The London practice of physick, or, The whole practical part of Physick contained in the works of Dr. Willis faithfully made English, and printed together for the publick good.

CHAP. VI. Instructions and Prescripts for curing the Vertigo.

AFter having viewed the outward circumference of both Brains, and discovered the Diseases that beset the sensitive Soul, about the first beginnings, and the first sources of the Animal Spirits; now descending to the middle of the brain, where the Fancy and com∣mon Sense reside, let us see to what affects these Parts are obnoxious. Concerning this, let it be observ'd in the first place, that of the Spirits residing in those places, sometimes Troops, or rather mighty Armies, sometimes also small handfuls are affected; and then that the same, whe∣ther

many of them together, or a few only are affected, either from their heterogeneous combination are made elastick, and consequently are forced into disorderly, or rather explosive motions, as in a Fit of the Epilepsie; or undergoing an Eclipse, as in the Apoplexy, are de∣priv'd of all motion: We have discours'd amply enough before of the former spasmodick affect of the Spitits; and concerning the Apoplexy we shall treat in the sequel. At present we shall speak of a certain Passi∣on belonging to these Parts, viz. the Vertigo, in which some Files of the Spirits are affected, and their motions seem partly to be perverted and partly to be suppress'd.

The Vertigo is thus described, viz. that it is an Affect in which visible Objects seem to turn round, and those that are affected with it find a great trouble or confusion of the Animal Spirits in the Brain, so that they do not duly influence the Nerves: wherefore the seeing and loco∣motive Faculties often somewhat waver, so that the Diseased fall down and are often offuscated with Darkness.

In a fit of this, it is to be observed that the Imagination and common Sense are in some sort deceived: whilst they think the Objects that stand still do move, but the rational judgment holds good, for we know our Errour.

That the morbifick cause of the Vertigo, and the preternatural way of its hapning may be known, we must enquire after what manner the same affect, how suddenly soever it comes upon us, is wont to be raised by non-natural things, for by a long turning round of the Body, by looking from an high place, passing over a Bridge, by sailing in a Ship, or going in a Coach, by Drunkenness, or taking Tobacco, and certain other ways, Persons every where become Vertiginous, or contract a Gid∣diness: which Affect those occasions produce, in as much as the animal Spirits being greatly disturbed in their set Series and orders, are both moved loosely and in a disorderly manner this way and that within the Passages of the Brain, and break off certain Lines or Threads, as it were, of their wonted irradiation into the genus Nervosum; for those two things being in a manner always reciprocal, mutually succeed and depend on each other, viz. the Perturbation of the Spirits within the middle of the Brain, and their letted emanation into the genus Nervosum: On whatever cause either affect is produc'd, presently the other follows. A turning round of the Body, being carried in a Coach, or Ship, also Drunkenness, an unusual taking of Tobacco, force the Spirits to fluctuate or to reel disorderly in the Brain, which thereupon are presently hin∣dred from their due emanation into the Nerves, so that the Persons affected are scarce able to stand or go; In like manner, a looking from an high place, passing over a Bridge, a Fainting or Swoon seizing us, recall the Spirits from their wonted emanation into the genus Nervosum, which therefore falling in a tumult, or being disorderly mov'd within the Brain, cause a Scotomia or a running round of Objects.

these things being thus premitted concerning the Vertigo, rais'd by reason of some accident, or by some evident, solemn, and non-natural cause; we must now enquire how, and after how many ways it is wont to be produc'd by an intrinsecal and preternatural cause.

Concerning this you may observe, that the Vertigo is sometimes a symptom depending on some other affect, seated sometimes within the Brain, sometimes without it; but that sometimes it is a Disease by it self, which being raised within the middle of the Brain, is very trou∣blesome, and often terrible, and difficult to be cured.

As to the former, many Diseases of the Head, viz. an acute Pain, the Lethargy, Epilepsy, Carus, Apoplexy, with many others, have often a Vertigo joyned with them, viz. inasmuch as an even expansion of the Spirits in the Brain, and their irradication thence into the Ge∣nus Nervosum, is lightly disturbed from those various morbifick causes.

