Praxis medicinæ reformata: = or, The practice of physick reformed Being an epitome of the whole art: wherein is briefly shewed, the true causes, signs, prognosticks, and cure, of most diseases. Published for the benefit of all persons. By Robert Johnson, Med. Professor.

Praxis Medicinae Reformata: OR, THE Practice of Physick REFORMED. BEING AN Epitome of the whole Art: Wherein is briefly shewed, The true Causes, Signs, Prognosticks, and Cure, of most Diseases. BOOK I. (Book 1)

CHAP. I. Of the Head-ach.

THE Head-ach may be divided into three Kinds.

The first is the momentany Head-ach, it * 1.1 is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, from 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, Ca∣put, and 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, Dolor.

The second is an inveterate Head-ach, and

is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, quod tegit Calva∣rium.

The third is a Pain on one Part of the Head, before, behind, or on one side; this is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, from 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, * 1.2 cranium, and 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, dimidium.

There is little difference between Cepha∣laea and Cephalalgia; only per Cephalaeam affectae partes multo redduntur quam in Ce∣phalalgia debiliores.

These Distempers are caused by Halitu∣ous Vapours, and Humours, fuming up (from the Stomach and other Parts) to the Head.

1. If the Pain be external, so that the * 1.3 combing of the Head be troublesome, then the Pericranium is affected: But if the Pain be internal, reaching to the Eye-roots, then the Dura mater is invaded with the peccant Humours.

2. If there be pricking, distending Pain with great Pulsation, it is from sharp bili∣ous Humours, or Halitus; but if the Pain be heavy, it is caused from viscous Phlegm or Melancholy.

1. If a violent Head-ach come suddenly * 1.4 on a healthy Person, and the Party become dumb, and snort, 'tis a mortal sign, unless a great Fever do immediately happen.

2. If corrupt waterish Matter or Bloud do issue out of the Nostrils, Mouth, Ears or Eyes, (especially on the fourth Day) the sick will

suddenly recover; but if the Pain be very violent, and do suddenly vanish without a Crisis, 'tis doubtfull.

3. If the Pain be without a Fever, accom∣panied with noise in the ears, deafness, or me∣grim, with numbness of the extreme parts, an Apoplexy or Epilepsy, is at hand.

4. Those that have Cholerick stomachs, are most subject to a Hemicrania; and if it continue long, it causeth weakness of the Eyes, and sometimes blindness.

If the Head-ach proceed from Phlegma∣tick * 1.5 Viscous humours abounding, first give this Clyster.

Take of Vervain, Betony, Mallows, Mer∣cury * 1.6 of each one handfull: Let them be cleansed, bruised and boiled in a Quart of Posset-drink, 'till half of it be boiled away, then strain it and dissolve in it one ounce of the Electuary Caryocostinum, Oil of Chamo∣mel two ounces; mix it for a Clyster.

Sour things, and all that have a Lixivial salt, either fixt, or volatile, and all Aroma∣ticks do correct and amend the viscous Phleg∣matick humours.

Let these forms serve for example.

Take the Waters of Baum, and Mint, of * 1.7 each three ounces; Cinamon-water, and aqua Coelestis, of each half an ounce; Syrup of Fennel, and Mint, of each six drachms; Spirit of Salt, as much as will make it of a

gratefull taste, mix it, and give three spoon∣fulls of it often.

Take salt of Tartar vitriolated half a drachm; Cream of Tartar one drachm; * 1.8 white Sugar-candy two drachms; make it into a fine Powder for four Doses, which may be taken every morning and evening in white or Rhenish wine.

For the Rich you may prepare a medici∣nal Wine.

This may serve for example.

Take the Roots of Elicampane, Calamus aromaticus, of each one ounce; of Rue, Sage, * 1.9 Vervain, sweet Marjoram, of each three handfulls; Anise-seed, sweet Fennel-seed, of each an ounce and half; Orange-peel half an ounce; let them be cleansed, bruised and infused in two quarts of White-wine.

It may be given to three or four ounces in the morning fasting, with twenty drops of Elixir proprietatis, you may also give it by it self, at dinner and supper.

When the Wine is used, fresh Wine may be put to the Ingredients, for a second infu∣sion.

But farther to correct, and gently evacu∣ate the viscous Phlegmatick humours.

This opening Apozeme is effectual.

Take of the five opening Roots of each two ounces, Liquorish an ounce and half; * 1.10 Guiacum half a Pound, Anise-seed, sweet Fen∣nel-seed,

the Berries of Bays, and Juniper, of each half an ounce; Vervain, Betony, of each one handfull; let them be cleansed, bruised, and infused in two quarts of Rain-water very hot, for twenty four hours; then strain it out very strongly, and add the best Manna, Syrup of Roses solutive with Senna, of each four ounces; tincture of Cinamon three ounces; salt of Tartar vitriolated half an ounce; mix it, and give three ounces every morning fasting.

If there be need of stronger Physick you * 1.11 may administer these purging Pills.

Take of Extract. Rudii, pil. foetidoe, Cochioe, of each half a drachm; Mercurius dulcis twen∣ty grains; mix it for three Doses.

If the pain be old and stubborn, apply Vesiccatories to the Neck, also Leeches to the Temples, and Haemorrhoids; or open the jugular, or frontal Vein, which hath often prov'd effectual.

Errhines, Sternutatories and Apophleg∣matisms may also be used, and Ventoses with Scarification if need require.

Baths of Sulphur (whether natural or arti∣ficial with Cephalick Herbs) are good to bathe the Head and whole Body.

Some approve of the fume of Amber, ta∣ken into the Mouth and Nostrils.

Also spirit of cranium humanum, or spirit of salt Armoniack, held to the Nose in a nar∣row-mouth'd

Vial, giveth present ease in all cold Pains of the Head.

Also you may touch the Nostrils and Tem∣ples with Oil of Amber, or Nutmegs, or ap∣ply this Epitheme to the Temples and Fore∣head with Linnen-rags.

Take the Waters of Vervain and Betony, of each one ounce; Vineger of Roses, Oint∣ment * 1.12 of Alabaster, of each half an ounce; Laudanum opiatum one scruple; mix it.

Cold distempers of the head, may also be corrected by hot Cephalicks quilted in a Cap for the Head.

Take of sweet Marjoram, Stoechas, Ver∣vain, * 1.13 Betony, Sage, Flowers of Chamomel, of each one handfull; Nutmegs, Cloves, Wood of Alloes, the Roots of Galangal, Cy∣perus, Calamus aromat. of each half an ounce; let them be all beaten into Powder for a quil∣ted Cap.

Before you put it on, let the Hair be shaved close, and the Head gently rub'd for some time, the better to open the pores.

Let the Sick abstain from fat and viscous Food, and let the mind be compos'd to chear∣fulness.

If the Juice of the Pancreas abounding in the Body, be over sour, it causeth a vitious Effervescency, being oppos'd by Choler and Phlegm in the small guts; from whence sour

and ungratefull vapours may be sent to the Stomach, and thence to the Head.

If the humours be over sour, the sense of * 1.14 hunger will be encreased, notwithstanding the Pain of the Head.

This distemper is to be cur'd by giving * 1.15 those things which temper, and amend the acid Juice in the Body, and do prevent its encrease.

Those things abounding with either a lixivial or volatile salt, do powerfully destroy this acid Juice; as Pearl, Crabs-eyes, Coral, Chalk, Amber, Bloud-stone, Filings of steel, &c.

Take this as a form of a Powder.

Take of Crabs-eyes, Pearl, red Coral pre∣par'd, * 1.16 of each half a drachm; white Sugar half an ounce; let it be made into fine Pow∣der for six Doses; which may be taken mor∣ning and evening in two or three spoonfulls of the following Cordial Julep.

Take Waters of Baum and Mint, of each * 1.17 three ounces; Scurvigrass-water two oun∣ces; Cinamon-water, Syrup of Worm-wood, of each one ounce and half; Oil of Juni∣per one drachm; mix them together for a Julep, of which you may also give two or three spoonfulls every fourth hour.

I prescribe no Purgers in this Distemper, because I am taught by large Experience, that the sour Humours in the Body may be

stirr'd up indeed, but not purg'd, unless with very great gripes, which will doe more hurt, ••••an good.

The encre••••e of the acid Juice, may be pr••••••nted by abstaining from the use of a∣c••••••▪

Let the Patient's diet be moist, and fatty, as fat Broths, Jellies aromatiz'd, &c.

When the Head-ach proceedeth from a hot cause, if the Patient be costive, first give this Clyster.

Take of Mercury, Violets, Lettice, Mal∣lows, Dandelion, of each one handfull; Da∣mask * 1.18 Prunes twenty; let them be cleansed, bruised and boiled in two pints of Fountain∣water, till half of it be boiled away; then strain it, and add Electuary lenitive, one ounce and half; Oil of Lillies two ounces; mix them for a Clyster.

After its operation, you may open a Vein and draw eight or nine ounces of bloud.

Some Authours will not consent to Phle∣botomy in any Head-ach, except the Pain be intollerable; but I have had sufficient Expe∣rience, that it may be done safely in any Pain of the Head.

Elixir proprietatis, taken in Wormwood∣wine, to the quantity of half a drachm at a time, a little before meat, doth wonderfully conduce to amend the vitious quality of Cho∣ler.

Choler may be evacuated by vomit, most commodiously by Antimonial preparations.

Take of the infusion of Crocus Metallorum one ounce; Oximel of Squills half an ounce. Give it in the morning. * 1.19

But if the Patient be averse to vomiting, the Choler may be evacuated by stool, by this or the like Cathartick.

Take of Baum-water one ounce, Cinamon∣water two drachms, Syrup of Roses solu∣tive, * 1.20 the best Manna, of each half an ounce; Powder of Cream of Tartar twenty grains, Diagredium ten grains; mix it for a Potion, which may be given in the morning fasting.

Also these most gratefull Tablets of Scam∣mony may be prepared, and kept for use.

Take Cristals of Tartar two ounces; Scammony one ounce; white Sugar four * 1.21 ounces; with Gum Dragon dissolv'd in Rose∣water as much as is sufficient; let it be made into Troches according to Art.

Half a drachm of these Troches may be given to a Child with carefull governing; a Man or Woman may take two drachms of them.

They who are fearfull of Scammoniats, though safe and potent, let them take the fol∣lowing infusion.

