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 CXXVI. Of the French-Pox.

THE French-pox came first from the West-Indies into Europe, in the Year, 1493. but a violent Gonor∣rhea shewed it self first about an hundred years since. It is propogated either by Generation, as when a Child is infected by the Parents, or by touching of some soft part, as when a Child is Infected by sucking a Diseased Nurse, or a Nurse by Suckling a Diseased Child, or by a Child's lying in Bed with such as are Infected; but it chiefly comes by impure Coition: But in sound and firm Constitutions impure Coition it self is not always sufficient to Infect; for sometimes many lying with an infected Woman, some are infected and others not, though they all equally deserve it. When a Man has to do with an impure Woman, either he has a heat or inflammation of the Penis with Exc••riation, or else he finds a heat in his Urine, and in a day, two or three, a Gonorrhea, or virulent Matter issuing from the Pri∣vy parts; sometimes Chancerous Ulcers, and when the Infection has been very violent, or the Inflammation

neglected, a Gangren, and christaline Bladders arise, and the part Mortifies.

Sometimes there is no Gonorrhea, but instead of it a Bubo arises in the Groin, which according to the de∣gree of its Malignity, either proves easily curable, or else improves its Venom, and terminates in a pha∣gedenous Ulcer with jagged Lips: There are also many vene••••l Ulcers upon the Scrotum and Perineum.

A Cancer is commonly attended with breaking out all over the Body like a Flea-biting, which terminates in various sorts of ulcerous Scabs, or Tete••rs; or it may be Pustles arise in one or more places of the Body, as Head, Face▪ Arms, Thighs, or Legs, or Ulcers in the Throat; then wandring pains begin towards night to affect the Shoulders, Arms, Legs, Head; and about this time appear in the Fundament, Warts, and other kind of Proturbances; also about this time Tumours arise in the Breast, Arms, Legs, and become Ulcers that are difficultly Cured.

The pains growing more fixed, Nodes usually arise, and continually afflict them, but towards night grow more intolerable.

Co-incident with several of these later degrees, are the noise in the Ears, Deafness, a Polypus, Opthal∣mia, the Fis••ula, Lacrimalis, fierce Catarrhs, Colick, Loosness and Consumption.

Authors, upon the entrance of the Pox into Christen∣dom, generally lookt upon it as not only Incurable, but also so highly infectious, that they ran away from it as much as the Jews did from the Leprosie; but later Ages and long experience, have made it less formidable; yet even to this day, it must needs be acknowledged difficult to Cure, in consideration of its malign and contagious quality, and the ungovernable disposition of the Patients.

If the habit of the Body be strong, the cure of all the species of the Pox, whether they be Chancer, Pu∣stles, Tetters, or eating Ulcers, or Ulcers in the Throat and Nose, are much easier cured, than the same are in many other chronick Diseases; but to root out the malignity is somewhat more difficult.

If the Patient has been Clapt formerly, it will be more difficult to cure him the second time, and worse the third.

If he has passed through long courses of Mercurial remedies ineffectually, his Cure will be difficult; and if he has been Salivated by unction, and relapsed, the Cure will be hard, by reason the Mercury is become familiar to him, and his Body is for the most part wasted.

Nodes are more difficultly Cured than any of the Species above mentioned, and those whose Bones are corrupted are yet more difficult to cure; but if the habit of the Body be strong, and the Bowels sound, all the Species of this Disease are curable, if the Patient keep his Chamber, and submit to the rules of Physick and Diet; without which submission we can scarce cure the lesser Species.

If the Bowels be unsound, or the Patient hectick, the Disease is incurable.

As to the Cure, though Bleeding does not take off the Disease, yet in the very beginning of it we usually let Blood to quiet the fermentation of the humours, and to dispose them for evacuation, and prescribe a Glister be∣fore or after.

If the Disease be of long continuance, and they have been let Blood some Months before, yet if we design Salivation, we do again let them Blood, if the Body be not too much wasted; for in some of those a Fever has happened in the time of raising the Salivation, and in Bodies of a Strong habit I have often seen them to break out in heat all over in the beginning of the Flux, so that then I have been necessitated to let them Blood when it was not so proper: But when there is a Bubo in the Groin, bleeding is not proper. But purging is more Universally necessary.

