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 242

LIB. III. CHAP. I.

ACHOR, vel Tinea, * 1.1 or scald head: is a disease possessing the musculous skin of the head, or the hairy scalp, and eating thereinto like a moth.

1. Furfur is also a kind of ulceration of the head, * 1.2 like a scurf or dandruff, and is like unto bran or oat∣meal; some term it a drie scall.

2. There is another called Ficosa, * 1.3 a fig-like scall, because when it is despoyled of the crust or scab, which is yellow; there appears grains of quick and red flesh, like to the inner seeds or grains of figs, and casting out a bloody matter.

3. But Achor is properly an ulcerous scall, for it abounds with ulcers, which are open with many holes, flowing with liquid saines, like the washing of flesh; stinking, sometimes livid, and sometimes of a yellowish colour.

4. If the holes be somewhat larger, * 1.4 its called Cerion, or Favosa, (that is like a hony comb) The matter which floweth resembleth hony in colour and consistence.

They all proceed of a humour which is lesse or more vitious. * 1.5

It need not any more signes. * 1.6

You must first begin with purging, and if

Page 244

nothing prohibit, open a vein. Next, with char∣ril, * 1.7 sothernwood, Venus haire, Enula campana, roots and fumitory, make lie with a little vine∣gar, * 1.8 and wash the head therewith, and with this oyntment following anoynt the head.

℞. * 1.9 Ol. amigd. amar. ℥. iv. olei irini ℥. ij. succi ciclae, & fumi. ana ℥. iij. decoq. ad consum∣ptionem succorum, quibus adde farinae fae∣nug. ℥.ij. nigellae ℥.j. misce omnia simul & fiat unguentum.
Ficosa is cured with cresses, * 1.10 being beaten, and fryed with hogs-grease, and applyed; for an ulcerous scall this oyntment following is much commended.
℞. * 1.11 Ʋnguent. alb. ℥.iv. olei laurini ℥. iv. cin. ni∣cotian. ℥.ij. ol. tart. quant. suff. fiat un∣guentum.
This oyntment killeth vermin which usually are found in scall'd heads.

Lastly, an ulcerous and contumacious scall must be cured, as we cure the Lues venerea: to the oyntments prescribed, may be added a lit∣tle Ʋnguentum enulatum; * 1.12 or take Emplastrum vi∣gonis cum mercurio, and fit it into the fashion of a cap; and apply it: but let the head be often washed with the decoction of Guaiacum, &c.

For childrens scald heads,

℞. * 1.13 Pisorum m. 4. Decoquantur in s.q. aquae. Horum iuri admisceatur tantundem lixivii fortis: & facta ebullitione reservetur usui. Rulandus.

Page 245

CHAP. II.

ALOPECIA, is baldnesse, * 1.14 or falling off of the haire; expert Physicians do reckon nine kinds of defaults of the haire. First,

1. Contorsio, which is a curling or intang∣ling of the haire. Secondly,

2. Decoloratio, a deformity of the colour. Thirdly,

3. Quassatio, a splitting or cleaving asunder of the haire. Fourthly,

4. Fractio, which is a short breaking away of the haire, for it snappeth asunder. Fifthly,

5. Atrophia, a drying away, or consuming of the haire, for lack of food. Sixthly,

6. Canities, is when the haire before its due time becomes gray or white. Seventhly,

7. Defluxio, which is a falling away of the haire, like as in them who lost their naturall heat, or recovered after a long continued sick∣nesse. Eighthly,

8. Phiasis, is when the haire is coloured like a snake. The ninth and last is this,

9. Alopecia I now treat of.

The causes of Alopecia, * 1.15 are inflamed moy∣stures, whereby the haire before was fed; which through inflammation thereof is taken away.

If blood abound, open a vein, * 1.16 and take myr∣till seeds, and leaves, boyle them in plantin wa∣ter and red wine, and wash the head there∣with. Or

℞. Mellis purioris, vini cretici, * 1.17 urinae puero∣rum,

Page 246

Lactis ana lb. * 1.18 j. Destillet. aqua, qua abluantur loca, unde pili decidunt. Fal∣lopius.

CHAP. III.

TORTƲRA ORIS, called of Almansor, Con∣tractio: it is untruly named the palsie, for it is more nearer a cramp; yet if it proceed from moysture, it is a kind of palsie; if through drowth, then it is a kind of cramp, and is com∣monly a sign of death.

The chief cause springeth, * 1.19 as of that of the palsie, or cramp, called Spasmos, or else of cold, or some angry passion.

The mouth and lips are contracted to the right or left side, * 1.20 so that one eye is sometimes clear shut up; and the breath issueth out at one corner of the mouth.

For the cure, * 1.21 if you look into the Chapters of Spasmus, and Paralysis, you shall find plenty of remedies; yet this bag following is much com∣mended.

℞. * 1.22 Pulicar. herb. paralys. orig. calamenti, folior. lauri, & rutae, anthos an. m. ss. florum stoeca∣dos, salviae, sambuci, ana p. j. radic. pyretri ℥.j. fiat sacculus.
And apply it, * 1.23 but first let the diseased part be anoynted with oyle of Castoreum. Lastly,
℞. * 1.24 Aquarum Lillii convallii, Aquarum juni∣peri ana ℥. j. olei succini ℈.ss. misce. Quer∣cetanus.

Page 247

CHAP. IV.

PEDICƲLARIS MORBƲS: * 1.25 the lowsie evill, is a miserable sickness: It happeneth that these vermin do breed of moysture of a mans flesh, and begin commonly in the eye∣browes, and in some scabs or scruf, by little and little they creep out of the whole body with such danger, that very skilful Physicians have enough to do therewith.

First purge, * 1.26 and then anoynt with this lini∣ment following.

℞. Ol. amigd. amar. ℥. ij. ol. antiquiss. * 1.27 vel ru∣tac. ℥. j. staphi. agriae ℥. j. centaur. minor. ʒ. ij. myrrhae ʒ. iij. arg. viv. ℥. ij. axung. ranc. dae & salitae ℥. iij. incorporentur simul, & fiat linmentum.
Lastly, let him drink the juyce of wormwood, and scurvigrass in his beer, for a week to∣gether. And
℞. Malv. bismal. ciclae ana. m. ij. hord. integ. * 1.28 & leviter torrefacti p. iij. fo. ℥. j. flor. chamo. mellil. ana. p. j. fiat decoctio, qua abluatur Rondelet. lib. 1. cap. 3.
Or the oyntment made with Tobacco ashes, see the first Chapter, and second page of this book, or make this liniment.
℞. Aloes staphydis agriae. an. ℥.ss. olei fraxini, * 1.29 succi genistoe q. s. Fiat linimentum. Weckerus.

Page 248

CHAP. V.

OPHTHALMIA, * 1.30 is an inflammation of the coat Adnata, and consequently of the whole eye, with beating, and great pain.

It may be caused either by a fall, * 1.31 a stroak, dust, or small sand flying into the eyes: or by a defluxion of a thin hot humour upon the eyes, or an inflammation of the Dura mater, or peri∣cranium, may be the cause.

The signes are great heat, * 1.32 rednesse, and pain, which sometimes is so vehement, that it forceth the eyes out of their orbe, and breaketh them asunder: they are sometimes taken with vomi∣ting, which is a sign that the matter of the di∣sease proceeds from the stomack.

Their diet must be moderate, * 1.33 and of a cool∣ing quality, and if nothing forbid, give him a gentle purgation, and open a vein in the arm. But Galen commends the opening of a vein in the forehead, to be a most speedy help. Then use repercussives, as

℞. * 1.34 Aq. ros. rub. & plantag. an. ℥.ss. mucagin. gum. tragacanth. ʒ.ij. album ovi quod suf∣ficit. f. collyrium.
Let certain drops be dropped into the eye, and presently after, apply this cataplasme to the eye.
℞. * 1.35 Medul. pomor. sub ciner. coctorum ℥.iij. lactis muliebris ℥.ss. fiat cataplasma.

Page 249

CHAP. VI.

SƲFFƲSIO, vel cataracta, * 1.36 is a disease in which the Patient imagines that he seeth black things: It is the concretion of an hu∣mour into a thin skin under the horny coat, just against the apple or pupil: or it is a corrupt water congealed like a curd betwixt the Tunicles, and set before the sight of the eye, and the cristalline humour; so that the sight is quite lost, weak, or somehat depraved.

Leucoma, or the web of the eye, * 1.37 is not much unlike the cataract: and also Glaucoma, which is, when the cristalline humour is dry and thick, and the colour of it is green, so that the eyes seem green.

The causes of a cataract may be a fall, * 1.38 stroak, heat, cold, or pain; by whose meanes the humour is drawne and gathered together: or else vapours and humours ascending to the brain, and from thence descending to the eyes, which in processe of time, and by reason of cold, are changed into water; and in the end be∣comes thick and congealed.

When the cataract is formed and ripe, * 1.39 it resembleth a thin membrane spread over the Apple or pupil; and appeareth in colour some∣times black, green, livid, citrine, and a quick∣silver-like colour, which are all held uncurable, because it is very like that the optick nerve is ob∣structed: But a chesnut, or a sky, or sea-water colour, with some little whitenesse, yeeld great

Page 250

hope of a happy and successeful cure.

At the first when it beginneth to breed, they seem to see many things, as flies, hares, nets, and black things: sometimes every thing ap∣peareth two, and sometimes lesse than they are, and their sight is best in the morning: now if this filme cover half the pupil, then all things shew but by halfes: But if the middest thereof be covered, and as it were the centre of the cri∣stalline humour, then they seem as if they had holes or windowes: but if it cover all, then can they see nothing at all, but shadowes of vi∣sible bodies, and that but confusedly, and by conjecture.

He must abstaine from wine, * 1.40 pease, beanes, turneps, and especially from venery: Let his bread be seasoned with some sweet fennel-seeds: * 1.41 phlebotomy, and purging, if they be requisite, shall be appointed: Also masticatories to be used in the morning; and frictions upon the eye-lids are commended. Bright shining things, as the Starres, the Moon when it is at the full, Looking-glasses, Diamonds, &c. for the Pa∣tient to look earnestly upon them, are said to dissipate a beginning cataract; also for this pur∣pose, * 1.42 take two ounces of Damask rose-water, warme it on the fire, and half a dram of Aloes succotrine pulveris'd, mix them with the juice of Cellendine, as much as sufficeth; drop three drops into the eye every night eight nights to∣gether. I was taught this by a very good friend of mine, that held it for a great secret; or take Vigo's collyrium made

℞. * 1.43 Hepatis hircini sani & recentis lb. ij. ca∣lami

Page 251

aromatici & mellis an. ℥.ss. succi rutae ʒ. iij. aq. chelidoniae, faeniculi, verbeniae euphasiae, an. ℥.iij. piperis longi, nucis moschatae, caryo∣phyllorū ana ʒ.ij. croci ℈.j. storis rorismarini aliquantum contriti, m. ss. sarcocollae, aloe, he∣paticae ana ʒ.iij. fellis ratae, leporis & perdi∣cis an. ℥.j. terantur omnia, tritis{que} adde sac∣chari albi ℥.ij. mellis rosati ʒ.vj. conjician∣tur in alembicum vitreum, & distillentur in balneo mariae:
If you prevaile nothing by these edicines, and that the humour do every day thicken more then other, when it comes to be grown some∣what hard, then let the expert Chyrurgion touch it with a needle according to art: The powder of a mowshell put into the eye upon a web, wasteth it.

CHAP. VII.

LIPPITƲDO, blear eyes: * 1.44 or blood-shot eyes, is nothing else but a certain white filth, flowing from the eyes; which oftentimes agglutinates or joynes together the eye-lids.

Sometimes it is hereditary, * 1.45 and then not to be cured: Rhasis saith, that when the white of the eye is turned to rednesse, it is caused of some salt humour, or super-abundance of Rhume, with corruption of blood: Also excre∣mentious flegme may be the cause.

Some commend Emplast. contra rupturam, * 1.46 to be applyed to the shaven crown: frictions and cupping-glasses applyed to the hinder part of

Page 252

the head are good, and a collyrium made with rose-water, * 1.47 and a little vitrial dissolved there∣in. Lastly,

℞. * 1.48 Salviae, betonicae, hyssopi, serpilli, an. m. j. flor. stoechados m. v. rad. faeniculi peoniae, ana ℥.j. sem. anisi, faeniculi, ammi an. ʒ. j. nucis mus∣chatae, cinnam. an. ʒ. j. misceantur & co∣quantur usque ad consumptionem tertiae par∣tis, deinde coletur, saccharoque dulcis red∣datur potio, cui denique addantur syrupi de betnica. ℥.iv.
Let him drink thereof often; * 1.49 but first purge him and bleed him, and an issue made in his neck, cannot but be very effectual to turn the course of the humour: unguentum tutiae cannot but be very good.

CHAP. VIII.

AEGILOPS, * 1.50 fistula lacrymosa; or weeping fistula of the eye, it is in the corner there∣of, near unto the nose, where there is a glandule made for the receiving, and retaining moy∣sture; for the humecting the eye, lest it should drie by continual motion: This glandule some∣times swells, impostumates, and ulcerates: by reason of a sanguine, * 1.51 or pituitous defluxion, falling violently from the brain, and in time it rotteth the bone that lyeth under it.

There is for the most part a tumour of the bignesse of a pease, * 1.52 the which being pressed, floweth with a sanious, serous, red, or white, and viscid matter: In time they cause an Atro∣phia

Page 553

of the eye, in some blindnesse, * 1.53 and a stink∣ing breath.

Some chirurgions cut up the uppermost skin, * 1.54 and wring or presse out the impostume, which lieth lockt in a little bladder; and cut it off as near as may be, the rest they take away with an actual cautery: The same swelling doth set∣tle it self otherwhiles in the length of the eye-lids, yet both are to be holpen with oat-meal, wine, and Tutiae, tempered together in manner of a salve: * 1.55 Anchylops somewhat differs from Aegilops, for that is a superfluous flesh in the cor∣ners of the eye, whereto humours gather.

℞. Thuris, sarcocollae, aloes, sang. dracon. * 1.56 ba∣laust. antimonii, aluminis, an. ℈.j. floris gr. v. fiat pulvis, & cum aqua rutae f. colly∣rium. Forestus.

CHAP. IX.

LAGOPHTHALMƲS; or the hare-eye: * 1.57 In this affect the Patient sleepeth with his eyes open, because his eye-lids are so short, that it will not cover them.

The cause is either internal or external; * 1.58 in∣ternal, as by a carbuncle, impostume, or ulcer: external as by a wound made by a sword, fall, burning, or the like.

That which happens by burning and a car∣buncle, &c. is held uncurable; * 1.59 because much of the substance is lost, you must use relaxing and mollient fomentations.

Ectropion, is the turning up, * 1.60 or out of the eye∣lid,

Page 154

both their cures are properly performed by chyrurgery. In this last, purge twice or thrice with these pills following.

℞. * 1.61 Pilul. sine quibus, lucis major. ana ʒ. ss. dia∣gridii. gr. ij. fiant pilulae vij. deinde ut ocu∣lum lavaret praecepi vino albo, cui alumen de rocha, in exigua quantitate semel bullitum erat. Deinde palpebram linimento subse∣quenti inungeret jussi.
℞. * 1.62 Tutiae praeparatae ℥.ss. axungiae porcinae cola∣tae ℥.i. ss. camphorae ℈. j. boni ponderis: la∣vetur novies in aqua ros. somni tempore in∣ungatur. * 1.63 Forest. Tom. 1. lib. 11. obs. 41.

CHAP. X.