Take of choice Rhubarb two drachms; Cream of Tartar one drachm; infuse them * 1.22 in four ounces of Endive-water for a night;

then strain it and add Syrup of Roses solutive, Syrup of Cicory with Rhubarb, of each half an ounce, Cinamon-water two drachms; give it in the morning fasting: This Electuary is also an excellent Cholagogue.

Take the Pulp of Damask-prunes ten oun∣ces; Powder of Scammony, Cream of Tar∣tar, * 1.23 of each two ounces, Rhubarb ten drachms, Cinamon half an ounce; yellow Sanders two drachms; the best Manna, Syrup of Cico∣ry with Rhubarb, of each eight ounces; mix all together into an Electuary according to Art.

The Dose is from two drachms, to half an ounce, taken either in a Bolus, or dissol∣ved in a sufficient quantity of Endive-water, or any other convenient vehicle.

These excellent Medicines do not onely purge Choler abounding, but purify the Bloud and other Humours; and here we may note, that if a purging Medicine do not ope∣rate according to Expectation, it may safe∣ly * 1.24 be repeated the same day without any danger.

If the Head-ach be accompanied with a great Fever, and Thirst be augmented; the following Medicines will much conduce to asswage it.

Take of Barley-water two pints; Cina∣mon-water two ounces; Syrup of Violets four * 1.25 ounces; salt Prunella half an ounce; mix it,

and give the sick three or four spoonfulls of it often.

This Tincture is also very effectual

Take of Barley-water two pints; Red-rose∣buds * 1.26 one ounce; spirit of Vitriol twenty drops, or as much as is sufficient to make it of a good Tincture, let it infuse all Night, then strain it, and add Syrup of Jujubes four ounces; mix it, and give three or four spoon∣fulls every three hours.

If an Emulsion may please better, take this following form.

Take of sweet Almonds one ounce; the * 1.27 four greater Cold-seeds of each half an ounce; white Poppy-seeds two ounces; let the Al∣monds be blanched, and all well beaten in a stone Mortar; then with four pints of Bar∣ley-water, make an Emulsion; strain it, and add Syrup of the Juice of Limmons, Diaco∣dium, of each three ounces; Cinamon-water two ounces; of which let the sick drink of∣ten, four spoonfulls at a time.

You may also have a little fine Sugar, and salt Prunella equally mixt, which may be kept in the Mouth, to deceive the Thirst.

But where rest is hindred by the Choler abounding, and cannot be obtain'd by the Emulsion, which gently procureth sleep; you may dissolve two grains of Laudanum opiat. in two or three spoonfulls of it, and give it

at night; or you may order this or the like Julep.

Take the Waters of Lettice, Water-lillies of each two ounces; Syrup of red Poppies * 1.28 one ounce; Cinamon-water half an ounce; Laudanum opiatum four grains; Oil of Vi∣triol six drops; mix it, and give four spoon∣fulls of it to cause sleep.

This Epitheme may be applied to the Tem∣ples, and Fore-head with Linnen-rags.

Take the Oils of Violets, and Water-lillies of each half an ounce; the waters of red Roses, * 1.29 Lettice, and Houseleek, of each two ounces; Vineger of Roses half an ounce; mix it.

You may also anoint the Temples and Fore-head with this Ointment.

Take the Ointment of Alabaster, Populi∣on, * 1.30 Oil of Mandrakes, of each half an ounce; mix it.

Let the Patient's diet be Mutton or Veal-broth without salt.

When a salt Catarrh, or the like spittle is the cause of Thirst augmented, you may ad∣minister a Pill of Styrax, or Cynoglosson, which will temperate the saltness of the humours; and if salt serous matter abound in the Bloud, you may purge it by Stool and Urine, for which there are variety of Medicines pre∣scrib'd in the Chapter of Catarrhs.

CHAP. II. Of the Palsie, and Apoplexy.

THE Palsie is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, quod a 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, i. e. a solvendo, eo quod nervorum genus resolutum, facultate ani∣mi * 1.31 defluere prohibita sensu motuque destituatur.

It may be also called 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, i. e. di∣midia Apoplexia.

In Latin it is called nervorum resolutio vel relaxatio.

It is a Privation of sense and motion of one side of the Body, or of some particular part.

The Apoplexy is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, * 1.32 ex 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, percutior, attonitum reddo.

In Latin 'tis called stupor corporis, it being an Abolition of sense and motion through the whole Body.

The parts affected are the Brain, Spinalis medulla and Nerves; the motion of the Ani∣mal spirits through them being deprav'd.

The causes are either external, or internal.

The external is much cold and moisture, * 1.33 which doth chill and over moisten the Head, and extreme parts; and this seems to prove * 1.34 that phlegmatick and watry Humours abi∣ding about the Ventricles of the Brain, and

Nerves, may over moisten, and perhaps so far loosen the Tunicles or Membranes of them, that it may render them unfit to let the Animal spirits pass through them; hence it is that sometimes one particular Member hath been Paralytick by too much Cold and Moisture; and sometimes more parts have more or less lost sense and motion.

It is the opinion of most eminent Physici∣ans both ancient and modern; that the Ani∣mal spirits being severed from the Bloud in the Brain, &c. are from thence carried through all the Nerves to exercise the external senses and Animal motion; which is continual and equal in healthy persons, but changeable and unequal, according to the divers diseases of the Body or Mind.

Wherefore when no Animal spirits are car∣ried to the Organs of the external Senses, or Animal motion; the functions of seeing, smelling, tasting, hearing and touching: and the sense of heat, as also of motion in the Palsie and Apoplexy, cease all that time.

The Signs of the Palsie are manifest; to wit, deprivation of sense and motion of the * 1.35 Paralytick parts; the Eye, and half the Tongue, (viz. of that side affected) is much weakned, and deprav'd.

The signs of the Apoplexy approaching are these, a sudden crying out for help, with an abolition of sense and motion.

1. If the Palsie, or Apoplexy do invade the sick in the decrease of the Moon, and the Pa∣tient * 1.36 be old, 'tis an ill sign.

2. If the sick do snort, and is droughty, and cast spume or froth out of the Mouth, and have great sweat with difficult breathing, 'tis mortal. But if the Person be young, and a strong Fever immediately happen, 'tis a good sign; for the Fever consumes the superfluous moisture, and makes a Dissipation of the gross and phlegmatick Matter.

3. A Palsie coming after the Apoplexy is ill, and many times turns to the Apoplexy again.

When any of the extreme parts be Paraly∣tical, * 1.37 or when the Head is ill affected by the external coldness of Air, Water or Snow; or a stoppage of the Head be also bred there∣by, or the defect of the Animal spirits chiefly urge; then the sick may be cur'd by driving out whatsoever cold has pierc'd into the Head, or any other parts of the Body, which may be done by spirituous and volatile Sudo∣rificks; for they do not onely alter and correct the cause of Cold, and other Evils accompa∣nying it, but do also amend the harm entring into the Body, containing, and contained.

To this end I commend this following Form.

Take of Treacle-water one ounce; Fennel∣water, * 1.38 and Epidemical-water, of each two ounces; Syrup of red Poppies, and Syrup

of the Juice of Scurvigrass, of each half an ounce; Bezoar-mineral, Antimony Diapho∣retick, of each ten grains; Laudanum opiat. three grains; Spirit of salt Armoniack twen∣ty drops; Oil of Cloves four drops; mix it, give the sick three or four spoonfulls of it, and expect to sweat, being meanly covered; and a spoonfull every half hour afterward, till the sweat break forth; then give them some pure Broth, with a little Wine in it, whereby strength may be recreated, and the Patient enabled to bear a Sweat longer; for nothing so much helps the sick as a sweat continued mildly a while, which experience hath often taught me.

For by the help of this spirituous, and vo∣latile, and also Aromatick medicine, or one like it, the troublesome Cold, and dulness of motion are discust.

They who let bloud in this Distemper cau∣sed * 1.39 by external Cold; or think they can car∣ry out the Cause of this Evil either by vomit or siege, put the sick into danger of death, or at least of most grievous Evils.

But when phlegmatick and watry Hu∣mours stick about the Nerves, &c. And too much moistening and loosening their Mem∣branes and Marrow, be the cause of the Palsie and Apoplexy, and if the same humours much abound in the Body; then Phlegma∣gogues, and Hydragogues may conduce to

the Cure, after Clysters, and internal Aro∣matick Sudorificks.

Wherefore to begin the Cure of this; you may first give this or the like Clyster, which must be made strong.

Take of sweet Marjoram, Betony, Sage, Pen∣ny-royal, * 1.40 Hyssop, Rue, Mercury, Marsh-mal∣lows, the lesser Centaury, the Flowers of Chamomel, and Stoechas, of each half a hand∣full; Anise-seed, sweet Fennel-seed, Juniper-ber∣ries, of each half an ounce; let them be cleansed, bruised and boiled in a quart of Fountain-wa∣ter, till half of it be boiled away; then strain it, and dissolve in it the Electuary Diaphoenicon, benedicta laxativa, of each half an ounce; pil. Co∣chioe twenty grains; common Salt one drachm; Oil of Rue two ounces; mix it for a Clyster.

The next day (if the sick have a Pletho∣rick body) you may draw bloud from either arm, to eight or nine ounces.

If Phlebotomy cannot be done, apply Ven∣toses with Scarification to the shoulders; af∣terward sweat the Patient with the aforesaid Sudorifick.

Sometimes Suppositories may be used in stead of Clysters.

This may serve for Example.

Take the Powders of Coloquintida, Salt∣niter, * 1.41 Hiera-picra simple, of each one drachm; Euphorbium half a drachm, Honey boiled as much as will make it into a Suppository.

But if it appear that phlegmatick and viscous Humours do abound in the Body, Purgers may be prescrib'd most conveniently in the form of a Pill, because the Gums are most apt (above all other Medicines) to loosen and cut viscous Phlegm; neither can they be easily dissolv'd in any liquour.

Let this, or such a like form of Pills serve.

Take the Gums Amoniacum, and Galbanum, of each two drachms; dissolve them in Vine∣ger * 1.42 of Squills, strain it, and boil it, to a due consistence; then add Powders of Troches, Alhandal, Scammony, Mastick, of each one drachm; Oil of Anise-seed eight drops; make it into a Mass of Pills according to Art.

Let the sick take five or six small Pills of this in the morning fasting, and an hour af∣ter drink some thin broth.

