The store-house of physical practice being a general treatise of the causes and signs of all diseases afflicting human bodies : together with the shortest, plainest and safest way of curing them, by method, medicine and diet : to which is added, for the benefit of young practicers, several choice forms of medicines used by the London physicians / by John Pechey ...

CHAP. LIX. Of a Consumption.

A Phthysis in general, is a Consumption of the Muscular Parts of the Body: It is twofold, either Original or Sympromatick. There are two Species of the ori∣ginal Phthysis, viz. Atrophia, and a Consumption of the Lungs.

An Atrophia is twofold, viz. Either Nervous, or arising from Inanition.

A Symptomatick Phthysis is occasioned by other Diseases going before.

An Atrophy, or Nervous Phthysis, is a Consumption of the whole Body, without any considerable Feaver, Cough, or difficulty of Breathing, but loss of Appetite and Indi∣gestion accompany it; upon which account Faintness, and a daily wasting of the Body follow. This sort of Con∣sumption sometimes happens in England, but very often to the Inhabitants of Virginia, when they return hither.

In the beginning of this Disease, the Body appears Oedematous, the Face Pale and Squalid, and the Stomach nauseates every thing but Liquors; and the Strength is so languid, that the Sick, before the Fleshy parts are evi∣dently consumed, is rendred so very Weak, that he can∣not keep from Bed, the colour of the Urine is most com∣monly of a deep Red, and very little in quantity, though sometimetimes (but rarely, as it is wont to happen in Diseases of the Nerves) it is pale, and voided in a great quantity; but no considerable Feaver can be discerned, either by the Pulse, Drouth, or Heat, how high-coloured soever the Urine is; so that the Pathognomonick Signs of this Consumption beginning, are Faintness and want of Appetite, without any notable Feaver, Cough, or short Breath; though in progress of the Disease, when the habit of the Body is wasted, some difficulty of Breathing (as is usual in all that are Faint) may be perceived.

This Disease is very difficultly cured, if the Physician be not made use of at first; it ends in an Hydropical and

Oedematous Tumour of the Body, especially of the lower parts, and then the Disease is past all hope.

The main of the business must be performed by Sto∣machick Medicines, and such as strengthen the Nerves, such are Chalybeats, Antiscorbuticks, and Cephalicks, and bitter things of every kind: For Instance, Let the Sick take, if his Body be bound, four Ounces of the bitter Decoction with Senna, and every fourth night two Ounces of Tinctura Sacra, or of the Tinctura of Hiera Picra, made in the Waters of Rue, Black Cherries, Compound Peony.

In his ordinary Drink, hang a Bag of Cephalicks, and Antiscorbuticks; an hour before Dinner let him take half a Dram of Elixir Proprietatis in a Draught of Whitewine, wherein Wormwood has been infused: Apply to the Region of the Stomach the Magisterial Stomachick Plaister, with a few drops of the Chymical Oyl of Cinnamon and Wormwood; or foment the Stomach daily with Aro∣matick Bags, made of the Leaves of Mint and Worm∣wood, Cinnamon, Mace, Zedoary, Galingal, Cyperus, and Sweet-smelling Flag, and boil'd in Claret: If it be Summer-time, let him drink Chalybeat Waters; if Win∣ter, Syrup of Steel or the Wine of it, made by quenching Filings of Steel in good Whitewine three or four times; then by infusing in it Zedoary, Galingal, Nutmegs, sharp Cinnamon, Mace, Cubebs, and Cloves grosly beaten: But amongst Chalybeats, Mynsichts extract is thought the best, which must be given in the form of a Bole, or of Pills, for the space of twenty or thirty days. For In∣stance,

Take of the Extract of Mynsicht half a scruple, Balsam of Gilead seven drops, of Haly's Powder six grains, of the Compound Powder of Wake-Robin four grains, of the Powder of Liquorish a sufficient quantity; make Pills of an ordinary size, repeat them every day once.

Opobalsamum by it self, as also Spirit of Harts-horn, and Spirit of Sal-armoniack, are very effectual in this case, because they are agreeable to the Nerves. For Instance, Let the Sick take eight or ten drops of Opobalsam, or of Spirit of Harts-horn, in a sufficient quantity of Sugar-candy.

Let him endeavour to make himself Chearful by Exercise and Company; for this Disease most commonly proceeds from Care and Sorrow; and let him live in a good and open Air: And because the Stomach is chiefly affected in this Disease, he must eat a delicate sort of Meat, and not be too long accustomed to any one.

The Consumption that proceeds from Innanition is next to be discoursed of; and first, Of that which proceeds from an Hemorrhage, whither by the Nostrils, or from the Lungs by Coughing, or from the Jaws by Hawking, or from the Stomach by Vomit, or from the Reins by Urine, or from the Hemorrhoidal or Uterin Vessels in the customary monthly Purgation, or from hard Labour; or lastly, from Wounds when there has been a great and long Flux of Blood. In this case the Hemorrhage must be first stopt by thickning Remedies, and by binding hard the extream parts; and if there be occasion, and the Sick have Strength, Bleeding must be used frequently, but sparingly; you must apply, if the part will admit of it, Galen's Stiptick Plaister, the Royal Stiptick Water, Oxycrat cold, Ink, Ashes of Hair a little burnt in a Retort, and with Vinegar made up in the form of a Cataplasm, true Bole, Dragons blood, and the like; and they must be often renewed.

Let the Sick take inwardly three or four times a day twenty or thirty drops, or more, of the Royal Stiptick-water, in a Draught of the Milk-water, and five or six Spoonfuls of the clarified Juices of Plantane and Nettles; or let him take frequently in a Spoon the following Linctus.

Take of Syrup of Purslain three ounces, of true Bole, Dra∣gons blood, of the Troches of Spodium, and of sealed Earth, each two scruples; of Japan Earth one dram, of Gum-Tragacanth a sufficient quantity dissolved in Plan∣tane-water; mingle them, make a Linctus.

Or let him take thrice a day the quantity of a Nutmeg of the following Electuary.

Take of the Conserve of red Roses one ounce, of the Troches of Ambar three drams, of true Bole, and of Dragons

blood, each half a dram; with Syrup of Myrtles make an Electuary.

Let him take also every night at Bed-time five or six Spoonfuls of the following Julep, shaking the Viol when he uses it.

