The workes of that famous chirurgion Ambrose Parey translated out of Latin and compared with the French. by Tho: Johnson. Whereunto are added three tractates our of Adrianus Spigelius of the veines, arteries, & nerves, with large figures. Also a table of the bookes and chapters.

CHAP. XXIII. Of the Feaver which happens upon an oedematous Tumor.

* 1.1HAving shewed all the differences of oedematous tumors, it remains, that we briefly treat of the Symptomatical Feaver, which is sometimes seen to happen upon them. This there∣fore retaining the motion of the humor by which it is made, is commonly of that kind, which they name intermitting Quotidians. Now the fit of a Quotidian comes every day, and in that repetition continues the space of eighteen hours; the residue of the day it hath manifest intermission.

The primitive causes of this Feaver, are the coldness and humidity of the air encompassing us, the long use of cold meats and drinks, and of all such things as are easily corrupted, as Summer-fruits, crude fishes, and lastly, the omission of our accustomed exercise.

The antecedent causes are, a great repletion of humors, and these especially phlegmatick. The conjunct cause, is phlegm putrefying in the habit of the body, and first region thereof without the great veins.

* 1.2The signs of this Feaver are drawn from three things; as first natural: for this Feaver or Ague chiefly seizes upon those which are of a cold and moist temper, as Old-men, Women, Children, Eunuchs, because they have abundance of phlegm; and it invades Old-men by its own nature, because their native heat being weak, they cannot convert their meats, then taken in a small quantity,* 1.3 into laudable bloud, and the substance of the parts. But it takes children by accident, not of its self, and their own nature, for children are hot and moist; but, by reason of their voracity, or greediness, and their violent, inordinate, and continual motion after their plentiful feeding, they heap up a great quantity of crude humors, fit matter for this Feaver, whereby it comes to pass, that fat children are chiefly troubled with this kind of Feaver, because they have the pas∣sages of their bodies strait and stopped, or because they are subject to Worms, they are troubled with pain, by corruption of their meat; whence ariseth a hot distemper by putrefaction, and the e∣levation of putrid vapors, by which the heart being molested, is easily taken by this kind of feaver.

From things not natural, the signs of this feaver are thus drawn. It chiefly takes one in Winter, and the Spring, in a cold and moist region; in a sedentary and idle life, by the use of meats, not only cold and moist, but also hot and dry, if they be devoured in such plenty, that they over∣whelm the native heat.

* 1.4For thus Wine, although it be by faculty and nature, hot, and dry, yet taken too immoderately, it accumulates phlegmatick humors, and causes cold diseases. Therefore drunkenness, gluttony, crudity, bathes, and exercises presently after meat, being they draw the meats as yet crude into the body and veins; and to conclude, all things causing much phlegm in us, may beget a Quoti∣dian Feaver. But by things contrary to nature, because this Feaver usually follows cold diseases, the Center, Circumference, and habit of the body being refrigerated.

* 1.5The symptoms of this Feaver are, the pain of the mouth of the Stomach, because that phlegm is commonly heaped up in this place, whence follows a vomiting, or casting up of phlegm; the face looks pale, and the mouth is without any thirst, oftentimes in the fit it self; because the Stomach flowing with phlegm, the watery and thinner portion thereof continually flows up into mouth and tongue, by the continuity of the inner coat of the ventricle common to the gullet and mouth.

* 1.6It takes one with coldness of the extream parts, a small and deep pulse, which notwithstanding in the vigour of the fit, becomes more strong, great, full, and quick. Just after the same manner, as the heat of this Feaver at the first touch appears mild, gentle, moist and vaporous; but at the length it is felt more acrid, no otherwise than fire kindled in green wood, which is small, weak, and smokie at the first; but at the length when the moisture, being overcome, doth no more hin∣der its action, it burns and flames freely.

* 1.7The Patients are freed from their fits with small sweats, which at the first fits break forth very sparingly, but more plentifully when the Crisis is at hand; the urin at the first is pale and thick, and sometimes thin, that is, when there is obstruction. But when the matter is concoct, as in the

state, it is red: if at the beginning of the fit they cast up any quantity of phlegm by vomit, and that fit be determinated in a plentiful sweat, it shews the Feaver will not long last; for it argues the strength of nature, the yielding and tenuity of the matter flying up, and the excretion of the conjunct cause of the Feaver.