If the humours be more serous, I commend this Electuary.

Take Juniper-berries one pound; boil them in six pints of Fennel-water, till * 1.43 half of it be boiled away; then add the Fruit of Tamarind eight ounces, and pulp them both through a Sieve: To which add Pow∣der of Jalap, and Scammony prepar'd, of each three ounces; Cinamon, sweet Fennel-seed, of each half an ounce; white Sugar one pound, make it into an Electuary according to Art.

The dose of this effectual Medicine, is to half an ounce, to people of age; a Child may

take from half a drachm, to a drachm, either by it self, or dissolv'd in Whey, or Parsley∣water, or in any other convenient Vehicle.

After universal evacuation hath been made, and the Patient's stomach be still nauseous, this vomit may safely be given.

Take the Infusion of Crocus metallor. Vi∣negar * 1.44 of Squills of each one ounce, give it in the morning with Care: After the ope∣ration of it, give some of this Cordial Julep.

Take the Waters of Sage, Couslips, Lil∣lies * 1.45 of the Valley, of each two ounces; Ci∣namon-water one ounce; Syrup of Peony∣flowers, Stoechas, of each six drachms; Spi∣rit of Castor two drachms; Spirit of Salt as much as will make it of a gratefull taste, of which you may give the sick three or four spoonfulls every fourth hour.

To correct a slow ferment, and also to a∣mend Phlegmatick viscous humours, a Me∣dicinal Wine may be prepared for the rich, in this form.

Take the Roots of Galangal, Elecampane, * 1.46 of each half an ounce; the tops of Worm∣wood, Mint and Calamint, of each one hand∣full; Powder of Cinamon, Anise-seed, of each half an ounce; Nutmegs two drachms; let them be cleansed, bruised and insused in six pints of White-wine.

The sick may drink of this Physick-wine at dinner and supper, adding to every

draught, five or six drops of Elixir pro∣prietatis.

When the wine is almost consum'd, more may be poured on, till it cease to be Aro∣matical.

External means for the Palsie, and Apo∣plexy are also to be used.

Bathing is much commended, both natu∣ral and artificial; and how excellent it is daily experience doth manifest.

This artificial Bath, or one like it, may be prescrib'd, where a natural sulphureous or nitrous Bath cannot be had.

Take Sage, Penny-royal, Betony, Organ, * 1.47 sweet Marjoram, Hyssop, Rue, Time, Ground∣pine, of each six handfulls; Flowers of Cha∣momel, Melilot, of each four handfulls; Roots of Briony, Pellitory, of Spain, of each four ounces; Bay-berries, Juniper-berries of each three ounces; Brimstone six pound; Salt∣niter two pound; let all be bruised and boiled in twenty Gallons of Spring-water, till the third part be consumed.

Let the sick be well bathed with this as often as strength will permit.

After bathing, anoint the hinder part of the Head and Neck, and down the Vertebra of the Back with this Oil; upon which let a Fox-skin drest be worn.

Take Chymical-oils, of Juniper-berries, * 1.48 Turpentine, Spike, of each half an ounce;

Oils of Chamomel, Earth-worms, Rue, Foxes, of each one ounce; Spirit of Castor two drachms; mix it.

This plaister may be applyed to the Head.

Take Galbanum, Opopanax, of each half an ounce; Mustard-seed, white Pepper, Euphor∣bium, * 1.49 Castor, of each two drachms; Chymical Oil of Sage and Rue, of each twenty drops; Oil of Spike and Turpentine, of each a drachm; make it into a Plaister which you may spread on leather, and apply it warm to the Head.

Or you may make the quilted Cap as is prescrib'd in page 6. to wear constantly; Oil of Nutmegs is good to embrocate the Ears and Nostrils; also Errhines, Sternutato∣ries, and Apophlegmatisms may be used with good success.

Take Castor, sweet Marjoram, Betony, * 1.50 Root of white Hellebor, of each a drachm; beat them all into a fine Powder. Blow up some of this Powder (with a quill) into the Nostrils, to cause sneezing.

Let the Patient's diet be such as may not breed Phlegm, and let it be thin and spare, as Water-gruel, in which boil some Mace; or you may make Broth of Mutton, &c. in which boil Sage, Rosemary, Time, sweet Marjoram, Couslips, &c.

Of this broth you may make Panado's

with the Crums of white Bread, and the Yelk of an Egg.

Let Anise-seed, or sweet Fennel-seed be baked with the bread.

Abstain from all clammy Diet, as Fish and Milk, &c. and eat little or no supper.

CHAP. III. Of Convulsions, and the Epilepsie.

THE Cramp or Convulsion is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, in Latin Convulsio. * 1.51

It is a very painfull, involuntary Contrac∣tion of the Nerves and Muscles towards their Original.

There are generally two sorts of Convul∣sions. viz. A true Convulsion, and a Con∣vulsive motion.

A true Convulsion is either universal or particular.

Of the universal there are three Kinds.

The first is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, in Latin tentio ad anteriora; when the Body and Head is drawn forward.

The second is called 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, and in Latin tentio ad posteriora when the Head and Body is drawn backward

The third is called 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉 in Greek, and distentio in Latin, in this the whole Body is inflexible.

The particular convulsions are various.

If it be in the Eye, it is called strabismus.

That of the Mouth, is call tortura oris, &c.

The Falling-sickness or Epilepsie, is called * 1.52 in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, ab 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, invado, quod sensum atque mentem pariter apprehendat.

It is called also in Latin Epilepsia vel invasio; item morbus hominem ita invadens, ut retineat & sistat sensuum actiones, because the mind and senses in this disease are suddenly surprized.

It may be called morbus caducus, a caden∣do, or morbus puerilis because it is most sub∣ject to Children; or more properly noverca puerorum, quod eos male tractat.

It is also called Herculeus, & Elephantiasis a magnitudine, because it is difficult to cure.

Some call it morbus lunaticus, because the sick are most subject to the fits at the change of the moon; but enough of the Names.

The Epilepsie is an universal Cramp or Convulsion of the whole Body, with depri∣vation of sense and motion in the time of the fit.

The parts affected are not onely the Brain, Cerebellum and Spinalis medulla, but all the * 1.53 Nerves and Museles.

The causes are either external or internal. * 1.54

The external, may be by the biting of some venemous Creature; or by a wound or puncture of a Nerve or Tendon.

Sometimes it may be caused by surfeiting or drunkenness; and also by the taking of Hellebor, &c.

It may be also caused by a mineral Gas fuming from the Mines of Lead, or Anti∣mony, &c. which infecteth the Air with noxious metalline exhalations of a vene∣mous malignity; which is many times the cause of Convulsions, as they can tell by ex∣perience, that live near those Mines.

The internal causes are acrimonious and flatuous Vapours, rising from the small guts, because of over viscous Phlegm, and the o∣ver acidity and tartness of the Juice of the Pancreas, which causeth a vitious efferves∣cency of the humours, by which the Lym∣pha is also rendred very sharp.

These sour flatuous Vapours continually ascending to the Head, together with the spirituous substance of the Bloud, and going forward into the Ventricles of the Brain, and Cerebellum, and so to the first spreading of the Nerves; and corroding them, causeth an inordinate agitation, and very fierce motion of the Animal spirits; and by a continual and grievous Irritation, urging about the be∣ginning of the Spinalis medulla, is the cause of an universal Convulsion, or Epileptick-fit,

in which all the Muscles of the Body are most vehemently contracted.

The Irritation in a particular Convulsive motion or the Cramp, which may be oft observ'd in the thigh or leg, and other ex∣treme parts, may be also ascrib'd to the same sharp and sour flatuous Vapours, carried to the beginning of the Nerves and Tendons of the said Members, fretting and gnawing them sometimes with great pain.

The signs of Convulsions are manifest. * 1.55

The preceding signs of the Epilepsie, are trembling, sadness, fearfulness, vertigo, num∣ness, debility of the senses, troublesome sleep, with great pain of the Head.

The signs of the Epilepsie presently ap∣proaching, are a vehement shaking of the whole Body, foming at the Mouth, and a sud∣den deprivation of all the Animal functions.

1. A Convulsion or Epilepsie, being here∣ditary, is incurable. * 1.56

2. If a pregnant Woman be taken with either of them, it is very dangerous; and al∣so after Abortion.

3. Children are most subject to these di∣seases, because they abound with abun∣dance of moisture, and flatulent Vapours in the Brain; and because they have Nervorum poros angustos, whereby the Brain is easily filled with such vapours; and therefore we see that Children are often troubled with

them, young People more rarely, and old Folks but seldom; and we find that Children better suffer them than either of the other, who frequently die of these fits, especially of the Epilepsie, when in their falling there follows snorting, gnashing of the teeth, a ghastly countenance, much some at the Mouth, involuntaria seminis effusio, and great cryings out.

4. Of all the kind of Convulsions, Tetanos is the most difficult to cure; because it is (as it were) composed of the other two kinds; but if a fever happen in this or any other Con∣vulsion, the sick will suddenly recover, be∣cause a fever dissolveth it; but if a Convulsi∣on should succeed a fever, it is very dange∣rous, especially from a wound, or procee∣ding from venemous matter.

So likewise it is very dangerous if it be cau∣sed by taking of Hellebor.

When a particular Convulsion is caused * 1.57 from a prick of a Nerve or Tendon; as it may happen sometimes by the unskilfulness, or precipitancy of the Chyrurgeon in open∣ing a vein, then most speedily pour into the wound or puncture, the Oil of Turpentine, with rectifi'd Spirit of Wine, both actually hot; as that famous Chyrurgeon Mr. Am∣brose Parey adviseth in his ninth Book, Chap. 11. of which I have had large experience with good success.

The like course may be taken with all other wounds of the nervous parts.

But if the wound of the Nerve or Tendon yield not to this medicine, the same is to be cut asunder cross-ways, seeing it is safer to lose the action of one part, than that the sick should be exposed to the danger of a deadly Convulsion.

When the Nerves or Tendons of the Mus∣cles are prickt by sharp splinters of bones, the grievous pains succeeding, soon cause a particular Convulsion of that part, and at length an universal Convulsion will attend the Patient, if there be not speedy help.

Wherefore if possible, the sharp fragments of the bone must be cut away; or if this have been neglected, or could not be done, and an universal Convulsion be feared, you must hasten to amputation of the member; For, Necessitas non habet legem.

