Platerus golden practice of physick: fully and plainly discovering, I. All the kinds. II. The several causes of every disease. III. Their most proper cures, in respect to the kinds, and several causes, from whence they come. After a new, easie, and plain method; of knowing, foretelling, preventing, and curing, all diseases incident to the body of man. Full of proper observations and remedies: both of ancient and modern physitians. In three books, and five tomes, or parts. Being the fruits of one and thirty years travel: and fifty years practice of physick. By Felix Plater, chief physitian and professor in ordinary at Basil. Abdiah Cole, doctor of physick, and the liberal arts. Nich. Culpeper, gent. student in physick, and astrology.

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Title
Platerus golden practice of physick: fully and plainly discovering, I. All the kinds. II. The several causes of every disease. III. Their most proper cures, in respect to the kinds, and several causes, from whence they come. After a new, easie, and plain method; of knowing, foretelling, preventing, and curing, all diseases incident to the body of man. Full of proper observations and remedies: both of ancient and modern physitians. In three books, and five tomes, or parts. Being the fruits of one and thirty years travel: and fifty years practice of physick. By Felix Plater, chief physitian and professor in ordinary at Basil. Abdiah Cole, doctor of physick, and the liberal arts. Nich. Culpeper, gent. student in physick, and astrology.
Author
Platter, Felix, 1536-1614.
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London :: printed by Peter Cole, printer and book-seller, at the sign of the Printing-press in Cornhill, near the Royal Exchange,
1664.
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Medicine
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http://name.umdl.umich.edu/A90749.0001.001
Cite this Item
"Platerus golden practice of physick: fully and plainly discovering, I. All the kinds. II. The several causes of every disease. III. Their most proper cures, in respect to the kinds, and several causes, from whence they come. After a new, easie, and plain method; of knowing, foretelling, preventing, and curing, all diseases incident to the body of man. Full of proper observations and remedies: both of ancient and modern physitians. In three books, and five tomes, or parts. Being the fruits of one and thirty years travel: and fifty years practice of physick. By Felix Plater, chief physitian and professor in ordinary at Basil. Abdiah Cole, doctor of physick, and the liberal arts. Nich. Culpeper, gent. student in physick, and astrology." In the digital collection Early English Books Online 2. https://name.umdl.umich.edu/A90749.0001.001. University of Michigan Library Digital Collections. Accessed June 15, 2024.

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CHAP. IV. Of the Defect of Breathing.
The Kinds.

IT is called a Defect of Breathing, when it is either abolisht, or is done with difficulty, which may hap∣pen both to natural Breathing and to voluntary or vo∣cal breathing forth in utterring the Voice and Speech.

The Breathing which is conti∣nually performed by vertue of the Heart, * 1.1 naturally by drawing in and sending out of the Breath, can no waies perseveringly be wholly abolisht, while the man lives, but for a time it may altogether cease, in a true Syncope, and in that which accompanies that which we call strangling of the Womb, in which cases as long as, the mind faileth in them, as they call it, or the Life, or rather the vital motion, so long no breath∣at all is perceived in them, or it is so obscure that we can observe no breathing forth of the Air even with a Feathers laid to the Nostrils, or shaddow of motion in a Cup ful of Water laid on their Breast, but they lie like dead folks without all motion and sense.

But Breathing oftentimes proceeds difficultly, when they fetch it with great labour and impediment; and if this be with high streining, so that they are in the be∣ginning of Suffocation, it is called Suffocation and strangling, the which also wil follow, if it did not cease: In which danger because they are more conversant when they lie down, to turn that away they are forced to breath upright with their Breast raised up and their Neck straight, and then they are called Orthopneumati∣cal, and because if they move their body they, they are more grieved, their Breathing being made swifter, they are compeld to be quiet: but otherwise they Breath with less anguish, yet difficultly also, and it is simply called a Dispnoea. Somtimes labouring more do send forth the Breath, somtimes to draw it in, at other times both being hindred together.

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But a Dyspnaea or Strangling, do divers∣ly offer themselves, * 1.2 for somtimes it is bred and shews it self, some manifest cause concuring, from which also it is, as shall be said in the causes.

Somtimes difficulty of Breathing hath a Catarrh its companion, * 1.3 in which also somtimes they are suffocated, all Brea∣thing being suddainly intercepted, and this evil is called a Praefocating, or suffocating Ca∣tarrhe.

Ofttimes it is coupled with affects of the Breast, with a Cough, Wheezing, in that called an Asthma, in which they fetch their breath often with difficulty, as if they were wearied with too much Motion, whence they are called Shortbreathed and Suspirious, and they Cough, but spit forth nothing mattery, and somtimes in their Lungs there is heard a certain Piping, or Wheezing, and this evil assails them either continually, ot upon a slight cause, and it returnes and hath its Exacerbations, and it is of long continuance, and stubborn.

A Dyspnaea is somtimes joyned with a difficulty of swallowing, * 1.4 and there is a pain or trouble both in the Jaws and Neck, especially in that called a Quinsie or Cynanche, because by reason of their breathing hinderd, they gape like Dogs with their Mouth open, which affect somtimes a Feaver doth accompany.

At other times also the breathing labors highly, * 1.5 with a resolution of the whol Body in the Apoplectical, and the sick are choaked, as hath been said there: and then a Dyspnaea is somtimes joyned with a Palsie or some Species of Spasm, as hath been said there, that then when they would breath forth strongly, which is required to the uttering a great voice, and being forced to Laugh. Weep, call out, or to Cough they are com∣peld to breath forth powerfully, the which because they cannot do for the causes there exprest, they fall into danger of Suffocation.

Affects of the Womb, somtimes go be∣fore that Species called the Suffocation, * 1.6 or Strangulation, or Praefocation of the Womb, with which being suddainly seazed, som∣times the breathing being wholly taken a∣way, at othertimes very much hinderd, they are so tormented, as if their Jawes were tyed with a bond, and those thus affected, then they call Hyste∣rical.

A swelling, distension of the Belly, are also with a Dyspnaea in the faults of the na∣tural parts. * 1.7 But especially in the Hydropi∣cal, to whom it is very troublesome, so that they are forced to breath upright, like to the Orthropneumatical, and lying down they are in danger of Choaking.

There is also a certain Nocturnal suffo∣cation, * 1.8 that befals those that Sleep, called Pnigalion, or the Night-Mare, because they think and Dream that they are suffocated by some thing lying upon them and pressing them, and afterwards waking, they think that they have sufferd that from an Enemy, or Witch, or Devil, and that they were invaded and opprest by them, whence they call it Ephialtes, and Doating, for a time they do somwhat perswade themselves so.

The Voice, or Vocal breating, which at our pleasure we can wholly omit, yet not make, unless there be a breathing forth, can no waies be long abolisht by rea∣son of Respiration, because that cannot long cease; * 1.9 Yet it happens that it is utterd obscurely by reason of that, if the brea∣thing be very smal; but more commonly it happens in a Dyspnaea, that the Voice cannot be utterd very clear and loud: but sending forth of the breath not being hin∣derd, * 1.10 the Voice nevertheless cannot som∣times be exprest by us, or at other times also can only be brought forth silently and lowly; both which som∣times happen in a Palsie, other Motions also being then hurt together, as hath been explained there; but at o∣ther times without this the Voice is lost for a time, and returnes again, as I remember an excel∣lent Physitian Theodorus Zuingerus, * 1.11 my God-father and Colleague, when we were in the School of my Father Tho∣mas Platerus, that was Master to us both, * 1.12 hath ofttimes been so Stupified, that he could not answer one word, though asked with threatning, and hath so re∣turned home mute and astonisht, his sences otherwise entire, which Species they call Apolepsie and Hippocra∣tes an Aphony, some would refer it to the Species of a Catalepsie, somtimes also when the Voice is lost, or weak, there is felt a pain in the Jawes, a Tumor, or some other fault, and somtimes it is apparent.

Speech, or an Articulate voice may be intermitted at our desire or will, * 1.13 but we cannot speak, unless there be a vocal Re∣spiration, and therefore by reason of the defect of the voice, as hath been already said, the Speech is either abolisht, or not sufficiently utterd, but also somtime they cannot speak without an Impediment of the Voice, and they are cal∣led Dumb, in a Palsie either peculiar to the Tongue, or common also to other parts; * 1.14 somtimes they are both Dumb and Deaf from their Birth; but oftentimes when they can∣not exactly express certain Syllables or let∣ters, * 1.15 those especially which that they may be pronounced, do require a various doub∣ling of the Tongue, as in R. and S. to be pronounced with a noise or hissing, they Stutter and are called Blaesi, or Lispers, the which also happens with some faults of the Lips, or Teeth, or Jawes.

The Causes.

Every cause of breathing taken away or diminisht, * 1.16 of the Voice and Speech how these do fail in an Apoplexy, all the sences being taken away, by rea∣son of the Brain affected, and in an Epilepsie also, hath been explained in the Consterna∣tion of the Mind.

For which reason as long as the Motion of the Heart ceaseth, * 1.17 so long also Respi∣ration may cease, seeing then there will be no need of it, but if that be hinderd, the Motion of the Heart not first ceasing, that a man must needs die, we will shew in a Syncope.

