This keyboarded and encoded edition of the work described above is co-owned by the institutions providing financial support to the Early English Books Online Text Creation Partnership. Searching, reading, printing, or downloading EEBO-TCP texts is reserved for the authorized users of these project partner institutions. Permission must be granted for subsequent distribution, in print or electronically, of this text, in whole or in part. Please contact project staff at eebotcp-info@umich.edu for further information or permissions.
A Continued Quotidian vulgarly called Latica, because it hath a certain hidden and obscure heat, * 1.1 is indeed a Fe∣ver continually lasting, yet having every day exasperati∣ons arising from indigested phlegmatick humours in the vena cava.
The cause of this Fever is Phlegm mixed with blood in the vena cava, and there putrifying, * 1.2 and therefore those fall into these Fevers which are of such an age and nature as that their bo∣dies are moister, as children and infants, as also old men and such as have grosser bodies, and are given to their bellies and to idleness, and dwell in moist places, but not young men and such as are cholerick.
The signs of continued periodick Fevers are also manifest in this Fever, only the violence is most about the evening. * 1.3 The heat first is gentle, a little afterwards more sharp, and some∣times seems to abate, and sometimes to increase, by reason of the thickness of the phlegm which purrisieth. The pulses are not so thick and frequent, the urine is not so fiery and red as in other Fevers but thicker, nor are the other Symptomes so vehe∣ment as in other Fevers.
Concerning the event. 1. * 1.4 This Fever by reason of the thick∣ness of the humour is long, and hard to be cured, and there∣fore dangerous. And by how much the thicker the phlegm is by so much the more violent and durable, so that it is not ended before the swetieth or sixtieth day, and the beginning is scarce past before the twentieth. 2. It continueth lesser time where many evacuations happen. That which is pure is also longer then that which is mixed with choller, and by how much the worser Symptomes are present, and the strength weaker, by so much the greater danger there is, which if they are not, health is to be hoped for. 3. By reason of the duration of the Fever, and weakness of the Liver, the sick for the most part fall into Cachexy and Dropsie.
As to the cure this Fever is more dangerous in respect of the cause, then of its heat; * 1.5 and therefore since it depends on phlegm that is to be heat, attenuated, cut, and afterwards being con∣cocted and prepared, evacuated, and regard is to be had of the strength, principally of the stomack and Liver.
Therefore in the beginning the stomack and first ways are to be opened and evacuated by Clisters and lenitive medicines, * 1.6 or else the matter inherent in the stomack is to be ejected by vomit. * 1.7
But although the cause of this Fever be cold, yet because it is mixed with blood and putrifieth, some blood may be taken a∣way by opening of a vein, in case that the urine be thick and red, and that the strength will bear it and the age, that nature may be eased of some part of her burthen.
Afterwards preparation & concoction of the matter is to be en∣deavored with attenuating things which do not heat much; * 1.8 there∣fore
in the beginning use Syrrup of Sorrel simple, with honey of roses, Oxymel simple, Syrrup of Hysop, Bittony, with the water or decoction of Maiden-hair, Sparagus, Grass, Fennel, Hysop, and medicines prepared of those plants; also Spirit of Vitriol and Salt.
When any signs of concoction have appeared you may exhi∣bite some gentle Purger of phlegm, * 1.9 of Agarick, the leaves of Senna and such like: Hence you must come to stronger prepa∣ring and purging things, and so the matter which cannot be e∣vacuated at once, is to be prepared, concocted, and evacuated at several times. And because a pure continued Quotidian sel∣dom happens, but that either choller or melancholy is intermix∣ed, we are to look to these humours also, and to adde Cichory, Burrage, * 1.10 Fumitory, Rubarb, and the leaves of Senna.
After the greatest part of the matter is evacuated, the re∣mainder is to be emitted by urine and sweat using such medicines as occasion the same.
But since that by reason of the duration of the disease the sto∣mack and liver are especially offended, * 1.11 things that corroborate these parts are to be administred, troches of Wo••mwood, of Rubarb, of Roses, with the powders of aromatici rosati and di∣axyaloes.