CHALAZION, * 1.64 or Hailstone of the eye-lid, is a round and clear pimple which growes upon the upper eye-lid, and is movea∣ble: The Latines call it grando. There is another pimple called Hordeolum, * 1.65 growing upon the verges of the eye-lids above the place of the hairs, it resembles a barley corn.

At the first beginning it may be dissolved and discussed, * 1.66 but if once it comes to be hard, it's scarce curable, and is hardly brought to suppu∣ration: The best way is to open them, and then to press forth the matter: If the pimple be small, thrust it through with a needle and thred, and leave the thred therein, of such length, that you may fasten the ends thereof with a little Emplastrum gratia Dei, to the forehead; if it be on the upper eye-lid; or to the cheeks, if on the

Page 255

lower, you must draw forth a fresh one every se∣cond day, as is usually done in chyrurgical Se∣tons: Thus at length the swelling will be de∣stroyed, and made plain. * 1.67 Forestus doth much commend the fat of a cock to bathe the pimple called Hordeolum with, and also the decoction of Cammomel.

CHAP. XI.

MYDRIASIS, * 1.68 is the dilatation of the pupil of the eye.

It happeneth either by nature, * 1.69 as from the default of the first conformation, (which is un∣curable) or by chance as a blow, fall, or contu∣sion upon the eye, which causeth the offspring of a humour, to flow down from the brain.

First open a vein, * 1.70 then use cupping-glasses with scarrification, and frictions, whereby the defluxion may be hindered: Take the blood of a turtle-dove, pigeon, or chickin, reaking hot out of the veines, and poure it upon the eye; then apply thereto this Cataplasme.

℞. Parinae fabar. & hordei ana. ℥. iij. ol. rosar. * 1.71 & myrtillorum an. ℥.i.ss. pul. ireos flor. ʒ.ij. cum sapa fiat cataplasma.
Also this fomentation following is good to fo∣ment, with a spunge.
℞. Rosar. rub. & myrtill. an. m. j. florum melil. * 1.72 & chamaem. an. p. j. nucum cupress. ℥.j. vini austeri l. ss. aq. ros. & Plantag. an. ℥.iv. fiat decoctio.
℞. Syr. de betonica ℥.iv. capiat.ij. * 1.73 cochlearia bis in die. Forestus. To. 1. lib. 11. obser. 28.

Page 256

CHAP. XII.

HYPOPYON, * 1.74 is the suppurate or putrefied eye.

Sometimes it is caused by a defluxion, * 1.75 and sometimes it cometh after an inflammati∣on, sometimes by a stroak; through which occasion a vein being opened, hath poured forth blood thither, which may presently be turned into pus or quitture.

Evacuate the matter (the Corea being ope∣ned) at the Iris, * 1.76 in which place all the coats meet, you may cleanse the ulcer with Hydromel or the like.

There are divers other affects of the eyes; as the Hydatis, * 1.77 or fatnesse of the eye-lids. Proptôsis, or the falling or starting forth of the eye. * 1.78 Chemôsis, or the turning up of the eye-lids. Pterygion, * 1.79 or web of the eye. Staphyloma, or grape-like swelling. These affects of the eyes, and their cures, are also so well known to ex∣pert chyrurgions, that for brevities sake I will omit them without giving you either the cau∣ses, signes, or cures of them; because I have been large in the former affects of the eyes; So that the cure of the former, may serve for the cure of these. * 1.80 If you desire to be further satis∣fied, see Forestus. Tom. 1. lib. 11. de morb. occul. & palpeb.

Page 257

CHAP. XIII.

DOLOR AƲRIƲM: pain of the eares, * 1.81 is caused in some through cold taken in a journey, by cold winds 〈◊〉〈◊〉 also it chanceth to many through a hot distemper, or inflamma∣tion: sometimes sharp and biting humours do cause pain in the eares.

If cold be the cause, * 1.82 administer a sharp cly∣ster, made with rew, balme, bettony, worm∣wood, bay-leaves, and rosemary; also a poultis of the same herbs, * 1.83 with oyle of cammomel would do well; and drop into the cares a little oyle of bitter almonds: make a cake of Rye-meal and water, when it is well baked split it, and lay on English hony, apply it to the pained ears hot, and upon the cake a hot brick or tyle, so do three or four times, I once used it with good successe.

℞. Ol. amygd. dul. & Chamaem. an. ℥.i. ss. ol. * 1.84 lillio∣rum, viol. an. ℥.ij. misce, injiciantur in aurem. This is good in a hot cause.
If there be an impostume,
℞. Seminis lini, & faenugr. an. ℥. ss. flor. * 1.85 cha∣maem. melil. ros. an. p. j. rad. bistortae ℥. j. fiat decoctio, contundantur & fiat cataplasma.

Page 258

CHAP. XIV.

SONITƲS AƲRIƲM; sound and noise of the eares, is for the most part ingendred of windy vapours, * 1.86 or of gross and clammy hu∣mours: It may be caused through weaknesse of the members, and of outward things, as of cold, heat, or a blow on the head.

First purge with a dragm of head pills, * 1.87 if no∣thing prohibit: And let sweet fennel-seed be baked in his bread: Every third morning let him take sneesing-powder, and drop into the eares every night certain drops of oyle of rew, * 1.88 and aniseed, and keep the eares stopt with cotten wool; This Electuary following is good.

℞. * 1.89 Conserv. flor. rorism. ℥. ij. species diam∣brae, Dianthos an. ℈. ij. ol. roris. succini an. Gut. iij. Syr. de stoechade, quant. sufficit fiat Electuarium.
If the cause proceed from the stomach, * 1.90 admi∣minister a vomit.

Lastly, a dragm of Venus-treakle given in posset-ale (wherein rosemary is boyled) is ex∣cellent. * 1.91 Forestus doth direct wine to be drunk in this affect; and the decoction of Coriander seed prepared.

Page 259

CHAP. XV.

SƲRDITAS, & gravis auditus; deafnesse, * 1.92 and slow hearing; It doth beginne some∣times at ones birth, and sometimes after∣wards.

It chanceth either through cholerick hu∣mours, flying upwards, * 1.93 or through crude and grosse humours, stopping the hearing.

First administer a dragm of head pills, * 1.94 or give him the infusion of senne, and sweet fennel-seed. Take an onyon, rost it soft, stamp it, and strain out the juyce, & mixe it with a little fresh goos∣grease, and drop three or four drops at a time often into the ears, and then stuffe them with black cotten wool, and let him keep his head very warm. The juice of coal-worts, mixed with white-wine, is good for the same pur∣pose: * 1.95 Let him receive the fumes of frankin∣cense, and amber into his ears. Also provoke sneesing: Let him lean his ear upon a quill, or reed, having one end made fit for the ear, and the other for the pot (let there be in the pot wormwood, mints, marjoram, stoechas, rew, seeds of dill, and cummin sodden in water) that the vapour may passe into the course of hear∣ing: Oyle of Rew, and Castoreum, * 1.96 are good to drop into the eares, so is the vapour of vinegar taken with a reed.

℞. Scoriae ferri ℥. j. decoq. Rondeletius in vino, * 1.97 quod postea injiciatur in aurem.

Page 260

CHAP. XVI.

PAROTIDES: * 1.98 be inflammations, which are wont to issue in the kernels, which be by the eares.

It is caused of abundance of hot blood, * 1.99 which is either mixed with choller, flegm, or melan∣choly: sometimes of humours compact in the head, and sometimes Parotides breaketh out in feavers.

If fulnesse of blood be the cause, * 1.100 then there is vehement pain; if cholerick blood, they seem much like Erysipelas; if of melancholy blood, they do not vex with vehement pain, they are hard, but do not look red: If of flegmatick blood, in the swelling they be raised sharp upward.

First cut the Cephalica vein on the same side, * 1.101 and make a fomentation with Fenugreek, Al∣thaea, cammomel, and meal of Linseed, to ease pain: * 1.102 Emplast. Oxycroceum, and melilot plaister is good, some have performed a perfect cure with Argent. * 1.103 vivum. The oyntment there∣of being rubbed upon a plaister of melilot, and applyed two or three times: Lastly, this cata∣plasme following is very good.

℞. * 1.104 Rad. liliorum, & ceparum sub. cineribus coct. an. ℥. iij. vitell. ovor. num. ij. axung. suillae, & unguent. basilicon. an. ℥.i. fari. sem. lini ℥.i.ss. fiat Cataplasma.
But if the matter so require, let the tumor be opened. If you see cause, you may put Ʋng. Enu∣lat. in the Cataplasme.

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CHAP XVII.

OZAENA: * 1.105 is an ulcer in the inside of the nose, deep, stinking, and rotten, out of which are sent forth a loathsome and stink∣ing savour, with many crusty and stinking ex∣crements.

The cause is sharp and rotten humours, * 1.106 which flow to the nostrils.

Let the head be dried and strengthened; * 1.107 but first purge him with one dragm of head pills: and

℞. Omphacii ℥.ss. cortic. mali granati, * 1.108 vel confi∣ciantur sic. an. ʒ.iij. myrrhae aluminis, ladani ana ʒ. ij. calchit. aloes, cort. thur. an. ʒ.j. ol. rosat. & myrrh. an. ʒ. ij. cerae rub. q.s. fiat unguentum.
Also the nostrils may be anoynted with the juyce of pomegranate, boyled in a brazen ves∣sel unto the halfe. * 1.109 Monardus commends the urine of an asse. The juyce of Cresses with Al∣lam are good, and
℞. Mel. rosarum ℥.j. cerus. ℈. ij. misce. * 1.110
And anoynt the scabs therewith. Lastly, let him drink of this julep often.
℞. Aqua fumariae p.j. Syr. fumar. ℥. iv. misce. * 1.111
And to mitigate pain Weckerus (in lib. 2. par. 2. pag. 423.) doth commend axungia gallinae cum ol. viol. & pauca cera.

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CHAP. XVIII.

PROFLƲVIO SANGƲINIS ex naribus: flux of blood at the nose, * 1.112 is caused by a two∣fold meanes, as internal, and external; external, as some fall, a stripe, vehement exercise, and tarrying in the sun; of inward causes, as plen∣ty of blood, and thinnesse of the same, and sometimes great drinking of wine.

You may know if it come through plenty of blood, * 1.113 by a heavie pain in the head, much blood in the face, and by the rednesse of the eyes.

First open a vein on the arm, * 1.114 if nothing for∣bid, Then take a little bolearmeny, and Aqua sperm. ranarum; mix them together, and spread them on a double cloath, and apply it to the temples: and let the Patient snuffe up a little of the water aforesaid, often cold: If the Patient be ancient, and have lost much blood, comfort him with claret wie burnt, * 1.115 and sweetned with loaf-sugar. This course I did once take with an ancient woman of fourscore years of age (that had lost so much blood that I feared greatly she would die under my hands) and God cured her: There are many excellent re∣medies to be found in the Chapters of other fluxes. Yet this medicament following is of great use.

℞. * 1.116 Aquae plantag. ℥.viij. aceti ros. ℥.j. aqua ros. ℥. ss. duo ovi album. boli arm. veri ʒ. i. ss. concussa cum panno lineo fronti apponantur. Forest. * 1.117 To. 1. lib. 13. ob. 13.

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CHAP. XIX.

POLYPƲS; * 1.118 is a fleshly matter growing in the nostrils, like unto a kind of carbuncle: * 1.119 Hippocrates doth affirm that it is uncurable.

Sometimes it is caused through grosse hu∣mours descending to the nostrils, * 1.120 and some∣times it ariseth through a melancholy humour. * 1.121

It is one while white, another while reddish, and adheres to the bone of the nose, and some∣times fils the nostril, hanging towards the lips, and resembling the foot of a sea Polypus. There is also found sometimes a softmembrane, long and thin, and is filled with a flegmatick and viscid humour, which in expiration hangs out of the nose, but is drawn in and hid by inspiration: It makes one snuffle in their speech, and snort in their sleep.

Some kinds of Polypi are painful, hard, * 1.122 and resisting: having a livid or leading colour, such must not be touched with the hand: But apply this Anodine.

℞. Olei vitell. ovorum ℥.ij. lytharg. auri, * 1.123 & tu∣tiae praep. an. ℥.j. succi plat. solani an. ℥. j. la∣pid. haematit. & camphorae an. ℥. ss.
Let them be wrought in a leaden morter, and so make a medicine to put into the nostril: Those that are soft, loose, and without pain, are curable; some pluck them away with an instru∣ment: but the best way is to waste them away with Aqua fortis, or oyle of vitriol, and then to ease pain, take ung. de bolo, & nutritum: for a

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fleshly Polypus, some commend a Polypody root to be put through it, to waste it.

CHAP. XX.

FOETOR ORIS: stinking of the mouth: it is caused for the most part through putre∣faction of the gummes, * 1.124 or teeth: or through meat sticking still in the teeth: many times it cometh through a hot distemper of the skin of the mouth, sometimes through corrupt and rotten humours sticking in the mouth of the stomach, sometimes ulceration of the mouth, or lungs, is the occasion of the stinking breath.

If it chance through putrefaction of the gums, * 1.125 or teeth, or meat sticking in the teeth, it is easily known. If through heat in the mouth, there is felt thirst: If through vice in the stomach, the breath is more stinking before meat, than after. Exulcerations of the lungs, are known by exte∣nuation of the body, and by coughing, &c.

Let his meat be easie of digestion, * 1.126 if stinch of the mouth come through corruption of the gums, look into the Chapter of the scurvie: If through ulceration of the lungs, look into the Chapter of Ptisis. * 1.127 If it proceeds from the stomach, administer a vomit, and then streng∣then the stomach with Aromat. * 1.128 rosat. Diam∣bre, &c. If through ulceration of the mouth, look into the following Chapter.

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CHAP. XXI.

APHTHAE, * 1.129 are certain ulcers bred in the uppermost part of the mouth, and are by the Barbarians called Acola: they have a cer∣tain burning heat; some be whitish, some be reddish, and some be blackish, and those be most perilous of all other. They ingender for the most part in children, * 1.130 * 1.131 when either the nur∣ses milk is naught, or the child cannot well di∣gest it. These ulcers sometimes chance to them that be of perfect age, caused by a flux of vitious and sharp humours.

The tokens are easie, they which be red, * 1.132 do shew blood to have the mastery, yellowish, sig∣nify bitter choller, whitenesse, flegm, blackness, melancholy.

This gargarisme following will serve for the cure, if the ulcers be not malign. * 1.133

℞. Hordei integri p.j. plantag. ceterach. * 1.134 pilo∣sellae, agrimoniae an. m.j. fiat decoctio; in qua dissolve mellis rosati ℥.j. Diamoron. ℥. ss. fiat Gargarisma. Some make it with Balaustium, Barberies, red roses, allam honey of roses, &c. If they yeeld not to this means, * 1.135 anoynt them with Ʋnguentum Aegyptiacum, mixt with mel. rosarum. If any de∣sire to know more, let him read Forestue de Aph∣this & oris ulceribus. lib. 15. obser. 21.

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CHAP. XXII.

DOLOR DENTIƲM; the tooth-ache: It is caused sometimes through a hot or cold sometimes through flowing of humours out of the head, unto the roots of the teeth; which through their sharpnesse do gnaw about them.

In a hot distemper the whole body is hot, * 1.136 and the face red, cold is known by the con∣trary judgements. If through the flowing of some humour, then there is pain, not only in the teeth, but also into other parts which it pas∣seth by. An hot humour ingendreth vehement pain, a cold humour causeth lesse pain.

If it come of cold, * 1.137 wash the teeth with warm wine, or this Gargarisme following.

