Enchiridion medicum: containing the causes, signs, and cures of all those diseases, that do chiefly affect the body of man: divided into three books. With alphabetical tables of such matters as are therein contained. Whereunto is added a treatise, De facultatibus medicamentorum compositorum, & dosibus. / By Robert Bayfield.

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Title
Enchiridion medicum: containing the causes, signs, and cures of all those diseases, that do chiefly affect the body of man: divided into three books. With alphabetical tables of such matters as are therein contained. Whereunto is added a treatise, De facultatibus medicamentorum compositorum, & dosibus. / By Robert Bayfield.
Author
Bayfield, Robert, b. 1629.
Publication
London, :: Printed by E. Tyler for Joseph Cranford, and are to be sold at his shop at the sign of the Phenix in S. Pauls Church-yard,
1655.
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Subject terms
Medicine -- Early works to 1800.
Link to this Item
http://name.umdl.umich.edu/A76231.0001.001
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"Enchiridion medicum: containing the causes, signs, and cures of all those diseases, that do chiefly affect the body of man: divided into three books. With alphabetical tables of such matters as are therein contained. Whereunto is added a treatise, De facultatibus medicamentorum compositorum, & dosibus. / By Robert Bayfield." In the digital collection Early English Books Online 2. https://name.umdl.umich.edu/A76231.0001.001. University of Michigan Library Digital Collections. Accessed June 16, 2024.

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Page 138

CHAP. I. LIB. II.

EPHEMERA in Greek, * 1.1 Di∣aria febris in Latin, in English one day fever; The Patient having but one fit, and so for the most part finished in one day of his own nature: It is the spirit or breath that is inflamed. * 1.2 Galen cal∣leth it, A simple fever.

A fever properly is an unnaturall heat, * 1.3 which taking his beginning at the heart, is spread by the arteries and veines into the whole body, and doth let and hurt the operation of it.

Now of simple fevers some reckon three kinds; an unnatural heat ingendred in the spi∣rits of breath causeth Ephemera, or Diaria (as aforesaid) whereof be two kinds, that is, Ephe∣mera, Simpliciter or Diaria: Secondly, Diaria plu∣rium dierum, otherwise called Synochus non pu∣trida, enduring three or four dayes: unnatural heat ingendred in the humours, causeth Putri∣da febris, a rotten fever; they do not in two pla∣ces, within the vessels, and that two wayes; for either all the humours do putrifie and rot equally, and cause a fever called Synochus putri∣da: or one only humour putrifieth, and so cau∣seth a continual fever.

If there be putrifaction of choller, it causeth a

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continual Tertian, or a burning fever: If of flegme, it causeth a continual Quotidian. If of melancholy, it causeth a continual Quartan.

If they rot without the vessels, then they cause an intermitting fever: for if there be putre∣faction of choller, it causeth an intermitting Tertian; If of flegme that is sweet, an intermit∣ting quotidian, exquisite and pure. If of flegm that is glasen, it causeth Epialos: * 1.4 If of melan∣choly, an intermitting fever Quartan.

The cause of Ephemera is, * 1.5 when as the breath is inflamed, and heat above nature without any putrefaction or rottennesse: also through watchings, crudities, lack of digestion, sad∣nesse, fear, vehement care of mind, kernels in the throat, and such like; which heat and in∣flame the spirits, and the whole body.

1. The signes are six: first, * 1.6 the pulse are greater, swifter, and oftner.

2. Secondly, their urine is like a haile bo∣dies urine.

3. Thirdly, their heat is gentle and easie.

4. Fourthly, the fever endeth on a sudden.

5. Fifthly, there wants evill symptomes, as pain of the head, stomach, &c.

6. Sixthly, they are alwayes ingendred of an outward cause.

1. If watching be the cause, there is heavi∣ness of the eyes, swartness of the face.

2. If of anger, there is rednesse of the face and eyes, with a swift pulse.

3. If care and sorrow be the cause, there is a noughty colour, heaviness of the body, hol∣lowness of the eyes, swartness of the face.

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4. If of Sun-burning, the head is hot, and their veines sometimes puffed up.

5. If through cold, there followes distilla∣tions and Rhumes.

6. If of wearinesse, the skin is dryer.

7. If through drunkennesse and hunger, it is known by the telling of the sick.

8. If through swelling about the throat, their pulse is great, swift, and often with a red and swelled face.

If there be inflammation, * 1.7 and want of rest, let his diet be cold and moyst: white-wine that is thin is much commended in all diary fevers, except there be headache: * 1.8 It helps digestion, provokes urine, and procureth sweat; Galen commendeth baths and gentle sweatings: oyles of Ireos, * 1.9 and Nardinum to anoynt outwardly is good: juyce of ptisan and lettice in broath: If there be crudity in the stomach, wash the belly with clysters, bathing it with oyle of wormwood, * 1.10 and procure rest, which digest∣eth crudity marvellously. And if nothing for∣bid, administer this clyster.

℞. * 1.11 Decoctirutae, sem. lini, radicum althaeae, fl. Chamo. lb. ij. ss. olei rutacei ℥.ij. olei viol. ℥.j. Agarici ʒ.ij. misce pro enemate.
This is good for a strong body, and one that abounds with flegm and wind; If the inflammation be great, make your clyster of a more cooling quality, with Ol. Violar.

Page 141

CHAP. II.

DIARIA PLƲRIƲM dierum (called Syno∣chus non putrida) because it continueth un∣till the third day.

It is caused of thicking of the pores of the skin through cold or restrictive medicines, &c. * 1.12

The skin is harder. * 1.13 The longer you touch them, the hotter they are, or seem: their body falls not. The pulse is equall, great, swift, fre∣quent, and vehement.

Phlebotomy is much commended, * 1.14 ptisan is good, but especially oximel; also pure mulsa scoureth much, which is when a little water is mixed with honey: this clyster following is good.

℞. Malvae, violarum, ana M.j.fol. lactucae M. * 1.15 ss. pruna numero 10. coquantur in. s.q. aquae ad tertias cujus colaturae accipiatur lib. 1. in qua dissolve cassiae re extractae, sacchar. rub. ana ℥.j. olei viol. ʒ.iij. salis. ʒ.j. omnibus com∣mistis fiat enema.
Also bathing is good: * 1.16 and an Apozeme made with the cooling decoction and syrrup of Ro∣ses. Lastly, this julep following is to be given him to cool, quench, and comfort; three or four spoonfulls at a time often.
℞. Aqua cichorii; flor. sambuci, * 1.17 fumariae ana ℥.ij. syrrup. acetos. citri unc. ij.ss. misce.
Or if you please you may put in three ounces of the syrrup,

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Vel

℞. Conservae rosar, acetosae, violarum ana unc. j. lactucae Ital. * 1.18 condit. unc. ss. spec. diamarg. frig. drach. ss. cum syr. acetosit. cit. Fiat Ele∣ctuarium. * 1.19
Vel
℞. 4. Sem. frigid. majorum recent. & mundat. ana ʒ.ij. * 1.20 seminis lactucae & papaveris albi an. ʒ.j. amygd. dulc. expurgatorum, & macerat. in aq. ros. ℥.ij. tunduntur omnia pastillo lig∣neo in mortario marmoreo, affusas sensim lb.j. aquae decocti hordei fiat emulsio, quae dulco∣rabitur syr. violati ℥. 4. Chalmet. de feb. cu∣rand. p. 399.

CHAP. III.

SYNOCHƲS PƲTRIDA, * 1.21 aut continens fe∣bris, a constant fever: It proceedeth chief∣ly from blood; yet all the humours do putrefie and rot equally together within all the vessels, by reason of a feverons heat kept within the body.

The signes are an unseparable redness in the face: * 1.22 an inflation of the veines, arteries, and temples: with lassitude and wearisomeness of the body with a sleepy disposition: The urine is red and gross; difficulty of breathing: a full, high, and swift pulse.

First administer a cooling clyster. * 1.23 Secondly, draw blood out of the Basilica, Galen counselleth even to the fainting of the patient: * 1.24 If it cannot be done, apply Sanguisugae, to the thighes, legges,

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and shoulders: or provoke the Hemorrhoyds, Menstruis, or bleeding at the nose: sometimes purge the body with strong Apozems, * 1.25 of the infusion of Rhubarb, with the syrrups of fumi∣tory, and cichory: To resist putrefaction, give Syrrupus de limonibus; Aqua graminis ℥.iv. * 1.26 of the syrrup two ounces make a julip. Also the syr∣rups of Bugloss, fumitory, and cichory, given in the waters of Roses, and sorrel, with a few drops of oyle of vitriol do well: * 1.27 let clysters be often repeated, made with lettice, endive, pur∣slaine, in the streining put Diapru. sol. and oyle of violets: Also let him drink Aqua hordei; * 1.28 If there be Asthma put in liqueris, he must abstain from hot things, flesh, or anything that nourish eth: If you would comfort the heart, [ 1] use Bugloss and Borrage.

If you would coole the liver, [ 2] use cichory and lettice.

[ 3] If you would cool the reins, use the cold seeds.

[ 4] For constivenesse, use violets, roses, pruines, Mallowes, Tamarinds, &c. Lastly, to give him of Aqua spermat. ranarum, * 1.29 a spoonfull or two at a time is most excellent. Yet this Apozem fol∣lowing is very good to cool and open.

℞. Cichorei cum rad. acetosae, endiviae ana M.j. * 1.30 sem. 4. frig. ma j. ℥. ss. rad. graminis, aspara∣gi, maceratarum in aceto an. ʒ.iij. fi. decoctio ex aquâ ad lib. 1. Colaturae clarae adde saccha∣ri albi, succi aurauciorum, vel granatorum, aut syrrupi acredine citreorum ana ℥. iij. vel in fine decoctionis, adde aceti acerrimi, & mellis optimè despumat. ana ℥.iij. fi. Apoze∣ma clarum, Heurnius, lib. 1. pag. 28.

Page 144

CHAP. IV.

FEBRIS CONTINƲA, * 1.31 a continual fever: It is caused when one only humour doth rot within the vessels: There is not a more certain sign of a continual fever (either Tertian, Quo∣tidian, or Quartan) than that none of them do come to intermission, or slaking altogether be∣tween the fits, until the fever be quite quenched: Also it begins not with vehement cold, & stiffe∣nesse: nor ends in quiet and rest, as an exquisite intermitting Tertian doth: likewise a conti∣nual Quotidian hath not any absolute inter∣mission; an exquisite Quotidian hath: In like manner a continual Quartan cometh not to quiet and rest between fits: the exquisite quar∣tan doth: and this is all that puts a difference in the signes between them: * 1.32 Observe this com∣pendium in curing rotten fevers, First quench; Secondly, let, or stop the portion of the fever (which is not yet kindled) from being infla∣med: Thirdly, heal the rottenness, and let, and stop that which is already to ingender putrifa∣ction: * 1.33 But first open a vein, secondly open ob∣structions by the wombe, or guts; by the urine, and by sweats, as you shall see cause: and Lastly,

℞. Cons. flor. cichor. & rad. buglossi an. ℥.ss. pulv. * 1.34 elect. triasand. ʒ.ij. dramarg. frig. ʒ.ss. fol. auri minutim concisa n. 2. cum syr. de end. fiat opiata. Varandaeus.

Page 145

CHAP. V.

CAƲSOS: Ardens febris: continua Tertiana, * 1.35 a continual Tertian or burning fever.

It is caused when choller rotteth and putrifi∣eth within the veines; * 1.36 it agreeth with an exqui∣site intermitting Tertian, because it is ingendred of the same humour that the other is: But yet differs, in that in an intermitting Tertian the choller is carried all over the body (but in this causos, it is contained in the vessels with the blood) so that when the choller is stirred vehe∣mently, and driven about by nature, there is wont to follow vehement cold, and rigour: * 1.37 Hippocrates saith 4. Aphoris. 58. That if it hap∣peneth in a burning fever, the Patient is delive∣red from the disease.

It is known by these signes: * 1.38 their tongue is drie, grosse, rough, and black: also gnawing of the stomach, thirst, watchings, and many times ravings: their egestions of the wombe be liquid, and pale.

For his cure, use lettice, and sorrel, * 1.39 in his broath; strew his room with the leaves of the vine, flowers of roses, violets, and water-lillies: also sprinkle cold water in the roome.

But the first intention is to open a vein, * 1.40 from whence a large quantity of blood must be drawn. This Epithema is good.

℞. Aqua rosarum rub. lactucae, ana ℥.iij.ss. * 1.41 aqua endiviae, cichorii, an. ℥.i.ss. aceti ℥.j. triasan∣tali, ana ℥.ss. Sem. portulacae gr. iv. fiat Epith.

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moysten rotten wool in it, and apply it to the liver: If you will make one for the heart, take the waters of Bugloss, Burrage, Pul. elect. dia∣marg. frigid. corall, saffron, &c. Lastly, cause the chollerick humour to be voyded, either by sweats, vomits, or egestions downwards; and labour to quench the heat with Aq. sperm. ranarum, or the like; or if you please, you may make a julep of barley water, * 1.42 wherein is boyled the strings of the vine a handful bruised; with a few pruines; to the streining adde sugar, syrrup of violets, poppies, or any other syrrup that is of a cooling quality. The manner of preparing barley water, * 1.43 according to Guibertus is thus. Accipe hordei communis manipulum unum. Bulliat in libris duabus aquae ad quadrantis consumptio∣nem. Extracta ab igne, refrigerata, coletur per lin∣teum mundum ad usum.

CHAP. VI.

EXQƲISITA TERTIANA: * 1.44 febris intermit∣tens: It is caused of choller, carried by the sencible parts of the body, yet it remaineth pure, sincere, and unmixed: and therefore it is called exquisite.

In every fit they feel a vehement cold, * 1.45 ri∣gour, and stiffenesse, and as it were pricked: In the increasing of the fits, the pulse are vehe∣ment, great, and frequent, with thirst; he breathes out as it were a flame of fire, coveting cold water: sometimes they vomit choller, the belly being loose: Their urine is chollerick, the

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fit lasts commonly 12. houres, sometimes lesse, according to the quantity of choller, or the qua∣lity of it: or the strength of the patient. * 1.46 If it in∣vade the Patient daily with the signes aforesaid, it is called Duplex tertiana, a double tertian.

Galen in the most hottest fevers giveth coun∣sell to draw blood, even ad lypothimiam: * 1.47 after the third fit it is most proper to be done. At the first opening of the vein, we may draw blood more in quantity then at the second; because the first is for evacuation; the second but for re∣frigeration: let this be done the day before the fit. The next day at the houre of the coming of the fit, give a vomit of the infusion of Stibium, * 1.48 8, 9, 10, 11, 12, 13, 14, or 15. drams, according to the strength of the Patient. The next fit pro∣cure a sweat with Diascordium mithridate, * 1.49 gun∣powder, or the like. Let him use that which cools and moystens, as the flowers of violets, bur∣rage, roses, water-lillies, endive, succory, let∣tice, damascene pruins, purslaine, sorrel, roots of grasse, of these may be made decoctions.

Amongst compounds, there is Elect de prunis damascenis, without diagridium: Diarrhodon Ab∣batis, Diatria santalon in powder, * 1.50 and the con∣serves of the former simples: Also tosted bread infused in rose-vinegar, beaten in a morter, and adding coral ʒ.i. red roses, and cinnamon, of either half a dram, and applied like a plaister is good: also Ceratum santalinum, * 1.51 and clysters doe well: and if the Patient be not able to take a vomit, give him strong Apozems.

For the extremity of heat, * 1.52 remember Aqua sperm, ranarum. If rest be wanting,

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℞. * 1.53 Syrrupi papaveris, et nenufaris, ana ℥.j. aq. lactucae ℥.ij. misce & bibat.
Or if you please, * 1.54 you may use unguentum popule∣um mixed with a little opium, and then to drop in 3 or 4 drops of oyle of nutmegs, and bathe the temples of their head with it, is good; the manner of making, with the quantities, are set down in the Chapter of Melancholia, * 1.55 towards the latter end: Also take briony root, slice it: the inward bark of Helder, rew, fether-few, wal∣nut-tree bark, or leaves, and cellindine, of ether a like quantity, stamp them with a little salt, spread them on a cloath, grate a little nutmeg on it; and apply it to the wrists: If you want more, look back into the Chapter of Causos. If you think good, you may minister this potion.
℞. * 1.56 Elect. de succo ros. & diaprun. sol. ana ʒ. v. syr. ros. alex. ex 9. infus. ℥. ij. decocti com∣munis q.s. misce & fiaetpotio. Carolus Amatus.
This is for a strong body. But for a weak body, this that followeth may serve.
℞. * 1.57 Syrrup. de cichor. compos. cum rhab. ℥.i.ss. Elect. de succo ros. ʒ.iij. decocti gram. acetos. & end. q.s.fiat potio. Varandaeus pag. 7.
Vel
℞. Massae pilul. aggr. & de Rhab. an. ℈.ij. diagr. gr.iv. cum aqua foeniculi, fiant pilulae nume∣ro xi, & deaurentur. Carolus Amatus.

Page 149

CHAP. VII.

TERTIANA NOTHA, * 1.58 or bastardly Ter∣tian: it is caused when choller is mixed for the most part with flegme.

In this fever, * 1.59 the time of the fits exceed twelve hours; and there is not such great heat in the state and rigour of this fever, as in the exquisite Tertian; besides, it doth not end in abundance of sweat, as the exquisite Tertian doth.

Give them ptisan, and mulsa, * 1.60 wherein hath been sodden Hyssop, and Origan, fasting: If the Patient be strong, bleeding helpeth much: then take this clyster following.

℞. Malvae, mercurialis, violarum, origani, * 1.61 Hys∣sopi, ana M.j.sem. nasturtii ʒ.iij. coquantur in.s.q. aquae, usque ad consumptionem medieta∣tis; cujus colaturae, accipiatur lib. 1. adde Be∣nedict. laxat. Hierapicra ana ʒ.iij. mel. rosa∣rum ʒ.iv. oleum violarum, cammomeli, ana ℥.i.ss. Salis communis ʒ.ij. fiat enema.
Boyle parslay, fennel, origan, hyssope. and let∣tice in his broath: Also Oximel simplex, and scil∣liticum is good: * 1.62 And I am perswaded that to give a vomit, made with Asaron, and the infu∣sion of stibium mixed together, would prove a sure help; if strength permits it to be admini∣stred: Lastly, this purge following is good for a strong body.
℞. Diaphaenicon. ʒ.ij. elect. è succo rosar. ʒ.ij. * 1.63 benedict. lax. ʒ. ss. Syr. rosarum de rhabar∣bare, ana ℥.ss. Decoct. q.s. fiat potio.