If a particular Convulsion be occasion'd by a hot Tumour or any other sharp pain, which hath rais'd an inflammation; let the pain be diminisht as well by internal, as external Ano∣dines and Narcoticks, to allay the over en∣creas'd motion of the Animal spirits.

To this end you may give the sick two or three grains of Laudanum opiat. at a time, either in a Pill, or dissolve it in a little Wine or other convenient Vehicle.

And if the ingenious and judicious Physi∣cian,

or Chyrurgeon, do add a little volatile Salt, either of Animals or Vegetables, to his topical Medicaments, whether fomentati∣ons, Cataplasms, or Ointments, he will won∣der at the incredible benefit; for by the help thereof the Tumour will be mollified and dissolved, the internal obstruction loosned, and the pain eased.

If a Convulsion be caused by the taking of Hellebor, or any other venemous matter; ad∣minister an Antimonial vomit with all speed.

But if it be a Child, give it ten grains of Salt of Vitriol, or half an ounce of Oxymel of Squills, with a drachm of Oil of Almonds.

After the operation of the Emetick, (and also at other times) you may give some of this Julep.

Take of Black-cherry-water, the Water of * 1.58 Line-flowers of each two ounces; Briony-wa∣ter compound, Syrup of Peony, of each one ounce; Tincture of Castor half an ounce; Con∣fection of Alkermes one drachm, Spirit of Salt Armoniack twenty drops; mix it, and give three or four spoonfulls every fourth Hour.

Having briefly hinted at the Cure of par∣ticular Convulsions; I come now to those more universal, as likewise Convulsive mo∣tions, and the Epilepsie.

And seeing there is little difference, in the remote causes of them in the Body; these diseases may (for the most part) be cured with the same Remedies.

1. First then the peccant humours are to be temper'd, and diminisht.

2. The rising of vapours is to be hindred, and their expulsion procur'd by sweat, or insensible transpiration: By which the over motion of the Animal spirits will be restrain'd and brought to tranquillity, that is a more quiet motion.

All Aromaticks, and all things abounding with either a fixt or volatile Salt, do not one∣ly correct, and by cutting amend the viscous phlegmatick humours; but do powerfully temper and destroy the over acidity and tart∣ness of the juice of the Pancreas.

To temper and diminish these humours, I commend these medicines.

Take the Roots of Male-peony, Valerian, * 1.59 Missletoe of the Oak, and Peony-seeds, of each two ounces; Castor half an ounce; let them be all bruised, and infus'd in Peony-water compound, the Water of Line-tree-flowers, of each one pint, for the space of twenty four hours; then strain it out very strongly, and add Syrup of Peony and Stoechas, of each three ounces; Spirit of Castor half an ounce; mix it, and give three spoonfulls at a time every fourth hour, with which you may mix Spirit of Salt Armoniack, Elixir propri∣etatis, of each six drops.

Also you may give the Patient half a drachm of the following powder in three or

four spoonfulls of this Infusion, with the a∣foresaid Spirit and Elixir.

Take of Crabs-eyes, Salt of Tartar vitri∣olated, Salt prunella, of each half an ounce; volatile Salt of Harts-horn, Salt of Amber, of Man's skull prepar'd, of each two drachms; make it into a fine powder, which may be taken half a drachm at a time, morning and evening.

The peccant humours being temper'd and diminisht, by the frequent use of the above∣said medicines; the inordinate, involuntary and impetuous motion of the Animal spirits, (in Convulsive and Epileptick fits) will be the better reduc'd to a calm and vo∣luntary motion, by the help of volatile and spirituous Sudorificks, mixt with Anodines, and Narcotick medicines us'd in a small quan∣tity, and at times; which two will be ex∣pedient to be given together, because then they will the better circulate to the Animal spirits, and temper and educe the hurtfull flatuous Vapours.

For which I commend the following form.

Take of Treacle-water, Fennel-water, of each one ounce; Syrup of Peony, Syrup of * 1.60 the Juice of Scurvigrass, of each half an ounce; Antimony Diaphoretick, Bezoar mineral, Crabs-eyes in powder, of each ten grains; Laudanum opiat. four grains; Tincture of Castor one drachm; Oil of Cloves three drops;

Spirit of Salt Armoniack ten drops; mix it, and let the sick take it, being well cover'd with cloths, whereby the sweat will the easi∣er come forth.

If the Body be costive, let it be made so∣luble by a Clyster, or Suppository; such as is prescrib'd in the cure of the Apoplexy.

As often as the Stomach is naufeous, or the sick inclines to vomiting; let the Eme∣ticks before mention'd be carefully admi∣nistred; and likewise three or four days be∣fore the full of the moon.

But if the sick be averse to vomiting, and Pills or Potions are more acceptable, take the following as Examples.

Take of Extract. Rudij, pil. foetidoe ex duo∣bus, * 1.61 of each a drachm and half; Castor, black Hellebor prepar'd, of each half a drachm; Salt of Amber twenty grains; Oil of Rose∣mary twenty drops, with Syrup of Stoechas; make it into a Mass for pills; of which you may give half a drachm twice a week.

Also this purging Infusion is very effec∣tual.

Take of the best Senna, Rhubarb, and Cream of Tartar, of each an ounce and half; * 1.62 Liquorish, and the five opening Roots, of each one ounce; Guiacum, China-roots, of each six ounces; Missletoe of the Oak, Anise-seed, sweet Fennel-seed, Bay-berries, and Juniper∣berries, of each half an ounce; let them be

all bruised, and infused in Black-cherry-water, and the Water of Line-tree-flowers, of each a quart, very hot for the space of a Night; then strain it very hard, and add Syrup of Roses so∣lutive with Senna, Syrup of Succory with Rhubarb, of each three ounces; Cinamon-water two ounces; Salt of Tartar vitriolated half an ounce; mix it.

Let the sick take four ounces of this pur∣ging Infusion every morning, whereby the viscous humours and flatuous Vapours may be both corrected, and also evacuated gent∣ly by degrees.

If bloud abound, let a Vein be opened; in Women open the Saphoena in either Foot, but in Men you may apply Leeches to the He∣morrhoidal Veins. &c.

Bathing hath been often us'd (with good success) in these diseases.

A natural sulphureous Bath, such as is in the City of Bath, is excellent; but when it is not to be had, an artificial Bath may serve.

That which is set down in the Cure of the Palsie and Apoplexy, is of excellent Virtue, and very effectual in these distempers.

After bathing, let the Spina Dorsi, and o∣ther affected parts be anointed with the fol∣lowing Ointment.

Take the Oils of Euphorbium, Rue, Castor, * 1.63 Petre, Spike, Turpentine, Bricks, Dil, Chamo∣mel, of each half an ounce; Oils of Amber

and Juniper, of each two drachms; the Oint∣ments Martiatum and Aregon of each one ounce; mix them for an Ointment.

Issues are approved of, either in the Neck, or Arm; also Ventoses with Scarification, Sternutatories, Errhines and Masticatories are all commended.

This Masticatory may serve for Example. * 1.64

Take the Roots of Pellitory of Spain, Gin∣ger, Calamus aromaticus, of each one ounce; Mustard-seed; all sorts of Pepper, Nutmegs, Castor, Mastick, of each half an ounce; beat them all into fine Powder, and with fine Honey boild into a Syrup, make them into Troches according to Art.

When they are drie you may chew them one after another, when you please to draw the Rheum out of the Mouth.

When the fit is coming, or upon the party, blow up some Sneezing-powder into the Nostrils, or the Smoak of Tobacco into the Mouth.

Embrocate the Temples, Fore-head and Nostrils with Oil of Amber; and hold the Spirit of Salt Armoniack to the Nose, in a Narrow-mouth'd viol.

Make a noise in the Ears; and let the sick be kept in a light Room, with the Head up∣right.

Let the teeth be kept open with a stick, or rather with a little viscus quercinus, if it may be had.

Let the soles of the feet be well rub'd with Salt and Vineger; also Frictions and Liga∣tures may be used in the parts affected.

Some commend a Pigeon cut asunder, and applied hot to the Navel; for hereby the ve∣nemous halituous Vapours are partly drawn away.

I might add variety of medicines for the cure of these diseases; but those before men∣tioned are sufficient to give light to the inge∣nious Artist, who knows how to prepare diversity of them, as well milder for Infants and Children, as stronger for Adults.

I will therefore prescribe a powder to pre∣serve Children from Convulsive and Epilep∣tick-fits, and so conclude this Chapter.

Take the Roots of Peony, Valerian, of * 1.65 each half an ounce; the Moss that groweth upon a Man's skull, the triangular Bone of a Man's skull prepar'd, Missletoe of the Oak, Elks-hoof, the Seeds of Peony, sweet Fennel and Annise, of each two drachms; red Coral, whitest Amber, and Emerald prepar'd, of each one drachm; white Sugar the weight of them all, let them be reduc'd into a fine powder.

You may give a Child twenty grains of this powder with a little Oil of sweet Al∣monds, so soon as it is born, which may happi∣ly preserve it from Convulsions, and Epilep∣tick fits.

And because obstructions of the Belly in

Children, exposeth them to flatuous Vapours, and Gripings, and so consequently to Con∣vulsive and Epileptick-fits; I advise you to keep the Belly open, either with a little Man∣na, or a Carminative Clyster, so often as you see convenient.

Let the sick live in a serene Air, and ab∣stain from all food that breeds bad nourish∣ment, and flatulent Vapours.

CHAP. IV. Of the Night-mare, and Vertigo.

I Shall treat of these two distempers in one Chapter, because if either of them conti∣nue long; they are Forerunners of the Palsie, or Apoplexy, and sometimes Convulsions, or Epilepsie.

The Night-mare is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, * 1.66 in Latin 'tis called Incubus ab incubando, quod externa vis quoedam aut moles incubare videtur.

It is called the Night-mare, because it op∣presseth the sick in the Night, at which time they think that some great weight lieth up∣on them, by which they seem to be almost suffocated.

It happens most commonly after the first

sleep, whereby the party oppressed, is depri∣ved of speech and motion, and sometime breathing for a time.

When the fit is upon the sick, they do imagine that some Witch or Hag lieth hard on their Breast or Stomach, (from whence it hath also acquired that Name) in which they cannot stir, nor call for help, though they have a great desire, and do strive very much to cry out, but are possessed with a panick fear.