℞. * 1.138 Origan calaminthae, pulegii, rad. verbenae, fol. salviae, betonicae, florum rorism. an. m. ss. nuc. muschatae ʒ. ij. vini albi. q.s. fiat Garg.

And then bathe the cheecks with oyle of cam∣momel, * 1.139 and rew: but if it come through ex∣tream cold, then

℞. * 1.140 Piperis longi, rad. pyrethri, melilot. an. ʒ. j. staphisag. ʒ.ss.

Bruise them, and put the powder into a linnen cloath, and lay it on the aching tooth or teeth, and keep it there a quarter of an hour.

If the teeth ake through heat, * 1.141 seethe in vine∣gar, plantin, roses, purslain, & pillory. If the heat be vehement, seethe in vinegar the seeds of let∣tice

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and poppy. * 1.142 And bathe the cheeks with oyl of roses, and water-lillies. If through flowing of humours, cut the Cephalica or media, * 1.143 on the same side the grief is, or the vein under the tongue, then purge him. And make this Gar∣garisme.

℞. Rad hyoscyami ℥.j. pyrethri ℥. ss. staphisag. * 1.144 ʒ.j. galang. ʒ. ss. camphorae ℈. ij. aluminis ℥.j. mellis opt. ℥. ij. aceti l. j. aq. rosarum ℥.vj. fiat Gargarisma.
It preserveth the teeth, and keeps them from pain. Sometimes a hollow tooth, that is much eaten, causeth extream pain; so that the Pati∣ent is forced to have it drawn, to prevent a fe∣ver. These pills following are much commen∣ded for staying a defluxion of rhume upon the teeth, which many times causeth much pain.
℞. Myrrhae drach. vj. Thuris masculi ʒ. v. Opii. * 1.145 hyoscyami, rad. cynoglos. aridi an. ʒ.iv. Stil∣latitii rosarum liquoris, quod satis est. * 1.146 Fin∣ge pilulas & dato dormituris 10. aut 5. Nicol. sect. 3. p. 192.

CHAP. XXIII.

DENTES DENIGRATI, & molles. * 1.147 Teeth that be black and loose, happen through the flowing of vitious humours; and sometimes through a stripe or fall, sometimes through flowing of moysture, which doth loose the sinews and ligaments, and so doth make the teeth loose; or else gnawing, and weaknesse of the gummes, in which the teeth are set,

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may be the cause. Also the scurvie.

You must begin with purging; * 1.148 then use Dentifrices.

℞. * 1.149 Nigellae, myrrhae, thur. ana ℥. j. mastic. pi∣peris alb. ana ℈. ij. pistolochiae ℈.j. aluminis ʒ. j. fiat pulvis.
To score the teeth and dry them, you may adde nitrum, hats-horn burnt, dry mints, com∣mon salt burnt, pillitory, and dry penniroyal. Then make a collution to fasten the teeth with red roses, * 1.150 mints, plantin, the barks of cypress nuts, seeds of myrtyls, Sumach, Acacia, pome∣granate-rinds, and restrictive wine. If the scur∣vie causeth the loosenesse of the teeth, look into the Chapter of the Scurvie, for there is plenty of remedies. Lastly,
℞. * 1.151 Coral. rubr. & alb. pyrethri, maceris, masti∣chis, * 1.152 pumicis, boli armeni ana ℥.ss. misce, & fiat pulvis subtilissimus. Rauzo.

CHAP. XXIV.

EPULIS; * 1.153 is a fleshly excrescence of the gums, which by little and little oft times is increased to the bignesse of an egge, so that it doth hinder the speech, and eating. It casts forth Salvious and stinking filth, and not seldom degenerates into a Cancer, which you may un∣derstand by the propriety of the colour, pain, and other accidents; and then you must not touch it with your hand.

If there be no pain, * 1.154 begin your cure as spee∣dily as may be. Let it be tyed with a double

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thred, which must be twiched so straight, untill such time as it fall off, then let the place be burnt with a cautery, put through a pipe, or with Aqua fortis, or oyle of vitrial; * 1.155 but have a great care you hurt not the sound parts: for if so be it be not burnt, it usually returns. Epulis doth oftentimes turn into a grisly and bony substance (for want of a timely cure) as well as into a Cancer. If you would be further satisfied concerning Epulis, read Felix Platerus. * 1.156 Tracta∣tus tertius & ultimus cap. 3. de extuberantia. pag. 383. & Fernelius. lib. 5. cap. 8. pag. 163. & 421. * 1.157 & Dioscorides. lib. 1. cap. 80. pag. 164.

CHAP. XXV.

COLƲMELLAE INFLAMMATIO, The inflammation of the Collumella, or uvula; which is a little peece of flesh, spungy, and somewhat sharpened to the form of a pine Ap∣ple, hanging in the upper, and inner part of the pallate, so that if one gape wide, and hold down his tongue, it may be seen: It serves to break the force of the ayre drawn in: And to form and tune the voyce: It is often vexed with inflammation.

It is caused through blood, * 1.158 and other hu∣mours descending from the head.

There chanceth difficulty in swallowing, * 1.159 pain, swelling, rednesse of the Collumella, and a feaver.

Their diet must be of a cooling quality, * 1.160 cut the Cephalica vein in the arm, and afterward

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the vein under the tongue: purge the belly with cooling clysters, * 1.161 and restrain the flux of hu∣mours, with such things as are of a restrictive quality, as Balaustium, red roses, plantin, myr∣tyls, &c. of which may be made collutions. As,

℞. * 1.162 Aqua rosa. rub. Plantag. portulacae an. ℥.iv. syr. de ros. siccis, vel de granatis, vel myr∣thi, vel cytoniorum, vel diamoronis, vel mel rosa. ℥. iv. aceti parum fiat Garga∣risma.
Of what sort soever the medicines be, minister them warm. If the pain be violent, make a de∣coction of Hyssop, * 1.163 Figs, Liqueris, Faenugreek, Althaea, &c. If it draw toward rotting, as may be perceived by his colour, and will not break with Mulsa, and Oximel scilliticum, or such like; Then open it with some instrument; after the matter is burst out, use cleansing, abstersive, and glutinative medicines: especially the juyce of Eupatory, &c.

This Gargarisme following doth very much restrain the flux of humours in the in∣flammation of the Collumella.

℞. * 1.164 Plantaginis, solani, portulacae, flor. ros. rub. an. m. j. folior. myrti, corticum malorum granat. an. ʒ. ij. coquantur in aqua Cister∣na, pro lib. i. ss. adde succi malorum grana∣torum post colaturam ℥.j. aceti ros. (id enim cito repellit) ℥.ss. dianucum ʒ. iij. misce fiat Gargarismus. * 1.165 Forestus Tom. 1. lib. 15. obser. 2.

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CHAP. XXVI.

COLƲMELLAE LAXATIO: often∣times it chanceth that a loose Columella, or Ʋvula doth hang upon the roots of the tongue, and jaws.

It is caused for the most part through abun∣dance of Rhume, also great labour, * 1.166 and great weaknesse or sicknesse, may be the cause.

You must use in the beginning such a kind of cure, as the inflammation thereof requireth; * 1.167 you must make gargarismes that restrain and drie, as

℞. Nuc. cupressi m. j. ros. rub. balaustior. Gallar. * 1.168 myrthill. an. ℥.ss. aluminis ʒ. iij. decoquan∣tur in lb. ij. aquae ad remanentiam l. j. in co∣latura, dissolve syr. de granatis, diamor. ana ℥.i.ss. misce pro Gargarismate.
If the inflammation be great, * 1.169 open a vein un∣der the tongue, and administer a cooling cly∣ster, then
℞. Succor. plantag. virgae pastor. portulacae, * 1.170 de∣purator. an. ℥. iv. mellis rosati ℥. ij. diamor. ℥.j. bolus arm. ʒ.j. misce fiat Gargarisma.
If the Columella happen to ulcerate, look into the Chapter of Aphthae. Some are forced to have a great part, others all their uvula cut away. Take the ashes of centory, the powder of dogs dung, and hony, * 1.171 mix them for the ulcers of the uvula, &c.

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CHAP. XXVII.

BRONCHOCELE: * 1.172 The Latines call it, Gutturis Hernia; The rupture of the throat, is a great round tumour in the throat: It set∣leth it self between the skin and the sharp arte∣rie, in which sometimes gross flegm is included; I mean flesh, as it were a kind of humour like unto hony, fatnesse, or like unto cheese and egges sodden together.

It proceeds in women, * 1.173 from the same cause as an Anurisma.

In some there is found a fleshy substance, * 1.174 having some small pain, some are small, others great: some have a cist or bag, others have no such thing; those that shall be curable, may be opened with an incision-knife, * 1.175 and if possible, let out the matter: when the matter is evacua∣ted, let the ulcer be consolidated, & cicatrized: but before you attempt this kind of cure, make Gargarismes, * 1.176 and poultises, of figs, fenugreek, linseed, Althaea, &c. Lastly, if need be, purge with Diacatholicon or Diaphaenicon in oxi∣mel; open a vein under the tongue, and

℞. * 1.177 Cineris muris ʒ. j. detur cum vino, aut alio modo in aurora.

CHAP. XXVIII.

TONSILLARƲM INFLAMMATIO, in∣flammation of the tonsils, or almonds;

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whose places be hot and moyst; and therefore the more subject to inflammation. They are most vexed with this evill that abound with blood. Nature hath placed these two Glandules opposite to one another, at the Jawes neer the roots of the tongue, in figure and magnitude like Almonds: their office is to receive the spittle falling down from the braine, which serves to moysten the tongue; which otherwise with continuall speaking, would grow dry, and fail, which often happens in feavers.

The inflammation of the almonds, * 1.178 called Amigdalae, is caused sometimes by the drinking of strong wines; and through greedy devou∣ring of meat; sometimes there flowes a great quantity of crude, phlegmatick, and vis∣cid humors, together with the blood, whence a∣riseth a tumor. * 1.179 Swallowing is painefull to the patient, he hath a feaver: and many times the muscles of the throttle and neck, is so swollen to∣gether with the glandules, that the patient is strangled.

First administer a cooling clyster, * 1.180 then open a vein under the tongue; if he abound with blood, first open the Cephalica on the arme. To ease pain, applie a poultis, made of barly meal, seeds of flax, fenugreek, althaea &c. or this ca∣taplasm following.

℞. Nidi hyrund. ℥ iij. pul. nuc. cupress. ℥ j. ros. * 1.181 ℥.ss. excipiantur oxymel. fiat ad formam Ca∣taplasmatis, applicetur in lateribus colli.
Then use astringent Gargarismes, * 1.182 if still the inflammation increaseth, and there be sharp gnawings in the evening; then look for rotting

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of it; * 1.183 for which purpose Aqua mulsa is good, and the decoction of figs, hyssop, seeds of Al∣thaea. &c. when it is perfectly rotten, break it with sharp collusions, or cut it with some fine instrument; and after it is broken, let the pati∣ent bow his head downward, that the matter may the better run out: and then let him gar∣garise with Aqua mulsa, * 1.184 untill it be healed. Sometimes there are ulcerations of the Tonsils, which happeneth unto those that do abound with vitious humours; I shall referre you to the Chapter of Aphthae.

CHAP. XXIX.

RANƲLA: * 1.185 is a tumour under the tongue, which takes away the liberty of pronunci∣ation of speech: wherefore the Greeks call it Batrachium; because such as have this disease of the tongue, seem to expresse their minds by crooking, rather then by speaking.

It is caused by the falling down of a cold, * 1.186 moyst, grosse, tough, viscid, and flegmatick matter from the brain, upon the tongue; which matter in colour and consistence, resembles the white of an egge: yet sometimes it looks of a citrine or yellowish colour.

You shall open the tumour with a cautery of hot iron; * 1.187 that so it may not return again: when it is opened, thrust out the matter contained therein, * 1.188 and then wash the Patients mouth with some barly water, hony, and sugar of roses: for so the ulcer will be safely and quickly healed. Or

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℞. Aquae plantaginis lib. ss. balaust. ʒ. i. s. * 1.189 aluminis ʒ.ss. mellis ros. ℥.ss. bulliant: pro lotione usui reservetur. Forest. Tom. 1. lib. * 1.190 14. obser. 29.

CHAP. XXX.

HYDROCEPHALƲS: * 1.191 is as it were a drop∣sie of the head, by a waterish humour; and is a disease almost peculiar to infants new∣ly born.

The violent compression of the head by the hand of the midwife, or a fall, * 1.192 or contusion may be the cause; from hence comes a break∣ing of a vein, or artery; and an effusion of blood under the skin; which by corruption becom∣ing wheyish, at last degenerateth into a certain waterish humour, or abundance of serous and acrid blood, sweating through the pores of the vessels, as between the musculous skin of the forehead; and the Pericranium, or between the skull and the Duramater; or in the ventricles of the brain may be the cause.

It is a tumour without pain, soft, * 1.193 and much yeelding to the pressure of the finger.

1. If it bee a tumour contained be∣tween the musculous skinne and the Peri∣cranium.

2. When it remaineth between the Pericra∣nium and the skull, the tumour is a little harder, and there is a little sense of pain.

3. When it remaineth between the skull and the Duramater, or in the ventricles of the

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brain, there is dulnesse of sight, and hearing: the tumour doth not yeeld so much to the touch, the pain is more vehement, the head more swollen, the forehead stands further out, the eye is fixt and immoveable, and also weeps by reason of a serous humour sweating out of the brain. * 1.194 Vesalius writes that he saw a girle of two years old, out of whose head rann nine pound of water: Some their heads grow so big, that their necks cannot bear them.

An external tumour is easily taken away; * 1.195 It must first be assailed with resolving me∣dicines.

℞. * 1.196 Pulveris absynthii, cammomillae, meliloti an. ℥ij. Butyri recentis, olei cammomillae an. ℥.iv. cerae parum, fiat linimentum.
Vel
℞. * 1.197 Olei cammomillae, vel anethini ℥. iv. sulphu∣ris ℥.j. fiat linimentum.
If it be complicated with the Lues venerea, mix with the liniment a little Ʋnguentum enulatum. If it cannot be so overcome, you must make an incision, taking heed of the temporal muscle, and then presse out all the humour; then the wound must be filled with dry lint, and cove∣red with double bolsters, and then bound with a fitting Ligature.

CHAP. XXXI.

PHLEGMONE; * 1.198 It is a general name for all impostumes, which the abundance of inflamed blood produces; * 1.199 as a Phygethlum,

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which is a little swelling hard and red in the crown of the head, and Phyma, * 1.200 or a little swel∣ling like a boyle; A fellon, Carbuncle, inflam∣mation of the eyes, squinsy, Bubo, &c. That is called a true phlegmon, which is made of lau∣dable blood, offending only in quantity. But a bastard phlegmon, or a phlegmonous impo∣stum hath some other proper name, as a car∣buncle, fellon, gangreen, &c. If a small portion of phlegme be mixed with a greater quantity of blood, then it is called an Oedematous phleg∣mon. But if the quantity of phlegme be greater, then it is a Phlegmonus oedema. A phlegmon though most commonly it be in the flesh, yet sometimes it happens in the bones, * 1.201 as Hippo∣crates (lib. de vuln. Galen lib. de tumor. praeter naturam) witnesse.

The causes of a phlegmon, are of three kinds, * 1.202

1. First primitive, as falls, contusions, strains, immoderate labour, frictions, application of acrid oyntments, burnings, long staying, or la∣bouring in the Sun; and an inconsiderate diet which breeds much blood.