Moreover, this symptom is wont sometimes to be produced by reason of other affects seated far from the Brain, and that chiefly after two manners; For first, it is usual for a Scotomia to arise by reason of the afflux of Blood call'd on a sudden from the Brain, as in a swoon, and great fainting, in great hunger, hard labour, a very great hemorrhagy, long fastings, violent passions of fear or sadness; nay, through other occasions, if at any time the motion of the Blood fails or faulters in the Heart, so that the affected are ready to fall into a fainting of the Spirits, presently because the supply of the Vital Liquor is withdrawn, the Animal Spirits also failing in the Brain, withdraw their irradiati∣on from the Genus Nervosum: For their Head-spring being cut off, those that remain flying back from their emanation, run to and fro confusedly in the Brain, and raise vertiginous, and often delirous affects.

Secondly, a disorderly retreat of the Animal Spirits from some one of the Viscera, or some outward member into the Brain, often causes a Vertigo, viz. inasmuch as the Spirits being troubled in a long series from the Part affected by the Ductus's of the Nerves, at length trou∣ble others inhabiting the middle part of the Brain, and force them into the like disorders: for this cause it is, that sharp humours twitching the Fibres of the Stomach, and that often an offensive and irritative matter stirr'd in the Spleen, Pancreas, or Intestines, and an acute pain, Ulcers, &c. in the Foot or Arm, often cause light Scotomias in the Brain.

But the Vertigo is not only a symptom, but sometimes is a disease primarily, and of it self: for the through understanding of the na∣ture of which, we must enquire into its subject, formal state, and causes.

The Immediate Subject of the Vertigo are doubtless the Animal Spirits, which every person troubled with this affect perceives to be

very much troubled, and to move about in a confused manner; but the mediate subject are those parts of the Brain in which Imagination and common sense reside, and whence the next way leads into the Genus Nervosum: Now these are the Corpora Callosa, and Striata.

For the Animal Spirits love to expatiate themselves within these medullous Bodies; and when they smoothly flow in one series from the two extremes attending the Corpus Callosum (viz. from the Cor∣pora Striata, and Gyri of the Brain) towards its middle part, they re∣present pleasant imaginations and fancies: and when in another series and haply by other Pores, they flow from the midst of the Corpus Cal∣losum into the Gyri of the Brain, they carry thither the signatures of notions for the memory; and when they direct themselves thence in∣to the Corpora striata, and origines of the Nerves, they actuate all the moving parts, and as often as there is occasion, convey to them the Instincts of setting upon motions.

Now in a Vertigo those even emanations of the Spirits seem to be intercepted in various places, and to be diversly perverted, for some files of the Spirits are rendred obscure, others are wrested another way, and are driven this way and that into Gyri and Vortex's, and often are forcibly drawn cross-wise; wherefore by reason of the Spirits being so troubled in the Brain, confus'd fancies, erring and unconstant spe∣cies of sensible things or turnings round of them are represented: And then, according as the Irradiation into the Genus Nervosum is lessen'd or stopt, a Scotomia, and sailings and faulterings of the locomotive fun∣ction ensue.

It seems probable that such disorders of the Spirits depend on two causes, viz first, that some exorbitant and extraneous particles being entred the Brain deeply together with the Nervous Juice, cleave to the Spirits, and force them into irregular motions; it being manifest to vulgar experience, that this happens to some persons after immo∣derate drinking of Wine, or Strong Waters, unusual smoaking To∣bacco, the eating of certain Vegetables, an anointing with Mercury, &c. Secondly, we may imagine that sometimes a serous glut of filth gets by degrees into the Brain, together with the Nervous Juice, and when at length it has penetrated deeply into it, it defiles these pure Medullae, and greatly stuffs its Pores: So that the Animal Spirits do not display their beams with a light that is clear and full, but such as is weak and broken, with many little Clouds, as it were, scattered here and there.

In an habitual and inveterate Vertigo, the conjunct cause compre∣hends both these, as it appears from the things that give relief, or prove offensive. For I observe that that affect is altered for the better or worse, on two kinds of occasions: For whatsoever things inwardly taken engender turgid Particles, and such as are too exorbi∣tant and apt to be troubled, as Wines, Strong Waters, pepper'd and

flatulent meats, in a manner always affect vertiginous Persons: nor do they find less injury by reason of occasions by which the Brain is fill'd and stuffed, as are surfeiting, sleeping at Noon, or too long in the morning, a Southerly Wind, a moist, misty, and thick Air; a low seated and marshy habitation: and on the contrary, the same are very much relieved by a thin and light Diet, a clear Air, and an open Coun∣try exposed to the Winds.

