The idea of practical physick in twelve books ... / written in Latin by John Johnston ... ; and Englished by Nich. Culpeper, Gent. ... and W.R.

Chap. 6. Of the Symptomes of the Animal Motion.

Article, I. Of Lassitude, or Litherness.

THose Symptomes that offend and hurt the Animal Motion, are, Lassitude, Ʋn∣quietness or Restlesness, a Vehement cold and Stifness, a Trembling, a Palsie, and a Convulsion.

A Lassitude is a certain unaptness and un∣fitness (together with a certain kind of pain) unto the exercise of the Animal motion, which ought to have been performed freely and in a natural way.

As for the signs, the relation of the sick party wil sufficiently acquaint us with them.

The CURE is, whatsoever doth burthen, weary, and make Lither the Muscles that are

the instruments of the Animal Motion; whether it be any thing External or Incer∣nal.

The CURE is accomplished by the remo∣val of the Causes, and likewise by the cherish∣ing and comforting of the Muscles.

It is divided into six Species or kinds.

I. One is that that is not Spontaneous or vo∣luntary: unto which, that we term Exsiccative, doth appertain. Another is Spontaneous or voluntary; which (in regard that it signifieth and manifestly declareth that Humors super∣abound in the body) may therefore not unfitly be said to presage Diseases; and if it persevere and continue after the cessation of the Feaver, it signifieth a certainty, or at least an extream danger of falling back into a relapse. And unto this kind belongeth that we cal Gracility Ʋl∣cerous, tensive, Phlegmonodes, and Osto∣copos.

II. Another is that which we cal Exsicca∣tive, which proceedeth from an extream and over great motion of the body. But in this there is no danger at al, unless it chance to be∣fal a Cacochymical body. It is cured, I. by rest, especially that rest that is taken in sleep, because that then the members are placed in a middle kind of frame and posture, upon the Relaxation of the Muscles. II. By Exercise, if it be more moderate than the former, in regard that it discusseth and disperseth those Humors that are moved up and down throughout the Cavity of the whol body.

III. Another is that we term a Lassitude of Gracility, which hath accompanying it no grievous or disquieting sense of pain. It ariseth from a Consumption of the flesh and Fat of the muscles. It followeth upon either Chronical or else (it may be) after some acute Dis∣eases. It is to be Cured by a Convenient Diet.

IV. Another is ulcerous; which is known by the signs and tokens of a cholerick cacochymy, by a sensible pricking and shooting throughout the whol body (from whence indeed it taketh its name and denomination) and by a kind of ex∣tream and vehement stifness that ensueth there∣upon. It hath its Original from some sharp and biting (either) Humor or Vapor; or else from heat diffused and dispersed to and fro, or else such as is wholly dissolved, wasted, and consumed by excessive and inordinate exer∣cise. It is Cured by Purgation, if it be so that the matter fix and stick in the more pro∣found and deep parts; but by frictions, and motion, if the matter be only in the Super∣ficies.

V. Another is that we cai Tensive; which is known by a manifest and sensible extension or stretching out in the Tendons of the muscles, the Fibres, and Nerves. It ariseth from a Plethory. It is to be Cured by frictions or rubbings with sweet Oyl, and by baths of ••weet Water.

VI. Another is that we cal Phlegmonodes, which is known by a sense of Con••usion and Contraction, and (as it were) an inflamation of those muscles especially which have their place and situation under the Skin. It hath its rise, either from a great abundance of blood fallen forth of the Veins unto the muscles, or else such as is attracted and drawn together by overmuch and violent exercise; and then the Cure is to be performed by Venesection or blood-letting: or otherwise it ariseth from the Humors that are in the manner and by the means aforesaid drawn and led along thi∣ther; and in this case there wil be great need of Purgation.