Take of Plantane-water six ounces, of Cinnamon-water hordeated three ounces, of distilled Vinegar half an ounce, of true Bole, and of Dragons blood, each half a dram; of London Laudanum three grains, of Syrup of Myrtles one ounce and an half; make a Julep.

The Flux of Blood being stopt, we must endeavour by all means to raise the weak Blood with new and good Chyle, and to extinguish the Febrile Flame, if it be begun, least a Consumption should follow; wherefore the Sick must be frequently nourished with good Broths, and variety of Meats that are full of Nourishment, and of easie Digestion, and pleasant to the Stomach; but he must be sure to abstain from Wine, and from things salted and spiced; and because this sort of Sick, and all other that are inclining to a Consumption, are subject to Anger, Sorrow, Oppressions of the Hypochonders, Hysterick Passions, and want of Appetite; upon which account they can neither eat plentifully, nor digest well: They must endeavour to recreate themselves, and to take the Benefit of a wholsome and free Air, which most com∣monly does more good than Medicines.

But if the Sick be Hectick, the Peruvian bark given freely is of admirable Vertue; and if there be occasion the Sick must use a Milk Diet, or Chalybeat Waters; but you must by no means Loosen the Body.

A Consumption also often arises from a simple Gonor∣rhaea, and the Whites; also from Imposthumes and large Ulcers, and also from giving Suck, from a Loosness and Dysentery, from a Diabetes, from Salivation, a Dropsie, violent Sweating, and the like.

But a Consumption of the Lungs is the chief: The Cause in general of it, is an ill Disposition of the whole Mass of Blood, and of the Nervous Spirit, contracted by degrees by the various Procatarctick Causes, whereby the

Acrid and Malignant Serum of the Blood separated by the soft and glandulous Paranchyma of the Lungs, stuffs and inflames them, and at last causes Ulcers, which is indeed the containing Cause of this Disease.

The Procatarctick Causes are first, a Suppression of the usual and necessary Evacuations, as of the Courses, the Lochia, of old Ulcers, of Issues, of Sweat by the Soles of the Feet, and other parts of the Body, and the like, without correcting and removing the Causes on which they depend; whereby the Blood is vitiated. Secondly, Great Passions of the Mind, especially Fear, Sorrow, Anger, deep Thinking, unseasonable and too hard Study, and the like. Thirdly, Eating and Drinking too much, and unseasonably, especially Drinking too much of Wine and Spirituous Liquors. Fourthly, Neglect of due Exer∣cise. Fifthly, Long Watching. Sixthly, Marshy and gross Air, and Smoak of Coals. Seventhly, An Heredi∣tary Disposition. Eighthly, An ill Conformation of the Breast. Ninthly, Contagion. Tenthly, Stones generated Preternaturally in the Lungs. Eleventhly, Particular Dis∣eases which corrupt the Blood and Spirits.

By these and such-like Procatarctick Causes, the Body being predisposed for a Consumption, the Disease takes its rise immediately from taking Cold.

For the Cure of an original Consumption of the Lungs, Blood must be drawn from the Arm, especially if the Sick be Plethorick, or accustomed a long while to Blood-letting, and let six, seven, eight or ten Ounces be taken away. Secondly, It is requisite after Bleeding, especially if the Disease took its rise from a Surfet, or is accompanied with Nauseousness, or a Disposition to Vomiting, to give a gentle Vomit of Honey, or of Oxymel of Squills, and sometimes of the Vinum Benedictum in a moderate quan∣tity: The Vomit, especially if the Sick bear it well, and if it be necessary, may be repeated three or four times at the distance of three or four days betwixt each Vomit: It is best to give the Vomit towards the Evening, the Sick being blooded the day before; and at Bed-time after every Vomit you must give an Anodyn.

Take of Honey of Squills half an ounce, give it in a Draught of Posset-drink, and repeat twice or thrice in an hour, if the Sick does not Vomit enough.

This is proper for Children and young People.

Take of Oxymel of Squills, and of Oyl of Sweet-Almonds, each one ounce; mingle them, let the Sick, take it in a large Draught of Posset-drink, and let it be repeated twice or thrice in an hour if there be occasion. Or,

Take of Vinum Benedictum seven drams, Syrup of Violets two drams; mix them and make a Potion for Vomiting. And, if it be needful, you may give of Oxymel of Squills and Oyl of Sweet-Almonds, each half an ounce, in a Draught of Posset-drink twice or thrice, in the Ope∣ration.

Salt of Vitriol is not at all convenient in this case, because it irritates and pricks continually the Glandulous parts about the Jaws, and so promotes the Flux of the Serum, and increases the Cough. After the Vomit hath done working, give the following Opiat or the like.

Take of the Pectoral Decoction clarified four ounces, of Tin∣cture of Saffron two drams, of Helmont's liquid Lauda∣num fifteen drops, of Syrup of Violets two drams; mingle them, make a Draught; or you may give ten grains of the Pill of Hounds-tongue, or of Storax.

Thirdly, It is convenient to Purge gently by Stool the Humours by Stomachick Purges, and the like, which the least agitate the Blood. For Instance,

Take of choice Manna, and of Oyl of Sweet-Almonds, each one ounce and an half, or two ounces; dissolve them in a Pint of hot Ptisan; let the Sick drink half in Bed, and the rest half an hour after when he is up. Or,

Take of the best Senna two drams, of Cassia with the Canes broke, and of Tamarinds, each half an ounce; of the Seeds of Coriander prepared half a dram; boil them in a sufficient quantity of Fountain or Barnet water to eight ounces; dissolve in it an ounce of Manna, and

half a dram of Sal-prunella: Let the Sick take half in the Morning, and the rest half an hour after∣wards.

And every Night after Purging give an Opiate to asswage the Blood, and to quiet the Lungs, least a new Flux of Humours should fall upon the Lungs by the Agi∣tation of the Blood occasioned by the Purge.

For the same reason it is proper to mix some Opiate with Stomachick Purges to be taken at Bed Time. For Instance.

Take of Aloes-rosat one scruple, or twenty five grains, of the Pills of Hounds-tongue half a Scruple; mingle them make four Pills to be gilded, which are to be repeated every other Night after the Patient hath been blooded.

These Pills are vulgarly called Pilulae Catarrhales by the Apothecaries; for they do not only evacuate the Humours by Stool, but also hinder a new Flux of them to the Lungs. Or,

Take of the Stomachick Pills, with Gums, Aleophagin of Mastich, or of Ambar, half a dram, or two scruples; of London Laudanum one grain; mingle them, make four Pills, gild them, and let them be taken every third Night for thrice.