If he cannot sit up, make an Apoz. * 1.64 of the infu∣sion

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of Rhubarb, and Agarick, adding there∣to the aforesaid syrrups, of each half an ounce. Ronde letius hanc ptisanam commendat. * 1.65

℞. Hordei mundati quar. 1. jujub. passular. mun∣dat. cicerum rub. ana ℥.j. glycyrrhizae mund. ℥.ss. fiat decoctio in aqua ad lib. 2. Colatura transfundatur per manicam Hippoc. cum ℥.iv. sacchari, & ʒ.ij. Cinamomi. Chalmet. Enchirid. pag. 357.
Lastly,
℞. * 1.66 Hydromelitis ℥.ij. decocti hyssopi ℥.ij. ss. de∣tur tepidum à coena. Hollerius. lib. 2. fol. 8.

CHAP. VIII.

QƲARTANA FEBRIS, * 1.67 intermittens: It is a fever proceeding from melancholy, pu∣trifying and rotting without the vessels; and moveth every fourth day, as choller in a tertian every third, and flegme in a quotidian daily: Valescus reporteth, * 1.68 that he saw a man that had a fever every thirtieth day, for the space of thirty years: that quartan is safest which pro∣ceedeth not from other diseases, for there be some fevers that degenerate into a quartan.

The signe is knowne by things antecedent, * 1.69 as if the sick were melancholy, &c. It beginnes with trembling and shaking, but not vehement at first; but afterward with rigour, and extreme cold: His bones seem to be bruised, and feeleth pain in his lower parts, because the humour is cold, drie, and grosse. A small and low pulse, little hear, except there be burnt choller: they

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have little sweat, the urinc thin, and waterish, and the stooles drie.

If blood seem to abound, * 1.70 open the vena lic∣naris, or spleen vein, being the innermost of the left arm; with this caution; that if the blood be black, gross, and corrupted, draw boldly; if thin, yellow, or the like, close up the vein: In wo∣men move the Menstruis, in men the Hemor∣rhoyds; * 1.71 also it is not amisse to open the Salva∣tella: his diet must be easie of digestion: wine is good that is thin and pure: also exercises mo∣derate do well; keep accustomed evacuations with this clyster.

℞. Fol. malvae M.j. polypod.quer. ℥.i.ss. epith. * 1.72 ℥. ss. cammomeli, mercurialis ana M.j. sco∣lopendr. M.ss. sen. alex. ℥.j. sem.anisi, feni∣culi ana p.ss. Bulliant in s.q. aquae, cujus colaturae accipiatur lib. 1. adde cassiae re. ex∣tractae ℥.j. Diasena laxativa ℥. ss. mel. ro∣sarum ℥.j. olei violarum ℥.ij. sagem. ʒ.j. fiat enema.
Also pul. sanctus is a good purger of melancho∣ly: * 1.73 A plaister of mellilot for the spleen would do well, and oyle of rew and capers to bathe the bowels and sides, is commended: Also to provoke urine, and open obstructions, search the diseases of the spseen. If it be possible, * 1.74 procure vomiting with Hellebor; or take the juyce of Radich ℥.iij. mixed with two oun∣ces of oximel: If he be a weak body, then give him this Apozem following.
℞. Radic. capparis, Tamaricis, ana ʒ.iij. * 1.75 po∣lypodii, melissae, Buglossae, borraginis, scolo∣pend. an. M.j. sem. anisi, foeniculi ana ʒ.ii.

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flor. genist. p. 1. Epith. ℥.j. Sennae ℥.ss. fiat decoct.
Put not in the epithimum, and Sene, untill the latter end of the boyling: then adde to the straining, syrrup of fumitory, and epithimum, as much as sufficeth to make an Apozem: for poor and strong bodies may be given confectio Hamech in some decoction. * 1.76

Be sure you look to the spleen, for it will grow hard, and the Hypocondre on the right side will be stretched out.

Some highly commend oyle of juniper, and castorum to anoynt the spine of the back a little before the fit: * 1.77 because from thence beginneth this fit: * 1.78 Rondeletius commends sage-wine: Tral∣lianus affirmes, that a live Bittle hung about the neck, tincted with saffron, to be a sure help: Valesc. commendeth the heart of a Hare prepared, as the lungs of a Fox, & given in wine 4, or 5, times.

Of a simple Quartan may soon be made a dou∣ble, or triple one; if hot things be given before it cometh to its state: Lastly, this infusion follow∣ing is excellent for most diseases of the spleene: and once I gave of it to one that had a Quartan a year together, * 1.79 and God cured him.

℞. * 1.80 Chalybs praep. ℥.j. vinum album p. 1.
Put them into a glasse, and shugge them up to∣gether, Then let it be stopt with a cork, and bladder; let it stand in a kettle of water (up to the neck) scalding hot, but not boyle, for 48 or 80 houres, untill the steel be dissolved, and the wine look as black as ink; give the Pa∣tient a spoonful, or 2, or 3, at a time, evening and morning, untill he be recovered; For his sawce, let him use olives, and capers, for they be

Page 153

very good. For strong bodies, some commend Pilulae de elaterio, which according to Nicolaus Myrepsus, are thus made.

℞. Aloes ℥. ij. masticis ℥. j. elaterii ℥. iij. * 1.81 cum succo cucumeris asinini conficitur. Da iij. vel v. Nicolaus Myrepsus. Dispensat.

CHAP. IX.

QƲOTIDIANA FEBRIS, intermittens: * 1.82 It is ingendred of putrified and rottenflegm, it is called of the Greeks Amphimerina; because it causeth a fit every day: yet the learned may be (sometimes) deceived; for Duplex tertiana, * 1.83 and Triplex quartana, doth return daily: [ 1] But the Tertian with rigour and exceeding cold.

[ 2] The Quartan with shaking and shivering.

The Quotidian with cold of the extream parts: [ 3] more properly an exteam chilling: The two lat∣ter doe not end in sweat as the Tertian doth.

It is known by the slownesse of the pulse, * 1.84 be∣ing little and weak, they feel no thirst, the urine is white and thin; or thick and troubled; no sweat in the first dayes: They oftentimes vo∣mit flegme: flegmatick persons are alwayes vexed with it, but never cholerick: [ 1] If the flegm be sharp, it causeth hunger.

If salt, thirst.

[ 2] If it be sweet, then it causeth drowsinesse.

[ 3] But if some flegme that is glasen (which is the coldest) do putrifie by it selfe, * 1.85 then it ingen∣dreth a fever called Epialos febris, in which the Patient is feaverous, and vehemently cold both together: feeling both immoderate heat and

Page 154

cold in all the parts of his body at the same time: Forpart of the humour which is not as yet pu∣trefied, [ 1] being spread by the veines, engendreth the rigour or cold.

But the other rotten part of the humour en∣gendreth the fever: [ 2] so that they are hot out∣ward, and cold inward.

Lipyria is a fever much like Epialos, * 1.86 you may have both their cures (out of the Chapter of Quo∣tidiana febris) which is as followeth.

First administer this clyster. * 1.87

℞. Parietariae, mercurialis, cammomeli, meli∣loti, Rad. enulae campanae, Peoniae, Gentia∣nae, Chamaedrios, Chamaepitios, flor. anthos, Staecados, ana. M.ss. Absynthii, Hyssopi, Thymi, origani, sem. anisi, faeniculi, calamen∣thae ana ʒ.ij. fiat decoctio: in colaturae li∣brae una dissolve sacchari rubri ℥. j. Diaphae∣nici, aut Hierae, aut benedictae laxativae ʒ. vj. olei cammomeli, & anethini, ana ℥.i.ss. fiat enema.

Secondly, * 1.88 a vomit made with the juyce of Asaon, and oximel, and given before the fit, is a sure help. To drink oximel simplex with oxi∣mel scilliticum, or if rest be wanting, with syrrup of poppies, * 1.89 is good: If you see cause, procure a sweat, with possetale, wherein is boyled Car∣duus benedict, centory, and liqueris: when the hu∣mours are extenuated, provoke urine with broath, wherein is boyled smalledge, parsley, and fennel roots: The juyce of Horse-radich in whey is excellent for the same purpose: sto∣mach pills are good: also anoynt his back with oyle of flower-delice or dill: * 1.90 and use ceratum

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stomachale, with oyle of nutmegs: and give him syrrup of wormwood sometimes: And it is held for certain, that a dragme of old Treakle, * 1.91 or mithridate, (the body being purged) given in pure white-wine, before the fit, doth cure the same: Lastly, if you see cause, give him this potion.

℞. Diaphaenicon ʒ. ij. jalap. benedict. lax. * 1.92 ana ʒ.ss. Syrrup. de rhab. ℥.ss. decoctio. q.s.f. potio.

CHAP. X.

HECTICA FEBRIS: * 1.93 is anunnatural heat kindled, not onely in the spirits and hu∣mours, but also in the sound and fleshly parts: The Patient is not sensible of the fever, nor of any pain.

It is caused for the most part of burning fe∣vers continuing long: * 1.94 also great evacuations may be the cause: A feverous heat invades the dewy or alimentary humour, called Cambium; and at length consumes the humidity that is contained in the body of the heart: melting fevers the Greeks call Marasmos.

There may be felt heat if you lay your hand on them: Their urine is thin, cruide, white, * 1.95 and pale, at last oylie: a drie cough, a slack and hard pulse: It is called Hectick by reason of the drie Artery, their hands and feet are hotter af∣ter meales then before; their stomach sticketh almost to the ribs: the face is leady: at last he is like a ghost: his eyes hollow, his nose sharp, his haires fall, his legges swell; and lastly, a flux of the belly; then judge that death is nigh.

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It is called a fever Hectic, so long as natural humidity is reserved; when that is consumed, then is called Marasmos.

The whole cure consists in cooling and moystning: * 1.96 let him eat ptisan, also flesh of kids, feasants, birds of mountains, cocks stones, ca∣pons flesh, reer-egges, lettice, endive, cichory, gourds, spinach, mallowes, cherries, strawber∣ries, pruines, pomegranets, melons; milk is ex∣treamely commended, if it be not compounded with another fever; Aq. sperm. ranar. is excel∣lent: * 1.97 beware of purging: if need be, give cool∣ing and moystning clysters, adding the mar∣row of cassia fistula. The syrrups of violets, pur∣slain, water-lillies, and poppies, are good: so are gellies; also lambs heads, and calves feet boyled in the decoction for clysters.

Let four young men take a sheet and dip it in cold water (in aqua sperm. ranarum, so I con∣ceive to be farre better) and lay the Patient in it, and immediately tumble him into another; into a third; and so into a fourth: also to dippe or plunge him into cold water is commended; and then to wipe him softly, with soft linnen cloathes: and to anoynt his body with oyle of roses, Galen much extolleth it.

℞. * 1.98 Aqua violarum nenupharis, lactucae, ana ℥ iij. aceti ℥. ss. rosar. rub. triasant. ana ʒ.j. pul. di∣amargaris, ʒ. ss. sem. portulacae gr. iij. croci ℈.ss. fiat epithema pro corde.
Apply it to the Region of the heart.
℞. * 1.99 Aqua lactucae ℥.ij. aceti ℥.j. Diarrhodon Ab∣batis ʒ.i.ss. eboris ℥.ss. portulacae ℈. ss. fiat Epithema.

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Apply it to the liver. * 1.100 Pollio Romulus being above a hundred yeares old, Divus Augustus asked him, by what means he kept his strength of body and mind, he answered, Intus mulso, foris oleo, that is, I keep me moyst with mulso with∣in, and oyle I anoynt upon my skin: Asses milk is good: some commend bleeding, but not above two or three ounces at a time.

Lastly, Marasmos is not to be cured: * 1.101 for even as to poure oyle into a lamp where is no week nor match, is nothing else but oleum & operam perdere; so in vain we strive to restore to nature that solid substance, being by heat consumed and taken away. If you want more, look into the Chapter of Ptisis. Lastly,

℞. Cons. ros. antiquae ℥.j. trochisc. de carabe, * 1.102 de terra sigil. ana ʒ. i. ss. cum syr de portulaca q.s. fiat mixtura. Forrestus. lib. 4. Tom. 1. observa, 9.

CHAP. XI.

SEMITERTIANA Febris, * 1.103 Haemitritaeon in Greek, in English Half a tertian: Its framed of a continual quotidian; and of an intermit∣ting tertian: * 1.104 It is caused through putrified flegme, that is mixed with rotten choller.

They altogether tremble, and shake daily; * 1.105 being often troubled with unquietnesse, bitter∣nes, (watchings, thirst,) of the mouth; with lassi∣tude. From flegm proceeds the cold, from chol∣ler, a light succession; But from both, trembling:

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He is farre more grievous than a terrian; * 1.106 Hippo∣crates saith, its deadly, because it leaveth no time to nature to nourish the body, concoct hurtful humours, and repaire strength: so that they have often syncops: when the tertian ex∣ceeds the quotidian, there is vehement cold in the augmenting of the fit; Also more burn∣ing: yellow choller is sent forth by vomit, or stoole: If the quotidian exceeds the tertian, there is cold in the extreame parts: but little shaking; and lesse heat: If of like force, it comes with horror and shaking, then it is an exquisite Hemitrice fever.

The remedies must be mixed against chol∣ler, * 1.107 and flegme: The stomach strengthened, and the liver cooled: search the Chapters of Tertiana, Quotid. and Tertiana notha febris.

CHAP. XII.

FEBRIS PESTILENTIA; * 1.108 is a disease which hapneth unto many: Having his beginning from an un-usuall putrefaction; also having its beginning likewise sometimes in our selves; the humours do degenerate so much from their na∣tural temperament, that they take unto them∣selves a pernicious and venemous quality: some∣times it is caused by outward means, as putre∣fied exhalations communicated to the ayr from dead carcases not buried: Fennes, Pools, stand∣ing waters, stinking channels, venemous dens, and mettalin spirits arising out of the earth: Al∣so from the variable commistion of the pla∣nets:

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and then it is the scourge of the most high God for our sinnes: Also a corrupt ayre may be the cause: I mean diet: It rageth com∣monly at the latter end of Summer, and the beginning of Harvest or Autumne.

The outward members are cold, * 1.109 the inward hot: There is heavinesse, wearisomenesse, sloth, difficulty of breathing, pain in the head, careful∣nesse of minde, sadnesse, marvellous sleepy, and sometimes raging vexeth him; with losse of appetite, thirst, often vomiting, bitternesse, and drynesse of the mouth: a frequent, small, and deep pulse: the urine thick and stinking: yet sometimes it is like a hail bodies urine. Last∣ly, the sure token is botches behind the eares, or under the arme-holes, or about the share: also small spots all over the body, with great faintnesse.

First, burn juniper, oken wood, laurel, * 1.110 or Ta∣mariscus in the house: or strew juniper berries, mirrhe, frankincense, rew, Angelica (in pow∣der) upon coales: Also sprinkle vinegar upon the pavement.

Secondly, If a plethorick body, open a vein, * 1.111 on that side the botch is on: and on that vein that comes from thence: some commend a sti∣bium vomit, especially if choller abound: also Electuarium de ovo, * 1.112 which maximilianus the Emperour once used with marvellous successe, ʒ. j. at a time in scabious water: Also

℞. Theriaca Andromachi ℈. ij. * 1.113 Mithridatum ℈.j. Bolus arm. prae. ℈.ss. Aqua rosarum, Buglossae ana ℥.j. misce, fiat potio:
Let him sweat upon it: Diascordium, treakle, or

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mithridate (applied in the forme of a linament upon the region of the heart, * 1.114 mixed with the juyce of lymonds) is good: make him broath, in which boyle Buglosse, Borrage, Marygolds, and Harts-horn; Also

℞. * 1.115 Diascordii ʒ. j. Syrrupus lymonibus ℥. ss. Aquae cardui benedict. ℥. ij. Spirit. vitriol, Gut. 4. misce & fiat Haustus.
Let him take 2, or 3, of the same draughts: mi∣thridate drawes poyson to it; * 1.116 though Gentilis, and Valescus affirme, that it drives it from it: If there be a botch; * 1.117 rot it with a poultis made of fenegreek, linseed, roots of Althaea, white lillies, and figs; or goose-dung dissolved in oyle of Cammomel: for his sawce vinegar is good, and lymonds: he may drink wine that is thin and watery: And let him often smell on Rew: He must eschew Venus that fears this fever; and bleed after the body be well purged, * 1.118 with pil. pestilentialis: and remove into a clear ayre.

In this fever, * 1.119 a clyster is to be administred, if the body be much costive: also make this electuary.

℞. * 1.120 Cons. rosarum rubr. Buglos. Borrag. an. ℥.ss. confect. caryophil. ℥. j. Theriaca Androm. ℥. ss. Diamargariti frigidi ʒ. ij. Syr. Luulae. q, s. fiat Elect. molle.
For dainty stomachs, you may leave out the treakle, and put in two drams of Aqua Mariae. * 1.121

Lastly, this julep following is most excellent.

℞. * 1.122 Aqua endiviae scabios, ana ℥. ij. aqua dracon. milis. ana ℥.iiij. aqua Theriacal. ℥.ij. Syr. ex infusione rosarum viridum ℥.ij. Syr. Luiulae, endiviae, an. ℥.j. aqua menthae cord. ℥.j. misce.

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Let him drink of it often, 3, or 4, spoonfuls at a time thus much shall suffice for this kind of evil; only this powder following is much cōmended.

℞. Radicis heptaphylli & pentaphylli an. ʒ.j. * 1.123 Ze∣doariae, dictamni cretensis, seminis mali me∣dici, & cornu cervi ustising. ℈.ij. Cyperi, bac∣carum juniperi cujuslibet ℈. j. Ossis de corde cervi ℈. ss. croci gr. iij. misceantur & fiat pulvis tenuissimus.
Vel,
℞. Theriacae ʒ.iv. terrae lemniae & santal. rub. * 1.124 an. ʒ.j. aquae rosaceae, & aceti parum, f. ad modum unguenti. Altomarus. de feb. pest. cap. 9. pag. 980.

CHAP. XIII.

LƲES VENEREA, is a contagious evill, gotten for the most part by the use of vene∣ry, and of unclean bodies: The part affected is the liver.

The cause is an impure touch in copulation, * 1.125 the man or woman having their privities troub∣led with virulent ulcers, or molested with a viru∣lent strangury; the contagion whereof is eom∣municated from one infected body to another.

The woman takes it by receiving the virulent seed of an unclean person; The signes thereof remaining in the wrinkles of the womb, may be drawn in by the pores of the open and stan∣ding yard, and so infect the man; whence suc∣ceed ulcers, and a virulent strangury in the pri∣vities of both persons.