Of Purges some are only lenitive, as Manna with Cream of Tartar in Whey or Posset-Drink, Tamarinds, Cassia, Senna, Rhubarb, lenitive Electuary and the like. Stronger Purges are these that follow.

Take of the Leavs of Sena four ounces, of Gummy Tur∣bith, Hermodactiles, each two ounces, of black Hele∣bore,

and of the pulp of Coloquintida, each six drachms, of the raspings of Guiacum, and Sassafras, each one ounce, of the Bark of Guiacum, of the Ber∣riei of Juniper, of the outward Peel of Citrons, each half an ounce, of Cinnamon four Drachms; infuse them in equal parts of the Water of Baulm, Meadow sweet, and Carduus Benedictus for forty eight hours; then boyl them gently, and press them out strongly; in the strained Liquor dissolve too ounces and an half of Aloes, one ounoe of Diagrydium, evaporat them to the form of an extract for use. The Dose is half a Drachm or a Drachm.

Take of Pil. Coch. min. A Scruple or half a Drachm, Mer∣curius Dulcis twenty Grains, make six Pills. Or

Take of the extract above mentioned, of Gum Guiacum half a Scruple, of Mercurius Dulcis one Scruple, with Syrup of Buck-thorn make pills.

Vomiting is of use in great disorders of the Stomach, when the foulness of that requires it, or when the Ulcers of some particular part require a sudden revulsion; so likewise when after the use of much Mercury outward or inward to Salivate, it does not rise kindly; they generally give strong Vomits if the party can bear them, viz. some preparations of Mercury, as Turbith, Mine∣ral, and the like, or Crocus Metallorum: But in weak∣er constitutions, such as we may.

The next thing which offers it self to our considera∣tion is Salivation, without which few great Cures are done in this Disease.

The methods of Salivating are diverse, but all by Mercury. Inwardly are prescribed various preparations of Mercury. When we design Salivation by Mercurius dulcis, we give it from twenty to twenty five grains, and sometimes to thirty, either in a spoonful of white Bread and Milk, or in conserve of red Roses, or the like; when we suspect it may worke by Stool, we pre∣scribe it with Diascordium or Venice-Treacle at Bed time. If after taking of it four or five Days, their Chops do not swell, it may be reasonable to move it

upward with a few grains of Turbith Mineral; accord∣ing as their Chops swell, they will Salivat; if their Mouths be much ulcerated and swelled, the Salivation may last eighteen or twenty Dayes, during which they are to be kept warm, especially about their Head Neck and Chops, and to drink Chicken Broath or Posset Ale.

Arcanum Corallinum, as it is generaly sold in the Shops, may be given from three grains to five, one Dose of it prescribed to a Woman Vomited her often, and Sa∣livated twenty Days.

Red Precipitat. is also Vomitive, but being well wash∣ed may be taken as safely as the white Precipitat. White Precipitat may be given proportionably as has been said of Mercurius dulcis. Turbith Mineral made of Vigo's Precipitat is best, twelve or 18 grains of it may be taken at a time, but that which is sold in the Shops is a rough Medicine, and must be given in a less quan∣tity.

There is also a way of raising a Salivation by suffumi∣gation, the prescription whereof is as follows.

Take of Cinnabar two ounces, of Crude Mercury one ounce, of Mastich, Frankincense, and Sandarach, each half an ounce, of Storax, Calamit, and Ben∣zoin, each three drachms; make a fine powder of all, and with Turpentine make Troches, each weighing three drachms for use.

But when the Pox is grown inveterate and affects the most solid parts with Node's, and the like, Salivation by unction must be used.

Take of Lard two ounces, of Crude Mercury one ounce, mix them well.

You must begin the unction in the following manner; the Patient must lodge in a close warm Chamber; if the Season be cold, the Windows must be covered with Blankets, and the Bed must be placed near the Fire, and encompassed with a Skreen, if the Chamber be large; you ought also to have a strong healthy Nurse,

such as has been accustomed to the employment, that she may know how to wash the Patients Mouth, and direct and encourage him in such rules, as may be necessary in the time of Salivating.