And if the Catarrh be very violent, and if a Difficulty of Breathing, or a straitness on the Breast does not arise from the Use of Opiates, an Opiat must be given every Night; for at the beginning of this Disease nothing con∣siderable can be done without them.

Fourthly, In this State of the Disease, Diaphorecticks do much Good; but you must take notice, that they must be never used before Bleeding, Vomiting and Purging, if they are necessary, and they must be always mixed with Opiates, and such must be chosen as are least hot.

Take of venice-treacle half a dram or two scruples, of Con∣serve of old red Roses half a dram; mingle them, make a Bolus. Or,

Take of Diascordium, and conserve of Wood-sorrel, each one dram, make a Bolus. Or,

Take of Matthew's Pill fifteen grains; make two Pills, gild them, and let them be taken at bed-time. Or,

Take of the Pill of Hounds-tongue twelve grains, of Diapho∣retick Antimony one scruple, of Tincture of Saffron a suf∣ficient quantity; mingle them, make four Pills.

These Diaphoreticks must be taken at Bed-time, and great Care must be taken that the Sick does not take Cold after the use of them: Blisters must also be applyed to the Arms, and betwixt the Shoulders, and Pectoral Medicines must be used when the Sick does not Purge.

Take of Oyl of sweet Almonds, of Syrup of Maiden-hair, of Jujubs, Violets, or of Marsh-mallows, each one ounce and an half; of White Sugar-candy one dram and an half; mingle them exactly, whereof let the Sick take a Spoonful every fourth Hour, drinking upon it four ounces of the following Apozem hot.

Take of the Pectoral Decoction clarified one Pint and an half, of Tincture of Saffron extracted with treacle-water, of Syrup of Maiden-hair, Scabious, or of Jujubs, each one ounce; mingle them, make an Apozem.

If you desire to have a more thickning Linctus.

Take of fresh Oyl of sweet Almonds, of Syrups of Comfrey, of red-poppies, of dried Roses, each one ounce and an half; of Diacodium half an ounce, of Sugar of Roses one dram and an half; mingle them, make a Linctus.

If you wou'd have a more lubricating Linctus.

Take of fresh Oyl of Flax extracted without Fire, of Syrup of Liquorish, and of Honey of Violets, one ounce and an half; of white Sugar-candy one dram and an half, mingle them exactly, make a Linctus.

If there be a Feaver, omit the Hissop and Tincture of Saffron; if there be a Loosness, use the following.

Take of the Lohoch of the Lungs of a Fox, of Colts-foot, and Purslain, each one ounce; of Syrup of Jujubs, and Maiden-hair, each one ounce and an half; of Flowers of Sulphur two drams, of Tincture of Saffron half an ounce, of the Species Diatragacanth frigid, of Diamargit frigid, of the Powder of Haly, each one dram; of Penediat Sugar half an ounce; mingle them, make a Linctus.

Take of Tacamahaca, of Balsam of Peru, each one Drain; of the Ingredients for the Pectoral Decoction a sufficient quantity, boil them in a sufficient quantity of Fountain Water to a Pint and an half; with the strained Liquor, and with a dram of each of the four Cold-seeds, with the Seeds of white Poppies, and of Henbane, each two drams; and with eight Almonds blanched, make an Emulsion to be sweetned with Pendiat-Sugar.

But if by reason of the Clamminess of the Flegm the Difficulty of Breathing is more than usual, the following Linctus must be prescribed.

Take of the Lohoch of Raisons, and of Squills, each one ounce and an half; of Syrup of Hedge-mustard, of Hyssop, and of Hore-hound, each one ounce and an half; of the Spe∣cies Diaireos, Diacalaminth, and the Flowers of Sul∣phur, each one Dram and an half; Tincture of Saffron half an ounce, of white Sugar-candy six Drams; mingle them, make a Linctus.

And if this Symptom be very violent, a dram of pure Gum-ammoniack, and a dram and an half of Flowers of Benzoin may be added.

And for these Intentions, Balsamick Medicines, with things that agglutinate are proper. For Instance,

Take of the Pulp of the conserve of red Roses, and Wood-sor∣rel, each one ounce and an half; of Olibanum three drams, of Opobalsam two scruples; mingle them, make an Electuary, whereof let the Sick take the quantity of a

Nutmeg thrice a day, drinking upon it four ounces of the following Apozem.

Take of the Leaves of Millfoil, Mouse-car, Burnet, Dande∣lion, spotted Lungwort, Scabious, each one handful; of the Flowers of St. John's-wort, Violets, the greater Daisy, red Poppies, each half an handful; of Jujubs, and Dates, each six Pair; of Saffron tied up in a Rag half a dram, of the Seeds of Annise, and Juniper-berries, each three drams; infuse them, and boil them in a suffi∣cient quantity of Fountain-water to three Pints, in the hot Liquor strained dissolve four ounces of Conserve of red Roses, which being added to the Apozem render it Balsamick and Pleasantly tasted; strain it again, and add of the Syrups of Coral, and of Oak of Jerusalem, and of Maiden-hair, each one ounce, make an Apozem.

Or instead of the foregoing Electuary the following may be substituted,

Take of the Pulp of the conserve of red Roses two ounces, of the conserve of Hips one ounce, of the Powder of Haly one dram, of Lucatellus's Balsam half an ounce, of Balsamick Syrup a sufficient quantity; mingle them, make an Electuary to be taken as before.

Let the Sick take often in a day one or two Spoonfuls of the Balsamick Syrup, which is very agreeable to the Stomach, and with every Dose of the Syrup, a scruple of the Balsam of Tolu made into small Pills, may be taken; and every Night at Bed-time the Sick may take twenty five or thirty drops of Helmont's liquid Laudanum in a spoonful of Balsamick Syrup: When there are no other Medicines to be taken, and there is nothing contrin∣dicates it, it is also very effectual to prescribe a dram of Flowers of Sulphur to be taken in a rear Egg, or Honey of Rosemary-flowers.

If a Tickling Cough, by reason of the Acrimony and Thinness of the Humuor, issuing from the Windpipe and Bronchia, be very troublesome to the Patient, the follow∣ing Tablets must be used.

Take of the Pulp of the Roots of Marsh-mallows one ounce, Pearl-sugar, Gum-arabick, Tragacanth, white Starch, dissolved in Poppy-water, each two drams; of Penediat Sugar dissolved in Rose-water a sufficient quantity; make Tablets, each weighing a dram.

