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.

CHAP. X. Of Pissing.

The Kinds,

THat Pissing by which the Urin in Males, * 1.1 passeth through the Yard; in Women through their pissing place is Natural. But when it is involuntary, or immoderate, or often, or little, or thick, or bloody; or cometh by a wrong passage, it is preternatural.

When the Urin flows out of its own ac∣cord, * 1.2 without the Will of the Patient, it is involuntary. And this is somtimes with∣out Feeling, as in Apoplexies, Palsies, and Swoundings. And some who have been cut for the stone have it for ever.

There is another involuntary Pissing, which they have who piss their Beds, * 1.3 espe∣cially Infants, if it be a fault in them: It is unseemly in young people that know it, and ought to avoid it. But worse when they come to years.

It is called immoderate, when it is too much, * 1.4 too often, or unseasonable, as in Drunkards. They fill themselves with wine and rise from meat to piss. This is thought unseemly among people of reputation, which hold Drun∣kenness for a great shame, as indeed it is.

There is another immoderate Pissing, when it is not af∣ter large Drinking, but oftner then it ought to be: For which cause they cannot tary long in Assemblies, but are forced to go forth, and piss.

But that is chiefly immoderate Pissing, when they piss more then they drink or eat of moist meats. This is in sound Folkes, which are called Vritici without another in∣firmity. And in sick in the Crisis or Declination of a dis∣ease. And because it is profitable, and not hurtful, it is not preternatural, except it continue to the loss of strength, which will easily decay by such an Evacuation.

There is another in the Disease, called Dia∣betes but seldom; * 1.5 which is a large and unmo∣derate Pissing, when what is drunk is little or nothing changed, with an unquenchable thirst from whence it is called Dipsacus, when the Body is hot and consumeth.

There is another, * 1.6 often and little Pis∣sing, when the Urin is voided by drops, called Strangury, which is somtimes with∣out pain: Of which we spake in the want of Pissing.

There is often a burning pain in pis∣sing, called scalding Urin, or Dysury, * 1.7 though this word is more proper to pis∣sing with difficulty or pain, as Dysentery is in the Guts, then to little Pissing. In this Disease while the Urin drops, there is pain: but when it comes more freely, it begins at the Conclusion. And continueth a little after, and begins again before the next Pissing, causing such a straining, that it produceth horror and sweat. A grievous pain in Males about the end of the Yard or Glans, which is then touched; hence the Ger∣mans call this, cold Pissing, though it be hot. Women are pained also in the passage for Urin.

This Dysurie or Difficulty of Pissing troubles young and old, somtimes without other Diseases, and is short, if it come from the taking of any thing, or from some cause that continueth not, as we shall shew. Somtimes it is lon∣ger in which there are some signs of a foul Body.

Somtimes it is with other Diseases, as in thick Pissing, when it is mattery, slimy, or like Milk with Urin, for the Diseases of the Reins, Bladder, or other parts: Also in the Ulcer of the Yard, and Bladder, matter is voided alone; and Seed involuntary in a Gonorrhoea, or Running of the Reins, especially when it is venemous: As we shall shew concerning them.

Somtimes symptoms of the Stone in the Bladder, are with this Dysury, as Itching about the Privities, standing of the Yard, sense of Heaviness about the Fundament, in∣to which, if the Finger be thrust, the Stone in the Bladder may be felt; also straining with crude Urin, sometimes thick and bloody, and sometimes it is quite stopped.

There is often turbulent or thick pis∣sing as of matter which settles in the urinal like a Pultis, * 1.8 and mixeth again with the urin when it is shaked, and goes to the bottom again when it settleth. It is somtimes white, without scent, somtimes stinking, somtimes white Filmes do fly in the Urin, as in the Ulcer of the Kidneys: As we shall shew. Somtimes it is without scalding, but with heaviness, and pain of the Reins, somtimes with scalding.

They say that pissing of Matter may be from an Impost∣hum in the Liver which is rare, and from a Pleurisie, or Pe∣ripneumony, or Empyema, which is most rare and sel∣dom.

There is another thick Pissing of Slime with the Urin, which sticks to the bottom of the Urinal, like Glew after the Urin is poudered out, this is from the Ulcer of the Bladder, and then there is also scalding of Urin. Also this slime is voided alone: As we shall declare in the Ex∣cretions of the Yard without Urin.

Another thick Pissing is like Milk, * 1.9 and then there is a great white sediment at the bottom of the Urinal, and is mixed with the urin when it is shaked. I have observed this in my self and others, somtimes for many daies, and somtimes at certain hours, especially at night, after Exercise without other accident, except heat in Pissing and straining after.

Pissing of Blood, * 1.10 is when the Urin is coloured like blood. In which after set∣tling there is a thick and black sediment.

This is often with other accidents in the Stone of the Kidneys, and after violent Exercise; also in the Stone of the Bladder. And if there be an Ulcer, there is Matter with Blood.

They who use the Catheter have often a little blood in the Urin. And they who have had a great 〈◊〉〈◊〉 or Stroak piss blood.

And they who have taken Cantharides, or Spa•••••• flies, or the like.

Otherwise there is seldom Pissing of Blood. Only in Feavers it may be a Crisis, or for Judgment: And I knew a Maid in a pestilential Feaver, that pissed some chamber∣pots full of blood before she dyed.

Also Bloodhath been pissed without a Disease: As we shall shew in the Causes of all sorts of Pissing Blood.

There are also other kinds of preter∣natural Pissing. * 1.11 As when the Urin is of another strange colour, mixed with sand, slime, which shew Diseases, or the approaching of them. Of these we shal not speak, because when the Disease is cured, they va∣nish.

Here may be mentioned Urin with dung, * 1.12 as we shewed in the preternatu∣ral Voiding of Excrements of the Belly, or with bones, or the like, which we spake of in preternatural Excretion. Or with the Terms, as we shewed in their preternatural Flux.

Somtimes the Urin flows another way, as out of a Wound, * 1.13 as in cutting for the Stone, it flows at the Perinaeum, till it be healed. The same may be about the loins and lower parts of the Belly, from a wound there: As we knew one who made no Urin, but at his Groins for many years.

The Causes.

The Cause of all preternatural Pissing, as involuntary, immoderate, often, little, thick, bloody, dyed, or mixed, is from an evil custom, or Disease in the Reins or Bladder, as a hot Constitution or weak, a cold or hot Distemper; or forcing, or solution of continuity or contiguity: Or from a Disease by consent of the Bladder. Or some Dis∣ease in a part like the Reins and Bladder.

Somtimes often pissing is from an e∣vil custom; * 1.14 for when Nature is not dis∣ordered by Diet, she keepeth her order and time for voiding the Excrements of the belly: And if you disorder her by any means or forcing, it will not be seasonable. There∣fore Infants that have long pissed their beds, are familar∣ly troubled therewith, an it continues with them, when grown up, which is unseemly.

Some kinds of Pissings come from the Constitution of the Reins and Bladder. * 1.15 As when there is exquisite sense in the bladder, which being pricked by the u∣rin, sends it forth before the time. And this may be the cause why Children piss a bed, except they be raised at night. And if to this exquisite sense, there be a sharpness of Urin, it will be rendered oftner, and sooner scaul'd, as shal be shewed.

A Natural Heat of the Kidneys, may cause more, * 1.16 and oftner Pissing, because heat makes a sooner separation. As also weakness, when the retentive Fa∣culty cannot retain the Urin long e∣nough.

This is often from the Birth, through want of heat, or from the loosness and softness of the Vessels, or from much drinking: Or from immoderate Venery, which weakens these parts.

When the Bladder is weak, loose, or soft, there is often Pissing. Or when it is over-stretched, and too thin, which is from the birth in some, or from long retention of Urin, in Assemblies.