But if these fail without a Disease of he principal parts, of the Brain and Heart, this comes to pass by reason of the Nerves that carry the vertue, or of the moving Muscles, or of other Instruments that effect and help Motion.

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By occasion of the Nerves af∣fected, * 1.18 that the Speech, Voice, and Breathing may be weakened, hath been formerly explained in the Impotency of motion, their Muscle being then palsied, or con∣tracted, by the causes declared there, that the Speech somtimes may be particularly abolisht, the third con∣jugation being affected, which makes the Nerve of the Tongue, and if the hurt be great, especially a fault of conformation from the Birth, that then the Hearing is commonly taken away too by reason of its Commu∣nication with the said branch. And that the same also comes to pass, * 1.19 if the branches of the Nerves of the sixth and seventh conjuga∣tion called the Recurrent Nerves, folding with the Muscles of the Tongue do suffer. * 1.20 And if this be in the branches of the same Re∣current Nerves that infold the La∣rynx that the Voice doth then also cease, the dissections of Anatomists do manifestly declare, who for ex∣perience sake, have in a Hog taken the recurent Nerves in a band: which Aphony by reason of the recurrent Nerves arising from internal causes seldom happens particularly to the Voyce, and if it be, it proceeds either only from some thick vapor, as they would have it, or only from a Defluxion fallen down thither, but this fault more commonly happens to the Voice and Speech in a Palsie, from the causes mentioned, together also with other Impotencies of motion, to which also that Impediment of Breathing which in uttterring of a strong voyce we have said did offer it self, as in Crying out, Laughing, Howling, Coughing, Snezing is somtimes added, if the other In∣tercostal branches infolding the Muscle be affected too; for Breathing alone seldom suffers a Defect, sin∣gly without other hurts, by reason of the Nerves; see∣ing the Midriff whose motion is sufficient for moderate Breathing, hath received Nerves, as hath been explain∣ed there, not only from the said Conjugation of Nerves, but also from the Spinal Marrow great Nerves on both sides, proceeding from its first pairs joyned together, and descending to the Midriff, for which cause it doth not fall out that the Breathing ceaseth, unless both the Spinal Marrow, and the Conjugations or paires of the Nerves be hurt together, which can scarce be but about their beginning in the Brain, as hath been said in an Apoplexy, as neither can it be hinder'd in a Palsie unless the hurt befalling both, the Paires and Conjugations of the Nerves and reaching also the Nerves of the Midriff, * 1.21 doth prejudice many motions. yet it also comes to pass, that especially the greater Nerves of the Midriff proceeding from the Spinal Marrow, singly and soly troubled with defluxions or other Diseases may breed a certain Dyspnaea, such as we have obser∣ved in the Asthmatical continually molesting the sick, no other signs appearing of the Lungs affected.

By reason of the Muscles, Na∣tural and Vocal breathing fail∣eth, * 1.22 as the Speech if the Muscles moving the Tongue (for we shal treat afterwards of the faults of the Tongue, as it is an Instru∣ment that is moved) the Voice if the Muscle of the Larynx be∣ing troubled with Defluxions cannot do their office, they by moving the Tongue, these by dilating and straitenning the cleft of the Larynx for diversly shaping the Voyce. Or if this happen from an Inflammation of them, or some other Tumor hindering their Fun∣ction.

But the defect of Natural Breathing sometimes hap∣pens by reason of a Disease of the Muscles that consti∣tute and move the Breast, neither doth Breathing suf∣fer dammage only when we would make a strong breathing forth, which these Muscles do chiefly per∣form, but also if the cause be great, Natural drawing in the breath is also hindered, and that commonly from a Defluxi∣on falling down upon the Mus∣cles of the breast and the Inter∣costal, * 1.23 whence oftentimes follows a great streightness of the Breast with pain, the which also comes to pass, if these Mus∣cles be bruised or inflamed, whence Swellings and pains shew themselves outwardly, and if this happens to the Muscles of the belly which also do move the breast and press forth the Excrements, they can no longer exercise that vehement endeavor, which is re∣quired by holding the breath and pressing these Muscles in the casting forth of Excrements.

The Midriff since it is the prin∣cipal Organ of Natural breath∣ing, * 1.24 if it be hurt not only by con∣sent of its Nerves as hath been formerly declared, but by it self, then it is the chief cause of breathing hurt. But this comes to pass especially, if the Defluxion which fals down on its Nerves, or slides into the intercostal Muscles doth reach also to the Midriff, whence we have seen some vehemently tormented. But if it be assaulted by other Diseases, the motion of the Midriff is rather depraved, than weakned, as we shal explain there: although it may also come to pass, * 1.25 that the Midriff, because it lurks free in the in∣ner parts, exposed every where to the in∣ternal heat, being dried and bound up in a Burning Feaver, upon that account a Dyspnoea may arise, which oftentimes fals out in these Feavers: but its mo∣tion is more commonly hindred, if it be molested, by Vapors, Wind, Humors, or the Neighboring Bowels.

Vapors raised in the lower Belly of a manifest quan∣tity or quality, or malignant and poysonous, and be∣ing gathered about this transverse space or Midriff, and stopping there some time, until they are carried further, and hindering its free motion, which is required in breathing, by divers waies, especially if they be plenti∣ful, sometimes induce a Dyspnaea, sometimes fear of choaking and other accidents moreover: both because the Midriff hath a great consent with the heart by rea∣son of the Pericardium, and with the Brain, because it is a nervous part and hath eminent Nerves, whence it comes to pass that if it be troubled, it doth not only hinder breathing, but also accidents of the Heart and Brain do follow, and so much the more, if furthermore the vapors from it do reach also to these principal parts, the which if there be a malignant or poysonous quality in them, may easily come to pass, as also these are wont at other times to prejudice these parts, the Midriff not being offended, as we have said in the hurt of internal senses and shal shew in the affects of the Heart, the which accidents yet do presently cease the Vapors being repeld, or otherwise discust and dissipa∣ted, or flying back, by the motion of the Midriff: un∣less by the continual arrival of the cause, the Midriff be

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so molested or infected, that either fome permanent Dis∣ease doth follow, or most grievous accidents of the Fun∣ctions of the mind do ensue, which are wont to be hurt by the fault of the Midrif (as that being inflamed we see a Phrensie doth follow, whence they have called the Midriff, Phrenas, that is, the Mind) as the Falling∣sickness, Madness, and at last the Brain being long and much smitten, an Apoplexy, which evils these Symp∣toms of Suffocations invading oftentimes by fits, are wont to foregoe and foretel.

But that such like Vapors are for the most part raised up from the Veins, as from crude, impure, bad, and Malignant blood, yet not putrefied (otherwise a Feaver would be caused) hath been shown in a Madness and an Epilepsie, for as there, diversly here and there in the Body, such vapors being raised, from blood collected in the branches of the Vena Porta and Cava molesting the Brain do produce the forementioned accidents, so also in the lower Belly cheifly, being collected as in a sink of Excrementitious blood, and abundantly in great plenty flying upwards to the Midrif and molesting that, either they create Suffocation only, or other dis∣commodities moreover.

But from the Mesaraick Veins especially the greater dispersed e∣very where about the Heart to the Bowels, * 1.26 and in which by rea∣son of the many Excrements of the first Concoction, impure blood is easily collected, such like Vapors somtimes arising, and stopping about the Mid∣rif, they produce a Suffocation which they call the night Mare, which invades rather in the night then when Concoction ought to be made, because at that time, the evil Vapors collected, therefore the most part are wont, by the accession of Crudities, to be increased and moved, and to be carried upwards, and by reason of lying down to torment the more. Whence in their Dreams feeling these streits they Dream of divers causes whence they proceed, and being often raised up, if the Mind moreover be somwhat affected with them, they remain in the same perswasion, and though they being raised and set upright, the Vapors being then discust the evil ceaseth, yet often returning, if the Fewel of the evil remains, at last it threatens and brings more grievous accidents to the Brain, as hath been said. The cause of which evil certainly depends upon an ill course of Diet and that a long time continued, as in other af∣fects sprung also from Vapors there, especially in Hy∣pochondriacal Melancholly and Intermitting Feavers, as hath been shown in them. This is therefore an ac∣customary affect to Children, and those of ripe Age, who do sooner and longer offend in their Dyet.

