A compleat practice of physick.: Wherein is plainly described, the nature, causes, differences, and signs, of all diseases in the body of man. VVith the choicest cures for the same. / By John Smith, Doctor in Physick.

INFLAMMATION of the Jaws, is

the first kind of Quinsey, when the in∣ward compasse of the Jaws is inflamed; the Tumor appearing inwardly and out∣wardly. 2. When the outward mus∣cles of the Jaws, of the Neck, of the for∣ked bone of the Wesand are inflamed, the Tumor spreading it self to the Brest. 3. When the inward muscles of the Larynx are affected, so that the Tumor appeareth neither without, not within. It causeth shortness of breath, and the sick loll forth their Tongues, like Dogs, whence it is called Cynanche. The se∣cond is called Paracynanche or the Mumps: neither of these is the Quin∣sey with Dod: The first is called Cynan∣che, That which is made by the luxati∣on of the Vertebras of the Neck, is a ba∣stard Quinsey.

Prognostick. The mumps is the least, then the Quinsey, then Paracynanche, which is the fourth kind, when the out∣ward muscles of the Throat are infla∣med; the Tumor appearing inwardly, the worst in Cynanche. An obscure voice, froth about the Mouth, a black Tong••e, raw spittle are mortal.

The Cure. Revulsives being premised,

and derivers, as opening a Vein in the Arm, and under the Tongue. If a Fea∣ver went before or invaded at once, be∣cause the matter is wandring and swel∣leth, experience teacheth us to purge. If Inflammation went before, and a Feaver follow, it is not so convenient; but this must be quickly done: as in the morning open a Vein, and purge at night; for the fourth day it either sup∣purates, or Resolves, or kills; but you must be very careful that the medica∣ment move not vomit▪ for there is fear of strangling; wherefore Clysters are safer to be given. Gargarisms must be Repellers at first, as, Take water of Ho∣ney-suckles, Plantain, Nuts, of each three ounces; flowers of dry Roses, one pugil; boyl them in the strained liquor; dissolve syrup of Pomegranats and of Mulberies, of each one ounce; mingle them. For•• for Children lick∣ing medicaments are good. Fumes are not good. The juyce of green Wal-nut shels clarified with Honey is commen∣ded by Galen. We must begin from lighter Remedies. The decoction of Oats, leaves of Cherry-tree. Physiti∣ans

warn at the beginning to add at first some discutients least the humour should be thickned too much. In the declination also Astringents must be added, lest the part that is soft of it self should grow too soft. For. in the de∣clination prescribeth for a Gargarism, one Swallows nest, cut with the fea∣thers. Others hold for a secret, ashes of Crab-fish, or a Dogs dung, or Hens dung anointed with Honey. Alwaies mingle detergents: In all Inflamma∣tions which are covered with a thin skin, there sweats something through, to be washed away with detergents. Rondelet, when the humour floweth thither, cured himself and many more from the Quinsey, and scrofulous swel∣lings with Astringents, which though it may be done where the body is clean, and the Flux but small, so in a great Flux it is mortal. Topicals must be e∣mollients, after that discutients. Ap∣ply Cupping glasses to the Chin, or to the second and fourth Vertebra, if the Jaws or their muscles be affected. If it suppurate, lay on ripeners: afterward; open the Impostume by crying aloud,

and the Head down-wards, lest the cor∣ruption run upon the Lungs. Some when the disease is desperate, make deep scarification under the Chops, or above the Neck, by which the sick have been eased, by blood or matter running forth. Ivy wood is held to be specifical, if you use a spoon or dish made of it. The last remedy is cutting off the La∣rynx about the third or fourth ring. Li∣quid nourishment is cast in by a Pipe put in the Throat, and a Hogs bladder, Erysipelas coming upon the Face is a good sign.