncles be inveterate, and callous, then must they be mollified by fomentations, ointments, cataplasmes, plasters, and fumigations; you may thus a make fomentation. ℞. rad, alth. & lilior al••. an. ℥iv. rad. bryani••, & foe∣nicul. * 1.95

an. ℥iss. fol. malvar. violarum, parietar. & mercur. an. m ss. sem. lini, faenugr. an. ℥ss. caricas ping. nu. xii. florum chamaem. & melil. an. p i. contundantur contu••den∣da, & incidenda incidantur, bulliant omnia in aqua communi: make a fomentation, and apply it with soft sponges. Of the masse of the strained-out things, you may make a cataplasme after this manner. ℞. praedicta materialia, terantur, & trajiciantur, adde * 1.96 ••xungiae porci, unguenti basiliconis, an. ℥ii. fiat cataplasma: let it be applyed present∣ly after the fomentation. You may use this following liniment whilest the cata∣plasme is providing. ℞. unguenti alth. & agrippae an. ℥iss. oesipi humidae, & axung. * 1.97 human. an. ℥i. butyri recentis, olei lilior. & chamaem. an. ʒvi. liquefiant simul, addendo aquae vitae ℥i. fiat linimentum: let it bee applyed outwardly upon the part where∣in the Caruncles are. For the same purpose plasters shall bee applyed, which may bee diversified, and fitted as you shall thinke good; yet Emplastrum de Vigo * 1.98 truly made, exceedeth all the rest in a mollifying faculty, and in wasting such cal¦lous hardnesse. The following fumigation is also good for the same purpose, take some pieces of a mille-stone (for this wee use in stead of the pyrites mentioned by the Ancients) or else some Brickes of a large size, after they are heated hot in the fire, let them be put into a pan, and set under a close stoole, then cause the patient to sit thereon, as if hee were going to stoole, then poure upon the hot stones e∣quall * 1.99 parts of very sharpe vinegar, and very good Aqua vitae, and casting clothes about him, that nothing may exhale in vaine: let him receive the ascending va∣pour at his Fundament, Perinaeum, Scrotum, and Urethra. Moreover, that this me∣dicine may worke the better effect, you may put the Patient naked into the Barrell noted with this letter A. so that he may sit upon a seate or borde perforated on that part, whereas his Genitalls are, then place the pan holding the hot stones between his legges, then presently sprinkle the stones with the forementioned liquor, by the doore marked with the letter, B. Thus the Patient shall easily receive the fume that exhales therefrom, and none thereof bee lost, he covering and vailing himselfe * 1.100 on every side. Such a fumigation, in Galens opinion, hath a faculty to penetrate, cut, resolve, soften and digest scirrhous hardnesses.

[illustration]

A Barrell fitted to receive the Fume in.

CHAP. XXIII. What other remedies shall be used to Caruncles occasioned by the Lues venerea.

BUT if you suspect that these Caruncles come or are occasioned by a vi∣rulent humour, or the malignity of the Lues venerea, it is meet that the * 1.101 patient observe such a diet as usually is prescribed to such as are troubled with the Lues venerea; let him use a decoction of Guajacum, and let the perinaeum and the whole yard bee anointed with ointment made for the Lues venerea; otherwise the Surgion will lose his labour. In the interim whilest hee shall sweat in his bed, he shall bee wished to hold betweene his legges a stone bottle filled with hot water, or else a hot bricke wrapped in linnen cloathes, moistened in vinegar and aqua vitae; for thus the heat and vapour will ascend to the genitalls, which, together with the helpe of the applyed ointment, will dissolve the matter of the Caruncles, and being thus softened, they must be consumed with con∣venient * 1.102 medicines. Wherefore first if they become callous, or cicatrized (which you may suspect if they cast forth no excrementitious humidity) they shall be exas∣perated, excoriated and torne with a leaden Cathaeter having a rough button at the end like a round file. He shall so long use the Cathaeter put into the Urethra, thrusting it up and downe the same way so long and often as hee shall thinke fit for the brea∣king and tearing the Caruncles, hee shall permit them thus torne to bleed freely, so to ease the affected part. You may also for the same purpose put into the Urethra the Cathaeter marked with this letter B. whereinto putting a silver wiar sharp at the upper end, that by often thrusting it in and out, it may wear and make plain the resisting ca∣runcles. Verily by this meanes I have helped many much perplexed with the feare∣full danger of this disease. Some better like of the Cathaeter marked with the letter A. being thus used: it is thrust into the Urethra with the prominent cutting sides downewards, and then pressing the yard on the outside close with your hand to the Cathaeter in the place where the Caruncles are, it is drawn forth againe.

[illustration]

Cathaeters fit to weare asunder, or teare Caruncles.

A. sheweth the Cathaeter with the inserted silver wiar, but not hanging forth thereat.

B. sheweth the Cathaeter with the inserted silver wiar hanging forth at the end.

The thus torne Caruncle shall bee strawed over with the following pouder, being very effectuall to waste and consume all Caruncles of the privities without much paine. ℞. herb. sabin. in umbra exsiccat. ʒ ii. ocrae, antimon. tuth. praparat. an. ʒ ss. fiat * 1.103 pulv. subtilissimus, let it bee applyed in the following manner. Put the powder into