The cause of this distemper, is most com∣monly * 1.67 intemperance in eating and drinking, especially in the Night; whereby crude hali∣tuous Vapours are bred in such plenty, that nature cannot disperse nor dissolve them be∣fore sleep; and therefore they are raised up to the Ventricles of the Brain, by which ima∣gination, sense and motion are all depraved.

The giddy motion is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, i. e. obscuritas oculorum.

In Latin 'tis called Vertigo, ex vertendo quod Caput vertere videtur. * 1.68

In this disease the Animal spirits are wrong mov'd, which makes the sick believe that not onely all things they look on, go in a Circuit about, but their Head and other parts, seem to turn round; which many times causeth them to be in danger of falling, or tumbling headlong.

The cause of the giddy motion, is either * 1.69 external, or internal.

The external are either an intent looking at any object that turns round, or about, espe∣cially if very remote; or a frequent turning about of the Body it self.

The internal cause, is the ascent of flatu∣ous Vapours to the Head, together with the spirituous part of the Bloud, and carried with the Animal spirits, into the passages of the Brain, and Cerebellum; by which the motion of wheeling about is communicated to the Animal spirits, and anon carried to the Cristalline humour of the Eyes, by the Op∣tick nerves; and so a Giddiness seems to be produc'd.

For the Cure of these diseases; seeing they are the Forerunners of the Apoplexy, and Epilepsie; I refer you to those excellent Me∣dicines prescrib'd for the Cure of them.

Let such as are subject to these distempers, be very sparing in their diet; let them avoid all Herbs, Roots and Fruits, that are windy; and all viscous and gross diet, such as is of hard Concoction.

Let the external Causes be remov'd, and the internal causes corrected. Sublata causa tollitur effectus.

CHAP. V. Of the Lethargy Coma, Carus, and Cata∣lepsie or Catocus.

THE Lethargy is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, id est, ab obli∣vione * 1.70 & inertia. Because in this disease, the sick is very forgetfull and slothfull.

In this distemper, there is a very great * 1.71 propensity to sleep, accompanied with a Symptomatical Fever, and sometimes with the Hiccough, with difficulty of breathing, dulness of the Head, and many times a de∣privation of the Senses.

〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, sopor altus, is an insatiable inclina∣tion to sleep; the sick being called unto, * 1.72 they open their Eyes, and answer, but pre∣sently fall a sleep again.

〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, is called in Latin crapularis redundantia; because it is sometimes caused * 1.73 by surfeiting, end drunkenness.

It is deep and profound sleep, whereby imagination, sense and motion are all de∣praved.

In these there is no Fever, in which they differ from the Lethargy.

Catalepsis, vel Detentio, is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, which signifies a with-holding, or

restraining, because in this distemper, the mind, with the senses, and motion are all suddenly surprized, so that the sick remain stiff, and immoveable, in the very same pos∣ture in which they were taken, with their Eyes open.

The causes of these diseases are either * 1.74 external, or internal.

The external causes are gross food, idle∣ness, spirituous wine, or any other inebriating liquour taken in excess; and sometimes by the Air inspir'd, which is defil'd by the Smoak of Coals, or other mineral Fumes, by which the Air may be infested.

The internal cause, is a Narcotick force mix'd with the Animal spirits, bred by de∣grees in the Body, by the frequent use of opiats, not well corrected, which not onely dulls the mind, but causeth a sluggishness of the whole Body; for the Animal motion being deprav'd, the external, as well as in∣ternal senses, will be thence soon infected, and defil'd.

These diseases are all very dangerous, and except they are speedily cur'd, they will soon * 1.75 hurry the sick into the Boats of Acheron, or devouring Jaws of Death.

But if a Phrensie cometh immediately af∣ter any of them, it cureth the Patient with little help of medicine.

To cure these diseases, let the drowsie Ani∣mal * 1.76

spirits be stir'd up, and rais'd from sleepi∣ness, and stupidness, by potent external Ob∣jects, which may sharply move the external senses; let the sick be kept in a light room, and be often called upon very strongly, and let sharp smells be applied to the Nostrils, such as Spirit of Salt Armoniack, Harts-horn, &c.

Also sharp spices or salts should be put in∣to the mouth, and gentle frications us'd (with warm Cloaths) to those parts that are affected with Numness.

The Animal spirits may be freed from the Narcotick force mingled with them, (and likewise slothfulness, and sleepiness may be (by little and little) diminished,) by the frequent use of sharp volatile Salts, and all Medicines endued with an Aromatick biting; such as Pepper, Cloves, Castor, Garlick, Horse-radish, Mustard, Scurvigrass, &c. Of which you may make diversity of Medi∣cines, for example.

Take the Waters of Hedge-mustard, Scur∣vigrass, of each two ounces, Syrup of the * 1.77 Juice of Scurvigrass one ounce; Tincture of Castor two drachms; Oil of Cloves four drops; mix it, and give the sick two or three spoonfulls every two hours.

This decoction is also very effectual.

Take the Roots of Horse-radish, the best * 1.78 China, of each two ounces; Roots of Galan∣gal

half an ounce; Scurvigrass, Hedge-mustard, of each one handfull; Cloves one drachm; let them be all cleansed, bruised and infused in White-wine, and Fountain-water, of each a quart, for the space of a Night very hot; the next morning boil it gently for half an hour, then strain it, and add Syrup of Hedge-mustard, Scurvigrass, of each three ounces; Cinamon-water two ounces; mix it.

Let the sick lying in bed, meanly cove∣red take often in a day five or six spoonfulls of this decoction, whereby a light sweat may break forth to ease them.

By the frequent use of these medicines, the Animal spirits will not onely be freed from their drowsiness, but even the Narcotick force bred in the Body (either in the length of time, or received in from without) may be corrected, and by degrees gently educ'd by insensible transpiration: So that at length, these dangerous distempers may happily be overcome.

Let Clysters, and Suppositories be often administred, as need requires.

Those prescrib'd in page 17, 18. in the Cure of the Palsie and Apoplexy, are very effectual here.

If strength and age permit, let a vein be opened in either Arm or Foot, as you shall see cause; for generally Authours consent to it, besides Experientia docet.

Let Ventoses with (or without) Scarifi∣cation be applied to the shoulders and hin∣der part of the Neck.

And let Sternutatories be often snuft up in∣to the Nostrils, to provoke sneezing.

Take the Roots of Pellitory of Spain, white * 1.79 Hellebor, of each half a drachm; Castor, Nutmegs, white Pepper, of each twenty grains; Flowers of Lillies of the Valley one drachm; beat them into a fine Powder.

If the Stomach be foul, and the sick in∣cline to vomit, give this or the like.

Take the decoction of Horse-radish, two * 1.80 ounces; the infusion of crocus metallorum, Oxymel of Squills, of each half an ounce; Oil of sweet Almonds newly drawn, two drachms; mix it, and give it in the Mor∣ning.

But if the sick had rather take Pills or Po∣tions, let the following serve.

Take Extract. Rudii, pil. foetidoe, ex duo∣bus * 1.81 of each half a drachm; Powder of Castor twenty grains; Oil of Cloves six drops, with Syrup of Stoechas, make it into Pills, for three doses.

You may give them twice a week in the Morning fasting.

This purging Infusion is also very ef∣fectual. * 1.82

Take of the best Senna, Rhubarb, Po∣lypodium, of each half an ounce; Mechoacan,

Agarick, Turkey-Turbith, of each three drachms; Ginger, Anise-seed, of each two drachms; let them be bruised and infused in eight ounces of Ale very hot, for the space of a Night, then strain it, and add the best Manna; Syrup of Roses solutive of each one ounce; Spirit of Castor twenty drops; mix it for two doses.

Let the affected parts, as the Head, &c. be bathed with this or the like fomentation.

Take the Roots of Master-wort, Angelica, * 1.83 Zedoary, of each three ounces; Bay-berries, Juniper-berries, of each four ounces; Sage, Marjoram, Rue, Rose-mary, Betony, Flow∣ers of Lavender, Melilot, Chamomel, of each two handfulls; let them be all cleansed, brui∣sed and boiled in White-wine-vineger, and Fountain-water, of each three quarts, till half of it be boiled away.

After bathing anoint the hinder part of the Head with this Oil.

Take of Oil of Rue, Marjoram, of each * 1.84 half an ounce; Oil of Amber, Rose-mary and Bricks, of each two drachms; Oil of Bays, Euphorbium, Castor, of each six drachms; mix them.

For Revulsion, let the soles of the feet be washed with Salt and Acet. Scillitic. Vesic∣catories may also be applied to the Coronal Suture, and behind the Ears; or upon the Shoulders, Neck, Arms, Thighs, &c.

Avoid all vaporous and phlegmatick Nourishment.

CHAP. VI. Of the Phrensie, and Madness.

THE Phrensie is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, * 1.85 & 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, ex 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉 mens; quia mentis morbus.

The Phrensie is an inflammation of the Brain and Meninges, both the dura and pia mater; causing an acute continual Fever, which remains from the first moment of its invasion, to the last of its duration, thence a delirium, and raving Madness, to∣gether with great trouble of mind, afflicts the sick in a superlative manner.

Madness is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, a 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, insanio, 'tis called in Latin amentia, furor, in∣sania. * 1.86

It is a furious alienation of the mind, or a vehement delirium without a Fever; in which it differs from the Phrensie.

I know there are not wanting the works of great Physicians, who have written very learnedly of these diseases; but omitting the opinion of others; I shall in a few words,

relate that which seems true to me, to be the cause of these furious distempers.

None who are ingenious Searchers of Truth; and have weighed accurately (with an attentive mind) both the fabrick and ways, or Vessels of the containing Body, and the natural motion of the Bloud, and other humours; will deny, that almost in∣numerable diseases do arise from the vitious effervescency of over fat Choler, the too tart Pancreat juice, and over viscous Phlegm, flowing together in the small guts; for by this vitiated mingling not onely hurtfull humours are produc'd, but often wind, and halituous Vapours, causing much harm to humane Bodies.

Wherefore I judge, when Phlegm is very viscous, or otherwise vitious, and the juice * 1.87 of the Pancreas too tart and harsh; sharp halituous Vapours are thence produc'd, ele∣vated from the small guts, because of a viti∣ous effervescency there rais'd; and thence continually ascending to the Head; and with the spirituous Bloud, circulate into the Ventricles of the Brain, by which the Ani∣mal spirits are vitiated, and troublesomely mov'd, and hindred of natural rest and tran∣quillity; therefore 'tis no wonder that the Empty mind of the sick is thereby disturb'd, and at length the sick become distracted and mad.