But if the Cough continues long, and is violent, and will not yield to the foregoing Remedies, we must use Balsamicks. For Instance, Let the Sick take thrice a day three of the following Pills, in a spoonful or two of some proper Linctus.

Take of the Powder of Millepedes prepared three drams, of Gum-ammoniack well purified one dram and an half, of the Flowers of Benzoin two scruples or one dram, of Ex∣tract of Saffron, and Peruvian Balsam, each half a scruple; of Balsam of Sulphur anisated, or made with Turpentine, a sufficient Quantity; mingle them, make Pills of a moderte bigness, gild them, or cover them with Powder of Liquorish.

These Pills have often done good in Consumptire Coughs.

The Sick must chuse an Air that is moderately hot and dry, and somewhat thin; the diet must be of easie Con∣coction, as Mutton, and Veal, and the like; and the Sick must eat Flesh only at Dinner; at Supper he must only eat Water-gruel, Panada-broths, potched Eggs, and the like; and he must be sure to be moderate in his Diet; he must drink sparingly of small Beer, and the like; Wines must be avoided, and other spirituous Liquors; it is also convenient that his Beer be medicated with Pectoral things and the like, which are proper for the Disease; for by this means a great quantity of Medicines will be mixed with the Blood without nauseating the Stomach, or inju∣ring the Appetite, which a Physician ought to take great Care of. For Instance,

Take of the best Sarsa-parilla cut eight ounces, of the Roots of China sliced four ounces, of Polypody of the Oak, Maiden-hair, Ground-ivy, spotted Lung-wort, Colts-foot, Scabious, Oak of Jerusalem, each two handfuls; of the

Flowers of Scabious, water-lillies, and of Rosemary, of the grater Daisy, and of St. Johns-wort, each one hand∣ful; of Juniper-berries four ounces, of Raisins of the Sun stoned six ounces, of Liquorish rasped one ounce, of the Seeds of Annise two drams; mingle uhem, make a Bag for four Gallons of middling Beer, which let the Sick use for his ordinary Drink.

The Sick must exercise himself daily moderately, espe∣cially before Dinner; he must take great Care that he does not catch Cold: The Sick must be diverted as much as may be from Anger, Sorrow, deep thinking, and all other great Passions of the Mind; from Study, and unsea∣sonable Watching, always sleeping, if he can, the first part of the Night.

But in the second State of this Disease, which may be known by the Increase of the hectick Feaver, which now is often like a putrid Intermitting Feaver, and by the manifest wasting of the Flesh, by the dry Cough, a Weight upon the Breast, and difficulty of Breathing; all Evacua∣cuations by Stool, Vomit, or Sweat, are injurious; for they promote the Feaver, and Increase the Consumption: Nor is Bleeding to be used at this time, unless it be to prevent a Peripneumonia; but the Alteratives and Pecto∣rals before prescribed must be used frequently, as often as the Stomach will bear them; but especially the use of the Balsamicks before prescribed must be long continued, if there be no considerable Feaver; and by this means many Consumptive People have been recovered.

Issues are also of use, and the Shaving of the Head.

And if the Hectick heat be but small, the Sick ought to drink Calybeat Waters in the Summer-time; for by this means many have been relieved Year after Year; their Stomack, Flesh and Strength recovered, and the Hectick Heat and Cough left them, and their Breath has been freer: But these Waters are not to be used when the Lungs are evidently putrified, or when the Flesh is very much wast∣ed by Colloquative Sweats, a Loosness, or a Dropsie, for then they are deadly. And when they are proper, the Sick must use them the greatest part of the Summer, but not so great a quantity at a time as is usual in other Cases, two Quarts, five Pints, or three Quarts, may be sufficient

at a time; and the Sick must take Care that he does not catch Cold, and of Errors in Diet: Purging is not to be used during the drinking of the Waters in this Case, but if the Body be subject to be bound, the Purging Mnieral-waters must be taken three or four times, at the distance of three or four Days before and after the use of the Caly∣beat-waters. If the Waters do not pass well by Urine, or if they cause a Diarrhea, you must not continue the use of them long, unless these Inconveniences may be remedied by Art, to take off or to prevent the Diarrhea.

I use to prescribe the quantity of a Walnut of the fol∣lowing Electuary, to be taken at Bed-time every Night.

Take of the Pulp of the conserve of old red Roses, of the Electuary of Quinces, each half an ounce; of the Troebes of Ambar three drams, of true Bole, of Dragons-blood, each half a dram; of London Laudanum three grains, of Syrup of Mirtles a sufficient Quantity; mingle them, make an Electuary.

To force the Urine, I order that a scruple of the whitest Salt of Ambar, well cleansed from the Oyl, should be dis∣solved in the first Draught of Water.

It is also good, during the Course of the Water, to medicate the ordinary Drink with a Bag of Pectoral In∣gredients.

But secondly, If the Hectick Feaver be considerable, it is safer to attemperate the Blood by a Milk-Diet; but as to a Milk Diet what followeth must be observed.

First, In the use of this Diet, nothing but Milk, or things made of Milk, Bread only excepted, must be al∣lowed of; but good Quantities of it must be taken fre∣quently, least by reason of the Thinness of it, the Parts should be deprived of their due Nourishment. Secondly, This sort of Diet must be continued for the Space of a Month or two. Thirdly, Spring time is most seasonable for a Milk Course, for then the Herbs and Flowers, wherewith the Beasts are fed, flourish most.