the pipe or Cathaeter having holes in the sides thereof, the which is the lowermost of the last described. Then put the Cathater into the urenary passage untill the slit or opennesse of the side come to the Caruncle, then into the hollownesse of the Cathae∣ter put a silver wiar, wrapped about the end with a little linnen ragge, which as it * 1.104 is thrust up, will also thrust up the pouder therwith, untill it shall come to the slit a∣gainst the caruncle, then will it adhere to the caruncle, bloody by reason of the late attrition. Then shall you draw forth the Cathater, first twining it about, that so it may not scrape off the pouder againe. If intollerable paine hereupon happen, it shall bee asswaged, and the inflammation restrained by the following injection. ℞. succorum * 1.105 portulacae, plantag. solani, & sempervivi, an. ℥ ss. album ovorum, nu. vi. agitentur diu in mortario plumbeo; let it be injected warme into the urethra with a syringe. In stead hereof you may also make use of another injection, which is formerly prescribed. Neither will it be unprofitable to apply repercussives to the genitalls, to hinder pain and inflammation. You may also use other medicines, having a faculty to consume * 1.106 the Caruncle, amongst which these following are excellent. ℞. viridis aeris, auripig∣menti, vitriol. Rom. aluminis roch. an. ℥ ii. infundantur omnia in acet. acerrimo, atque inter duo marmora in pollinem redigantur: then let it be exposed to the summer sunne, and dryed, againe infused in sharp vinegar, and then as before grownd upon a mar∣ble, so that you shall finde nothing sharpe with your fingers; lastly let it be opposed to the sunne untill it may bee made into most subtle pouder, and all the acrimony be vanished, which will be commonly in eight dayes space. Then, ℞. ol. rosat. ℥ iv. lythargyri ℥ ii coquantur ad ignem, quousque coiërint in emplast. solidae consistentiae, ab ignetum semotis, adde pulv. praedict. ℥ ii. let them bee mixed with a spatula, and put upon the fire untill it come to so hard a consistence, that it will sticke to a waxe can∣dle, or lead wiar, so that it may not come off by handling with your hands. The Sur∣geons of Mantpelier, use this medicine: This following is another, ℞. tuthiae prae∣par. * 1.107 ʒ vi. antimonii, ʒ iii. trochisc. alborum, Rhas. camphorat. ʒ i. corticis granati, alu∣minis usti, an. ʒ i ss. spongia ustae, ℈ ii. let them all be made into pouder: then, ℞. ung. diapo ••pholigos, & alb. Rhasis, an. ℥ ii. misceantur cum praedictis pulveribus in mortario plumbeo, & diu agitentur: let a very fine ragge bee spread over with this ointment, * 1.108 and wrapped about a waxe candle, and so thrust into the Urethra, and then draw forth the candle againe by twining it a contrary way; so let the end of the ragge hang out of the yard, so to plucke it forth againe, when as you shall thinke it hath done what it can to the Caruncle, which is, when it hath covered it with the medicine with which it was spread. Some also make waxe candles with a slender, but stiffe weeke, whose end, which is to be put to weare and consume the Caruncle, is compo∣sed of the following medicine. ℞. emplastri nigri, vel diachylonis ireati ℥ ii. pul. sabi∣nae, ocrae, vitriol. Rom. calcin. pul. mer. an. ʒ ss. omnia liquescant simul ad dictum usum. Whilest the cure shall bee in hand by these following medicines, let the patient bee carefull that he so shake his yard after making water, that he may shake forth all the * 1.109 reliques of the urine which may chance to stoppe at the Caruncles; for if but one droppe should stay there, it would be sufficient to spoile the whole operation of the applyed medicines. After that the Caruncle shall bee worne away and wholly con∣sumed by the described medicines, which you may know by the urine flowing forth * 1.110 freely, and in a full streame, and by thrusting up a Cathaeter into the bladder with∣out any stoppage; then it remaines that the ulcers be dryed & cicatrized; for which purpose the following injection is very powerfull and effectuall, and without any acrimony. ℞. aq. fabrorum lb ss. nuc. cupress. gallar. cort. granat. an. ʒ i ss. alum. roch. ʒ ss. bulliant omnia simul secund. art. so make a decoction for an injection, which you * 1.111 shall use so long, untill no excrementitious humidity distill out of the yard. The fol∣lowing pouder dryes more powerfully, and consequently hastens forwards cicatri∣zation, and it is also without acrimony. ℞. lapidem calamin. lotum, test as over ••m ust as, corallum rubrum, corticom granat. comminue omnia in pollinem; let this pouder be used to the ulcers, with a waxe candle joyned to some unguentum desiccativum rubrum, or some such like thing. Also strings or rods of lead thrust into the urethra as thicke as the passage will suffer, even to the ulcers, being first be smeared with quicksilver, * 1.112 and kept in day and night as long as the patient can endure, are good to be used. For

they dry by their touch and cicatrize, they dilate the urenary passage without paine, and lastly hinder the sides of the ulcer from corrupting one another.

CHAP. XXIIII. Of venereall Buboes, or swellings in the Groines.

THe virulency of the Lues venerea is sometimes communicated to the Liver, which if it have a powerfull expulsive faculty, it expells it into the groines, as the proper emunctories thereof, whence pro∣ceed * 1.113 venereall Bubo's. The matter of these for the most part is a∣bundance of cold, tough, and viscous humours, as you may gather by the hardnesse and whitenesse of the tumour, the pravity of the paine, and contumacy of curing; which also is another reason, be∣sides these that wee formerly mentioned, why the virulency of this disease may bee thought commonly to fasten it selfe in a phlegmaticke humour. Yet sometimes ve∣nereall Bubo's proceed from a hot, acride and cholericke humour, associated with great pain and heat, and which therupon often degenerate into virulent & corroding ulcers. Some venereous Bubo's are such conjoyned accidents of the Lues venerea, * 1.114 that they foretell it; such are these which for a small while shew a manifest tumour, and suddenly without any manifest occasion hide themselves againe, and returne backe to the noble parts. Others are distinct from the Lues venerea though they have a similitude of essence and matter therewith, and which therefore may be hea∣led, the Lues venerea yet remaining uncured. Such are these which are usually seen, and which therefore compared with the former may be termed simple and not im∣plicit. For the cure, you must not use discussing medicins, lest resolving the more sub∣tle part, the grosser dregs become impact and concrete there; but much lesse must we use repercussives, for that the matter is virulent. Wherefore onely attractive and suppurating medicines are here to bee used, agreeable to the humour predominant and causing the tumour, as more hot things in aedematous and scirrhous tumours, than in those which resemble the nature of a phlegmon or erysipelas: the indication taken from the rarity and density of bodies insinuates the same variety. The apply∣ing of cupping glasses is very effectuall to draw it forth. But when as it is drawne * 1.115 forth, you shall forthwith apply an emplasticke medicine, and then you shall come to suppuratives. When the tumour is ripe it shall be opened with a potentiall caute∣ry, * 1.116 if it proceed from a cold cause; for by the inducing of heat the residue of the crude matter is more easily concocted, besides when as an ulcer of this kinde is opened, the matter will bee more easily evacuated, neither shall it bee fit to use any tent, but onely to apply pledgets. The residue of the cure shall bee performed by detergent medicines, and then if need require, the patient shall be let blood, and the humours evacuated by a purging medicine, but not before the perfect maturity thereof.