2. Secondly, Antecedent, as the great abun∣dance of blood, too plentifully flowing in the veines.

3. Thirdly, conjunct, as the collection or gathering together of blood impact in any part.

The signes are swelling, tension, resistance, * 1.203 feaverish heat, pain, pulsation, (especially while it suppurates) and rednesse; by which the abun∣dance of blood is signified. The cause of pain and pulsation, is heat, and abundance of blood,

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contained in the vessels and arteries (which more frequently then they are wont incite the atteries to motion, that is, to their Systole and Diastole) and the compression and straitning of the said arteries, by reason of the repletion and distention of the adjacent parts, by whose oc∣casion the parts afflicted and beaten, by the trembling and frequent pulsation of the arte∣ries are in pain.

First, * 1.204 his diet must be of a cooling quality, and he must shun all such things as generate blood too plentifully, or that heat the blood; rest must be commanded. Let him have his body soluble, if not by nature, then by art; as by the frequent use of clysters. * 1.205 Let him avoyd all vehement perturbations of mind, as Hate, Anger, &c. and let him wholly abstain from venery. * 1.206 If strength and the age of the Patient permit, give him a cooling purgation; and open a vein. * 1.207 If much pain trouble the part, it must be mitigated with medicines, asswaging pain.

1. In the beginning of a phlegmon, you must use repercussives, as

℞. * 1.208 Far. hordei ℥. ij. succi semper vivi, plantag. an. ℥. iij. pul. malicorii, balaustiorum, & ro∣sar. an. ʒ. ij. ol. myrtill. & rosar. an. ℥. j. fiat Cataplasma.
Vel
℞. * 1.209 Ol. nymph. & rosar. ana ℥. iij. aq. ros. solani, & plantag. an. ℥. ij. aceti ℥. iij. albumin. ovorum n. iij. fiat linimentum.
Let linnen cloathes be dipped in it, * 1.210 and ap∣plied to the part. Also Aqua sperm. rana∣rum,

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is excellent for the same purpose.

2. In the increase you must use this local medicine.

℞. Farinae hord. ℥. iij. farinae sem. lini, * 1.211 & faenu∣graeci ana ℥. j. coquantur in aqua communi, addendo sub finem pul. myrtillorum, rosarum, & chamaemeli an. ℥. ss. axungiae, anseris, & olei rosarum an. ℥. j. misce. fiat Cataplasma.

3. In the state, Anodines ought to be mixed with repercussives and discussives, as

℞. Rad. altheae ℥. iv. malvae, parietar. an. m. ij. * 1.212 coquantur sub cineribus, addendo farin. fa∣barum, & lentium, ana ℥. ij. pul. chamaem. & meliloti, an. ℥. ss. olei chamaem. & rosar. ana ℥. j. axungiae gal. ℥. ij. fiat Cataplasma.
This cataplasme following is exceeding good to ease pain.
℞. Mucagin. rad. altheae. * 1.213 & foenugraeci ana ℥. iij. ol. ros. & aneth. an. ℥. j. farin. sem. lini quantum satis, ut inde formetur cataplasma satis molle.
Or you may use populeon with Opium, * 1.214 or nar∣cotick medicines, if the pain shall still remain.

4. In the declination, that is, when the vio∣lence of pain, and other symptomes are asswa∣ged, you must use more powerful and strong discussives; as

℞. Empl. mucag. & oxycr. ana ℥. i. ss. Diachyl. * 1.215 mag. ℥. j. emplas. de melilot. ℥. ss. olei lilio∣rum, chamaemeli, & aneth. quantum satis est: fiat emplastrum molle.
But if the humour be so impact, that it cannot be repressed; and so grosse that it cannot be dis∣cussed, which may be known by the greatness

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of the heat, and swelling, by the bitternes of the pricking pain, the feaver and pulsation, and by the heavinesse: you must then use suppura∣tives, as

℞. * 1.216 Emplast. diachyl. mag. ℥. iij. ung. basilicon. ℥. j. ol. liliorum ℥. ss. misce.
When the heat, pain, feaver, and other acci∣dents shall remit; and when the tumour hath a sharp head; and when by the pressing of the finger, the humour flow to and fro; then you may know that it is ripe. Then without any further delay, the tumour must be opened, ei∣ther with an incision-knife, or a potential cautery, in which action consider,

1. First, that you put your knife to the softest part of that Abscess.

2. Secondly, to the lowest part.

3. Thirdly, you must make your incision according to the wrinkles of the skin, and the right fibers of the muscles, lying next under the skin.

4. Fourthly, turn your knife from the large vessels and nerves.

5. Fifthly, the matter must not be evacuated too abundantly at once in great Abscesses.

6. Sixthly, handle the affected part gently.

7. Seventhly and lastly, after the matter is evacuated, the Abscess must be cleansed, filled with flesh, consolidated, and cicatrized.

The ulcer must be dressed 2 or 3 dayes with this medicine.

℞. * 1.217 Vitellum unius ovi, terebinth. venetae, & ol. rosar. an. ℥. ss. fiat medicamentum.
Then use this detersive medicine.

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℞. Mellis rosarum ℥. j. syrupi rosar. * 1.218 & tere∣binth. venetae an. ℥. i. ss. farinae hordei ℥. ij. fiat medicamentum ad usum.
But if you would cleanse it more powerfully, use Ʋnguentum Apostolorum, * 1.219 or Aureum and Aegyptiacum mixed, according to the scope you conceive in your mind.

Amongst the symptomes which most usually accompany phlegmons, feavers are the chief, as Ephemera, Synochus, &c. Their causes, signes and cures, you shall find in the second book of this volume.

CHAP. XXXII.

ERYSIPELAS, or inflammation. * 1.220 It is a ge∣neral name for all impostumes brought forth by choller; as the Herpes miliaris, The eat∣ing Herpes, Ring-worms, and Tetters, &c.

They are made by most thin and subtle blood, * 1.221 (which upon any occasion of inflam∣mation easilie becomes chollerick) or by blood and choler hotter then is requisite or by choler mixed with an acrid serous humour, but often∣times by sincere and pure choler, which by Galen is called a true and perfect Erysipelas. * 1.222

1. If choler being predominant be mixed with blood, it is termed Erysipelas phlegmonodes.

2. If with phlegme, Erysipelas oedematodes.

3. If with melancholy, Erysipelas scirrho∣des. But if they concurre in equall quantity, there will be made Erysipelas phlegmone; Erysi∣pelas oedema, Erysipelas scirrhus.

There is great heat, * 1.223 pulsation and pain

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(which is pricking and sharper then the pain in the phlegmon) without heavinesse, a yellow∣ish red colour. They quickly slide back into the body, at the least compression of the skin. Ery∣sipelas principally assayles the face, by reason of the rarity of the skin of that place. * 1.224 Galen ac∣knowledges two kindes of Erysipelas, one sim∣ple without an ulcer, * 1.225 the other ulcerated. If an Erysipelas possesse the womb, it is deadly; And in like manner, if it spread too farre over the face, by reason of the sympathy of the mem∣branes, with the brain. So impostumes of a monstrous bignesse are often deadly, by reason of the great resolution of the spirits caused by their opening. * 1.226 Hippo. Aphor. 8. Sect. 6.

The cure is performed by evacuation, and refrigeration. Open a vein if nothing prohibit; the Cephalick vein, if it assayles the face. Let his diet be of a cooling quality, then give a cly∣ster of refrigerating and humecting things. * 1.227 Galen and Avicen commends this oxycrate following.

℞. * 1.228 Aqua font. ℥. vj. aceti acer. ℥. j. fiat oxy∣cratum.
In which you may wet linnen cloathes, and ap∣ply them to the affected part, and renew them often. If it be upon the face,
℞. * 1.229 Ʋnguentum ros. ℥. iv. succi plantagin. & semper vivi an. ℥. j. trochis. de camphora ʒ. ss. aceti parum, misce fiat linimen∣tum.
Also Aqua sperm. ranarum is excellent; * 1.230 you may wet cloaths in it, and apply them. If the pain be intolerable, this narcotick is good.

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℞. Succi hyoscyami, solani, cicutae an. ℥. j. * 1.231 al∣bum ovorum, n. ij. aceti ℥. ss. opii & cam∣phor. an. gr. iv. croci ℈. ss. mucaginis sem. psyll. & foenugr. extractae in aq. ros. & plan∣tag. an. ℥. j. ol. de papav. ℥. ij. fiat linimen∣tum, addendo ung. refrigerantis Gal. cam∣phor. q. satis sit.
But if the fiery colour begin to wax livid and black, abstain from narcotick medicines, and use resolving and strengthening things, as
℞. Rad. altheae ℥. ij. fol. malvae, bismal. pariet. * 1.232 absynthii, salviae an. m. j. flor. chamaem. meli∣loti rosar. rub. an. m. ij. coquantur in aequis partibus vini & aquae, & fiat fotus cum spongia.
After the fomentation, * 1.233 apply a plaister of Dia∣palma dissolved in oyle of cammomile and me∣lilote. Erysipelous tumours do bring with them (oftentimes) Tertian feavers, as Exquisita Ter∣tiana, Tertiana notha & Semitertiana febris.

CHAP. XXXIII.

HERPES, * 1.234 is a tumor caused by pure cho∣ler, separated from the rest of the hu∣mours, and carried to the scarf skin; and is diffused over the surface thereof. If choler be compounded with some small mixture of flegm, it will raise little blisters over the skin like to the seeds of millet; * 1.235 This tumour of the ancients is called Herpes miliaris. And if it have any ad∣mixture of melancholy, it will be an Herpes exedens.

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Let his diet be of a cooling quality; * 1.236 Clysters oft times sufficeth for the purging of the pec∣cant humour. The chirurgion shall have re∣gard to the resolving of the tumour, and the drying of the ulcer; for which purpose

℞. * 1.237 Cerusae, & tuthiae praep an. ℥. j. ol. ros. & adipis capon. an. ℥. ij. corticis pini usti ℥. ss. cerae, quantum satis, fiat unguentum.
For an Herpes miliaris,
℞. * 1.238 Pulv. gallarum, malicurii, balaust. boli ar∣meni an. ℥. j. aqua ros. ℥. iij. aceti acerrimi ℥. j. axungiae an. ser. & olei myrtill. an. ℥. i. ss. terebinth. ℥. j. fiat unguentum ad usum.
Ʋnguentum enulatum is of great force in the re∣moving this tumour, * 1.239 for it kills the pustules, and wastes the humour. Also fretting ulcers, which seem uncurable, may be healed, by touching the edges with Aq. fortis, or oyle of vitriole.

CHAP. XXXIV.

OEDEMA, * 1.240 is a soft, laxe, and painlesse tumour; caused by collection of a phleg∣matick humour. And may be said to be a ge∣neral name, for all tumours, which phlegme produceth; * 1.241 as the Atheromata, Steatomata, and Melicerides; The matter of every one of these tumours, is shut up in its bladder or bag, as it were in a peculiar cell. The matter of the first is like childrens pap. Of the second like tallow. And the third contains matter like honey, in colour and consistence. Also the Testudo or

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Talpa, is a tumour soft diffused, vaulted, * 1.242 or ar∣ched like a Tortois, sometimes arising in the head, in the form of a mole. * 1.243 And the Nata is a great fleshly tumor growing for the most part on the buttocks, not much unlike a me∣lon. * 1.244 The Glandula is a tumor which com∣monly breeds in the glandules, or Emnunctories of mans body. The Nodus or knot, * 1.245 is a round tumor hard and immoveable, which usually arises on the bones of such as have Lues venerea. Also Ganglion, strumae, Wens, waterie rup∣tures, the Ascites, and Leucophlegmatia, may be reduced to an Oedema, and all flatulent tu∣mors which the abundance of corrupt flegm produces. But flegme is sometimes natural, and offends only in quantity, whence the true Oedema proceeds.

The causes of all Oedema's are the deflu∣xion of a phlegmatick or flatulent humour in∣to any part. * 1.246

There is a whitish colour like unto the skin, * 1.247 a soft tumor rare and laxe, and without pain: when you press it with your finger, the Print thereof remains. Oedema's breed rather in win∣ter then in summer, and chiefly possess the bloodless parts, and is terminated sometimes by resolution, as in dropsies, &c. but oftner by con∣cretion, as in kernels, &c. and seldom by suppu∣ration. A symptomatical Oedema, as that which follows upon a dropsie, or consumption, admits no cure, unlesse the disease be first taken away. * 1.248

First prescribe moderation in the use of the six things not natural; as namely, the ayre, meat and drink, sleep, and watchfulnesse, exer∣cise

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and rest, * 1.249 emptiness and repletion, and the affects of the mind. If his belly be not natural∣ly loose, let it be made so by art. The moderate use of venery is good, if he be a strong body; for according to Hippocrates, it is a cure for phlegmatick diseases. You may use this fol∣lowing cataplasme.

℞. Farinae hordei ℥. iv. coquantur in lixivio communi, addendo pulveris nucis cupressi, corticum granatorum, balaust. ana ℥. j. myr∣rhae, aloes alum. an. ℥. ss. olei myrtill. ℥. ij. fiat cataplasma.
After this, * 1.250 let frictions be used, and a fomenta∣tion made with white-wine, in which, sage, rosemary, time, lavender, cammomile, ••••••d melilote flowers, red roses, Orris roots, ste∣chas, and such like, have been boyled with a little vinegar added thereunto. As for the cure of flatulent and waterish tumors, I referre you to the Chapters of the dropsies, especially Tympanites. And also in the Chapter of the chollick, you may find plenty of remedies.

Oedemateous Tumours do bring oftentimes with them intermitting Quotidian feavers.

Oedema, * 1.251 ut ceteri tumores, quatuor habet tem∣pora, nempe principium: augmentum: statum: & declinationem. * 1.252 Hoc genus tumoris ut plurimum ter∣minatur per resolutionem, seu exhalationem. Raro per suppurationem. Saepissime per conversionem, seu permutationem in nodos, & alias excrescentias, quae graecis Apostemata, * 1.253 Latinis vero abscessus dicuntur.

Quantum ad curam universalem, authore Gale∣no secundo ad glauconem. Duplex erit curandi scopus, ut humores partem occupantes evacuentur.

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Alter vero, ut fluxio restringatur, ac repri∣matur.

CHAP. XXXV.

GANGLIƲM, A wen or ganglion, * 1.254 is a tumor sometimes hard, sometimes soft, yet alwayes round, and useth to breed in dry, hard, and nervous parts; having commonly their bladder wherein to contain them. Wens or Ganglions are called of some Lupiae.

For the most part they happen through dull blowes, falls from high places, straines, * 1.255 and other such like occasions.

From small beginnings they grow by little and little to a great bignesse, * 1.256 in the space of six or seven yeares. Some of them yeeld much to the touch; and almost all of them are without pain.

