The expert phisician learnedly treating of all agues and feavers, whether simple or compound, shewing their different nature, causes, signes, and cure ... / written originally by that famous doctor in phisick, Bricius Bauderon ; and translated into English by B.W., licentiate in physick by the University of Oxford ... Pharmacopée. English Bauderon, Brice, ca. 1540-1623. This text is an enriched version of the TCP digital transcription A26839 of text R19503 in the English Short Title Catalog (Wing B1163). Textual changes and metadata enrichments aim at making the text more computationally tractable, easier to read, and suitable for network-based collaborative curation by amateur and professional end users from many walks of life. The text has been tokenized and linguistically annotated with MorphAdorner. The annotation includes standard spellings that support the display of a text in a standardized format that preserves archaic forms ('loveth', 'seekest'). Textual changes aim at restoring the text the author or stationer meant to publish. This text has not been fully proofread Approx. 198 KB of XML-encoded text transcribed from 88 1-bit group-IV TIFF page images. EarlyPrint Project Evanston,IL, Notre Dame, IN, St. Louis, MO 2017 A26839 Wing B1163 ESTC R19503 12172216 ocm 12172216 55454 This keyboarded and encoded edition of the work described above is co-owned by the institutions providing financial support to the Early English Books Online Text Creation Partnership. This Phase I text is available for reuse, according to the terms of Creative Commons 0 1.0 Universal . The text can be copied, modified, distributed and performed, even for commercial purposes, all without asking permission. Early English books online. (EEBO-TCP ; phase 1, no. A26839) Transcribed from: (Early English Books Online ; image set 55454) Images scanned from microfilm: (Early English books, 1641-1700 ; 120:8) The expert phisician learnedly treating of all agues and feavers, whether simple or compound, shewing their different nature, causes, signes, and cure ... / written originally by that famous doctor in phisick, Bricius Bauderon ; and translated into English by B.W., licentiate in physick by the University of Oxford ... Pharmacopée. English Bauderon, Brice, ca. 1540-1623. Welles, Benjamin, 1615 or 16-1678. [14], 160 p. : port. by R.I. for John Hancock ..., Printed at London : 1657. Translation of: Pharmacopée. Advertisements on p. 158-160. Reproduction of original in Thomason Collection, British Library. eng Fever. Medicine -- Early works to 1800. A26839 R19503 (Wing B1163). civilwar no The expert phisician: learnedly treating of all agues and feavers. Whether simple or compound. Shewing their different nature, causes, signe Bauderon, Brice 1657 34512 57 255 0 0 0 0 90 D The rate of 90 defects per 10,000 words puts this text in the D category of texts with between 35 and 100 defects per 10,000 words. 2006-04 TCP Assigned for keying and markup 2006-04 Aptara Keyed and coded from ProQuest page images 2007-05 Ali Jakobson Sampled and proofread 2007-05 Ali Jakobson Text and markup reviewed and edited 2008-02 pfs Batch review (QC) and XML conversion You see his Shadow and his outward Looks , Such was his face , which yet is but the rind : To know him better you must read his Books , You 'l wonder at his gifts , and noble mind . portrait of Bricius Bauderon THE Expert Phisician : Learnedly treating of all AGVES and FEAVERS . Whether Simple or Compound . Shewing their different Nature , Causes , Signes , and Cure , viz. A Feaverish Heat . The differences of Feavers . A Diary Feaver . A Burning Feaver . A continual Putrid . A continual Tertian . A continual Quotidian . A continual Quartan . An intermitting Quartan . Feavers annexed to Quartans . A Semitertian Feaver . An Hectick Feaver . Confused Erratick Feavers . Malignant pestilent Feavers , &c. Written originally by that famous Doctor in Phisick , Bricius Bauderon , and Translated into English by B. W. Licentiate in Physick by the University of Oxford . Published for the general good of this Nation , and may be put in practice with facility and safety . Printed at London by R. I. for John Hancock , and are to bee sold at the first shop in Popes-head Alley , near the Exchange . 1657. The Epistle to the Reader ▪ Courteous Reader ▪ THere are no Diseases more frequent in this Nation , none more difficult of Cure , than Agues and Feavers , so that they are Proverbially called , The Scandal of Phisicians : Fernelius , who was thought to have writ best against them , was himself destroyed by one ; neither hath there yet been publisht any remedy so saving , as their fiery darts are killing . Accept then of this Balsome , gathered from the choyse Gardens of the Greeks , Latines , Arabians , by the hands of that incomparable Dr. Bricius Bauderon , whose age and experience works more on my faith , than the unfathomed Arcana of the moderne Febrifuga ; hee was eighty years aged when he writ this Tract , and had fifty years confirmed by his Practise , what in one moneths time thou mayest now be master of ; his painful long-teeming Birth wants nothing but thy embraces to cherish it , it hath been for many years cloystered up in the French and Latine tongue , though desired by ambitious heads as a choyse purchase ; few private Studies could boast of its possession , which encouraged me to set it forth in this English Garb , in which it is entire , though not so splendid ; more profitable , though not so beauteous : Such emunct nostrils as shall snuffe at it , are like those my Author speaks of , that wil swound at the smel of a Rose ; suburban wits , that breath best in the worst Air ; or like some unclean Creatures , that thrive best in standing Pools ; but I leave them , and commend the ingenious to the Work it self , methodical , facil , and perspicuous enough to benefit the meanest capacity , yet satisfie the highest ; read and be convinced . Thine , B. W. The Contents of every Chapter . Chapter 1. TReateth of a Feaverish heat . Chap. 2. Of the differences of Feavers . Chap. 3. Of the Division of Feavers . Chap. 4. Of the Circuit of Feavers . Chap. 5. Of the Constitution of Feavers . Chap. 6. Of the Four times of Diseases in special . Chap. 7. Certaine Physical Rules for practise Chap. 8. Of a Diary Feaver . Chap. 9. Of an unputrid Synochus . Chap. 10. Of a continual putrid Feaver . Chap. 11. Of a Burning-feaver , and continual Tertian . Chap. 12. Of the Cure of these Feavers . Chap. 13. Of a continual Quotidian Feaver . Chap. 14. Of a continual Quartan . Chap. 15. Of an intermitting Tertian . Chap. 16. Of the Cure of a spurious intermitting Tertian . Chap. 17. Of an intermitting Quotidian . Chap. 18. Of a Quotidian Feaver from salt Flegme . Chap. 19. Of an intermitting Quartan . Chap. 20. Of Feavers annexed to Quartans . Chap. 21. Of confused , compounded , and erratick Feavers . Chap. 22. Of a Semitertian Feaver . Chap. 23. Of a Hectick Feaver . Chap. 24. Of Malignant and pestilent Feavers . Chap. 25. Of the Cardiacal Feaver . Chap. 26. Of the Feaver from Crudity . Special observations for the Readers more easie apprehension . REader , for thy better understanding of the quantity of Weights used in this , and other Physick Books , in Compounding of Medicines , observe this brief direction ; That , A Graine is the quantity of a Barley Corn . A Scruple is twenty Barley Cornes . Three Scruples containe a Dram. Eight Drams containe an Ounce . The expert Phisician , Learnedly treating of all Agues , and Feavers , whether Simple , or Compound , CHAP. I. Of a Feaverish heat . A Feaver is so called from the Latine word Forveo , because it is a Fervor or Heat affecting the Body ; the Gr●eks call it {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is to be inflamed or taken with a Feaver , sometimes it is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is a fiery habit , or fiery disposition of the Body , and by Hippocrates in the first Book Epidem Commen . 3. text 18. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} ▪ that is , fire it self . It is a praeternatural heat kindled in the heart , as in its proper subject , primarily and per se hurting our actions , which heat by the mediation of bloud and spirits , through the Veines and Arteries , is diffused through the whole body . Now , all heat is either Natural , or ascititious , the Natural is either implanted and fixt , or elementary and fluid , and a Feaver cannot consist in either of these , because the implanted is fomented by the primogenious moysture , whose original is heavenly , and once depeculated or wasted , cannot be repaired ; nor in the elementary , because this by its temper doth help and cherish the implanted , and further it in concocting and assimilating the nourishment which is to bee converted into our substance ; this heat Phisicians call influent , because with the spirits and bloud from the heart , it is carried by the Veines and Arteries to all parts of the body ; a feaverish heat then is in the ascititious saith Galen , Comment . on the sixth book , Epidem . Hippo. text the 28. An ascititious heat is Three-fold ; the first in respect of the other is said to be simple , that is a bare exuperancy of heat , which is thus ingendred ▪ the Elementary or fluent heat by a daily increase receding from its temper and mediocrity becomes excessive , so that that which was natural , by degrees becomes unnatural , and therefore vitious , and offensive to nature , doth hurt her operations ; and in this ascitious heat are your Ephemerae or Diary Feavers , and unputred Synochus . The second heat different from the former is acrid and mordent , arising from putrified matter , which though it be not very burning hot , yet favouring of the condition of the matter from whence it proceeds , is praeternatural and burdensome to the implanted heat , and in this are putrid Feavers both continual and intermitting , compound , erratick , and confused . The third ascitititious heat is wholly malignant and pernicious , caused from some venenate or pestilent matter , not from the exuperancy of its quality , as the first , nor from putrefaction , as the second , but is substantially different , and inimicous to the vital and implanted heat . CHAP. II. Of the differences of Feavers . SEeing that all Feavers are caused by an ascititious heat , and not by a natural , as was said before , it is necessary we take their differences first from the essence of heat , then from the subject in which the Feaver is , or from the manner of the motion of heat , or from the cause of the Disease , or from the matter , or symptomes . The first difference then is from the essence of the praeternatural heat , by which some action is alwaies hurt , because there is a recession from the natural state , and by how much the greater and more vehement this heat is , by so much the greater ought the Feaver to bee accounted ; as for example , a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is , a Burning feaver may be said to bee greater than any other Feaver , because its heat being more intense it appears more acrid and mordent than any other humoral Feaver ; but on the contrary , if you compare it with an Hectick , it is less than that , because this possesses the very substance of the heart , but that the Humours near unto it . Another difference may bee taken from the subject wherein the Feaver is , as for example , by how much the nobler the part affected is , by so much the more vehement the Feaver , as that Feaver which proceeds from a Phrensie , peripneumony , or inflammation of the Lungs , or from a Plurisie by reason of the parts affected , shall bee farre more dangerous than that which follows an inflammation of the Reins , Spleen , or Foot ; besides , the Feaver is proportionate , or improportionate in relation to the subject , and thence shall be esteemed greater or less , as a Burning feaver is proportionate in a Body hot and dry , of youthful age at Midsummer , or in a hot and dry region , and consequently less dangerous than the improportionate , which should happen to an aged body , cold and moyst in the Winter season , and in a cold and moyst Country , as Hippocrates doth excellently note it , Aphor. 34. Sect. 2. The Third is from the manner of the motion , and motions here , is nothing else but a swift or slow transition from one subject to another ; the swift motion is as often as the heat passeth from a crasse thick subject , to a tenuous one , as for example ; as oft as an intermitting Feaver doth pass into a continual or other putrid one ; and on the contrary , the slow motion is as often as an Ephemera or putrid feaver degenerates into a Hectick , for the Spirits are easier set a fire than the Humours , and these easier than the solid parts of heart and body ; likewise an unputrid Synochus being neglected , doth easily pass into a putrid one , and so of other sorts of Feavers . The Fourth is from the efficient cause , which is three-fold , the one evident , the other internal , the third occult ; the evident is drawn from those Six non-natural things , as from the air , inanition or repletion , &c. the internal from fluxions on the stomack or lungs , obstruction , crudities , or putrefaction of humours , &c. The occult cause may be double , external , and internal , the external as the contact of a Torpedo , impure copulation , the use of malign and venenate medicaments , &c. from whence are Feavers epidemical , endemical , sporadical , and pestilential , saith Hippocrates and Galen , the internal cause is hard to bee discovered , because besides the putrefaction , there is a certain venenate air , or breath , which is for the most part unknown to us , whether it depend on the element of Stars , and therefore is called by Hippocrates , Quid divinum , as was that sweating sickness in Brittaine , which did not only depopulate England , but Germany and France . The Fifth difference is from the matter , which consists either in the spirits , or the humours , or the solid parts , and these three Hippocrates in the sixth of his Epidem . last Section , text 19. calls {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is , containing , contained and impetuous bodies . The containing , are the solid parts in which are caused Hectick Feavers , both universal and particular , they first invade the substance of the heart , then equally the other parts : these primarily and per se , possess the substance of some private part , from whence they are communicated to the heart , and to the rest of the solid parts , as to the Lungs , Midrist , Stomach , or Liver , &c. The contained , are the four Humours which offend either in quantity or quality , in quantity as often as these Humours are more or less enflamed in the heart without putrefaction , and hence are the Epacmastical , Acmastical , and Paracmastical Feavers ; in quality , in relation either to touch , sight , or taste , according to Hippocrates , as by the touch of the Pulse , some are judged mordent , others milde , and temperate in comparison with others ; others appear moyst as bilious Feavers , such as are your continual tertians , or burning Feavers , all which are mordent , especially about the state of the Disease , and before the Crisis ; the m●lde ones are such as the true Diary Feaver , which ends with a sweat or moystness , and your unputred Synochus , and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is moyst , of which Galen makes mention against Lycus ; for these in respect of other Feavers are called milde and temperate . To the sight are referred the red ones , as the unputred Synochus , which is from a more fervid bloud , the white ones as Quotidians , the livid as Quartans , Syncopal , or Pestilential Feavers ; others are arid and horrid to the eye , as the colliquating Hectick , and that of the second or third degree . In relation to taste , some are said to be sweet , as those from natural Flegme , and many bloudy ones , which even after