CHAP. XXV. Of the Exostosis, bunches or knots growing upon the bones by reason of the Lues Venerea.

HArd Tumours, Exostoses and knots have their matter from thicke and tough phlegme, which cannot be dissolved, unlesse by hot medicines, * 1.117 which have a mollifying & dissolving faculty. For which purpose, be∣sides those medicines which usually are applyed to seirrous tumours, you must also make use of arg. viv. commonly after this manner. &. empl. filii Zach. & Ceronei, an. ℥ iii. euphorb. ℥ ss. euplast. de vigo, ℥ ii iter at aesyp. descript. Philagr. ℥ i. argent. vivi extinct. ℥ vi. fiat emplastrum. Spread it upon leather for your * 1.118 use. In the meane space let the patient observe a sparing dyet; for thus hee shall bee

helped, if so be that the substance of the bones be yet unperished. For if it be putre∣fyed & rotten, then the described medicines are of no use, but you must of necessity lay bare the bone, either by incision, or else by an actuall or potentiall cautery; but I had rather doe it with an actuall, for that it extracts the virulency impact in the bones, as also it hastens the abscesse, or falling away of the corrupted bone. It shall be of a convenient figure to cauterize the bone, as, round, square or long. I usually, before the application of such a Caustick, first divide the flesh that lyes over it with an incision knife, that so the paine may be the lesse, because the flesh cannot be burnt through but in a long time, by which the fire may come to the bone. But it will not bee amisse, before wee treat of this art, first to consider the nature of the rottennesse of the bones.

CHAP. XXVI. Why the bones become rotten, and by what signes it may be perceived.

THat solution of Continuity which is in the bones, is called by Galen, Ca∣tagma. * 1.119 This usually is the cause of rottennesse; for, bones that are gra∣ted, bruised, rent, perforated, broken, luxated, inflamed and dispoiled of the flesh and skin, are easily corrupted; for dispoyled of their covering, they are altered by the appulse of the aire, which they formerly never felt, whence also their bloud and proper nourishment is dryed up and exhausted. Besides also, the sanies running downe by reason of wounds and old ulcers, in pro∣cesse * 1.120 of time, fastens it selfe into their substance, and putrefies by little and little; this putrefaction is encreased and caused by the too much use of oily and fatty medicines, as moist and suppurate things; for hence the ulcer becommeth more filthy and ma∣ligne, the flesh of the neighbouring parts groweth hot, is turned into pus, which pre∣sently falling upon the bone lying under it, inflames it. Lastly, the bones are sub∣ject * 1.121 to the same diseases, as the flesh that lyeth under them is; besides also accor∣ding to Galen, the beginning of inflammation oft-times proceeds from the bones; but they beat not, because, according to the opinion of the ancients, pulsation is a dolorificke motion of the Arteries, but the bones want sense. Which verily I can∣not deny, but also we must confesse that the membrane that encompasseth them, and the arteries that enter into their body, are endued with most exquisite sense. Where∣fore the arteries compressed and waxing hot by reason of the inflamed bone, cause a sense of paine in the periostium, so that the patients complaine of a dull and deepe paine, as it were sunke into the substance of the bones. The rottennesse or corrupti∣on * 1.122 is oft-times manifest to the eye, as when the bone is laid bare, for then it varieth from the naturall colour, and becomes livide, yellowish or blacke. Otherwise you may perceive it by touch, as by searching it with a probe, as when you meet with a∣ny inequality or roughnesse, or when by but gently touching it, your probe runs in∣to the substance of the bone, as into rotten wood, for a bone is naturally hard, but being rotten, becomes soft. Yet hardnesse is not an infallible signe of a sound bone. * 1.123 For I have seene rotten and bared bones, to have sometimes growne so hard, by the appulse of the aire, that a Trepan could not, without a strong endeavour, enter them. Also the rottennesse of the bone is known by the condition of the filth which flowes forth of the ulcer, for it is not onely more thin and liquid, but also more stinking. Furthermore, such ulcers have a soft, loose and watery flesh; besides also, they are un∣toward and rebellious to sarcotick & epuloticke medicines; to which if they chance to yeeld and be cicatrized, yet within a short while after the scarre will relent of its own accord, for that nature, destitute of the firm and sound foundation of the bones, cannot build up a laudible and constant flesh. Neither is it sufficient that the Surge∣on know certainly that the bone is rotten and corrupt, it is furthermore fit he know, whether this corruption be supersiciary, or pierce deepe into the substance of the bone, that he may know how much of the bone must bee scailed. For scailing is the * 1.124 onely cure of that which is corrupted; now it is scailed by that which dryes ex∣ceedingly,