VII. The last is that we cal Ostocopos, which is known by the extension and stretching out of the interior Nerves adhering unto the bones of the Tendons, and encompassing and wrapping about the bones of the Membranes. It proceedeth from black choler or Melancholy seizing upon and possessing those Membranes. It usually concurreth and sheweth it self together with the Scurvy, Quartane Feavers, and the French Disease. The Cure ought primarily and cheifly to be directed and instituted ac∣cording to the Cure of the aforesaid Dis∣eases.

Article, II. Of Restlesness, or Ʋnquiet∣ness.

Restlesness or Ʋnquietness is a frequent va∣rious shaking to and fro of the whol body and the several members thereof, arising from matter molesting and disquieting those parts that are capable of suffering.

There need no SIGNS; for the Affect is apparent enough to the very view.

The CAUSE is a sharp matter, whether it be a humor, or a hot Vapor.

The CURE must be directed, and so ordered that it look toward the said matter, ac∣cordingly as it appeareth in the following dif∣ferences thereof.

It is divided into Critical and Symptoma∣tical.

The Critical consisteth in that suddain and unexpected perturbation of the Humor; and from whence there is no danger to be feared.

That we cal Symptomatical, is that which happeneth in general; and it containeth under it,

• I. That which we term Stomachical, which is known by a kind of Nauseousness in the sto∣mack, somtimes without, but most commonly with a vomiting, and likewise a pain of the stomach. It ariseth either from the Humors pulling and twinging the mouth of the sto∣mack, &c. (as it were) soaked and drunk up into the Cotes or Tunicles thereof, (in which case purges that abate and lessen the acrimoni∣ous quality have their proper place:) or else from food unseasonably taken; and here we are to help and succour the Patient by vomi∣ting of him.
• II. That that we term Inflama∣tory, which proceedeth from the Inflamation of some one of the Bowels.
• III. That which we cal Febrilis, that appeareth in Malignant Feavers, and is very dangerous, if it be atten∣ded with the imbecility of the natural strength and powers of the body.

In the Cure we ought to have respect unto the several species or kinds of the Disease.

Article, III. Of Rigor, or an Extream Stifness.

The Rigor or unnatural vehement stifness is a vibration, shaking, and quavering of the Muscles of the whol body, conjoyned with Refrigeration, and a certain pain, arising from somthing that doth molest, by a suddain and unlookt for twinging and pulling of the sensible parts throughout the whol Circumfer∣ence of the body; and likewise by Irritating and stirring up the expulsive faculty.

The Part affected is the whol body, or at least, the Muscles of the same, whether they suffer together more inwardly, or not.

There is no need of Signs; the Refrigeration that happeneth herein, either it is of the Skin alone, by reason of a pain excited and stirred up by the acrimony and sharpness of an humor; or else it is also of the Muscles; whether it pro∣ceed from the Diffusion of the Humor, or otherwise from the Inflamation of Bo∣wels.

The CAUSE is somthing that is grievous and burthensom; whether it be collected and contained in the very Muscles themselves; or else be transmitted thither from some other place. But now then the said matter is sharp, corroding and biting, much of it in quantity, and such as is swiftly moved and carryed up and down from place to place. And this hap∣peneth most especially in Feavers.

The CURE is accomplished by the remo∣val and taking away of the causes. The Dis∣ease, (if it cease not upon the use of an Eva∣cuation) is very evil and dangerous; and so likewise if it be attended and accompanied with a Consumption, and wasting of the whol body.

It is cheifly and especially divided in a threefold manner.

I. One kind (or species) hereof is from things External; as for instance, a cold Air, or an External heat diffusing and dissipating the Excrements that before were at rest, and were quiet, without any molestation; sprin∣kling of cold water, upon the body; the fal∣ling of a spark of fire upon the skin, &c. The Cure here hath nothing in it worthy of Obser∣vation. Another there is that proceedeth from Causes Internal; to wit, a Cholerick humor, a salt Flegm, Melancholy, black choler, and acrimonious sharp Vapor. The Cure hath respect unto the several sorts of the Disease. Al the kinds of them are somtimes to be Mitiga∣ted with the Oyl of Rue, of Bay-berries, of Castor, and of the several sorts of Pepper, to∣gether with Treacle and Mithridate.