The most proper place for unction is a Stove, if it may be had, and the Patient can bear it; if he be weak, his Bed must be used, otherwise for want of a Stove, he must sit encompassed with a Screen by the Fire side, but not too near it. He must anoint himself, begining at the Feet, and then the Legs, Thighs, Hips, and so up∣wards taking in the Arms and Shoulders; the Belly must not be anointed, and indeed much of the trouble in weak Bodys may be spared; for in such the anointing of the Legs and Arms may be sufficient, the parts first anointed ought to be covered before you proceed to the next, as the Legs with Stockings, the Thighs with Trousses and the like; at last his Neck must be well wrapp'd with a Napkin tacked up to his Cap round about to his Ears and fastened before to keep his Chops warm; after this a warm Bed will be convenient and a Draught of Posset-drink to procure a breathing sweat; having reposed himself an hour or two he may rise and pro∣vide for his Dinner, which must consist of Meat of easie digestion Roast or Boyl'd, at his Dinner he may drink Beer or Ale with a Toast, the rest of the Day he must be confin'd to Posset-drink.

You must use a third part of the Ointment at a time and continue dayly to use it for three Days following; when the Patient spits you must keep him to Posset-drink or Chicken-Broath, also a Cordial must be at Hand to prevent fainting, his Mouth must be syringed with Barly-Water and Liquorice and the like. New Milk held in his Mouth or Chicken-Broath will ease the pain and digest the Sloughs that rise; a rolled Clout ought to be placed between his Teeth to keep his Chops from closing; he must be rais'd high in the Bed if his weak∣ness constrain him to it, and kept forward that the Rheum may run out of his Mouth and not down his Throat; but if he can rise he will spit the better and more plentifully. Salivation by unction commonly lasts twenty four or twenty five Days; sometimes to the thir∣tieth Day.

In the hight of it our work is to keep up the strength, and if through Costiveness they Spit little, give them a Glister, that they may Spit better, and at∣tend the washing their Mouths; but as the Sloughs be∣gin to separate, which will be towards the declension of the Salivation, prescribe them a decoction of Sarsa or the like, to drink at least thrice a day; and before the Slough is quite cast off, purge them, and as they are able to eat Meat, put them into a drying diet, and sweat them, as shall be shewed in its proper place.

It happens sometimes in anointing, that their Mouths are much Ulcerated, and their Breath smells strong, yet their Cheeks do not swell, nor do they Spit con∣siderably; in which case, forbear the anointing, and consider the cause of it, and if the body be strong and plethorick, Vomit them with Turbith, or infusion of Crocus metallorum: But if they are weak or costive, administer a Glister; and if afterwards it rise not, dispose them to Sweat with draughts of warm Posset Ale, or bath them; for that way it will sometimes a∣rise, when with the other it will not. But if they have faintness, palpitation of the Heart, shortness of Breath, Fever and the like, your best way will be to purge it off, with an infusion of Sena, and the like with the aditi∣on of Syrup of Roses solutive, or of Syrup of Buckthorn, and keep up their Spirits the while with Cordials, and good Broaths; if their Lungs be opprest, let them Blood, and prescribe Lohochs; but if there be also a suppression of Urine, or if they make but little and high coloured, purge them with Barnet or Epsom Water turn∣ed into Posset, and quicken it with some purging Syrup. If by these ways of purging the accidents remit, and the Salivation rises, it is well; but if it does not, yet there being a colliquation made, you may by well purging, strict diet, sweating and the like, obtain your end. While you are removing the abovesaid acciden••s, you must have a special regard to the Ulcers within their Mouths; for it is from the fixing of the Mercury, that those malign Ulcers are made, which the less sensible they are of them the more corrupt they are. Some∣times by raising the Salivation by unction, it passes downwards by Stool, in which case, we prescribe

Venice-Treacle, Diascordium, Laudanum, Opiatum and the like, which being given at Night will not only strengthen their Bowels. but dispose them to rest, and incourage them to go on in the anointing, a Vomit of Turbith mineral. After the unction has been some while used, does frequently raise the Salivation, and after it is well raised, you may heighten, or continue it by the application of some of the following Plasters: But if after all your endeavours to raise the Salivation it does discharge it self by a loosness, with great eva∣cuation, you are then to defend the Intestins from the acrimony of the humours, by Glister of Chicken-broath, lest the bloody Flux follows. Inwardly we prescribe large draughts of Chicken-Broath, a Decoction of burtnt Hearts-horn, and Milk-water boyled with a Stick of Cinnamon.