In the Female sex this more commonly proceeds from the Veins of the Womb, * 1.27 in the stran∣gulation of the Womb therefore so called; which when being de∣rived from the branches of the Vena Cava, and many of them and great ones do creep along the Womb and its Mem∣branes, if the filth of the blood doth stop in them, which from the whol Mass of it, is wont to be purged thither, in impure Bodies, that at the set time it may be emp∣tied by the Courses. Which is wont to come to pass more commonly in the unmarried by a stoppage of the Courses, not so easily in the married by reason of Co∣pulation, and the Vapors from thence assail the Midrif; they produce divers kinds of Suffocations of the Womb as they prejudice the Midrif and the neighboring parts or those that consent with it, and as the plenty and na∣ture of those Vapors is diverse. For if it hurt only the Midrif either it breeds only a Dyspnaea, if the plenty or offense be less, or if it be greater, it breed only an Ago∣ny of Suffocation; but if that, it also brings hurt to the Stomach, that is continued to the Midrif, then with a Dyspnaea and Compression of the orifice of the Stomach which they call the heart, Nauseousness, Vomiting, a Vertigo, and pain of the Head being caused by consent, the Hysterical accidents do shew themselves. Which passions are wont to happen in great bellied Women at the first Month, the young one being not yet increased, nor able to consume the blood that is retained, especi∣ally if it be impure, from which also they take a sign that they are with Child. Hysterical Women are far more grievously affected, if these Vapors especially the Poysenous being communicated to the Heart too, by reason of its communion as it hath been said, do also bring dammage. In which species the Motion of the Heart wholly ceasing, all breathing also ceaseth, and as it were seazed on by a Syncope the Virgins fall by degrees to the ground, and are held in that fit, some a short time, others the space of an hour, before they come to themselves. But at other times the Midrif by reason of the consent which it hath with the Brain, as hath been said, or both together affected with these Va∣pors, with the said strangulation of the Womb, that called the Madness of the Womb, or Convulsive Mo∣tions, and other hurts of the Brain offended, do mani∣fest themselves.

All which also may be varied, not only by reason of the parts affected, but also if a Poysenous cause be joy∣ned, according to the divers Nature of the Poyson, by which they are wont chiefly to beset this or that part, as we have expounded in other diseases of the Womb, that vitious blood breathing forth such like Vapors is generated from divers causes, and collected about the Womb. Amongst which they have beleeved that the seed retained and corrupted is not the least cause in Vir∣gins with whom this affect is familiar, the which yet can scarce be, as long as it is contained in its proper Vessels. and if poured out of them, it be retained, it rather pro∣duces an Erosion of that part, then such accidents, as we shall explain elsewhere.

Winds filling the Capacity of the Belly, because they distend that, * 1.28 as also the Midrif which shuts up the up∣per parts of it, they cause a Dyspnaea: which also the puffings up with Wind of the Stomach and Cholick Gut that lies under the Stomach do effect, by reason of the neer∣ness and Adherency with the Midrif, and they know that they proceed from thence, by the murmuring and distension of that place, but that they write that they would no waies have a Night-Mare to be caused by the same Winds or thick Vapors, the far more grievous evils which do then fall out, and follow from thence, do sufficiently declare.

A watery Humor also distending the Belly and drawing a sunder the lower Ribs of the Breast, * 1.29 extending the Midrif doth breed a difficulty of breathing, in an ascites Dropsie, as shall be declared in a Dropsie. But the Humor which is collected in the Cavity of the Breast doth cause a Dy∣spnaea rather by hindering the Lungs then the Breast, as we shall shew in the Lungs.

The Bowels lying under the Midrif, and growing to it, * 1.30 or hanging by it, if they acquire too

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great a bulk, drawing down the Midrif with their weight, do not suffer it to be moved freely, or in those that lie down, lying upon it, they hinder it by pressing it, as when the Liver, Spleen, being obstructed, hard∣ned and increased into a bulk in the Hydropical do cause that high difficulty of breathing, which often∣times doth discover a Dropsie a long time before a Tu∣mor doth appear, with which they are molested lying down, and therefore are compelled to sit upright; the swelling of the Belly also increasing it, as hath already been said.

A Dyspnaea also may happen from the Stomach too much filled with meat, which vexeth so long till the things taken are disgested, or are returned by Vomit, or are eased by belching. The which when it succeeds not, and the Repletion is great, they may be Suffoca∣ted; which as it may happen from the quantity of things heaped in, so from the quality of certain meats, as of Mushrums, which are wont to Suffocate.

The Instruments by which breathing, the Voice and Speech are performed or governed, are the Cavities of the Mouth, Nostrils and Jaws, containing the Air for the performance of all three, the parts placed in the Mouth for the uttering an Articulate Voice or Speech by their Motion are the Tongue, or by tuning, are the Palate and the Teeth, the passage or pipe carried from the Jawes to the Lunges, that makes the Voice and serves for breathing in drawing down the Air, is the rough Artery, or Wind-pipe, the Bowels, or Bellows receiving and sending forth the Air by a Natural Mo∣tion for breathing, is the Lungs; the Breast doing the same by a voluntary Motion with the Lungs to which it applies it self.

By reason of the Largness of the Mouth. * 1.31 Nostrils and Jawes, these de∣fects happen, if the Mouth and No∣strils together be stopt up by external Bodies or by water, or otherwise the Teeth being bound together, that the Mouth cannot be opened, the Nostrils in the interim being stopt up with Snivel, upon which account somtimes the Apoplectical and Epileptical are in danger of Suffocation, especially because otherwise breathing is made obscurely in them, but if that the No∣strils only be stopt with Snivel or other things, because they may draw breath with their open Mouth, then breathing is only somwhat hindered, when the Air can∣not be sufficiently let in, or rather because then tis fetcht quick, it is depraved and an uncomely voice is utteied. The hinder largeness of the Jaws be∣ing likewise stopt, * 1.32 the same comes to pass, especially about its narrow∣ness in which even the least thing that sticks, makes work: and that especially if the passage into the Wind-pipe and Gullet being possest by a Tumor ari∣sing in the incompassing coat, or in the Muscles of the Jaws and Larynx or in the Glandules, or Palate, or by the Palate fallen down, be obstructed: Or if the Vertebrae of the Neck being Luxated inwardly (which is most commonly in the first Vertebrae, which is loos∣ly joynted with the Head and by reason of the weight of the Head sustains great Motions) These passages be straitned, especially if then the Nerves also and rough Artery be prest; from which accidents they can neither sufficiently breath, or utter a voice, or speak, or swal∣low. Somtimes also a pain being joyned, as we shall explain these things in a quinsie. A Species of which also it is said to be, if it be from a Vertebrae Luxated, and in the other painful Diseases of the Jaws.

By occasion of the Tongue, * 1.33 the Speech suffers a defect, if that as it is a Musculous Instrument (for, of the o∣ther hurts of its Muscles we have al∣ready spoke) it be too much dried and hardned from the causes explained in the hurt of Tast∣ing. For because then in the pronouncing of certain Letters it cannot be sufficiently rowled, (the which that they may be plainly exprest do require a more various doubling of it) whiles they shape their words they stammer. * 1.34 The which also happens from a Tumor arising under it, or if it swel or be inflamed, or other∣wise if from the birth it have too great a bulk, which oftentimes is so great, that they cannot speak at all.

A familiar fault with some Fools who from their birth are born Fools and Dumb, * 1.35 as hath been said in an Alienation of the Mind; the which also happens if it be framed too smal, * 1.36 or if it be cut off, or maimed, by a pu∣nishment, or some other chance, and in Convulsions the Tongue being strongly laid hold on and bit of by the Teeth; the same also comes to pass by reason of that bond by which it is knit, if that be too strait bound up, and not sufficiently loosed in Chil∣dren new born, so that it hinders the free Motion of the Tongue.

The Palate seeing it is the quil of the Voice, if that be wanting or mained, * 1.37 it doth prejudice the voice; as also when the former Teeth are wanting, because they ought to resist the Motion of the Tongue in the pronuntiation of certain Letters, and that in the want of them cannot be done, they Stammer a little.

By reason of the Diseases of the rough Artery or Wezand, * 1.38 which is the Pipe through which natural and vocal Respiration is uttered, the breathing, Voice, * 1.39 and Speech do fail, for if the chink of the Head of it, called the Larynx, be too much bound, which happens by occasion of the Membrane in which that is cut, when it is dried and wrinkled more then is fit, by the cold Air, or cold Water, or the use of astringent things, then a smal or hoarse Voice is uttered. Which impediment also of the Voice happens from a thick slime long sticking there, for if it be wholly obstructed with that, or some other Body slipt in, or drawn in with the brearh, and continuing there long, the which yet seldom happens, because it is forced to give place, by the Cough, which it suddainly moves unless by reason of its sharpness the thing sticking there be fastned into it, it must needs be that the Patient be suffocated. As Histories testifie that Pope Adrian died by a Fly flying into his Throat, and we have observed a Child strangled by Swallowing a Gold Noble. And what they suffer also, in whom wa∣ter by chance flowes down into this Wind-dore of the rough Artery, and what straits it breeds, and how with great violence a Cough doth cast it thence through the Mouth and largenss of the Nostrils, we often see in o∣thers, and somtimes we try it in our selves. But the chink of the Larynx scarce labors of any other Disease, unless when by consent it is hindered or prest by the neighboring parts, as from the Vertebrae of the Neck

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Luxated, of which hath been spoken already: For it can scarcely happen that it be relaxt more than is fit, by a Humor, seeing it is convenient for it alwaies to be moist: that it should be torn, seeing it is a thick Membrane, is impossible, as also it is very hard to be wounded.

