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.

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Title
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.
Author
Johnson, Robert, b. 1640?
Publication
London :: printed for Brabazon Aylmer, at the Three Pigeons, in Cornhil,
1700.
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Subject terms
Medicine -- Early works to 1800.
Diseases -- Early works to 1800.
Link to this Item
http://name.umdl.umich.edu/A46940.0001.001
Cite this Item
"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." In the digital collection Early English Books Online. https://name.umdl.umich.edu/A46940.0001.001. University of Michigan Library Digital Collections. Accessed June 15, 2024.

Pages

CHAP. IX. Of a Looseness, or flux of the Belly.

AS often as the expulsion of what is con∣tain'd in the Guts, happens quicker, oftener, and more plentifully than is natu∣ral, it may be called a Looseness; of which there are divers sorts, which may be distin∣guisht according to the different things voi∣ded.

1. If Food be evacuated crude and undiges∣ted, * 1.1 it is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, and in Latin also Lienteria, i. e. levitas intestino∣rum.

Page 186

2. If the Food be fermented in the Stomach, and the Chyle passeth into the Guts, and the nutriment of the Chyle be not there se∣parated from the Excrement, but is voided whitish like a Pultess, much like the Excre∣ments of those that have the Jaundice, it may be called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, and in Latin Coeliaca, i. e. alvinus, vel ventralis dispositio; * 1.2 of which there is another kind, which for distinction sake may be named the Chyle-like Looseness; wherein the Food is both fermen∣ted, and severed into Chyle and Excrements, and yet are voided confusedly together.

3. If not onely Food, but waterish and cholerick humours are often and plentifully voided, it is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉 * 1.3 fluo.

It may be called in English a Cholerick Looseness.

There are divers other kinds of Looseness, which may be called Diarrhoea; for if thick and viscous Phlegmatick humours are fre∣quently and plentifully voided, it may thence be call'd a Phlegmatick Diarrhoea; if the humours be serous, it is a serous Diar∣rhoea; if fat and oily Excrements are fre∣quently evacuated, it may thence be nam'd an unctuous Diarrhoea, &c.

4. If the dejection be purulent, corrupted, excrementitious matter, together with pure Bloud, it may then be called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, * 1.4

Page 187

〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, quod hic non tam difficultatem quam detrimentum notat, & 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉 intestinum, ab 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉 intus.

It may be called in Latin Tormina quod dolore torquentur intestina; In English 'tis vulgarly called the Bloudy-flux.

If there be a perpetual endeavour to go to stool, and nothing but a little mucous purulent matter voided with great pain and straining, it may be called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, vel 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, ex 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉 tendo. * 1.5

In English it may be called a neediness, there being a continual need and desire to go to stool.

This Distemper properly belongeth to a Dysentery, because it doth most commonly follow it, and sometimes with a procidentia Ani.

To a Bloudy-flux may also be referred the * 1.6 immoderate flux of the Hemorrhoids, which may be known from a Dysentery, both from the place affected, and the great quantity of the bloudy purging.

It is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, ex 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, san∣guis, & 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, profluvium.

Also the flux of the Liver (if there be any such Disease) may be referred hither, in which the excrementitious liquour ejected, is like the washing of bloudy flesh.

This Distemper is called in Greek 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, qui ex hepate laborant.

Page 188

In Latin 'tis called Hepaticus affectus, vel fluxus est serosi et sanguinei humoris per alvum excretio, propter Hepatis imbecilitatem.

The causes of all fluxes of the Belly, are * 1.7 either external, or internal.

The external, are any of the six non-na∣tural things immoderately used, which wea∣kens the Stomach, also the taking of any ve∣nemous thing, as Arsnick, Mercury subli∣mate, &c. which presently destroys the fer∣ment of the Stomach and Guts.

The internal cause of the Lientery, is weak∣ness * 1.8 of the Stomach, that it cannot retain any food received into it, but striveth to ex∣pell it.

The Jaundice-like flux is caused by the slug∣gishness * 1.9 of Choler, so that it is not carri'd down to the Guts, to promote the separation of the usefull, from the unusefull parts of the Chyle.

The Chyle-like flux is also caused by the * 1.10 same, so that the straining of Chyle through the spongy crust of the Guts into the Lacteal veins is hindred; the orifices or pores tending to the Lacteal veins, being obstructed by over thick and viscous phlegmatick hu∣mours.