putrefaction retaine some sweetness ; others are bitter as the bilious , others salt , as those from salt flegme , and the hybernal causes , or winter burning Feaver . The impetuous are the vital , animal , and natural spirits ; in the vital spirits is caused a Diary of one day , if the spirits be tenuous , of more daies , If they be crasse ; but more of this in its proper place . Some Feavers are long , others short ; some diurnal , others nocturnal ; some ordinate , others inordinate ; some periodical , others erratical , according to the condition of the Sick , the quality of the morbous matter , or its quantity and motion . The Sixt difference of Feavers is taken from their Symptomes , as often as a part is possest with an inflammation , and these Feavers are always continuall , whether bloud , choller , or flegme superabound ; if bloud , the Feaver is called Phlegmonodes , if choller , Erysipelatodes , and Typhodes , or burning ; and they have another name or appellation from the part affected , as from the Liver Hepatica , from the Spleen Splenica , from the Bladder Cystica , from the Throat Cynanchica , from the Head Phrenitica , Lethargica , Comatosa , from the Lungs Pneumonica , from the Side Pleuritica , from the Midriff Diaphragmatica , from the Wombe Hysterica , from the Stomach Stomachica , &c. CHAP. III. Of the division of Feavers . ALL Feavers of what sort soever are either Essential , or Symptomatical , the Essential is either simple , compound , confuse , erratick , pestilent , or of malignant nature . The Simple is either in the spirits , or humours , or solid parts ; chiefly in the vital spirits , then in the animal and natural ( if there be any such ) is the true Ephemera which lasts but one day , but longer if the spirits be crasse . In the Humours are ingendred divers Feavers , of which some are continual , others intermitting , and of the continual some are from the Humours not putrefied , others from putrid humours , and these either from the humours equally , or inequally putrefied . Those which are from the humours not putrefied are from the bloud inflamed in the heart by a preternatural heat , which by the greater veines diffused into the habit of the body , doth primarily , and per se hurt our actions . These differ from an Ephemera nominally , and in respect of the matter not really , nor in way of cure , because the one is in the spirits inflamed , the other in the bloud unputrefied ; both may proceed from the same external causes , and the same method and remedies serve for the cure of both , they are continual , and have but one accession , although there bee three sorts of them distinguisht by their several names . The first is , when the heat remains equal and alike to it self , through the whole course of the Feaver , and how much is inflamed anew , so much is presently dissipated , and this the Greeks call Homotonos , or of equal tenor . The second is , when the late inflamation is greater than the dissipation , and then the heat gathers strength , and grows stronger , and this is called Epacmastical , or increasing . The third is , when there is more dissipated , then is afresh inflamed , and it sensibly declines till it end , and by the same Greeks is called Paracmastical , or declining ; and this Synochus may last seven days , but an Ephemera transcends not the third day unless the spirits be crasse ; full bodies which abound with bloud , and fare deliciously and live idlely , and those in hot and moyst , or temperate regions , are most subject to the unputred Synochus , for the most part it ends with sweating or moystness , as an Ephemera , which wants not its danger , if you neglect bleeding . Feavers which are in the putred Humours are either from equal , or inequal putrefaction ; if the Humours be equally putrefied in the great Veines , the Feavers are continual , and are three-fold distinguisht by the same names as the unputred Synochus ; for the first is Homotonos , when the putrefaction remaines equal and alike to it self through the whole course of the Disease , and how much putrefies so much is emptied ; the second Epacmastical , when the putrefaction from the beginning to the end increaseth ; the ast Paracmastical , when the morbifical humour is from the beginning to the end by degrees diminisht . The●● three have no remissions , or exacerbations apparent at intervalls ( because the Humours are equally putrefied in the great Vessels ) as are in those which proceed from the Humours inequally putrefied in the same Vessels , of which in their proper place ; neither have they any intermissions as are in the exquisite intermitting Feavers , but last till the whole putrefaction is discussed ; their signs are like to those of the unputred Synochus , but more conspicuous , because they are from putred matter , but those from the effervescency of heat . The latter Phisicians use the word {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , for every continual Feaver caused from the Humours inequally putrefied in the great Veines , to difference it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , which signifies the same , if you respect the etymology of the word . This Synechis , or continual Feaver , hath divers appellations according to the site of the Humour which doth unequally putrefie ; if in the great Veines near to the heart , a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} or burning feaver is ingendred , but if in the other Veines further off , a continual Feaver is caused , which hath its denomination from the predominant humour , viz. if Natural choler putrefie , there will follow a bilious Synechis , which every other day shall have its exacerbations and remissions , and in the morning especiall shall be most remitted , but without intermission , from whence is a continual tertian ; if Natural flegme putrefie in the veines , there shall be a continual quotidian , which likewise every day at set hours shall have its remissions and exacerbations ; if a melancholly humour putrefie , there shall be a continual quartan , which every fourth day shall have its intension and remission , but no intermission . Amongst those Feavers which are caused from Humours inequally putrid , there are some others which differ from the continual , both in matter and site , and are called intermitting , for the matter of continual Feavers is natural , but that of intermittings is excrementitious ; the seat and matter of the continual , is in the great Veines , but that of the intermitting without them , as in the Liver , Stomach , Spleen , Intestines , Mesentery , and habit of the body , so that if excrementitious choler putrefie , it is called an intermitting tertian , because it recurres every thrid day , begins with rigour , and sometimes with vomiting , if it be exquisite , whose fit is twelve hours , or less , according to the quantity of choler producing it , and is terminated with Sweats , then ends in an apyrexy , or perfect infebricitation , and the fuel of this Disease is principally in the Liver ; likewise if excrementitious flegme putrefie , out of the great Vessels is caused an intermitting quotidian , whose fit is eighteen hours by reason of its coldness , crassness , and clamminess , and it begins with a coldness of the Nose , Eares , Hands , and Feet , and is terminated with a moysture , and not with sweat as a tertian , the fountain of this is the Stomach , if glassie flegme putrefie in the same place ; there is another kind of Feaver which the Greeks call {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , the word is derived from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , which is milde , and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Sea , because as that at first seems smooth to the Marriner , and by and by is tost with most horrid Tempests , so this Feaver at first invasion is gentle , and so takes root , and a little while after precipitates the sick into most desperate dangers , or as Aegineta would have it , it is derived from the Adverb {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is , gently , and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , heateth ; to this kinde may bee referred those from Rheume , and that which accompanies the Green Sickness , but of them in their place . If a melancholly excrementitious Humour putrifie there , it begins with horrour , and sometimes with vomiting , as a tertian , and the fit is twelve hours , or more , or less , according to the quantity of the Humour , and recurres every fourth day , and therefore is called a quartan , which is the longest of all Feavers , and hath its seat in the Spleen ; and so much for Feavers in the Humours inequally putrified , whether continual , or intermitting ; and though Hippocrates and Galen make mention of a Quintan , Sextan , Septan , and Nonan , we must not think they proceed from any next kinde of Humour , but are to bee referred to a Quartan , and to be cured by the same method , onely the difference is that a Quintan is caused from an atrabilarious humour , and is the worst of all , fullest of danger , and of the greatest essence , saith Galen , Commen . on the third Section of the first Book Epidem ▪ but the rest are from a melancholly humour . A Hectick Feaver ( although it bee in the solid parts ) is to be reckoned amongst the Simple Feavers , it differs from a pestilential , in that it is free from any venenate or malign quality , from the Humoral , that is free from putrefaction . A Pestilent Feaver is likewise numbred amongst the Simple , though it differ from them by its venenate , contagious , and pernicious quality , by which it contaminates our substance , and amongst malignant Feavers may be numbred , those from vitellinous , aeruginous , and prassinous choller , according to Galen , and Hippocrates , and Avenz●ar in his Theisir , A Leipyria is placed also amongst malignant Feavers by Hippocrates , in his Epidem . and Progno . 2. Lib. 3. and by Galen in his Comments upon those Books , it differs from an exquisite cause by its malignity , and is always deadly , according to Galens Commen . on Aph●ris . 48. Sect. 4. and c. 4. of his Book of Inequal Distempers , it kills the fourth day , or sooner , and follows great inflammations of the Viscera , so much of Simple Feavers . A Compound Feaver is that which is made either of two intermittings mixt , as a double tertian , a double and triple quartan , or of a continual and intermitting , as a hemitritaean , or a Hectick with a putred make a Compound Feaver , and so likewise of many others . The confused is as often as two or three Humours doe putrefie together , whether in the great Veines , or out of them ▪ and in the same place begin together , and end together , for this mixion ingenders no compound but a confused Feaver , and the one cannot be known from the other , because the signes are so confused from whence it hath its name , as for example , if Choler and Flegme putrefie together in the great Veines , there shal be two continual Feavers in the same place , which make a confuse , and no Compound Feaver ; on the other side , if the same Humours putrefie with melancholly in the lesser Veines altogether , and in the same place , there shall bee two or three intermittings , which mixt doe likewise produce no compound , but confused Feaver ; so a double continual tertian will be confused , and not compound , because the putred matter is contained in the same place . The Erratick , or inordinate Feaver is that which observes no type , or order of other Simple Feavers , whose humour putrefies in divers places , and moves from one place to another , from whence is the diversity of the fits ; sometimes it intermits four dayes , sometimes eight , and sometimes more , and then recurres ; sometimes it comes sooner , and is called praeoccupant ; sometimes moves slower , and is called retardant ; and so much for essential Feavers . A Symptomatical Feaver , though it be continual , yet differs from the former , because its matter is not contained in the greater Veines , neither hath it any exacerbations , or remissions , but depends on the inflammation of the part which it possesses , from whence it hath its name , as is observed in the second Chapter . CHAP. IV. Of the Circuit of Feavers . TO finde out the Reason of the Circuits of intermitting Feavers is of no small moment amongst the Learned , for what one allows , another reprobates , every one applauding his owne phansie ; leaving then their nicities , I shall declare my owne opinion , having premised somewhat for elucidation of what shall follow ; all the parts of the body are endued with four Faculties , to wit , the Attractive , Retentive , Alterative , and Expulsive , and as long as these are free from any fault , man lives in perfect health , and when one of these is too strong for the other , he is affected with various Diseases ▪ as if an excrement be inherent to any part , and cannot bee expeld from it by reason of its weakness , it becomes burthensome to it , because it is neither discussed nor removed ; or if by reason of its coldness , crasseness , or clamminess , it obstruct the passages through which it ought to be expeld , it putrefies , and causeth a Disease , and the heat contracted by putrefaction is very offensive to the heat , and first of all occupies and infests the Spirits , because they are tenuous , then the Humours , because they are more cra●●e ; and last of all the solid parts , and this heat from the heart through the Arteries dispersed to the whole body generates a Feaver ▪ and hurts our actions . The cause then of the shortness or length , of the anticipation or tardation of the Circuits , may be taken from these Six things viz. From the Species of the Humour , from the quantity , quality , habit of the Body , disposition of Strength , and complication of Feavers . There are four Humours in the Body , one of which exceeds the other in quantity and quality , as if pure bloud putrefie in the great Veines , ( which is hot and moyst ) it begets a continual Synechis , if out of those Veines , it produces an intermitting , it s thinner part is turned into choler , and the crasser into melancholly , as Alexan. Aphrodis . learnedly notes . Another cause of the circuits is from the quality of the Humour , and weakness of the part where the excrement is heaped up ; as flegme next to bloud exceeds other Humours in quantity , and being cold of quality , and moyst , crasse , and clammy , by its frigidity it resists putrefaction , and by reason of its crasseness and clamminess is not so easily resolved as bloud , and hence are the length of its fits , and by reason of the reliques and imbecillity of the part , new excrement is heaped on it , thence are new fits which recurre every day ; and if yellow choler putrefie in a part , it causeth the like , though more difficultly than flegme , by reason of its driness , by which it more powerfully resists putrefaction , and because it is a tenuous humour , and not crasse , it is farre more easily resolved than flegme , and leaves less reliques behind it in the affected part ; and hence is it that its fits ( which it causeth ) doe sooner end in an infebricitation , and greater time or interval is required for a new accession , but because the part is debilitated by the former excrement , it readily receives the new , which putrefying as before causeth a new fit , neither sooner nor later than the third day , and lasts twelve hours , and is therefore called a tertian , because it recurres every third day . The melancholly juyce retained in a part doth not so easily putrefie as other Humours , by reason of its two qualities which resist putrefaction , viz. frigidity and siccity , and therefore it intermits two daies , and returns every fourth day ; and though the former matter bee emptied , yet there is a weakness and disposition of the part ( as in the other ) to receive a fresh humour , from whence follows a new fit , which for the most