The passage of the rough Arte∣ry or Wind-pipe, * 1.40 from the Head even to the Lungs, if it be inter∣cepted by outward force the Neck being bound up as shal be said in the Gullet, it brings strangling, and if it be prest by the first Vertebrae of the Neck lux∣ated, it causeth difficulty of breathing, which Hippocrates called the sixth sort of Squinzy. The rough Artery can scarce be filled otherwise, with things that fall into it, but as I said breathing may be stopped about the sides thereof. And they that are drowned, are not choaked so much by the Influx of Water as by the hin∣derance of the passage of the Air. And if any thing fal into the passage and hi••••er breathing, it is by its stick∣ing fast and causing a continual Cough.

The connexion and Obstructi∣on of the Lungs are the Diseases that cause a Dyspnaea. * 1.41 The con∣nexion of the Lungs with the Convex part of the breast being streighter than it should be, suffers them not to move freely, and makes them short-winded in motion. This by Ana∣tomies hath been found to have been natural to some, and to others from a fall or Pleu∣risie. * 1.42 When the Lungs are stop∣ped inwardly in the branches of the rough Artery that are disper∣sed through them, there is a diffi∣culty of breathing, because the Air cannot freely pass. This comes often from a watry humor falling from the Head, in time of sleep and lying down, without sense by degrees, through the rough Artery to the Lungs; which staying in the narrow branches thereof, and growing slimy and stopping the passage, it causeth breathing with Snorting and noise and a Cough. And if by reason of the toughness thereof it cannot be haw∣ked forth, it causeth a long Disease called Asthma: which by a new defluxion, at night time and in moist weather, and after a Surfet, is not violent. And if the defluxion be great and suddenly fill the passages that were formerly stopped, it causeth the Suffocating Ca∣tarrh. The same may come from the Excrements of the Lungs there long detained and made thick. For as the Brain by reason of the plenty of Blood, which filleth the Cavity of the membranes, being crude, con∣tinually gathereth Excrements; so the Lungs whose vessels are ful of blood if it be excrementitious or crude, it causeth many excrements: so that it is not necessary that all the flegm which is spet up must come from the Head to the Lungs. Both these Causes are discovered by the flegmatick constitution of the body, and the signs of abounding flegm, and rattling, and o∣ther hurts mentioned. A white chalky matter, and hard, is made rather of the Lungs, than of flegm which is slimy like Bird-lime, but not crumbling. This ob∣structing inwardly the branches, causeth that long Asth∣ma wherein there is no sign of flegm. And the same may cause the Stone in the Lungs, which is hard, brit∣tle, smooth or rough, according as the vessels are, as we have seen Anatomies. And such have been cough∣ed out after a long and otherwise incurable Asthma, which were the cause thereof.

* 1.43 The Diseases that hinder the Breathing besides the Muscles of the Breast mentioned in those which hinder the motion both of the Lungs and Breast both which are required to breathing. This is when it is outward∣ly compressed, or when astringent things are laid thereon, as common Physitians suppose. * 1.44 If the Gristles of the Ribs, which are about the Breast to cause the more easie motion, be turned into a hard substance like the other Ribs: which happens in some through age, in some sooner, especially in Wo∣men, by reason of their Breasts held up thereby; for then the breast cannot be sufficiently dilated: And this makes them sigh, when they have great breasts and lie upon their backs.

When a Rib or two are broken and thrust inward, * 1.45 because they hinder the dilatation of the Lungs, and the motion of the breast they hinder breathing: And so do the Ribs dis∣located, and the Vertebrae or spondits of the back bent inwards. These two hurts as they may come by an external force to the Ribs: so Fernelius testifieth that a Rib hath been broken by great palpitation of the body: which I rather beleeve might be displaced.

If the Cavity of the Breast be filled with matter in an Empyema and Corruption of the Lungs, * 1.46 or Water in a Dropsie; Or Blood from a Vein broken: If these be in great quantity, they cause a Dyspnoea by hindering motion of the Lungs, Breast and Midriff. Also Wind may cause the same if in the Breast: as I gathered from one in a Dyspnaea who had a noise about his breast with no rattling.

The Cure.

If Breath be stopped from Fainting of the Heart, * 1.47 when strength returneth, they recover. And what must be done in Swooning shal be shewed in the defect of strength,

If men in Apoplexies from a distemper of the Brain are in dan∣ger of Suffocation, * 1.48 we shewed what must be done in the Con∣sternation of mind. Also when breath is stopped by Convulsions.

If there be Defect of Breath, * 1.49 Voyce, or Speech by reason of the Nerves in a particular Palsie or Convulsion, it must be cu∣red as a Palsie or Convul∣sion.

If it come from the Cramp you must give things to prevent a general Convulsion, as was there shewed.

And if it come from Loosness of the Nerves you must proceed as in a Palsie, by purging and altering.

When the Speech or Voyce is lost, things applied to the Mouth and Throat are best, because they draw forth flegm by the right way, and being neer the part affect∣ed, consume and alter the humor. Masticatories and Gargarisms are most proper, not such as draw flegm thither, as in the Palsie of other parts, but which dry and draw out the humor that is fallen thither.

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This Masticatory is good. Take Nutmeg two drams, Long Pepper, Cubebs, Galangal, Water-cresse sceds, Mu∣stard seed, each one dram; Salt, Gum Elemi, each half a dram; Mastick one dram and an half; Turpentine which is highly commended, and with Wax make Pills, add half a scruple of Castor.

These Pils are excellent to be held all night under the Tongue. Take Bayberries one dram, Castor and Eu∣phorbium cach six grains; with the Infusion of Gum-tra∣ganth made in Rose water, make Pils.

It is admirable to rub the Tongue with Mithridate and Castor. And to wash the mouth with Brine, or a Decoction of red Wine, Sage, and Salt.

Or this. Take Acorus roots one ounce, Galangal, Cy∣press, Costus, Nutmeg, each half an ounce; Sage, Marsoram, each one handful; boyl them in Water and Wine, and add Honey of Rosemary flowers, make a Gargarism.

Black-Cherry water to wash the mouth and to drink is vulgarly admired in loss of Speech, but this is better. Take Black-Cherry water, Lavender, Sage, and Pennyroyal water, each equal parts; Anoynt the mouth often.

Some have written it as a secret that the juyce of Net∣tles put into the Ears, restoreth the Speech.

The same external medicines are to be used as in the Palsie. And the Oyntments and things which are ap∣plied to the original of the Nerves, are to be applied to the nape of the Neck, and let the Jaws be anoynted therewith.

Sinapisms, Dropaces, Vesicatories and Cauteries which draw back are to be applied to the hinder part of the Head.

If there be plethory it is good to let blood under the Tongue in the Palsie thereof upon the same side and to apply Cupping-Glasses under the Chin and the hinder part of the Head.

It is good to bid them use the Tongue and endeavor to speak.

If Voyce, Speech or Breath∣ing be hindered 'tis a Desluxion upon the Muscles, * 1.50 which distend∣eth and inflameth them; whe∣ther it be in the narrow Muscles of the Jaws or of the breast, or upon the Diaphragma, it shal be spoken of in Pains and Defluxions.

But if it come from the Diaphragma which is so troubled with Vapors that Nocturnal Suffocation or Fits of the Mother follow, then because this Symptom is most urgent, The Cure shal be as followeth.

If a Vapor arise from the Prae∣cordia and hinders the Midriff in the Sleep, * 1.51 and brings danger of choaking, as in the Incubus it is dangerous, for fat folks and Children. Otherwise if it continues, it sends the Vapors to the Brain, and cau∣seth worse accidents as Hypochondriack Melancholly, or Madness, or Falling-sickness, for the cause is the same only the part affected differreth; and if the brain be much hurt it may turn to an Apoplexy.

Therefore it is good to prevent it betimes, and the Crudity and Cacochymie and Repletion in the first passages is to be taken away. And the Vapors are to be kept from rising to hurt the Diaphragma or other parts either in the Fit or out of the Fit, and to be di∣verted and discussed, as we shewed in the Melancholy, Epilepsie, Catalepsie, and the like Diseases from the same cause.

This is done first by purging the thick Excrements by Clysters or otherwise, and then letting blood if it be much or impure. Then clense the Cacochymy by vo∣mit and purge; as the humor is, especially with things against Melancholy, and Wind, that are good for the Head and Falling-sickness. Then use particular Eva∣cuations, provoke the Haemrhoids or Courses if they be stopped, and purge the Excrements of the Brain by the Nose. And in the mean while to make a good Concoction, give & apply things to the Stomach, avoid Crudities and things breeding Excrements and Wind. Look to the Head, for the Imagination is hurt, and to the Heart by reason of Fear, and to the Breast for it is troubled. All these must be respected out of the Fit. In the Fit use Clysters, and then outward Applicati∣ons, that draw down vapors, and these may be conti∣nued after for prevention of the Fit.

If you give no Clyster, use this. Take Diacatholi∣consix drams, Diasenna Solutiva one dram, give them a∣lone or in Wormwood Water.

Pils. Take Species Hiera of Galen, half a dram, Ag∣gregative one scruple, with Syrup of Stoechas make Pills.

The Humor is prepared thus. Take Syrup of Hysop (for the Head and Breast) Stoechas and Lavender, Ho∣ney or Rosemary of Bugloss each ••••e ounce; Oxymel simple half an ounce, Wormwood, Mints, Succory, Bugloss and Peo∣ny water, each three ounces; give it for three or four times with Nutmeg.

