CAP. XIX. De Phrenitide.
〈 in non-Latin alphabet 〉, A Phrensie, is a perpetual, and con∣tinual deliry, or dotage, arising from the in∣flammation of the membranes, or films of the brain, and afflicting the Patient with a continued Fever. Et dicitur 〈 in non-Latin alphabet 〉, id est, à mente, nam alienatio mentis est.
As to the Prognostick; A Phrensie is for the most part deadly: The greatest hope of reco∣very is, when there is dotage with laughter, a de∣crease of Symptoms, and continuance of strength; as also when after the height of the Phrensie there happeneth some beneficial eva∣cuation. If a drop of black blood flow from the nostrils, death is to be expected. Phrenitis si ver∣tatur in Lethargum, aut Coma, malum est. A great chilness or cold in the beginning of the Phrensie, foreshew the destruction of the sick: Also an Aphony, the Hicket, trembling of the hand, white excrements, & similia, supra, capite de cerebri inflammatione, enumerata, Phrenitidem lethalem significant. Haec enim omnia bilis trans∣lationem à toto corpore in partem affectam deno∣tant.
Mr. Denis Pomaret, a skilful Chirurgion of Monpelier, declares, that a certain Husbandman, by reason of a burning Fever, fell into a Phren∣sie, Page 37 and continually raving without sleep, he cry∣ed out that he was damned, and that he desired to die: Now he cured him by this Police; he consented, and told him that he would kill him, and divers Horse-leeches being fastned upon his forehead, and blood running down from the wounds which they had made; he shewed him his Razor, wherewith he told him that he would cut his throat; and ever and anon with the haft of the said Razor he scraped his throat very hard; and in the mean while the Razor is all bloodied with the blood that came from his forehead. Whereupon, shewing him the bloody Razor, he told him that he was killed, and pre∣sently he covered his face with, linen clothes, and shut the windows, so that no light could be seen in the Chamber. He supposing himself to be dead, never stirs, and a while after is taken with a deep sleep, and so is freed from his Phrensie.
The wise of John Norton, a Husbandman in Porland, by reason of a sharp Fever, sell into a Phrensie; I being sent for, presently opened a vein, and drew away 11 or 12 ounces of blood▪ then I prescribed a cooling Glyster; after which I sent her this Pill. ℞ Laudani opiat. gr. iii. ss. l•¦pidis Bezoardici orientalis, gr. i. f. pil. It was gi¦ven in one drachm of the conserve of red Ro¦ses; how they prevailed with her to take it, I know not; but having swallowed it, she fell into Page 38 a sound sleep, and so was quite freed from her Phrensie: But I remember also, the Cataplasm described in the Chapter de Delirio, in curatione Dominae Moss Paswicensis, was applied to the soles of her feet, which might help very much.
Great Housleek bruised with womans milk, and laid to the forehead, appeaseth a Phrensie, and provokes sleep. But as soon as the Patient begins to sleep, you must take it away, lest he fall into a Coma, or sleeping disease.
It is good to wash the feet with an actually hot decoction, made of cold things; for it will soften those parts by its hot moisture, and make the humors descend, and its potential coldness will be communicated to all the body, and to the brain especially, by the Nerves, whereby sleep will be procured: It is thus made; Take of Vio∣lets, Mallows, Willow-leaves, Vine-leaves, Wa∣ter-Lillies, of each two handfuls: the flowers of water-Lillies, and Roses, of each one handful: Poppie heads ten; make a decoction for the use aforesaid.
Zacutus Lusitanus tells us, that he cured a most desperate Phrensie, by applying a Cup∣ping glass to the forepart of the head with scari∣fication; but Mercatus adviseth, that this be not used in Phrenzies, that come from other Fevers, but onely in that which beginneth of it self.
I have sometimes given four or five grains of Laudanum, in a cooling Clyster, with most hap∣py success.
Page 39Vesicatories applied to the shoulders and arms, are very much commended.
Plura de Phrenitide vide, in meo Enchiridio Medico, lib. 1. cap. 4.