At the beginning, * 1.257 strong and frequent fri∣ctions must be used. A plate of lead rubbed with Quick-silver, and strongly bound to the affected part, hath a wonderful force to resolve and waste the subject humour. But if the Wen be on the face, chest, belly, or throat, so that you can make no strong impression, then

℞. Gummi ammon. bdelii, galban. an. ℥. iij. * 1.258 lique∣fiant in aceto, & traj ciantur per setaceum, addendo olei liliorum, & lauri an. ℥. j. aq. vitae pulveris ireos, salis ammon. sulphur. vi∣vi, vitrioli romani, an. ʒ. ss. fiat emplastrum.
If the tumor cannot be thus resolved, it must be opened with a knife or cautery, and after

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the eschar is removed, and the bag wasted by Egyptiacum, * 1.259 or Mercury, The ulcer must be cleansed, replenished with flesh, and cicatri∣zed. But sometimes Wens grow to so great a masse, that they cannot be taken away, but by the chyrurgions hand and instrument, this may be done if the wen be not too nigh the greater veines and arteries, or seated in the neck near unto the jugular veines, or under the arm-holes, or in the groine, or under the ham; It will be better in such a cause to let them alone, least deadly symptomes arise. Yet if they have a slender root and broad top, they must be streightly tyed, and so cut off. There are also certain small tumours of the kind of Lu∣piae, which grow chiefly on the wrists of the hands, and Ankles of the feet, caused by the imbecility of a Nerve or Tendon; got by wre∣sting, extension, a blow, or labour; which cau∣seth the Alimentary juyce (that flowes to those parts) to be converted into a cold and grosse humour, which in time concretes into a tu∣mour. It is not fit to use any iron instru∣ment to these Ganglia, which possesse the ten∣dons and joynts; * 1.260 but only apply Galbanum, and Ammoniacum, dissolved in vinegar, and Aq. vitae, or Vigo's plaister with double mercury: also a plate of lead rubbed with quick-silver, and ap∣plied, is excellent: If you want more, look in∣to the following Chapter, and there you may find plenty of remedies.

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CHAP. XXXVI.

STRƲMAE, or Scrophulae, That is, * 1.261 the Kings evill. They arise in the glandulous parts: as the brests, arm-holes, groines, but chiefly in the glandules of the neck, commonly contained in their proper cist or bag.

They are made of grosse, cold, viscid, * 1.262 and phlegmatick matter, with some admixture of Melancholy.

Some of them are moveable, * 1.263 other-somme woven with the neighbouring nerves, remain∣ing unremoveable. They are oftentimes painful, especially when they wax hot by putrefaction: sometimes they degenerate into cancerous ulcers.

A slender diet helpeth much to waste these tumors. * 1.264 Let the superfluous humours be pur∣ged. Then take this emollient and resolving medicine.

℞. Mucaginis alth. foeenugr. & ficuum ping. an. * 1.265 ℥. ij. olei liliorum, & chamaem. an. ℥. j. pin∣guedinis anseris, & axungiae porci, an. ℥. ss. terebinth. ven. ℥. i. ss. ammoniaci, & galba∣ni, in aceto dissolutorum ana ℥. j. cerae novae quantum satis, fiat cerotum secundum ar∣tem ad modum diachyli magni.
With some of this Cerote, may be mixed the powder of Quick-silver; and applied: for many have been holpen therewith; they must be dressed every second or third day. The un∣guent for the French disease, and Vigo's plaster,

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are excellent for this purpose, especially if they be continued so long, untill the Patient come to salivation. The best way if possible, is to bring it to suppuration, and then let the expert Chirurgion open the tumor, or tumors; but not before all the contained humours that appear, be converted into pus or matter: for we must not as soon as any portion of the humour, be turned into pus, hasten the apertion; because one por∣tion of the suppurated humour, causeth the rest to suppurate. As fruits which begin to rot. If the putrefying part be not cut away, the resi∣due quickly becomes rotten. Also natural heat is the efficient cause of suppuration. Such as are in the neck, and have no deep roots, may be cut away; but speciall care must be taken, that the jugular veines, the sleepie arteries, and the recurrent nerves, be not violated or hurt. Lastly, some commend this emplaster following.

℞. * 1.266 Rhabarbari electi, ℥. ss. Aloes hepaticae ℥. j. Lixivti fortis lib. j. Saponis veneti lib. ss. ce∣rae ℥. ij. Decoquantur ad duritiem justam.

CHAP. XXXVII.

SCIRRHƲS, * 1.267 is an hard tumor proceeding of melancholie. A cancer, leprosie, corus, a Thymus, * 1.268 which is a kernel under the canell bone; The Dracunculus, which is a genera∣tion of haires like worms, and are bred in the musculous part of mans bodie; whose cure ac∣cording to Gorraeus, * 1.269 is performed after the same manner, and by the same method of se∣ction,

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and incision, as the varices are; * 1.270 A varix is a crooked swelling vein, or if you will, it is the dilatation of a vein; * 1.271 Also the morphew black and white, and all other impostumes arising from a melancholie humour, * 1.272 may be reduced to a Scirrhus, a true and legitimate Scirrhus is ge∣nerated, of a natural melancholy humour, be∣ing indued with a little sense, hard and without pain.

The illegitimate Scirrhus is generated of a melancholick humour, * 1.273 concrete by too much refrigerating, it is insensible, and without pain. There is also a Cancerons Scirrhus, bred by the corruption and adustion of a melancholy hu∣mour; And lastly, an Oedematous Scirrhus. * 1.274

The cause is a grosse, tough, and tenacious humor, concrete in any part; which happeneth by an ill and irregular diet, or the unnatural af∣fects of the liver, or spleen, as obstruction, or by suppression of the Haemmorrhoids, * 1.275 or cour∣ses. The signes are hardnesse, renitency, a blackish colour, and a dilation of the veines of the affected part, with blackishnesse. The ille∣gitimate or bastard Scirrhus, and also the cance∣rous, admit no cure; and the true legitimate scarce yeeld to any.

First prescribe a convenient diet, * 1.276 and let the Patient be free from all perturbation of anger, grief, and sadnesse; and let him flie from ve∣nerie, as from an enemie. Secondly, * 1.277 procure the Haemorrhoids in men, and the courses in women, and purge with this potion fol∣lowing. * 1.278

℞. Diacatholiconis, tripherae persicae, an. ʒ. iij.

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diasennae solut. ʒ. ij. rhabarbari in aqua endiv. infusi & expressi ʒ. j. cinnamomi gr. iv. aqua∣rum lupuli, & endviae an. ℥. ij. misce, & fiat potio.
At the beginning emollients must be used; and then presently resolving, or such as are mixed both of resolving, * 1.279 and emollient faculties; for which purpose the emplaster of vigo with a double quantity of Mercury is effectual; for that mollifies, resolves, and wasts all tumors of this kind. Lastly Goats dung is very good to discusse Scirrhus tumours. If you want more, look into the Chapters of the diseases of the spleen. Quartan feavers happeneth often upon Scirrhus tumours.

CHAP. XXXVIII.

CANCER, It is a hard tumor, rough, and unequall; * 1.280 round and immoveable; of an ash or livid colour, horrin by reason of the veines on every side, swollen with black blood, and spread abroad to the similitude of the stretched out legs, and clawes of a crab.

The suppression of accustomed evacuations, * 1.281 an irregular diet, and obstruction of the spleen, may be the cause.

It torments the Patient with pricking pain, * 1.282 like the pricking of needles with acrid heat, be∣ing of a livid and ash colour, and representing the toothed clawes of a crab. There is an ulcera∣ted or manifest Cancer, and the not ulcerated or occult, some are inveterate; one small, ano∣ther

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great, one raging and malign, another more mild. Every Cancer is held uncura∣ble, or very difficult; for it is a particular le∣prosie. Some possesse the internal parts, as the womb, guts, and fundament. Others the ex∣ternall, as the brests. The tumor seems soft to the eye, but hard to the touch. The ulcer is filthie, with lips, thick, swollen, hard, knottie, turned out, and standing up, casting forth fllthie and carrion like filth, having a horrid aspect; The pain, feaver, and all the symptomes are increased by acrid medicines.

In weak bodies we must not attempt the cure; * 1.283 but only keep them from growing more violent, and from spreading further. * 1.284 Hippocra∣tes saith, that such as are cured of an occult can∣cer do quickly die, but such as are not cured, live longer. * 1.285 Galen affirms he cured a cancer not ulcerated. The cure is performed by medi∣cines purging melancholie, by phlebotomie, and shunning all things that may breed ill and feculent blood. A cooling and humecting diet must be prescribed, * 1.286 and the part affe∣cted with the cancer must be gently handled. Asses milk is exceeding fit to asswage the acri∣monie of the cancerous humour; taken in∣wardlie, and applied outwardlie to the cance∣rous ulcer. If the cancer be small, and in a part which may suffer amputation; cut a way (accor∣ding to art) whatsoever is corrupt even to the quick; * 1.287 A neer kinsman of mine was (eight years agone) troubled with a cancerous tumor in his brest; for a certain time I bathed the part affe∣cted with Oleum rosarum omphacinum, * 1.288 & applied

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many plasters of Diacalcitheos, * 1.289 and it pleased the Lord to cure him. Yea (and contrary to the Aphorisme of Hippocrates) he lived many yeares after. * 1.290 This following medicine is very commendable.

℞. Plumbiusti loti, pomph. thuris an. ʒ. ij. ss. absynth. pontic. * 1.291 ℥. ss. letros. ℥. iv. cerae ʒ. vj. succi solani quantum sufficit ad ung uenti crassitudinē. Also

℞. * 1.292 Theriac. veter. ℥. j. succi cancrorum ℥. ss. succi lactucae, & olei rosarum ℥. i. ss. vitel. ovorum sub cinerib. coct. ij. camphor. ʒ. ss. pistentur in mor∣tario plumb. & fiat unguentum.

Some applie leeches, * 1.293 others whelps, and chick∣ins, cut long wayes, and applied warm.

If the cancer affect the womb, the Patient feels pricking pain in the groines, and kidnies, and is often troubled with difficulty of making water, and when it is ulcerated, it powres forth filth, or matter exceeding stinking, and carion like, and that in great plenty; The filthy vapour of which is carried up to the heart and brain, and causes often swounding. In this cause fo∣mentations must be used to ease pain, and cor∣dial Epithemes must be applyed to the heart, * 1.294 and let the Patient drink Aq. * 1.295 sperm. ranarum often, five or six spoonfuls at a time; also let it be injected with a syring.

A plate of lead besmeared with quick-silver, * 1.296 and applyed to a not ulcerated cancer is much commended by divers; yea it is a good medicine for malign and inveterate ulcers, which contemn the force of other medicines, and is as it were an antidote to waste and over∣come their malignity and evill nature.

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CHAP. XXXIX.

ANEƲRISMA, is a soft tumour yeelding to the touch: made by the blood and spirit, poured forth under the flesh and muscles, by the dilatation or relaxation of an artery.

They are made by the Anastomasis, * 1.297 spring∣ing, breaking, erosion, and wounding of the arteries. They happen frequently in the throat, especially in women after a painful travel, by holding their breath too strongly for the ex∣pulsion of the birth, the artery is dilated and broken; whence followes an effusion of blood and spirit under the skin. Also an artery woun∣ded, and closing too slowly may be the cause.

Aneurisma, is a swelling, one while great, * 1.298 another small; soft, with a pulsation, and a colour not varying from the other fleshy parts: If you presse it with your finger, the arterious blood and spirits flieth back into the body of the artery, so that the tumor seems vanished; but the fingers being taken away, they return again with like celerity, making a noyse like hissing.

Aneurismaes under the arm-pits, * 1.299 in the groines, or any other part where there are large vessels, admit no cure. They ought not to be opened, unlesse they be small in an ignoble part. But the manner of cure shall be this, cut the skin which lies over it, untill the arterie appear; then thrust a blunt and crooked needle with a thred in it, under it, and bind it;

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then cut it off, and so expect the falling off of the thred of it self, whilst nature covers the ori∣fices of the cut artery with new flesh. The Aneurismaes which happen in the internal parts are incurable. This matter many times by lit∣tle and little, is so dried and hardened, that it degenerates into a grisly, or else a bony sub∣stance. * 1.300 Their diet must be of a cooling quali∣ty. * 1.301 Some commend cataplasmes of curds and new cheese, to be applyed. And clysters wherein Cassia is dissolved, and administred, is good. Lastly, take this caution along with you in the knowing Aneurismaes, sometimes you can perceive no pulsation, neither can you presse the blood into the artery, because many times it is condensate, and concrete into clods; this happens mostly in those that are large. The blood putrifies, * 1.302 they have great paines, a Gangreen usually followes, and mortification of the part, and lastly, death.

If you would be further satisfied concerning Aneurisma: * 1.303 read Paulus lib. 6. cap. 37. & Aetius lib. * 1.304 15. cap. 10. & Forestus lib. 1. De tumoribus praeter naturam observatio 15. Senner∣tus Tom. 1. lib. 5. de vasorum sectione. pag. 659. Fernelius de externis corporis affectibus lib. 7. pag. 422. & faelix Platerus. Tractatus tertius & ultimus. pag. 408.

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CHAP. XL.

PROCIDENTIA ANI, the falling down of the fundament, is very frequent to chil∣dren.

It is caused through the relaxation of the muscle Sphincter, which ingirts the fundament; * 1.305 which happeneth by reason of the too much humiditie of the belly. A bloody flux, or a strong endeavour to expell the excrements, or sitting upon a cold stone, a stroak or fall upon the holy bone, or a palsie of the nerves, &c. may be the cause.

The Patient must forbear much drink, * 1.306 or broath, and

℞. Pulegii, marrubii, myrthi, betonicae, * 1.307 ver∣basci, an. m. j. flor. Cypressi, primulae veris, ana. m. ss. florum anthos, stoechados, salviae, an. p. ij. fiat decoctio, in aquae & vino, in hac sedeat, vel spongiis novis foveatur pars. Alterum,

℞. Stercoris lacerti ʒ. iij. columbarum, * 1.308 & hi∣rundinum an. ℥. j. stercoris caprae, ℥. ij. exci∣piantur terebinthina, & applicentur supra os sacrum & coccyngem.

Hippocrates bids, * 1.309 that the Patient (hanging by the heels) should be shaken, but first anoynt the fundament with oyle of roses, or myrtils. If you want more, look into the Chapter of Pro∣cidentia uteri.

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CHAP. XLI.

CONDYLOMATA, * 1.310 are certain wrinkled and hard bunches, and as it were excrescen∣ces of the flesh rising especially in the wrinkled edges of the fundament, and the neck of the womb.

Cooling and relaxing medicines ought to be used against this disease, * 1.311 for which purpose

℞. * 1.312 Ol. ovor. sem. lini, an. ℥. ij.
Beat them together a long time in a leaden morter, and therewith anoynt the grieved part. If there be an inflammation, put thereto a little camphir.

Chaps, * 1.313 or Fissures, are cleft, and very long little ulcers; with pain, very sharp and burning; by reason of the biting of an acrid, salt, and drying humour; making so great a contraction, and oftentimes narrownesse in the fundament, and the neck of the womb, that scarcely the top of ones finger may be put into the orifice there∣of; like unto pieces of leather or parchment, which are wrinkled and parched by holding of them to the fire. They arise sometimes in the mouth, that the Patient can neither eat, speak, nor open his mouth; so that the chyrurgion is constrained to cut it. In the cure thereof, all sharp things are to be avoided, and those which mollifie, are to be used; look Ʋteri Phymosis.

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CHAP. XLII.

CACOETHE, is a species of the canker, * 1.314 and so venemous, that it continueth with a bo∣dy all his life-time, being held by many incu∣rable. It sendeth forth a virulent sanies, which is properly called virus; this virus or virulency gnaws and feeds upon the parts which lie un∣der, and are adjoyning to the ulcer, * 1.315 and maketh an eating ulcer; Galen calleth it Dysepu∣lotica, that is, difficulty to be cicatrized.

This following medicine is much commen∣ded by Galen, * 1.316 being of certain and approved use for desperate ulcers, which many have ta∣ken in hand and left as uncurable.