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It may be taken by breathing onely, or by eating, drinking, and lying with the infected, or after them in their sheets: I read of a nurse that infected a Gentlewomans child, the childe, the mother, the mother, her husband, and the husband infected two of his other children.

There appear Bubos in the groine, * 1.126 pustuls in the yard, the urinary passages are ulcerated: The prepuce is sometimes so scorched with heat, that it will not slip over the Glans: the urine burnes with pain, and a virulent Gonor∣rhea: Sometimes red, sometimes yellow, and filthy spots like warts, are over the body, which in time prove ulcers and pustuls: There is pain of the nerves, shoulders, head, and neck: In many there is pustuls in the pallat of their mouth, jawes, nose, and tongue, which in time ulcerate: oftentimes the haire of the head, and Beard fall away: They cannot sleep, for they have exceeding pain in the night, more then in the day.

Because the venereous virulency lying asleep, is enraged by the warme bed: also the Patients thoughts are fixed upon the object of pain most in the night.

On their joynts and shin-bones, they have certain tophies and tumours very hard to be dissolved: and especially in their foreheads, and shoulders; * 1.127 The effects of Lu. ve. are sad. For some lose one, or both their eyes, or eye-lids; looking very gastly; some lose their hearing, and their noses do sometimes fall flat, with the losse of the bone called Ethmoides; so that they faulter and fumble in their speech: some have

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their yards cut off, by reason of a Gangreen, and women a great part of their privities are tainted with corruption: men sometimes have their urethra obstructed by budding caruncles, or inflamed pustules, and often stand at need of the Cathaetur: some their mouthes are drawne awry, others grow lame of armes, or legges: some are troubled with Asthma, others have the leprosie: some with Hectica febris, others their throats eaten with putrefied and cancrous ulcers: some are troubled with a filthy flux of blood, and the falling sicknesse.

Sometimes there followeth a disease called Plica: being most loathsome, and horrible: * 1.128 and bred by modern luxury and excesse, sei∣zing specially on women.

It is a viscous venemous humour, that glues together (as it were) the haire of the head, with a prodigious entanglement: sometimes taking the form of a great snake, or else of little ser∣pents, full of nastinesse, vermine, and noysome smell: so that being pricked with a needle, they yeeld bloody drops. It began in Germany, I mean, at the first, in Poland: Those that cut off their hair, either lost their eyes, or the humour falling down, tortured them very much in their lower parts: The cure of this most grievous disease, you may pick out of this Chapter; yet if you would see farther concerning it, * 1.129 look in∣to Hercul. Saxonia his tenth book De Plica: and in it you shall find 67 Chapters of this disease; which with the rest aforementioned, are often∣times the offspring of the Lues venerea: whose proper Antidote is Argentum vivum. Also

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many become impotent to Venery: venereous ulcers on the yard are hard to cure.

But if being healed they remain hard, and callous: they are signes of the disease lying hid in the body. * 1.130 A disease called Mentagra, that vexed the Romans in the time of Claudius, was very like this, which oftentimes is transferred from the parents to the children: Lastly, ma∣ny perish with a fever (that have Lues venerea) having continual sorrow and grief.

This disease being newly taken, * 1.131 admits of an easie cure:

1. The first intention must be to open a vein.

2. The second is, the grosse humours must be attenuated: for which purpose, The de∣coction of Radicum foeniculi, eringii, enulae campanae, * 1.132 lentium, uvarum passarum, ficum, &c. also oximel scillitici, is good for the same purpose.

3. * 1.133 Next purge him with confectio hamech in the decoction of Guiacum: which you may make after this manner.

℞. * 1.134 Ligni guaiac. ℥.viij. cortic. ejusd. ℥.iv. Sar∣saeparill. rad. chinae, lign. sassafras ana ℥. ij. coq. in aq. li. 12. sub finem add. vini alb. li. 4. fiat decoctio.
But first let the 12 pound of water boyle to 4 pound, before you adde the wine

Some adde Carduus benedictus, sweet fennel-seed, Staecadas, germander, anniseed, parsley, rew, diptane, flowres of marygold, broom, balme, and rosemary: also zedoary, sage, be∣tony, juniper-berries, the three sanders, Agri∣mony, and Centory.

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4. He must drink a quarter of a pinte of the decoction (above said) at a time, evening and morning, and between meales: make another drink of the same ingredients, that he may drink of it at meales. Also

℞. Decoct. guaiacicum card. benedict. ℥. v. * 1.135 Theriac. mithridat. ana ℈ij. vel. ℈.i.ss. olei guaiac. Gut. 8. vel 10. olei vitrioli gr. iij. misce & fiat Haustus.

5. Let the Patient sweat often with this draught, an hour at a time: his sweat must be wiped off with fine dry cloaths, taking heed of cold: you may adde centory, and liqueris to the aforesaid decoction, and it will be the stron∣ger to procure sweat.

If the Patient be much feverous, leave out the Guaiacum, and its bark: And put in Borrage, Bugloss, Cichory, Violets, Polypody, Cur∣rants, &c.

6. Also let Sarsaeparilla, China, and Eringo roots, be boyled in his broath: made with the knuckles of veale.

7. Let his body be often purged: and a vein often opened: Also this electuary following is good.

℞. Conserv. cichor. rosarum, ana ℥.iij. * 1.136 ligni guai∣ac. subtiliss. pulverisati, sarsaeparill. ana ℥.ss. spec. diarrhod. Abdiatrion santal. ʒ. j. cum syr. de cichor. fiat Electuarium;

Let him eat thereof often; it will comfort and corroborate:

9. If the disease be stubborn, you must come to unction.

℞. Axung. porci li. j. olei cammomeli, anethi, * 1.137

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terebinth, laurini, ana ℥. j. argenti vivi ℥. vj. theriac, ven. mithridat. ana ℥.ss. fiat linimen∣tum secund. artem.
First boyle your hogges-grease with sage, rose∣mary, thyme, marjoram, and lavender: then kill your Quick-silver, and mixe them altoge∣ther: and beat them for the space of a whole day: with this anoynt his joynts, wrists, the spine of his back, his elbowes, knees, ankles, and shoulders: in a close room; and beware of cold, which is most hurtfull in Lues ve∣nerea.

Let your frictions be gentle, and you must so long use them with unctions, untill the virulent humours be evacuated, by spitting and saliva∣tion, by stoole, urine, sweat, or insensible tran∣spiration; which you shall know by the falling away; and drying up of the pustules; And the ceasing of the paines and other symptomes pro∣per to this disease: unction must be used twice aday on strong bodies; upon rare and delicate bodies but once; upon weak bodies, every two or three dayes; and then binde up their limbes with gray paper.

Observe if nature be stirred up, and bent to any kind of evacuation, either by the mouth, pores, stool, or the like, then use frictions every 2, 3, 4, or 5, dayes.

Dysenteries caused by unction, may be helped by clysters; wherein much hogs-grease is dissolved.

If you should anoynt some to death, you can∣not bring them to fluxe at the mouth; yet through some other evacuation they recover:

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this Emplaster following is much commended for hard tophies.

℞. Massae emplast. de melil, * 1.138 & oxycrocei ana li. ss. argenti vivi extin. ℥.vj. ol. laurini, & de spicâ, reducantur ad formam emplastri.

10. Spread of it on leather, and apply it as you shall see cause: or

℞. Emplastri de meliloto pro splene li. ss. argent. * 1.139 viv. ℥. ij. olei laurini, petrolei, terebinthinae, ana Q.S. fiat cerotum.
For the ulcers of the mouth, make a decoction of barley, marsh mallowes, and lettice: Also to wash the mouth with cowes milk warme, is good.

11. If the mouth and jawes become so swel∣led, as a gangreen is to be feared; then use re∣strictive and repelling gargarismes, * 1.140 made of barley water, plantin, night-shade, knot-grass, sheppards purse, quinces, lettice, water-lillies, and wood-binde: also Balaustia, red roses, and myrtills: syrrups of dried roses, quinces, and barberies; honey of roses, and diamoron.

His diet in this condition must be reer-egges, * 1.141 barley creames, cullesses, made of the decocti∣on of knuckles of veale, and gellies.

12. For the ulcers on the prepuce, and glans, every night anoynt them with ung. Argenti vivi: so far as they are scorched with inflamma∣tion, or ulcerated; and in the morning wash it with the coction of guaicaum, or china, or sarsae∣parilla: so do untill the ulcer be dryed, and hea∣led, and the inflammation quenched; this is a sure help; its called Paraphimosis.

13. For the virulent Gonorrhaea annexed

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with it: * 1.142 First direct a dry diet; as biscakes, rai∣sons, blanched almonds, to make meales of them often.

14. Then purge him with this potion fol∣lowing.

℞. * 1.143 Decoct. com. ℥. vj. cassiae re. extractae ℥. ss. Syrrupus rosarum. sol. ℥. ss. misce.
Let him take the one half overnight warm, and the rest in the morning: If he be a strong body, put in ℥.ss. or ʒ.vj. of Diaprunum sol. in∣stead of Cassia: let him drink of the decoction of Sarsae and China constantly.

15. And let him take halfe an ounce of washt turpentine in wafers, 2, or 3 times; and sweat once or twice, if need be.

For this Gonorrhaea, is the beginning of the Lues venerea; and will certainly follow, if not prevented with the aforesaid meanes: And so much shall suffice for this most detestable and grievous evill, which by Gods command, hath assailed mankind; as a scourge or punishment to restrain the too wanton and lascivious lusts of unpure persons.

CHAP. XIV.

SCORBƲTƲS: * 1.144 called by Pliny, Sceletyrbe, and Stomacace. It is a disease obstructing the spleen, whereby the course of melancholy is hindered; which being mingled with the rest of the blood, infecteth all the body: The grosser part falling down stains the legs with spots; the thinner part being carried up, defiles the gums.

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The cause is a grosse and corrupt diet; * 1.145 and also a full and delicate diet (using no exercise) may be the cause: sometimes it followes a quartan fever.

The gummes are foul, * 1.146 and swelled with black blood: the teeth loose, black, and leady spots in the legs: and sometimes in the face. There is weaknesse in the joynts, difficulty of breathing, being ready to die when they move: but being layd, they are refreshed: they are greedy of meat, costive of body, yet some have a flux: some have swelled, and ulcerated legs, so that their shin bone lye bare: In some bo∣dies it turnes into a kind of leprosie: those that die of this disease, their bodies are found to be spotted all over.

First open the vein on the left arme, * 1.147 called Li∣enaria, and draw away blood according to the strength, and age of the Patient: [ 1] If it be possi∣ble draw blood from the Haemorrhodial vein; Also if they abound with blood, take the Basi∣lica; but if they be farre spent, abstain from phlebotomy, except it be by the haemorrhodi∣all veines: Next give this Apozem following. [ 2]

℞. Decoctio. com. ℥.vj. cassiae re. extractae ℥. ss. * 1.148 Syrrupus de epithymo cretens. Syr. fumariae ana ℥.j. misce. & f. Apozem.
Give him half over night, and the other half in the morning warm: For this disease admits not any vehement purgations. [ 3] Also morning and evening let him take a spoonfull or two of the juyce of scurvigrass, and brooklime, * 1.149 called Becabunga: you may put two or three ounces of it into posset ale, drink it and sweat, if possible.

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Also this julep following is good to drink often of it.

℞. [ 4] Aqua fumaria p. 1. Syr. ejusd. ℥. ij. ol. vitr. gr. * 1.150 vj. misce.
For children make this syrrup. [ 5]
℞. * 1.151 Succi chochleariae, succi becabungae, an li. iij. sacchar. albis. li.ij. charificetur succus cum abumine ovi, fiat syrrup. secundum artem:
Give the childe, or weak body, a little at a time often:

If the gummes be swelled with black blood, [ 6] let it out with an instrument: Lastly, this drink following I never knew fail.

℞. [ 7] Chochleariae m. vj. cortic. radic. Raphani syl∣vest. * 1.152 ℥. ij. Baccae Junip. ʒ. ij. zingiberis, pi∣peris, ana ʒ.j. vini albi p. iij. Aqua fuma∣ria p. 1. fiat infusio.
Stamp the scurvigrass, and radish; bruise the berries, ginger, and pepper: and put them all into the wine and water; let them stand a whole night; strain it, and let the Patient drink a quarter of a pinte at a time, last at night, and first in the morning. * 1.153 If any man desire more knowledge of this disease, let him read Fore∣stus his observations in diseases of the spleen.

CHAP. XV.

PRIAPISMƲS, * 1.154 is a disease in which the yard is extended in length and bignesse, without any lusting.

It is caused either through immoderate opening the mouthes of the arteries; or else of a

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vaporous spirit ingendred in the hollow and fistulous sinew, or through long absti∣nence from carnall copulation: * 1.155 If there be panting, and beating of the yard, with a desire to the act of generation, then it is called Sa∣tyriasis.

They suffer as it were a cramp, * 1.156 the yard being puffed up, and stretched out: they quickly pe∣rish, without sudden help: And when they die, their bellies be puffed up, and their sweat is cold.

First open Mediana of the armes; * 1.157 then clysters made of beets, mallowes and mercury; adding Manna, and Cassia: but beware of purges, and things that be diuretical: to procure gentle vo∣mits are good: * 1.158 give him to drink a little Aqua sperm. ranar. with sugar. And keep him from sights, and stories appertaining to lechery: Let him drink barley water: If a virulent Gonorrhaea be annexed with it, then frictions (on the fistu∣lous sinew) of ung. argenti vivi, helps him: In this disease, Forestus in his first Tome, and 26. * 1.159 Book, and ninth observation, commendeth a vomit made with Asaron.

CHAP. XVI.

GONORRHAEA: seu seminis profluvium: * 1.160 It is excretion and shedding of seed against the Patients will; without sicknesse of the yard.

It is caused through imbecillity of the reten∣tive vertue, in the vessels containing the sperm: * 1.161 or violent moving, may be the cause.

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The sperm is watery, * 1.162 and thin, without ap∣tetite to carnal copulation: some feel not the fluxe, others feel a certain pleasure; but not like the pleasure that is in that Gonorrhaea which is found in plethorick bodies, abounding with blood; that lying on their backs in the night, shed forth abundance of spermatick matter.

Also their bodies waxe leane, especially about their loines, with much weaknesse: There is also a virulent gonorrhaea, whose cure you shall find in the Chapter of Lues venerea.

1. * 1.163 For the cure, let him use a dry diet.

2. Secondly, let him give himself all the rest and quiet he can possible.

3. Thirdly, this powder is excellent.

℞. * 1.164 Sacchari restrin. ℥.ij. resinae ℥.j. bolus arm. ℥.ss. nuc. moschatae ʒ.ij. mastich. ʒ. j. misce & fiat pulvis:
Let the Patient take as much as will lye on a twelve-penny piece, or a half crown at a time, in a quarter of a pinte of warm milk from the cowes dugge, evening and morning, and sometimes in Rice broath will do well.

4. If you please you make some of the pow∣der into pills, * 1.165 with washt Venus-turpentine: and let him take three over night, and four in the morning; for a week together.

5. * 1.166 Also Emplastrum sticticum is very good to lay to his back, spread on leather: give him with his meats, the seeds of Agnus castus, and the leaves of rew: * 1.167 to eat purslaine, and drink spawne-water, will be good to extinguish seed: Let him lye on his side And lastly, he

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must eschew and exclude all thoughts, belong∣ing to carnal copulation; and

℞. Succi myrtillorum vel succi foliorum myrti, * 1.168 plantaginis, ana ℥.ij. succi sempervivae ℥.j. unguenti sandalini ℥.ij. cum modico cerae al∣bae, reformetur linimentum pro renibus. Mon∣tanus, de renum & vesicae affectionibus. Con∣silium 301. pag. 738.

CHAP. XVII.

CELE in Greek, * 1.169 Ramex and Hernia in La∣tin: of the barbarous writers Ruptura: there be seven kinds or nine.

1. Enterocele, or Ramex intestinorum, * 1.170 is when the Peritonaeum do break, and the bowels fall down into the Cods.

2. Bubonocele, or Ramex inguinis, * 1.171 is when the bowels do cleave, or stay above the privie members.

3. Hydrocele, or Ramex aquosus, * 1.172 is when a watery humour is gathered into any part of the filmes or skin of the Cods.

4. Sarcocele, * 1.173 or Ramex carnosus is when there groweth hard flesh within the coats, and tuni∣cles of the stones.

5. Epiplocele, or Ramex omenti, * 1.174 is when the kall or filme, that laps in the bowels, do fall down into the Cods.

6. Enteroepiplocele, or Ramex omenti & inte∣stini, is when the bowels do slip down with the filme.

7. Cirsocele, or Ramex varicosus, * 1.175 is when the

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veines, which nourish the stones, are spread abroad, and swollen out of measure on heaps.

8. * 1.176 Physocele or Hernia ventositatis, is when wind is gathered into the skin of the Cods.

9. Hyrophysocele or Ramex ventosus & aquo∣sus, when wind and water is gathered into the filmes of the Cods.

They are caused by some violent accident, * 1.177 as a stroak, leaping, crying, fall, or lifting, which do break the peritonaeum; [ 1] and so cause Ramex intestinorum; [ 2] or stretch it out more then it ought to be, and so cause Ramex inguinis.

Or the vessels joyned together, and increa∣sing in the Cods; or the vessels being broak, and slidden down, sendeth blood thither; which being changed into a watery, or wheyish sub∣stance, [ 3] causeth Ramex aquosus. Ramex carnosus is caused through a stripe or blow, [ 4] upon the stone or stones: The cause of the other ruptures are evident by their descriptions.

The signes of the two first is a manifest swel∣ling in the Cods; * 1.178 [ 1] or above the privie members: It goeth back slowly, [ 2] but rolleth down quickly, also the swelling is very great.

The signes of a watery humour, [ 3] is a swelling without pain: firm and shining, like the colour of the humour, as dregs of blood, or the like: If it be on both sides of the Cods, its then a dou∣ble rupture.

The signes of Ramex carnosus is hardnesse, [ 4] somtimes like a kernel, and thenthere is neither colour, sense, nor feeling: But if the humour be of a wicked nature, then pricking pain doth vexe him.

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You must lay the Patient upright, * 1.179 yet so as his head may be lower then his buttocks; [ 1] and separate his legges; then put up the bowels by little and little; then keep them up by conveni∣ent trusses, and ligaments: [ 2] But if the place ad∣joyning to the Cods, or privie members, be in∣flamed, and very painful, so that thereby the bowels are made disobedient to go up; then you must use foments, and liniments, [ 3] made with mallowes, cammomel, dill, linseed, fennegreek, * 1.180 and nourish the place with wooll dipt in oyle. Also take Emplastrum ad Herniam; [ 4] spread some on a piece of lether, and apply it: * 1.181 let it lye on seven dayes, being bound fast with his truss: and let him give himself rest for thirty dayes; this is an excellent help.