Fourthly, But if by reason of the Ferment of the Sto∣mach being too acid, common Milk, as it sometimes happens, curdles, and so cannot be concocted; upon which account, Vomiting, Grips, and a Loosness follow;

it is better to abstain from the use of it, and to endeavour to attemperate the Blood with Asses-milk: Concerning the use of which observe the following Directions. First, Give this Milk in the Morning, and let the Sick sleep a little in Bed afterwards; let it be given again at five in the Afternoon. Secondly, Nothing of a contrary Nature, whether Diet or Medicine must be taken till the Milk is concocted. Thirdly, You must give a Pint, or half a Pint at a time, or thereabout; for a great Quanti∣ty of this, or of common Milk, can neither be received nor concocted by the Stomach, but is usually cast out presently, either by Vomit or Stool, to the great Pre∣judice of the Sick; wherefore it is prudently ordered by Physicians, that as the Stomach is by degrees accustomed to this sort of Diet, so the quantity of it should be daily increased from half a Pint to a Pint. Fourthly, If the Sick, by reason of the acid Ferment of the Stomach, is subject upon taking Asses-milk, to a Loosness•• (which frequently happens) the Milk, must be sweetned with Su∣gar of Roses, and must be milked upon a Branch or two of Mint; and if there be occasion, and nothing forbids, the Sick may take every Night at Bed-time a grain of London Landanum, or a Dose of the beforementioned Astringent Electuary. Fifthly, The Milk must be drank whilst it is warm, for if it should grow cold, and be afterwards warmed upon the Fire, it would be rendered less pleasing to the Tast and Stomach, and the Remedy would not be so effectual, by reason of the Spirits being wasted. Sixthly, During the use of Asses-milk, which also ought to be or∣dered in every Milk-diet, the Sick must abstain from all other Medicines, except Opiats and Astringents, if they are necessary to prevent a Loosness, or to quiet the Cough at Nights. Seventhly, But if the Loosness, occasioned by the Milk, cannot be taken off by the Laudanum, and the Astringents, or if after it is taken off, Vomiting or at least a continual Sickness, or Weight upon the Stomach succeed, which are the certain Signs of the Milk curdling in the Stomach: Or lastly, If there be Signs of a Schir••hus and Obstruction of the Liver, which are frequent in Scorbuti∣cal and Hypocondriack People, that have had a Consum∣ption a long while, rhey must carefully avoid all sorts of Milk; for the use of Milk, by increasing the Obstruction

of the Liver, is wont to bring upon the Consumption a Dropsie and Jaundice, whereby the original Disease is ren∣dred deplorable.

Wherefore, Fourthly, in these cases it is better to alter the Blood, and to blunt its Acrimony by the free use of Fish, and of testaceous Medicines; and also by Restora∣tive Broths made of the extream parts of Animals, and drinking freely of the Compound Waters of Milk, Ca∣pons, and Snails, and the like; though what we said be∣fore of the use of Milk is also true, with respect to these Flegmatick Waters, viz. That when the Liver is ob∣structed, the Jaundice or Dropsie is wont to follow the free use of these. Wherefore in such a case it is better to endeavour to Sweeten the Blood in the following manner. Let him eat freely of River and Sea-crabs, of Lobsters; and generally speaking of all testaceous Fish, which sort of Diet eaten plentifully, much attemperates the Acidity of the Blood, and the sharp Ferment of the Stomach▪ Of these testaceous Fish are also made very pleasant Broths, which must be taken plentifully.

Take of River Crabs number an hundred, beat them whilst they are alive, and boil them in two quarts of Fountain-water; add towards the end of boiling two or three blades of Mace, one Nutmeg rasped, and of Malago-wine half a pint; strain it for use. Jellies and resto∣rative Broths may be also used to the same purpose. For instance,

Take of the Shavings of Harts-horn and Ivory, each four ounces; two blades of Mace, one bark of an Orange candied; boil them in two quarts of Fountain-water to a quart, or a pint and an half; strain it; let the Sick take three or four Spoonfuls, either by themselves or in some hot Broth.

These kind of Jellies may be made more pleasant to the Pallate, by adding at the time of use a little of the Syrup of Baulm, Gilliflowers, Raspberries, Oranges or Lemmons; though it must be confessed Acid Syrups do not so well agree with Jellies.

The manner of making a Restorative Broth is as follows.

Take a Capon drawn and cut in pieces, of Sheeps and Calves feet, each two pair; the shavings of Ivory and Harts∣horn, each half an ounce; two leaves of Mace, one Nut∣meg cut, yellow Sanders, three drams or half an ounce; boil them all gently in one gallon of Fountain-water, till half is consumed; add towards the end of boiling a pint of Malago-Sack, and of the Flowers of the greater Daisie, Coltsfoot, Maiden-hair, Spotted Lungwort, each one handful; of fat Dates eight pair, of Jujubs twelve pair, of Sebestens ten pair, of Raisins of the Sun stoned three ounces; strain it, let the Sick take a large Draught of it twice or thrice a day.

Prepared Coral, Millepedes, Pearls, Crabs-eyes pre∣pared, the Simple Powder of Crabs-claws, and other testaceous Medicines taken plentifully, and often in a day, are good to blunt the Acrimony of the Blood.

Take of the Aqua lactis Alexiteria, of Carduus, or of black Cherry-water, one pint; of Cinnamon-water hordeated half a pint, of prepared Pearl half an ounce, of white Cristaline Sugar two ounces; mingle them, make a Julep, whereof let the Sick take four ounces (shaking the Viol always when it is used) three or four times in a day, adding, if the Stomach require it, one or two ounces of Epidemick water. Or,

Take of the Powder of Millepedes, of Crabs-eyes prepared, of the Simple Powder of Crabs-claws, each one dram; of the Powder of white Ambar half a dram; mingle them, divide it into nine Papers, whereof let him take one thrice a day in a Spoonful of the Pearl Julep.

Fifthly, If the Sick seem free from an Obstruction of the Liver, and has neither the Dropsie nor the Jaundice, but the Milk-Diet before described does not agree, by reason of a Loosness, or the Acid Ferment of the Stomach; besides the altering Medicines above described, the free use of the compound distilled Waters of Milk, Snails, a

Pig, and the like, may be ordered with success, to attem∣perate farther the Acrimony of the Humours.

The Milk-water.

Take of the leaves of Maiden-hair, Coltsfoot, spotted Lung∣wort, Speedwell, each three handfuls; of Hyssop, Goats∣rue, Mint and Wormwood, each two handfuls; of the Flowers of St. John's Wort and Scabious, each two hand∣fuls; of English Saffron one dram, three Nutmegs sliced, Dates and fat Figs, each half a pound; of Raisins of the Sun stoned one pound; cut them, and infuse them in three gallons of fresh Cows Milk, and three quarts of Malago-Sack, distill them in a cold Still, and draw off half the Liquor, and mix the Distillations, and keep them for use.

If the Consumption be Scorbutical, you may add in Distillation the tops of Pine, Water-cresses, and Brook-lime, and Ground-Ivy, with other gentle Antiscorbuticks: And instead of Malago Sack, you may use Brunswick Mum. If you would have this Water also Restorative, you must add a Capon or a Pig in the second Distillation. For instance,

Take a Capon or a Pig, (the Intrails being taken out) cut in pieces, of the Milk-water above described one gallon, distill off three parts of the Liquor.