℞. Soreas ℥.iij. aluminis scissilis; calcis vivae, an. * 1.317 ℥.ij. thuris, gallarum, an. ℥. iv. cerae lb. j. & ℥. iij. sevi vitulini, lb. j. & ℥.vij. olei veteris quantum sufficit, fiat Emplastrum.
To be layed upon the ulcer; and apply a de∣fensative above the ulcer, * 1.318 for fear of inflamma∣tion, Also take Soldanella half a dragm, pow∣dered rhubarb two scruples, give the same to drink often with white-wine, or syrup of wormwood, with wormwood-wine, is very good for the same purpose. Radices solani cor∣tex, herba succus Cacoethe juvant. Tagautius. lib. 6. * 1.319 p. 523.

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CHA. XLIII.

PARONYCHIA, * 1.320 is a tumor in the ends of the fingers, under the nailes, with great in∣flammation.

It is caused through a malign, * 1.321 and vene∣mous humour; which from the bones by the Periosteum, is communicated to the tendons and nerves, of that part which it affecteth.

There follow pulsifique pain, * 1.322 a seaver, and restlesnesse.

You must begin with purging, * 1.323 and blood-letting. Then make incision in the inner part of the finger even to the bone, along the first joynt thereof; This must be done before it come to maturation, suffer it to bleed well; then let him dip his finger in strong and warm vine∣gar, in which some treakle hath been dissol∣ved; and then appease the pain with Ʋnguen∣tum populneum, or the like. And take this oynt∣ment following.

℞. * 1.324 Sacchari rosati ℥.ss. axungiae gallinae, ʒ.iij. vitellorum ovorum, n.j. butyri recentis pa∣rum. fiat unguentum, in mortario absque igne.
If a Gangrene and Sphacel happen, the Chy∣rurgeon must make use of his cutting mullets, to save the rest of the body. If you please you may read Forestus lib. * 1.325 5. de tumoribus praeternatu∣ram. Observatio 16. pag. 162.

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CHAP. XLIV.

EXOMPHALƲS, or swelling of the navel. * 1.326 It is caused by the Peritonaeum, either re∣laxed or broken; by which occasion oft-times the Guts or Kall fall into the seat of the navel, and sometimes superfluous flesh is there genera∣ted; sometimes this tumour is an Aneurisma. Sometimes it is caused by a flatulent, and some∣times by a waterish humour.

If the fall be the cause, * 1.327 the colour is like the skin; soft, and almost without pain. But if the tu∣mor proceed from superfluous flesh, it is hard and immoveable. If from wind, it sounds when you press it. If by a waterish humour, it is easily known. If from the effusion of blood, it is of a livid colour; but if the effused blood be arterial, then there are signes of a Aneurisma. If it be cau∣sed by the falling down of the guts, there is heard a noyse when you press it.

If the tumor ptoceed from the Kall and Guts, you must force them into their due place. * 1.328 Then may the skin be taken up, and thrust through with a needle, and double twined strong thred; next let the sides be scarified, then thrust it through with a needle three or four times, and twich it strongly with a thred, that the skin with the ligature may fall off. But you may cut off the skin so distended even to the ligatures, and then cicatrize it. In a watery tumor, a small incision must be made, and the wound kept open untill the water be emptied.

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CHAP. XLV.

GANGRAENA: * 1.329 a Gangrene is a certain disposition and way to the mortification of the part which it seizeth upon, dying by lit∣tle and little. When there is a perfect mortifi∣cation, * 1.330 it is called by the Greeks Sphacelos, and by the Latines Syderatio, which according to Fallopius, * 1.331 and Fabricius, is an affect of a part al∣ready utterly mortified, and therefore not to be cured, but by amputation; that the whole bo∣dy come not to corruption thereby. Or it is a perfect and total privation of sense, being a mortification not only of the fleshy parts, but also of the nervous parts, even unto the bone, and sometimes of the bone it self.

The cause of a Gangrene may be an exceed∣ing effusion of blood and spirits, * 1.332 or a distemper of the four humours. Also extream erosion, or corrosion of caustick medicines, or corrosive humours. A venemous and poysoned blood, great burnings and scaldings; or overmuch hunger and thirst, may be the cause. Also a Gangrene may happen by the pricking of a nerve, by a feaver, precedent; by a frost, and al∣so by extream cold, by the biting of venemous beasts, or mad dogs, or through great incised wounds, but especially confuted wounds, and by unreasonable stripes. Finally, from all intercep∣ons, intersections, or interruptions of spirits, what, or wheresoever mayproduce a Gangrene.

The signes of a Gangrene are these, * 1.333 an ex∣tinction

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of the lively colour, which was in the precedent phlegmon. Grievous pain, and con∣tinual pulsation in the diseased part; apparent by the arteries, being at first very sensible, but afterwards declining their due force: The part agrieved seeming for the most part in colour to be blackish, blewish, or of a duskie, or livid colour; yea sometimes putrid, and being open∣ed, a filthy Ichor of an unsavory smell proceeds from it.

If there be sence, there is life, and hope. * 1.334

1. First, empty out abundantly the corrupt blood, which is stuffed in the affected member; * 1.335 For this purpose some apply horse-leeches, others cut the fullest vein about the affected member, also deep scarifications are good.

2. When you have drawn out blood abun∣dantly, by deep slashes or cuts; the place must be splashed with salt-water; then lay on a medi∣cine appointed for corrupted sores, or wash it with hot vinegar, or Mulsum, twice a day.

3. * 1.336 When the fury of the evill is somewhat slaked, minister Ʋnguentum Aegyptiacum; whose wonderful affects have been often tried: It is made after this manner.

℞. Floris aeris, aluminis roch, mellis com. an. ℥.iij. * 1.337 aceti acerrimi ℥. v. salis com. ℥.j. vitrili rom. ℥. ss. sublimati pul. ʒ.ij. bulliant om∣nia simul ad ignem, fiat unguentum.
When you have put in the Aegyptiacum, apply this cataplasme.
℞. Farin fabar. hordei, orobi, lent. lupin. an. * 1.338 l. ss. Seal. com. mellis rosat. an. ℥.iv. succi

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absynth. marrub. an. ℥.ij. ss. aloes, masti∣ches, myrrhae, & aquae vit. an. ℥.ij. oxime∣litis simpl. quantum sufficit, fiat Cataplasma molle secundum artem.
Somewhat higher then the part affected, ap∣ply this following astringent defensitive.
℞. * 1.339 Olei rosati, & myrtill. an. ℥. iv. succi plan∣tag. solani, semper vivi an. ℥. ij. album ovo∣rum. 5. boli armeni, terrae sigillatae subtiliter pulverisatorum, an. ℥.j. oxycrati quantum sufficit, ad usum dictum.
These medicines must be often renewed; If the force of the putrefaction be not so great, a wea∣ker Egyptiacum may serve. This Lotion is good to wash the affected part, before the Egyptia∣cum be layed on;
℞. * 1.340 Aceti optimi lb.j. mel. ros. ℥.iv. syr. acet. ℥.iij. salis com. ℥.v. bull. simull, adde aq. vitae lb.ss.
After your Lotion, lay your Egyptiacum into the incisions, &c.

4. If the evill will not yeeld to these remedies, stronger must be used, to wit cauteries; after whose application, * 1.341 Galen bids to put upon it the juyce of a Leek with beaten salt, to hinder pu∣trefaction.

5. But if all these things shall nothing help, and now Gangraena is turned into a sphacell, or mortification, and that the part is throughly dead, which you may know by the colour, for it is black, and colder then a stone to your touch; It riseth not again after the pressure of the finger, and the skin comes from the flesh ly∣ing under it. The smell is so strong (especially in an ulcerated sphacel) that the standers by

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cannot endure it. There is also a sanious moy∣sture, viscid, green, or blackish flowing from thence, and the part is quite destitute of sense and motion; though you pull it, beat it, crush it, prick it, burn it, or cut it off. I read of one, * 1.342 who many months after the cutting away of his leg, grievously complained that he felt ex∣ceeding grear pain of that leg so cut off. A thing wondrous strange, and prodigeous. Now if Gangraena be turned into Sphacelus, cut of that member very speedily, even to the whole; so that no filthinesse remaine behinde, for 〈 in non-Latin alphabet 〉〈 in non-Latin alphabet 〉; the infected parts of the body, * 1.343 the more they are cherished, the more they are in∣dammaged; and therefore the amputation not to be deferred.

6. Then let the veines and arteries be bound up, as speedily and as straitly as you can. But the ends of the vessels lying hid in the flesh, must first be taken hold of with a Crows beak, and drawn forth of the muscles; whereinto they presently after the amputation, withdrew themselves; when you have so drawn them forth, bind them with a strong double thred; and strew upon the wound an emplastick pow∣der, made with bolearmenick, &c. * 1.344 laying there∣upon dry lint, (also the juyce of leeks is good) and apply a defensitive. The member being placed upon a plillow stuffed with wheat bran, it must not be stirred for four dayes, unless great necessity urge. Then to agglutinate

℞. Boli arm. farin. hord. picis resinae, gypsi, an. * 1.345 ℥.iv. aloes, nucum cup. cort. granat. an. ℥.j.

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incorporentur omnia simul, fiat pulvis subtilis.
Herewith let the whole ulcer be strewed over, for 3 or 4 dayes; which being ended, let only the seats of the vessels be powdered therewith, for eight or ten dayes; the rest of the cure is ea∣sily performed. But great diligence must be used to procure the falling away of the ends, or scales of the bones, which may be done by applying to their ends actual cauteries, but take heed you touch not the sensible parts with fire. Some presently after amputation, make use of actual cauteries, but that brings great horror to the Patient.

1. * 1.346 Remember that those which are trou∣bled with Gangraena and Sphacelus, their diet must be of a cooling quality.

2. If nothing do let, turn away the flux by letting blood.

3. Purifie the blood with Catholicon, cassia, the decoction of Tamarinds, or fumitory.

4. Let the sick take Theriaca, which is able to defend the heart, from those corrupted and filthy smelling fluxes, which are mounted upwards.

CHAP. XLVI.

EXANTHEMATA, * 1.347 the small pox are pu∣stules, and the measles, spots, which arise in the top of the skin, by reason of the impurity of the corrupt blood sent thither by force of nature.

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Most of the Ancients have delivered that this impurity is the reliques of the menstruous blood, remaining in the body of the infant; * 1.348 be∣ing of that matter from whence it drew nou∣rishment in the womb, which lying still for some space of time, but stirred up at the first opportunity of a hotter summer, or a hidden ma∣lignity in the ayr, & boyling up or working with the whole mass of blood, spread or shew them∣selves upon the whole surface of the body. The small pox are caused of a more grosse and vis∣cous matter, to wit, of a flegmatick humour. But the meazles of a more subtle and hot, that is, a cholerick matter.

At first, * 1.349 when the matter of the pox seek passage out, the Patients often sneeze, and are held with a continual feaver, with pain in their backs, itching of their nose, head-ache, and a vertiginous heavinesse, and with a kind of swounding or fainting, a nauseous disposition, and vomiting, a horsenesse, difficult and fre∣quent breathing, and inclination to sleep, a heavines of all the members, their eys are fiery, and swollen, their urin red and troubled. The small pox are extuberating pustules, white in the midst, but red in the circumference. On the third or fourth day they bunch out, and rise up into a tumor; becoming white, before they turn into a scab. They prick like needles, (by reason of a certain acrimonie) and cause an itching. The meazles yeeld no marks, but certain small spots without any tumor; and they be either red, purple, or black, without pricking or itching. The pox doth not only

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mangle and spoyle the fleshy parts, but often∣times eat, and corrupt the bones, like the Lues venerea; and brings the dropsie, ptisick, hoars∣nesse, Asthma, bloody flux, ulcerating the guts; and at length death. Some have lost their sight, others their hearing, and other-some their smelling. Some that have died of this disease, and their bodies being dissected; Their entrails have been found to be covered with scabby or crusted pustules, like those that break forth upon the skin.

If a sucking child be assailed with the pox, * 1.350 it must be kept warm, and there must be provi∣ded for the nurse medicated brothes, with pur∣slain, * 1.351 lettice, sorrel, succory, Burrage, and French barly, bound up in a cloth: she must shun all salt, and baked, or spiced meats; and in stead of wine, * 1.352 let her drink a decoction of li∣quorice, raisins, and sorrel roots: also she must take purging medicines, and keep the child from pap.

If the child be weaned, let him abstaim from flesh, untill the feaver have left him, and the pox be come forth. * 1.353 Let him feed on barly and Almond creames, chickin broths (wherein have been boyled the forementioned herbs, and the shavings of Ivory & harts-horn) Panadoes, gellies, cullases, and raisins. Let his sleep be moderate, for too sound sleep drawes back the matter to the center, and increaseth the feaver. You must neither purge, nor draw blood, the disease increasing; or being at the height; un∣lesse there be a plurisie, squinancie, &c. A gen∣tle clyster is good in the state, and increase of

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the disease; * 1.354 you must make a sudorifick de∣coction of figs, liquorice, husked lentils, citron seeds, the seeds of fenell, and smalledge; the roots of grasse, raisins, dates, gold, millet, ma∣rygold flowers, and harts-horne, at the latter end of the boyling, put in some saffron, or

℞. Radic. gram. aspar. foenic. an. ℥.iv. liquyr. * 1.355 ras. ℥. ss. fol. acetos. m. ij. fic. n. xx. flor. cord. p. j. fiat decoctio. In lb.j. diss. Syr. ace∣tos. simpl. vel limon. ℥.iv. sacch. parum, fiat syr. aro & capiat serò & mane ℥. iv. donec tota faecta sit expulsio.

1. You must defend the eyes, * 1.356 when you first begin to suspect the disease, with rosewater, or vinegar, and a little camphire. If the pain and inflammation be great, then use Aloes, * 1.357 and Tuttie, washed in the water of fennel, eye∣bright, and roses.

2. You must defend the nose with a Nodulus; * 1.358 made with a little vinegar, water of roses, the powder of sanders, and camphire.

3. You must defend the jawes, throat, and throttle, and preserve the integrity of the voice, * 1.359 by a Gargle of oxycrate.

4. The Lungs, and respiration must be pro∣vided for, by syrups of jujubes, violets, * 1.360 white poppies, and water-lilies.

5. To prevent Pockarrs, after they are ripe, open them with a golden or silver needle; lest the matter contained in them, should corrode the flesh that lies under and after the cure, leave pock-holes behind it.

6. The pus or matter being evacuated, * 1.361 they shall be dried up with ung. rosat. adding thereto

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ceruse, Aloes, and a little saffron in powder.

7. * 1.362 Being dried up like a scurf or scab, anoynt them with oyle of Almonds, or Roses, or with some creame, that they may the sooner fall away.

8. * 1.363 If there be any excoriation through scratching, then shall you heal it with Ʋnguen∣tum album camphor. adding thereto a little pow∣der of Aloes or Desicativum rubrum.

9. To help the unsightly scars of the face, Lac virginale, * 1.364 Goose, Ducks, and Capons grease are good; and also oyle of lillies, and Hares blood newly killed & hot. Many cry out against bleeding, though it be done a little before the pox come out; * 1.365 for my part, I have opened a vein (ofttentimes) with good successe on strong bodies, so that the pox have come forth within 24 houres after bleeding, without any danger. Also Bezoar is excellent to send forth the pox. * 1.366 But the most familiar thing for children, * 1.367 is Diascordium.

Lastly, the meazles are cured by resolution only, * 1.368 and not by suppuration. For which pur∣pose conserve of Eldern flowers is especially commended; not only to be eaten, but also to be rubbed upon the heated parts. If there be great faintnesse, * 1.369 take Aqua Mariae, syr. lujulae, of either one ounce, give him a little often.

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CHAP. XLVII.