Also make a decoction with comfry roots, [ 5] plantin, myrtill seed, pomegranat flowers, * 1.182 and leaves of laurel, boyle them in red wine, and water of plantin, and then sweeten it with sugar.

For a watery rupture look into the Chapters of the dropsies, as Ascites, &c. [ 6] A perfect rup∣ture coming by the breaking of the Peritonaeum, in men of full growth, seldom admits of cure.

A certain chyrurgion did use to beat a load∣stone into fine powder, * 1.183 and give of it to chil∣dren in a little pap: and then he anoynted the groine with honey, and then strewed on it the fine filings of Iron: this he did for 10, or 12, dayes together; keeping up the bowels straight with a truss.

Thus have you had directions for the curing of the first, second, third, fifth, and sixth: As for

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the fourth rupture, its more properly a chirur∣gious work, * 1.184 and if you please you may take Pa∣rey for your guide; so likewise for the seventh: As for the eighth and ninth, look into the Chap∣ters of the dropsies.

There is also Hernia Humoralis, [ 1] generated by the confused mixture of many humours in the Cod; * 1.185 or between the tunicles which involve the testicle: [ 2] And there is Pneumatocele, which is a flatulent tumour in the Cod, * 1.186 being round and shining; both of them are cured by medi∣cines which dissolve, and trusses to keep up the Cods from falling: * 1.187 Also clysters: And take Helder, cammomel, fetherfew, betony, great valerian, chickweed, sention, mercury, hem∣lock, smallage, gomepheny, and cellindine, ana M, j. chop them small, boyle them in p. iij. of May butter, and two penny worth of neats-foot oyle; bathe the Cod with it, or

℞. * 1.188 Cumini, baccarum lauri, seseli, rnt. ana ℥.j. fiat decoctio in vino leniter astringente, & lixivio foveatur pars. Forest. Tom. 1. lib. 27. obs. 25.

CHAP. XVIII.

MENSIƲM SƲPPRESSIO, * 1.189 is either naturally, [ 1] or against nature: If natural∣ly, the woman is vexed with no grief of the bo∣dy, nor yet of the wombe.

If against nature, [ 2] it happeneth either through grossnesse, or slendernesse of body: the former have but little blood, the lat∣ter

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no superfluous blood in them. Also grosse blood, bleeding at the nose, &c. sweating, conti∣nual vomiting, fluxes of the belly, hardnes, scars, or a peece of flesh ingendred in the mouth of the matrice, may be the cause: also carelesness, fear, and sorrow.

There is heaviness, a desire to vomit, * 1.190 abhor∣ring of meat, paines about the loynes, thighes, neck, eyes, and head; sometimes fevers, and blackish urine made with difficulty.

1. A cold distemper is known by dulness, a white and leady colour in the face, and a wa∣tery, thin and greenish urine.

2. A hot distemper of fulness, is known by vehement paine about the loynes, and privie members; with swollen veines.

1. For a cold distemper turn back to lib. 1. * 1.191 chap. 25. pag. 52. for a poor body let the leaves of savine be boyled in wine and drunk, or re∣ceive the fume of savine; it will force them: It doth also expell the dead child.

2. In a hot cause bleed on the feet, * 1.192 coole and moysten; and give syrrup of steel: And when the distemper is over, then observe the former directions: for fulness make a purgation with Diaphaenicon, Hierapicra, and benedicta laxativa: [ 3] * 1.193 Amongst simples that provoke the terms, are roots of parslay, sperage, [ 4] seeds of smallege and fennel: Anniseed, nettles: Also calamint, * 1.194 wormwood, origan, sothernwood, mugwort, peniroyal, hyssop, hore-hound, rew, mother∣wort, Ireos, laurel berries, madder, sage, cum∣min-seed, Enula, campana, root of Aristolo∣chia, and Savine: of these may be made deco∣ctions;

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into which may be put a little sugar to drink.

4. Also Castoreum, Storax, Galbanum, fran∣kincense, * 1.195 Bdelium, and Benzoine: of these may be made suffumigations: Also if you turn back to the eighth Chapter of this book, * 1.196 and the ninth page, you shall find an excellent thing for this purpose; even the steel wine, to give the Pa∣tient of it evening and morning, with the syrrup of the same; and exercise. This potion follow∣ing is commended by Montanus in his Treatise Deaffectionibus uteri. * 1.197 Consilium 308. pag. 749.

℞. * 1.198 Agarici praeparati ʒ. ij. Rhabarbari ʒ.j. in∣fundantur in aqua betonicae per horas 24, & fiat expressio fortis. ℞. Diacatholiconis ʒ. ij. ss. Misce fiat potio brevis.
The same author praiseth Confect. diacimini, vel Diatrion pipereon. vel aromat. rosa. and lastly, Mi∣thridate in white-wine.

CHAP. XIX.

MENLIƲ M fluxus immodici.

The Menstruis do chance to flow out of measure, * 1.199 through great or small vessels ope∣ned wide, or broken: also immoderate purga∣tions, and grievous travel in child-birth, may be the cause-

If the greater vessels be broken, * 1.200 or open'd the bloodfloweth out gushing on heaps: [ 1] If the lesser, it floweth out by little & little: [ 2] If through eating or gnawing, [ 3] it floweth with great pain: more∣over there followeth a filthy colour: the feet

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are puffed up with a light swelling: having a weak body, wlth their digestion and appetite corrupted.

First, they must give themselves rest, * 1.201 second∣ly, if nothing forbid, open a vein in the arm: Amongst restrictives are Balaustia, Aypocischis, Acatia, knot-grass, both the consolidaes, plan∣tin, barberries, roses, myrtills, harts-tongue burnt, quinces; of these may be made decocti∣ons for juleps (in a hot cause) they may be boy∣led in the waters of some of the simples, ad∣ding thereto (in the streining) Syrrupus myrthi∣nus, and de rosis siccis: In a cold cause boyle them in pure red wine: The juyce of plantin or knot-grasse injected, * 1.202 is much commended by Galen: This electuary following is good.

℞. Conservae ros. antiquae ℥.ss. symphiti ℥. j. * 1.203 boli armeni ʒ. ij. sanguinis draconis, ambrae ci∣trinae, corallorum rubrorum, ana ℈. j. cum syrrupo myrthino fiat elect.
Also the powder following is excellent.
℞. Cornu cervini usti, boli armeni, terra sigillata, * 1.204 diamarfrigidi, pul. margaritarum, lapidis he∣matitis, ana ℈. i. ss. misce & fiat pulvis; detur cum aqua plantaginis.
If you want more, look into the Chapter of Dy∣senteria and other fluxes of blood; as Sputum san∣guinis, &c. Lastly, these pills following are to be taken before meat to strengthen the stomach.

℞. Aloes optimae ʒ. x. mastiches chiae, Ros. * 1.205 Ru∣brarum ana ʒ. ij. cum syrrupo Absynthites cogantur in Massam. Nic. Fontanus. lib. in∣stitut. Phar. Sect. 9. cap. 11.

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CHAP. XX.

FLƲXƲS MƲLIEBRIS aut uteri fluor: * 1.206 This flux of the matrice is a continual di∣stillation and flowing out for a long time; the body purging its self.

The humour is red like putrefied blood; * 1.207 yet sometimes pure, which noteth erosion or gnaw∣ing: mattery, white, and sometimes watery: the secret part is continually moyst with the humours, being of divers colours: She is ill co∣loured, abhorreth meat, her eyes are swollen, and she breatheth difficulty.

1. * 1.208 For the red fluxe open a vein in the arm often; drawing a little blood at a time, and let her diet be restrictive.

2. For the white flux if it have taken her but newly, do not stop it: If it have continued long, let her give her self rest, usinga drie diet: what else is wanting may be supplyed out of the Chapter of Gonorrhaea.

3. If sharp humours have ulcerated those parts, look uteri exulceratio: and Gonorrhaea vi∣rulenta, in the Chapter of Lues venerea.

4. For a pale and chollerick flux, purge with the infusion of Rhubarb.

If melancholy abound, * 1.209 take Decoctio. com. ℥.vj. Syr. de fumaria, epithimo, ana ℥.j. Cassiae re. extracta ℥.ss. fiat potio. and let him use restri∣ctive medicines, as aforesaid in Chapter 19. &c. Lastly,

℞. * 1.210 Cons. ros. antiq, ℥.i. ss. diacydon sine spec. ℥.ss.

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cons. flor. cichor. ℥.j. pul. triumsan. corall. * 1.211 rub. usti & loti an. ʒ.i.ss. cum syr. cotoneor. fiat mixtura.

CHAP. XXI.

VTERI STRANGƲLATIO seu suffocatio, * 1.212 otherwise called Hysterica passio: It is a drawing of the womb to the upper parts, as it were by a convulsive motion.

It is caused through the defluction either of seed being sometimes corrupted: * 1.213 or the flow∣ers which causeth the womb to be swelled, and the vessels and ligaments to be distended with fulnesse, and pressing the Diaphragma, causeth shortnesse of breathing: Also the whites, or some other humour, or a tumour, or a rotten impostume, or some ill juyce putrefying, and resolving into gross vapours, may be the cause.

The womb removeth out of his seat, and doth one while fall towards the liver; another while towards the milt, another while towards the midriffe; stomach, and downwards to∣wards the bladder: sometimes the child is very great, that it press the midriff, and so cause the fits.

When the fit is nigh, * 1.214 there is heavinesse of mind, slowness, paleness, and sorrowfulness.

Being present, there is a drowsiness, also do∣ting, and a withholding of the instruments of breathing, they wax dumb, and draw up their legges, and a moyst humour floweth out of the womb.

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1. If it assaile the guts, the bowels make a noyse.

2. If it trouble the stomach, there is vo∣miting.

3. If it assaile the brest and throat, there is choaking.

4. If the brain, there is madnesse.

5. If the heart, there is swouning; some sleep sound, others talk foolishly, others they breath so little, that they seem dead.

1. If you would know whether she be dead or not, take a smooth looking-glasse, lay it, or hold it before her mouth and nostrils; if she breath though never so obscurely, yet the glass will be duskey.

2. Or take a fine downish feather, and hold it likewise as aforesaid, and it will by the trem∣bling, or shaking motion thereof; shew that there is some breath, and therefore life remain∣ing in the body.

3. But the surest way is to blow up sneesing powder, but if no breath appear, do not pre∣sently judge the woman for dead; for the small vitall heat may be drawn into the heart, and so not quite destitute of life; but for the present na∣ture is contented with transpiration only. So flies, gnats, and pishmares, or pismires, live all winter without breathing.

1. If it proceedeth from the corruption of the seed, the accidents are more grievous and vio∣lent: difficulty of breathing goeth before, and shortly after comes the deprivation thereof: And the whole habit of the body seems more cold then a stone: She is a widow, or a woman that

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her husband hath a long time been absent from her, so that she hath great store of seed, which causeth heavinesse of the head; losse of appetite, sadnesse, and fear: Also young maids that are prone to lechery, abounding with blood and seed; are often troubled with this di∣sease, so that if the abundance of seed be the cause, they speak things that are to be concea∣led; some laugh, others weep, and some sing: But the peculiar signes, if the midwife tickle her womb with her finger, there comes away thick and grosse seed, with much pleasure and de∣light; as may be perceived by the Patient: so that all symptomes do quickly vanish.

2. It is very like it is caused by the suppres∣sion of the flowers, if they had them very well formerly, and on a sudden they stop, and the fits likewise quickly follow after. Look the cause of Mensium suppressio, I mean the signe: many do perish in the fit, or within few houres after, which happeneth when the pulse are swift and inordinate, and then vanish clean away.

In the Fit, place her on her back, * 1.215 with her brest and stomach loose, and her garments slack about her, that she may breathe the more freely.

Some pull the haires of the secret parts, using frictions below: and fumes of cinnamon, * 1.216 Callam. aromat. lignum Aloes, Ladanum, Ben∣zoin, and storax: An instrument may be made for this purpose, with a tunnell on the top, through which, the fume may passe into the matrice.

Contrariwiwise, to the nostrils Gum. galba∣num,

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Sagapenum. * 1.217 ammoniacum, Assa foetida, the snuff of candle, also haire, old leather, horse-hoofees, and partridges feathers burnt, are good.

If she be a married woman, let her be strong∣ly encountered by her husband, who possibly may be the cause, by not affording her due be∣nevolence: for one I knew once to be guilty of this crime, and for no other end, but because he was unwilling to have any more children by her: so that the woman had undoubtedly peri∣shed in her most grievous fits, if I had not per∣swaded him to relieve her; which according∣ly he did, and she very suddenly recovered.

If she be a maid, or widow, let the midwife anoynt her finger with Oleum moschaetalinum, * 1.218 or cloves, or the best is a little amber greece, or civet, * 1.219 and tickle the top of the neck of the wombe (which Plato calleth 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, a craving creature,) Also to apply sitle bagges (of motherwort, origan, cammomel, peniroy∣al, lavender, and mugwort) hot to her secret parts, is a present remedy, in the time of the fit. And procure sneesing with Helleborus albus, or pilletary, with a little powder of Castoreum. After the fit I have procured gentle vomiting, with good successe; and Castoreum drunk in wine, is excellent.

Also open a vein on the foot, * 1.220 especially if the menstruis be stopped: using other meanes also to procure them. And administer this clyster following.

℞. * 1.221 Bad. enulae campanae ℥. ss. fol. absynth. arte∣misiae, pulegii, matricar, origani, ana M. j.

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Baccharum lauri, juniperi ana ℥.iij. sem. rutae, anisi an. ʒ.iij. florum stoecados, roris marini, salviae, centaur. minor. ana ℥.iv. fiat decoctio: cape colaturae li. j. in qua dis∣solve mellis anthosati, sacchar. rub. hierae∣picrae, benedict. lax, ana ℥.j. olei aneth. ℥.i.ss. misce & fiat enema.

Lastly, these pills following are excellent.

℞. Pul. rad. gentianae ℥.ss. castorei ʒ.ij. pul.rad. * 1.222 peoniae ʒ.ij. assafaetida ℥.ss. ol. junip. anisi, ana gr. 10. ol. succini ℈.j. cum theriac. androm. q.s. fiat massa.
If you can get the mosse that groweth on a ma∣lefactors scull, put in ℈. ij. with the powder of the scull ʒ. ij. and then it will prove excellent good against Epilepsia.

If she have her fits mostly in the day, let her take 3, or 4, pills every morning, if in the night, contrary. Lastly,

℞. Musci ℈. j. Galliae muscatae ʒ. j. * 1.223 olei lilio∣rum ℥.ij. misce & fiat unguentum.
Let the neck of the womb be anointed there∣with. And
℞. Castorei Galbani in aceto soluti ana ℥. ss. * 1.224 Sulphuris ℥. j. Assae foetidae ʒ j. Ruffus. lib. 6. cap. 8. pag. 84. vel fol. 83.

CHAP. XXII.

PROCIDENTIA ƲTERI, * 1.225 or a falling down of the womb, so that it sticketh out outwardly.

The cause is of falling from an high place, * 1.226 sore

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travel of child-birth, or through the unskilful∣nesse of the mid-wife, who draweth away the womb with the childe, or with the secundine cleaving fast thereunto.

Also a tenasmus may be the cause, or what∣soever weightily presseth down the Diaphrag∣ma; or the muscles of the Epigastrium; or set∣ting on a cold stone: Therefore what thing so∣ever resolve, relax, or burst the ligaments or bands, whereby the wombe is tyed, are suppo∣sed to be causes of the accident.

There is felt pain in the entrails, loynes, or os sacrum: * 1.227 And a tractable tumour at the neck of the womb: It is sometimes seen hanging out, of the bignesse and form of goose egge, like a peece of red flesh.

If that hangeth out be putrified, * 1.228 it must be cut away; being first tied, and the rest seared with a cautery. Paulus, and others testifie that some women have lost the greater part, others all their womb, and yet have lived very well, after it: If it hangeth down between the thighs; it is hard to cure, yet place her on her back; her buttocks and thighes being lifted up, and her legges drawne back, then anoint with oyle of sillies: * 1.229 If it be swelled, use a fomentation of mallowes, Althaea, and fennegreek, then thrust it up gently with your finger into its place, whilest the woman draw her breath as as if she supt something: then wipe away the oyle, and foment with an astringent decocti∣on made with pomegranate pills, * 1.230 roche-allam, cypress nuts, * 1.231 barberries, &c. boyled in smiths∣water: Also a clyster is good. Or prepare wooll

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in figure and thicknesse, according to the pro∣portion of the member: wind it about with a fine cloath, dip it in the juyce of Acatia, and Hypocischis, put it into the wombe, and you shall by little and little, * 1.232 wrest upward all that is fallen down: vomiting is much commended, let them smell to odoriferous things, and stink∣ing things used below: of which you have plenty in the former Chapter: Lastly, if it cometh through cold,

℞. Fol. alth. salviae, lavend. rorismar. artemis. * 1.233 flor. chammaem, melilot. ana M. ss. sem. anisi, fenugr. ana ℥.j.
With wine and water make a decoction to fo∣ment with. Forestus in lib. 28. * 1.234 de mulierum mor∣bis obser. 35. doth command this powder to be used outwardly after unction.

℞. Acaciae ʒ.ij. baccar. myrt. ros. rub. an. ℈.ij. * 1.235 cornu cervini usti ʒ.ij.ss. misce.

CHAP. XXIII.

MOLA, of the Greek word Myle, * 1.236 which signifieth a millstone: Galen in lib. 14. Ther. meth. defineth a Mola to be a peece of flesh without shape, or 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. an idle and imperfect flesh. It is a false concep∣tion of deformed flesh, round and hard: some∣times distinguished into members, coming by corupt and weak diseased seed, * 1.237 and the immo∣derate fluxe of termes, overwhelming the mans seed, changeth it into a Mola: which disease cannot happen to any without the help of

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man, whose seed doth onely minister mat∣ter for the generation thereof.

There is a pricking pain (at the beginning) that troubleth the belly, * 1.238 which will swell sooner then it would, if it were a true issue: and will be distended with greater hardnesse, being more troublesome because contrary to nature: pre∣sently after the dugs swell, but shortly they fall lank: for nature sendeth milk thither in vain, because there is no issue in the womb that may spend the same.