II. Another is vehement with a continual fea∣ver: and then, if it chance to be in the begin∣ning, it betokeneth an inflamation of some bowel; but if in the end, it sheweth, either that the feaverish matter is moved out of the Veins, or that the Inflamation tendeth to a Suppuration: Another is but little, and not much considerable, being such as only giveth notice of Feavers to follow; of which see further in these Chapters wherein they are particularly treated of.

III. Another is Periodical, which afflicteth the party but now and then, and by fitts at cer∣tain seasons. And this is the best and the most hopeful species of this Disease, if it happen to appear on the Critical day; if upon its ap∣pearance the body waxeth hot; or else that any Evacuation of excrements follow thereupon. Another is Symptomatical, when as the matter is thrust forth into the external parts, and the Circumference of the body, without any Crisis at al; and this is that of which we are now speaking.

Article, IV. Of Tremor, or Trem∣bling.

This Trembling is a depravation of the Voluntary motion, (by reason of the which the Member elevated and lift up cannot be kept in its own proper situation) arising from the debility and weakness of the faculty of motion.

There is no need of SIGNS: It Differeth from a Convulsion, because in this latter the part is contracted, and so kept; from a Palsie, because that in this the part is seldom or never lifted up, or at least very slowly; from a Palpitation, in regard that in this not the whol Member, but the flesh, and especially the Skin is moved; and the member unmoved, one while falleth down, and again another while is distended and stretched forth; and lastly, it differeth from the Rigor or stifness aforesaid, in regard that it is without any pain.

The CAUSE is a weakness of the moving faculty, which happeneth either by a default in the Animal spirits, or the Nerves.

CURE there is none, if it befal those per∣sons that are in yeers, by reason of the extream imbecillity and weakness of the spirits and the brain; if it happen in a vehement Phrensie, or Melancholy; for then it is caused, either by means of the exsiccation or overgreat drying of the Nerves by a Feaver, or else by reason of a corrupt and depraved quality: if it be here∣ditary, or that it proceed from some fault and disorder in point of diet, especially in such that have the Organs of the Animal faculty ex∣treamly weakened; if the sick person Shrink and Start when he is toucht; in acute Feavers, because that the Nerves are either exsiccated and over dried, or else are pulled and twinged by some depraved and vi∣tiated matter, upon which there followeth a Convulsion. The Cure is more facile and easie, if it proceed from Causes that are evi∣dent. It is doubtful and difficult, if it hap∣pen on the lest side, in regard that then the in∣nat heat of that part is the more easily impaired and made to decay; if it turn into a Convul∣sion, because then the peccant matter assumeth unto it self and worse and more offensive qua∣lity; if it happen to be in a burning Feaver, and that a doting follow thereupon; for then some great and grievous Disease succeedeth, and the strength, and powers of the body are wasted and consumed; if the sick party Shrink and Start when he ••s toucht, for then the Nerves are become over moysten∣ed by the peccant Humor. But when we set about the Cure, (and that there be any hopes of effecting it) it is then to be instituted and prosecuted according to the Nature and dispo∣sition of the several Causes and differences, tou∣ching which we purpose to speak further in the sequel.

The Differences are al of them taken from 〈◊〉〈◊〉 the Causes introducing the same.

I. One is from External Causes, especially such as are Malignant and Narcotick, as (to instance) Quick-Silver, Poysons, opiates, Henbane, the Retention of the Secundines or After-birth, and the suppression of the blood after delivery; al which are to be removed. Another is from Causes Internal, of which we shal speak more in the Second Differ∣ence.