Also strong Imaginations in a Dream, may cause this, when they dream they piss in a convenient place, which stirres up the expulsive Faculty.

When the retentive Faculty is weakned by a cold distemper in the reins and blad∣der, there is often Pissing: * 1.17 this is from external cold, so cold at the Feet by con∣sent of these parts, may cause Pissing.

Many think that Diabetes comes from a hot distemper; but the Reins are many times hot with∣out that distemper: And if the Reins were very much in∣flamed, pissing would not be increased, but diminished, or suppressed, and the attractive vertue rather destroyed then increased. Moreover though there be Thirst and Consumption, with the Diabetes, or often Pissing, yet it is not proved to come from the heat of the reins. Because thirst may come from want of moisture, through continu∣al pissing. And the heat of the whole Body cannot be kindled, only from the heat of the Reins, without an In∣flammation, whence pissing will be diminished: neither can the Body be consumed thereby. Therefore there is another cause of Diabetes, which is seldom seen. We free∣ly grant that pissing may be hastned from a hot distemper of the Reins, if there be much water: As we shewed it might be in the hot Constitution of the Reins, but we de∣ny that this confused and unusual pissing can come from heat thereof.

But scalding Urin comes from the heat of the Reins, or is increased thereby: * 1.18 As we shewed in the Inflammation of the Reins, in which the Urin is made hot. And this may come from a simple distem∣per without Instammation, but the Urin is sharp and hot, first from other Causes, and thenis far∣ther inflamed by the Reins,

From the pricking of the Reins and bladder, * 1.19 there are divers kinds of preternatural Pissing. And it is caused by Urin, by Matter, by Seed, or by a Stone.

There is a large Pissing from too much Urin that pricketh the blad∣der. * 1.20 And that is from the use of watery things, and drinking much.

From great Drinking, * 1.21 it hap∣pens that the Drink is little chan∣ged, but passeth through the veins to the Reins, and so to the Blad∣der. When the Drink taken is so much, that it cannot stay to be changed and mixed with Humors, but passeth through unconcocted.

An immoderate Pissing may be when a great quantity of water, * 1.22 which lay in the veins, is suddenly sent this way. As in many superfluities of the Body: and in some Diseases, as in Ca∣chexy or Dropsie, and the like, especi∣ally in continual Feavers, in which the cause of the disease is expelled by urin in a Crisis: Or when an intermitting Feaver declineth.

There is also a large pissing after a long suppression of u∣rine by a Stone, or slimy Matter in the Vreters. As I obser∣ved two years since in a Preacher, who made no urin in eleven dayes, by reason of the Stone, and slime in the U∣reters, and was in a miserable condition: But in one night on a sudden the Vreters opened, and he voided eight measures of water con∣containing every one three pints, with great refreshment to his whole Body.

But if this Evacuation be too much, and nature sending forth the Cause of the Disease, be so profuse, that all the moisture begins to be voided, there will follow a Diabe∣tes. Thence comes the heat of the whol Body, and thirst, especially, if there be a Feaver; and Leanness, especially if the Feaver be consumptive. And because in Feavers this pissing is seldom seen, only in a Crisis, when the Fea∣ver

is cured thereby. Diabetes is a rare Disease, which weakneth exceedingly. Nor is it a wonder, when the u∣rin passeth through so quick, that it is crude and not co∣loured. And this is the cause of a Diabetes, and not the hot distemper of the Kidneys, from which alone it cannot proceed. And though the practical Physitians did not plainly mention a Feaver in the Cause of a Diabetes, yet in their Prognosticks, if it be joyned with a Feaver they pronounce it deadly, and prescribe cool Remedies. We suppose that a true Diabetes in which there is sudden mel∣ting of the Body with heat and thirst, is an accident of a burning Feaver, and gives some occasion also of the mel∣ting; and therefore it is a Symptom joyned therewith, as the Feaver is also, except there be a Diabetes without a Feaver, by reason of abundance of drink, long kept in the Meseraicks, (for it cannot stay so long in the Stomach and Guts) and after thrust by Nature to the Reins, rather then attracted. Hence the drink is as it was drunk, and not altered in the first Concoction which it escapeth. And if there be then heat of the Body or thirst, these come from great emptyness, and not from the h••••t of the Kidneys which cannot do these things, or so weaken the body, as I shewed. But in regard drink is seldom so contained in the veins. This Diabetes is very seldom seen.

There is a scalding Pissing with a Strangury from the quality of the Urin, * 1.23 provoking and pricking the Bladder to render it. And if it be sharper then it is by Nature, by which it naturally pro∣vokes the bladder to let it out, presently after it comes to the bladder, though in little quantity, it provokes it to get out, especially when the bladder is very sensible, hence it falls often by drops, and being in a narrow passage that is very sensible, it pricks, and causeth this heat and pain in Pissing.

This is especially in the top of the Yard, because when sharp Urin comes into the neck of the bladder which is narrow, and into the Yard, it causeth pain there by scald∣ing. And this is felt chiefly in the Head or Glands, which is most sensible. And because through great pain the Yard hangs down, and grows loose for want of blood and Spirits: It turns cold and pale. And this pricking is when the urin is too hot and inflamed; or when it is cor∣roding, or too salt; or too four, by which means it doth not only prick, but bind the passage.

From this provoking or pricking of urin, * 1.24 there is a bloody pissing also, when it is corroding to the bladder.

The Urin takes these qualities, by which it causeth scalding and bloody pissing, from things taken into the Body, somtimes mixed with Humors and Excrements.

As from Diet, as too much Wine and Spices, and hot Oyls, of Water-cresses, Onions, and Mustard. It receives saltness from salt Meats, fourness from four things, espe∣cially four wine, as hath been experienced, and a clean∣sing quality from the things mentioned, and other abster∣sives. Among which is beer which makes the urin sharp in them that are not used to it. The same may be from Medicines, and from hot Purges, as Spurge, and Colo∣quintida which provoketh urin, as stools by their sharp∣ness. Also Cantharids inflames the urin, and such things cause pissing of blood, and ulcers in the Yard. And it appears that Spanish-flies do it by heat, because outward∣ly they raise Blisters. The Urin may take the same quali∣ties from the mixture of Humors, as of Choler, it may take heat, sharpness, and cleansing, when it is preternatu∣ral and burning; for Natural Choler in the Gall mixed with water, cannot make the urin so sharp, as it is in the Jaundies, though the water be dyed with Choler, yet the urin is not scalding. There are divers Causes of this cho∣ler, both in Diseases, and without; of which heat of urin is a symptom. The cause of this Choler mixing with the Serum, and so with the Urin, is mentioned in other Dis∣eases. And if the Serum be salt and four from other hu∣mors, the urin will be such.

Pricking comming from other matter mixed with the urin, may be the cause of Scalding or Dysury. As from the matter which comes from Ulcers in the Reins, and o∣ther corruption in foul Bodies ripened by the heat of the Reins. These may cause burning, and matterry urin to∣gether. Matter without Ulceration, causeth foul Urin without other accident, except heavyness in the Reins.

Corrupt Urin from matter like milk, is like the former, except the colour, when there is also heat, which though it come from the Reins, as the other, is more salt, as ap∣pears when it is dry, being like white salt in colour and tast: And I collect that it comes from the saltness of the Serum in the Reins made thick and concocted, because when it is more hard, it turns to sand, or a stone, as we shewed in the Stone.

From Seed in Men, * 1.25 moved from its place, and not sent forth, pricking and burning, may come scalding urin, for seed by Nature is sharp, and in its one place it doth no hurt, as Choler in the Gall, but going forth, and sticking in the passage, it corrodes and exulcerates which causeth heat of urin▪ As it is in them who have nocturnal Imaginations or diurnal Lusts, which stirs up the Seed, without action or spending. This is in old men from the little quantity of seed, and insuffi∣cient extension of the Yard, and in sick people, and cau∣seth scalding Urin.