ELEPHANTIASIS, * 1.370 or leprosie (accord∣ing to Paulus) is a cancer of the whole body, The which, as Avicen addes) corrupts the com∣plection, form, and figure of the members, or according to Galen. This disease is an effusion of troubled or grosse blood into the veines, and habit of the whole body.

1. The primitive cause is, * 1.371 either from the first conformation, or comes to them after they are born, by the too frequent use of salt, spiced, acrid, and grosse meats. Also familiarity, co∣pulation, and cohabitation with leprous per∣sons. Sweat and spittle left on the edges of the pots or cups (for there is a certain hidden viru∣lencie in the leprosie) strong wines, drunken∣nesse, gluttony, and a laborious life, full of sor∣rows and cares. The suppression of the He∣morrhoids, and courses. The small pox, and meazles. Also a Quartan feaver, the drying up of old ulcers; for that they defile the masse of blood; and thus in conclusion, the leprosie is caused.

2. The antecedent causes are, the humours disposed to adustion, and corruption, into me∣lancholy by the torrid heat.

3. The conjunct causes are, the melancholy humours, which are now pertakers of a vene∣nate and malign quality, and spread over the whole habit of the body; corrupting and de∣stroying it, first by a hot and dry distemper, and

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then by a cold and dry, contrary to the begin∣nings of life, which consists in the moderation of heat and moysture.

1. The first sign is, a falling away of the haires, and you may perceive scauls in the head.

2. The second is a numerous and manifest circumseription, of round and hard pushes or pustules under the eye-browes, behind the eares, and in several places of the face, like hard kernels.

3. The third is, the more contract, and ex∣act roundnesse of the eares.

4. The fourth is, A Lyon-like wrinkling of the forehead, which is the reason that some term this disease Morbus Leoninus.

5. The fifth is, the exact roundnesse of the eyes, and their fixt and immovable steddinesse.

6. The sixth is, the nostrils are flat out∣wardly, but inwardly strait and contracted.

7. The seventh is the lifting up, thicknesse and swelling of the lips; Also the stinch, fil∣thinesse, and corrosion of the gummes; by acrid vapours rising to the mouth.

8. The eighth is, the swelling and black∣nesse of the tongue, and as it were varicous veins lying under it. Their face riseth in red bunches, or pushes, and is overspread with a duskie and obscure rednesse. Their eyes are fiery, fierce, and fixed. Some leprous persons have their faces tinctured with a yellowish, others with a whitish colour, according to the condition of the humour; for Physicians affirm, that there are three sorts of Leprosies, one of a

Page 313

reddish black colour, consisting in a melan∣choly humour: another of a yellowish green, in a cholerick humour: another of a whitish yellow, grounded upon adust flegm.

9. The ninth sign is, a stinking of the breath; and also of all the excrements proceeding from leprous bodies.

10. The tenth is a hoarsness, a shaking, harsh, and obscure voyce, coming as it were out of the nose.

11. The eleventh is, a morphew, or defe∣dation of all the skin, with a drie roughnesse, and grainie inequality; such as appears in the skins of plucked Geese, with many tetters on every side, a filthy scab, and ulcers, not casting off only a branlike scurf, but also scales and crusts.

12. The twelfth is, the sense of a certain pricking, as it were of needles over all the skinne.

13. The thirteenth is, a cunsumption and emacination of the muscles, which are between the thumb and forefinger. Also their shoulders stand out like wings

14. The fourteenth is, the diminution of sense, or a numbnesse over all the body; by reason that the nerves are obstructed, and so the free passage of the animal spirit is hin∣dred.

15. The fifteenth is, the corruption of the extream parts, possessed by putrefaction and a Gangrene.

16. The sixteenth is, they are troubled with terrible dreams, for they seem in their sleep to

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see Devils, Serpents, Dungeons, Graves, Dead bodies, and the like.

17. The seventeenth is, they are subtill, craf∣ty, and furious; and suspicious in all their dea∣lings.

18. The eighteenth is, they desire venery above their nature.

19. The nineteenth is, if you wash their thick, gross, and livid blood; you find a sandy matter therein.

20. The twentienth is, the Languidnesse and weaknesse of the pulse; Also the urine is sometimes thick and troubled, and oftentimes of a pale and ash-colour. Lastly, the face and all the skin is unctuous or greasie.

Cure cannot be promised to such as have a confirmed leprosie; * 1.372 for it is scarce curable at the beginning. Therefore care must be taken to free such as are ready to fall into so fearful a disease. Such therefore must shun all things in diet and course of life, whereby the blood and humours may be too vehemently heated.

Let them make choice of meats of good juyce. * 1.373 Purging, bleeding, and bathing shall be prescribed, by some learned Physician.

Gelding is much commended in this cause, because it deprives them of the faculty of gene∣ration; and makes them become cold & moist, which temper is directly contrary to the hot and drie distemper of leperous persons. I have oftentimes (after purging and bleeding) used Ʋnguentum enulatum with good successe in the beginning of the leprosie, * 1.374 whilst the body was covered only with a scurf. Let them drink the

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water and syrup of sumitory mixed together, * 1.375 for the space of a whole year.

℞. Rad. buglossae, glycyrrhizae, an. ℥. j. * 1.376 polypo∣dii ℥. ji. passularum ℥. ss. prunorum, sebes∣ten. ana num. xx. senae ℥.iij. thymi, epithymi, cuscutae, an. ℥ij. anisi, ℥.ss. florum borrag. buglossae, violarum, an. p. j. fiat decoctio; de qua accipe ℥. iij. quibus adde confect. hamech, ʒ.iij. Syrupi ros. lax ℥. ij. misce & fiat potio. Capiat mane.
For the poorer sort you may make use of Cassia, Diasena, Diaprunum, Diacatholicon, &c. When he is extream thirsty, * 1.377 he may drink Aqua sperm. ranarum, with a little sugar, or syrup of fumitorie; I am perswaded it is an excellent wa∣ter to kill the virulencie of this disease, because it is extream cold and moyst; for surely, if it be so effectual in an ulcerated cancer, it must needs be effectual in the leprosie. Gesner saith, that the dung of a Fox pounded with vinegar by anoyntment, cureth the leprosie speedily. Re∣member to keep accustomed evacuations, which you may with this Bolus following.

℞. Diaphoen. ʒ.ij. confect. hamech ʒ.iij. cum ʒ.j. * 1.378 pul. diasenae, & sacch. fiat bolus. vel cum de∣cocto senae, polypod. fumiter borag. bugloss. * 1.379 epi∣thymo, & prunis. Lastly,

℞. Rad. Serpentar. * 1.380 utriusque Asphodeli vel li∣liorum, enulae campanae, betae, croci sativi ana lib. j. pistentur optimè oleo rosaceo omphacino, adde unguenti citrini lib. ss. axungiae Ser∣pentis ℥.iij. Terebinth. ℥.ss. * 1.381 olei de frumento vel vitellis ovorum ℥.i.ss. ol. de tartaro ℥. ij. Sulphuris vivi, nitri an. ʒ. iij. Litharg. vel

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cerusae ℥. ss. borag. ustae ʒ. vj. mus. s. lini ℥. ij. succ. lapatii, fumariae, limonum, an. ℥.iij. Tutiae prae. sarocoll. nutrit. thur. an. ʒ.ij. agitentur invicem in formam nutriti: ungantur partes scabrae ulcerosae & pu∣stmlosae.

CHAP. XLVIII.

APOSTEMA HEPATIS. The Apostume of the liver, should have been placed amongst the distempers of the liver, in the first book; yet I think it better to place this Chapter here, then to leave it out.

The cause is two-fold, * 1.382 external, as a fall, bruise, or by going too narrow git, &c. Inter∣nal, as gluttony, indigestion of the stomack, weaknesse of the vertue digestive of the liver: Also humours gathered together in the liver; and sometimes it happeneth through imperfect cleansing of the Gall, Spleen, Raines, and In∣testines. Also through cold.

There is pain in the right side, * 1.383 tending up∣wards towards the ribs and shoulder blade; as it were the plurisie. He can hardly lye upon his sides, and especially on the right side; his face is very black, he hath no appetite, his urine is blood-red, especially if the impostume be hot; he hath a cough, and also the hick-cough, par∣breaking, short oreath, retention of urine, and great thirst. If cold be the cause, there is hea∣vinesse and oppression. * 1.384

In a hot cause, first the liver vein must be

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opened; next you may open the Salvatella. * 1.385 Then gentle clysters must be administred, his diet must be of a cooling quality, and

℞. Aquar. ros. solatri, sempervivi, plantag. * 1.386 ana ℥.ij. aceti ros. ℥.ss. camphor. ℈. ss. santal. ci∣trin. vel rub. ʒ.ij. omnia bene invicem misce∣antur fiatque epithema hepatis.

The third day after the impostume is known, take barly meal, stewed figs, * 1.387 and dates beaten to pap, and tempered altogether with oyle of roses, and vinegar; and apply it. In∣wardly, let him

℞. Herbarum endiviae cichoreae, * 1.388 fumiterrae agri∣moniae, ana, m. j. Rad. foeniculi, apii petrose∣lini ana ℥.ss. polypodii quercini, ℥.ij. sem. anisi, foeni culi, ana ʒ. i. ss. passularum ℥. ss. aquae fontis, quant. sufficit, fiat decoctio. s. a.

℞. decoct. colati ℥.ij.ss. syrup. * 1.389 de quinque Ra∣dicibus ℥.ss. misce, fiat haustus.

In a cold cause, take heed of bleeding. * 1.390 Admi∣nister a clyster made with wormwood, centau∣ry, field-mints, seeds of anise, and cummin, de∣cocted with a little coloquint. And anoynt the place with oyle of spike. Boyle in his broth Agrimony, Germander, the roots of Smallage, Parsly, and Fennel.

You may know when the impostume break∣eth by the Patients shivering, quaking, swoun∣ing and vomiting; and by his voiding of blood through the stoole, and urine.

This plaster following is good to ripen, * 1.391 asswage paine, and strengthen the liver; take barly meal, and fenegreek meal, of each one ounce. Linseed meal, three dragmes,

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mill-dust, roots of elecampane, smalledge, and wormwood, of each five dragmes. Cammo∣mell, melilot, violets and roses, of each three dragmes. White lilly roots, Pigeons dung, Spica Romana, of each one dragme. Oyle of cammomel, and violets, as much as will suffice to make a plaster.

Afterwards cleanse him with Mellicraton, * 1.392 or with the decoction of barly and figs. This Ca∣taplasme following is good to help ripen the Apostume of the liver.

℞. * 1.393 Rad. althae ae mundatae ℥.ij. farinae hordei ʒ.ij. farinae faenugr. sem. lini, pinguedinis anseris, porci anae ℥.j. cyperi, schaenanthi pul. an. ʒ.iij. ammon in aceto dissoluti ℥.j. ol. lilior. mastic. an. ℥.j.f. Cataplasma.

CHAP. XLIX.

GƲTTA ROSACEA; It is a preternatural rednesse, which possesseth the nose, and cheeks, and oft times all the face besides; one while with a tumor, otherwiles without: Some∣times with pushes and scabs, by reason of the admixtion of a nitrous, and adust humour. It is worse in winter than in summer.

Let the Patient abstain from all hot and salt things. * 1.394 Let his body be kept soluble. And first open the Basilica, * 1.395 then the Vena frontis; and lastly, the vein in the nose. Let leeches be applyed to sundry places of the face, then this approved oyntment following is good, if the disease be inveterate.

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℞. Succi citri ℥. iij. cerus. * 1.396 quantum sufficit ad eum inspiffandum, argenti vivi cum saliva, sulphure vivo extincti ℥. ss. incorporentur simul, & fiat unguentum.
Vel,
℞. Ʋng. citrini recenter dispensati, ℥.ij. * 1.397 sulphu∣ris vivi, ℥.ss. cum modico olei sem. cucurb. &. succi limonum, fiat unguentum.
With one of these let the face be anoynted when you go to bed, and in the morning let it be washed with sharp vinegar, and rosewater, * 1.398 wherein bran hath been boyled, or with rose∣water onely, wherein bran hath been infused; yet the former is most powerful.

To drie up the pustules,

℞. Lactis virginalis lb. ss. sulphuris vivi ℥.j. * 1.399 succi limonum ℥.iv. salis com. ʒ.ss.
Let them be distilled in a glasse Alembeck, and the water kept for the forementioned uses.

To kill ring-wormes, and tetters, * 1.400 an oynt∣ment made of Tobacco ashes, or mustard dis∣solved in strong vinegar, with a little sulphur; is effectual for that purpose.

Lastly, to smooth the skin (after the using of the forementioned acrid medicines.)

℞. Tereb. ven. * 1.401 tam diu lotae ut acrimoniam nul∣lam habeat, butyri, salis expertis, an. ℥.i.ss. olei vitel. ovor. ℥.j. axung. porci in aqua ro∣sarum lotae, ℥.ss. cerae parum, fiat linimen∣tum ad usum.
If you want more, read Platerus, Tract. tert. * 1.402 & ult. pag. 175. &c. & Forestus lib. 2. de tumoribus praeter naturam. pag. 59.

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CHAP. XLI.

PESTIS. * 1.403 The plague is an horrid disease, ve∣nemous, and contagious; lothsome, noysom, fearful, and hateful to mankind; yea and deadly for the most part; being accompanied with va∣riety of grievous sores: as carbuncles, botches, blaines; and also producing spots and discolou∣rings of the skin; and may fitly be called (Flagel∣lum Dei pro peccatis mundi) the rod of God for the sins of the world; for it produceth divers fearful and deadly accidents with great celerity, seaz∣ing upon the animal, vital, and natural facul∣ties; and seldome or never goes without a feaver.

The material cause thereof is sin; * 1.404 For it is a confirmed, constant, and received opinion in all ages amongst christians, that the plague and other diseases, which violently assaile the life of man, are often sent by the just anger of God, as punishments for our offences. Yea when the Almighty will shew himself in his fury against dust and ashes, he can put the host of heaven in his order, to fight against us) (Nam astra regunt homines, sed regit astra Dens;) for the starres govern mans body, and God governs the stars. And we have no way to escape his judgements, but by prayer, and unfeigned repentance.

This furious disease, as it were disdaines any general method of cure, when it is in his rage; so that we must needs conclude (Quicquid faci∣mus mortale genus, quicquid patimur, venit ab

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alto) that whatsoever man doth, or whatsoever man suffereth, all proceedeth from above. And as for all other natural or efficient causes, they are constellated, put on, and put off by divine providence, viz. ex praescientia Dei, by the fore∣know ledge of God.

The terrestrial causes thereof, are venemous, * 1.405 and stinking vapours arising (by the warmth of the Sun, and so communicated to the Ayre) from dunghils, sincks, channels, vaults, or the like; as also from unclean slaughter-houses of beasts, unclean dwelling-houses, Lanes, Allies, and Streets, in great Cities, as in London, &c. Also want of food, & unwholsom food, and the eating of abundance of raw fruits, may be a great cause of the increase of the plague. See lib. 2. chap. 12.

It beginneth cold, * 1.406 and with pain in the head and stomach, and sometimes in the back, being commonly taken for an Ague.

In some also it beginneth hot, with pain and giddinesse of the head: others find a general discouragement and weaknesse over all their whole body; many are taken with great desire to sleep; but it is not safe to permit such to sleep before a Diaphoretick be administred, to send forth the venemous vapours by sweat.

In some it beginneth with a raging and fierce feaver, so that their speech fail them, and their eyes turn strangely to and fro in a fearful manner; being in their slumbers oppressed with grievous and fearful dreames, and fan∣tasies.