and drawes forth all the humidity, aswell the excrementitious, the au∣thor of the rottennesse, as the alimentary. For thus it remaines without bloud and nourishment, and consequently life also; whence it must of necessity scaile or fall off, being destitute of the glue or moisture which joyned it to the sound parts in vici∣nity and communion of life, like as leaves which fall away from the trees, the humi∣dity being exhausted, by which, as by glue, they adhered to the boughes. For this purpose Catagmatick powders are prepared to amend the corruption which is one∣ly superficiary. ℞. pul. aloes, cretae combustae, pompholygos, an. ʒii. ireos flor. aristoloch. * 1.125 rot. myrrh. cerussae, an. ʒi. pul. osteor. combust. ʒss. terantur sublitiss. fiat pulvis; let it bee applyed either alone by it selfe, or else with hony and a little aqua vitae. Also the following emplaster being applyed, stirs up nature to the exclusion of the broken bones, and cleanseth the ulcers from the more grosse and viscide sanies. ℞. cer. nov. * 1.126 res. pini, gum. ammon. & elemi, an. ʒvi. tereb. ℥iii. pul. mastich. myrrh. an. ℥ss. aristol. rot. ireos flor. aloes, opopan. euphorb. an. ʒi. olei rosati quantum sufficit, fiat emplast. secundum artem. Euphorbium, according to Dioscorides, takes off the scailes of bones in one day. Hereto also conduceth Emp. de betonica. Or, ℞. olei caryophyl. ℥ss. camph. ʒii. misce∣antur simul in mortario, & atere. But if that part of the bone which is corrupt can∣not thus be taken away, then must you use the scailing Trepans and Scrapers descri∣bed formerly in wounds of the head; especially if any more great or solid bone bee foule. Furthermore the here described Trepan will be good to perforate the rotten bone in many places where it is corrupted, untill, as it were, a certaine bloudy moy∣sture issue forth at the holes; for thus it more freely enjoyes the aire, and also the force of the medicines admitted by these holes works more powerfully.

[illustration]

A Trepan with two triangular bits & a pin to hold them in the stocke: as also another Trepan having foure. square & sixe-square bits conve∣nient for to be used in the rottennesse of greater bones.

But if the rottennesse be more deepe, and the bone more hard, either by nature or accident, as by the occasion of the too long admission of the aire, then the rotten scailes shall bee cut off by the instruments described in wounds of the head, driving them into the bone with leaden mallets, lest the part should bee too much offended or shaken with the blow. The scailes and fragments shall bee taken forth with mul∣lets, * 1.127 the signes that all the rottennesse is taken away, are the solidnesse of the bone thereunder, and the bloudy moisture sweating out thereat.

CHAP. XXVII. Of actuall & potentiall Cauteries.

BUT if the described remedies cannot take place, by reason of the ma∣lignity or magnitude of the rottennesse, then must wee come to actuall * 1.128 and potentiall cauteries. But I should rather approve of actuall, because by strengthening the part, they consume the excrementitious humours wherewith it is overcharged, to wit, the matter of the Caries; which is not so effectually performed by potentiall cauteries. Yet are we oft-times forced to use these, to please the patients which are terrified at and affraid of hot irons. Poten∣tiall * 1.129 Cauteries are aqua fortis, aqua vitrioli, scalding oyle, melted sulphur and boy∣ling, and the like; in pouring on of which I would have the Surgeon to bee prudent and industrious, lest he should rashly violate the neighbouring sound parts by the burning touch of these things; which his temerity would cause vehement paines, in∣flammations and other horride symptomes. For actuall cauteries, their variety in fi∣gure is so great, that it cannot bee defined, much lesse set downe in writing; for they must be varied according to the largenesse of the rottennesse, and the figure and con∣formation of the fouled bones. Such as are more usuall I have thought good here to delineate unto you, content onely to admonish you thus much, that some of these work by pricking, some by cutting, some flatwise, and other some with their points made of the forme of an Olive leafe.

[illustration]

Sundry forms of actuall Cauteries fit in all necessary cases of all parts.

[illustration]

Other Cauteries.

[illustration]

Other Cauteries for the same purpose.

The following figure of a Cautery is fit for virulent knots that arise in the scull, when you desire to take away the flesh that covers the bone; for this purpose it is made hollow and sharpe in a triangular and quadrangular forme, divided as it were into three branches, that you may so make use of which you please.

[illustration]

The figure of a hellow and cutting Cauterie.

The Cauteries whose formes are hereafter exprest take place in rotten bones that lye deep in, wherein you cannot make use of the formerly described without touch∣ing of the neighbouring sound parts. To avoyd which danger you shall put your Cautery even to the bone through an iron pipe, which may keep the neighbouring and fleshy parts from burning.

[illustration]

Actuall Cauteries with their pipes.

Great discommodities ensue upon too rash, that is, too frequently applyed Cau∣teries, or too long adhering to the bone; for by this immoderate and fiery heat not onely the excrementitious humidity of the rotten bone is consumed, but also the ra∣dicall and substantiall moisture of the part is exhausted, wherein alone nature, en∣deavouring to cast off the corrupt scailes, and sever the sound from the rotten bone, and to substitute flesh, stands and consists. Whereof, the measure of applying of * 1.130 Cauteries ought to be taken from the greatnesse of the rottennesse, and the excre∣mentitious, or after a manner foaming humidity sweating through the pores of the bone. But before you presse your cautery into the rotten bone which lies very deep in, as that which happens in the thigh bone, and upon other very fleshy parts, you must diligently defend the neighbouring, sound and fleshy parts, as it were with a covering, for that the humour diffused by the touch of the fire, burns the other pla∣ces whereunto it diffuseth it selfe like scalding oyle. After the cauterization you must helpe forwards the falling away of the scailes, by sometimes dropping in our oyle of whelpes, being made scalding hot. This oyle, though very fit for this * 1.131 purpose, yet doe I not iudge it fit to use it too often, it may suffice to have dropped it in some twice or thrice. For at length it may violate the found bone, that lyes un¦der the rotten, by the oyly, subtle and moist substance. Furthermore, a bone is the most dry part of the body, therefore unctuous and moist medicines are contrary to its temper and consistence. But it conduceth often and gently to move the scailes al∣ready