In a venemous Gonorrhaea the same happens from corrupt Seed, * 1.26 so that it runs not only from the sharpness, but also corrodeth the passage, especially when any part sticks by the way, and causeth scalding Urin.

There is a dropping of Urin with pain, and desiring to piss, * 1.27 from a stone in the neck of the bladder which pric∣keth, and i•• it be great, is burdensom. These Stones fall first from the Kidneys by the Ureters in∣to the Bladder, and there being kept, they increase dayly by the Urin which washeth them: As we shewed in the Causes of the Stone of the Kidneys. And in Hypochon∣driack Pains, where we shewed how sand and stones, which are the causes of preternatural Pissing, grow in the Kidneys, and somtimes in the Liver.

There comes Pissing of Blood from the Solution of Continuity in the Reins and Bladder, * 1.28 when the substance of the Reins is wounded or bruised. But usu∣ally from a Stone in the Kidneys, which rubbs and chaffs them till they bleed; which blood is mixed with water, and pissed forth, and separateth from the urin to the bottom when it is settled: But if the urin be too long in the blad∣der, then it is so mixed with blood, that it will not be se∣parated. This also happens when a stone moved from its place, cannot get forth, but by forcing a passage, bruiseth the Reins with its hardness or unevenness; or when it is forced by external motion through the pressing of the Reins, by which means the Hypochondria are also trou∣bled, and so causeth bleeding within, which blood being rendered with the urin, signifieth the stone in the Reins, es∣pecially if there be other signs therewith. And if there be an Ulcer in the Kidneys therewith, the Stone by chaffing it, causeth it to void not only matter, but blood.

A Stroak in the Bladder, or a Wound piercing to it, may cause bloody Urin, or a touch with a Catheter, which is an Instrument to let out urin. Also a stone striving to pass the neck of the bladder, may cause bloody urin; and then onely some few drops come after the urin is made with great pain. And t his is one of the infaillible signs of the Stone.

When the Sphincter Muscle which is the Cause of the stopping of the Urin is wounded, * 1.29 there is involuntary Pis∣sing, as is usual in cutting for the Stone, and though the wound be cu∣red, yet by reason of the hurt of the Muscle, the urin cannot be contained.

Somtimes there is a preternatural flux of the urin from a wound of the bladder, * 1.30 not only by the cutting for the stone, but by other external means: As when there is an Incision made for a fleshy rupture in the Groin, as I shewed in the want of Pissing, how one alwayes pissed that way. And we saw one that gored with an Ox whose horn pierced through his bladder that voided urin at both Orifices.

And this may be from any other Wound in the Blad∣der.

From an Ulcer in the Kidneys follow∣eth a pissing of Matter with urin, * 1.31 which settleth at the bottom, which causeth pain in pissing, if it be sharp, with other accidents. The cause of the Ulcer is an Inflammation.

Those Causes of Solution of Continuity in the sub∣stance of the Reins mentioned, may cause pissing of blood, if the wound be not cured, but turn'd to an Ulcer.

When there is a wound in the neck or bottom of the bladder, * 1.32 there is pissing of Matter, with Urin, and somtimes with∣out, where the wound is in that part of the neck which is farther from the blad∣der. This matter makes the urin stink. Or is pressed with difficulty, and sticks to the bottom of the chamber-pot. And then there is hot pissing, because the ulcer is disturbed, and then the mat∣ter is sharp. This Ulcer comes from a wound.

That strange pissing of the Dung and Bones mentioned, * 1.33 comes from an Ulcer in the neck of the bladder. This Ulcer comes from a Wound in the neck of the womb, or strait Gut, which eats into the bladder. And hence womens terms are mixed with Urin.

Somtimes Blood is pissed from so∣lution of contiguity by Anastomosis or Diapedesis of the Vessels; * 1.34 when through plenty of blood, or founlness thereof, in Plethory or Diseases from thence, Nature purgeth blood from the emulgent veins, into the Reins, and from thence by the Ureters into the Bladder. And then the blood is voi∣ded without pain, or other distemper. And as I shewed, Feavers have been cured thereby, but seldom. And it is probable in the wench that had the plague, and pissed blood before she died, that Nature was stirred up by the force of the venom, to throw it out that wayes, which it could not compleat.

The thinness of the blood, is the Cause of the Anasto∣mosis or Diapedesis of the Vessels of the Reins, which causeth pissing of blood. By which means before the blood is separated from the Serum in the Kidneys, Guts, through the Vessels into the Bladder, and causeth, blood with urin, more mixed then when it is carried to the blad∣der alone.

The next Cause of pissing blood, is the weakness and loosness of the Reins, * 1.35 and then there is often pissing also.

There is also involuntary pissing from a Disease by consent, as when the blad∣der is hurt, and the Muscles suffer also.

The Sphincter Muscle suffer from the want of Animal Spirits, * 1.36 for then being relaxed, they cannot contain the Urin. This want of Spirit is from a distemper of that Nerve which moveth the Sphin∣cter Muscle, either alone, or with all the rest in a Palsie. Therefore some men in Palsies and Apo∣plexies piss involuntarily.

In a Swounding, when there is a total privation of vi∣tal spirits, so that all the Functions rest, the sphincter mus∣cle being idle, the Urin flows forth.

The same is in the Convulsion of the Muscles of the Belly, * 1.37 when the U∣rin is driven out of the Bladder by constriction or straitness of the Mus∣cles, and pressing of the belly, and if the sphincter be also strained, it can∣not stop the veins.

Preternatural pissing comes also from other parts, * 1.38 as from an Imposthum of the Liver turn'd to an Ulcer, the mat∣ter being mixed with the Serum, and there with the Urin. As also from the Lungs and Breast in a Pleurisie, Peripneumony, and Em∣pyema. And if it may come from thence to the Ureters, then it may come from other parts internal being ulcera∣ted; the matter may go back into the Vessels, and so be carried with the Serum into the Reins, and mixed with the Urin.

From Diseases in the Stomach, * 1.39 Li∣ver, Spleen, and other parts, especial∣ly in Feavers, and from their distemper and humors; the urin may be disco∣loured, or mixed with other matter, and cause preternatural Pissing. As we shewed in those Diseases.

The Cure.

There are divers sorts of Cures for divers Pissings, as involuntary, immoderate, often, or hot pissing, thick, and bloody. Or when it passeth a wrong way.

If involuntary pissing comes from a Palsie, or want of strength, or the like, * 1.40 you must cure it as the Apoplexy, Palsie, or Swounding. Apply medicines to the Back, and Loins, and to the Fundament, where the neck of the bladder is; such as were mentioned in the Palsie.

If involuntary Pissing come after a wound in the Mus∣cle of the bladder, or when it is torn for the taking out of the Stone, it is incurable ordinarily. But you must use such things for the allaying of the urin, and binding the passages, as are mentioned in immoderate pissing.

That involuntary pissing in the sleep, when young Children, * 1.41 and others piss their beds, must be cured by preventing an evil custom; by pissing before they sleep, and by being raised at midnight to piss, till Nature is brought to another custom. And this is the best Cure, es∣pecially if you take away the Causes which provoke urin, as large drinking, especially at bed-time.

But if it come from weakness, or too much sense in the bladder, then you may use things to abate the sharpness, and make it thick, and bind, and a little stupesie: As shall be shewed in immoderate Pissing.

These following are good by propriety, boyled, or roa∣sted, as a Hedg-hog, Mice, Lungs of a Kid, the Brain and Stones of Hare, or Fox, the brain of a Vultur, or Eagle, and Fat of a Partridg.