Or thus. Take Fennel, Asparagu and Liquorish roots, each one ounce; Peny roots and Capar bark, each half an ounce; Bttony, Hysop, each one handful; Endive, Succory, Bugloss, Agrimony, Hops, each half an handful; Bugloss flowers one pugil, Raisons stoned one ounce, Annise and Fen∣nel seed each two drams; Dodder one dram, Schaenanth one dram, boyl them to a pint, strain it, and dissolve Oxy∣mel two ounces, Sugar one ounce, Diarrhodon Abbatis one dram, for four Doses.

In Crudities, Infuse in Wine, Fennel roots two ounces, Capar barks half an ounce, Galangal three drams, Wormwood, Germander, Groundpine, each three drams; Cordial flowers each two drams; Fennel and Parsley seed, each one dram.

Then purge. Take Liquorish half an ounce, Raisons one ounce, Anise seed two drams and an half; Cordial flowers one pugil, Epithymum, Senna, each half an ounce; boyl them and add to the straining Rhubarb one dram, barks of black Helebore prepared half a dram (if the Patient be strong, or increase the quantity of Senna) Ginger, Grains of Para∣dice, each half a scruple; strain it, and give it with half an ounce of Syrup of Roses.

Or give other Potions with Diasenna, or Pils of Co∣chy &c.

Evacuate at divers times by the former; or by Ma∣gistral Syrups, Electuaries, &c. mentioned in Melan∣choly Diseases.

Let these Pils be in readiness. Take Species Hierae Archigenis one dram, Black Hellebore prepared one scruple, Agarick, Rhubarb, each half a dram, Epithimum half a dram, Peony seeds and roots each half a dram; with Honey of Squils make a Mass: let him take three or four or more bigger or less as they work. Let him use them often fasting fome hours before Dinner or Supper.

Hiera Archigenis alone wil do the same.

Spare Diet, and avoiding Suppers is excellent; e∣specially if it come from Surfets. Let him beware of crude and windy things that stretch forth the Belly and increaseth shortneness of Breath. Let the Diet be of good juyce, and easie Concoction, with warm Spices. For Drink, Wine is forbidden because it disturbs the mind, and Water because it puffeth up, and Mead is allowed, but in young people by reason of the Honey which turneth into choler, it is not so good. We allow Wine moderated with Water, as in other melancholly Diseases.

A Honey-water for old men that are flegmatick. Take Liquorish one ounce, Fennel half an ounce, Raisons stoned two ounces, Annise seed one dram, Bugloss flowers one

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pugil, boyl them to one pint and an half, and Dissolve Sugar, and Honey, of each two ounces: Boyl them again a little and strain them.

The Wormwood wine mentioned to prepare, is good also to strengthen, taken in the mornings.

Pouders after meat to help Concoction, and hinder Vapors.

As, Take Coriander seed prepared half an ounce, Anise∣seed two drams, Pouder of Aromaticum Rosatum one dram; Diamargaritum frigidum one scruple, Cinnamon half a dram Mace one scruple, Piony seeds and Coral, each half a dram; Sugar of Roses, as much as all the rest: give one spoonful after Meat.

Or this mixture after Meat. Take the Marmalad of Quinces, candied Citron peels, Conserve of Roses, each half an ounce; Conserve of Marjoram half an ounce, Aromati∣cum Rosatum, Diamoschu dulce, Diamargariton, each one scruple; Piony seeds half a dram, red Coral one dram, Su∣gar of Roses, as much as is sufficient, give one spoonful.

The Lozenges of Aromaticum Rosatum, Diarrho∣don, or Diamoschun, are good taken at bed time.

Or this Electuary. Take Conserve of Roses, Borrage, Marjoram, each one ounce and an half; Citron peels, Myro∣balans, and Ginger candied, each half an ounce; Elicam∣pane and Galangal, each half a dram; Piony-seeds one dram, Coral, Ivory, each one dram and an half; Diarrhodon, Di∣anthos, each half a dram; Cordial Spices one scruple, with Syrup of Bettony, make an Electuary. Let him drink after it a little Wine, with the Water of Lillies Con∣vallies.

Old Treacle is good once in a week taken at Mid∣night.

We give Clysters before Purging to prepare, and af∣ter to expel wind, and loosen the Belly. And in the time of the Fit. Of which you have Examples in the like Diseases.

Purgers of the Head by the Nose and Mouth after general purging to prevent other Diseases of the Head must be used.

Apply Caps and Pillows to the Head of these. Take Cypress roots, Angelica, each two drams; Marjoram, Rose∣mary, Lavender flowers and Roses, each one dram; Corian∣der seeds one dram and an half, Cloves half a dram: make a Pouder.

Baggs are applied in the fit to the Heart and Pulses, sprinkled with Wine, Balm-water, Rose and Orange-flower-water. Take Galangal, Cypress, Citron peels, each two drams; Citron and Basil seeds, each one dram; Balme and Cordial flowers, each half a dram; Cloves one scruple: make a Pouder.

Let the Stomach and Breast be anointed in the Fit. Take Oyl of Dill and Chamomil, each one ounce; white Wine one ounce, Aqua vitae two drams: boyl them till the wine be spent.

Often washing externally doth revel Vapors from the Head and Midrif.

Also Frictions from beneath till they come to the Head, and combing of the Head backwards, are good.

Let Cupping-glasses be applied to the Thighs, and then to the Shoulders,

A Dropax made of Pitch and Oyl of Mastick must be applied hot to the Head with a Clout between; if the Head be afflicted.

In Plethorick and Cacochymical Bodies, a vein must be opened on that side, which is most heavy, first in the Arm, then in the Foot, and in other parts, for revulsion of Blood from that part, to which the Vapors most as∣cend.

They must be wakened in the Fit, and not disturbed in Mind.

Let them sleep with the Head high upon one side, and take heed of sleeping upon the Back, because it doth not onely cause Straightness, but troublesome Dreams.

If the Vapors be about the Womb, and cause Hysterical accidents, * 1.52 because there are divers kinds thereof, one pro∣duceth a pain of the Heart, another Swounding, another raging, another convulsive Motions with Suffocation, of which is spo∣ken in those Diseases, yet since the Spirits are hindered in all, and they are all called Suffocations of the womb we shall speak of them.

They are in most danger who fetch no breath, but ly like dead people, because sometimes they die in the Fit, and sometimes return to themselves. Also if they have raging madness or Convulsion. But often they recover after these.

The Method of Cure is, to evacuate the Excrements about the Womb, provoke the Courses, and to repress the Vapors that rise from the womb, and to revel, dis∣cuss and consume them, divers wayes, among which some take away the fit.

We give Evacuations, as in foul Blood and Melan∣choly according to the Constitution, and Humors a∣bounding, which must be repeated, if the Disease cease not, alwayes adding things that provoke the Termes. These are best.

To provoke Vomit, give one dram and an half of Agarick, with Oxymel.

Let the Potion following be given every week to purge. Take Agarick in Pouder, and Triphera magna without Opium, each one dram; dissolve them in white Wine and Water of Mugwort, or Mother-wort.

Or thus. Take Agarick, Briony roots, each one dram and an half; Ginger and Cinnamon, each half a dram; in∣fuse them in the best white Wine, strain them, and add Sy∣rup of Mugwort one ounce.

Turpentine is much commended, and this Purge. Take Agarick troches'd two scruples, Ginger, one scruple, in∣sufe them in white Wine, strain them, adding Turpentine three drams, dissolved in six drams of Honey, and the Yolk of an Egg.

Usual Pills. Take Hiera Colocynthidos one dram, Agarick trochs'd one dram and an half, Carrot, Agnus Castus seeds, each one scruple; Myrrh, Castor, each half a scruple; Dia∣gredium half a scruple, with Turpentine make a Mass for Pills, give from half a dram.

The Food must be moderate and good, and because Wine causeth the fit, let him drink Anise-seed boyled in Water or Mead.

Medicines to alter must discuss Vapors, and move the Terms, strengthen the womb, and the principal Parts, and resist the venemous Humors. Thus,

A good Water. Take Balm and Mint-water, each one ounce and an half; Cinnamon-water two ounces, with a lit∣tle Castor, or distil one of these Simples following, with a lit∣tle Castor.

Or make this Decoction of them. Take Roots of So∣lomons Seal, Valerian, each one dram and an half; Balme, Penny-royal, Organ, Calamints, Jet, each one dram; boyl them in Wine, adding Vinegar of Squills, strain it, and ad Syrup of Mugwort half an ounce for two Draughts.

Or this Syrup. Take Roots of Solomons Seal, Briony, Valerian, Spignel, Coltsfoot, white Wine, Master-wort, An∣gelica, each half an ounce; Plantane, Balm, Penny-royal, Mins, Calamints, Fleabane, Nep, Bettony, Mugwort, Thyme, each one handful; Rosemary, Lavender flowers, each one pngil; Seeds of Cummin, Carrots, wild Parsnips, Sor∣rel, Piony, Anise, each one dram; Bay-berries, each two drams; boyl and strain them, add Juyce of Plantane one ounce and an half, Sugar six ounces, boyl them thick, and

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add Cinnamon and Cloves, each one dram and an half; give one ounce by it self, or with convenient Liquor.