II. Another is from the Scarcity and want of Spirits; which either are not generated and bred in a due and fitting sufficiency, by reason of a cold distemper of the brain, (and in this case, in the Cure thereof the Nature of the Disease it self ought heedfully to be regarded) or else after they are generated they come to be dissipated, wasted, and consumed, by an ex∣cessive, heat an over great Evacuation, and some long continued tedious Diseases: and here we are to deal and do our endeavour by prescribing a fit and convenient Diet.

Another there is from some faults and fay∣lings in the Nerves themselves; which may be, I. A Cold and moist Distemper of the brain; and there are some signs present of a misaffect∣ed brain. The Cure must turn towards, and Eye the Distemper. For those Remedies that are taken inwardly, these following are cheifly commended, VIZ. The Essence of Balm, and stoechas of Arabia. Among the Medicaments that are to be externally administred, these are highly approved of, to wit, the Oyl of the flowers of Trifoyl or the three leaved Grass, vulpinum, or the oyl of a fox, the oyl of pepper the Oyl of castor, &c. 2. A Plethory when some wonted Evacuation is suppressed; & then in this case let a Vein be opened. 3. An Obstruction of those same Nerves, such as we term partial ones, or a stoppage of them but in part, whe∣ther it proceed from thick and gross Humors, or else from Gluttony and sur-charging the sto∣mach, and other such like Causes. See fur∣ther hereof in the subsequent Cure of the Palsie.

Article, V. Of the Palsie.

The Palsie is a spautaneous and voluntary abolition of motion in the parts, (without any the least hurt of the Reason,) arising from a defect and want of the Animal spirits, through some fault and errour in the Nerves.

There is here no need of SIGNS; the mo∣tion for the most part perisheth, the sense and feeling stil remayning, there is likewise a kind of softness and tenderness in the part affected; a coldness also, a weak pulse, &c.

The CAUSE is a defect and fayling of the Animal spirits, which happeneth by some fault of the Nerves.

There is no CURE at al to be expected, if it chance to be from an extream and forcible Relaxation or Loosing of the Vertebrae, in re∣gard that then the Nerves are greatly crushed together and very much bruised, insomuch that an inflamation followeth thereupon; if it pro∣ceed from an incision or cutting of some one of the greater Nerves, or the the spinal Marrow, because there is then no Hope of a Coalition or closing together again of the incision. The Cure is likewise exceeding Difficult and hard to be effected, if it happen unto aged people, in regard that it denoteth an imbicillity of the heat; if the member be extenuated, and the natural vegetative heat thereof be changed and altered; especially if the eye on that side be impaired, because it argueth then that the heat is wel nigh extinguished, if there be many of the nerves and muscles affected; if it succeed and follow upon an Appoplexy, in regard that then the cause is over vehement. But the Cure is more easie, if the resolution be in the thinges or feet, because that in those parts the nature and constitution of the nerves is dryer than else∣where; if the member resolved and loosened be actually hot; and lastly; if a trembling, or a feaver follow upon it. It is to be instituted and ordayned, according to the nature of the causes, and the differences.

The differences of a palsy are very vari∣ous.

I. One is Ʋniversal, in the which either the whole body (the head alone excepted) is seized upon, or at least, the one halfe thereof or one side of it. And then, if the Face be af∣fected, the brain also, (together with the spi∣nal marrow) is affected: But if al the parts beneath the face, then the begining and first entrance into the spinal marrow (which we cal the marrow of the back bone) is very far a∣miss in its transverse situation: but if the affect surprise only the one half of the body, one side then only of the Said spinal marrow is likewise affected, and becometh faulty.

Another is particular, when alone some one certain part suffereth. And then, if the Arms and hands be deprived of their motion, then the nerves that proceed forth from the vertebre of the hinder part of the neck, offend and are faulty. If the Feet, then those nerves that are in the vertebrae of the Loyns, and the Os sacrum or channel bone. If the eyes, then the second pair of nerves is affected, If the Tongue, then the seventh payr of the nerves is affected. And lastly if the voice fail, then those nerves that are called recurrentis, they only are affec∣ted and do suffer.