Also the Pouders of these following, or the Ashes, as the pouder or ashes of an Hedg-hog, a Hares head, with the skin burnt, the Bladders of an Ox, Hog, Goat, Sheep,

and Swimms of Fishes, the inward skins of Hens Gizards, Cocks necks, Geese tongues.

It is good against Pissing of bed to put the Yard into a dryed Bladder, or the like; others use a Spunge, but the bed will be wet, notwithstanding that.

Immoderate Pissing, when it is too much or too often; * 1.42 if it come from an evil custom of pissing often, let them not piss at every motion. And that will bring Nature into order.

When it is from the exquisite sense of the bladder, then keep the urin from be∣ing too sharp, and if it continue, abate the sense with remedies mentioned in hot Pissing, yet not so strong, because this is not so considerable.

If too much Urin be made by reason of a hot Constitu∣tion, because it doth little hurt, let them only take heed of hot meats and drinks, and use temperate things that cool.

That often pissing which comes from weakness, or want of Natural heat, or loosness of vessels, or enlarging, or making the bladder thin, if it come from the Birth, is hard to be cured, but if from much drinking, and long holding of the water, then take away the Causes, as also when it is from too much Venery, which weakneth the Reins.

But if being old, it will not so be cured, in regard there are worse accidents begin first with them.

If often pissing come from a cold distemper of the reins and bladder, chiefly from the cold of the Feet, it is but of short continuance, and not regarded. But if the cold di∣stemper remain in the parts, these hot remedies mentioned in the Palsie of the Bladder are to be used, as also when there is weakness from that Cold.

If much pissing be from much wine, be∣cause it is good, * 1.43 there is no other course to be taken, to prevent rising ••rom the table, or pissing Breeches or Bed, but to avoid drunkenness, and use the reme∣dies against pissing a bed.

When much pissing comes from abun∣dance of Serum or Whey in the veins, * 1.44 it is necessary, and good in sound men to prevent, and in Dropsies and achexies to cure the Diseases, except it be immo∣derate.

But if from the sudden Evacuation, the strength is aba∣ted, it may be hurtful, as in the tapping for a Dropsie, if much water be taken out at once, so here though the way be Natural, yet the Flux being great and sudden, may be dangerous.

This immoderate pissing in Feavers, when Nature expel the cause, in a Crisis of a continual Feaver, and in the de∣clination of an intermitting, is good to cure the Feaver. But if be too much, and too long, and the matter not con∣cocted without a Crisis, because then the Cause of a Dis∣ease is not abated, nor the Patient refreshed thereby, but weaker, thirst increased, and the body withered, there fol∣lows the deadly Diabetes. But when the cause of the dis∣ease is taken away by pissing, you must not stop it.

In other violent pissings that weaken, as in Diabetes which is seldom seen, * 1.45 which consumeth the body, and causeth thirst, you must speedily stop them; first hinder the increase of Serum, and then evacuate it otherwayes, af∣ter correct the thinness, heat, or sharpness, with things that thicken, cool, and asswage. Also stop and astringe the passages, and stupesie the sense of the bladder. As we shewed in hot Pissings; and use these following with res∣pect to the Disease accompaying them. If the Disease hin∣der not, in full Bodies let blood.

Also give cooling, and gentle astringing Clysters, with the Decoction of Rhubarb, and Myrobalans, and stilled Waters of Roses, Plantane, with glutinating things, as whites of Eggs, Mucilage of Fleabane, Quinces, or Infu∣sion of Gum Traganth in proper Water.

Let the Diet be sparing, only that which will keep the strength: Let them beware of four things, salt, sharp, burning, and hot Spices, all which provoke urin.

Let them rest, and not heat the Reins by lying upon their backs.

Purges to derive the Whey and Serum from the Veins to the Guts, and so to hinder the plenty of urin, are good, because when men purge they piss little; and often pis∣sing in sound men doth signifie the need of purging: and in Diseases it shews that the Body is not sufficiently pur∣ged.

These must be gentle, if the strength abate, and astrin∣gent with Rhubarb, Myrtles, Citrons, Syrup of the Infu∣sion of Roses, with other astringent Syrups, Decoctions, or Waters, as in the Dysentery.

Sweating is good to send the serum through the Habit of the Body, and derive it from the Veins, and so to abate Urin. And it must be provoked betimes, when we fear too much pissing, before the strength be abated.

There are divers Drinks that thicken, bind and cool, and heating Meats, as Bread, Pulse of Wheat, Starch, Groats of Barley hulled, as Ptisans of Rice, Almonds, di∣vers wayes prepared; Lentils boyled, Almonds, Nuts, roasted Chesnuts; also gross and clammy Flesh, Whites of Eggs, Lettice, Endive, Bugloss, Purslane.

Also Broaths of Corn and Flesh, Milk, steeled water, Emulsions of Almonds, thick binding Wine, with water of Myrtles, Bugloss, or the like.

Also Syrups of Myrtles, dryed red Roses, Juyce of Sor∣rel, and others that bind, and heat not.

Or this Decoction. Take Comfrey roots, and of both Bu∣glosses, each one ounce; Plantane leaves two handfuls, Cordial flowers one handful, dryed Pomegranate flowers, yellow Myro∣balans, each half an ounce; Myrtle seeds one dram, Plantane, Dock, Purslane, and Sorrel seeds, each one dram; boyl them in six pints of red Wine. Let him drink thereof.

Plantane and Shepheards-purse-water, and the like, if there be heat, are good.

Also candied Comfrey roots, Myrobalans, Quinces, Elicampane, old Conserve of Roses.

Also Mucilages of Fleabane, Quinces, Infusion of Gum Traganth in Rose or plantane water, given half an ounce, with Sugar or convenient Syrup.

Also pouders, with sugar of Roses, red Wine, or other Liquors.

That of Acorns only is excellent, or mixed with Len∣tils, husked and baked.

Or this: Take Coriander seed two drams, Agrimony one dram, red Roses half a dram, red Sanders, Cinnamon, each one scruple, Spikenard half a scruple.

With Acorn-cupps, Galls, Pomegranate flowers.

Or, Take Frankincense, Amber, each one dram and an half; Myrrh two scruples, the Ashes of burnt Ox, or Hoggs, or of other domestick Creatures Bladders, half a dram, make a Pouder.

Another. Take yellow Myrobalans, Date stones burnt, each two drams; Bay-berries, Rose seeds, Pomegranate seeds, or of Myrtles, each one dram; plantane and purslane seed, red Roses, Gum Traganth, or Arabick, each half a dram; A∣cacia, and Dragons blood, each one scruple, with burnt Ivory, and Camphire, make a pouder.

Or, Take red Coral, and Bole, each one dram and an half; Bloodstone half a dram: make a pouder, give it alone, or with the other the fourth part of this.

To these you may add pouders and ashes of living crea∣tures, which have a propriety mentioned in involuntary pissing; and others, as wild Rue seeds and leaves, Mints, Calamints, Myrtles, Dates, Snakeweed, Tormentil, and Elicampane.

The Chymists in the Cure of Diabetes and Dysentery, extol the Essense of Crocus Martis according to Crollius, and the tincture of Smaragds, which Hartman commends, and shews how to prepare it in his Practice of Chymistry. And they also extol to admiration the tincture and salt of Coral.

If the Urin prick, give Stupefactives, as Syrup of Pop∣pies, Philonium Persicum which also bindeth, and the like. Treacle is commended against Diabetes, and they say it quenceth thirst: which being hot, it cannot do, but it may help by its Narcotick Quality.