After the Flux is stopt, you must consider the strength of the Patient, and if the Sick be very weak, you must not insist upon Fluxing, but proceed with Sudorificks, and the like, not doubting of success in the Cure; for such a loosness does for the most part contribute as much to the Cure, as if they had Salivated.

There is yet another way of Fluxing, and that is by the application of Mercurial Plasters about the Arms Legs, and the like; they were first designed I suppose for the more tender, and delicate sort of People, who would not admit of the unction.

Take of Diachylon with Orris one pound, of Red-Lead Plaster eight ounces, of Gum Carranna, and Taca∣mahaca, each four ounces, of Benzoin, Storax Calamit, and Ambar, each two ounces, of Liquid-storax, and of Peruvian Balsam, each a sufficient quantity; mingle them over the Fire, and when it is removed from the Fire, add eight ounces of Crude Mercury extinguished with Turpentine; make a Plaster.

These being spread upon a Cloath thick, and applyed, you must then put them into a warm Bed, and with a draught of warm Posset-drink, sweat them dayly, and treat them, as has been said, in the Salivation by uncti∣on.

If it arise not by the first Plasters, you must ap∣ply fresh once in four or five days; and if there be oc∣casion you may hasten the Salivation by a few grains of Turbith Mineral. I have sometimes Salivated Per∣sons by these Plasters, but for the most part, I use them to raise a Salivation, or continue it in such, where I be∣gan it with internals, and for that purpose they are of excellent use.

The humours being evacuated by Salivation and purging, sweating will be necessary; they may sweat in Bed or out of it; the Bed is proper for the weaker sort, and there they may sweat with Bottles of hot wa∣ter, or Bricks heated and placed about them; or they may sweat under a Frame; if they sweat with Bottles or Bricks, they must have many Cloaths, as Blankets and the like to cover them close, and the Bottles or Bricks may be wrapped in Napkins, and applyed ac∣cording as you design to sweat, more particularly any one part; generally they are placed one each side near the Armpits, Hips, and at the Soles of the Feet. If you sweat with Bricks, let them be heated rather by boyling Water than Fire, lest in the Bed they burn the Patient.

The way by a Frame is this, you are to fold a well aired Sheet four double, and lay it under the Patient; then his Shirt being stripped off, the Frame must be pla∣ced over him, and a Sheet over the Frame, and Blankets over that Sheet and both Sheet, and Blankets must be brought over the end of the Frame, and be tucked down close to the Neck; then a Pan of well burnt Charcoal, or Spirit of Wine must be put in the lower end of the Frame; this being done shut the Door, and take care that the heat be kept in. His Head ought also to be covered warm that it may sweat; if he took not his Sudorifick before, he must take it now, the Diet-drink must be warmed, and may be commodiously given with a Glass pipe; a couple of Servants must attend the Patient dur∣ing his being in the Frame, the one of them must attend him with a warm Napkin to wipe the sweat off his Face, and to give him Cloaths to rub his Body with, which Cloaths ought to be thrust in and taken out at one side of the Frame; this Servant ought to have regard

his Master, that upon the least complaint, he may give warning to his fellow to renew the Fire, or to take it out according as there should be occasion. The Fire be∣ing removed, and the Sheet next the Frame somewhat cool, one of the Servants must hold the Cloaths close to the Patients Neck and Shoulders, whilst the other draws the Frame away. Then shall they both tack the Blankets and Covering close to him, and give him another draught of his Diet-drink, and continue him in his sweat half an hour or more, if he can admit it; then gradually cool him, and pull away the wet folded Sheet from un∣der him; then rub him with dry Cloaths and put on his Shirt; and if he be disposed to slumber an hour he may; otherwise he may rise and Dine at his plea∣sure. They commonly sweat three quarters of an hour in the Frame, and an hour in Bed, after the Frame is pulled away.

The ways of sweating out of Bed are by Stove, Tub, Chair, or Cradle; the Stove is most eas••y in regard they may sit, stand, or walk up and down; but when they go out of them to Bed, there is danger of taking cold.