A Quotidian Feaver is commonly long, because the phlegmatick humor being cold,* 1.8 and moist by nature, is heavy and unapt for motion; neither is it without fear of a greater disease, because oft-times it changes into a burning, or Quartain feaver, especially, if it be bred of salt Phlegm; for saltness hath affinity with bitterness, wherefore by adustion it easily degenerates into it, so that, it need not seem very strange, if Salt phlegmby adustion turn into choler, or melancholy. Those who recover of a Quotidian-feaver, have their digestive faculty very weak; wherefore they must not be nourished with store of meats, nor with such as are hard to digest. In a Quotidian, the whole body is filled with crude humors, whereby it comes to pass, that this Feaver oft-times lasts sixty days. But have a care, you be not deceived, and take a double Tertian for a Quotidian,* 1.9 be∣cause it takes the Patient every day as a Quotidian doth. Verily it will be very easie to distinguish these Feavers by the kind of the humor, and the propriety of the Symptoms and accidents; be∣sides, Quotidian commonly take one in the evening, or the midst of the night, as then when our bo∣dies are refrigerated by the coldness of the air caused by the absence of the Sun. Wherefore then the cold humors are moved in us, which were bridled a little before by the presence and heat of the Sun. But, on the contrary, double Tertians take one about noon. The shortness and gentle∣ness of the fit, the plentiful sweat breaking forth, the matter being concocted, causes us to think the Quotidian short and salutary.

The cure is performed by two means; to wit, Diet, and Pharmacy.* 1.10 Let the Diet be slender and attenuating, let the Patient breathe in a clear air moderately hot and dry; let his meats be bread well baked, Cock or Chicken broths in which have been boiled the roots of Parsley, Sor∣rel, and the like.

Neither at sometimes will the use of hot meats, as those which are spiced and salted,* 1.11 be unpro∣fitable, especially to such as have their stomach and liver much cooled. Let him eat Chickens, Mutton, Partridge, and small Birds, River-fishes, and such as live in Stony-waters fryed or boyl∣ed, rear Eggs, and such like. These fruits are also good for him, Raisons, stewed Prunes, Al∣monds and Dates. Let his drink be small white Wine mixed with boyled water. Moderate ex∣exercises will be good, as also frictions of the whole body: sleep taken at a fitting time, and pro∣portioned to waking, so that the time of sleep fall not upon the time of the fit;* 1.12 for then it hurts very much; for calling the heat to the inner parts, it doubles the raging of the feaverish heat in∣wardly in the bowels.

For the the passions of the mind, the Patient must be merry, and comforted with a hope shortly to recover his health. It seems not amiss to some, at the coming of the fit to put the feet and legs into hot water, in which Chamomil, Dill, Melilot, Marjerom, Sage, and Rosemary, have been boyled.

The medicines shall be such syrups as are called digestive and aperitive,* 1.13 as Syrup of Worm∣wood, Mints, of the five opening roots, Oxymel with a decoction of Chamomil, Calamint, Meli∣lot, Dill, and the like, or with common decoctions. The Purgatives shall be Diaphaenicon, Electua∣rium Diacarthami, Hiera picra, Agarick, Turbith, of which you shall make Potions with the wa∣ter of Mints, Balm, Hyssop, Sage, Fennel, Endive, or the like; Pillulae aureae are also good. These purgatives shall sometimes be given in form of a bole with Sugar, as the Physitian being present shall think most fit and agreeable to the nature of the Patient.

About the state of the disease, you must have a care of the Stomach,* 1.14 and principally of the mouth thereof, as being the chief seat of Phlegm; wherefore it will be good to anoint it every other day with Oil of Chamomil mixed with a little white Wine, as also to unlade it by taking a vomit of the juyce of Radish, and much Oxymel, or with the decoction of the seeds and roots of Asarum and Chamomill; and Syrup of Vinegar will be very good, especially at the beginning of the fit, when Nature and the humors begin to move; for an inveterate Quotidian,* 1.15 though you can cure it by no other remedy, nothing is thought to conduce so much as one dram of old Trea∣cle taken with Sugar in form of a Bole, or to drink it dissolved in Aqua vitae.

Notes

• * 1.1

  How an inter∣mitting Quoti∣dian happens upon oedema∣tous tumor. The cause of a Quotidian Feaver.
• * 1.2

  The Signs.
• * 1.3

  How children come to be subject to Quotidian Feavers.
• * 1.4

  How phleg∣matick humors happen to be generated by hot and dry meats.
• * 1.5

  The Symptoms of Quotidians.
• * 1.6

  The manner of the pulse and heat in a Quo∣tidian.
• * 1.7

  Critical sweats. The Urin.
• * 1.8

  Why Quotidi∣ans are oft-times long. Into what dis∣eases a Quar∣tain usually changes.
• * 1.9

  How to distin∣guish a quoti∣dian from a double tertian.
• * 1.10

  Diet.
• * 1.11

  When the use of spiced and salted meats are fit.
• * 1.12

  When sleep is hurtful.
• * 1.13

  Medicines.
• * 1.14

  Care must be bad of the Sto∣mach. Vomits.
• * 1.15

  The use of Treacle in an inveterate quotidian.