If we enquire into the procatarctick Cause of this Evil, viz. for what morbid predisposition this double evil is wont to be brought on the Spirits residing in the middle part of the Brain; we find that here both the Brain with the nervous Liquor, and the Blood with the Humours residing in it are in the fault.

It is a common fault of the latter, that degenerating from its due Crasis into a sharp or otherwise vitious temper, it perverts the nutritive juyce, and likewise heaps together within it a Serum, and filthy dregs of various kinds, which it is ready to discharge on the Head.

The fault of the Brain is, that its temper is moist and weak, its texture loose and not firm, and has its Pores more open than they ought, and too much gaping, so that any heterogeneous and elastick Particles, and likewise serous, or otherwise morbid recrements, being sent from the Blood into the Head, are easily admitted into the Brain together with the nervous juyce, and by reason of its passages being too open, descend without obstacle into the midst of it, viz. the Corpo∣ra callosa and striata. Moreover, such as are of a tender Constituti∣on, easily contract this vertiginous disposition; for the Spirits of the Brain being weak, and unable to resist foreign incursions, yield a pas∣sage to any matter coming thither: Again, to others, tho robust Per∣sons, a disorderly Diet, a sedentary Life, frequent surfeiting, also im∣moderate Sleep and Studies, likewise the Scurvy, an inveterate Ca∣chexia, Fevers of long continuance, and other Cephalick Diseases, of∣ten bring this ill habit of the Brain.

As to the prognostick of this Disease, every new Vertigo for the most part is void of danger; but being habitual and continual, tho it sel∣dom threatens a great or imminent danger, yet because it admits not but a long and very difficult Cure, it most commonly so tires both the Diseas'd and the Physician, that before the Disease can be cur'd, one grows weary of the other.

A primary Vertigo seated in the fore-part of the Head, which scarce at all causes a dizziness or falling on the ground, being more safe and curable, is often chang'd into a Head-ach; sometimes also it goes off of its own accord, by a bleeding at the Nose, or a Flux of the Hemor∣rhoids, and is often removed by Physick.

A vertiginous affect arising in the hinder part of the Head, and in∣tercepting the irradiations of the Spirits into the Nerves, being far

more dangerous, often passes into an Apoplexy, or Palsey, or into Con∣vulsive Diseases.

A Therapeutick Method does not properly belong to a Symptomatick Vertigo. It will only be necessary that certain Cephalick Remedies for discussing the Clouds of the Brain, and appeasing the disorders of the Spirits be joyn'd to the first things indicated; or rather, to speak according to the capacity of the vulgar (which we must sometimes, tho only for shew) that certain Medicines against vapours be added to them.

An Accidental Vertigo, or any other that is new, for the most part is cur'd only by Blooding and a gentle Purge, sometimes repeated: Ne∣vertheless, for the more certain extirpation of the disease, let Cephalick Remedies likewise, such as shall presently be written, be carefully administred.

For the Cure of an Habitual Vertigo, and such as is become inveterate, in a manner the like method ought to be ordered as against most other Cephalick Diseases, Which suggests these three chief intents of Heal∣ing: viz. first, we must endeavour that all fuel of that Disease being cut off, the Brain may continue free from any new afflux of morbifick matter; for which end, a due form of dyet being ordered, some∣times bleeding, and very often a gentle Purge given at due intervals of time will conduce: Let a dry and well ventilated Air be chosen, let immoderate and unseasonable sleep and studies be shunn'd; let morning and evening draughts be wholly forborn: Instead of the for∣mer, let a draught of Coffee or Tea be given, with the Leaves of Sage boyl'd in them; let an Issue be made in the Leg or Arm; and some∣times let the Hemorrhoid Vessels be open'd by Leeches: Let the Person affected always rise early in the morning, and wash his Temples and Sinciput with cold Water, and rub them with a course Cloth.

The second Therapeutick Intention will be to remove the Proca∣tarctick cause of the Vertigo; wherefore let it be endeavoured, both that the Cacochymical dyscrasy of the Blood be taken away, and that the weak and over-lax constitution of the Brain be corrected. In or∣der to the former, Remedies powerfully altering, as temperate Anti∣scorbuticks, Chabyleats, and sometimes Spaw-waters, or Whey are pro∣per: To which, always by reason of the latter thing indicated, let Ce∣phalick Medicines, viz. such as are prepar'd of Coral, Amber, man's skull, the root of male Peony, Mistletoe, Peacocks dung, and the like, forms of which we shall presently give you, be added.