beginning to separate themselves, and it hastens the slackenesse of nature in casting them off. Yet may you not use force, unlesse peradventure when as they hang as it were by a slender thread; otherwise if the unwary Surgeon forcibly pluck * 1.132 away the scailes before that nature hath put a cover upon the sound bone, hee shall give way to a new alteration and foulenesse by the appulse of the aire. Furthermore, after the corrupt scaile is falling off by the force of nature expelling it, you must have diligent heed that you put not eating or corroding medicines upon the bone that is under it; for thus thou shalt consume or waste the flesh which nature hath genera∣red thereupon, which composed of newly concreted bloud, is like in softnesse to newly crudled milke, which otherwise in time would grow into a more solid and hard consistence. This undergrowing flesh by little and little thrusts the rotten bone above it, out of its place, and is the cause of the scailing thereof; it is at the first ga∣thered together like the graines of a pomgranate, with a red, smooth and equall sani∣es, and not stinking, and at length it casts forth a white matter. Therefore then wee must rather straw thereon Cephalick powder composed of such things as have a fa∣culty * 1.133 to drie without biting, such as are Orris roots, washed aloes, masticke, myrrhe, barly flowre, and the like. Lastly, it must bee cicatrized; it is better that scailes of bones fall away of themselves by the onely force of nature, than to be plucked a∣way by the force of medicines or instruments; because, such as are too violently and forcibly plucked away, leave corners like to fistulous ulcers. Neither ought the corrupted membranes when they are turned into pus to bee plucked away too vio∣lently, or to bee touched by too acride medicines; for paine hereupon arising, hath divers times caused inflammation, convulsion and other pernicious symptomes. Therefore it is better to commit this businesse to nature, which in successe of time, by making use of the expulsive faculty, will easily free it selfe from this rotten sub∣stance; for that which is quick as farre as it is able, will still put away that which is dead from it.

CHAP. XXVIII. Of a vnluerary potion.

BUt if the contumacious rottennesse of the bone and also a rebellious ulcer shall not yeeld to the described remedies, it will bee convenient to pre∣scribe a vulnerary potion to the patient. For nature helped by such a po∣tion, hath to my knowledge sundry times done wondrous things, in the amendment of corrupt bones, and consolidation of ulcers. For these potions though they doe not purge the noxious humours away by stoole, yet are they wondrous * 1.134 effectuall to cleanse ulcers, and free them from the excesse of excrementitious hu∣mours, to cleanse the bloud, and purge it from all impurity, to agglutinate broken bones, and knit the sinewes. I have here thought good to speake of them, and chief∣ly, for that they were much commended by the Ancients, but neglected by the mo∣derne Physicians and Surgeons. But if the cure of wounds and old ulcers be per∣formed by detersion, and the reposition of the lost substance, what medicine can sooner or rather do it than that, which by its admirable and almost divine force so purgeth the bloud, that thereof, as from a fit and laudible matter, the flesh or any o∣ther lost substance may be fitly restored, and the part recover its former union? But if fistulous Ulcers, Cancers, Gouts & the like diseases be offended by the use of salt, spiced, acride meates and others which are of subtle parts, as mustard, onions and garlike, or any other excesse in meat, or drinke; why may they not become milde and gentle by medicated and contrary meats and drinks, or at least bee reduced to a more equall temper? Therefore that Surgeons may know of what things such com∣positions may arise, I have here thought good to reckon them up, that you may learn what they are.

• Scabious.
• Sanicle.
• Bugle.
• Mous-eare.
• Burnet.
• Madder.
• Tansie.
• Tops of hempe.
• Tops of Brambles.
• Sowes bread.
• Comfory the greater and lesser.
• Vervine.
• Bistorte.
• Mugwurte.
• Periwincle.
• Centaury.
• Adders tongue.
• Betonie.
• Carduus benedictus.
• The cordiall flowers.
• Aristolochia, or Birth-wurts.
• Speedwell.
• Agrimonie.
• The capillaryes.
• Herbe Robert.
• Doves foot.
• Dogges tongue.
• Avenes.
• Prunella.
• Osmund.
• Clarye.
• Gentian.
• Herniaria.
• Red Colewurt or Cabbage.
• Scordium.
• Cattes minte.
• Cinque foile.
• River Crabs.
• Mace.
• Bole armenick.
• Petum or Tobacco.
• Mead-sweet.
• Colts-foot.
• Dandelion.
• Plantaine.
• St. Johns wurte.

Of all these the Surgeon shall make choice according to the mind and judgement of the Physician, such as he shall thinke fit and proper to every ulcer or wound, or to each wounded and ulcerated part, according to the condition of the time, the tem∣per of the patient and kinde or nature of the disease. You may make drinkes not on∣ly of the decoctions of these, but also of their juices in white wine, or oenomel, which are good not onely to purifie the masse of the bloud, to cleanse sanious, virulent, fil∣thy and dissenterious ulcers, but also to drive away putrefaction, scail bones, dissolve clotted bloud in bruises, to draw, plucke out and exterminate all strange bodies, as I have often observed to my great admiration. They are composed usually after this manner. ℞. savic. bugul. scabios. beton. scord. nepet. an. m. 〈◊〉〈◊〉. uvar. mund. sem. hyper. * 1.135 & card. ben. an. ℥i. trium flor. cord. an. p. ii. coquantur complete in aq. communi; postea in fi∣ne adde vini alb. mel. ros. & cinnam. quod sufficit, fiat decoctio, coletur per manicam. Let him drink ℥iii. in the morning 3. houres before dinner. You may also with good suc∣cesse make injections with the same liquor into fistulous and sinuous ulcers, as also to wash the sordid ulcers therewith. You may also boile the same simples, as herbs, flow∣ers and seeds in the patients broths, that so they may acquire a medicinable and nou∣rishing faculty. For the time of the affect, wherein you may with good successe make use of these, we have read in Guido, that he used not to prescribe these potions to his patients when as they were newly wounded, for that they commonly are composed of things hot and opening, which heat and attenuate the bloud, whence there would * 1.136 be danger of a defluxion, upon the affected part. Wherefore when the matter is come to suppuration, when as there nothing remains, but to cleanse the ulcer and fil it with flesh, no inflammation as now remaining in the part, I judge these potions may then be used with good successe.