A Potion. Take Mithridate one dram and an half, Pouder of Moschu dulcis half a dram, Syrup of Mugwort half an ounce, Balm-water as much as is sufficient, with a little Cinnamon-water, make a Potion.

Pouders to drink with Liquors, with Sugars, or to be taken in Lozenges or Electuaries.

One easie made. Take Cummin seeds one dram, Ju∣niper-berries eleven, pouder them, give it in Wine or Cin∣namon, or Plantane, or Rose-water.

Or thus. Take Cummin seed, wild Parsnip and Car∣rot seed, each one scruple; Cloves half a scruple.

Or, Take Cummin, wild Carrot seed, each one dram; Gith, Agnus castus, Rue, Piony, Dittany roots, each two scru∣ples; Amber, Crystal, Jet, each one scruple; Cloves, Cin∣namon, Pepper, wood Aloes, each half a scruple; Musk five grains: make a Pouder, give a dram in Liquor, or with four ounces of Sugor make a Tragema, or Lozenges, or with Honey, or Syrup of Mugwort an Electuary.

Pills of stinking things are made thus. Take Castor one scruple, Assa faetida half a scruple, Myrrh, Galbanum, Sagapenum, each one scruple, with Honey of Squills, make Pills, take half a dram.

Or of very sweet things thus. Take Musk six grains, Benzoin half a dram, Sugar one dram, with Cinnamon-wa∣ter make Pills, give half a scruple.

Suppositories revel Vapors. Take Honey one ounce and an half, boyl it to a consistence, add Hiera, Cummin, and Nigella seeds, each one scruple; Sal Gem. half a scruple, make Suppositories.

A Clyster doth the same. Take Bay and Juniper-ber∣ryes, each one ounce; Penny-royal, Calamints, Rue, Savine, each one handful; Cummin two drams: boyl them, and dissolve Hiera Coloquintidos two drams, Oyl of Wall-flo∣wers and Rue, each one ounce; Salt one dram, make a Cly∣ster.

Provoke vomiting with the singer, or a feather in the Throat.

Put pouder of Mustard into the Nose in the sit to provoke Neesing, or a little white Hellebore therewith, some blow up Rhubarb with good success, if she sneese it is good, by which we perceive life.

Strong Scents are applied to the Nose that stink, in the Fit, which drive down the Womb being sensible thereof, as some suppose. But we think they do good by dispersing vapors, and stir up strength in the Heart and Brain, whether they pierced being subtile, and be∣cause they stir up the expulsive Faculty which was a sleep, that they may come to themselves; therefore we bid them smell such out of the fit. Castor because it is strong, is good to smell too.

Also Assa foetida, Galbanum, Opoponax, Bitumen and the like; Trefoyl that stinketh, Petroleum, Rue, and Chimches, both Domestick, and in Plants, which stink moist horridly.

Also Onions, and Garlick which have a piercing sharp Scent.

Also strong Vinegar in a spunge, or mixed with Ca∣stor and Sulphur to anoint the Nose.

A stinking Fume is better, of burnt Feathers, Leather, horn Hoofes, Candles ends put forth.

Or these Troches. Take Castor one scruple, Assa foe∣tida half a scruple, Pitch half a dram, with Turpentine make Troches; light one, and take in the vapors at the Nose with a Funnel, but not too thick, least it suffocate.

To the womb pleasant things are applied to fetch it down by delight: but we suppose that they do it by piercing being hot, and so discuss the vapors sooner.

A Fume for the womb with a funnel. Take Storax, Benzoin, of each one dram; wood Aloes half a dram, Musk five grains; with the infusion of Gum Traganth: Make Troches and lay them dry upon the Embers.

Or thus: Take Troches of Gallia Moschata, Mesues and Nicolai.

These scent a sweet scent, if they boyl in Rose-wa∣ter.

The Privities must be anoynted with Civet by the Midwife.

Or this Linament: Take Gallia Moschata Mesues one dram, Pouder Diamoschu, Diambra, of each half a scruple; Civet three grains, Saftron six grains, with Oyl of sweet Al∣monds or Been: Make a Linament.

Or mix Musk, Amber, or Civet, in Cotton: Or this Pouder, Take Storax, Benzoin, Gallia Moschata, of each one dram: Cloves, Cinnamon, wood of Aloes, of each half a dram; Saffron half a scruple. This may be sprinkled with Rose∣water and put into a bag and used like a Pessary.

Or this, which is not only well sented, but provokes the Termes. Take Balm, Marjoram, of each one dram; Cloves, Mace, of each a dram; Pepper, Saffron, of each one scruple; Jet, Pitch, of each half a dram; Salt Peter one scru∣ple, Alipta Moschata, which hath Camphyre half a dram, with Oyl of Bayes and Lillies, and a little Storax: Make a Pessary.

Or others for the Termes which are there mentio∣ned.

They which think it comes from stoppage of seed apply sharper and provoke the seed by divers Arts. Which we omit because we speak of another cause, yet w llow lawful Copulation: which revels and pro∣vokes Terms and alters the Nature of Virgins.

These are applied to the Navil and Share.

A Cataplasm: Take Fern leaves, Lovadge with the roots, of each one handful; Rue half a handful: Boyl them in Wine, and with Grease, make a Cataplasm.

Or thus: Take Honey and Figs equal parts, boyl them in Wine and Water, beat them; and add Oyl of Spike and Dill.

Also Flax from the Spindle dipt in Oyl of Dill.

Also Henbane bruised, with Oyl of Spike, applied to the Navil.

An Emplaster for the Share: Take Galbanum one ounce, Storax one dram, with Oyl of Spike and Pouder of Cloves.

Another: Take Emplastrum Ceroneum, or for the Mo∣ther one ounce, Troches of Alipta Moschata one dram; Storax half a dram, with Oyl of Spike: Make a Pla∣ster.

It is good to wash the Feet to divert and strengthen the Womb, As; Take Orris roots, Lovage, Fern, Mother∣wort, Calamints, Nep, Penny-royal, of each one handful; Chamomil flowers one pugil, Juniper and Bay-berries of each half a pugil; Carrot, Carway and wild Parsnip seeds and Agnus Castus seeds, of each one dram; Coriander two drams. Boyl them in Water, add a little Wine.

A Bath of the same after purging, or to go to the hot Baths is good.

Frictions also or rubbings of the Lungs and Soles of the Feet, with Salt Vinegar and Oyl of Bayes, are good in the fit.

Also pul the Ears, Nose, and Hair upon the Privi∣ties.

Bind the Hips aboue the Knees, and the Hypochon∣dria with a Girdle.

Apply a great Cupping Glass below the Navel and smal ones to the Hips.

Apply a Dropax and Sinapisme to the Loyns and Share.

A Cautery in the Coronel suture is good if the Head

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be afflicted. If the Terms be stopped, open a Vein in the Foot; and Scarifie under the Ham, and apply Horsleeches to the Ankle.

Let her avoid cold Air, in the lower parts chiefly, and Feet which must alwaies be kept warm. Let her exer∣cise moderately, and sleep moderately, and not be di∣sturbed in mind.

And if in other Diseases the Di∣aphragma or Midriff be hindered by Wind or Humors from other parts. * 1.53 The Cure is by those Dis∣eases: as in the Wind of the Co∣lick, Stomach, Repletion, Tym∣pany, Dropsie, Hardness of the Bowels and Schir∣rhus.

It is done by Vomiting with the Decoction of Radish, * 1.54 or with dried Hen-dung and Oxymel. Or, Take Oxymel one ounce and an half, Sal Niter half a dram, and drink after it Wine of the Infusion and Decoction of Wormwood and Balm.

If the Instruments of Breathing, Voyce and Speak∣ing, as the Mouth, Jaws, Palate, Tongue, Rough Ar∣tery, Lungs and Breast be hurt, you must proceed as followeth.

If too much driness and hard∣ness of the Tongue hinder the Speech, * 1.55 or of the Jaws, the Voice the Cure is shewed in the privati∣on of Tast. But if the Gristles of the Ribs are hard, and cause ••••ld men and women to be Short-win∣ded (being wholl chested as they call it) this cannot be cured. Therefore they are con∣strained to be at rest, and not cause the least breathing violently by motion, that they may spend the remain∣der of their daies in quiet.

When the Tongue is growen biggar or less or otherwise defor∣med, * 1.56 whereby the Speech is hin∣der'd, this cannot be cured if it be from the birth. But by Pra∣ctice some that cannot pronounce some sorts of Let∣ters, they learn them as we read of Demosthenes. If the Tongue be swollen, seek for the Cure in Tumors.

When the want or defect of a patt is the Cause, * 1.57 there is no Cure. As when the Speech is hinder'd from a disfigured Tongue, or loss of Palate, or ab∣sence of Fore-Teeth: yet some can make Artificial Teeth of Ivo∣ry or Bone that will stick fast being placed in the space.