A Cholerick Diarrhoea is caused by over∣salt, * 1.11 sharp and serous Choler; together with phlegm, and the juice of the Pancreas too watry and fluid.

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A phlegmatick Diarrhoea is caused by such things as do breed much viscous phlegm.

A serous Diarrhoea ariseth most frequent∣ly from Spittle, and the juice of the Pancreas too Serous.

A fat, oily, or unctuous looseness, doth follow the over much use of too fat food.

A Dysentery doth proceed either from the * 1.12 thickness of the bloud, by reason of over viscous phlegm, being mixed with Lympha, or the juice of the Pancreas too acid, ac∣compani'd with sorrow of mind; whereby the bloud doth become too gross for its won∣ted circulation through the Capillary Vessels of the Guts; wherefore it causeth a great distension of them, till at length they burst, and pour out the bloud into the cavity of the Guts.

Or else it may be caused from Choler too salt, sharp and plenteous in the bloud, whereby it doth become extravagantly se∣rous, and eager, through extraordinary fer∣mentation, extremely agitating the humours to a Colliquation, especially where fierceness of anger or great heat of mind do concur; by which the bloud is the more rarifi'd to pierce through the tender restraint of the vessels, and doth flow out by indirect ways, some∣times by great loss, to the endangering of life.

Page 190

A Tenasmus is caused by a phlegmatick vis∣cous * 1.13 humour, joyned with a sharp acid hu∣mour, which doth fret the Gut about the siege, stirring up a troublesome Ulcer there.

The flux of the Hemorrhoids, and of the * 1.14 Liver, is to be deduc'd from much serous matter mixt with the bloud, and also relax∣ing the vessels.

The Hemorrhoids are either critical, which useth to ease the sick; or symptoma∣tical, and much weakneth them.

The signs of Fluxes are manifest, from * 1.15 what hath been said.

1. If any looseness continue long, with loa∣thing, * 1.16 'tis an ill sign, especially if it be with a Fever.

2. If the small Guts are affected, the pain is sharper than when it is in the thick Guts.

3. In the Dysentery, if the dejections be very bloudy, or black and fetid, with great Thirst, Hicket, &c. for the most part they are mortal signs; but if the erosion be onely in the internal membrane of the Gut, and there be no great pain, nor other bad sym∣ptome, there is great hopes of recovery.

If the bloud and humours be too thin and * 1.17 serous, they must be corrected, and eva∣cuated.

Chalk, and Harts-horn, (or any other burnt bone) reduc'd to powder, and given

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often in a small quantity, doth imbibe and correct watry moisture, and also over much fatness, which may be the cause of a loose∣ness.

After which the peccant humours may be evacuated by stool with Hydragogues, and by sweat and urine, with Sudorificks and Diureticks.

Toasted Rhubarb will satisfie to many in∣dications, seeing that it doth not onely eva∣cuate water together with Choler abounding, but will soon correct the over-loose body, by its mild tartness.

Wherefore when the Bloud doth abound with much serous liquour, let the sick take this Powder in a little Broth.

Take the Powder of Jallop, Cinamon, of each fifteen grains; Powder of Rhubarb * 1.18 tosted half a drachm; mix it

After the operation of it, you may give the following Cordial by spoonfulls.

Take the Waters of Plantain, Comfry, * 1.19 of each two ounces; Cinamon-water half an ounce; Syrup of Mirtles one ounce; Confectio de Hyacintho, Diascordium, of each one drachm; Laudanum opiat. four grains; mix it.

It will be also convenient sometimes to e∣duce the humours by urine and sweat; for which I commend the following Decoction of China, &c.

Page 192

Take the Roots of Burdock, the five o∣pening * 1.20 Roots, Sarzeparilla, Contra yerva, of each one ounce; China four ounces; Grom∣well-seeds, Juniper-berries, of each half an ounce; let them be cleansed, bruised and boiled in two quarts of fountain water, 'till half of it be boiled away; then strain it, and add Syrup of the five opening Roots six ounces; Spirit of Niter one drachm; mix it.