Snail-water.

Take of Garden-Snails cleansed with Salt three hundred, of common Milk, or rather of the Milk-water above prescribed three gallons; distill them in a cold Still with a gentle Fire till the Liquor becomes Acid: And the fol∣lowing Magisterial water of Worms is not to be despised, for it will keep good a long while.

Take of fresh Milk two gallons, of Mint and Roman Worm-wood, each two handfuls; distill off one gallon: Then take of Garden-Snails, first wash'd in common water, then in Small-beer, half a peck; of Earth-worms pre∣pared

one Pint, of Angelica one handful and an half, of Agrimony, Bettony and Rue, each one handful; put the Herbs into a Still, and the Snails and Worms upon them; and at top shavings of Harts-horn half a pound, Cloves one ounce, Saffron three drams; infuse them in two quarts of Syder, and one of Malago-Sack; then distill all in a cold Still.

These Liquors are to be drank freely for the ordinary drink, mixed with an equal part of Milk, if the Stomach will bear it, and if the Sick can quench his Thirst with it. If a Julep be more pleasing, give it in the following manner.

Take of the Waters of Pig or Capon before described one pint, of white Cristaline Sugar a sufficient quantity, boil them to a Syrup.

Take of Milk, or Snail-water one pint and an half, of the Syrup just described four ounces; mingle them, make a Julep, whereof let the Sick drink freely. Or,

Take of the Water of Milk, or of Magisterial Snail-water a quart, of pearled Sugar ten drams or an ounce and an half; mingle them, make a Julep, whereof let him take freely and frequently.

But if there is not so much a Hectick Feaver as a diffi∣culty of Breathing, as it often happens to such as are afflicted with a Scorbutick Consumption, a Pectoral Hy∣dromel is better for the ordinary Drink, than distilled Waters abounding with Flegm.

Take of the roots of China sliced six ounces, of the roots of Coltsfoot gathered at a Fit-time three ounces, of the roots of Burdock and Avens, each three ounces; of the roots of Elecampane two ounces, of the leaves of Lung∣wort, all the Scabious, both the Speedwells, Meadow-sweet, and Monywort, each two handfuls; of all the Capillaries, each one handful; of the flowering tops of Bugles and Bettony, of the flowers of red Speedwell, and of Cowslips, each four Pugils; of all the Ground Ivy three

handfuls, of Jujubs, Dates, Sebestens, and Raisins of the Sun cleansed, each one ounce and an half; of Spanish Liquorish one ounce and an half, cut them all, and boil them in sixteen quarts of Fountain-water with a gentle Fire till half is consumed; strain it and clarifie it, and add to it four pound of the best Honey; boil it again, and take off the Scum; strain it again, add half an ounce of Cinnamon, six drams of Coriander-seed, of the Seeds of Annise and Sweet Fennel, each three drams; put the Liquor into a large Tub, and let it ferment, which it will the sooner do, if the Tub be placed in the Sun, for then it will be sufficiently fermented in forty days, other∣wise it will require a much longer time: The Vessel must be always kept open and full. Of this let the Sick drink a good Draught twice or thrice a day for many Months.

When the Consumption comes to its third State, the Sick very rarely is cured or lives long, unless the Ulcers are very small and benign; wherefore, though a prudent and honest Physician, being called to Consumptive People at this time, may endeavour to mitigate as much as may be the Symptoms, and may prescribe Medicines proper for the Consumption and the present Indications; yet he ought by no means to promise a Cure, but rather acquaint the Patient of his Danger; and so he will secure his own Reputation, and that of the Medical Art.

The Curative Indications at this time of the Disease are these four: First, Pectoral Medicines must be pre∣scribed, and the Cure of the Ulcers must be promoted (if they are small, benign and curable) as much as can be, in this weak and wasting Condition of the Sick.

Secondly, The Peripneumonick or Inflammatory Feaver, as often as it happens, must be taken off, with all its dreadful Symptoms.

Thirdly, The Putrid Feaver arising from the Purulent Matter of the Lungs must be mitigated.

Fourthly and lastly, The Tormenting Symptoms arising from the Putrid Feaver by reason of the Colliquation, must be removed as far as may be, that at least the Sick may dye easily.

As to the first in this State of the Consumption, Alter∣ing, Expectorating and Balsamick, or Healing Medicines

that are not too hot, (by reason of the great height of the Feaver) but always Cordials are to be given, and those are to be chosen that are most palatable, and may be taken in the smallest quantity. For instance,

Take of the Pulp of the old Conserve of red Roses, of Wood-sorrel, and of Lucatellus's Balsam, each one ounce; mingle them, make an Electuary, whereof let him take the quantity of a Nutmeg wrapt in a Wafer Morning and Evening; or let him take twice a day of the Bal∣samick Pills above described, number three.

Take of the Aqua Lactis Alexiteria eight ounces, of the Magisterial Water of Snails, of Cinnamon-water hor∣deated, each three ounces; Aqua mirabilis one ounce; of prepared Pearl two drams, of clear Ghalk one dram, of white Cristaline Sugar one ounce or ten drams; mingle them, make a Julep, whereof let the Sick take four or five Spoonfuls after every Dose of the Electuary, and of the Pills, and as often as he will.

Take of the Balsamick Syrup, which is very agreeable to the Stomach, three ounces; of Tincture of Saffron made in Treacle-water two drams; mingle them, let him take of it often in a Spoon, and in a Spoonful or two of this mixture, let him take twice a day six or eight drops of Opobalsam.

But if the Cough and Watchings are very obstinate, let him take sometimes twelve drops of Helmont's Liquid Laudanum. Nevertheless in this languid state, Opium ought to be given cautiously in small Doses, and in due distances of time; neither ought it to be given at all with∣out urgent necessity require it, least a sudden Death follow, and the Disgrace of the Medical Art. Or,

Take of the Syrup of Maiden-hair four ounces, of Aqua mirabilis half an ounce or six drams; mingle them; let the Patient take a Spoonful of it frequently, or with a Liquorish-stick, especially when the Cough is troublesome.

Jellies and Restorative Broths are to be prescribed in this case: And indeed in this deplorable Condition, Me∣dicines are rather to be taken from the Kitchin than the Apothecary's Shop.