Externally apply Coolers to the Reins and Binders, as the Oyntment mentioned in the Inflammation of the Reins and Liver, beginning thus: Take Oyl of Roses, Quin. &c. to which you may add Oyl of Violets, Water-lillies, Juyce of Lettice, Mints. Also Oyl of Earth-worms which is thought to stop pissing by a propriety. Also Seeds of plantane, purslane, Camphire. Also the cooling Oynt∣ment there mentioned, and that of Roses, the Cerot of Sanders, made of Oyl of Roses, Sanders, Roses, burnt I∣vory, Bole, and Camphire.

The repelling Epithem mentioned in the Inflammation of the Reins and Liver, is also here good, and this of rose∣vinegar. And that mentioned which begins. Take wa∣ter of Nightshade, and Lettice &c. to these you may add Sorrel, and Wormwood-water, with Bole and Spike.

A Fomentation or Bath for the reins, is made of the de∣coction of plantane, Shepheards-purse, Mullein, Violet-leaves, Mallows, Water-lillies, Vine leaves, Roses, Pome∣granate peels and flowers, Sumach, Bar-berries, Myrtles, Roses &c. with Smiths-forge-water, or Iron-water.

You may make Cataplasmes of the same, with Barley∣meal, and the Oyls mentioned, and Earth-worms.

If Heat of Urin come from Irritation in the neck of the bladder, * 1.46 or passage of the Yard, it is more easily cured, then when it comes from an Ulcer in the pas∣sage of the Yard. If it come from an Ulcer in the neck of the bladder, it is most difficult, because the heat of the urin will not be gone, till the ulcer be cured, which is ve∣ry seldom done. If it come from the Stone, it is not cu∣red, till that is taken away. And if there be many causes together, and the heat comes both from the ulcer, and u∣rin, it is worse and worse, when there is a stone there, which cannot be voided

As for the Cure: we shall first speak of scalding Urin from Irritation. And if there be an ulcer, because then the urin is muddy; we shall treat of it in turbulent Piss∣ing: As also if it come from a Gonorrhaea, we shall speak of it there. And lastly we shall shew the Cure of it when it comes from the Stone.

If pissing be hot from heat and sharp∣ness of Urin, * 1.47 from things taken, or from the mixture of humors, with the heat of the reins, it must be cured, by taking away the cause, correcting the heat and sharpness of the urin: And by deffending the blad∣der and passage from the sense of the pain. These are done by internal and external remedies that cleanse and alter.

If the Belly be bound, it must be loosned, because strain∣ing at stool causeth a pressing of the passage of the urin and pain. Then we purge Choler or sharp Humors with gentle means.

Cassia is the best, which is also Anodine, and Diacassia, Diaprunis, Diabesten.

This common Electuary doth loosen and lenisie. Take Cassia newly drawn two ounces, Manna one ounce and an half, Pulp of Sebestens, Tamarinds, or sweet Prunes, each one ounce; Mucilage of Fleabane six drams, the four great cold Seeds half an ounce, Juyce of Liquorish one dram, with Syrup of Roses solutive: make an Electuary, give one ounce at a time.

We chiefly respect Choler in purging, and therefore ad Rhubarb, Myrobalans, Syrup of Roses laxative, Violets, Catholicon, and the lenitive Electuaries mentioned, with Senna, if you will have it stronger, or Diaprunis.

A Potion is thus made. Take Polypody two ounces, Sen∣na one ounce, Liquorish one ounce and an half, Raisons one ounce, Prunes ten, Jujubies, Sebestens, each ten pair, Barley one pugil, Anise seeds one dram; make a Decoction, add Syrup of Roses solutive two ounces, Syrup of Violets one ounce, you may infuse Rhubarb.

Also use Clysters of Mallows, Marsh-mallows, Violets, Prunes, the four cold Seeds, with Cassia, Honey of Vio∣lets, Oyl of Violets, red Sugar, &c.

Vomiting, because it draweth Choler from the Mese∣raicks, which keeps the urin from sharpness, is good.

They also use Frictions and Sweating, to revel or draw back the Choler.

If you fear an Inflammation in the lower parts by rea∣son of pain, let blood in the vein under the Knee.

And open the Haemorrhoids when they are usual, to take away Choler.

Give Alteratives which cool the urin and reins, and le∣nisie the passages, and stupesie, and take away pain, of which there are divers forms.

Any Milk drunk, doth lenisie, and heal Excoriations of urin.

An Emulsion is excellent, of cold Seeds the greatest, be∣ing bruised, and mixed with Barley-water, and strained; or of Almonds, pine-nuts, or altogether, with white pop∣py seeds, which take away pain and heat.

Make a Mucilage of Quince seeds, Lime seeds, Mal∣lows, Marsh-mallows steeped in proper water, or boyled in the former Decoctions, give one ounce and an half, with Broath or Milk, the Mucilage of Fleabane is excellent, and the Infusion of Gum Traganth.

The White of an Eg well beaten, and the froath cast off, taken often alone, or with Sugar of Roses, or Oyl of sweet Almonds.

Also a Decoction of Marsh-mallow roots, Mallows, Se∣bestens, the great cold Seeds, white Poppy seeds, Fleabane or Quinces in Water or Broath, with Sugar.

To this we add to provoke urin, red pease, Liquorish, Winter-cherries, and in cholerick Natures, these Coolers, Endive, Lettice, Violets, Bugloss &c.

The Julep and Syrup of Violets, purslane, and Jujubes, and other Coolers, is also good.

The Waters also of Mallows, and Marsh-mallows.

A Pouder to abate heat in the urin. Take the Seeds of Guords, or Pompions husked, and other new cold Seeds, one ounce, white Poppy seeds three drams, white Henbane seeds one dram, Sugar pellets, or Sugar of Roses one ounce: make a pouder, give one dram with Milk or Broath, or Julep, or con∣venient Water.

Or, Take of the great cold Seeds one ounce, white Poppy∣seeds fresh three drams, Line-seed, or Quince seed one dram and an half, Mallow seeds, and white Henbane seeds, each one dram; Purslane seeds, and Winter-cherries, each half a dram; or Smallage seed to provoke urin, Starch one dram, Almonds, Nuts, Pine-nuts, or Pistachaes three drams, Gum Traganth, Arabick, each half a dram; or Gum of Peaches, or Al∣monds: make a sine pouder, use it as the other. You may add pouder of Liquorish, or the Juyce thereof.

Somtimes we add Opium when the pain is great, to two ounces of the Pouder half a dram, mixing it well, and giving one dram at first, to try the Operation.

When necessity urgeth, we give stronger Narcoticks, as Syrup of Poppies, and the like, mentioned in the Co∣lick.

Injections are used to lenisie the passage, and the blad∣der, and to take away pain which the urin causeth.

Of Womens Milk, or other Milk; or of the Emulsion of the cold Seeds, or of white poppy seeds.

The White of an Eg, the Mucilage of Quince seeds, Line-seeds well dissolved, with water of Violets, Mallows, Nightshade, Guords, or with Milk, or the mucilage of Mallow seeds, with Henbane and poppy seeds, is also good.

A Decoction. Take Marsh-mallow-roots one ounce, mal∣lows one handful, Barley one pugil, the great and less cold seeds and white Poppy seeds, each two drams; boyl them in Milk. It will more asswage pain, if you boyl therewith half an ounce of the Barke of the Roots of Mandraks, or some Heads

of Poppies, or two drams of Henbane-seed.

Also the Oyl of sweet Almonds, and Violets mixed with the Injections. Or to take away sense of pain, the Oyl of Mandraks, or that of Poppy seeds, or Henbane-seeds.

These Oyls are to be put into the Yard with a tent.

You may mix Opium with these Injections, or with Milk, one dram to twelve ounces. Somtimes you may add Camphire also, with Opium, and Saffron to the tents.

A Bath to sit in is good, of Mallows, Violets, Chamo∣mil, and Melilot flowers, and the like: Or you may fo∣ment the Pecten, and Perinaeum therewith.