But if Choler be predominant, these va∣pours become very cholerick and acrimoni∣ous; which rarifies the Bloud by degrees more and more; so that at length the heat and bur∣ning Fever in the Heart, (and thence through the whole Body) is encreased by Choler successively over-ruling, which causeth the Phrensie.

No marvel then if heat, pain, and inflam∣mation, and pulsation of the Head do chiefly vex the sick in this grievous distemper; see∣ing no part of the Body hath so many Ar∣teries, and receives so much Bloud as the Head; wherefore the pulsation of the Tem∣ples is felt more troublesome than elsewhere, because of the remarkable windings of the Brain, through which great Arteries are carried; from whence great watchings, and at length raving Madness do molest the sick.

But there still remains something requisite to be set down, as the chief cause of these, and most other distempers, which ought not to be despis'd (either by Jew or Gentile) seeing we have the word of God for it; and that is the crying sins of Mankind continually drawing God's Judgments on them.

You may reade the 28th. Chapter of Deu∣teronomie, where the Prophet Moses enume∣rates the many diseases, with which God

would smite the Children of Israel, for the wickedness of their doings, whereby they had forsaken him.

And not onely they, but we also shall be subject to these grievous distempers, and eter∣nal destruction also, if we do not turn to the Lord by unfeigned repentance, except ye repent, ye shall all likewise perish, saith our blessed Saviour Jesus Christ in Luke 13. 3. Verse.

Those poor creatures who have been miserably afflicted with these furious di∣seases, and happily recovered; can tell by sad experience, that they have been many times hurried almost to desperation, by the cunning wiles and temptations of Satan; which hath prevail'd on many to lay vio∣lent hands on themselves; from which let us pray, libera nos Domine.

1. The Phrensie is a most acute and dange∣rous * 1.88 disease, insomuch that it ends most com∣monly in seven days; for in that time it ei∣ther terminates by the recovery of the sick, or else they go over the threshold of the o∣ther world.

2. If the Phrenetical party hath a Crisis ei∣ther by sweating, bleeding at the nose, or Hae∣morrhoids, &c. or a tumour appear behind the Ears, there is hopes of recovery: but if the sick gnash with his teeth, and his Excrement and Urine be whitish, and no Crisis appear,

'tis mortal; so likewise is it very pernicious, if it turn either to the Lethargy, or Convulsion.

In the Mania or Madness, if the stomach or appetite decay, and the sick be very fear∣full, and hath continued long, it is most dif∣ficult to cure: but if the party be merrily conceited, it is not so dangerous.

3. If the swelling of the Veins in the Legs, called Varices, or the Haemorrhoids, or Men∣ses, or any other flux of bloud should happen to them that are mad or frantick, there may be hopes of recovery.

And that we may pass on to the cure of * 1.89 these lamentable diseases: let the following Golden precept be speedily observ'd.

Principiis obsta, sero medicina paratur: Cum mala per longas invaluere moras. For unless speedy help be procur'd for the Phrensie, it killeth the party in a short time: and like∣wise Mania or Madness becomes oft (by de∣grees) so stubborn, and rebellious, that it can be cur'd onely late or never.

Ttherefore the friends of the sick are to be admonish'd to consult with the honest Physi∣cian, so soon as the signs begin to be mani∣fest; for when it hath taken deep root, it is hard to be eradicated, or overcome, unless by an Herculean labour.

First therefore let a Clyster be administered.

Take of Mallows, Marsh-mallows, Vio∣lets, * 1.90 Lettice, Beets, Pellitory of the wall,

Mercury, Centaury, Water-lillies, of each one handfull. Damask Prunes twenty. Boil them in a quart of Barley-water till half be consu∣med, then strain it, and add Electuary Leni∣tive, Syrup of Violets, Roses Solutive, of each one ounce; Oil of Violets two ounces; Com∣mon Salt one drachm. Mix it for a Clyster.

After the Operation of it, you may open a Vein in the Arm.

But if Menses, or the Haemorrhoids be sup∣pressed, then open the Saphena, in either Foot; and let the orifice be made pretty large, be∣cause thereby sharp and fatty vapours may more plenteously be effus'd together with the bloud: whereby the troublesome heat will be the better temper'd, and not a little diminisht.

Neither will it suffice to let bloud once, but this evacuation is oft to be iterated, till (by the diminisht feverish heat) it appears that the cause is remov'd or overcome.

But let Phlebotomy be warily done, where choler abounds, because sanguis est fraenum Bilis: wherefore I advise the young Practi∣tioner to take away but little bloud at a time, which may be done so often as need re∣quires, either by an instrument, or leeches to the Haemorrhoids.

Ventoses with scarification, may be applied to the shoulders, also Vesiccatories to the armes, thighs, & inter scapulas, in extremis morbis, extrema sunt adhibenda remedia.

Choler over plenteous in the body, may be safely diminisht by a mild chologogue; for example.

Take of Dandelion, Succory, Sorrel, of * 1.91 each two handfulls; Tamarind-fruit two oun∣ces. Boil them in a quart of Barley-water till half be consumed; Strain it, and add the waters of Cinamon, and Fennel of each one ounce; The best Manna, Syrup of Succo∣ry with Rhubarb, of each three ounces; Spi∣rit of Niter twenty drops. Let the sick take oft a draught of this Julep, till the body be made soluble; but if there be a strong con∣stitution of body, I refer you to those excel∣lent Medicines prescribed in page 8. 9. of this book, which evacuates choler more power∣fully by stool.

But where the Stomach is full and nauseous, let a vomit be administred without delay; and here I prefer Antimonials before all o-thers, both because they do most happily empty a∣ny humours promiscuously, and because they are most friendly to humane nature, bringing all the humours by degrees (after a peculiar manner) to a most laudable state.

And because in this distemper, the sick is always attended with a greivous and furious raging; let those things be given which will not onely promote sleep, but powerfully tem∣per the sharp cholerick humours.

To this end I commend any fixt Mineral,

Sulphur of Vitriol or Antimony, which will temper the Acrimony of choler, and free the bloud from such matter perhaps before all o∣thers. But where these choice Medicines are not to be had, Opium well prepared will conduce beyond any commonly known Medicine; which may be used both Inter∣nally and Externally.

This Cordial Opiat is of great virtue.

Take the Waters of Sorrel, Lettice, Pen∣ny-royal, * 1.92 Fennel, of each two ounces; Ci∣namon water, Syrups of red and white Pop∣pies, of each one ounce; Laudanum ten grains; Tartar vitriolated half a drachm; Oil of Vitriol ten drops; mixit, and give two spoon∣fulls of it often, whereby the body may the sooner be reduc'd to sleep, and the mind to tranquillity.

The following Epitheme, and Linament may be used outwardly to give ease, and pro∣mote sleep.

Take the Waters of Betony, red Roses, of * 1.93 each two ounces; Vinegars of Roses, and Marygolds, of each half an ounce; Opium twenty grains. Mix it.

Let Linen cloaths be dipt in it being warm, and applied to the Forehead, and regi∣on of the Temples; and as often as the cloaths are dry, moisten them with the same, till pain be diminisht, and sleep follow.

Take Populion half an ounce; Opium dis∣solv'd * 1.94

in Oil of Poppies half a drachm; mix it for a Linament; wherewith anoint each region of the Temples, and spread some of it on brown Paper and apply it.

Let the diet be very thin and cooling: A∣void hot spices, Wine, and other strong Li∣qours, * 1.95 and let the common drink be Barley∣water with Syrup of Limmons.

Pigeons cut asunder, and applied to the Soles of the Feet, do many times avail, by drawing down hot Vapours and Fumes from the Head.

By this you may know how to cure not onely Phrensies, but all ravings and watchings, which are ingendred by Fevers; for it will not be very hard from what is aforesaid, to frame or join such helps as may conduce to the same.

In mania or madness; when Phlegm is over viscous, and the Juice of the Pancreas too tart and harsh, exceeding, and over∣ruling the other humours in the Body; whereby sharp halituous Vapours are conti∣nually rais'd, disturbing the sick both in Bo∣dy and Mind: Speedy care must be taken to correct and educe the vitiated humours, to amend and discuss the hurtfull flatuous Vapours, and also to compose the immode∣rate passions of the mind.

Volatile Salts and Aromatick Oils do not onely correct viscous and acid Phlegm, but

sour and tart Vapours also; for they have power to cut and dissolve that which is vis∣cous, to temper and correct that which is sour and tart, and to discuss and dissipate what is vaporous and windy.

The following Julep, whose power is sin∣gular and stupendious, may be deservedly preferr'd before many others.

Take the Waters of Parsley, Fennel, Mint, * 1.96 Penny-royal, Scurvigrass, of each two oun∣ces; the Waters of Treacle and Cinamon, of each half an ounce; Syrups of Fennel, Pop∣pies, and the five opening Roots, of each one ounce; Laudanum opiat. twenty grains; Spi∣rits of Salt Armoniack and Niter, of each twenty drops; Oils of Annise-seed and Cloves, of each ten drops; mix them.

By the frequent use of this Julep or such like; the hurtfull humours and vapours will not onely be corrected, and amended; but a new Production of them will be hindred, and both Body and Mind reduc'd to a more quiet frame.

These Pills will be also usefull to correct more, and mildly educe, or expell the viti∣ous humours.

Take of Galbanum prepar'd with Vinegar * 1.97 of Squills; Powders of Mastick, Troches Alhandal, Rozin of Scammony, and Jallop, of each one drachm; Powders of Castor, Mirrh and Saffron, of each twenty grains;

Oils of Cloves, Harts-horn, Balsom of Sul∣phur with Oil of Anise-seed, Spirit of Salt Armoniack, of each ten drops; beat them all into a Mass for Pills, of which you may give half a drachm at a time, in the Morning fasting.

It will be convenient to take these Pills twice a week, for the better vanquishing the rebellious and redoubl'd humours.

Also let Antimonial vomits (rightly pre∣par'd) be sometimes administred, they be∣ing endued with an universal force of clean∣sing Man's body from all harm and impu∣rity.