1. It will move before the third month, but the true conception will not.

2. Also this motion is of the faculty of the wombe, and of the spirit of the seed dispersed through the Mola, and not of the intellectual soule, or spirit, sent from above, But is nourished and increased after the manner of plants.

3. The Mola by reason of its greatnesse and heavinesse rowleth like a stone: unto that side the woman declineth her self.

4. She waxeth lean in all her members, espe∣cially her legs; although towards night they swell.

5. she is slow in going.

If it cleaveth not very fast, it falleth away in 3, or 4, months; some have it cleaving so fast to the sides of the wombe, and Cotylidons: that they bear them 5, or 6, yeares, some as long as they live.

6. She hath an evill colour, loss of appetite, and suppression of menstruis, as in the lawfull conception.

7. There is sometimes difficult making of

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urine, and the excrements stop for a week to∣gether, by reason the Mola presseth the guts.

8. There happeneth sometimes excellent fluxes that lesseneth the body; in one wombe sometimes are found 2, or 3, Moles: And some∣times the Mola is annexed with a child.

9. Lastly, about the ninth or tenth month, some expell sounding blasts of wind, whereby the wombe falleth lank and slender, which be∣fore was so puffed up, as every one thought them to be with child.

For the cure, * 1.239 all things that provoke the flowers, and exclude the dead child are to be prescribed: inwardly put up, and outwardly applyed: look into the Chapter of Mensium suppressio: make fomentations with mallowes, * 1.240 Althaea, cammomel, melilot, fennegreek, lin∣seed, and fat figs. Also

Rad. asari, Spatulae foetidae, rubiae tinctorum, * 1.241 ana ʒ.ij. sem.rutae, nigellae, ana ʒ. ss. origa∣ni, nucis moschatae, caryophyll. baccarum lauri, ana ʒ.j. sabinae ℈. j. castorei, euphor∣bii, ana ℈.ss. fiat pulvis, & cum terebin∣thina fiat pessarium. Lastly,

℞. Sem. rapi, salis nitri, Hellebori, nigri, & alb. * 1.242 colocynthidis; staphisag. ana ʒ. iij. scammo. ʒ.ij. succi elaterii, vel cucumeris anguini, ʒ.ij.ss.f. pulvis: cape ol. ireos, fellis tauri, an. ℥.iij.pul. carthami ʒ.iij. armoniac. ʒ.iv. amigdal. amarar. li.ss. fiat emplastrum se∣cund, artem.

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CHAP. XXIV.

VTERI INFLAMMATIO: * 1.243 It is caused through a stripe: the stopping of the men∣struis, abortion, exulceration, unmeasurable le∣chery, or immoderate deambulation may be the cause.

There is an acute fever, * 1.244 pain of the head, share, loynes, and roots of the eyes; convulsion and cramp of the armes, fingers, and neck: pain of the stomach, and womb. If the hinder part be inflamed, there is pain about the loyns: if the fore part, there is pain about the privities; so that a strangury, or difficult making of urine do follow: when it affecteth the mouth of the matrice, the mouth is hard, shut up, and burning hot: If the sides be inflamed, the parts above the privities are distended, and the legges grieved.

First open a vein on the foot (if it came not by abortion or a flux of blood) Secondly pti∣san, * 1.245 and cooling clysters are exceeding good: Apply to the share cataplasmes of fenegreek, * 1.246 Althaea, mallowes, motherwort, melilot, with the meal of linseed, put in wool moystned in the juyce of Plantin, knotgrass, and purslain, or in oyle of roses: Lastly,

℞. * 1.247 Aq. sperm. ranar. p. 1. Syr. de althaea ℥. iv. misce.

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CHAP. XXV.

VTERI INFLATIO: * 1.248 It is puffed up through cold, or corrupt humours in it: Abortion, sore travel in child-birth, the neck being shut, or a clod of blood stopping it.

The bottome of the body is swelled with hardnesse, * 1.249 and a pain that pricketh even to the Diaphragma, and stomach, to the loynes, share, and navel,: If wind be gotten into the hollow∣nesse of the womb, there is heard a rumbling noise: If into the thin, and slender passages, the pain is vehement and hard to cure.

Fasting is good: if a plethorick body, * 1.250 open a vein: an excellent clyster for this purpose you may have in uteri strangulatio: Bathe her body with oyle of Rew, Dill, and Origan: you may powre them into her womb, for they resolve windinesse: In her broath boyle the seeds of Apium, fennel, caraway, cummin, and anise: Also with cammomel, calamint, motherwort, penniroyal, and sothernwood, may be made poultises. If there be clods of blood, let the midwife put her finger (being first anoynted) into her privities, and bring it forth by little and little, that the windinesse may passe. Lastly, with her meat give her this powder.

℞. Cinnamomi, nucis moscata, cardamomi an. * 1.251 ʒ.ij. zingiberis ʒ.iij. piperis longi ʒ.ss. croci gr. v. ex his pulvis fiat.

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CHAP. XXVI.

VTERI EXƲLCERATIO: * 1.252 It is caused through hard child-birth: sharp medi∣cines, fluxes, impostumes, or botches broken: or Lues venerea, may be the cause.

They have pricking pain in the agrieved part: * 1.253 stinking matter, bloody and dreggy, is sent out from the ulcer: They have headache, pain of the great sinews in the neck, The roots of their eyes, and even to their fingers ends.

For the cure, * 1.254 first bleed, if nothing forbid it: If there be much heat, look back into the Chapter of Ʋteri inflammatio: If the ulcer be very foul, cleanse it with ptisan and honey: Also Mulsa with the decoction of Ireos, Aristolochia, wormwood, or Agrimony: eating ulcers must be washed with Mares, or Asses milk, with honey.

The ulcer being cleansed, * 1.255 make a decoction of pomegranate rinds, roses, quinces, myr∣tills, Acatia, with restrictive wine: oyle of ro∣ses and quinces are good. If you want more, look into the Chapter of the ulcers of the rains, bladder, and yard in Lues venerea. Yet this oyntment following is very good. * 1.256

℞. Tutiae ablutae partes ij. lithargyrii, cerusae, sarcocollae, sing. partem j. cum oleo rosaceo, & cera, f. unguentum. Altomarus de exul. uteri cap. 117. pag. 673.

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CHAP. XXVII.

VTERI PHYMOSIS: * 1.257 It is such a streight∣nesse of the matrice, that it will not admit of any seed, yet sometimes it doth re∣ceive the seed, but through the streightnesse of the matrice, it bringeth occasion of death to the woman. Also sometimes the yard of man is troubled with a Phymosis; upon the praeputium for the most part.

It is caused of exulceration, * 1.258 and an inflam∣mation going before: or Lues venerea, which lieth hid in the body: * 1.259 There needeth not any signes: Fomentations must be used that can dissolve and mollifie; made of fenegreek, Al∣thaea, &c. And put up a drie spunge, having cord hanging to it: If it fall out put in a thicker: sometimes anoynt the spunge with oyle of Ire∣os, and goose-grease: If there be much inflam∣mation use oyle of roses, instead of oyle of Ireos: * 1.260 Thus must you alwayes use spunges untill the end of the cure: If this Phymosis (which is a cal∣lous hardnesse) happeneth upon a mans yard, use dissolving things, as

℞. Muscilag. fic. & faenug. ana ℥. ij. Stirac. * 1.261 myrrhae, ammo. diss. in ol. irino ana ℥. ji cerae novae q.s. fiat unguentum.
If it will not yeeld to this meanes, use ung. ar∣gent. viv. extinct.

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CHAP. XXVIII.

STERILITAS: * 1.262 or barrennesse: It is caused either of the womans, or of the mans part; when his seed is either too hot, cold, thin, wa∣tery, or too feeble: Their yards too short, or their bellies too big.

2. Also women of their part cannot con∣ceive, because their matrice is either too hot, cold, and moyst, or too foule, filthy, or drie, or too streight, or too open: Also unwilling car∣nal copulation, or their age too great, or too lit∣tle, doth let and hinder conception.

3. A fertil woman is commonly of a mode∣rate stature, and height of body, breadth of loynes, and share: her buttocks sticking out, a handsome and convenient greatnesse of belly, a streight brest, and large paps.

1. * 1.263 The hot distemper of a man is known by his lascivious and readinesse to carnal lust, yet he is satiated and filled.

2. Coldnness is known by their want of hair, for their stones are bald, and they have little desire to lust.

1. If through too much heat of the ma∣trice, the rest of their body is hot and they are lecherous.

2. Coldnesse is known by their despising carnal lust, and the stopping of the menstruis.

3. If through too much moystnesse, then in the act they are bedewed with moystnesse, and the menstruis floweth much in quantity. [ 4]

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5. Drinesse of the wombe is known by the contrary signes to moystnesse.

Moderate exercise and a good diet doth well. * 1.264

1. If she be full of corrupt humors, purge her,

2. If the menstruis be stopped, look back in∣to the Chapter of Mensium suppressio.

3. If coldnes be the cause, * 1.265 make a fomentati∣on of penniroyal, aniseed, and cumminseed, let her drink Castoreum, and the juyce of sage in wine.

4. If heat be the cause, coole and moysten, with lettice, plantin, purslain, and gourds; * 1.266 to make a decoction, or boyle them in broath; But Aqua sperm. ranarum, is excellent.

5. If moystnesse be the cause, let her exer∣cise, purge, and use a drie diet, and sometimes give her a cup of restrictive wine, wherein sage is boyled and steeped.

6. If drinesse be the cause of barrenesse, use those things that moysten.

7. * 1.267 If grosse humours be the cause purge her with Hierapicra in whey or the like, labour and sweating is good.

8. If witdninesse, look into the Chapter of uteri Inflatio.

9. If through too much streightnesse of the matrice, look into the Chapter Ʋteriphimosis.

10. * 1.268 If through gaping of the mouth of the matrice, let her use a drie diet, and fomentati∣ons of the decoction of pomegranate rinds, quinces, myrtils brambles. Acatia, &c.

11. If the matrice be writhed, use mollifying pessaries Paulus saith that carnall lust used backward, is good to conceive. * 1.269

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CHAP. XXIX.

DIFFICILIS PARTƲS: * 1.270 hard travel in child-birth, chanceth either through de∣fault of the parent, of the childe, of the secun∣dine, or through some outward cause.

1. Of the parent, as if she be grosse, fat, faint∣hearted, and unskilful of pain, or if the matrice be small, inflamed, or vexed with some other disease. Or if she be naturally weak, or labour before time: or if the neck of the matrice be crooked, or some peece of flesh ingendred there, of a bile or ulcer going before.

2. Default of the childe is, when it is of an unaccustomed bignesse or if it have two heads, or three feet. Or if it be dead, or if they be two or more: or weaknesse of the childe, may be the cause.

3. The travel is made difficile through the se∣cundine: If it be not pulled away, because of the grossenes of it: or if it break before it should, be∣cause of the thinnesse of it, and so the privities are left without moysture, which should make a slippery passage for the child.

4. Also it is caused of outward causes, as of cold, that thickens the matrice, and streight∣neth the passages: or through a great heat that dissolveth and weakneth the strength.

1. Outward causes are easily known by the telling of the Patient, * 1.271 or them that sit by them.

2. Weakness of the child is known by its flow motion.

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3. Greatness of the child may be known by the greatness of the womans body, and the bigness of the Parents themselves.

4. Grosseness and thickness of the secundine, is known thus; none of the aforesaid signes are present, and the woman is strong, and the child stirreth lively.

1. The signes of a birth at hand, is pain un∣der the navel at the groine, and loynes, the Genitals swell with pain, and a certain fever like shaking, invades the body: the face wax∣eth red by reason of the indeavour of nature, armed unto the expulsion of the infant. Also when the infant by kicking, breaketh the mem∣branes, so that the humours runne out, is a certain sign the child is at hand: If the infant come forth with those waters, the birth proves easie.

2. The child in the wombe untill it be fully formed, sends forth his urine by the pas∣sage of the navel or Ʋrachus: but a little before the time of child-birth, the Ʋrachus is closed up, and then the man-child voydeth it by the conduit of the yard, and the woman child by the neck of the womb.

3. This urine is gathered together in the coat Chorion or Allantoides or Farciminalis (be∣ing all one membrane) together with other excrements as sweat; and wheyish superfluities of the menstruall matter.

4. He voyds two sorts of excrements, name∣ly urine, and sweat; in both which he swimmes.

5. If the woman have a man-childe she is merry, strong, and better coloured: The

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males stirre in three months and a half, her right parts are strongest to every work or mo∣tion of the body. The right dug sooner waxeth hard; and that child stirreth most on the right side, if she have a female, contrary signes ap∣pear.

1. There be three concoctions, the first is performed in the stomach, which being dri∣ven down into the intestines, is voyded by the fundament.

2. The second cometh from the liver, and is threefold, first cholerick, a great portion where∣of is sent to the bladder of the gall, and part is expelled by sweat. The other is like whey which goeth with the blood into the veines, to nourish the whole body, and part thereof is expelled by sweat and urines. The third is the melancholy excrements, which being drawne by the milt, the purer part nourisheth the milt, and the remnant is purged by the Hemorroi∣dal veines, and partly sent to the orifice of the stomack, to instimulate appetite.

3. Thelast concoction is absolved in the ha∣bit of the body; and breathed out by insensible transpiration; is partly consumed by sweat, and other passages, as the brain unloadeth it self by the nose, mouth, eares, eyes, palat bone, and sutures of the scull.

Lastly, * 1.272 if the child be dead in the womb, it moveth not: the womans belly is cold, having great pain about the navel, [ 1] a naughty co∣lur of the face, and a stinking breath.

2. Also the waters are flowed out, and the secundine come forth: which are certain signes

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of a dead child: Because the child breathing by the arteries of the navel, and the breath be∣ing received by the cotylidon of the arteries of the womb; It must of necessity come to pass (when the secundine is separated from the infant) that no ayr or breath can come unto it.

3. Moreover the child will be more heavie to the mother, falling like a stone to that side the mother inclines her body: she is vexed with sharp pains from the privities even to the navel: with a perpetual desire of making water, and going to stool, because nature is wholly busied in expulsion: The Genitals are cold, as well as the womb.

3. The child corrupteth in three dayes, and sendeth vapours up to the brain, and heart, &c. which causeth often swounding: Her dugs do fall, and her body is more puffed up then before.

5. If she be weak, having a feeble pulse, a cold breath, a livid and gastly colour: cold sweats, and cold in the extream parts, then judge death is nigh.

1. For the cure of hard travel in child-birth, * 1.273 First place her in such a posture as is fit; namely on a stool or chaire, that is hollow and lyned with cloath (and covered with linning) made on purpose, or else place her on a bed, in po∣sture like one that is ready to be cut of the stone.

2. Then let the midwife anoynt the mouth of the matrice with unsalted butter, oyle or hens-grease, and open it wide by little and little, having her nailes pared close, and her rings

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taken off, if shee have them on.

3. A fearful woman must be comforted, and incouraged, commanding her to hold, and stop her breath strongly.

4. If adstriction be the cause, as through cold, foment with decoction of mallowes, fe∣negreek, &c.

5, If she be very weak give her fome cordial, and let her smell to vinegar.

6. If the infant be over-great, make the mouth of the matrice as wide as you can.

7. If an unnatural form of the child be the cause, bring him to a natural form, partly by putting back, drawing to you, partly by turn∣ing, and partly by making it streight; the mid∣wifes armes being bare all the time, and well well anoynted with some fat thing.

8. If there be 2, or 3, bring out that which seemeth most ready, driving back the rest.

9. But if it be dead, and the Physicians can∣not prevail (with potions, baths, fumigations, sternutatories, vomits and pessaries) to expell the dead child: It must then be done by chi∣rurgical extraction (if the woman be able to in∣dure the same) with instruments made on pur∣pose to tear in pieces, if necessity require the same.

10. If the tunicle or secundine be very thick and strong, cut it.

11. If the humour contained in the tunicle or secundine, cometh away, so that the places are dried up, and a hard labour like to follow: wash it all about with the whites of egges: and with the decoction of mallows & fenegreek, or

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℞. Olei ex seminibus lini ℥.i.ss. * 1.274 olei de castoreo ℥. ss. olei liliorum ℥. ss. Galliae moschatae ʒ.iij. ladani ʒ.j. fiat linimentum.

12. Also this powder following is much commended, as an universal remedy to help all that have sore travel in child-birth.

℞. Ginnamomi elect. ʒ. ij. myrrhae, cassiae lig. * 1.275 ana ℈,j. succini alb. ʒ.i. ss. fiat pulvis.

If you please you may adde dictamni ʒ. i. ss. sacchari albi ad pondus omnium: but it is better without if they will take it, let them take ʒ. j. in pure odoriferous wine.

13. If the secundine stick to some part of the matrice, draw it out by little and little, but not violently; your arme being warme, and well anoynted.

14. But if the neck of the womb be shut, * 1.276 use somentations that can mollify and release.

15. If she be strong let her sneese, * 1.277 with casto∣rem and pepper; use fumigations, and the same things you would use to procure the termes.

16. Seeth in a pot motherwort, Ireos, savin, penniroyal, calamint, dictamnus, and such like, put the pot under a close chaire, upon the which let the woman sit; If the womb will not open with this means, whereby you may draw away the secundine, yet it will rot and turn in∣to matter, and so fall away.

1. When the woman is delivered, give her 2, or 3, spoonfulls of oyle of sweet almonds, * 1.278 ex∣tracted without fire, or cullises, or gellies.

2. Let the secundine be presently drawne away (before the neck of the womb be clo∣sed,

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according to the former directions.

3. Then must the navel-string be tyed with a double thred, an inch from the belly; let not the knot be two hard, lest that part of the na∣vel-string without the knot should fall away sooner then it ought: neither too slack, or loose, lest that an exceeding and mortal flux of blood should follow after it is cut off: when the knot is made, the navel-string must be cut in sunder the breadth of two fingers beneath it with a sharp knife: upon the section you must apply a double linnen cloth, dipped in oyle of roses or sweet almonds, to mitigate the pain, for so within a few dayes after, that which is beneath the knot, will fall away being destitute of life, and nourishment; By reason the umbilical vein and artery are tyed so close, that no life nor nourishment can come into it: commonly mid∣wifes do let it lye unto the bare belly of the in∣fant, whereof cometh grievous pain and gri∣ping by reason of its coldnesse: being destitute of heat: but it were better to roule it in soft cot∣ton, or lint, untill it be mortified, and so fall away.

4. Then the child must be wiped and clean∣sed from all filth with oyle of roses or myrtills; being first washed with warm water and wine, wherein is boyled the leaves of roses red, and myrtils; adding thereto a little salt is excellent: some use this lotion 5, or 6, dayes together, with very good success; for it washeth away all the filthy matter.