Also bath the Yard therein, or in warm Milk and Oyl.

Or soment it with the same warm, with hot Clouts, and also the Fundament, and this will do well, because while the pain remains, the Glans is cold, and when it is gone, it is warm. It is good also to heat the Feet, because Cold doth them hurt.

To piss in running water, till it make a noise, we have found profitable.

Also to piss often in a Sheep-fold, where the Dung is hot, or in Horse dung, is good against heat of Urn or Strangury.

Epithems to the Liver and Reins, and Oyntments are good when the urin is cholerick, especially when they are hot. They are mentioned in the hot Distemper of the Li∣ver and Reins.

The like are to be given at the mouth.

A certain Soldier affirmed that he was cured of the strangury by only looking upon the Flower of the milkie Mary-thistle.

Let the Air be temperate and cool, beware of too much heat, and things that cause Choler, from great motion of the Body, or passion of the Mind; from hot, salt, and sharp Meats and Sauces; from Wine, except with much water, and a little. Let him drink Barley-water, or Syrups with Water, or Whey. Let his Meat be such as allays sharpness, and gleweth the passages as Neats feet &c. Al∣so Pap of Milk and Meal, or Starch: Also Barley-cream, of Almonds, Pine-nuts, Pistachaes, small Nuts, and rear Eggs. Also prunes, Apples, Jujubes, Sebestens, with Lettice, Spinage, Orach, purslane, Bugloss, boyled in Milk, also Oyl and Butter.

Copulation is hurtful, because as I shewed, the Seed is sharp, and will provoke as it passeth.

If scalding Urin come from the stone of the bladder, * 1.48 without ulceration; of which we spake in troubled Urin. And if the Stone hath not been long there, but fell from the Kidneys, nor be too great, it comes forth with the urin of it self, or by the use of medicines. But if after it is fallen into the bladder from the reins, and it grow so great that it cannot pass the neck of the bladder, but when it comes thither, causeth pain and heat, then it must be taken out, either by medi∣cines to which it will scarce yeeld, or by cutting which endangereth the life: As shall be shewed in the Cure of the Stone of the Bladder.

Turbulent or mattery pissing, like slime, * 1.49 comming from the ulcers of the reins and bladder with heat of urin, is not cured but by the Cure of the ulcers. And that being difficult, maketh the cure also difficult of that which comes from the ulcer. The ulcers of the reins being old, increase matter in the vein, and devour the substance of the reins, leaving only a hard skin like a purse. And if this be but in one Kidney, the Patient may live long, and the other Kidney may perform the duty. The ulcers of the bladder are either incurable, or very obstinate, because they cannot unite by reason of the moisture, and because the urin being salt, doth alwaies provoke. The greatest hope is when the fleshy part of the Neck is only ulcerated: but when the membranous part suffereth it cannot be healed, except as we shewed in Wounds of the Bladder, it grow to the flesh adjoyning. If a Stone he with these ulcers, either in the reins or bladder, it makes them incurable, because the ulcers cannot be cu∣red, except it be taken out, and that is impossible.

We shall speak of the Cure of the Ulcer of the Reins and Bladder together, because they agree in many things. They are to be cleansed, and then dryed and healed, al∣wayes mixing things that resist sharpness of urin, and leni∣sie the passages, and stupesie the pain; or using somtimes one, and somtimes another, as necessity urgeth: For the ulcer of the bladder and neck thereof, use Injections. And if a Stone be therewith, mix things to break it, but gen∣tle, least you enrage the ulcer, or cut out the stone, for the ulcer will not else be cured: As we shewed in the Stone of the Bladder. Many Cleansers mentioned in the Cure of the Ulcers, are good here to break the Stone.

Also slimy and glutinating things which defend the ul∣cer, and take away sharpness, and cover the stone, and make it smooth. But for the Cure of the ulcer of the reins and bladder we take this course. As for purging it is sufficient to purge the Guts for excrements and wind, which increase the pain, bewaring of strong purges, which would do the same, and not cleanse the ulcer.

Gentle Laxatives mentioned in the heat of pissing for the urin, are good, especially Cassia, with Liquorish pou∣der &c. Also Manna which cleanseth ulcers, and Whey, and chiefly Turpentine, which loosneth the belly, and heals the ulcer.

Things that alter, cleanse, and heal, and allay the heat of urin, are given in divers sorms.

Also the Decoction mentioned in scalding Urin, with the Roots of Comfrey, Agrimony, Plantane, Ceterach, Myrtle seeds, and the like.

Or this Decoction. Take Guaicum half a pound, Com∣frey roots two ounces, Skins of Guords dryed one ounce and an half, Horstayl one handful, red Roses one pugil: boyl them in Rain-water to four pints. Let them often take a draughat with Honey, Sugar of Roses, or Syrup of Myrtles &c,

Also the Juyces of the Plants alone, or made into Sy∣rups, are good.

Also Water of Horstayl, Plantane, Myrtles, &c.

As Milk is good in ulcers of the Lungs by cleansing, glewing, and lenifying, so especially here, because it can better get to the reins.

Rosin of Larke-tree, or Tutpentine is good, for it clean∣seth and glueth, and you may know the vertue of it reach∣eth to the reins by the violent scent of the urin; give one dram or more, if you will have it loosen the belly, or in pills with Liquorish, Sugar, and the like: It wil work best with the Yolk of an Eg, and Honey, with water and wine.

The chiesest Pouders to cure ulcers in the Kidneys and Bladder, are made into Troches, with Gum Arabick, that they may keep. These are poudered again, and given one dram with, or without Sugar, with Milk, or Water, and Honey, or the like in the morning fasting, or at night, especially if they be Narcotick, that they may sleep four hours after supper.

These pouders may be made a bolus, or pills, with tur∣pentine.

The troches of Alkekengi are usual, being made of Seeds of Nightshade, Winter-cherries, the four less cold Seeds, Poppy, sweet Almonds, Pine-nuts, pistachaes, Bar∣ley, Liquorish, Roses, Gum Arabick, Myrrh, Bole, Spo∣dium, Sugar-candy, pellets, and Hydromel.

Others that cure the ulcer, and asswage pain, are thus made.

The first. Take the Pouder to abate heat, mentioned in often Pissing, Comfrey roots one dram, red Roses, Amber, Franksncense, each two scruples; Bole, or sealed Earth one dram, Dragons blood, Spodium, each half a dram; make a pouder, give it as formerly.

Another made of divers things, and very excellent. Take Almonds, Nuts, Pistachaes, Pine-nuts, each half an ounce; bitter Almonds, and Peaches, Cherries-stones each two drams; Chesnuts, Acorns, and cold Seeds, each half an

ounce; Barley, and Rice, each three drams; Comfrey roots two drams, Liquorish half an ounce, red Roses, Pomegranate∣flowers, Purslane, Lettice, Endive, Fleabane, Cotton, Line, Quince, Mallow, Myrtle, Coriander, Winter-cherries Anise, Smallage, and Parsley seeds, each one dram; white Poppy seeds half an ounce, Henbane seeds two drams, Date-stones five, Cherry, and Plum-tree Gum, each two drams; Gum Ara∣bick, Traganth, each one dram; Turpentine half an ounce, Frankincense, Amber, each one dram; Juyce of Liquorish, Wheat, or Starch, each two drams; Acacia, or Juyce of Sloes one dram and an half, Sanguis Draconis half a dram, Opium when there is pain, one dram, Bole, or sealed Earth six drams, red Coral, Osteocolla the stone so called, Crabbs eyes, each two drams; Spodium one dram, Ashes of a Bulls or Dears pizle half a dram, red Sanders one dram, Sugar Candy, and Penidyes, each one ounce: make a Pouder, give it a∣lone, or with Gum Traganth made into Troches, or with ten ounces of Sugar mixed, give two drams by it self, or made into Troches.