In others it beginneth with sweatings, with pain of the back, and a stinking breath; and

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such are ever very doubtful of cure, and ten to one but they have inward carbuncles. The one cheek is red, and the other pale, others have sweat drops on their noses, a fierce coun∣tenance, with grinding of the teeth.

And to be brief, no symptome of any disease, but is incident to the infected of the plague.

The signes that presage death are these that follow, * 1.407 namely, when the Patient is possessed with swounding, and faintings, with cold and clammy sweats, often changing of the counte∣nance, vomiting of sharp, slimy, and ill coloured flegm; with greenish, yellowish, blackish, or blood-coloured sanies, or avoiding excrements, either fatty, blackish, unctuous, or unnaturally stinking, convulsions, contractions of the nerves, graveling and pidling with the fingers, pluck∣ing up of the bed-clothes; a sudden flux of the belly of stinking matter, rusty, or of a greenish colour. A sudden going back of an impostume, carbuncle, or Bubo. Also it is a deadly signe in the pestilence, to have a continual burning fea∣ver, the tongue drie, rough, and black, with unquenchable thirst, and great watching; to have phrensie and madnesse together, the hick∣et, heart-beating, and the face pale, black, of an horrid and cruel aspect; bedewed with a cold sweat. Also when the Patient is insensi∣ble of the departure of his urine, and ex∣crements.

There are some have ulcerous and painful wearinesse, pricking under the skin, with great torment and pain. The eyes look cruelly, and staringly, the voyce waxeth hoarse, and the

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understanding decaying; so that the Patient talketh of frivolous things; these shew the plague to be deadly. Also if the urine be pale, or black, and the contents blew, greenish, fatty, or oyly. Or if the flesh of the Carbuncle be drie, and black, or the flesh about it be black and blew.

If the eyes waxe dim, if the nostrils be con∣tracted or drawn together, if the mouth be drawn aside, or if the nails be black, then you may prognosticate that death is at hand; yet you may use cordial medicines, but it is too late to purge, or let blood.

The symptoms of recovery are these, namely, when the fever ceaseth, the sick person takes mo∣derate rest, a botch come to good suppuration, a carbuncle to separation, or a blain to yeeld his usual indigested quitture, with mitigation of the dolour; or that the blaines withering by Gods mercy, through cordial diaphoreticks (for no sores heale faster then pestilential sores do) or that a cheerfulnesse in the sick appear, these are all good signes.

Now the three certain outward signes of the plague are these.

1. First, the Bubo pestilentialis, * 1.408 which is a tu∣mour at the beginning long and moveable, but in the state immoveable; with a sharp head, and fixed deeply in the glandules or kernels, by which the brain exonerates it self of the vene∣mous and pestiferous matter, into the kernels that are behind the ears, and the neck the heart into those that are in the arm-holes; and the liver into those that are in the groin. It

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is a deadly sign if the tumor be livid or black, and come very slowly unto his just bignesse, or if it increase suddenly, and come to his just big∣nesse, as it were with a swift violence, and as in a moment, have all the symptomes in the high∣est excesse; as pain, swelling, and burning. But if it be red, and increase by little and little, it is a good sign.

2. * 1.409 The second outward signe, is that most fierce burning carbuncle called Anthrax, or the burning cole, which happeneth in any part of mans body without order or rule, within the body as well as without.

It appears commonly inflamed and hard, and in the middest thereof, they feel burning pain like to burning fire, so that it will some∣times blister, which pain is so fierce and great, that the Patient groweth to be mad with ex∣tremity thereof.

It is round in shape or figure, and the colour un∣certain, for somtimes it is pale, somtimes reddish, somtimes black, or purple, or greenish; & the two last are most fearful, and deadly signs. You shall see some carbuncles smooth as glass, of a black∣ish shining colour, not unlike pitch; with intol∣lerable pain, and the member whereon they are fixed, will be ponderous and unwildy to move to and fro.

This disease is seldome healed without so much loss of the musculous flesh and skin, as it taketh first hold of, in what part soever it hap∣pen; except the fury thereof in the beginning be changed, by sweating medicines. The car∣buncle seldom or never cometh to suppuration,

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but it will admit separation, and in time will come to fall out (if nature be strong) as a gan∣grenated part doth in one entire peece, from the sound. But if it grow black, and separate not, and the fever doth not abate, then it may be feared, death is at hand.

3. The third sign is the pestilential blain: * 1.410 it is a painful and angry push, somewhat like the small pock, yet in colour more red, and cloudy; and farre more painful, with a small head, of an angry blew, or reddish colour. Sometimes of a lead colour, and somewhat hard or fleshy; some have many, others not one. This blain seldom killeth, for by vertue of good medi∣cines, and by the strength of nature, it dryeth away, and requireth no other cure: * 1.411 There may be added a fourth signe of the plague, namely marks or spots, commonly called by the name of purples, and tokens; but they are not alwayes certain signes of the pestilence. These spots are upon some like flea-bitings, in others larger, in some as big as a peny, being of divers colours, as red, yellow, brown, violet, or pur∣ple (and therefore called the purples) blew and black; and also of a lead colour, and are ever without pain; yet they produce faintings, swoundings, trembling of the heart, and often∣times death.

If they are of a purple or black colour, with often swounding, and sink in suddenly without any manifest cause, they foreshew death.

But first for prevention, * 1.412 two things are of chief account; the first is, that we strengthen our bodies, and the principal parts thereof,

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against the daily imminent invasions of the poyson, or the pestiferous and venenate ayr. The other, that we abate the force of it, that it may not imprint its virulencie in the body; which may be done,

1. * 1.413 First, by purging and bleeding, and shun∣ning much variety of meates, which are ea∣sily corrupted in the stomach, and cause ob∣structions.

2. Secondly, let the belly have due evacua∣tion, either by Nature, or Art.

3. Thirdly, let the heart, the seat of life, and the rest of the Bowels, be strengthened with Cordials, and Antidotes, applyed, and taken.

4. Fourthly, if thou canst make choice of a pure ayr, and farre remote from stinking places.

5. Fifthly, kindle a clear fire in all the lodging rooms, and perfume the whole house with aro∣matick things. * 1.414 As frankincense, myrrh, ben∣zoin, Ladanum, styrax, lavender, rosemary, sage, savory, wild tyme, marjarum, broom, peeces of firre, juniper berries, or cloves; also vinegar sprinkled upon hot bricks, and let your cloathes be aired in the same.

6. Sixthly, whilest the plague is hot, stirre not out of doore before the rising of the Sun; and perswade the Magistrates, that the Canons (laded only with powder) may be discharged morning and evening, turning their mouths upon the City.

7. Seventhly, all publick and great meetings and assemblies must be shunned; you must do

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nothing in a pestilent season, whereby you may grow hot, * 1.415 and therefore venery is chiefly to be eschewed.

Let the poorer sort which are not able to purchase rich cordials, * 1.416 take garlick in a morn∣ing, with a draught of good wine, for it being abundantly diffused over all the body, fills up the passages thereof, and strengtheneth it in a moment.

Amongst cordial remedies Aqua Theriaca∣lis, is much commended, being drunk, * 1.417 and rubbed on the nostrils, mouth, and eares; for it strengthens the heart, expells poyson, and is not only good for a preservative, but also to cure the disease it selfe. The confection of Al∣kermes, and Clove-gilliflowers are good. Also the pills of Ruffus are accounted most effectual preservatives against this disease, * 1.418 so that Ruffus himself saith, * 1.419 that he never knew any to be infected, that used them. Some rowle in their mouth, and chaw be∣tween their teeth the root of Angelica; * 1.420 others drink wormwood wine.

To be short, Treakle and Mithridate, faith∣fully compounded, excell all cordiall medi∣cines; adding for every halfe ounce of them, * 1.421 one ounce and an halfe of conserve of Roses, or of Bugloss; and three dragmes of Bole∣armenick prepared: * 1.422 Mithridates highly com∣mendeth Walnuts, take two in number, those that be very dry, two figges, * 1.423 twenty leaves of Rue, and three graines of salt, beat and incorporate them together, and take the quantity of a Hasel nut at a time

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fasting, and drink a little wormwood-wine after it.

Also pomanders are good, and it will be very convenient to apply to the region of the heart, a bagge filled with yellow sanders, * 1.424 mace, cloves, cinnamon, saffron, and treakle; shaken together and incorporated, and sprink∣led over with strong vinegar and rosewater in summer, and with strong wine in winter. Thus much for prevention.

1. Now so soon as one is blasted with the pestiferous ayre, after he hath taken some pre∣servative against the malignity thereof; he must withdraw himself into some wholesome Ayre. And it were good to hang the cham∣ber, and also the bed, with thick or course brown linnen cloaths, moystened in vinegar and water of roses. And sweet fires may be made of Juniper, Ash, Benzoin, &c.

2. * 1.425 Their diet must be cooling and drying. And first of all begin the cure with an Anti∣dote; because by its specifick property, it de∣fends the heart from poyson; and drives and ex∣pels it out of all the body, by sweat, vomiting, scouring, and other kinds of evacuation. The Antidote I would have you make choyce of, * 1.426 is Treakle, or Mithridate, that is three or four years old, which excell all other Antidotes; for by strengthening the noblest part, and the mansion of life, they repaire and recreate the wasted spirits, and overcome the poyson; not only being taken inwardly, but also applyed outwardly to the Region of the heart, botches, and carbuncles: for by an hidden property

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they draw the poysons unto them.

If there be great heat, * 1.427 mix with Treakle or Mithridate the juyce of limmons in sorrel wa∣ter. The Patient ought to walk presently after he hath taken his Antidote, but yet as mode∣rate as he can: After that he must be put warm to bed, and covered with many cloaths, and apply swines bladders filled full of Car∣duus water, to the groines and arm-holes, to procure sweat; for sweating in this disease is a most excellent remedy. When he hath sweat sufficiently, according to the strength of his body, let the sweat be wiped with warm cloathes, and dried. Let him be kept from sleep (if possible) untill the third or fourth day; yet if necessity require, he may sleep, but not above three or four houres on a day and a night; but not at all on the first day.

After sweating, let him take the rind of a preserved citron, conserve of roses, bread to∣sted and steeped in wine, the meat of preser∣ved myrabolane, or the like; then let him eat of some cordial confection. And you may make Epithemes after the following formes.

℞. Aquar. rosar. & melissae, ana ℥. iv. * 1.428 aceti ros. ℥. iij. sant. rub. ʒ. j. caryo∣phil. ʒ. ss. croci ℈. ij. caphurae ℈. j. boli arm. terra sigill. & zedoar. an. ʒ.j. fiat Epithema.

Vel.

℞. Aceti ros. & aquae ros. ana lb. ss. * 1.429 ca∣phurae ʒ. ss. theriac. & mithrid. ana ʒ. j. fiat epithema.

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When you intend to use them, take some portion of them in a vessel by its selfe, wherewith let the affected bowel be fomented warm, many will not allow either of purging or bleeding in this disease. I confesse in weak bodies it ought to be neglected; but in strong bodies that abound with corrupt humours, both are necessary to be done: * 1.430 for Hippocrates saith, Morbos ex repletione ut curat evacuatio, sic eos qui ex evacuatione fiunt repletio, &c. The best way if purging be fit, is to take six or ten graines of scammonie, * 1.431 beaten into powder, with one dragme of Mithridate or Treakle. Ruffus his pills may be profitably given, half a dragm at a time every morning, two or three houres before meat; they ate to be had at the Apothecaries. * 1.432 The ancient Phy∣sicians have greatly commended Agarick for this disease, because it doth draw the noysome humours out of all the members; let it be ele∣cted and prepared truly into Trochisces. Also Antimonium is highly praised by the experi∣ence of many: * 1.433 So is mugwort, and the pickle of Anchovis; * 1.434 for some have taken eight ounces at a draught, and have been freed from this disease, so that it hath been counted a most cer∣tain and approved remedy against the pe∣stilence.

1. * 1.435 So soon as the Bubo appears if nothing forbid, apply a cupping-glasse with a great flame unto it; and let it stick to the part for the space of a quarter of an hour, and be re∣newed again every three quarters of an hour.

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Then apply this liniment, * 1.436 take Ʋnguentum di∣althaea, one ounce and an halfe; oyle of scor∣pions half an ounce, of mithridate dissolved in aqua vitae halfe a dragm.

After it is fomented, * 1.437 fill a great onion (be∣ing hollowed) with Treakle, and the leaves of Rew, then rost it under the hot embers, beat it with a little leven, and a little swines grease; and so apply it warm unto the Abscess or sore; let it be changed every six houres until it be growne unto its full ripenesse and bignesse.

If the inflammation be great, * 1.438 make a Cata∣plasme with the roots of marsh mallowes, and lillies of each half a pound. Of line, sorrel, and fenugreek, of each half an ounce; of Treakle one dragme, ten Figs, and as much hogs-grease as shall suffice, make a Cataplasme according to art.

When the Bubo is come to perfect suppura∣tion, it must be opened with an incision-knife, or with a potential cauterie; the rest of the cure is easily performed.

2. So soon as the carbuncle appears, * 1.439 Let it be fomented with water, and oyle mixed toge∣ther, wherein a little treakle hath been dissol∣ved. The day following, * 1.440 take the leaves of sorrel and henbane, rost them under the hot ashes, afterwards beat them with four yelks of egs, two dragmes of treakle, oyle of lillies three ounces, barly meale as much as may suffice; make thereof a Cataplasme, and apply it.

And round about the carbuncle, * 1.441 lay the salve of fine Bolus, made with vinegar and rose-wa∣ter, for to defend the parts adjacent from heat.

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Also Scabions brayed between two stones, * 1.442 and mixed with hogs-grease, the yelks of egs, and a little salt, is much commended by the Anci∣cients. * 1.443 And a radish root cut in slices, and so the slices laid one after one unto a carbuncle or pestilent tumor, doth mightilie draw out the poyson.

In the beginning the point or head of the carbuncle must be burned if it be black, * 1.444 by dropping on scalding hot oyle, or Aqua for∣tis: After this burning, hasten the falling away of the eschar, which will seem to sepa∣rate it selfe from the flesh round about it, and is a token of the Patients recovery, &c. A Car∣buncle and Bubo are tumors of a near affinity, consisting of one kind of matter, unlesse that which maketh the Bubo is more grosse and clammie; and that which causeth the carbun∣cle more sharp, burning, and raging, by reason of its greater subtility; so that it maketh an eschar on the place where it is. Their cures are somewhat alike, only the carbuncle requi∣reth things to be applied that are of a more cooling quality, then the Bubo doth.

3. Lastly, Blaines, or Eruptions, and Spots, are cured, only by driving forth; for which purpose minister Treakle or Mithridate inwardly, to procure sweat: or this oyntment following will be good to draw them forth. Take of hogs-grease one pound, * 1.445 boyle it a little with the leaves of sage, tyme, rosemary, of each halfe a handful; strain it, and in the straining extinguish five ounces of Quick-silver, which hath been first boyled in vinegar, with the

Page 333

forementioned herbes; of Sal nitrum three dragms; the yelks of three egs, boyled untill they be hard; of Treakle and Mithridate of each half an ounce; of Venus Turpentine, oyle of Scorpions, and Bays, of each three ounces; incorporate them all together in a morter, and make thereof an unguent, wherewith anoint the Patients arm-holes, and groins; avoyding the parts that belong to the head, brest, and back-bone, then let him be laid in his bed, and sweat.

When the spots and pustules do all appear, it shall be convenient to use diuretick medicines. And this may suffice for a discreet student, as concerning the cure of that cruel and conta∣gious disease, called the plague.

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

Notes

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