II. Another difference there is, arising from a distemper in the nerves themselves, by reason of phlegmy and cold humors, that relax or loo∣sen and dissolve their tone: and these for the most part descend from the head. These hu∣mors may be known and more fully under∣stood what they are, out of the Chapter touch∣ing the distemper of the head. The Cure is to be wrought,

• 1. by a gentle evacuation and imploying of the first and most principal passa∣ges, least that otherwise the preparatives draw the crude humors into the stomach; (and here vomiting procured and excited by the use of Crato his vomitary made of the Juyce of the reddish in the which black hellebor hath bin steeped and infused, hath its place if the sto∣mach be stuffed ful of flegm) but then if the matter be in its flux and motion, the evacua∣tion ought to be so much the stronger.
• 2. by a preparing of the matter, more than once, by Cephalick medicaments; among which Iva Arthetica, primrose flowers, the Flowers of Lilies of the Vally, are the best that are now adayes in use.
• 3. by purging, with mechoa∣can, or the Pils so much used by Solanander and Mathiolus.
• 4. by exciting and provoking of sweats with the Hidrotick of Quercetan, and the sudorifick of St. Ambrose; unto which there must be added, Guajacum, china, Treacle, Bezoardicum Lunare; together with other apropriate remedies; al which are to be followed and attended with frictions of the neck or the spina dorsi with onions, and the new fresh root of the flowerdeluce.
• 5. by a particular evacuation of the brain, by errhines, Apophlegmatisms, &c.
• 6. by the application of Topical remedies; where have their place, frictions, rubbings and chaifings with the water

• leaves infused in Malmesey, Bathes with formi∣cetes, Rubifications (or rubbing the part til it become red) with green Nettels and other suchlike; inunctions with the unguent of vipers, the unguent likewise of the several sorts of pepper, the Unguent of Castor, the grease of the wild Cat, mans fat, &c. Natural or Artificial hot baths; touching which se fur∣ther in Heurnius his method.
• 7. by a diet that is hot and dry; concerning which consult the Practitioners in Physick.

Another is from the straightness or narrow∣ness of the Nerves; which is caused,

• 1. By an obstruction, proceeding from a pituitous flegmy humor, and other things that are sub∣servient hereunto, and conducing unto the pur∣pose aforesaid. Then the cure hath regard unto the Cause; touching which we have spoken sufficiently above,
• 2. a Constipation from some tumor or swelling, that hath its first rise in the substance of the spinal marrow, or of some nerve.
• 3. Compression, and that either from some external cause, or else from a Tumor, &c.

III. Another is from those Causes that dis∣solve or make a solution of unity in the nerves, in the number of which there is,

• 1. a Contusi∣on, fal, or blow. And then a vein is to be o∣pened lest there should happen an afflux unto the contused or bruised part. Astringents to∣gether with discussives are likewise to be appli∣ed and layed upon the part affected, unless (haply) there be present an inflamation.
• 2. a dissection; and for this there is no remedy at al to be had,
• 3. a relaxation (or loosening) of the vertebrae of the Back, suddenly caused, of the which sufficient hath been spoken in the se∣cond Book.

Another is from things narcotick, as for ex∣amples, a touching of the sea fish Torpido, quick-silver, and the immoderate unseason∣able drinking of wine, which rendereth the spirits extreamly stupid and dul: and here in the cure whereof there ought to be a special re∣gard had unto the nature and quallity of the Cause.