The third Intention, and which is properly curatory, attempts the taking away of the conjunct Cause of this Disease, tho it ceases for the most part of its own accord, upon the removal of the procatarctick Causes. For if the passage of every extraneous matter into the Brain be cut off, nothing will hinder, but that the Spirits being as pure as may be, and having gotten free and open spaces within the Corpus cal∣losum, may flow thence every way. However, that we may prosecute

this scope of curing together with the former, we must also inter∣changeably use Medicines endow'd with a volatile Salt, whose Particles being very subtle and active, refresh the animal Spirits; of which kind chiefly are the Spirits of Harts-horn, Soot, Sal Armoniack impregnated with Amber, man's skull, &c. the tinctures of Coral, Amber, Antimony, the Elixir of Peony, &c.

These things being thus premitted concerning the Vertigo in gene∣ral, it seems likewise proper for us to delineate a therapeutick me∣thod more particularly, and to give an orderly process of it: And first, it shall be shewn what is to be done in the Fit for curing it, and then what out of the Fit for preservation.

1. As to the former, tho an invasion of the Vertigo, how violent so∣ever it may seem, for the most part is free from danger, and often pas∣ses off easily of its own accord; yet because those that are affected with it, fearing themselves a dying, desire Physical Aid; in such a case, if the Pulse indicates it, a Clyster being premitted, let bleeding be ordered; then a Vesicatory being applied to the Neck, let strong-smelling things, as Castoreum, Spirit or volatile Salt of Harts-horn, Ʋrine, or Sal Armoni∣ack be presently held to the Nostrils: moreover, let those Spirits be given twice or thrice a day, with a convenient dose of a Cephalick Julep; going to bed let a bolus of Mithridate with powder of Castoreum be taken: the day following, if the affect be not yet gone, let a gentle Purge be given; or if the Diseas'd be inclined, or easie to vomit, let an Emetick be taken, than which there is scarce any Remedy more excellent.

Take Pillulae de Succino twenty five grains, Rosm of Jalap six grains, Tartar vitriolat seven grains, Balsam of Peru what suffices, make four Pills to be taken going to bed, or early in the morning: or,

Take Sulphur of Antimony five grains, Cream of Tartar half a scruple, Castoreum two grains, make a powder, to be taken with governance, ex∣pecting a vomiting.

That Vomits often do good in the Vertigo, besides the testimony of Authors, it sufficiently appears also by common observation; and since vertiginous Persons vomit often of their own accord, hence an opinion has grown amongst many, that the cause of this Disease lies hid in a manner alwayes in the Stomach, but we have shewn elsewhere that this is otherwise, and that the vomiting frequently happens by reason of the Spirits being troubled in the Brain. Now the reason why Eme∣ticks do good in this Disease, is, that by this kind of Medicine, both a very great Revulsion is made of Humours from the Brain, and that the Spirits there being in a tumult, are presently restrain'd. When the Membranes and Fibres of the Ventricle and the Viscera placed near it are twitcht, various Humours, viz. the nervous, serous, lymphick, pan∣creatick and bilous, are drawn into those Parts, and so dreined that the Brain continues free from their Incursions, nay, and easily throws

off a great many then sticking in it; Then, as to the animal Spirits, we have shewn elsewhere that there is alwayes a very great communicati∣on and intimate accord betwixt those that reside in the Stomach and those of the Brain; so that a grateful or ingrateful affect of the Sto∣mach from things taken, causes erections or dejections of the Spirits re∣siding in the Brain. Opiats, whilst remaining in the Stomach, bring a sleepi∣ness, so in the Vertigo and other Cephalick Diseases, it will not conduce a little to the redressing and regulating of the Spirits in the Brain, when all in confusion, and mightily agitated, if their consociates or relations be put in a consternation within the Ventricle by an irritating Medicine; for whilst for the aid of these, a great many are call'd from the Brain, the others remaining remit of their disorders, and resume their ancient Offices; doubtless it is chiefly for this reason, that Emeticks often give great Relief in affects of the Mania, insomuch that certain Empiricks use in a manner those alone.