Bathing is of great use in this Disease, whether it be new or old; in dry Bodies, where the Disease has been long confirmed, bathing is necessary to dispose them to Salivation; it is also proper after the Patient has past through the strict course of Salivation, purging and sweating; the Body being thereby dryed and wasted is hereby cooled, moistned, and restored to its natural temper.

In order to bathing, we generally let blood and purge, if there be a Plethoria; but when the Body is wasted and dry, a Glister may serve: Before the Patient enters into the Bath he may drink a draught of Caudle or Broath, and in the Bath he may take a spoonful or two of Harts-horn-Gelly, or the like.

The Vessel we bath in is a Tub wherein the Patient may sit up to the Neck, for want of such a Barrel may serve, the one end being beat out, and a stool placed in it to sit on; the bath Liquor is according to the oc∣casion, and quality of the sick. Sometimes it is all Milk, other times Milk and Water, or only Water with a Bag

of Wheaten Bran, which serves the Patient as a cushion and makes the water milky: They are sometimes Per∣fumed with Wood of Cassia, Rhodium, yellow Sanders, and the like. The Baths of Milk are apt to sowre, therefore ought to be renewed daily; the other will last longer sweet. In the time of Bathing, there ought to be plenty of hot and cold water, to continue the Bath of a moderate temper, neither too hot nor too cold; some Hoops should be fastened over the head of the Tub, whereon a Blanket or Sheet as a Canopy may be cast, in case the Air be cold; a Servant or two ought also to be attending in case of Fainting, lest he sink into the Water; therefore upon his complaint, raise him up, and casting a Sheet about him, put him into a warm Bed, where he may refresh himself, and at his pleasure rise and cloath himself, and Dine or Sup, as his appetite requires. Bathing may be used twice a day, but never upon a full Stomach.

During the cure of this Disease, it will be requisite that the Patient keep his Chamber, and that it be made temperately warm; the taking of Physick and ramb∣ling abroad in the Cold being extreamly prejudicial to their Cure, and is frequently attended with a Loosness and noise in the Ears and Deafness There is also a special care to be taken concerning their Diet, that on those days they Purge, their Dinner be of good Nourishment, Boiled or Roasted. We also allow them good Broath, and Beer or Ale to raise their Strength, so as they may be able to bear the evacuation which is required. But in the time of their Sweating, we con∣fine them to a very slender and drying Diet, only suffi∣cient to support their Spirits. A Chop of a Neck of Mutton or two Ribs dry Roasted, was the old stint. I permit them to make choice of one sort of Meat, and keep them to it; which among the better sort is, Par∣tridge, and that without Sawce, their Suppers may be Bisket, Raisins of the Sun, and a few blanched Almonds, and their Drink a Decoction of Sarsa, and the like; but in weak and extenuated Bodies, China Broath, or a mixture of Milk with their Diet-drink may be ne∣cessary.

Exercise is of use in the beginning of this Disease, and may serve to rouse the native heat, and to thrust forth the malignity, and waste superfluities; but after the Disease is more confirmed, violent exercise is hurt∣ful.

Sleep is allowed in the day to refresh them, they be∣ing for the most part disturbed in the night by their Pains, which are therefore called Nocturnal.

Venery ought to be avoided, and the Passions of the Mind.

As to a Gonorrhea, the main of the Cure is perform∣ed by Purging; but because the Disease is accompanied with an Inflammation, and cured by Purging Medi∣cines that are hot, cooling Diet must be ordered through the whole Course.

Take of the mass of the Pill Coch. Major, three drachms, of Extract of Rudius, one drachm, of rosin of Julap, and Diagridium, each half a drachm, with a suffi∣cient quantity of Opobalsamum; make six Pills of every drachm.

The Sick must take four of them at four or five a Clock in the Morning, and sleep upon them for twelve or fourteen days or more, till the heat of Urine and the yellow colour of the Matter be much lessened; af∣terwards every other day for a Fortnight, and afterwards twice a Week, till the Humour quite stop, which will not be done till a long time, though it be commonly affirmed, that that Ichor that is seen especially in a Morning at the top of the Yard being pressed, proceeds only from a loosness of the parts, by reason of the long continuance of the running: Yet the Sick will find it otherwise, if he neglect Purging before it is quite gone: For upon any small occasion, as by immoderate Drink∣ing, violent Exercise, or the like, the Gonorrhea will return.