By these forms any judicious Practitio∣ner, may easily invent other prescriptions in some things to be varied, as the disease requires.

Thus having premis'd a rational, and dogmatical cure of these grievous diseases, confirm'd by experience; I think it my duty (once for all) to admonish the honest Phy∣sician, and others who attend the sick; to be often seeking the Lord for a Blessing on the means.

And if all refuge fails, to take the Advice of the Apostle James in the 5th. Chapter and 14, and 15. verses.

This was the Custome of the Primitive Christians without doubt, and I wish it were more in use amongst us at this day; for God

is as able to heal the sick now, as he was then, for he is the same yesterday, and to day and for ever.

I thank God, I have had some experience of his great goodness and mercy, extended towards some of his poor Creatures, by means of this ordinance, when all other help of medicine, &c. have prov'd unsuccessfull, for which uni Deo & trino Gloria.

CHAP. VII. Of CATARRHS.

THE Catarrh is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉 a 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, fluo.

It is called in Latin distillatio, because it is a defluxion of excrementitious and sharp Rheumatick humours from the Head, into most parts of the Body; invading not one∣ly all the conglobated, and conglomerated Glandules; by which the Circulation of Lympha and Spittle are deprav'd: But also the Nerves, which causeth intense or vehe∣ment pains, and inflammations in the parts ill affected, which is most commonly at∣tended with a Symptomatical Fever, especi∣ally if the Rheum be thin and sharp, and do flow very violently.

And seeing this distemper is not enough explain'd in Authours, either ancient or modern; I therefore (God prospering my in∣deavours) will bestow some pains in search∣ing out, and proposing the true causes and effects of it; which I hope will induce other liberal and ingenious spirited Artists to a farther inquiry after the occult causes, not onely of these, but other obscure diseases daily occurring in practice; that so by lit∣tle and little, many things in the Art of Physick, as yet most obscure and confus'd, may be illustrated, and most commodiously explain'd.

Experience confirms, that there are many kinds of Catarrhs; some are more thick, o∣thers more thin; some acid and salt, others more sweet; some Rheums are hot and sharp, flowing more violently, other cold and pituitous, flowing but slowly; hence it is, that some Catarrhs are attended with Fevers, and some without.

The causes of Catarrhs are either external, * 1.98 or internal.

The external cause is from external sud∣den Cold, shutting the pores of the skin, hin∣dring the discharge of sweaty Vapours by insensible Transpiration; for if the usual ports of the skin do deny passage to the sweat, it will in a little time condense, and thence become sour, by which the extreme

parts are chilled, which doth manifest it self by a shivering; as any one may experimen∣tally observe after taking Cold.

These humours having not vent through the porous skin (which is absolutely necessa∣ry) by the habit of the Body; they are conveyed to the Head (together with the Lympha) through the Lymphatick Vessels.

The internal cause arises from pituitous humours, gradually collected (besides Na∣ture) in the conglobated Glandules, ob∣serveable about the Plexus Choroides in the side Ventricles of the Brain, and elsewhere; perhaps in the Tonsils, and all the rest of the small Glandules about the trachoea Arte∣ria; hence the Lympha becomes sourish salt, as is tasted in a Coryza.

Whence also we may probably conclude, what way soever the conglobated Glan∣dules are hurt, that the Lympha declines from its natural State and Quality: And as its depravation is milder or sharper, more grievous, or lighter pains are thence bred; of which we have many times an ocular demonstration in the flowing down of the Rheum through the Nostrils, which is oft so sharp, that it doth corrode the skin, and superficies of the face where it comes.

If it be in quantity moderate, it is con∣veighed to the infinite little salivary Ducts or Chanels, in the conglomerated Glan∣dules,

which open into the palate of the mouth, and there pour out the salival Li∣quour which they contain; which is either swallowed down into the Stomach, or else it is evacuated by spitting; and if Nature be overburthened by its plentifulness, it is also sent forth by the Nostrils.

But if the Lympha becomes more sharp, acid and salt in the Glandules before men∣tion'd, it produceth first a stoppage, and burthensome Pain of the Head, which over∣comes the retentive, and provokes the ex∣pulsive faculties; so that Nature being driven to most violent motions, doth extravasate, and intravasate the Rheumatick humours, hic & ubique, a Capite ad Calcem, through the most abstruse and inconspicuous passages of nature; so that it is the opinion of many learned Physicians, that a Catarrh is the ori∣ginal of many diseases incident to humane Bodies.

1. Catarrhs happening to Children, are dangerous, especially if there appear plenty of * 1.99 humours, because they abound with moisture, and are full of excrements: Wherefore if a sudden defluxion happens to any of a tender age, desperate accidents may follow.

2. If the Rheum flow through the Nostrils, it is but gentle; if to the Throat 'tis worse, but if to the Lungs, worst of all; and if it becomes inveterate, it is very hardly cured.

In the Cure of Catarrhs, the Head is * 1.100 chiefly to be taken care of, because the Rheum doth continually flow from it; there∣fore the Head ought to be corroborated, and the superfluous moisture thereof to be dri∣ed up: And likewise the part or parts (to which the Rheum flows) must be strength∣ned; the vitious quality of Lympha, and the other humours is to be corrected, and their plenty diminisht.

As Catarrhs consist of a different matter, and afflict divers parts, so they require di∣versity of medicines to cure them; for if the matter be thick and viscous, it must be attenuated and cut with Aromaticks, and afterward evacuated with Phlegmagogues: So likewise serous and salt Catarrhs are to be temper'd with Oily things and Opiats, and the plenty of humours to be diminisht with Hydragogues; by which means the cure will be the sooner performed.

For viscous Catarrhs, accompanied with a Cough, I commend these following medi∣cines.

Take the Waters of Hyssop, Mint, of each * 1.101 three ounces; Cinamon-water, Syrups of Fennel and red Poppies, of each one ounce and half; Laudanum opiatum six grains; Spi∣rit of Salt Armoniack twenty drops; mix it, of which you may give three or four spoonfulls, every three hours.

By the frequent use of this Aromatick Julep, the viscous Phlegm will not onely be attenuated, but the over sharp Vapours will be discust, and the other humours temper'd.

After the Phlegmatick humours, &c. are thus prepared; it will be convenient to eva∣cuate them downwards, by gentle purgati∣on, with powerfull and effectual Phlegma∣gogues; and such are all mercurials, Colo∣cynthis, Hermodactils, &c. to be taken chiefly in the form of Pills.

Take Extract. Rudii, pil. ex duobus, of each one drachm; Mercury dulcis half a drachm; * 1.102 Oil of Cloves four drops; mix them for three Doses.

If the sick be averse to Pills, give this Potion.

Take of Rhubarb, Agarick, Hermodactils, Polypodium, of each two drachms; Cina∣mon, * 1.103 Cloves, of each one drachm; Sage, Rosemary, of each one handfull; sweet Fennel∣seed, Juniper-berries, of each three drachms; bruise them and insuse them in Hyssop-water very hot, for the space of a Night, then strain it, and dissolve in it Syrup of Roses solutive, Electuary Diaphaenicon, of each one ounce; mix it for a Potion.

Every night give the Patient a Pill of Sty∣rax, or Hounds-tongue, to stay the Rheum, and to give ease and rest.

If the Catarrh be serous and hot, accom∣panied

with a Fever, and the sick have a costive Body, this Clyster will be effectual.

Take the common decoction for Clysters * 1.104 twelve ounces; Diacatholicon, Electuary of the Juice of Roses, of each six drachms; Oil of Chamomel two ounces; common Salt one drachm; mix it for a Clyster.

After the operation of it, you may open a Vein in either Arm, and take away eight or nine ounces of Bloud.

Then give this purging decoction.

Take Borage, Lettice, Purslain, Endive, * 1.105 Violets, of each one handfull; the four grea∣ter coldeeds, of each one drachm; Da∣mask-prunes ten, Anise-seed, sweet Fennel∣seed, of each two drachms; let them be bruised, and boiled in eight ounces of the pectoral decoction till half be consum'd; then strain it, and dissolve in it Syrup of Roses solutive, Electuary of the Juice of Roses, of each half an ounce; Spirit of Ni∣ter six drops; mix it for a Potion.

You may give this Potion twice in a week; which will both temper and gently evacuate the serous and acid humours; and flatuous Vapours will also thereby be discust, and gently educ'd.

To cause rest, and thicken the Rheum, let one of these Pills be given every Night to bed-ward.

Take of Laudanum three grains; Powder * 1.106

of Olibanum, Extract of Saffron, of each four grains, with a little pectoral Syrup, make it into four Pills.

Or you may give a Pill of Styrax every Night going to bed.

When the Rheum flows down from the Head, into the Trachoea arteria, it stirs up a Coughing more or less, according to the * 1.107 sharpness and plenty of the humours, which are many ways vitiated; wherefore a Cough may be diversly cur'd, according to the di∣versity of its cause.

If the humours be over sour, they may be corrected with Pearl, Coral, Crabs∣eyes, &c.

If the Rheum be too serous and salt; the aforesaid pil. Estyrace & Cynaglos. &c. is ex∣cellent to temper it.

Becchical Troches, both white and black are not onely effectual, but gratefull to the sick in this coughing distemper.

If the humours be thick and viscous, they require sourish sweet things, and Aromaticks to attenuate and cut them.

The fore-mention'd Julep may be pre∣scrib'd in this Case.

When the salt, sharp and serous humours abounding, are corrected and temper'd; they may be diminisht by Hydragogues.

The Hydragogue Electuary prescrib'd in page 18 is an effectual and gratefull medi∣cine,

which may be often us'd to the profit of the sick.

Children may take from one drachm to two, and Adults to half an ounce; of this ex∣cellent medicine once or twice a week.

As in other distempers always, so let me here admonish you in general, to be very diligent to attend to the medicines that most conduce to every particular Body, whereby they may be prefer'd before the rest; and as long as they profit, continue in the use thereof, that so the health of the sick may be every way promoted.

When much bloud is voided by cough∣ing, * 1.108 there is great danger; wherefore we must hasten the more to its cure; left the opportunity here (if any where urgent) be lost by delay; for the singular substance of the Lungs is easily infected and corrupted, but difficultly restor'd and repair'd; where∣fore bloud carried down from the Head into the Lungs, and raising a Cough, is to be stopt in its efflux.