CHAP. XXIX. Of Tetters, Ring-wormes or Chops occasioned by the Lues venerea.

UPon the cure of the Lues venerea, usually Tetters and Chops happen there∣upon, which make furrowes in the palmes of the hands & soles of the feet. They acquire their matter from salt phlegme, or adust choler, or the re∣liques of the venereous virulency sent thither. The cure especially when as the disease is grown old, is difficult, by reason that the humour hath long accustomed to flow that way, & for that it hath corrupted the habite of the part by the continuall defluxion; but the cure is more easie if the disease bee newly bred. Now you may know it is newly bred by the rednesse, accompanyed by a great itching, and not only * 1.137 a driness of the skin, but also a thickness & denseness thereof. That which is old, be∣sides these fore-recited signs, have scaily & branlike hardnesses conjoined therewith, which by scratching & rubbing cast off scailes. For general medicines, the distemper * 1.138 of the liver & habit of the body must be corrected, which by the occasion of the for∣mer disease & remedies apt to inflame the bloud, cannot but much swerve from their native temper. This may be done by diet conveniently appointed, by purging and al∣tering medicines, bleeding, bathing, applying of cupping-glasses and horns. For to∣pick or particular medicines, wash such as are newly or lately bred with the following water which dries and is of subtle parts. ℞. aq. ros. & pariet. an ℥i. aq. alum. ℥ii. calc. ʒii. * 1.139 alum. ʒiii. pul. subl. ℈iiii. fiat lent. et minim. ebul. in baln. mar. This water shall bee made more or lesse forcible according to the condition of the disease. Or, ℞. ol. tart. ℥ii. s••p. com. ℥iv. misc. fiat unguent. ad usum. If the Physician shall think good, let the patient use a decoction of Guajacum, but that very weak. But old Tetters and Chops must be * 1.140 softned with emollient, attenuating and inciding decoctions, as also with liniments, ointments and plasters having the same effect. Then let the residue of the cure be per∣formed by fumigations, such as this which followes. ℞. pul. cinab. ℥ii. lad. ass. odor. sti∣rac. * 1.141 cal. an. ℥ss. olib. mastic. an ʒiii. olei tart & theriac. q. s. fiant trochisci; use at each time some ℥ss. of them, and let only the affected parts receive the smoak. Some commend the rubbing of the hands with the following medicine. Take the ashes of wine lees, make thereof a lie, & strain it though an hypocras bag, then put thereto some rennet, let them be well mixed together in a mortar, and herewith let the hands be rubbed or washed. Or, ℞. unguent. enul. ℥iii. fugit. ℥ii. Or else, ℞. res. pini, ℥i. cerus. ℥ss. argent. viv. * 1.142 ʒiii. succi citri & lapath. acut. an. ℥ss. Let them be incorporated & make a liniment to be used to the part. If to this you adde sublimate so washed & prepared, as women use for their faces, you shall make it more effectuall. Others take burnt alume made into powder, and incorporated with the yolke of an egge, the juice of Citrons, and a little aloes dissolved in exymel scilliticum.

CHAP. XXX. Of curing the Lues Venerea in infants and little children.

INfants oft-times conceive the seeds of this disease in the wombs of their mothers, and are borne infected therewithall, pustles presently arising over all the bodies, infecting with the like disease as many nurses as give them suck; they scarce ever recover thereof, for that they contracted the disease from their first conformation. But such as are somewhat bigger, if they chance to catch the disease after they are born by sucking som infected nurse, or by any other occasion or kind of contagion, often times receive cure. For first, you shal cause the nurse to use the aqua theriacalis hereunder described, for the space of 20 or more daies, that so she may the better arm herself against the contagion of this dis∣ease, * 1.143 & yeeld milk which may have the faculty both of meat and medicine; she shall be carefull as often as she gives the child suck, to wash and dry her teat or pap, lest the

virulency that the child breathes out at his mouth, be impact in the little holes of the teat through which the milk flowes out. Now the pustules of little children shall bee anointed with some ointment that receives argentum vivum in some small quantity, as unguentum enulatum cum mercurio, or the like. Then shall it be swathed or bound up in swathes and clothes aired with the formerly described fumigations. For the rest, it shall be kept as warm as you can in some warm place. These & the like must be done not in one continued course, but at severall seasons, otherwise it is to be feared, that it would cause ulcers to arise in the mouth, or else salivation. If any ulcers arise in the mouth and spread therein, they shall be touched with the formerly described waters, but made somewhat weaker, having regard to the tender age of the patient; if the in∣fant shall get this disease of its nurse, let the nurse be presently changed, for it being o∣therwise nourished with tainted and virulent bloud, can never be healed. Many have by these meanes recovered; but such as have perisht, have not perisht by the default of medicines, but by the malignity and vehemency of the disease.

A description of the aqua Theriacalis, or treacle water formerly mentioned.