IIII. Another is Colical, when a humor from the intestines is moved, not so much unto the begining of the orifice or first enterance of the nerves, as unto the very muscles and ten∣dons. The Cause hereof is a thin humor, that is both chollerick, and wheyish. In the Cure we must deal cheifly and principaly by clisters, that so the perverse motion of nature may be in∣verted. A vein is to be opened, if there be present a Plethory and orver great abundance of pure and good blood. We ought then to purge with gentle purgers (as we terme it) by an E∣picrasis or an often reiterated evacuation, and drawing forth of the peccaut matter, leisurely and by degrees, some now, some then, and not al at once. Let sudorificks then follow, administred in primrose water, and the water of Lilleyes of the vally. The spirit of Niter is also of excellent use in this case.

Another is that which we terme Scorbutick; touching which see more in the Scurvy.

Another is that we cal Hysterical; of which also we may see more in its own proper place.

Article. VI. Of a spasm, or convulsion.

A Spasm is an involuntary, perpetual, and painful Retraction (or drawing back) of the Muscles towards the place of their original and first beginning, arising from the abbrevi∣ation and shortening of the nervous (or sinewy) parts; which is evermore attended and fol∣lowed with a Rigor or Extream stifness, and a depravation of the figure, shape, and sym∣metry of the foresaid parts.

The part affected is a Muscle, and especially a Tendon.

The SIGNES are apparent of them∣selves: the Muscles are in such manner drawn back, that the parties are altogether immovable toward, and unto the contrary.

The CAUSE is, either a certain matter pulling and twinging the expulsive facculty of the parts; or else some disease voilently stretching out the nervous parts: and this sticketh fast either in the beginning and sourse of the nerves (to wit, the Brain) or in the Spinal marrow, of else in some one peculiar nerve.

There is hardly any CURE to be had, or hoped for, if it be from hellebore; if it arise and appear after a Phrensy; if it proceed from a wound, especially in the brain, by reason of a filthy stinking and corrupt matter pulling and twinging the nerves. The Cure is very difficult (although not altogether without hopes) if those parts that are situate neer unto the brain be affected, and suffer; if it happen primarily by the consent of some nerve, in regard that then the sick person cannot possibly hold out and endure by reason of the vehemency of the Symptoms; if it arise from an abundant flux of blood; if it follow upon the monthly Cour∣ses in women; if it attend and follow upon feavers; or if it chance to be accompanyed with vehement and accute pains about the bowels or intrals. It is more easie, if those parts only

are surprized and siezed upon that are more re∣mote from the brain, and consequently the less noble and considerable; if it be by the consent of the Brain, unless the affect that the brain lyeth and laboureth under, be pertina∣tious, obstinate, and unyielding. The Cure ought therefore to be Instituted, according to the Nature and disposition of the Causes; of which more fully in the Differences.

The Differences of a Spasm are very many and Various.

I. One is Ʋniversal, which affecteth the whol body. The Cause whereof, either, It is in the Brain, and then together with the bo∣dy, the Muscles likewise of the Face are also drawn and pulled together, and suffer a Con∣vulsion, or else it is in the Original and begin∣ning of the Spinal Marrow, from whence it happeneth that the Muscles that move the Head and the spinal Marrow are retracted and drawn back. And then, either the body (with the Neck and Head) is drawn to the inner parts, (from whence ariseth that we term Emprosthotonos:) or else the twelve Mulcles that extend the Head being affected, the afore∣said parts are drawn backward, (from whence is that we cal Opisthotonos:) or otherwise the Muscles and Nerves (as wel the anterior as the posterior) being al of them affected, the whol body remayneth altogether inflexible and unmoveable: from whence ariseth that we cal Tetanos, with the which whosoever are affected, either they die within four daies; or else if they pass and out-live these, they then escape and recover. Another is Particular, of the Eye, Mouth, &c. Of which we shal see further in the proper place.