As to the Peripneumonick Feaver, it arises always from the great Inflammation of the Tubercles of the Lungs; and therefore it uses to return frequently, viz. As often as a new Tubercle either of its own accord, or from cold taken, or from any Error committed in Diet, happens to be inflamed; and during the Inflammation this Feaver continueth, and often kills the Patient suddenly; it being accompanied with uncertain Shivering, and violent Heat succeeding alternately, with Watching, Restlesness, a De∣lirium, difficulty of Breathing, difficulty of Expectora∣tion, violent and wandring Pains of the Side, Breast and Shoulders; but when the Inflammation first begins to Im∣posthumate, which, if the Sick lives, happens usually about the seventh day of the Disease, the continual In∣flammatory Feaver is succeeded by a Putrid Intermitting Feaver, either Quotidian or Tertian, which certainly in∣dicates Matter in the Tubercles, and can never be perfectly eradicated unless they be cured.

This Inflammatory Feaver, as all others of the same kind, requires a thin Diet, that the Belly should be kept open, and Cordial and Attemperating Juleps are to be used freely; also Pectoral Apozems, and Lubricating and Inciding Linctuses, to facilitate the Expectoration of the Flegm, too much thickned by the Feaverish Heat, and to take off the painful Compression of the Lungs, and to ease the Cough. Diaphoretick Opiats are also to be used sparingly, at due Intervals, to promote the Expulsion of the Febrile Matter through the Pores of the Skin: Also Blisters and Epithems are to be used for the relief of the Brain, and Genus Nervosum, which would otherwise suffer much by Feavers of this kind. Liniments also and Anodyn Fomentations must be prescribed, to remove the Painful and Convulsive Contraction of the Muscles, and Membranes of the Breast; but above all, Bleed seasonably and largely, and it must be repeated, if there be occasion, according to the Strength of the Sick, and the present Effervescence of the Blood; and perhaps Consumptive People require Bleeding more than those that are strong.

Wherefore the Physician, though he count the Con∣sumption deadly, ought to endeavour the Cure of the Peripneumonia in the following manner: Let him order a Diet of Water-gruel, Ptisan, roasted Apples, and the like, and middling Beer with a Toast in it: But at the first Declination of the Feaver, Chicken-broth, potched-Eggs, and the like.

And the Belly, if there be occasion, must be presently loosned, with a Glister made of Milk and Sugar, with Camomil-flowers, which also must be repeated upon oc∣casion; then eight or ten Ounces of Blood must be taken away from the Arm of the pained Side; and Bleeding must be repeated every day, or every other day, according to the Effervescence of the Blood, and the Violence of the Pain in the Side, and of the difficulty of Breathing, if the Strength will permit that an Imposthumation may be hin∣dred if possible.

In the mean while, through the whole Course of the Disease, one Spoonful of the following Linctus dissolved in four Ounces of the Pectoral Apozem, must be taken every third or fourth hour hot.

Take of the fresh Oyl of Sweet-Almonds, of Syrup of Maiden-hair, each one ounce and an half; of white Sugar-candy one dram and an half; mingle them exactly and make a Linctus.

And if the Flegm be very tough, and if the Difficulty of Breathing and the Pain increase by reason of it, instead of Oyl of Almonds, Oyl of Linseed fresh drawn without Fire may be substituted, and Syrup of Hedge-mustard, or of the five opening Roots instead of Syrup of Maiden-hair, if a Flux of the Belly does not contra-indicate: Be∣sides two or three ounces of the Oyl of Linseed may be ta∣ken by it self every fourth Hour, for it does not only Lu∣bricate, but is also very Anodyn.

Take of the Pectoral Decoction clarified one Pint and an half, of Tincture of Saffron made in Treacle-water, and of Syrup of Maiden-hair, each one ounce; mingle them, make an Apozem for the use above described.

To recruit the Strength, and to attemperate the Effer∣vescence of the Blood, four or five Spoonfuls of the fol∣lowing Julep may be prescribed.

Take of the Aqua-lactis alexiteria eight ounces, of Cinna∣mon-water hordeated, and of Plague-watery each two ounces; of prepared Pearl one dram and an half, of white Sugar six drams; mingle them, make a Julep.

At Bed-time the following Anodyn and Diaphoretick Bolus may be prescribed to be taken, with a Draught of the Cordial Julep, especially if the Belly, as it often hap∣pens in this State of the Disease, be too loose.

Take of Venice-treacle half a dram, of the compound Pow∣der of Crabs-claws one Scruple, of Syrup of Gilly-flowers a sufficient Quantity; mingle them, make a Bolus.

Presently after Bleeding apply Blisters to the Neck, to the inner parts of the Arms and Legs, and a Cephalick Plaister with Euphorbium to the Soles of the Feet, to re∣lieve the Brain and Genus Nervosum.

To ease the Pain of the Side occasioned by the Convul∣sions of the Muscles and the Membrans of the Breast, the following Fomentation and Liniment may be applyed by turns to the Parts affected.

Take of the Roots of Parsly▪ and Fennel, and of Linseeds, and of Fenugreek-seeds, each two ounces; of the Flowers of Camomel, and of Melilot, each two handfuls, mix them and boil them in a sufficient quantity of Fountain Water, pour it into a fresh Ox-Bladder, let the Bladder be half full, apply it hot to the Parts affected; when the Blad∣der is taken off, apply an hot Flannel besmeared with the following Liniment.

Take of Ointment of Marsh-mallows half an ounce, of Oyl of white-lillies, and of Bricks, each three drams; mingle them, make a Liniment.

To attemperate further the Effervescence of the Blood and the Heat of the Lungs, the following Powder may be used with good Success,

Take of pure Salt-peter two drams, of white Cristaline Sugar half an ounce, mingle them, and make of them eight Papers, whereof let one be dissolved in every Draught of Beer.

As to other things they must be left to the Judgment of the Physician that attends, to be prescribed upon Oc∣casion.

As to the putrid Feaver of Consumptive People, it is to be noted, that although the Sick being treated according to the Preceeding Method, do not die of a Peripneumonia, yet the Inflammation of the Tubercles of the Lungs end∣ing most commonly in an Ulcer, presently after the In∣flammatory Feaver, a putrid intermitting Feaver arises, returning at certain Periods every day or every other day with Shivering, Heat and Sweats.

Which Feaver seems impossible to be taken quite off un∣less the Ulcer be cured from whence it arises; yet the Pe∣ruvian Bark, frequently repeated at due Intervals, is often very Successful for suppressing the Feaver for a while, and the Lives of some, by the frequent use of it, have been pro∣tracted for many Years.