A great solution of continuity, or when the rough Artery is cut, * 1.58 and the passage stopt for breath, there is no Cure, because they are commonly choaked, Yet we have read that some have been cured by diligence.

If a Rib be broken and thrust inward and hinder the motion of the Lungs it must be reduced to its place: * 1.59 and cured as a Fract∣ure. If a Ribbe displaced it must be reduced first, and then held there as a dislocation.

If the Lungs be joyned by smal fibres to the Breast it being an or∣ganical Disease, * 1.60 it is incurable: And they are constrained as those whose Gristles are hard, to live with strong motion.

If Speech be hinderred from the streightness of the Ligament or string of the Tongue, * 1.61 as when Children are Tongue-tied, it is cured with the Finger, or Cut∣ting: But when it is grown hard, it is incurable.

When the Breast is silled with matter, Water or Blood, * 1.62 it causeth Coughing rather than hinders breathing, which sendeth it forth, and therefore it is to be treated of in things sent forth.

If the stoppage of the Mouth, Nose, * 1.63 and Jaws hinder breathing and come from external injuries as diving under water, or hanging, or from a weight upon the Breast, the cause taken away the breath wil return. But if there be fear of Suffocation from the fixing of the Teeth, or stoppage of the Nose with filth, in an Apoplexy or Epilepsie, we shewed there how the Teeth are to be opened, and what else is to be done.

If the rough Artery be suffoca∣ted from a Spondil dislocated which lieth thereon which is diffi∣cult to be: * 1.64 it easily killeth. And if crookedness of Back cause short breathing, because the bones cannot easily be reduced, the Disease is desperate. If strangulation be from any thing fallen into the rough Artery, it cannot get out but by Coughing: and because a Cough doth come of its own accord, when any thing fals in, we need not provok it. But neesing doth very much help the ex∣pelling of it, and strikeing upon the back as the vulgar suppose. But that which falls in is either cast forth af∣ter long Coughing, or the matter sticketh so fast, that the Cough and straitness do so perplex that they may be choaked, as we shewed in the Causes.

If a preternatural tumor in the Almonds of the Ears cause diffi∣cult breathing, * 1.65 we shewed the cure in pains and Tumors. And we spake in the Muscles of the Tu∣mor thereof.

* 1.66 If an Obstruction in the Lungs by a tough flegmatick Excrement produce an Asthma, and it continue long, in old men it is incurable, in others it is difficult, especially if they spit not forth the matter that stoppeth; And the Disease is increased with a new Defluxion: which if it be great in a Fit when before they feared Suffocation, it often suddenly suffocateth. But if the Asthma came from a Clay or Gravel-like matter, in one part only, it doth not suffocate as that from flegm which takes up more room, except a Defluxion comes upon it, and and so increase the stoppage, neither is this easily cured except it be cast forth by the long force of a cough, and then the old Disease is suddenly cured.

The Method of Cure is, to cut the humor so fixed, and to clense, and to dilate the breast that it may expel it. And this will expell the Gravel by medicines inward and outward. Then if a Catarrh cause or feed the Disease, the Body must be clensed: the head must be dried and the humor that flows from thence must be revelled. And if straightness come from Wind that stretcheth the Stomach or Belly it must be discussed. All these are to be done by Fumes, by Attractives, by Burners, cutting and motion of the body, as we snal shew.

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Purgers are to be given out of the Fit if Defluxions cause or encrease an Asthma, in respect of them, for otherwise they wil draw nothing from the Breast. And in other causes that the body being clensed may be bet∣ter ordered. But these are not to be strong except the body be very foul: but gentle and often, except the Defluxion be very troublesom, and then you must do as shal be shewed, but for the Asthma Thus.

Gentle Purgers which expectorate are Cassia, Man∣na, Polipody. Take Liquorish half an ounce, Raisons stoned and Figs each one ounce; Jujubes half an ounce, Po∣lypody dried six drams, boyl them and dissolve three oun∣ces of Manna or one ounce and an half of Cassia.

Old Cock Broth is commended of all men in which dissolve Cassia or Manna as was shewed, or other Ele∣ctuaries that purge flegm.

Or thus, Take an old Cock, kill him, pluck him, and gut him, then take Raisons and Figs each four ounces; beat them into a past: Carthamus seed and Polypody each two ounces; Senna one ounce, Agarick two drams, Annise one dram, Turbith one dram and an half, Ginger half a dram, beat them with the past, with which stuff the Cock and boyl him in Water. Take it thrice, and if it work not at first, add Cassia or Manna. Or you may first boyl the Cock, and after, the ingredients in his Broth.

Another used long is an excellent Remedy, Take a Cock, and one ounce of Fox Lungs, Raisons stoned and Figs two ounces, Leeks two ounces, Liquorish one ounce, Eli∣campane two drams, Hysop, Savory, Horehound, Time, Ca∣lamints dried, Pennyroyal, each one dram and an half; Fen∣nel and Anise seed each one dram; Carthamus seeds and Po∣lypody bruised each half an ounce; white Tartar one dram, two yolks of Eggs, fresh Butter half an ounce. Pouder and cut them and beat them into a past, sow them into the Cock and boyl him til his flesh fall off in much Water in a great Vessel, then strain it, and to ten pints of the Broth add one pound of Honey, that it may not quick∣ly corrupt, give a draught with Manna and Cassia each half an ounce; in the morning for many daies. And this wil work better if you give after it one dram of Turpentine with Penedies in the form of a Bolus.

Three drams of the Troches of Violets without Scammony are good for the Breast and purge flegm, with a pectoral Decoction or Water.

Stronger are thus made, when the slegm is much. Take Violet flowers six drams, Turbith four drams, Agarick three drams, juyce of Liquorish, Manna, each two drams; Scammony one scruple, with syrup of Violets make Tro∣chisks give two drams.

This Potion is good. Take Agarick one dram and an half, Turbith one dram, Ginger half a dram, pouder them and Infuse them in Oxymel or Hydromel one ounce, and as much of white Wine, Hysop and Fennel water, strain them, dissolve Diaphenicon and Diacarthamum each one dram and an half; Manna, Syrup of Violets each one ounce.

Pils. Take Pils of Agarick, Cochiae, each one scruple; Troches of Alhandal six grains, with Oxymel of Squils make Pils.

This Wine is good if there be Wind which straiten∣eth. Take Senna two ounces, Agarick half an ounce, Tur∣bith two drams, Squils two drams, Wormwood three drams, Bayberries ten, Anise seed one ounce, Fennel, Caraway, each two drams; Infuse them in Wine and Honey and let him drink thereof in the morning.

The pulp of Coloquintida infused in Wine is ex∣cellent.

An usual Electuary. Take Manna, Cassia, each two ounces, Diaphaenicon and Diacarthamum, each one ounce; Syrup of Violets and Oxymel of Squils, each half an ounce; make an Electuary: give two drams and after more at a time.

A day after purging use, Mithridate or proper Con∣serves to refresh.

Vomits are given, out of the Fit least, too much straining should bring fear of Suffocation. Tobacco water distilled is most excellent.

The humors must be prepared before Purging, with things to cut flegm, and they must also be given after∣wards,

Thus: Take of Syrup of Liquorish and Hysop each one ounce and an half; Oxymel of Squils one ounce, Hysop, Fennel and Colts-foot water each three ounces; make a Ju∣lep for three daies to be continued, mix Pouder Diaire∣os, or give a Lozenge thereof after.

Or with this Apozeme. Take Liquorish one ounce and an half, Elicampane and Orrice each half an ounce; Horehound, Maidenhair, Hysop, Colts-foot, each one hand∣ful; Scabious and French Lavender flowers, Violets, Mal∣lows, each one pugil; Anise and Fennel each two drams; Raisons stoned, Jujubes, each one ounce and an half; Dates three, Figs ten, boyl them adding to the strained Liquor Oxymel two ounces, aromatize it with a little Cinnamon, let it be taken like a Julep.

Observe the same diet, as in the Night-mare, thin, of good juyce, easie concoction, not windy, crude, a∣stringent.

Among others Dioscorides commends old Cock broth, and Snails.

For Sauce, mix Saffron, for the Breast, and Mustard with Honey doth expectorate wel.

Beans, Barley, Orobus, Almonds, Pine-nuts, with Carua and Fennel to correct the wind and Figs, Rai∣sons, Dates.

Take Leeks two ounces, boyl them in Water or Cock broth til they be soft, add the Yolk of an Egg and Butter two ounces, Sugar one ounce, boyl them again a little, let him eat one half at Dinner and another at Supper.

Let him drink Mead or Hydromel with Hysop boy∣led therein.

Or this Ptisan. Take Barley one pugil, Liquorish two long sticks bruised, Raisons stoned twenty, Figs fifteen, boyl them in eleven measures of Water to eight, adding Juju∣bies twelve,

There are divers Medicines which clense, lenifie and cut matter in the Lungs that it may be coughed up, and are good in all causes.

This Decoction, for morning and evening. Take Liquorish one ounce, Elicampane, Orris, each half an ounce; Maidenhair, Hysop each half a handful; Raisons and Figs, each one ounce; Saffron one scruple,, boyl them, and add Honey.