5. If there be any passages stopped, or cove∣red with a membrane, as often happeneth to

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the eares, nostrils, mouth, yard, womb, and fundament: It must be cut, and tents put in to keep it open.

6. And if the ligamental membrane under the tongue be short and stiffer then it ought; it must be amended by an expert Chyrurgion.

7. If there be a chalky substance, both in colour and consistence, that sticketh on the in∣ner side of the mouth (which the French-men call the white Cancer) cleanse it with a linnen cloath bound to a little stick, and dipped in a medicine made with oyle of sweet Almonds, * 1.279 honey, and sugar: This cancer will not permit the child to suck.

8. Also give the child a spoonful of oyle of sweet Almonds, extracted without fire, and rub the inner side of the mouth therewith.

9. If the child be troubled with fretting in the guts, apply moyst or sweaty wool, macera∣ted in oyle of cammomel.

10. Children ought not to be weaned be∣fore their teeth appear.

11. Those that are scabby all over the heads, face, or body, voyding many excrements, are like to be strong and sound of body.

12. Those that are faire of body, gather the matter of many diseases in their bodies, which in time will appear. Certainly by the sudden falling of such matter into the back bone, many become crook-backt.

1. The belly of the woman must be bound about with a ligature, made of indifferent breadth and length, to keep out cold (which bringeth hysterical suffocations, painful fret∣tings

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in the guts, and a fever with other mortal diseases) and to presse out the blood.

2. Then give her some capon broath, or caudle, with saffron, and to keep the belly from wrinkling,.

3. * 1.280 ℞. Spermatis ceti ℥.ij. olei amygdal. dulcium, & hypericon. ana ℥. i. ss. sevi hircini ℥. j. olei myrtillorum ana ℥. i. ss. cerae novae quantum sufficit f. unguentum: anoynt her body therewith.

4. For fretting in her guts,

℞. * 1.281 Anisi conditi ʒ. ij. nucis moschatae, cornu cervi usti ana ʒ.i.ss. ligni aloes, rad. conso∣lidae major. ana ʒ. i. ss. ambrae graec. gr. iv. f. pulvis.
Give her a dram at a time in white wine, if she have a fever, in capon broath.

5. If the woman cannot nurse, then to repel the milk, that it may be expelled through the womb,

℞. * 1.282 Olei ros. myrtini ana ℥.iij. aceti rosat. ℥.j.
Incorporate them, and therewith anoynt and besprinkle them with the powder of myrtyls: and then this emplaster following is good.
℞. * 1.283 Pul. mastichini, nucis moschatae an ʒ. ij. nu∣cis cupressi ʒ. iij. balaust. myrtil. an. ʒ.i. ss. Ireos, florent. ℥. ss. olei myrtini ℥. iij. tere∣binth. venetae ℥. ij. cerae novae q. s. f. em∣plast.
Or take the leaves of sage, smallage, rue, and Thervil, * 1.284 cut them very small, and incorporate them in vinegar and oyle of roses, and so apply them to her brest, and renew it thrice eve∣ry day.

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CHAP. XXX.

IS CHIAS in Greek: * 1.285 The barbarous sort call it Sciatica: It is a grievous pain which chanceth about the joynt, which the Greeks call Ischion, the Latins Coxa; in English the Hucklebone.

1. A plentiful phlegmatick humour, * 1.286 that is cold, gross, and viscid, flowes down into this joynt.

2. The pain not only troubles the leg, but entring very deep, is extended to the muscles of the buttocks, the groines, knees, and very ends of the toes: yea oftentimes it vexeth the Patient with a sense of pain, in the very Verte∣bra of the loynes.

3. The cause of such wandring pain, is to be referred to the manifold distribution of the nerves, which come to the joynt from the loyns and holy-bone.

4. Continual rawness and unmeasurable using of venereous acts do not a little help: Al∣so neglect of exercises, and a slux suddenly stop∣ped may be the cause: sometimes there is a fla∣tulency, mixed with the humour that runneth into the cavity of this joynt.

There is a bitter and violent pain in the Huc∣klebone, * 1.287 some have pain about the privie mem∣bers; and the bladder being vexed, they have difficulty of pissing: The whole leg from the haunch to the heel, suffereth pain, yet often∣times no swelling, rednesse, nor distemper, ma∣nifest

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to the eye. Lastly, the ligamentous bo∣dies moystned, with this excrementious humor, become loose, whence succeeds lamenesse, and at last a hectick fever.

First, * 1.288 if there be an inflammation, and the Patient full of blood, open the Basilica on the grieved side for revulsion; and then for evacu∣ation of conjunct matter, the Vena Ischiadica; on the one side of the Ankle. If the pain be most in the inside, take the Sapheia on the inside of the Ankle; Also acrid clysters are good: If there be no ulcers in the guts, or Hemorrhoids,

℞. * 1.289 Rad. acor. ℥.ij. centaur. rutae, salviae, rorism. calam. origan. pulegii, an. M. ss. stoechad. arabic. flor. cham. melil. aneth. an. p. 1. scm. anisi, & foenic. ana ℥. ss. agaric. ʒ.ij. rad. po∣lypod. ℥. ss. fiat decoctio. ad li. j. in colaturâ, dissolve Hieraepicrae, & diaphen. an. ℥. ss. benedict. lax. ʒ. ij. mellis anthos. sacc. rub. ana ℥. j. olei liliorum ℥. ij. ol. rutae ℥. j. vitell. ovor. no. salis com. ʒ. ij. fiat enema.
Vel.
℞. * 1.290 Diaphoen. ʒ.ij. elect. è succo rosarum ʒ.iij. pol∣cath. ʒ.j. bened. lax ʒ.ss. vini albi q.s. fiat potio.
Both the clyster and this may serve for the strongest body: You may diminish the quan∣tities as you shall see cause. If there be inflam∣mation, make use of the common decoction, instead of the wine: * 1.291 Also Pilul. arthritic. is good: vomiting is commended, and sweating, with the decoction of Guaiacum, and Sarsaepa∣rilla. If heat molest, bath first with vinegar, and then with oyle of roses. For attractives use emplasters of pitch, Euphorbium, and tur∣pentine;

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Also bathe with oyle of sage, * 1.292 rosema∣ry, and ung. Aregon. and (if no inflammation)

℞. Cantharid. quibus detractae sunt alae ʒ. ij. * 1.293 stavisag. ʒ.ij.ss. euphorb. ʒ. ss. sinapi ʒ. i. ss. fermenti ℥. ss. incorporentur simul & fiat vesicatorium:
If you please you may adde mel. anacardinum, or turpentine; black sope, the whites of egges. Hippocr. commends actual cauteries. Fomenta∣tions that ease pain are good, and a sheep, or cats skin. If you want more, search the follow∣ing Chapter.

CHAP. XXXI.

ARTHRITIS in Greek, * 1.294 in Latin Articu∣laris morbus; the joynt sicknesse: It is a di∣sease harming the substance of the joynt, by the falling downe of a virulent matter; indued with a maligne and venenate quality; ac∣companied by four humours; There are ten in number.

1. Siagonagra, of Siagon. a jaw, * 1.295 is when the virulent matter falleth upon the joynt of the Jaw.

2. Trachelagra, of Trachelos, * 1.296 is that which af∣fecteth the neck.

3. Rhachisagra, of Rhachis: the spine, is, * 1.297 when it troubles the back-bone.

4. Omagra, of Omos, the joynt of the shoul∣der; is when it molests the shoulders.

5. Cleisagra, of Cleis; * 1.298 is when it affects the joynts of the collar bones.

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6. * 1.299 Pechyagra, so called for Pechys, which sig∣nifieth the elbow.

7. Chiragra, of Cheir a hand.

8. Gonagra, of Gony, the knee.

9. Podagra, so called, for that the Greeks term the foot Pous: this gout is most hard to help.

10. * 1.300 Ischias, so called, for that the Grecks term the Hip Ischion: of this gout I have trea∣ted of in the former Chapter.

Abundance of raw humours is the cause of this disease, * 1.301 occasioned by immoderate diet; and many other causes, which is to be found in the other Chapter.

Those humours that do abound and fasten in the joynts, either be sanguine, cholerick, flegmatick, or melancholious: and sometimes ingendred of the commixtion of humours: The humour causing the gout is different from that which causeth a Phlegmone, edema, Erysipilas, or Scirrhus; * 1.302 for as Aetius saith, it never cometh to suppuration, like other tumors. The reason I think is, because it happeneth in parts destitute of blood.

As soon as it falleth into the spaces of the joynts, * 1.303 it causeth cruel pain; one while with heat, as if they were burnt, another while with extream cold. Such as have this disease here∣ditarily, can no more be freed therefrom, then those in whom the matter of the disease is be∣come knotty: as Ovid saith well.

Tollere nodosam nescit medicina podagram.

The matter of the gout is a thin and virulent humour, yet not contagious; offending rather

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in quality, then in quantity; instigating the humours, together with flatulent spirits, prepa∣red ready for defluction upon the affected parts, do there cause extream paines, that are intolerable.

1. I read of a Gentlewoman that had many ter∣rible fits, by reason of a tumour scarce equalling the bignesse of a pease, on the out-side of the joynt of the left hip: In her fit she did cry and roar, and rashly and violently threw her body this way and that way above her nature, Thru∣sting her head between her legs, and laid her feet on her shoulders, as if she had been possessed with a devill, being most violent when the tu∣mor was touched: yet all the quarter of an hour the fit held, she had her senses, and no inflam∣mation, no other swelling did appear. At last a potential cautery was applyed to the grieved part or tumour; and after the fall of the eschar, very black and virulent sains flowed out; which freed the woman ever after: whence you may gather the malignity and venenate quality of the humour.

2. The matter of the gout commeth for the most part from the liver or brain. If from the brain, it is flegmatick, thin, and clear; it passeth out of the muscles, skin and Pericranium, as also through the large hole by which the spinal marrow (the braines substitute) is propagated into the spine, by the coats and tendons of the nerves, into the spaces of the joynts: and it is commonly cold.

3. That which proceeds from the liver, is diffused by the great vein and arteries; and

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participates of the nature of four humours.

1. If it floweth from the head, there is hea∣viness, and dullnesse of the head; with pain: the functions of the minde are hurt by the maligni∣ty of the humour: The musculous skin of the head swells, with a certain oedematous tumor.

2. If from the liver blood and choler bear the sway, the veines are large and swollen, the defluction is on a sudden; and through crudities it degenerates into flegme and a wheyish hu∣mour: if it degenerates into melancholy, the gout resembles the nature of a Scirrhus; but it is rare to be found.

1. Melancholy causeth numnesse, and a dull pain; the gout being of a livid or blackish colour.

2. A phlegmatick humour is also known by the colour; being white like the neighbouring parts; giving place to the finger, it is cold, and the urine thin and watery, and the pain is not very sharp.

3. The sanguine gout looks red, and the veines are puffed up by it.

4. The cholerick, fiery or pale; the pain is sharp like lancing: he is eased by cooling things, in the fit a fever taketh him, he is thir∣sty, and his urine yellow, many many times if the choller be acrid, a gangreen ceazeth on the affected part.

5. If salt flegme, there is itching, gnawing, and biting,

1. A gout healed, often leaves a palsie be∣hind it.

2. They oft desire venery, which is hurtfull,

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because it dissipates the spirits, and weakeneth the nervous parts, and exasperates the pain.

3. The great heat dissolves the seminal matter, which flowing to the genitals, distends them.

1. * 1.304 Treakle is commended in all Arthritical affects, because it dries and wastes the maligni∣ty thereof; so saith Avicen. in lib. de ther. ad pi∣sonem. c. 15.

2. If blood be the cause, cut a vein on the opposite part; as if the right arm be troubled with a gouty inflammation, * 1.305 open the Sapheia on the right leg; this is for revulsion and evacu∣ation: If this easeth him not, open the vein next the pain, let him abstain from wine and flesh.

℞. Lac caprae ℥. v. vitell. ovor. no 2. ol. rosar. ℥.j. * 1.306 croci ʒ.ss.
With the crums of bread make a cataplasme: stamping them well together. Bathe with vi∣negar, and then with oyle of roses.

4. After the body is once fed, they must not return to meats, before that the concoction be perfected in the stomach (which is called Culina communis totius corporis) lest the liver draw by the mesaraick veins, crude and ill digested mat∣ter, and so deprive the body of its nourishment; for vitium prioris concoctionis non potest corrigi per sequentes. Keep his body soluble with clysters, * 1.307 if a full body give a strong purge.

5. * 1.308 For a cholerick flux a vomit of Stibium is good; for vomiting in the gout is commen∣ded, * 1.309 and purging is good with Electuarium è suc∣co rosarum, in the common decoction: and ap∣ply medicines that can cool and restrain, the

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medicine made with goats milk described be∣fore is good: adding popy seeds ʒ. iij. or opium ℥ ss. leaves of roses, night-shade, plantin, Hem∣lock, and henbane are good: In all hot gouts apply cloaths wet in Aqua sperm. * 1.310 ranarum: for it is a singular remedy.

6. When you are forced to use stupefactive medicines in vehement paines, nourish and re∣create the part afterwards, with things that do heat, as origan, savorie, &c.

7. In all gouts, things that are diureticall are commended.

8. * 1.311 For a flegmatick flux, a vomit of Asaron is good: or a purgation downward is the safest way, the making of which you shall find in the former Chapter: But first extenuate the hu∣mour with oximel scillitic. * 1.312 or the like: Let him abstain from meat often: * 1.313 desolving fomenta∣tions are good, take mallowes boyled in milk, and stamped, adding thereto saffon, goose∣grease, and wheat bran, to make a poultis: or Arkangel stamped with white-wine vinegar, is good: or

℞. * 1.314 Olei laurini, ireos, ana ℥ j. axung. porci, bu∣tyri, ana ʒ.iij. medull. cervinae ʒ.ij. terebin∣thinae ʒ.v. galban. dissol. in aceto ʒ.j. hyssopi, rad. altheae, sem. fenugr. ana ℈. ij. cerae novae. q. s. fiat unguentum:

Issues or fontinels are good: Also this bath is good to strengthen the joynts; which must be effected in this disease.

℞. * 1.315 Fol. absinth. rutae, laurini, pulegii, lavendul. thymi, origan. millissae, roris mar. primulae ver. cammomeli, stoech. salviae, ana M.j.

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With two gallons of water make a bath: Also this is good for a flatulent convulsion, or gout cramp; which taketh men in the night:

9. If there be conjunct matter, apply a vesica∣tory of sour leaven, cantharides, and Aqua vitae: * 1.316 this discussing Emplaster is good.

℞. Gum. ammon. opopanacis, galbani, an ʒ. ij. * 1.317 dissolvantur in aceto, postea colentur, adde olei liliorum, terebinth. venet. ana ℥.j. picis navalis, & cerae novae quantum sufficit. fiat emplastrum molle.
This astringent cataplasme is good.
℞. Fol. sabinae M.ss. nucum cupressi ℥. iij. * 1.318 alu∣minis roch. ℥. j. gum. tragacanthae ℥ iv. mucaginis, psilii, & cidon. quant. s.f. ca∣taplasma.
But remember first to purge.

10. For melancholy, * 1.319 if blood be mixt there∣with, open a vein; then purge. The infusion of Hors-radich is excellent for this, * 1.320 and the for∣mer, and for all watery fluxes that are cold:

11. For knobs, * 1.321 roots of Althaea twice sod∣den; and figs braied and applyed are good: If the humour be stubborn, and of a virulent qua∣lity: use Argentum vivum, * 1.322 the oyntment there∣of described in the Chapter of Lues venerea, which by experience I have found to be excel∣lent: Lastly, observe four scopes in the cure.

1. First appoint a convenient diet.

2. Secondly evacuate by purging and bleeding.

3. Use topick medicines, according to the condition of the humour.

4. Lastly, correct the symptomes and pain,

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which many times is sufficient to kill the Patient.

CHAP. XXXII.

MORBƲS SPINALIS, * 1.323 vel spinae dorsi: The disease of the spine of the back: In English, the Rachites, or the Rickets.

1. The primary essence of this disease, con∣sisteth not in the animal constitution, or in that which dependeth upon the influx of the brain into the parts.

Nor in the vital constitution, or in that which dependeth upon the influx of the heart into the parts: But this disease consisteth in the natu∣ral constitution, being rooted in the similary constitution of the natural parts.

1. Those parts that are primarily affected, do labour under a notable cold distemper, with penury and stupefaction, or benumednesse of spirits: many famous physicians have attribu∣ted the first essence of this disease to the liver; but it will be proved otherwise, for it is one thing to produce a common cause of a disease, and another thing to be the first essence of a disease.

The affect of the liver doth follow this disease, and its substance is augmented in this affect: But in dissected bodies it hath been seen incul∣pable, in respect of the other conditions; nei∣ther is the liver grievously and evidently (throughout the progresse of the disease) affli∣cted: neither doth it labour under a cold and moyst distemper; for if it did, the face could not

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be so well coloured, and the cheeks so ruddy: moreover the debility of the muscles, and the dislike of exercise, seemeth not to have any correspondence with the liver.

The lungs cannot be admitted for the first seat of this disease.

1. For the narrownesse of the brest doth not presently arise from the very beginning of the disease.

2. Neither doth the Asthma perpetually ac∣companie this affect.

3. The cough is sometimes present, and sometimes absent.

4. An inflammation of the lungs doth not presently afflict the Patient.

5. Hard swellings, impostumes, and bun∣ches may follow; for they are common to men as well as children.

6. The ptisick cometh after a long continu∣ance of this affect, being far from the essence of this disease.

7. The impotency of the external parts to motion, and the inequality of nutrition, can∣not be deduced from the affected lungs.

1. The spinal marrow issuing out of the skul, doth seem to discern the first place.

2. The second all the nerves produced by it.

3. The third all the membranous and fi∣brous parts, unto which those nerves are car∣ried along; In these alone, the first essence of this disease is rooted.

The softnesse, loosenesse, and Atony of the whole spine, without the skull, of all the nerves

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arising from thence, of all the fibres of the uni∣versal body, do cause inability to motion, sloth∣fulnesse, and affectation of rest, which bewray themselves from the very beginning of this af∣fect; do abundantly evince the parts to be affe∣cted with coldnesse, defect, and benumednesse of spirits.

2. The secondary essence of this difease is ra∣dicated in the natural constitution; and also in the vital, which are both vitiated in this affect: The secondary essence, hath a dependency upon the primary. The secondary essence of this disease, is likewise in the animal constitu∣tion; which is that affection of the body, con∣sisting in the generation and due motion of the animal spirits, by which is understood the excursion of them from the brain through the nerves like lightening, and again their re∣course back to the brain, whereby they declare unto it, what is perceived by the organs of the outward senses.