Lt the sick take a quarter of a pint of this warm, twice or thrice a day, and especially in the morning fasting, which will the ea∣sier procure a breathing sweat, or else urine more plentifull, by which the serosity of the bloud will be consum'd by little and little, so that the bloud and humours will thereby become more pure.

If a Dysentery, or Bloudy-flux arise from a sharp humour corroding the Vessels; it may be cur'd by correcting, and tempering the sharp acid humours, and consolidating the Vessels fretted.

The following Powder is excellent to cor∣rect and amend the aforesaid acid humours, and stop all fluxes of bloud.

Take the Powders of red Coral, Pearles * 1.21 prepared, white Chalk, Dragons bloud, of each half a drachm; mix it for six doses, which may be taken in three spoonfulls of the fol∣lowing Julep, every two or three hours.

Page 193

Take the Waters of Plantain, Comfry, of * 1.22 each two ounces; Tincture of Cinamon, Sy∣rups of Quinces, Mirtles, of each one ounce; Laudanum opiat. ten grains; Oil of Juniper ten drops; mix it.

If there be an Ulcer in the thick Guts, and Clysters can come to the part affected, let the following be often injected, and instruct the sick to retain them so long as they can.

Take new Milk wherein Steel hath been * 1.23 quenched one pint; Honey of Roses one ounce; Venice Turpentine half an ounce; the Yelk of one Egg; Balsam of Sulphur four drops; mix it.

The following Bolus may be sometimes given in the Morning fasting.

Take the Powder of Rhubarb tosted two * 1.24 Scruples; Nutmeg one scruple; make it in∣to a Bolus with Conserves of red Roses.

And this Bolus may be given at Night going to bed.

Take Diascordium, Conserves of red Roses, * 1.25 of each half a drachm; Laudanum opiat. three grains; mix it.

By the frequent use of these choice Me∣dicines, the Ulcer will be cleans'd, the Gripes asswag'd, and the Consolidation of the ulce∣rated Gut (both in the Tenasmus and Dysen∣tery, &c.) will be wonderfully promoted.

Page 194

But if the Ulcer be in the small Guts, the following vulnerary Decoction will more conduce to the Cure.

Take the Roots of Comfry, Plantain, Knot∣grass, * 1.26 of each two ounces; the Tops of Saint John's wort, Sanicle, Germander, red Roses, of each one handfull; Shavings of Harts∣horn, Cinamon, of each half an ounce; let them be cleansed, bruised and boiled in three quarts of Fountain-water wherein steel hath been quenched, till half of it be boiled away, then strain it, and add Syrup of dried Roses, Tincture of Cinamon, dis∣till'd Vinegar, Syrup of Marsh-mallows, of each two ounces; mix it, and give the sick four spoonfulls every two or three hours.

If you add two or three drops of Balsam of Sulphur, made with Oil of Anise-seed to eve∣ry dose of the Decoction, &c. it will be the more effectual both to cleanse and consoli∣date the Ulcer.

The flux of the Hemorrhoids, if it be symptomatical, and weaken the sick, is then to be hindred, which may be effectually done by the afore-mention'd Medicines.

If much serous Liquour can so dilute the Bloud, and relax the Vessels, that part of it may be carried out of them into the Guts, and produce a Flux like the washing of Flesh, commonly called a Flux of the Liver; it may be cur'd by driving forward the serous Li∣quour

Page 195

out of the Body, by Sudorificks, and Diureticks; and also by tart strengthning things that repair the hurt of the loosened Vessels.

The Diuretick decoction of China, before mention'd, is excellent in this case, to be ta∣ken as is there directed.

Also the following Diaphoretick may be sometimes used with good success.

Take the Waters of Treacle, Cinamon, of * 1.27 each half an ounce; Plantain-water two oun∣ces; distill'd Vinegar three drachms; Con∣fectio de Hyacintho, Diascordium, of each one drachm; Powder of Crabs-eyes, Antimony Diaphoretick, of each half a drachm; Syrups of Mirtles, dried Roses, of each six drachms; mix it for two doses.

Also the Powder and astringent Julep pre∣scrib'd in page 192, 193. is excellent to corro∣borate the loosened Vessels, &c.

Anoint the Belly with the Oil of Quinces, Mirtles, Roses, Wormwood, &c. mixed with unguent. Comitissae; which is also good in all Fluxes of the Belly.

Notes

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