part lasts twelve hours , sometimes more , sometimes less , according to the quantity of the humour oppressing the part . The quantity of the Humour , whether much or little , cannot of it self be the cause of the longitude , or brevity , anticipation , or tardation of the fit , it is true , a great quantity doth oppress the part , and a small is quickly resolved ; but that alone cannot be the efficient cause , because the same motion is observed to bee from a small and great quantity , and that it is so , let choler or melancholly be found in any part of the body putrefied , it is most certaine that choler will move neither sooner nor later than the third day , nor melancholly than the fourth , therefore the quantity of the Humour alone cannot be the cause of the circuits , or of the longitude , or &c , of feaverish fits . But rather the quality is the cause of the length or shortness of the anticipation , or post-position of the fits , which your epileptical insults seeme to manifest , for they proceed not so much from the quantity of the humour , as from the quality offensive to the braine , and thus Womens courses flow at set moneths and dayes , not by reason of the quantity of the bloud , but quality , whether they be much or little , unless somewhat intervert the course of Nature ; and so wee must judge of the Humours , in which there is a certain occult quality , unknown to us , which causes flegme every day , yellow choler every third day , and melancholly every fourth , to grow furious , and bee moved ; Hippocrates seems to favour this opinion in his Proaemium to the first Book of Prognosticks , where hee thus Prophecies , {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , &c. whether there be nor somewhat Divine in the Disease , which according to Aristotle , in proportion answer to the Element of Stars ; now the starry Element is said to be that which operates beyond the order or power of the Four Elements , and is scarce comprehensible . The habit of the body whether dense or rare , may be the cause too , of the length or shortness of the fits , but the anticipation or tardation may bee referred to the substance of the matter , or to the multitude or paucity ; the substance is either crasse or tenuous , if crasse and clammy the fits shall be longer , if tenuous shorter ; if to the multitude , or paucity , a little is easier dissipated and resolved than a great deal , from these two then , the anticipation or tardation of the fits may bee caused . The Fifth cause of the Circuits may be from the strength , for if the alterative and expulsive faculty of every part be strong , they will cast off all the excrement to the parts destined for it by Nature ; contrariwise , it they bee both weak , that remaining doth by degrees putrefie , because it is not discussed , and so it moves sooner or later according to its quantity , or quality , or both together , and the paroxysmes are longer , or shorter . The complication of Feavers may change the course of Circuits , because some are from a cold Humour , crasse and clammy , others from a hot and tenuous ; so the one is moved , corrupted , and resolved sooner , the other later , from whence is the shortness or length of the fits ; besides our dyet , whether good or bad , if in tempestivous doth help or hurt much , or the Patients intemperancy , and irregularity . The efficient cause of putrefaction is either external , or internal ; the external doth chiefly depend on corrupt meats , or evil juyce , which can no way be corrected by the help of Nature , and which are apt to corrupt and affect the Viscera ; the internal cause is either from obstruction , or the occursion of putrid things , for obstruction , caused by crasse & viscid Humours hinders perspiration , and so the Humours reteined , and neither discussed , nor cooled , doe easily putrefie though they be good , and hence a Feaver ; of the same force is that obstruction which proceeds from a plenitude of the Vessels , which is above our strength ; for they therefore putrefie because they cannot be concocted , nor governed by our enfeebled strength . The occursion of putred things doth first corrupt the Spirits , then the Humours , as the filthy exhalations , and putrefaction of vapours , drawing in the Air from the Gallical Elephantiacal , and of those infected with a putrid or pestilent Feaver . CHAP. V. Of the Constitution of Feavers . SEntentious Hippocrates in the 12th . Aphorisme of the first Section , reduces the times of Diseases to two , viz. the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} and the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that according to Galen in the first Book of Crises , chap. 4. is the constitution of the whole Disease , or its duration conscribed within its four times , viz. the beginning , increase , state , and declination , the knowledge and distinction of which times is so necessary for a Phisician , that without it hee can neither prognosticate aright , nor prescribe proper diet or remedies . The signes of these four Universal times are taken from the Idaea , or species of the Disease , from its motion , from the nature of the fits , from the figure of the body , from the strength of the Patient , from the season of the year , and age of the Patient , from the pulse and rigor , from the hour of the fit , and the vehemency of the symptomes , from the length or shortness of the fits , from the nature of the evacuations , from the crudity or coction of the Urine , and of the Humours causing the Diseases . The Idaea or species of the Disease is chiefly taken from its motion : for a swift motion shewes that the state will be quickly , and a slow motion that it will fall out later . Thus a burning Feaver by reason of its essence is said to be vehement , and quickly comes to its state ; and a pestilent Feaver by reason of the governing faculty it affects , is vehement , and hath a speedy state , and an inflammation of the Lungs , by reason of the dignity of the part , speeds to its state . From the nature of the fits you have these Signes , if they be short , the state is near ; if long , afarre off . From the Figure of the body , if the face with the Hypochondria bee suddainly extenuated , it denotes the Feaver to be acute , and of swift motion , but if the body be not impaired , it is a signe of its longitude . If at the beginning the Sick be more than ordinarily weakned , it shews the Disease to be acute , and of swift motion ; if otherwise , to be diuturnal . If the season , age , region , custome , and dyet of the Patient be all agreeing , the Disease shall be short ; if otherwise , long ; as for example , if a young cholerick body at Midsummer , in a hot Country , feeding high , on meats of good juyce , and drinking pure wine , should be taken with a tertian , it shall sooner leave him , than if hee were an old man in a cold Country , and Winter season , fed with cold and moist meats , and seized on by the same Disease , and thus a Winter quotidian would bee longer to him than a Summer one . If the pulse be frequent , swift , and great , it declares an acute Feaver of quick motion . If the rigour be long , it shews the length of the Disease , because the Humour is putrefied out of the great Vessels , if short , it shews the contrary . If it alwayes invade at the same hour the Disease will be long , because it shews the Humour to be fixt , and hardly to be eradicated , but if it anticipate , or come later , it will be shorter , and bee more easily extirpated ; sometimes the quantity of the matter is the cause of the anticipation , as the paucity is of the tardation . The vehemency of the Symptomes in the fit doth indicate the vehemency and velocity of the morbificall matter . If the later fit last longer than the former , it shews the augment , if shorter , the declination of the disease . If in a former fit there was an evacuation made by sweat , and yet the next fit be as long , it denotes the length of the Disease from the