2. But returning from this small digression, let us consider what is to be done for curing an inveterate, and almost continual Vertigo, out of the Fit: therefore in the first place a method being ordered concer∣ning blooding and purging to be us'd, and repeated at fit intervals of time according to the Constitution and strength of the Patient; I also use to advise that a Vomit (if nothing indicates the contrary) be ta∣ken once a Month; for which end, to weak Persons, after the Stomack's being fill'd with light food, let Wine and Oximel of Squills be given, to two or three ounces, and afterwards let posset-drink with Carduus leaves boyl'd in it be drank in a great quantity, and let it presently be thrown up again with a spontaneous or forced vomiting: To others, let an Emetick be given of Salt of Vitriol, or of the Infusion of crocus Metallo∣rum: Concerning Issues, Vesicatories, the opening of the hemorrhades, also of a Plaister or Cap to be worn on the Head, and of topicks to be apply'd to the soles of the Feet, or to the Wrists, for revulsion or derivation, let a Physician deliberate.

Take Conserve of the Flowers of male Peony six ounces, powder of its Roots an ounce, Peony seeds powdered two drams; Amber, Coral, Pearl pow∣dered of each two drams and a half, Salt of Coral a dram, Syrup of coral what suffices, make an Electuary. The Dose is a dram and a half, or two drams in the evening, and early in the morning, drinking after it three oun∣ces of the following distilled Water.

Take fresh leaves of Mistletow six handfuls, roots of male Peony, Angeli∣ca, of each a pound and half; the white dung of Peacocks two pounds, Car∣damum bruised two ounces, Castoreum three Drams, all being slic'd small, and mixt together, pour to them of White wine, or of Whey prepar'd of it, eight pounds, distill it with common Organs, let the whole Liquor be mix'd.

Take powder of the root of male Peony half an ounce, red Coral prepar'd, Species Diambroe of each a dram and half, powder of male Peony flowers

fresh bruised and dried in the Sun, a dram, make a powder, to which add of double resin'd Sugar dissolved in Peony water, and boyled to a consistency for Tablets ten ounces, make Tablets according to Art, weighing half a dram, let one or two be taken often in a day.

Because all things do not agree with all Persons, but a Physician ought to assay divers Medicaments, and insisting on a various Method, at one time to try these Medicines, another those, therefore I shall here set down certain forms of another kind.

Take our Syrup of Steel six ounces, let a spoonful be taken in the Morn∣ing and at five of the Clock, with three ounces either of the distilled Water even now described, or of some other Cephalick Water: or take from fifteen to twenty drops of our Syrup of Steel with a draught of the same distilled Water twice a day, I have known these things to have given great Relief to many.

Sometimes let doses of the Spirits of Soot, Harts-horn, or Sal Armoni∣ack, impregnated with Amber, Coral, or Mans Scull, or let tincture of Amber, Antimony, or Coral be daily given after the same manner.

Take Powder of the Roots of male Peony an ounce and a half, Peony Seeds, Coral prepared, white Amber of each three Drams; Pearl prepared, Pow∣der of male Peony Flowers fresh bruised, and dryed in the Sun, of each two Drams, Sugar-candy one Ounce, make a Powder, let a Dram be taken twice a day, with a draught of Tea or Coffee, or a Decoction of Sage or Rosemary.

For poor People let a Powder be prescribed of the Leaves of Misteltow growing on Apple Trees, dryed in the Sun and powdred, to a dram, to be taken twice a day: or take the white Dung of a Peacock six Ounces, pow∣der of the Flowers of male Peony an ounce, Sugar two Ounces, make a Powder, let a Spoonful be taken twice a day in a convenient Liquour.

Let vertiginous Persons use for their ordinary Drink small Ale with the Leaves of Mistletow growing on Apple Trees boyled in it instead of Hops, and in a Vessel of four Gallons let a Bag be hung, in which put of Pea∣cocks Dung half a pound, and of Cloves bruised three Drams.

So frequent and daily Examples of Persons troubled with the Verti∣go occur, that it seems but to little purpose to give here any instances of them: however that the Types of this Disease may be known, I shall relate here some few and rare Cases.