But if the Gonorrhea does not yield to such kind of Purging, it will be proper instead of Pills, especially if the Sick are difficultly Purged, to give betwixt whiles some more powerful Medicines, as is the following Purge.

Take of Tamarinds half an ounce, of the leaves of Sena two drachms, of Rhubarb one drachm and an ha••f; boyl them in a sufficient quantity of Water, in three ounces of the strained Liquor; dissolve of Manna and syrup of Roses solutive, each one ounce, of syrup of Buck∣thorn and of Electuary of the juice of Roses, each two Drachms, mingle them; make a Potion.

If the Cure proceed slowly, give eight Grains of Tur∣bith Mineral, only twice or thrice, and at due distan∣ces, lest a Flux arises; and this Medicine is certainly the best for an obstinate running of the Re••ns.

But sometimes the Sick has such an ••ver••••on for Purg∣ing often repeated, that he cannot so much as see or smell the Medicine; and sometimes by a certain Idiosyncrasy, there is such an obstinate opposition to Purging, that a due quantity of the peccant Humour cannot be evacuated; and whilst we waste time to no purpose in endeavouring to purge the Sick, the Pox creeps on; when the case is so, we must use Glisters, and on those days the sick does not use them, we must give Cathar∣ticks by the Mouth: I proceed in the following manner, I give the foresaid Pills, or the like for two or three Mornings following, and afterwards I order the follow∣ing, Glister to be injected in the Morning, and at five in the Afternoon daily, till all the Symptoms cease; only once or twice a Week I give a Purge, omitting on those days the Glister.

Take of the Electuary of the juice of Roses, six drachms, of Venice Turpentine dissolved in the yolk of an Egg an ounce, mix them with a pint of Barly-water; to the strained liquor, add two ounces of Diacatholicon; mingle them, make a Glister.

Every night at Bed-time I give twenty five drops of Opobalsamum, mixed with Sugar, or for want of it, Cyprus Turpentine, to the quantity of a hazel-Nut.

I forbid salt Meats and other things of hard digestion, as Beef, Pork, Fish, Cheese, Roots and Herbs, and

all Summer Fruits, and instead of them, I order Veal, Mutton, Chicken, Rabbets, and the like, and the Sick must eat but sparingly of these. He must forbear Wine and all strong and sharp Liquors; but he may drink Milk boyled with thrice the quantity of Water, and a small quantity of small Beer at Meals, and betwixt the Purging, he may drink of the following Emulsion fre∣quently, to qualifie the heat of Urine, and the Inflam∣mation.

Take of the seeds of Melons and of Pompious, each half an ounce, of the seeds of white Poppies, two drachms, of blanched Almonds number eight, beat them together in a marble Mortar, pouring upon them gently, a pint and an half of Barly-water; to the strained Liquor add a sufficient quantity of Christa∣line Sugar, and make an Emulsion.

When the Sick is of a very sanguine Constitution, and when the Disease is obstinate, after I have Purged him a Month or thereabout, I order eight or nine Ounces of Blood to be taken from the Arm.

In this disease he that Cleanses well, Cures well, on∣ly Mineral waters must not be used.

But it is to be noted, if the Glans be covered all over with the Prepuce, and if by reason of the Inflam∣mation it be swelled hard and callous, so that it cannot be drawn back, it is in vain to attempt the cure of the Running, unless at the same time the Part affected be reduced to its natural State, the hardness and swelling being removed; therefore the following Medicines must be used

Yake of the roots of Marshmallows and of Lillies, each one ounce and an half, of the leaves of Mallows, Mul∣lein, Elder and Henbane, of the flowers of Camo∣mile and Melilot, each one handful, of the seeds of Flax and Fenugreek, each half an ounce, boyl them in a sufficient quantity of Fountain-water, make a Fomentation, wherewith foment the part half an hour at a time, twice or thrice a day.

After the fomentation I order that the part affected be anointed with the Oyl of Flax-seeds fresh drawn, and that a Plaster of the Mucilages be apply'd to the swell'd lips of the Prepuce; but if the Ulcer in the Lips of the Prepuce or on the Glans under it hinders it from being drawn back easily, besides the fomentation above men∣tion'd I prescribe also the following Liniment.