quantity of the matter . If at the beginning , the Urine bee coct , the Feaver will be short ; if crude , long ; for the Urine is of good judgement in Feavers continual , or intermitting . That water is tenuous in which appear no contents , but is of white colour , and denotes crudities ; but if it be meanly crasse with white contents , smooth , and equal , it shewes coction , and the brevity of the Feaver . If the matter be not contained in the greater or lesser Veines , but in the Stomach , then the signes are to be taken from the dejections or stooles , if in the instruments of respiration , from the spittle ; if in the habit of the body , from the sweat ; Hippocrates in the first and second Book of Prognosticks ; but that these four times may the better be distinguisht , we shall set downe some examples of particular Diseases , by which you may guesse of the rest . The beginning of a Feaver is then said to be , when the humour in which the Feaver doth consist is crude , the augment when it begins to be concocted , the vigor or state of the Disease is most vehement when it appears most concoct , the declination when all Symptomes doe abate ; or in a word , an obscure concoction determinates the beginning , a manifest , the augment , a perfect the state . The beginning of a Phlegmon is , when the part is filled with bloud , the augment when the fluxion ceases , and the bloud collected putrefies , from which putrefaction is caused a heat , and from that heat a greater diffusion , distending the part more , though there be no new afflux , the vigour is when it is turning to pus , the paine and hear being greater , the declination when the pus flowes forth , or is digest and resolved . The beginning of an Ophthalmy is , when there is a deflux of a thin , crude , copious humour to the eye , the augment is when the humour is more crasse , and hath some signes of coction , the state is when it is yet crasser , and less , when the eye-lids are glued together like to those that sleep , the declination when all things are more gentle , without the distinction of these times , the remedies reckoned up by Hippocrates , Apho. 31. Sect. 6. would little availe this Disease . The beginning of an Ulcer is , when the sanies is watry thin and incoct , the augment when it is lesse and thicker , the state when the Pus is tenuous , white , and equal , when crass and little , the declination ; these four universal times of Diseases are not alwayes equal , nor comprehended within a set number of dayes , not only in divers Diseases , but in the same , one is sometimes longer , sometimes shorter , and not alwayes equal . Besides these signes , the anticipation of the fit doth declare the augment of the Disease , as the tardation doth declination , though it is not universally so ; for some quotidians , tertians , and quartans ( by a certain propriety of the Disease ) have from the beginning to the end always anticipated , as others have always been more tardant . If the fit anticipate , and be longer than usually , and more vehement , and the intermission shorter , more impure , and the feaverish heat increased , and the Symptome● 〈…〉 it more grievous , they denote the state ; but if it be shorter , slower , more simple , and the Symptomes lesse , they argue a declination of the whole Disease . The like observation may be made of Symptomatical Feavers , which arise from the inflammations of the Viscera , whose times are the same with those of Phlegmons . All this is to be understood of 〈◊〉 Diseases , and not of those lethal which run not through all these times manifestly , because some kill in the beginning , others in the augment , others in the state , and seldome or never in the declination , unless the Disease be malignant , and the strength so deject , that it cannot expel the morbifical humour though it be concoct . CHAP. VI . Of the four times of Disease● in special . IN the former Chapter we treated in general of the constitution of the whole Disease , now of the Paroxysme or Fit , having first told what time is , and what a Paroxysme ; a Period , or Circuit , and what a Type , and wherein they differ . Time is the number or measure of motion according to priority , and posteriority , saith Aristotle in the fourth of his Physicks , but Galen in his Book to Thrasybulus describes it otherwise , for he sayes . Time is an alteration of the morbifical matter , made either by the natural or preternatural heat , since the times of Diseases are essentially measured by the mediate passions caused in the living parts of our bodies , and those in relation to coction . A Period is the time of intermission and remission , when a Feaver returns from one place to the same againe , as for example , if a Tertian Ague begin the tenth hour with rigour , and the third day return the same hour with rigour , it shall be an intermitting tertian ; if a Feaver begin with cold , it shall be an intermitting quotidian ; if with horrour , a quartan . In the Period , Paroxysme , or Circuit is concluded the Type , which is nothing else but the order of intension , or remission , comprehended in the period , which denotes both the time and species of the Disease , saith Galen . The matter of intermitting Feavers is sometimes moved from one place to another , sometimes moves not , but rests quiet in a part , now when the matter is moved the times of intermitting Feavers are Six , viz. The beginning , the inequality , the increment , the state , declination , and integrity , or interval . The Fit or Paroxysine is divided into the accession , which is the worser part of the whole Circuit , beginning from the first invasion and lasting to the state , and remission , which is the more benigne part , saith Galen in his Commentary on Aphoris . 12. Sect. 1. and Chap. 3 , 4 , 5. of the times of Diseases ; now to the accession belong the four first times , to the remission , the two last , which are now to be explained . The beginning is , when the matter begins to be moved , and Nature hath not yet begun to work upon the matter . The inequality , when the matter begins to putrefie , and putrid vapours assault the heart , and a feaverish heat is diffused without the heart , which whiles it is expanding , Nature gives battle against the matter . The augment is , when the heat is equally expanded throughout all parts , and the heat is more intense , and Nature re-acts on the morbifical matter . The state is , when there is an omnimodal equality in the feaverish heat , that is when the heat is extended through all parts in an equal degree . The declination is , when there is a gradual inequality of heat , or when the heat is diminisht , and Nature overcomes , and the seaverish heat forsakes the heart , and invades the extreame parts and feet . The integrity is , when the Feaver is quite off but these Six may very well be reduced to Four , because the former of the inequality is reduced to the beginning , the latter part to the augment , and the integrity is no time of the Feaver , but of the Period ; and so much of Feavers , whose matter is moveable from place to place . Now let us speak of that matter which is not moved , but remains in a part , by reason of its weakness , that it cannot expel it , and therefore putrefies , and causeth a putrid Feaver , which the matter being emptied doth intermit , but because the imbecillity of the part is still remaining , and certaine seminaries of the former matter , therefore a new excrement is easily received , which being corrupted causeth a new fit . The beginning of these fits is , when the superfluity begins to putrefie , the augment when the fuliginous putrid matter assaults the heart , and the humours contained in it are inflamed , so that its innate heat is made fiery hot , the state is when this fiery Fervor is brought to the height , and the de bate is strongest between the feavourish heat and Nature , the declination is , when Nature overcomes the fiery heat , and expells it ( if the matter bee tenuous ) by sweat if the pores be open , and the expulsive faculty strong , or by Urine if those passages be open , or by the stoole if the matter be crasse , which is the way appointed by Nature for such excrements . The beginning of these Diseases is known from the pulse rare and slow , from a plumbeous or sublivid colour , a coldnesse of the extreame parts , ssoath , sadness , paine , and profound sleep , the heat being retracted to the heart , and the braine refrigerated , from their eye-lids scarce moveable , the matter moving outwards and molesting them , from their salivation caused by the concussion of the rigour or horrour , the salival matter residing in the glandules about the root of the tongue , being expressed by it . When a dry Cough is caused , the thinner part of the moisture falling into the rough Artery , it being ineffectual and vaine , the sick is worse affected , and then is the augment with a great pulse frequent , and the heat expanded to all the parts . The state followes when the heat is consistent at its height , neither encreased nor diminisht , the Symptomes vehement , the Pulse greater , swifter , and more frequent then ordinary . If the declination tend to death , ( which is very rare ) the pulse is weak , unequal , and inordinate , but if to health , then all Symptomes are remitted , and strength daily encreased . These Four times are to bee observed both in sal●brous Feavers , and mortal , but in different respects ; in the third Chapter we told you , that salubrous Feavers were either in the Spirits , or in the Humours , or in the solid parts . In the Spirits is a Diary , whose times are not taken from the matter , nor from the symptomes , but from the essence of the preternatural heat kindled in the vital spirit of the heart . The whole fit of this Feaver is twenty four hours , sometimes shorter or longer , according to the quantity of the febrish heat , crasseness of the spirits , the strength of the sick , or thicknesse of the skin , but if it be exquisite , it speedily runs through its four times . The Humours may bee inflamed without putrefaction , and cause a continual Feaver , which hath but one fit , and that longer than a Diary , whose four times are taken from its essence , and from the matter , viz. ( the fervid bloud hurting our actions ) whether it be homotonous , epacmastical , or paracmastical ; and these four times may be distinguished though short , and the matter not moveable from place to place . Next , let us examine the Sings by which the Four times of Feavers which arise from the Humours equally putrefied , whose matter is quiet and immoveable may be distinguished , and afterwards of those inequally putrefied ; we will speak first of those whose matter putrefies in the great Veines , and if equally there shall arise a threefold continual Feaver , which come not alike to the integrity or interval , and end with one fit , and has no periods , yet hath its four times distinguishable ; The first is , when through the whole course of the Disease , the measure of putrefaction is alike , and the Greeks call this Homotonos ; the second is , when the putrefaction is greater than the dissipation , and this is called Epacmastical ; the third is , when the dissipation is greater than the putrefaction , and is called Paracmastical , and their four times are distinguisht by their intention , and remission , and putrefaction ; if the Humours which are contained in the great Veines doe unequally putrefie , it is either the thinner part of the bloud , or cholerick bloud which putrefies , and it causes a continual tertian , or flegme , or the cruder part of the bloud , and causes a continual quotidian , or the crasser part , of the bloud , and maketh a continual quartan , of which more at large in their proper places ; the times of these Feavers may be distinguisht from what is aforesaid , if the Humours putrefie out of those greater Veines , the Feavers shall bee intermitting , and their four times shall be more evident than those of continual , because the matter moves from place to place , and they are terminated by urine , sweatings , vomitings or looseness . Mortal Feavers seldome have four times , for some kill in the beginning if they bee pe●acute , and the Patient weak ; others kill in the augment , when the Sick is stronger ; others in the state , when they are yet stronger , and the Feaver is less acute , as Galen shewes in his first Book of Crises , chap. 2. and Hippocrates in the first Book of his Epid. Sect. 2. Text 45. saith , No man dyes in an universal declination , for coction signifies a speedy indication , and security of health ; the reason is , because in the declination of a Paroxysme , or fit , the morbificall matter may not be overcome , and so death may follow , either from the weakness of the faculty , or from the malignant quality , or from the quantity of the Humour wherewith Nature is overwhelmed , or by some errour of the Phisician , though signes of coction doe appear ; to prove this , Avicen in Book 4. fen . 2. tract 1. chap. 98. brings for an example the small Pox of Children , in the declination of which sometimes death follows , not by reason of the Pockes which are in declination , but by reason of the Feaver , and malignant quality annexed . Another example there is , that a man may dye in the declination of a Synochus , not by reason of the essence of the Feaver , but by neglect of the malignant matter the cause of it , or being preposterously handled , as Galen notes in his third Book of Crises ; these four times of Diseases according to Hippocrates and Galen can no more bee described by a certaine number of daies , and houres , than the decretory daies can , by reason of the various temper of the Humours , and the diseased , as shall further appear in the next assertion , for an acute Disease hath shorter times and a Chronical longer . The four times of a Hectick Feaver are not taken from the matter , nor from the Symptomes , but from the essence of the preternatural heat which works upon the primogenious humidity of the heart , whose beginning is when the feaverish heat begins to work on the rorid substance of the heart ; the augment , when it begins to consume it ; the state , when the humidity is consumed ; the declination , on , when that native humidity begins to be restaurated . CHAP. VII . Certaine Physical Canons , or Rules for practise . ALL Rules for Curing are taken either from the Disease , or from its Efficient cause , or from the nature and situation of the affected part , or from the Symptomes ; from the Disease , as a Feaver , whose preternatural heat is in the Spirits , Humours , or solid parts , and is not simple , but conjugate , viz. hot and dry , which according to Hippocrates axiome , {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is , things are cured by their contraries ; that is , by coolers , and moistners , and this is the first Canon . The second is taken from the morbifical putrid matter , which requires an ablation , or removing . The third from the nature and site of the affected part , as if the braine be affected , it requires other remedies than the Lungs , and this other than the Stomack , Liver , Spleen , Guts , Reines , Bladder , or Wombe , from the Symptomes , if they be great with imminent danger of life , as if a Syncope be accidental to a Feaver , we must oppose that , omitting for a while the cure of the Feaver ; but if they bee small , we must respect both , so that we principally attend the Disease . The feaverish beat both of continual and intermitting Feavers arising from a putrid filth , cannot safely and wholly be extinguisht , before the putrefaction be repressed , and the impurity taken away , for the method of curing requires this , that first wee remove the cause , then the effect , unlesse something more urgent forbid it ; the impure Humour then is first to bee purged forth , and then if any extraneous heat be left , either in the Humours , or parts , it is to be