℞. rasur. interior. ligni sancti gummosi, lb ii. polypod. querni, ℥ iv. vini albi dulcedi∣nis expertis lb ii. aqua font an. puriss. lb viii. aquar. cichor. & fumar. an. ℥ iv. sem. junip. * 1.144 heder. & baccar. lauri an. ℥ ii. caryophil. & macis, an. ℥ ss. cort. citri saccharo condit. cons. ros. anthos, cichor. buglos. borag. an. ℥ ss. cons. anulae camp. th••riac. vet. & mithrid. an. ℥ ii. distill them all in balneo Mariae after the following manner. Let the Guaja∣cum bee infused in equall parts of wine and the forementioned waters for the space * 1.145 of twelve houres, and the residue of the things in that which remaines of the same wine and waters for sixe houres space, beating such things as may require it, then let them bee mixed altogether, that so the liquor may be endued with all their faculties. Which that it may be the more effectually performed, let them be boyled, put up in glasse bottles closely stopped for some three or four hours space, in a large kettle filled with boiling water, then let them be put into a glasse alembicke, and so distilled. Give ℥ iv. of this distilled liquor at once, being aromatized with ʒi. of ci∣namon, and ℈ i. of Diamargariton, and ℥ ss. of sugar, to give it a pleasing taste. Such a drinke doth not onely retunde the virulency of the Lues venerea, but strengthens the noble parts. Rondeletius makes an aqua theriacalis after this manner. ℞. theriac. vet: lb i. acetos. m iii. rad. gram. ℥ iii. puleg. card. ben. an. m ii. flor. chamaem. p ii. tem∣perentur * 1.146 omnia in vino albo, & distillentur in vase vitrio: reserve the water for use; whereof let the patient take ℥ ii. with ℥ iii. of sorrell and buglosse water: he wisheth this to be done when he shall enter into bed or a stove; for so this distilled liquor will cause sweat more easily, and mitigate paine, whether given by it selfe, or with a de∣coction of Grommell, or of chyna, or burre-docke roots; yet if the patient bee of a phlegmaticke constitution, hee shall use a decoction of Guajacum in stead of a de∣coction of chyna, for it penetrates more speedily, by reason of its subtlety, of parts, and also expells the dolorificke matter.

The End of the Nineteenth Booke.

Notes

• * 1.1

  What the Lues venerea is.
• * 1.2

  What hurt it doth to the body.
• * 1.3

  The Leprosie sometimes the off-spring of the Lues vene••ea.
• * 1.4

  The Lues vene∣rea the scourge of whoremon∣gers.
• * 1.5

  Venereall Bu∣bo's returning in again occasi∣on the Lues venerea.
• * 1.6

  The Lues vene∣rea may be got by the only communication of vapour.
• * 1.7

  How nurses may infect chil∣dren, and they their nurses.
• * 1.8

  A historie.
• * 1.9

  Why the paine is worse upon the night than on the day.
• * 1.10

  This disease sometimes lyes long hid in the body before it shew it selfe.
• * 1.11

  The most cer∣taine signes of the Lues venerea.
• * 1.12

  Two other cau∣ses of the ex∣cesse of paine in the night.
• * 1.13

  The signes of a curable Lues Venerea.
• * 1.14

  The signes of an uncurable one.
• * 1.15

  How these pains differ from those of the gout.
• * 1.16

  The Lues vene∣rea bcomes more gentle than formerly it was.
• * 1.17

  Why the de∣coction of Gua∣jacum is not sufficient to im∣pugne the dis∣ease.
• * 1.18

  Hydrargyrum, is sufficient to overcome the disease.
• * 1.19

  The faculty.
• * 1.20

  The parts.
• * 1.21

  The hot and fiery faculty of the barke.
• * 1.22

  The proportion of the Guajacum to the water.
• * 1.23

  Why the de∣coction ought to be perfor∣med with a dry heat.
• * 1.24

  Whether it bee fit to adde pur∣ges to a deco∣ction of Guaja∣cum.
• * 1.25

  Hip. aph. ult. sect. 6.
• * 1.26

  How, and in what quantity this decoction must be taken.
• * 1.27

  How to dry the sweat of the bo∣dy.
• * 1.28

  The manner of diet.
• * 1.29

  To whom, and what manner of wine may be al∣lowed.
• * 1.30

  The descripti∣on of China.
• * 1.31

  The preparati∣on.
• * 1.32

  Of sarsaparilla.
• * 1.33

  When the bo∣dy must be, pre∣pared with hu∣mecting things before unction.
• * 1.34

  How to kill ar∣gentum vivum.
• * 1.35

  What to mixe therewith.
• * 1.36

  An unction with argentum vivum.
• * 1.37

  Another.
• * 1.38

  How to make it
• * 1.39

  How to prepare the hogs-grease before you mixe the argentum vivum there∣with.
• * 1.40

  Cold most hurtfull to such as are troubled with the Lues 〈…〉〈…〉
• * 1.41

  The patient, if it may be con∣veniently done, must be anoin∣ted fasting.
• * 1.42

  In what places the body must be anointed.
• * 1.43

  Where to begin the unction.
• * 1.44

  What it is that maketh the art of Physick con∣jecturall.
• * 1.45

  Who must be rubbed over once, who twice in a day, and who but every other day.
• * 1.46

  Lib. de venae. sect.
• * 1.47

  Nature is not sufficiently able to expell the vi∣rulent matter. Signes that the crisis is nigh.
• * 1.48

  Inconvenien∣ces following upon immode∣rate unctions.
• * 1.49

  For what per∣sons a purging decoction of Guajacum is good. The cure of a Dysentery oc∣casioned by too strong friction.
• * 1.50