Take of the Peruvian Bark finely powdered half a dram, of the Balsamick Syrup a sufficient quantity; make a Bolus, which let the Sick take in the Morning, and every sixth Hour for three days successively, drinking upon it three or four ounces of the following Apozem.

Take of the Peruvian Bark powdered three ounces, of the Balsam of Tolu two drams, of English-saffron, and Cochi∣nele, each one Scruple; boil them in a Pint of the Pect∣ral Decoction clarified to six ounces, then strain it, and put on a Pint more of the Decoction; repeat the Opera∣tion thrice, then mix all the strained Liquor, and add to it of Maligo Saek, and Balsamick Syrup, each fou•• ounces; mingle them, make an Apozem.

Repeat the use of this Febrifuge in the manner now described twice in a Month, or oftner if there be Occasion; and in the Intervals, the daily use of Balsamick and Pect∣oral Medicines must be ordered, and they must be varied according to the Temper of the Sick, and the Genius of the Disease: If the Belly be too loose, a grain of London Laudanum may be added to every Bolus to be taken at Bed-time, or instead of the Bolus's, Pills made of Di∣ascordium, and the Jesuits Powder may be substi∣tuted; but every Dose must contain half a dram of the Powder,

Yet it must be confessed that the Bark is not constantly so successful in the Consumptive Feaver as in Agues.

To take off a Loosness, and to mitigate a Dysentery, and the Gripes, Opiat Medicines must be used freqently and freely; and during these Symptoms, the Sick must ab∣stain from all sorts of Beer, and, instead of it, must use the white Decoction or Milk-water: Let him take also, if there be Occasion, every fourth Hour, the quantity of a Walnut of the Astringent Electuary described before in the use of Asses-milk; or let him take twelve Drops of Hel∣mont's liquid Laudanum,

And to attemperate the Acrimony of the Humours, that are wont to be evacuated by the glandulous Tunick of the great Guts, and to restore the Tone of the Parts weakned thereby, let a Glister be daily injected made of Chicken broth▪ or of a Sheeps-head with the Wool on, boiled in Water, or this that follows.

Take of Milk altered with red Roses, and by quenching often hot Steel in it; six ounces, of Diascordium half an ounce; mingle them, make a Glister.

But in a moderate Diarrhea, viz. when the Gripes are not very violent, especially if there be a Difficulty of Breathing, Opium must be prescribed rarely and sparingly in any Form; for most commonly upon giving it, the Breast is oppressed, and Breathing, and Expectoration are rendered more difficult, and the Stomach becomes nau∣seous.

Wherefore it is safer only to moderate the Loosness, by giving an Opiat every third or fourth Night, than to stop it quite; least a greater Injury should follow; and always after the use of an Opiat, expectorating and lubricating Medicines should be freely used; least the Matter should be so much fixed in the Lungs, that the strength of the Pa∣tient should not suffice to bring it up.

When the Cough and Watchings are very violent, the following Medicines may be used; but it is to be noted, that Opiats must be used very sparingly, and with great Caution when the Sick is very weak.

Take of Syrup of Marsh-mallows, and Purslain, each one ounce and an half; of the Species Diatragacanth frigid, of the Powder of Haly, each two scruples; of Diacodium an ounce and an half, mingle them, make a Linctus to be taken in a spoon, or with a Liquorish Stick, when the Cough is violent.

Aqua-mirabilis also mixed with Pectoral Syrups does good. Or,

Take of the Balsamick Syrup two ounces, of Helmont's li∣quid Laudanum two Scruples; mingle them, let the Sick take a spoonful every Hour or every other Hour,

The white and black Lozenges being leisurely dissolved in the Mouth, and swallowed down, are also of use.

To moderate the great and Colliquative Sweats, let the Sick sleep but little at a time, and let him take temperate Pearl Cordials often, and in a large Quantity; to which it is fit to add Chalk, Coral, Dragons-blood, and other temperating astringent and emplastick Medicines, which in some manner fix and mitigate the Ferment of the Blood. For Instance,

Take of the Waters of Tormentil, Oak-buds, each three ounces; Cinnamon-water hordiated four ounces, of Aqua-mirahilis one ounce, of Pearls, and Coral prepared, and of Chalk, each two scruples; of true Bole, and Dragons-blood each half a dram; of Jap••n Earth a scruple, of destilled Vinegar or Spirit of Vitriol as much as is suf∣ficient

to make it gratefully acid, Syrup of Mirtles an ounce and an half; Mingle them, make a Julep; let the Sick take two or three ounces of it every third or fourth hour, shaking the Viol every time it is used.

The Cloaths on the Bed must be also lessened, and the Sick must be removed into a thin, warm and free Air; let him al∣ways sleep in a large Room, and as soon as his Strength be∣gins to fail, the Sweat must be rubbed off with dry Linnen Cloaths a little warmed; and the Patient must be removed to the other Part of the Bed.

As to the violent Vomiting that seises Consumptive Persons at the latter end, there is little Help to be afforded by Art, only the Physician ought to assist by his prudent Counsels▪ since he cannot by Medicines. First therefore, The Sick ought to be ordered to eat little (though frequently) at a time. Secondly, He must eat those things that afford good Nourishment and are of easie Digestion. Thirdly, After eating he must avoid (as much as he can) Coughing, Sleeping, and lying down.

Sometimes it happens after the Putrid Feaver begins especially if the Evacuation of the Colliquative Matter by Stool or by other ways is hindered by Art, that Nature in∣deavours, tho in vain, the Protrusion of the Enemy by the Salivary Ducts, or the glandulous Tunick of the Mouth and Oesophagus, by which means a troublesome Spitting arises that continues for many Weeks. Secondly, by reason of the Acrimony of the Humour evacuated by these Parts, an Inflammation not only of the Membrane of the Mouth, but also of the Oesophagus and Stomach fol∣lows. Thirdly, By the Inflammation an Ulceration is occasioned, and from thence little Ulcers called Aphth••••, accompanied with a very troublesom Pain of the Throat. And Lastly, An Hicop that is very troublesom arises from the Inflammation and Exulceration.

Which Symptoms, as they are troublesome, so are they sometimes long, and always deadly, for the Cause from whence they proceed is incurable; yet cleansing softning astringent and Mucilaginous Gargarisms must be injected with a Syringe; and to ease the Pain of the Throat, a double Flannel worn about the Neck does much Good, by defending it from the external Cold.