A Divine sixty years of Age, after that he had been troubled for about three Months with a slight Vertigo, or a frequent Coruscation as it were of the Spirits in the Sinciput, at length the Disease increasing, he be∣came affected also with a dizziness and a falling-Evil; in so much that in walking sometimes he would fall flat on the Ground; Being called to cure him, I prescribed blooding, with a gentle purge to be repeated at fit intervals of Time, moreover I diligently gave Electuaries and mixtures, such as above-written, Vesicatories and other Administrati∣ons being not neglected: after a fortnight no relief being found from

these things, I gave him a vomit of Salt of Vitriol, and an infusion of Crocus Metallorum; upon which having ten easie vomits, he presently from thenceforth was better, and Cephalick alteratives being used for about a fortnight longer, he grew perfectly well, and from that time he took yearly Spring and Fall for six years a vomit, with certain other Medicines, and even at this time is in perfect Health,

A certain Gentleman sixty six years old, after that he had lived for a long time obnoxious to a light Vertigo, and which was wont to be rai∣sed as it were only occasionally, about the end of Autumn being more severely troubled with that affect, became also forgetful: going to see him after he had been ill about three Weeks, I found him very much changed in his Countenance and Aspect, the vigour of both being very much broken. To this Person, who had every Evening a smart Feaver, with a high and strongly vibrating Pulse, in the first place I ordered Blood to be drawn from the Arm, and after six or seven dayes from the hemorrhoide Veins; moreover I had Vesicatories presently applyed to his Neck and incontinently after behind his Ears, and Cauteries be∣twixt his Shoulder-Blades for two large Issues to be there made: he took daily inwardly at Physical Hours Cephalick Remedies almost of every kind. Within a Months space seeming to recover, he began to walk abroad and to take care of his domestick Affairs and other Concerns. But at the beginning of the Winter, upon taking cold, as he went daily abroad, he fell into a small Feaver with a great Perturbation of the Spirits within the Brain: for every day towards the Evening being light-headed, he scarce knew what he did, or said, nevertheless within seven or eight dayes, the Feaver vanishing after blooding and a thin dyet, the affect of the Brain was changed from its former state. For the Vertigo wholly ceasing he became very forgetful, and withall Paralytical in the whole right side. Being often askt concerning his Head, whether it was clear, and free from a Scotomia and confused Phantasms, he answered, that as to those things it was never better: for he understood well his Infirmi∣ty, knew his Friends, Relations, and others that came to visit him, but could scarce call to mind any of their Names: and when he went about to discourse of any thing, he wanted words to express the Sense of his Mind: Moreover as to the side affected, in the right Arm and Thigh, there was not only a total Resolution and Immobility, but likewise in both a very great aedematous Tumour grew, insomuch that not only almost all hope of cure was laid a side, but even of keeping him long alive; nay, others were already solliciting for the State Offices and Em∣ploys he enjoyed.

However, I desisted not from proceeding with a Method of cure, and prescribed him loosning Pills to be taken by intervals: and on other dayes, at physical Hours, Cephalick, Antiscorbutick, and Antiparalytick Remedies: I ordered a Plaister of Gums and Balsoms to be applyed to his Head shaved, the parts resolved to be anointed and strongly

chafed with Oyles and Balsoms: whilst these things were done with some kind of success, as to the greater clearing of his Understanding; I know not through what cause, in the midst of Winter he fell into a Feaver, so that he was greatly troubled every Night with a heat, and mighty drought, and an interrupted Sleep, his Tongue was parch'd and rough, his Pulse high, his Urine ruddy, and full of contents; we abstained from blooding by reason of his old Age, and Palsie, and chiefly by reason of a Dropsie began in the side affected: nevertheless a thin dyet and Barly and Oat Broths being commanded, we gave him day after day Juleps, Apozemes, and other Remedies moving Sweat and Ʋrine: and as at this time the Issues made by his shoulder Blades ran plentifully, the diseased began to be better as to his Memory and Palsie, and thence∣forward recovering by degrees from both these affects, and withall from his Feaver, and daily growing better; within six Months he was re∣stored to his perfect health, and at this time is very well.

Being tired of late with the almost daily complaints of a certain im∣portunate Person, troubled with the Vertigo, after a great many Reme∣dies us'd to no purpose, I prescribed at length that for a Months space he should take every day twice about a spoonful of the following Pow∣der, drinking after it a draught of a Decoction of Sage or Rosemary, im∣pregnated with the Tincture of Coffee.

Take powder of the roots of male Peony two ounces, flowers of the same bruised and dried in the Sun, one ounce; the white dung of a Peacock half a pound, double refin'd Sugar, two ounces, make a powder.

It is scarce credible how great a Relief he found by this Remedy. Coming to see me again a Month afterwards, he seem'd to be a new, and another man; being freed from his Vertigo, he did not only walk about with confidence, but was able to take care of his Houshold af∣fairs, and to manage other difficult Concerns, of which before he was wholly incapable.