Take of Basilicon six drachms, of the Ointment of Tobac∣co two drachms, of red precipitat wash'd in Rose-water and well powder'd half a drachm; mingle them, make a liniment wherewith make Pledgets and apply them to the Chancres after the use of the fomentation.

But when the Scrotum is the seat of the Disease, af∣ter the use of the fomentation, if the pain and swelling be not abated, apply a Cataplasm of Oxycrate and Bean-flower; also at the same time, I use inwardly Catharticks and cooling Medicines, and order the Diet above-men∣tioned, and bleed at any time of the Disease, if the swelling in the Scrotum be great, and if the pain be violent.

If a swelling arises in the Groin, apply the follow-Plaster to suppurate it.

Take of Galbanum and Ammoniacum, each two ounces, of Opopanax and Sagapenum, each one ounce, of Mu∣stard-seed and Pellitory of Spain, each six drachms, of common Soap, two ounces, of Burgundine Pitch, four ounces, of Oil of Lillies, two ounces, of Wax a sufficient quantity; make a Plaister.

For Ulcers in the Pallate and Tonsis.

Take of all the Throatwort, three handfuls, of Holm, Self-heal and Male Speedwell, each one handful, of red Roses, one pugil, of red Sanders and the Wood of Juniper, each one ounce; make a Decoction in two quarts of Barly-water; boil it to the consumption of a third part; in the strain'd Liquor dissolve of sy∣rup of dried Roses and Diamoron, each three ounces, of Hony, two ounces; make a Lotion.

With this the Ulcer may be washed daily either by Syringing or Gargling: but if the Ulcers be behind or over the Palate, the best way to cleanse them will be to pass the Injection up into the Nostrils; but the Pati∣ent must keep his Mouth full of Water all the while to prevent Coughing.

If the Ulcers are sordid, dress them with the Lac sublimate upon an armed Probe; if there be a Caries in the bone of the Palate, touch it with Aqua divina Fernelii; if the bone be corrupted through, 'twill be ne∣cessary to wear a plate.

In Ulcers of the Nose, the matter usually mixing with the excrementitious humours dryes in the passage, and thereby prohibits the discharge, and increases the ulcera∣tion, and also the Caries, and therefore you are in the first place to supple and remove that, by casting up mucilaginous decoctions.

Take of cleans'd Barly one ounce, of the roots of Marsh∣mallows two ounces, of the Seeds of Quinces three Drachms, of Liquorish two drachms, boyl them in a quart of Fountain-water; to the strain'd Liquor add three ounces of Oyl of Almonds; let it be injected often in a day; the mucus being thus removed, inject the following Water.

Take of Sarsaparilla sliced three ounces, infuse them twenty four hours in three pints of plantain-water, then boyl half away, towards the end add of the Leaves of Agrimony, Sage and the tops of Brambles each one handful, of red Roses and Balaustines each half an handful, quench Steel often in the strain'd Liquor, and add to it two drachms of Roch Alum, and make an Injection.

This will cleanse the Ulcers, and in the mean while you may by Anti-venereals hasten the exfoliation of the Bones, and consolidation of the Ulcers. For the extir∣pation of Warts and the like Excrescencies magisterial water of Alum, lac Sublimati, Spirit of vitriol, and the caustick Stone, are proper; when these will not do the business, the Ligature and Knife and actual cautery

will; but the growing of them again must be prevented by Anti-venereals.

To cure the fluttering noise in the Ears arising in this Disease,

Take of the bark of Guiacum one drachm, of the bark of Sassafras two drachms, of Castor four scruples, of the flowers of Lavender one drachm and an half, of Cloves half a drachm, of Spirit of Wine rectified, eight ounces; make an Infusion in a glass Vessel, twenty four hours upon hot Ashes; keep the strain'd Liquor for use. Put some of this daily into the Ears warm with Cotton.

To ease Pains,

Take of Lard four ounces, of Oil of Scorpions two oun∣ces, of the Oils of Camomil, Rosemary and Sage, each half a drachm, of Petroleum and Spike Oil, each one drachm, of London Laudanum one Scruple more or less; mingle them and anoint the Part.

If Nodes cause the Pain, apply the Plaister of Frogs, with four times the quantity of Quick-silver.