Now by reason the animal spirits have their passage through the first affected parts, name∣ly through the spinal marrow without the skull, through the nerves from thence proceeding, and through the parts into which those nerves are distributed, and seeing that all these parts in this affect do labour with a cold distemper, with a paucity and dulnesse of inherent spirits, the animal constitution must needs be vitiated, and the activity of the spirits in some degrees retarded, and yet the sence is not vitiated; for almost the gentlest motion of the nerves, is sufficient for sence, but not for motion; because

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the latter requireth a greater strength and vi∣gour of the nerves.

The parents may be troubled with Cachexia, * 1.324 the dropsie, the green-sicknesse, which some call the white fever: The scurvy, French pox, and the jaundies, which corrupt the blood, that cannot be changed into laudable and fruitful seed: so that infants may borrow a disposedness (from their parents) to this affect: But it can∣not be comprehended under the species of an hereditary disease, properly so called; for that consisteth in the formation. This disease accor∣ding to its primary essence is a similary disease, as before demonstrated.

1. Yet in many children, this disease doth fall under a second species of an hereditary di∣sease, improperly so called, as when the parents are troubled with the diseases aforesaid.

There is also many times in the parents pe∣nury of natural spirits, as happeneth after large evacuation in fluxes, which wasteth the strength, and is not repaired before coition; especially a consumption, or hectick fever; a Gonorrhaea, or a cold, or a moist distemper of the genitall parts, and womb; or excessive sleepi∣ness of the woman with child, or slothfulness and ease, may be the cause of this disease.

2. A cold and moyst ayr doth powerfully contribute to this disease, which easily happen to such children as are born near great Rivers, Ponds, or Meers: So doth an extream hot and subtil ayr, for that allureth forth, and con∣sumes the inherent spirits: Also a plentiful di∣et may be the cause.

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3. Likewise a stupidity and sluggishnesse of the first affected parts, a defect of motion, and want of exercise, immoderate sleep; and on the contrary, inordinate watching may be the cause.

Also things preternaturally retained, as if choler abound and luxuriate in the body, for it dissipates the natural spirits. Likewise ter∣rene dregs of the belly, a sour humour, and also flegm may be the cause: immoderate sweat∣ing doth much dissipate the spirits. Precedent diseases may be the cause, as a phlegmatick Ca∣chocymi. * 1.325 A Cachexia, a dropsie, immoderate vomiting, Lyentery, Dysentery, the Hepatical flux, Diabetes, excessive sweating, a feeble appe∣tite of the ventricle, an obstruction or scirrhus of the mesentery, sweet-bread, spleen, or liver; also an opoplex, palsie, or lethargy.

It is possible for this disease to happen to those of full growth, being conjoyned with another, which is the primary cause; although it seldom cometh to passe, because of their con∣tinual exercise.

The magnitude of the head, the leannesse of the joints, the crookednesse of the shank bone, or the elbow, the inflexions of the joints, and the sharpnesse of the brest, do not accompany this disease presently, but in process of time they bewray themselves, there is a consumption of the parts which is onely a symptome, and not a disease.

Some are so gently affected with this disease, as you would scarce suppose them to be sick; they ear, they drink, and sleep like those that

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are healthful, only they play with more un∣chearfulnesse, and shew forth some slight signs of sickness, and yet by the only benefit of na∣ture, without any assistance of art, they recover.

The Rachites degenerate often into a con∣sumption, a Hectick, or into a slow putrid fever.

The usual companions of this malady are Hydrocephalus, the fault of breeding teeth, an Asthma, Pthisis, Hectica febris, a slow and erra∣tical fever, and Ascites, &c. yet these may hap∣pen, although the Rachites have not preceded.

Lastly, such as have little or no dependance upon this affect, are a malignant fever, the French pox, the scurvie, and the strumatical affect, which do sometimes associate this evil, and yet they are all distinct from this.

The dogmatical signs relating to the animal actions, are these, * 1.326 the looseness and softness of the parts, the debility and languidness, and fi∣nally, the slothfulness and stupefaction.

1. First a certain laxity, and softness, if not a flacciditie of all the first affected parts, is usually observed in this affect: the skin is soft, and smooth to the touch: the joynts are easily fle∣xible, and many times unable to sustein the bo∣dy; for the most part they speak before they walk, if they be infested with it the first year, which among us is held to be a bad Omen.

2. But if they be afflicted with this disease after they have begun to walk, by degrees they stand more feeble upon their legs, they stagger and stumble at every small occasion, and cover sitting.

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3. Upon a vehement increase of this disease, they totally lose the use of their feet, being not able to sit with an erected posture, and the weak and feeble neck doth scarce, or not at all sustain the burthen of the head.

4. A kind of slothfulness and numbness doth invade the joynts, and presently after the be∣ginning of the disease, and by little and little is increased: The younger that are carried in the nurses arms, do not laugh heartily, when they are delighted and pleased with any thing: nei∣ther do they kick or cry so fiercely, when they are angred: when they are committed to their feet, and the disease prevaileth, they are averse from all motion of their limbs.

5. They are moderate in sleeping, and wa∣king, ingenious, not stupid; but for the most part of forward wits, unless some other impe∣diments arise. Their countenance is more com∣posed, and severe, then their age requireth; as if they were ruminating upon some serious matters; these signs being taken do constitute a sufficient Pathogonomonical Syndrom, or con∣course of symptomes; of the first kind, which relate to the animal actions.

1. Of how great moment the Alogotrophy, or unequall nourishment of the parts, in this af∣fect; we have already demonstrated.

2. Secondly there appeareth the unusual big∣nes of the head, and the fulnesse and lively com∣plection of the face, compared with the other parts of the body: yet there is a Cacotrophy, or vitious nourishment, proper to this affect.

3. Thirdly, the fleshie parts are daily more

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and more worne away, made thin and lean, which excellently demonstrateth the motion and degree of this disease, by its increase; This sign being joyned with the former, doth at least constitute a Pathognomonical sign of the second kind, that is such a one as is proper to this di∣sease alone.

4. Certain swellings, and knotty excrescen∣ces, also carruncles, knobby swellings, and hard bunches of flesh about some of the joynts, are observed in this affect; chiefly conspicuous in the wrists; and somewhat less in the Ankles: the like are in the tops of the Ribs, where they are conjoyned with grissles in the brest and sterne. These tumours are scituated in the ve∣ry bones, which witnesseth the species of the disease.

5. Some bones are crooked, as the spine bone, the shank bone, the Fibula, or small bone in the leg; then afterwards the greater shank bone, and the lesser bones of the elbow: the bones of the head stick out. * 1.327 But in health ac∣cording to Hippocrates, 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, The bones do give unto the body, stability, uprightnesse, and form or fashion.

6. The stern is elevated, that it may yeeld room to the augmented bulk of the liver.

7. The former parts of the Ribs are more soft then the hinder, and do more easily receive their aliment, and augmentation then the har∣der: so that the formost parts of the Ribs, which are soft, are more lengthened then the under∣most. The teeth come forth slowly, with

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trouble; and then oftentimes waxe loose and black, falling out by peices, and new ones come again: though late, with pain.

8. The brest becometh narrow (in the high∣er progression of the disease) on both sides, and sticketh out like the brest of an Hen, or Capon, which indeed may somewhat happen in an Atrophy, or a defective nourishment of the parts: but it can scarce so fall out according to the change of the figure, without an Alogotrophy; this must also be reputed a Pathognomonical sign of the second kind.

9. Again, a swelling of the Abdomen, and an extension of the Hypochond parts, which hin∣der the free motion of the Diaphragma down∣wards, and consequently interrupt the breath∣ing, proceeding partly from the windiness of the stomach and guts, and partly from the big∣ness of the liver, and other bowels.

10. A cough is frequent, and stoppings, hard tu∣mors, impostumes, and inflammations of the lungs, is usual; and there is a lateral growing of the lungs in the Plura, which partly is the cause of the vitiated figure of the brest: They are averse from lying on their sides, either because of the coalescence of the lungs with the Plura, or by reason of some tumor; but these are not conspi∣cuous, whilest the child is living: The pulse in the wrists are small and weak.

11. Their excrements of the belly and blad∣der, do resemble theirs that are in health; they loathe sweet things, they weigh heavier then others that are in health, of the same age and stature.

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12. The Hydrocephalus is known by dulness of the sences, the magnitude of the head, the sutures do gape more wide, the bone in the fore-head sticks out, there is a water outwardly contained undet the Pericranium: for the signes of other diseases, which are usually complica∣ted with this affect, look into their proper Chapters.

The observations collected from the dissecti∣on, and inspection of bodies subdued by this di∣sease, are these.

1. The Abdomen being opened, the liver hath exceeded in bigness, yet well coloured, and not much hardened.

2. The spleen for the most part is not to be contemned, whether you consider the magni∣tude, the colour, or the consistence of it.

3. The stomach and guts are somewhat more infected with flatulent humours, because of the extension of the Hypocondriacal parts.

4. The mesentery is somewhat faultlesse, and sometimes affected with glandulous ex∣crescencies, and sometimes with swelling bunches.

5. The sweet-bread is suspected to be obstru∣cted, and to have a Scirrhus.

6. The kidnies, uriters, and bladder, are lau∣dably sound, unlesse there be a concomitancy of other diseases.

1. The stern being withdrawn, there is per∣ceived stoppings or stuffings of the lungs, which alwayes more or lesse groweth with the Plura; some have glandulous knobs or bunches, though but seldom.

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2. In the cavity of the brest, is sometimes seen, a collection of wheyish waters, and more frequently then in the cavity of the Abdomen.

3. Sometimes all the lungs on the left or right side (though seldom) is infected with an impostume, so that being crushed, they yeeld a copious, thick, and stinking matter; of a yel∣lowish colour, and in the impostume is con∣tained much water.

4. The kernel in the cavell bone is always observed to be great.

1. The skull being sawed thorow in a cir∣cular figure, and the little cover being open∣ed, you may observe the Dura mater to be firm, and adhered to the skull in many places.

2. Between the Dura mater, and the Pia ma∣ter, and in the very ventricles of the brain, is sometimes found wheyish and waterish hu∣mors, which is the cause of the Hydrocephalus.

3. The Carotides and the jugular veines, ex∣ceed in many, their just proportion: but the arteries and veines, are usually slender in this affect.

1. The prognostical signs are these; the di∣sease properly natural; or if it invadeth before the birth, is the most dangerous, and seldom end in health.

2. The more early the invasion is after the birth, the more dangerous the disease is.

3. Elder children that go up and down, are more easilier cured then young infants that can∣not use their legs.

4. This disease proceeding from some other foregoing affects, is more dangerous then that

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which is introduced by an erroneous regiment of health.

5. This disease chiefly invadeth the cradles of the Gentry, who live at great ease.

6. The greater the head is, the longer and harder is the cure.

7. The weaker the back bone is, the grea∣ter and the more dangerous is the affect.

8. The great swellings in the bones of the wrists, and the ends of the ribs, the crookedness of the shank bone, the shoulder bone, or the bone of the arm; and the great inflexion of the joynts, do presage the continuance of the disease.

9. If the Hydrocephalus be complicated with the Rachites, it ever importeth great danger; If the sutures of the brain-pan, do gape and water, get into the middle spaces, and swell the the Dura mater into a waterish and soft tumor, it is mortal.

10. A painful breeding of teeth is sometimes accompanied with most vehement symptoms, and even threatneth death: but the dog tooth portends more danger in this disease.

11. An Asthma, especially the Orthopny, * 1.328 in which the Patient cannot draw breath, but with an erected neck, is very dangerous; for that prompteth to a suspition of some tumor, impostume, plurisy, or inflammation of the lungs, or some growing of the lungs with the Plura.

12. If the ptisick be complicated with this affect, it is for the most part mortal.

13. This disease in time changeth into the

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ptisick, at least brings a consumption to the de∣struction of the sick, unlesse some grievous af∣fect and symptome do intervene, and prevent by hastening death: as a convulsion, the loud cough, the swelling of the lights, (vulgarly cal∣led the rising of the lights) a fever, a plurisy, &c.

14. If a dropsie of the lungs, or an Ascites, be complicated with the Rachites, it portends a desperate, and deplorable condition.

15. A hectick, slow, putrid, and continu∣all fever, maketh this disease desperate.

16. If the venereous pox, be consociated with the Rachites; be it hereditary, or contra∣cted by infection, it is uncapable of remedy.

17. The scurvie doth very much retard the cure.

18. Strumatical tumours, internall or exter∣nal, do not very much suspend the hopes of cure.

19. Whosoever are not perfectly cured be∣fore the first five years of their age be spun out, they afterwards live but miserably and sickly; and being either Asthmatical, cachectical, or ptisical, they die before they arrive at the con∣sistance of their age, or else they grow deform∣ed, crooked, or dwarfish.

20. If scabs, wheales, pimples, or the itch, come after this affect, it doth hopefully expe∣dite the cure.

For the cure, * 1.329 the method to practice is divi∣ded into 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, and 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉, the Therapeutical and the Prophylactical part, or the curative, and the preservative: The curative part presupposeth the Physiology, Pathology, and Semeiotical part, which require a manifold exer∣cise

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of every operation of the understanding.

1. Indication that noble instrument of the method of cure: Galen delivereth to be, * 1.330 an in∣sinuation or declaration of the consequence, that is something to be done: In this sence it may be defined to be an objective action of the indicant, relatively considered, which repre∣senteth to the understanding the thing indica∣ted: that is, what may be helpful, what hurt∣ful, what elected and applyed, what forsaken, and avoyded.

2. The indicant is a state of the body, as it is moveable, relatively considered; namely, as it intimateth what is to be done in that particular.

3. The thing indicated is a medical action (directing to health) required on the part of the indicant.

4. There are nine things to be considered (according to Argenterius) in indicated actions; * 1.331 An? Quid? Quâ materiâ? Quantum? quale? qu∣modo? quando? ubi? quo ordine agendum? That is, whether? what? with what matter? How much? of what kind? after what manner? when? where? In what order a thing must be done?

These indicated actions, are found out by the force of indication: which indication is refer∣red to some generation of the understanding: They vainly attempt the cure, who are igno∣rant that one thing is indicated from one indi∣cant; which indicant the understanding doth comprehend, together with the indicate in the indication according to Galens definition, * 1.332 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉. Item in alla definitione, 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉.

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1. For the indications curative, first this di∣sease indicateth that those things are to be avoi∣ded which cherish and augment the distem∣per: and such things are to be implored, that may subdue the same, namely, hot and dry.

2. Secondly, Those things must be avoyded, that can scatter and consume the spirits: and such things must be elected, that have virtue to restore, cherish, and multiply them.

3. Thirdly, those things that make thick, fix, or stupify the spirits, are to be avoyded; and all those things that can excite the spirits, and ex∣pell their stupefaction are good; as exercises, motion, and frictions, &c.

4. Fourthly, those things are to be avoyded that are wont to mollify, loosen, and weaken the tone of the parts, and those things are to be given that can render them more solid and firme.

5. Fifthly, a caution is to be had of those things which promove the flux of blood to∣wards the head: or retard the passage thereof to the first affected parts: also choyce must be made of such things as stirre the pulses of the arteries in the parts first affected, and that do excite the spirits to a greater activity.

6. Sixthly, the unequall nutrition indicateth those things which promove the even and im∣partial distribution of the alimentary heat to the extenuated parts: The crookednesse of the bones require such things as attract the ali∣ment to the hollow side, as frictions, &c.

7. Seventhly, Cephalicals, and such things as facilitate the distribution, as exercise, and those

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things that corroborate and strengthen the parts, are good.

1. For the indications preservative, or the prophylactical part: they are deduced either from the antecedent, or the present causes, the latter is propounded.

2. The causes are either impurities, or excre∣mentitious humours, (which are) collected or impated in the first passages, which unlesse they be taken away, do not only infect the nou∣rishment inward, but they dull and hinder the appropriate medicines: They indicate therefore an evacuation, either by a gentle vomit, or by a lenetive purgation.

3. The head requireth a particular evacua∣tion; which usually is performed by scarrifica∣tion of the veines in the hollow of the ear: also blisters raised between the first and second turning joynt of the neck.

4. If the Cacochymical humours be unapt for motion, then medicines must be used that do prepare such humours; more especially if tough and grosse humours be impacted, and setled in certain parts of the body; * 1.333 according to Hippo∣crates, Corpora quum quis purgare volet, ea fluxi∣lia faciat oportet, when you would purge a body, you must first make it fluxible, with such a pre∣paration, as hath a peculiar reference to that part in which they are inherent: for the hu∣mours in the liver require one kind of prepara∣tion, those in the lungs another, &c.

1. Life it self consisteth in a triple constitution of the body, the natural comprehendeth under it, first the temperament, secondly, the inherent

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spirits, with their plenty and vigour: thirdly, the tone of the parts; fourthly, the structure of the organs, fifthly, the continuity.

2. The vital containeth first the generation, secondly, the distribution of the vital spirits, thirdly, their participation with those parts un∣to which they are distributed; namely, the uni∣on of them with the said parts, and the com∣municated heat.

3. The animal comprehendeth first the ge∣neration, secondly the distribution of the ani∣mal spirits: thirdly, the due stretching of the parts, depending upon the influx of the brain: all these because life consisteth in them, are cal∣led vital indications; which directeth to the conservation of the animal, vital, and natural constitution.

1. First, in this affect you shall make choice of the best nourishments, such as are easie of concoction.

2. Secondly, cherish and strengthen the parts most affected.

3. Thirdly, gentle evacuations are good, the violent must be avoyded.

4. Fourthly, prepare the tough humours before purging, * 1.334 according to Hippocrates, Quae movenda sunt fluida prius facere oportet.

5. Fiftly, let your remedy arrive at the seat, and penetrate to the very cause of the disease.

6. Sixthly, if the humours be naturally apt to move upwards, expell them by vomit: If downwards by siege: in like manner root out the causes by spitting, by urine, and by sweating.

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7. Medicines mingled with the nourish∣ment, ought to be grateful to the pallate, lest they subvert the stomach, and hinder con∣coction.

8. The universal causes yet flowing to and fro in the body, being impediments, must be first expelled.

9. We must relieve the more urgent and weighty indicant; first, unlesse there be an in∣terruption of some impediment.

The chyrurgions work is to scarrify the ears, make issues, raise blisters, apply cupping-glas∣ses, leeches; also ligatures and swathing bands are to be used, to sustein and erect the bending of the joynts and bones.