  The cure by emplasters more slow.
• * 1.51

  In what case they are chiefly usefull.
• * 1.52

  The descripti∣on of an empla∣ster.
• * 1.53

  What excreti∣on best in this disease.
• * 1.54

  To avoyd the ulcers of the mouth. To cure them.
• * 1.55

  Reestrictive & repelling garga∣rismes.
• * 1.56

  To dry the ul∣cers of the mouth.
• * 1.57

  Manner of diet when the mouth is ulcerated.
• * 1.58

  To make their drinke nouri∣shing.
• * 1.59

  The hurt that followes upon fumigations.
• * 1.60

  What fumigati∣ons good.
• * 1.61

  The common manner of using them.
• * 1.62

  The matter of them.
• * 1.63

  Trochisces for fumigations.
• * 1.64

  The ulcers of the pr••puce more maligne than those of the Glans
• * 1.65

  Lanfrancke. Collyrium.
• * 1.66

  This which by our Author is here termed 〈…〉〈…〉 vi••u∣lent 〈…〉〈…〉 & in Fr••ch chaude••••sse, is the same which by other Au∣thors is usually termed 〈…〉〈…〉,
• * 1.67

  What a virulent strangury is.
• * 1.68

  The cause of the convulsive di∣stension of the ••ard.
• * 1.69

  〈…〉〈…〉 definit. 〈…〉〈…〉 Galen.
• * 1.70

  What kind of matter floweth forth in a viru∣lent strangury.
• * 1.71

  The cause of a particular re∣pletion of the privie parts.
• * 1.72

  The causes of the inanition of the genitall parts.
• * 1.73

  The reason of a contagious strangury.
• * 1.74

  A virulent stran∣gurie continues with some du∣ring their, lives.
• * 1.75

  A history.
• * 1.76

  From what part the matter of a virulent stran∣gury flowes.
• * 1.77

  Diet.
• * 1.78

  For a strangury occasioned by repletion.
• * 1.79

  For the decay of the retentive faculty.
• * 1.80

  Diet.
• * 1.81

  Pill••.
• * 1.82

  The force of Venice turpen∣tine in this disease.
• * 1.83

  How to bee made potable.
• * 1.84

  An injection to stay inflamma∣tion.
• * 1.85

  The faculties of milke against a virulent, stran∣gury.
• * 1.86

  How to make water without paine.
• * 1.87

  Detergent in∣jections.
• * 1.88

  How the clean∣sed ulcers may be dryed.
• * 1.89

  How caruncles come to grow upon the ulcers of the genitall parts.
• * 1.90

  Callous carun∣cle, hard to cure.
• * 1.91

  Signes.
• * 1.92

  The supprest urine comes forth whereas it can get vene.
• * 1.93

  The fittest time for the cure. Why venery must be es∣chewed.
• * 1.94

  The particular cure.
• * 1.95

  A fomentation.
• * 1.96

  A cataplasme.
• * 1.97

  A littiment.
• * 1.98

  Vigoes empla∣ster effectuall to soften a ca∣runcle.
• * 1.99

  A suffumigium.
• * 1.100

  Ad Glauc. lib. 2. cap. 5.
• * 1.101

  Particular de∣faults of the Lu∣es 〈◊〉〈◊〉 not to be cured unlesse by the generall∣remedy of the viruleney.
• * 1.102

  Caruncles if callous, must first be softened.
• * 1.103

  A pouder to waste carun∣cles.
• * 1.104

  How to apply it.
• * 1.105

  An injection to hinder inflam∣mation.
• * 1.106

  An emplaster used by the Surgeons of Monipelier for Caruncles.
• * 1.107

  Another em∣plaster.
• * 1.108

  How to apply it.
• * 1.109

  A caution 〈◊〉〈◊〉 making water.
• * 1.110

  Signes that the Caruncle is worne away.
• * 1.111

  An epuloticke injection.
• * 1.112

  Quicksilver by drying causeth cicatrication.
• * 1.113

  The efficient and materiall causes of vene∣reous Bubo's.
• * 1.114

  What Bubo's foretell the Lu∣es venerea.
• * 1.115

  Cupping.
• * 1.116

  A potentiall Cautery.
• * 1.117

  The matter of knots, and viru∣lent Tophi.
• * 1.118

  An emplaster against the bunching out of the bones.
• * 1.119

  Gal. meth. 6.
• * 1.120

  The frequent cause of the rot∣tennesse of bones.
• * 1.121

  Hip. lib. de ulc. & fract. Gal. lib. de tum. cont. nat.
• * 1.122

  Signes of the rottennesse.
• * 1.123

  Hardnesse is no infallible signe of sound bones.
• * 1.124

  The cure of a rotten bone.
• * 1.125

  A catagmatick powder.
• * 1.126

  A desquamato∣ry or scailing p••ai••er. Dios. 3. cap 78.
• * 1.127

  Signes that the rottennesse is taken away.
• * 1.128

  Actuall Caute∣ries to be pre∣ferred before potentiall.
• * 1.129

  Potentiall Cau∣teries.
• * 1.130

  Manner of ap∣plying of Cau∣teries.
• * 1.131

  Oile of whelpes helps forwards the casting off of scailes.
• * 1.132

  A caution in moving the scailes of burnt bones.
• * 1.133

  Cephalick pou∣ders of what composed.
• * 1.134

  The use of vul∣nerary potions.
• * 1.135

  The forme of a vulnerary potion.
• * 1.136

  In what time of the disease they are chiefly to be used.
• * 1.137

  Signes of the new bred dis∣ease.
• * 1.138

  The cure of newly come Tetters.
• * 1.139

  A water drying virulent tetters.
• * 1.140

  The cure of old tetters.
• * 1.141

  A Fumigation.
• * 1.142

  A Liniment.
• * 1.143

  The cure.
• * 1.144

  A treacle water
• * 1.145

  The manner of making it.
• * 1.146

  Rondeletius his Treacle water.