Or thus. Take dried Horehound, Germander, Hysop, each one handful; Staechas flowers one pugil, boyl them in Honey and Water.

Or thus. Take Orris two drams, Horehound, Rue, Ca∣lamints, each one dram; Nettle and Fenugreek seeds, each two drams; Raisons stoned one ounce, boyl them, add Ho∣ney or Oxymel of Squils.

Or this. Take Liquorish two ounces, Orris, Elicam∣pane each one ounce; Horstail one ounce and an half, Vale∣rian, Squils, each two drams; Maidenhair, Coltsfoot, Betto∣ny, Veronica, Hysop, Savory, Horehound, Calamints, Time, each one handful; flowers of Staechas, Rosemary, Scabious, each one pugil; Anise and Fennel seed each half an ounce; Nettle, Rocket and Watercress seed, each one dram; Figs, Raisons each four ounces; Jujubes, Sebestens, each ten; boyl them in Water and Honey, add Peper and Spike each one scruple: let him drink of it often, or with more Ho∣ney or Sugar and Manna, make a Syrup.

Another Syrup. Take Radish roots four ounces, Leeks three ounces, Orris two ounces, Elicampane, Dragons Green,

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each one ounce; Squils half an ounce, Liquorish one ounce and an half, Savory, Penny-royal, Hysop, Savin, Horehound, Germander, of each one handful; Coleworts, and Coltsfoot, of each two handfuls; flowers of Staechas one pugil, Faenugreek and Carthamus seeds, of each six drams; Bay-berries half an ounce, Spike half a dram, Saffron one scruple: Make a Decoction, and with Sugar and Honey and Syrup.

A Wine. Take Liquorish one ounce and an half, Orris one ounce, Elicampane half an ounce, Angelica, Squils, of each two drams; Horehound, Hysop, of each three drams; Annis, and Fennel, of each two drams; Nettle, and Water∣creses seeds, of each one dram; Honey clarified six ounces, white Wine one pottle.

Sows or Hoglice tied in a clout and steeped in Wine and strained, is an excellent Medicine experienced by some.

Wine, Vineger, Honey, and Oxymel of Squils, given in the fit are excellent.

Also juyce of Scabious and Sowthistle, alone or with Honey.

Or, Take juyce of Elicampane, Hysop, Horehound, of each one ounce; water of Hysop, Colts-foot, of each three ounces; Boyl them with Sugar, give it often.

It is thought good that they drink their own Urine.

A Spoonful of this water often taken is excellent: Take Squils prepared two drams, Elicampane half an ounce, Leeks one ounce, Mustard and water Cress seeds, of each one dram; Cinnamon three drams: beat them, and with strong Wine draw a water, add Honey of Rosemary, or of Squils.

Also Oyl of sweet Almonds, or fresh Butter.

Let Figs toasted and steept in wine be eaten.

Also roasted Leeks and Onions, with Honey and Butter, or Dragon roots so ordered. Or, Cuckow∣pints, but if they inflame the Mouth, beat them up with Oyl, Sugar, and Honey. Or, boyl them and throw off the water. Also a roasted Squil with Honey is good.

Or this: Take juyce of Leeks two ounces, juyce of Dra∣gons one ounce, juyce of Squils, Radish, of each half an ounce, juyce of Hysop, Elicampane, of each one ounce; with Honey six ounces: Boyl them to an Electuary.

Let him often eat Conserve of Orris and Elicam∣pane.

And Take one dram of Turpentine, with the Yolk of an Egg and Honey.

Let him take every morning Brimstone prepared, that is washed often with Coltsfoot water, with Orris root, and a little Salt in a rear Egg.

Things that are licked are of Syrups of Hysop, Hore∣hound, Oxymel, Lohoch of Fox Lungs, Coleworts, Coltfoot, Carthamus, Pine-nuts, Mucilages, Loch∣sanum, and of Squils. And the Species of Diairios, and Salomonis, Pleres Archonticon and Diahysopi.

Other Eclegma's are thus made. Take Gum Ammo∣niake dissolved in Aqua vitae two drams, water cress and Ni∣gella seeds, of each one dram; Sal Ammoniak half a dram, Sulphure prepared one dram, Saffron five grains, prepared Fox Lungs one dram and an half, with Honey of Squils and convenient Syrup two ounces: Make a Lohoch.

Or thus, Take Althea roots two drams, Orris one dram and an half, Elicampane, Birthwort, Asarum, Bryony, of each one dram; Gentian, Cuckowpints, of each half a dram; Savin, and Coltsfoot, of each one dram and an half; Fenu∣greek, Time, and Carthamus seed, of each two drams; Bay∣berries one dram, water Cress, and Nettle seeds, of each half a dram; Pouder of Fox Lungs and Gum Ammoniack dissol∣ved in Vinegar of Squils, of each two drams; Sulphur vive, or Quickbrimstone washed in Coltsfoot water, and boyled Tur∣pentine, of each one dram; Storax half a dram, juyce of Li∣quorish one dram with Honey of Squils, or one of the former syrup: Make a Lohoch.

If the Belly be bound: Take the Mucilage of Marsh∣mallows, and Lineseed, of each half an ounce; Manna, Cassia, of each one ounce; Agarick, Turbith, of each one dram; Oyl of sweet Almonds, or Butter and Penedies, of each one ounce.

Also this Pouder: Take Liquorish, Polipody, of each two drams; Orrice, Elicampane, of each one dram; Dragon roots half a dram, Water-cresses seeds and Nettle seed, of each one dram; Cinnamon one dram and an half, Saffron one scruple, Pouder of Fox Lungs two drams, Sugar half as much as all: Or with Colts-foot water, make Lozenges with more Sugar.

This is commended highly: Take Saffron one scruple, Mosch one grain, give it in white Wine.

Pills: Take Gum Ammoniake dissolved in Vinegar of Squils two drams, Storax, Sagapenum, Myrrh, of each half a dram; Turpentine, boyled one dram, Spike one scruple, Saf∣fron half a scruple, with Honey make Pills, the Dose is half a dram.

If there be a Catarrh, to stop it and stupefie the sense of the Breast, thickners and Stupefactives must be given of which in Catarrhes.

We may use this: Take Barley cleansed steep it six houres, then boyl it well, that it may be dissolved, then take sweet Almonds three ounces blanched, Gourd seeds one ounce and an half, Melon seeds one ounce, white Poppy and Lettice seeds, of each half an ounce: beat them, and with Barley Water, make a milk, which being mixed with two pound of the Pulp of Barley, must be boyled and swee∣tened with Sugar; let him drink ten drams in the mor∣ning in his bed, and at evening. This is an usual Medicine with the French and Italians to stop Fluxes.

Also Treacle, Mithridate, Philonium, with pouder of Liquorish in the fit, or with Diapenidian or Lohoch of Fox Lungs,

Let him hold Diatragacanth in his Mouth: or, Take the Pouder of Diatragacanth Frigid two drams, Frankincense one dram, juyce of Liquorish half a dram, Saffron half a scruple, with Syrup of Violets, make Forms.

Let this Fume be taken at the Mouth but not sudden∣ly, or much least it Suffocate: Take dried Colts-foot one dram, Frankincense, Mastick, Storac, of each half a dram; Sulphur one scruple, with Turpentine, Make Troches.

Caps and the Chamber also may be smoaked with the same.

Anoynt the Breast with loosners and concocters, As Take Oyl of sweet Almonds, Lillies, of each one ounce; juyce of Hysop one ounce and an half: Boyl them till the juyce bc consumed, add fresh Butter, Mucilage of Faenugreek and roasted Lillies, of each one ounce and an half? Ducks Grease half an ounce, Saffron one scuruple, white Wax a little.

Or use the resumptive Oyntment.

Apply things outward to the Stomach, if it be stret∣ched with Wind, which increaseth the Asthma.

And to the Head to stop Catarrhs, dry and streng∣then the Head, if the Disease come from thence.

There are washes for the Head also, and hot washes for the Feet, do revel from the Head and Breast very much: Of the Decoction of Sage, Lavender, Chamo∣mil, Elder and other hot sweet scented Herbs.

Also Frictions are good.

And Cupping Glasses to the Shoulders, Thighs, of∣ten used to draw the Humor that flows to the Breast, backwards and downwards: and if they be applied

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under the Breasts they discurse the matter.

Also Issues in the Armes, Legs. And Vesicatories in the Wrists, and Palms of the Hands, or behind the Eares. And in the middle of the Breast, they are ex∣cellent in all sorts of Asthmaes. Aetius, bids that part to be burnt. And others apply a Dropax.

If there be a Plethory, open a Vein.

And if the Belly be bound, use Clysters that expel wind, and loosen, and Suppositories.

Belching and Farting are difficult without Art do help, (though some can suck in the Air and belch it out again, and kneel down with their Arse lifted up and fart at their pleasure) It is good to put the Finger, or a Father into the Throat and provoke Vomiting.

In the firt let him rest and move not, nor speak much, for so breathing is made quicker which will perplex more. And if he lie down let his Head be very high, with divers Pillows.

Notes

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