The Diet ought to be attenuating, * 1.12 cutting, and clensing, the meats therefore ought to be of good juice, easie of concoction, and affording little excrement. Fish are not proper in this Fe∣ver, the flesh should be seasoned with Parsley, Fennel, Time, Hysop, Savory, Rosemary, Cinamon. In the beginning nourish somewhat more plentifully, that the sick may endure to the height of the disease, but when 'tis neer the state abate ali∣ment by degrees. Yet if crudities be in the stomack and first passages by sparing dyet the three first days they may be abated and consumed, afterwards such a dyet as we have mentioned may be observed. In the beginning the sick should abstain from wine, and in its stead use water and honey; yet if by custom it be required, give it small and mixed with water. Small beer is also convenient, when concoction appears, wine is more safely administred, whereby the concoction is assisted, the stomack strengthened, and the humours driven out by urine.
THe Fever called the Epiala is referred to continued putred Fevers, * 1.13 which it self is indeed continued and quotidian,
yet differs from the other Quotidians in this, that the sick at the same time endure heat and cold, and the heat and cold to∣gether are dispersed through the smallest particles of the whole bo∣dy, as Galen teacheth de inaeq. intemperie. cap. 8. and 2. de diff. Febr. c. 6.
Galen in the place newly quoted, draws this Fever from acid and vitrious phlegm puttrefying; * 1.14 yet in his book of an unequal distemper, cap. 8. he addeth bitter choller, whence he infers that since heat and cold are perceived together in one place, it argues mixture of phlegm and choller; in another place he deter∣mines it to arise from vitreous phlegm, part whereof putrifying, exciteth heat, the other not putrifying causeth trembling and cold. Yet Platerus refers them to intermitting Fevers, and says that Epialaes are generated when intermitting Fevers hap∣pen together in one and the same day, and the cold of the one beginneth before the heat of the other be ended, or moreover when intermitting Fevers concur with continued, and the heat of the continued always remains, but the intermittent Fever coming, a trembling and cold fit is occasioned.
The cure of this Fever differs not much from the cure of other Fevers arising from phlegm, * 1.15 only that it requires stronger atte∣nuating and cutting medicines, because there is greater frigidi∣ty and crudity in this then in the rest; also though the humour it self seem to require stronger Purgers, yet the weak cannot bear them, and therefore evacuation by degrees is to be appoin∣ted.
MOreover to these Fevers belongs a Syncopal Fever, com∣monly called a humorous Fever, * 1.16 in which there is more of pituitous and crude humours then in other Fe∣vers that are phlegmatick; and moreover a debility of the ori∣fice of the stomack is adjoyned, whence the sick easily fall into a Syncope, especially when the Fever begins.
This Fever is hard to be cured, since the sick by reason of their extreme weakness and danger of continual soundings, can∣not endure necessary evacuations, * 1.17 and especially if the pulse be weak, small and unequal, the Fever is exceeding dangerous.
But evacuations are most properly occasioned by frictions, as Galen teacheth in his twelfth of the method of curing, cap. 3. * 1.18 Clysters and Lenitives also with medicines opening the first passages only and causing no commotion of the other humours.
The first passages being opened and cleansed, we come to pre∣paring and evacuating humours, as in other Fevers petuitous, and medicines to prevent the sounding fits are also to be admini∣stred.
The meats should be not much, thin as to substance, easie of concoction, * 1.19 and generating as little phlegm as may be, and they are to be taken often. The drink should be wine which hath power to nourish, heat and attenuate, and doth not in∣crease phlegm. Hydromel is also good wherein Hysop hath been boiled.
A continu∣ed Quoti∣dian.
Cause.
Signs.
Progno∣sticks.
Cure.
Lenitives.
Opening a vein.
Preparing and alter∣ing.
Purging.
Provoke urine and Sweat.
Strengthe∣ning Me∣dicines.
Dyet.
The Fever Epiala.
Cause.
The Cure.
Syncopal Fever.
The Pro∣gnostick.
Cure.
Diet.