II. Another is from Replexion; which dilateth the breadth of the Nerves, and dimi∣nisheth the Longitude thereof. It is known by the foregoing of the Causes, a sudden in∣vasion and surprisal without any evident and manifest Cause, and exhasting, together with a Flegmatick habit and temperament. It ariseth,

• I. From the Afflux of a Pituitous and Flegmatick humor into the Nerves, accor∣ding to their Tunicles (or little Cotes) and as they are essential constituting parts of the Muscles, and instruments of the motive opera∣ation. Then there went before it such a like kind of Diet, and the monthly Courses, He∣morrhoides, or other wonted Evacuations are suppressed. In the Cure,
  • 1. We must at∣tenuate and Cut the peccant matter by a timely administring of a Clyster. In the next place, those things that are highly commended and approved of, are, the Treacle of Andra∣machus, the Water or the spirit of Juniper, and the Balsam of Quercetan.
  • 2. We ought to Evacuate oftentimes with the milder and gentler sort of Medicaments; the stronger sort of them pour out, and quite expel the matter.
  • 3. A Revulsion must be made by frictions, Gargarisms, Cupping-Glasses, &c.
  • 4. A Discussion of the offending matter must be wrought with the Oyl of Castor of Euphorbi∣um Turpentine distilled, the Oyl of Nut∣meggs, and the Hot Baths of Sulphur.
  • 5. In the Diet that is used there must be no kind of Wine drunk.
• II. It proceedeth from an In∣flamation of the Nervous parts; and then there is present a Plethory: a fal, or a blow, or something else that was violent, long conti∣nued and acute pains in the Nervous parts, ve∣hement anger, and passions of the mind, &c. had their precedence. The afflux of blood hotter than ordinary is in great part the Cause hereof. The Cure is to be directed, and to look towards the Inflamation.
• III. From extream windinesses: and then the Causes thereof, went before and it soon passeth away, & is gone. To Discuss, Vervein and Mother-wort, im∣posed upon the Neck, are very available.

4. It happeneth from the wounding or pricking of a Nerve, whether the said wound and hurt be simple, or poysonous; but of this kind of spasm we have treated before in the second Book.

Another is from Inanition, or extream emptiness, in which the Nerves are rendered and made shorter by reason of the exsiccation and sudden drying up of the Native Rudical Humidity. It is known from hence, that it maketh its approach sensibly and by degrees, with a diminution of the member. It ariseth from Causes, that do either excessively evacu∣ate, such as are, frequent and much bleeding at the Nose, sweats, and purgations with Hellebore; or else they vehemently heat, and dry up the radical Moysture; and such are, In∣flamations, watchings, hard labor and over working, the drinking of much wine, immoderate and excessive venery, a long lasting pain, the Hectick Feaver, and lastly, Cauteries or Vesicatories over frequently ap∣plied unto the Nervous parts. It is to be Cur∣ed.

• 1. By a moystening Diet.
• 2. By Me∣dicaments that are Analeptical or restorative, and moystening; and such are the unguents de Ansere & Cata assatis, (that is to say, of a Goose and a Cattrosted) and baths made of Oyl; the fattening water of Ferdinand, (in

• his third Book, and the Chapter touching an Hectick Feaver) made of swines Blood. Mor∣sels of the Flesh of the Tortoise, or of Craw∣fish. The Magisterial of Hyacinth is speci∣fical.

Another is that we cal Phusodes, which hath its original from a gross and thick spirit or Vapor, (excited by Crudities,) that fil∣leth out the spaces of the Muscles, and disten∣deth them with a grievons pain. It endureth so long as until the Muscle be relaxed: it is quite removed and taken away by frictions, and rubbing and chasing of the parts affected; or else by annoynting it with Treacle, or Ju∣niper water.

Another is Illegitimate, (as we term it) which proceedeth from the exstimulation, goading (as I may so say) and pricking for∣ward of the Nervous parts by some painful affect, but yet without a perpetual extension and stretching forth of the said parts, & for the most part it happeneth by consent of the Ori∣fice of the Stomach, or of the Womb. The aforesaid grievous and painful affect is either from some distemper, or else from the soluti∣on of continuity.