To this end let a Vein be opened, espe∣cially if a Plethora concur, or there be a no∣table heat of Bloud, or a suppression of its wonted emptying.

After bleeding, let the over great heat be allay'd with sour and tart medicines; for example take the following Decoction.

Take of Plantane, Housleek, Wood-sorrel, of each two handfulls; boil them in Barley∣water * 1.109 one quart till half of it be boiled a∣way, then strain it, and add Syrup of Juju∣bes three ounces; Salt prunella one drachm; Spirit of Niter twenty drops; mix it, and give four spoonfulls every three hours.

The flux of bloud may be stopt by con∣glutinating medicines, which have power to close the Vessels, either broken by vio∣lent coughing, or corroded by the sharpness of the descending Rheum.

Take the Waters of Comfry, Plantane, of each two ounces; Cinamon-water, distil'd * 1.110 Vinegar, of each one ounce; Syrup of Mir∣tles, Comfry, of each six drachms; Powder of Dragons-bloud, red Coral prepar'd, of each one drachm; Laudanum opiat. six grains; Oil of Sulphur per Campanam twenty drops; mix it, and give three or four spoonfulls e∣very two hours.

This choice medicine often taken, will cure the most ruptions of vessels, and will soon stop the flux of bloud, beyond expecta∣tion; but I advise, that a sparing use of it should be continued for some time, after the disease is cur'd to sense, whereby the affected parts may be strengthned against the access of a new evil.

The bloud distilling into the sharp Artery of the Lungs, will soon corrupt and turn in∣to

purulent matter, if not prevented by con∣venient medicines, which hath power to dissolve the coagulated bloud, that it may be the easier expectorated.

The following form may be prefer'd.

Take the Waters of Hyssop, Fennel, of * 1.111 each two ounces; Cinamon-water, distill'd Vineger, of each half an ounce; Syrup of Hore-houud one ounce; Powder of Crabs∣eyes, Antimony Diaphoretick, of each half a drachm; mix it, and give two or three spoonfulls every two hours.

If the Lungs be ulcerated, the Cure there∣of will be promoted, if you add two or three drops of Balsam of Sulphur, with Oil of An∣nise-seed, to every spoonfull that you give of the aforefaid medicine, or in any pectoral Decoction; it must be given oft in a day; the better to finish the Cure.

In all Catarrhs if the Rheum have been long, you may use a Decoction of China, which will wonderfully temper the hu∣mours; or you may add lign. sanctum, sassa∣phras, sarsaparilla, &c. which will dry up the Rheum by degrees.

The sharp humours being temper'd, and the matter of Rheum partly evacuated by Phlegmagogues, and Hydragogues, &c. out∣ward means that dry up Rheum are like∣wise

to be used; as Caps for the Head, Per∣fumes, Errhines, Sternutatories, Masticato∣ries, Apophlegmatisms, &c.

Ventoses with Scarification, may be also applied to the Neck and Shoulders; and Fon∣tinels may be made in the Neck and Arm, for they have been often profitable in Ca∣tarrhs.

Also Vesiccatories applied to the Coronal future, and inter scapulas will avail much.

Let the Temples and parts adjacent be anointed with Oil of Amber, Oil of Nut∣megs, &c. and let the Fume of Amber or Mas∣tick be often drawn up into the Nostrils.

Also a Sternutatory (such as is prescrib'd in page 21. in the Cure of the Palsie) is ve∣ry effectual to cause sneezing, twice or thrice in a day.

A Cap may be also quilted for the Head (of the following things) with Cotton∣wool and red Sarcenet.

Take of sweet Marjoram, Betony, Baum, * 1.112 Bazil, Red-rose buds, of each half a hand∣full; the Berries of Mirtle and Juniper, the Seeds of Peony and white Poppy, of each one drachm; Calamus aromaticus, Nutmegs, Cloves, Frankincense, Mastick, Styrax cala∣mitis, Laudanum, of each two drachms; let them be all beaten into a gross Powder, for a quilted Cap.

Also this following Powder may be pre∣par'd, to fumigate the Head and Cloaths; morning and evening.

Take of Olibanum, Styrax calamitis, Am∣ber, * 1.113 of each two drachms; red Roses, Cori∣ander-seeds prepar'd, Mastick, Gum of Ivy, Cloves, Mirtle-berries, white Poppy-seeds, of each one drachm; let them be all beaten into a gross Powder.

Also this Masticatory may be often used.

Take of Mustard-seed, Roots of Pellitory * 1.114 of Spain, Master-wort, Capers, Mastick, Amber, of each one drachm; let them be all beaten into a gross Powder, and tye up some of it in a Linen-rag, and chew it in the mouth every day before Dinner and Supper.

Or you may chew either Mastick, Amber, or the Root of Pellitory of Spain by it self, which will draw the serous humours away by spitting.

Errhines may also be used; they are ei∣ther moist or dry, the dry are made with Pepper, Betony, Rosemary, Stavesacre, &c.

The liquid are made with the Juices of Rosemary, Ivy, Beets, Mercury, sweet Mar∣joram, &c.

And it may here be noted, that when Rheum doth flow down to the Throat, Lungs, &c. then Errhines may be used; but when the humours flow to the Eyes, Nose, &c. then use Masticatories, for a Revulsion; Re∣vulsio

enim est humoris fluentis attractio in partem contrariam.

The Spirit of Salt Armoniack, held to * 1.115 the Nose in a narrow mouth'd Glass, doth wonderfully conduce above all others, not onely to dissolve the viscous phlegmatick humours, obstructing the Glandules: But al∣so temperates the acid Saltness of Catarrhs.

Plaisters may be also applied to the Head being first shaved, to dry up the Rheum, and strengthen the Brain.

This may serve for Example.

Take of the Plaisters ad Herniam, and * 1.116 Cephalick, Taccamahac, of each half an ounce; mix it, and spread it on leather, and apply it to the Head.

Let the Rheumatick live in a warm and dry Air, and use a drying Diet with mode∣ration in eating, drinking, sleeping, and all other things.

Jejunet, vigilet, sitiat: qui Rheumata curat.

Notes

• * 1.1

  Cephalal∣gia.
• * 1.2

  Hemicra∣nia.
• * 1.3

  Signs.
• * 1.4

  Progn.
• * 1.5

  Cure.
• * 1.6

  Clyster.
• * 1.7

  Iulep.
• * 1.8

  Powder.
• * 1.9

  A medici∣nal Wine.
• * 1.10

  Apozeme.
• * 1.11

  Purging Pills.
• * 1.12

  Epitheme.
• * 1.13

  For a'quil∣ted Cap.
• * 1.14

  Signs.
• * 1.15

  Cure.
• * 1.16

  Powder.
• * 1.17

  Cordial Iulep.
• * 1.18

  Clyster.
• * 1.19

  Vomit.
• * 1.20

  Purging Potion.
• * 1.21

  Troches.
• * 1.22

  Purging Infusion.
• * 1.23

  Electuary.
• * 1.24

  Observa∣tion.
• * 1.25

  Iulep.
• * 1.26

  Tincture.
• * 1.27

  Emulsion.
• * 1.28

  Iulep.
• * 1.29

  Epitheme.
• * 1.30

  Ointment.
• * 1.31

  Paralysis.
• * 1.32

  Apoplexia.
• * 1.33

  Cause.
• * 1.34

  Cause in∣ternal.
• * 1.35

  Signs.
• * 1.36

  Progn.
• * 1.37

  Cure.
• * 1.38

  Cordial to cause sweat.
• * 1.39

  Observa∣tion.
• * 1.40

  Clyster.
• * 1.41

  Supposi∣tory.
• * 1.42

  Purging Pills.
• * 1.43

  Purging Electuary.
• * 1.44

  Vomit.
• * 1.45

  Cordial Iulep.
• * 1.46

  Medici∣nal Wine.
• * 1.47

  Bath.
• * 1.48

  Oil.
• * 1.49

  Plaister.
• * 1.50

  Sneezing Powder.
• * 1.51

  Spasmus.
• * 1.52

  Epilepsia.
• * 1.53

  Partes af∣fecte.
• * 1.54

  Causes.
• * 1.55

  Signs.
• * 1.56

  Progn.
• * 1.57

  Cure.
• * 1.58

  Iulep.
• * 1.59

  Infusion.
• * 1.60

  Cordial to cause Sweat.
• * 1.61

  Purging Pills.
• * 1.62

  Infusion.
• * 1.63

  Ointment.
• * 1.64

  Mastica∣tory.
• * 1.65

  Epileptick Powder.
• * 1.66

  Incubus.
• * 1.67

  Cause.
• * 1.68

  Vertigo.
• * 1.69

  Cause.
• * 1.70

  Lethargus.
• * 1.71

  Signs.
• * 1.72

  Coma.
• * 1.73

  Carus.
• * 1.74

  Causes.
• * 1.75

  Progn.
• * 1.76

  Cure.
• * 1.77

  Iulep.
• * 1.78

  Decoction.
• * 1.79

  Sneezing Powder.
• * 1.80

  Vomit.
• * 1.81

  Purging Pills.
• * 1.82

  Purging Infusion.
• * 1.83

  Fomenta∣tion.
• * 1.84

  Oil.
• * 1.85

  Phrenitis.
• * 1.86

  Mania.
• * 1.87

  Cause.
• * 1.88

  Progn.
• * 1.89

  Cure.
• * 1.90

  Clyster.
• * 1.91

  Iulep.
• * 1.92

  Opiat.
• * 1.93

  Epitheme.
• * 1.94

  Linament.
• * 1.95

  Dieta.
• * 1.96

  Iulep.
• * 1.97

  Purging Pills.
• * 1.98

  Cause.
• * 1.99

  Progn.
• * 1.100

  Cure.
• * 1.101

  Iulep.
• * 1.102

  Purging Pills.
• * 1.103

  Purging Potion.
• * 1.104

  Clyster.
• * 1.105

  Purging Decoction.
• * 1.106

  Pills opi∣at.
• * 1.107

  Tussis.
• * 1.108

  Sputum Sanguinis.
• * 1.109

  Decoction.
• * 1.110

  Astrin∣gent Ju∣lep.
• * 1.111

  Pectoral Iulep.
• * 1.112

  For a quilted Cap.
• * 1.113

  Powder to fume the Head, &c.
• * 1.114

  Mastica∣tory.
• * 1.115

  Note.
• * 1.116

  Plaster for the Head.