The third Pouder is only for curing of Ulcers. Take red Coral washed two drams, pouder of Horstayl, and ashes of the shells of Pompions, each one dram; Frankincense, Mastick, Sarcocol steeped in Milk, each half a dram; Sanguis Draco∣nis one scruple, Sugar candy, or of Roses, the weight of all the rest.

Half a dram of the Pouder of Cuttle-bone, or from six grains of the Magestery thereof to ten, given in a rear Eg, or old Conserve of Roses, in the morning, as it stops the running of the reins, so doth it the burning of troubled urin, from the reins and bladder ulcerated.

To these Pouders you may add Opium, as in the Tro∣ches of Winter-cherries.

Or other Narcoticks as in scalding urin, which I have observed a hundred times and more, being taken every night in this and other painful Diseases, hath allayed the pain, and refreshed the Patient that he hath lived, though without it he could not for pain.

Healing and narcotick Pills. Take Frankincense, and Mastick, each one dram; Myrrh, Storax, and Gum Traganth each half a dram; the Barks of Mandraks one dram, Hen∣bane seed half a dram, Opium, and Juyce of Liquorish dissol∣ved in Wine, each one dram; with Syrup of Poppies, make Pills, give one or more, as you shall think fit.

Injections are not for the Kidneys, but for Ulcers of the Bladder, to which they scarce reach in men, by reason of the bending and length of the Yard, but return again, though not in women; and if the Instrument be thrust to the neck of the bladder, it will hurt the ulcer: yet they are to be used for necessity.

For making whereof, take Cleansers and that also dry, which is hard by reason of the constant moisture, and things that abate heat of urin, as those Anodine Injecti∣ons there mentioned.

They are made of Milk which asswageth pain, cleanseth and healeth Womens and Cows Milk asswage pain best, or Goats, with Sugar, or Honey, Water, and Whey, when you will heal, use Sheeps milk, or other boyled and mix∣ed with Sugar, or Honey.

Also the Decoction of Barley, with Bean shales, Sugar, and Honey.

Wine is good to cleanse, if white and thin, with some drops of Spirit of Vitriol.

Also Whey, and some drops of Spirit of Vitriol injected with a Syringe, doth cleanse.

A Decoction for an Injection to cure ulcers. Take the Roots of Comfrey one ounce and an half, the dryed barkes or skins of Pompions one ounce, Horstayl, Plantane, Nightshade, each one handful; Rosemary, and St. Johns wort flowers, each one pugil, the four great cold Seeds six drams: boyl them in Barley-water, in a pint where of dissolve four ounces of Sugar, or Honey.

If you must dry more, add Mousear, Solomons-seal, Shepheards-purse, Ceterach, Bettony, Herb Robert, Das∣sodil roots which glew well, also plantane and purslane∣seeds.

Adding also the Juyce of Plantane, Horstayl, Shep∣heards rod, also Starch.

Also the Waters of those Plants are good, especially plantane, or Myrtles, Brambles, or Olive tops, Roses, Centaury, of St. Johns-wort.

Also steeled Water, or wherein Iron is quenched, or melted Lead hath been often infused.

There are glewing mixtures for Injections. As, Take Sarcocol steeped in Milk one dram, the Infusion of Gum A∣rabick or Traganth half a dram made in an ounce and an half of Plantane-water, Ceruss half a dram, Dragons blood one scruple, dissolve them in Milk, or a Decoction, or stilled Wa∣ters.

This oyly Injection heals ulcers. Take Hens dung, fry it in a pan with Butter or Oyl omphacine, then put them in cold Water, preserve the Oyl that swims at the top.

Mix with these, somtimes things that asswage pain, as the Decoction of white poppy seeds, Rinds of Mandraks, or Mucilages, the white of an Eg, and Opium in case of great pain.

In obstinate Ulcers the Decoction of Litharge is good, two ounces, in plantane, or Rose-water four ounces.

Or mix with the Injections mentioned, Bole, Cadmia, or Brass ore, called Lapis Calaminaris, Tutty, Ceruss, Lead burnt and washed: Antimony, and the Juyce from the grinding of a Bloodstone. And in filthy ulcers a lit∣tle Myrrh.

The troches of Alkekengi, and Gordonius, are good to be taken at the mouth, and those of Amber, sealed Earth, Spodium, dissolved in the Liquors aforesaid.

Some drying Collyriums for the Eyes are good here, as that white one, and the yellow one, and that of Frankin∣cense of Rhasis; also of Tutty, and the like, of Ceruss, Sarcocol, Frankincense, Gum Traganth, Arabick, Starch, which asswage pain, with Opium.

A little Aegyptiacum is good when ulcers are very foul.

The Chymists commend the spirit of Mercurius dulcis, with plantane or Horstayl-water, injected to cure ulcers in the Yard and Bladder, cool Oyntments for the reins are good to cool the urin: As we shewed in burning urin.

You must anoint the privities, and perinaeum, or seam, with Oyl of Roses or Violets, with Oyl of Myrtles, Quin∣ces, and a little Vinegar, if the pain threaten Inflamma∣tion.

To these Unguents are added, Ceruss, Litharge, Juyce of plantano, and Horstayl to dry the ulcer, yet they do lit∣tle outward, and because by astringing outwardly, they will stop the passage of urin, it is better to use relaxing Oyntments to open, as Oyl of sweet Almonds, Chamo∣mil which also stay pain.

You may make Fomentations of the same for the pecten or perinaeum, as of Mallows, Chamomil, Melilot, with Coolers if there be heat, as Water-lilly roots, and flowers, Violets, &c.

The Diet must be as in the Cure of scalding Urin with∣out an ulcer, and glutinous Meats that cover the ulcer, to keep it from sharpness. Fat things soul ulcers, and are not here good.

Other thick pissings as of matter, * 1.50 or of milkie white from the Reins not yet ulce∣rated, come from a filth that is bred there, and mixed with the urin, because they cause heat in pissing, and by continuance also excoriation of the bladder that causeth an ulcer, must be cured.

This is done by purging the Body from foul excre∣ments and humors, which cause the filth to grow to the reins, and is turned into matter: then by cleansing the reins with things mentioned in the Cure of the Ulcer of the Kidneys. Among which Turpentine is excellent, and Milk, and the like, with Lenitives which take away heat, mentioned in Heat of Urin, which allay the acrimony of urin, and of this matter also.

As for the Pissing of Matter which comes from Imposthumes in the Li∣ver or other parts, * 1.51 besides the Reins and Bladder, or from an Empyema a Pleurisie or Peripnumony. In these you must help Nature in her motion, and not stop, with things that cleanse the filth of the blood by urin, mentio∣ned in Feavers, and for the rest, go to the Disease rather then the Symptom.

If Pissing of Blood come from a stone which grateth upon the Loins, * 1.52 through motion, because there is then but little blood mixed with urin, and it continueth not but when motion ceaseth, the urin comes to its colour again, it requires no other Cure but that of the Stone, which is the cause thereof: As we shew∣ed in the Cure of the Stone.

But if Pissing of Blood come from the Kidneys, * 1.53 being too full of blood, which Nature sends forth with the u∣rin, being impure or too thin, it must be cured, if it contiune. And also if it come from a hurt in the Reins, with these medicines following.

We revel or pluck back the blood when it flows too much, by blood-letting and cupping, in the extream parts, but if the Loins be cupped, the blood would be drawn thither from the great Veins.

If the Flux come from the blood being watery or un∣clean, it must be cleansed with gentle purgers that astringe as we shewed in all other Haemorragies.

We stop the Flux with things that thicken the blood, and stop the passages, with some things that stupesie the sense, as follow.