Many children are cured only by the means of issues: it is a powerful remedy against the Hydrocephalus, both curative and preservative; and very much conduceth to lessen the magni∣tude of the head, and to evacuate the superflu∣ous water thereof: represseth the inordinate in∣crease of the bones, and drieth up the too much humidity of the spinal marrow, exciteth heat, strengthens the nerves, and expelleth the asto∣nishment: the issue must be made between the second and third turning joynt of the neck.

To streighten the trunk of the body, or to keep it streight, they use to make brest-plates of whale-bone, put into two woollen cloathes, and sewed together, but the best way is to fa∣sten them to the spine of the back, with a handsome string fitted to that use.

1. Those remedies that can cleanse, and

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wash the first passages, are clysters, vomits, and lenitive purgations.

When the belly is costive, the excrements hardened, and windy humours torment the guts, or some vehement pain in the bowels af∣flict the Patient; then clysters are commen∣ded, as

℞. * 1.335 Lactis vacc. rec. calfact. ℥.iij. iv. vel. v. sem. anis. pul. gr. X. sacchari commun. ℥. j. ℥.i.ss. vel. ℥. ij. butyr. recent. ℥. ss. vitellum unius ovi M.ff. Enema.
Vel
℞. * 1.336 Rad. alth. ℥. ss. malvae contus. ℥. ss. flor. Chamaem. p. j. sem. anis. foeniculi dul. ana ʒ.i.ss. coq. in. s.q. seri lactis cerevisiati in colatura ℥.iv. vel v. solve syr. violarum, rosarum solut. ana ʒ. v. sacch. communis, ol. rosat. ana ℥. ss. misce. fiat Enema.

2. Emedical remedies, or vomits, do chiefly perform three things; First, they evacuate crude and corrupt humours, or impurities con∣tained in the stomach.

2. Secondly, by an agitation, and commo∣tion, they loosen the gross and viscous humours, adhering unto the bowels and other parts; and unlock obstructions.

3. Thirdly, they most effectually irritate the expulsive faculty of all the parts of the body; as the guts, liver, sweet-bread, spleen, kidnies, lungs, brain, &c. Finally, the whole body (by straining to vomit) is prone to a Diaphoresis; ei∣ther by a manifest sweating, or by an occult and insensible transpiration: If the humours tend upwards of their own accord; and the child

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be naturally, or customarily apt to vomit, then administer one, according to the strength and age of the child, as

℞. Infusionis croci metallor. in vino Hispan. * 1.337 loco frigido factae & per subsid. optimè depurat. ʒ.j.ʒ.i.ss. vel ʒ.ij. (proratione aetatis ac robo∣ris) syr. acetos. simpl. ʒ. ss. seri lactis cerevi∣siati ℥.i.ss. aqua cinam. gutt. x. vel ejus loco, si convulsiones metuuntur, aq. antepilept. Lang. ℈.j. misce.
And let the child drink it in the morning warm. This is good to evacuate chollerick hu∣mours out of the stomach: This that followeth is an excellent vomit to purge flegm.
℞. Succ. fol. Asari ʒ.ss. ℈.ij. vel ʒ.j. syr. * 1.338 ace∣tosi simpl. ʒ.ij. seri lactis cerevisiati quan∣tum sufficit.

3. Lenitive Catharticks, or evacuant medi∣cines, may be divided into simple and com∣pound, of the first sort are Manna, * 1.339 cassia fistula∣ris, Alloe socotrina, Tamarindi, Polypodium queci∣num, vuae passae majores, jujubae, sebestenae, pruna dulcia & damascena, Ficus, flores malvae, violarum, Herbae parietariae, mercurialis, rad. Althaeae, Gly∣cyrrhizae, & similia.

The compound catharticks are these; * 1.340 Cas∣sia extracta cum vel sine senna, Diacassia, Elect. passulatum, Diaprunum lenitivum, decoctum, com∣mune pro medicina, syr. violarum, mel. ejusd. syr. rosarum, sol. mel mercuriale, mel passulatum, con∣servae rosarum pallidarum, and the like.

℞. Mannae calabrinae opt. ʒ. vj. cremor. * 1.341 tartari gr. vij. seri lactis cerevisiati in quo parùm sem. anis. ferbuerit ℥.i.ss. misce & exhib. mane.

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Vel

℞. * 1.342 Polypod. quer. ℥. ij. vuar. passar. exacinat. ℥. i. ss. prun. damasce. ℥. vj. vel l. ss. Rad. glycyrrhizae ℥. i. ss. tart. alb. praepar. ʒ. ij∣coq. in s. q. font. ad l. j. In colaturâ infun∣de per noct. fol. senn. elect. ℥. i. ss. rhab. ʒ. ij. pulpae cassiae recenter extract. ʒ. i. ss. tama∣rind. ℥.j. semin. anis. foeniculi dul. ana ʒ. ij. manè per spannum laneum densum expri∣mantur.
℞. Expressionis ℥. viij. sacchari alb. ℥. vj. coq. parum, tum adde mannae opt. syr. ros. solut. rhabarb. ana ℥. i. ss. violarum ℥. j. ff. syr. lenitivus. capiat puellus ℥. j. in aq. cichor. vel parietar. ℥. ss. & succi limon. ʒ. j. di∣lutam.

4. Remedies preparatory, partly relate to the preparation of the humours (which are either flegmatick, thick, viscous, chollerick, melan∣choly, &c.) partly to the wayes thorow which they are to be expelled; and partly to the passa∣ges themselves, which sometimes require Ce∣phalicals, Hepaticals, and pectoral preparations. The simples are these, * 1.343 Herbae omnes capillares, Imprimis, Trichomanes, Ruta muraria; Spicae ra∣dicis osmundae regalis; Polypodium murale, Phylli∣tis, Ceterach, Hepatica, Agrimonia, Scabiosa, Be∣tonica, Cuscuta, Folia & cortex Tamarisci, cortex radicum capparum, rad. cichor. Endiv. Asparag. Glycyrrh. passulae, semin. anis. foenic. dul. coriandr. carui Anethi.

The compounds are these, * 1.344 Syr. capill. vener. de Beton. simpl. & compos. Byzantin. cichor. de Epa∣tor. de quinque radic. de scolopend. de stoecad.

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℞. Tussilag. capill. vener. Hepatic. agrimoniae, * 1.345 anam. ss. jujub. sebesten. ana no. vj. fic. incis∣no. ij. rad. filic. maris. polypod. asparag. an. ℥. ss. macis ℈.j. coq. in l. ij. aq. font. colatu∣rae l. j. adde vini alb. ℥. iij. syr. de scolo∣pendr. ℥.i.ss.
Mingle them and make a decoction. It open∣eth obstructions in the menstery, liver, and lungs. You may adde the flowers of Tamaris, one pugil. Raisons one ounce, and liquoris half a dram. If there be a suspition that the scurvy, or venereous pox be complicated with the Rachites; look into the thirteenth and four∣teenth Chapters of this book, and there you shall have plenty of remedies.

5. Remedies electively evacuant, are to be used after the matter of the disease be prepared, and the passages opened to expell peccant hu∣mours, * 1.346 for which purpose Rhubarb is most ex∣cellent; for it is directly opposite to the essence of the disease.

The simples are these, Rhabarbarum, * 1.347 Aga∣ricus. sem. Carthami, Jallappa, Turpethum, Epithy∣mum, &c.

The compounds are these, Syr. Rosar. solut. * 1.348 de cichor. cum rhab. Syr. epith, fumariae, Diacatholi∣con. confectio Hamech, Benedicta laxativa.

℞. Decoctio commun. ℥. i. ss. Syr. * 1.349 de rhabarbaro ℥. j. misce.
Give the child half of it over night, and the other half in the morning warm, you shall find an excellent decoction, of a strengthening qua∣lity in the Chapter Paralysis.
℞. Rha b.opt. ʒ.i.ss. vuar. passar. exacinat. m.j. * 1.350

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cerevis. commun. l. j. infund. per 12. horas, de colatura hujusmodi bibant puelli qui noctu avidè potum expetunt.

6. Specifical alterant medicines, are reme∣dies diametrically contrary to the nature of the disease, and such as directly impugn it. The simples and compounds are these. * 1.351 Radices Eryng. Tamarisc. Abortonum, Absinth. pontic. chelidon. major. crocus, Radic. curcumae, sarsaparillae, sassafr. chinae, tria santala, lignum Guaiaci, ejusque cortex, flor. sulph. chalybs praepar. crocus martis, sal. chalyb. vinum chalyb. syr. chal. vinum album & Rhenanum, sperma ceti, moschus, Ambra Grysea, castoreum, &c. Also the root of osmond the royal, of the male fernbrake, Asparagus, madder, maiden-hairs, Ce∣terach, hearts-tongue, liverwort, betony, sage, rosemary, and the leaves of dead nettles, may well be numbred amongst specifical simples, for their singular vertue in this disease.

℞. * 1.352 Rad. osmundae regal. spicas no. vj. veron. maris, linguae cervin. ceterach. capill. vener. hepat. ana m.j. salviae, anthus ana m. ss. pas∣sul. minor. ℥.iij. Glycyrrh. ℥.ss. macis ℈. ij. coq. in l. vj. aq. fontan. s. a.
℞. Colaturae l. iij. adde syr. capill. vener. ℥. iij. misce ff. Apozema. capiat puellus haustulum hujus quotidie mane, horâ quartâ pomeridi∣anâ, tum etiam noctu, si potum tunc potierit, immo si voluerit, utatur eo pro potu ordi∣nario.
This is most proper for those who have the Rachites, complicated with a cough, and an obstruction of the lungs. If the liver be afflicted, put in the flowers of Tamarisk, the roots of

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male-fernbrake, raisons, white and red sanders, Sassafras wood, and sage leaves.

℞. Sarsaparill. ℥.viij. rad. chinae ℥.ij. lig. sassafr. * 1.353 ℥.ss. eboris ℥.j. osmond regal. veron. maris, ling. cervin. ceterach, capill. vener. hepat. summitat, lamii, ana m.ij.
Boyle them in four gallons of new Ale, untill one be consumed; then add another gallon, and stirre it up and down with a stick, then strain it, and put the ingredients into a boulting bag, put a peece of Iron into them, and a bit of leaven, hang it into the Ale with a string, and let the child drink of it for its ordinary drink.
℞. Sarsaparill. incis. & contus. ℥. iij. rad. chinae, eryng. ana ℥. ij. linguae cervin. ceterach. he∣pat. capill. vener. veron. maris, salviae ana m. ss. cort. tamarisci, sant. rubr. ana ʒ. ij. passul. corinth. ℥.j. macis ʒ. ss. * 1.354
With pure oat-meal, a cock chickin, and a suf∣ficient quantity of water, make your broath. Also this Electuary following is good.
℞. Conserv. rosarum rub. ℥.i.ss. cons. flor. borrag. * 1.355 salviae, lamii. caryoph. anthus, ana ℥.ss. Di∣atri. santal. diarrhod. abb. croci, salis cha∣lyb. ana ℈.ss. cinam. Glycyrr. hispan. ana ʒ.ss. chalyb. praepar. ʒ.j. cum syr. de cichor. cum rhab. f. Electuarium.
Let the child take half a dram, two scruples, or a dram every morning by it self, or else in possit Ale.

7. Remedies that correct the symptomes (such as the flux of the belly, the lientery pro∣fuse sweats, * 1.356 and painful breeding of teeth) are these, Rhubarb, Senna, Tamarinds, Myroba∣laus,

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for they leave behind an evident binding after evacuation. So that the cure is perfected partly by purgations, by astringent remedies, by such as open, and partly by such as streng∣then the parts.

℞. * 1.357 Fol. Sennae elect. ʒ.ss. rhab. ℈.j. pulpae tama∣rind. ʒ.i.ss. semin. anis. contus. gr. x.
Infuse them in a sufficient quantity of water, boyle them very gently, and to an ounce and a half of the decoction, adde Syr. de rosis siccis, vel myrt. vel menthae, ℥.ss.
℞. * 1.358 Conserv. rosar. rub. ℥.ss. rhab. opt. pulv. gr. xij. Syr. de coral.q.s.f. Bolus.
To be given in the morning, or if the symp∣tomes be violent,
℞. * 1.359 Laudani dispensatorii Londinens. gr. ss. ma∣gister corall. gr. xij. conserv. caryoph. vel ro∣sarum rub. ℈.j. syr. cydon. q. s. f. Bolus.
To be taken at bed-time. If you want more, look back into the 39, 40, and 41. Chapters in the first book.

For profuse and excessive sweating; mark what Hippocrates saith, * 1.360 sudorem illum, qui praeter causam fluit, purgationem postulare. That that sweat which floweth away without cause, re∣quireth purgation. For which purpose Rhu∣barb is most excellent, * 1.361 also French, and Ren∣nish-wine is commended. But because accor∣ding to Galen, * 1.362 Vinum pueris inimicum, by reason it heateth above nature, and hurteth the head; Mix with it rose-water, or put in Borrage, or rosted Apples, adde a little sugar, and nutmeg: Also Electuaries with steel, * 1.363 (If there be no ca∣thar, cough, inflammation, plurisie, or flux) Di∣arrhod.

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abb. Diatri. sant. and conserve of Barbe∣ries, are good.

For the painful breeding and aching of the teeth, vomiting is commended; or to rub the teeth with a tobacco leafe moystened. Nurses use coral, but to rub the gums with a marsh mallow root is better. If the pain be violent, use Laud. gr. ss. as before. * 1.364

8. External remedies may be divided into two kinds, namely the manner of exercise, and things externally applicable: Gentle exercises are referred to the manner of lying down. To the agitation of the body in the cradle. To the carrying them about in the nurses arms, and to sedendary pastimes.

1. First, lying upon the back, among all po∣stures of the body, doth chiefly recede from ex∣ercise: and is almost only allowable in the ex∣treme weaknesse of the spirits, as in acute fe∣vers, inflammation of the liver, spleen, lungs, in a plurisie, in the growing of the lungs with the Plura, and an impostum, &c. The simple lateral position conteineth somewhat more of exercise, to correct the crookednesse of the back-bone, a little bag may be made to lay un∣der the gibbous part.

2. Secondly, rocking of the cradle in time of sleep, must be intermitted: This kind of ex∣ercise is most profitable for weak infants, that can scarce stand upon their feet.

3. The bearing them about in the nurses arms, is most agreeable to the same children. Let the nurse sing, and wave the child to and fro; if it be strong, to hold it up gently by the

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hands; if weak, under the arms; also rowling the child upon a bed is good, or upon a table, laying a hard cushion underneath, whereon the gibbous part may rest.

4. Sedendary games and pastimes are the least profitable.

Masculine exercises of greater note are re∣ferred to these three titles: * 1.365 To going, to an artificial hanging of the body, to friction, rub∣bing, and contrectation of the Hypocondries, and the Abdomen. Let the nurse use frictions with her warm hand upon the back bone, thighes, hips, legs, ankles, and soals of the feet, but not on the gibbous part that sticketh out, but on the hollow part: Let the nurse some∣times lift up the bowels, and sometimes depress them: sometimes remove them towars the right, and sometimes towards the left hand: and sometimes thrust the tops of the fingers under the bastard ribs, thereby to deliver the liver from any preternatural growing with the Peritonaeum; If any such should chance to be: It easily happens by reason of the greatnesse of the liver, and the stretching of the Hypocondri∣acal parts, whereupon the Peritonaeum and the membrane of the liver are most neerly and strictly conjoyned, and so by the help of time may easily grow together.

Things to be externally applyed are liquors, oyles, liniments, oyntments, and plaisters. First,

1. * 1.366 ℞. Rad. osmundae regalis, filic. maris ana ℥.j. fol. salviae, stoech. lauri, scolopendr. veron. maris, flor. calend. rorism. ana m. ss. rosa∣rum. rubr. siccat p. j. coq. in aq. fontan. &

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aq. vitae vulgari. ana li.j. ad 3 partis casum, colatura servetur ad usum.
These liquors are for the most part mixt with equall parts of oyles, liniments, or oyntments; and rubbed on with a hot hand before a fire, untill they be dry.

Compound oyles are not to be used alone; but are to be mixed with simple oyles.

2. ℞. Fol. salviae rubrae, veron. maris, rorismar. * 1.367 lau∣ri ana m. ij. rad. osmundae regalis ℥.vj. sum∣mitat. lavend. flo. calend. chamaem. an. m. j. aqua vitae li. j. ol. è pedib. bovin. ol. vulpin. anali.ss. sevi cervin. ol. lumbricor. ana lib. j. coq. ad consumpt. aq. vit. Exprimatur ung. dum calet. & separatis foecibus reservetur in usum.
Vel
℞. Fol. becabung. chamaem. nasturt. aquat. * 1.368 co∣chlear. hortens. veron. maris, cardiacae, capill. vener. linguae cervin. ceterach, lauri, sum∣mit. menth. salviae rubr. rorismar. baccar. hederae ana m. ss. radic. osmundae regalis ℥.iv. vini moscatellin. lb. ss. butyr. majal. li. iij.
Cut the leaves, and bruise the berries, and boyl them all; to the consumption of the wine, strain it whilest it is hot, and separating the pure substance from the setlings, make an oyntment according to art.
℞. Ol. de cappar. absynth. sambucini an. ℥.j. ung. * 1.369 generalis primi supra descripti ℥. i. ss. m. f. Linimentum.
This is good to be rubbed upon the region of the abdomen, and the Hypocondries, even to

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drinesse: The balsom of Tolu, mixed with the oyntment aforesaid, or an emplaster, and ap∣plyed upon the region of the back is counted most excellent.

℞. * 1.370 Succor. becabung. nasturt. aquat. cochlear. hortens. absynth. cortic. sambuci, radic. filic. maris an. ℥.j. succi depurati lento calore ad crassitiem fermè extracti redigantur, tunc adde in pulverem subtilissimum comminuta santal. citrin. ʒ.ij. macis ʒ.i.ss.
℞. Mixturae hujus ℥.i.ss. gummi ammon. in vi∣no soluti & ad spissitudinem cocti, ℥.iv. misce∣antur calidè, & continuè agitentur donec in∣cipiant frigescere & indurari, f. Emplast.
Emplast. de beton. and Diacalcitheos is much com∣mended, to be applyed to the back, adding ma∣stick, * 1.371 and Olibanum in powder, of each half a dram. Lastly, a liniment made with the gelly of Harts-horn, being made with such things as strengthen the sinews, as the flowers of sage &c. and in the time of anoynting, to mingle there∣with oyle of Castoreum, and oyl of nutmegs by expression, is excellent.

〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉.
FINIS.

Notes

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