Pouders are given with Sugar of Roses, or an Eg, or steeled Milk, or Sheeps milk, or old red Wine, Syrup of dryed Roses, Myrtles, or convenient Waters.

These are proper, pouder of Horstayl, Yarrow, Com∣frey roots, Snakeweed, five leaved Grass. Myrtle seeds, Date-stones, Maudlin according to Dioscorides, wild Cum∣min seed, Bole, or sealed Earth, Blood-stone, red Coral which dissolves the clotted blood, Amber, burnt Ivory, Gum Traganth, Arabick, Acacia, and the like.

The troches also of Amber, Winter-cherries, of Gordo∣nius, and such as bind, mentioned in the Ulcers of the Reins, that allay the heat of the urin.

Waters, Juyces, and Decoctions of Plantane, Purslane, Yarrow, Shepheards-purse, Sumach, Quinces, and the like.

Also Narcoticks, as Philonium Persicum, as in other Fluxes, and other Troches, with Opium. And with Hen∣bane seeds, as in Spitting of Blood.

Anoint the Reins with this. Take Bole, or other gluti∣nating Earth, half an ounce, Rinds of Pomegranates, or Galls two drams, Dragons blood, Allum, each one dram; with Oyl of Myrtles, the White of an Egg, and a little Vinegar: make an Oyntment or Plaister, Juyce of Plantane instead of the Oyl, is better.

Mix Juyce of Purslane with Barley-flower, and apply it to the Reins.

If Pissing of Blood come from ta∣king of Cantharides or Spanish flies, * 1.54 we give things which allay the heat of urin, by which the mouths of the emulgent Vessels are opened, and this Flux is raised; chiefly the Decoction of Line-seed, and steeled Milk: Emulsions of the great cold Seeds, white Poppy seeds, and sweet Almonds. Also Oyl of Almonds, Roses, whites of Eggs, and Mucilage of Flea∣bane seed. And if it continue other remedies mentioned.

If Pissing of Blood come from a hurt of the bladder, * 1.55 in regard much blood cannot flow from so few veins, you must apply remedies to the hurt or wound, both at the mouth, and by Injections. And if it continue, use the remedies mentioned, and the Oynt∣ments to the bladder.

If clotted blood stop the bladder, we give things to dis∣solve it, as Amber, Kids Runnet, and the like, mentioned in want of Pissing from clotted blood, chiefly Savory dis∣solves blood in the bladder. And if you put the Yard into a hollow Raddish, the clotted blood will come forth.

When the Urin comes forth at a Wound, as when you cut for the stone, * 1.56 there is no way but to cure the wound.

When a wound pierceth the lower parts of the belly and bladder, and the urin comes forth, cure only the wound; but if it be incurable as usually it is, the urin will pass that way till death; neither will the ulcer grow together: As we shewed in the Cutting of a fleshy Rupture, when the bladder was divided, so that the wound turned into a Fistula, and the Patient pissed through it without other inconvenience, because the urin fell not into the belly, but came forth. Somtimes as in him that was gored with an Ox through the belly and bladder, when the wound is cured, the urin turns to its proper passage; which we suppose was done because the wound was in the fleshy part of the bladder, which will grow together, and be healed, otherwise in the membra∣nous part it will not, except the wound be near to some flesh which is pierced, unto which the membrane may grow, so that the hole in the bladder may be covered with a Callus, and the urin return to its Natural passage.

Notes

• * 1.1

  Preternatural Pissing.
• * 1.2

  Involuntary Pissing.
• * 1.3

  Pissing of Bed.
• * 1.4

  Immoderate Pissing.
• * 1.5

  Diabetes Dipsacus.
• * 1.6

  Dropping of urin. Strangury.
• * 1.7

  Hot Pissing, scalding Urin, Dysury, or dif∣ficulty of urin.
• * 1.8

  Thick Pissing.
• * 1.9

  Milkie Pissing.
• * 1.10

  Pissing of blood.
• * 1.11

  Urin of a pre∣ternatural color or mixed.
• * 1.12

  Urin mixed with dung, bones, or the terms.
• * 1.13

  The Flux of urin by a Wound.
• * 1.14

  An evil custom is the Cause of often Pissing.
• * 1.15

  The Constitution of the Reins and Bladder.
• * 1.16

  Heat and weak∣ness of the Kid∣neys, is the cause of often Pissing.
• * 1.17

  A cold Di∣stemper of the Reins, is the Cause of often Pissing.
• * 1.18

  A hot Di∣stemper in the Kidneys, is the Cause of scald∣ing Urin.
• * 1.19

  Pricking in the Reins and Bladder, is the cause of preternatural Pissing.
• * 1.20

  Much Ʋrine, is the cause of large Pissing.
• * 1.21

  Too much drink is the Cause of immoderate Pissing.
• * 1.22

  Plenty of Water, is the Cause of immoderate Pis∣sing, and Dia∣betes.
• * 1.23

  Sharpness of urin the Cause of scal∣ding Piss.
• * 1.24

  Sharpness of urin is the cause of pis∣sing.
• * 1.25

  Seed out of its place, is the Cause of scal∣ding Urin.
• * 1.26

  Corrupt Seed is the Cause of ••••al∣ding urin in the Running of the Reins.
• * 1.27

  A Stone in the bladder, is the cause of hot urin.
• * 1.28

  The Solution of Continuity in the Kidneys & Bladder, is the cause of Pissing of Blood.
• * 1.29

  A Wound upon the Sphincter mus∣cle of the bladder, is the cause of in∣voluntary Pissings
• * 1.30

  A Wound in the bladder, is the cause of urin pas∣sing that way.
• * 1.31

  An Ʋlcer in the Reins, is the cause of pissing matter.
• * 1.32

  The Ulcer of the bladder, is the cause of pissing hot matter.
• * 1.33

  Hurt of the neck of the bladder is the cause of pissing of dung, bones, or terms.
• * 1.34

  The Anastomosis, or Diapedesis of the Veins of the Reins, is the cause of pis∣sing of blood.
• * 1.35

  Loosness of the Vessels, is the cause of pissing blood.
• * 1.36

  Want of animal or vital Spirits is the Cause of involuntary pis∣sing.
• * 1.37

  A Convulsion of the Muscles of the belly, is the cause of involuntary pis¦sing.
• * 1.38

  An Impostum in the bowels, is the cause of pissing of matter.
• * 1.39

  The diseases of the internal bowels may cause a tin∣cture in the urin, and a mixture.
• * 1.40

  The Cure of in∣voluntary pis∣sing from want of animal or vi∣tal Spirits.
• * 1.41

  The Cure of pissing a bed.
• * 1.42

  The Cure of in∣voluntary Pis∣sing from the di∣stemper of the Reins, immode∣rate pissing.
• * 1.43

  The ••ure of much pissing after much Wine.
• * 1.44

  The Cure of much pissing from abun∣dance of serum.
• * 1.45

  The Cure of Diabetes.
• * 1.46

  The Cure of scalding urin.
• * 1.47

  The Cure of scal∣ding pissing from heat of urin only.
• * 1.48

  The Cure of hot pissing from the Stone.
• * 1.49

  The Cure of the ulcer of the reins and bladder.
• * 1.50

  The Cure of turbulent pis∣sing from the Reins.
• * 1.51

  The Cure of pissing of matter from the Liver and other parts.
• * 1.52

  The Cure of pissing blood from the stone
• * 1.53

  The Cure of pissing of blood from A∣nastomosis or hurt of the Reins.
• * 1.54

  The Cure of pissing blood from taking of Spanish Fliks.
• * 1.55

  The Cure of pissing of blood from hurt of the bladder.
• * 1.56

  The Cure of pre∣ternatural pissing from a Wound.