extinguished , and by preparatives , and things opening obstructions to be removed ; but against this Doctrine it is objected , That things cooling doe per se encrease obstructions , incrassate the matter , and hinder its evacuation , and the stipation being increased , and the fuliginous vapours included , the putrefaction is doubled . On the other side , aperient , detergent , and purging Medicines are all almost hot , and therefore per se are bad , and intend the Feaver ; In this difficult case we must use the temperate Rootes , such as are the sharp Dock , Grasse roots , Butchers Broom , and Asparagus , which open obstructions without any manifest heat , and doe not increase the feaverish distemper , and so the worst is prevented , If the body bee strong this method is strictly to be observed , that is , to remove the efficient cause , and thorowly to open the obstructions with the aforesaid aperitive meanes , and then the putrid humour is to bee purged , although the Feaver be a little exasperated by the Medicine that does it ; but when by the fire of the Feaver the strength is much resolved , then we are to use cooling Medicines both inwardly and outwardly as Juleps , Epithems , &c. which with all possible speed may extinguish the heat , omitting a while the cause , for it is not safe to increase the Feaver by such things as cut off the cause , lest life depart with the Disease , but it is better in my judgement to extinguish the burning Feaver , though you somewhat transgresse against the cause , but in curing of putrid Feavers , the first place is due to the cause , that part of the matter be emptied , then to imitate Nature by preparing it , which when by her assistance it shall appear to bee coct , then it possible to eradicate it , that the Feaver be not diuturnal ; the emptying of the matter may be either by bleeding , or purging at the very beginning if nothing hinder . Bleeding in all putrid Feavers , especially the continual , is not to bee neglected , saith Galen , in the eleventh of his Method of curing , having premised a cooling Glister , or Suppository , if the Patient were bound ; nor in intermitting Feavers when there is a plenitude , or pulsative paine in the head , or tossing of the body with a suffocating heat , lest it degenerate into a continual Feaver , or the putrefaction spread wider , and it is to bee done on the intermitting day , or at the time of remission in a continual Feaver , provided age and strength allow it ; if the Feaver be very vehement and urgent , to let bloud in that violence is to kill the Patient , saith Celsus ; and if the body be weak , let bloud a little at a time , so the strength will not bee impaired , because part of the burthen with which Nature was opprest being taken off , she doth the more easily bear the rest , and with lesse force tame and subdue it , saith Galen ; and we ought not so much to estimate the years as the strength of the diseased . A late Writer hath published , that Bleeding ought to be celebrated in all Diseases , which I cannot allow , though I admit it in most , but more sparingly when the Feaver is from a cold humour , lest by its refrigeration the crudity be doubled , and doe not easily admit of concoction , if the Disease will suffer it , the best time for bleeding is the Spring , if not , it may be administred at any time of the year , if strength permit , especially if there be a plenitude , suppression of the Courses , or Hemorrhoids . If the Sick be bound in body , before you let bloud , give a Suppository , or Glister , or eccoprotical Medicine that is gently purging , lest that the putrid matter should be rapt , or forced from the first region of the body into the greater Veines , and so inquinate the bloud , and make it more impure ; the same is to be observed before we give a peritive medicines . Purging is to be used at the beginning , if the matter bee turgid , Aphor. 10. Sect. 4. in Diseases very acute ; purge the first day , if the matter invite to excretion , for delays in such cases are dangerous , and it must be done by some minorating Medicine , that part of the impurity being taken away , the remainder may the more easily be concocted , for according to Hippocrates Aphoris . 22 Sect. 1. we ought to move that which is concoct , and not the crude matter , nor at the beginning unlesse it be turgid , and for the most part it is not , and afterwards to purge with a stronger Medicine , unless it be done by the benefit of Nature ; neither are we always to wait for the concoction of the Humours , especially where the matter is turgid , and with its fluctuating motion running from place to place perturbes the whole body , as it happens in the most acute Diseases . If the Feaver be continual it is better to purge at the time of remission , whethe it be in the morning or evening , than at the time of its exacerbation , or upon an odde or decretory day , if strength give leave , otherwise they are first to be refreshed with nourishments of good juyce , and those rether liquid than solid , because those are of easier distribution , and then wee are to use meanly purgers appropriate to the humour ; but if the Feaver bee intermitting , then purge on the day of rest , or upon the fit day , if the fit come not till after Dinner , at which time the humour is moved by Nature to expulsion , the strength having first been repaired by nourishments , for then it is easier , and with less pains driven forth , being in motion , as I have found by experience in curing of Quartans , as oft as I gave Phisick on the fit day ; besides , it may be confirmed by reason , for that purging bee instituted according to Art , we must consider the motion of Nature , whether she tends upwards or downwards , and the season of the year , and the inclination of the Sick , for if it be Winter , and the Patient aged , and vomit easily , and his stomach be full of crude clammy flegme , He ought to have a Vomit , saith Polybius , in his Book of good Diet , which is falsely ascribed to Hippocrates the Great ; for the Six Winter moneths purge by the upper parts : on the other side , If hee vomit not easily he is not to be forced , saith Galen , and after him Aetius , but is to bee Purged downwards , by some Medicine accomodate to the morbifical humour , at first purging those purgers which have an astriction with them ought not to bee used as Myrobalans ; juyce of Roses , and the Sirrups compounded of them , especially if there be obstructions which usually accompany putrid Feavers ; and in purging of the humours we must be careful to use such preparation , that the passage be made open , Hippo. Aphoris . 9. Sect. 2. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , &c. that is , when we would purge a Body , we must make it fluxil , that the humour to bee emptied may yeeld , and be obedient to the traction of the medicament , for if the passages be obstructed , and putrefaction caused for want of ventilation , then before we purge wee are to use incisive Medicines for the crasse humours , detergent for the clammy , and so to clear the obstructions ; and sometimes we are to appease and allay some heady humour ( which ought not to have been purged ) that by its furiousness and fervor , it rush not on some principal part , or by its acrimony exulcerate where it passes . The manner then of preparation , is to be proportioned to the humour , for the mitigation of the Disease ; as for example , in acute Feavers we use Sirrups and Apozems , which are made of such things as are attenuating and cooling , or which are detersive , and not very hot , as you may see in the second part of my Enchiridion , but in diuturnal slow Feavers , which flegme or melancholly ingenders , stronger and hotter means are required ; and those fierce humours which bleeding will not temper , nor purging carry away , we must bridle , and obtund with refrigerating Medicines , not of thin substance lest they be more exagitated , nor of crasse because they hinder evacuation , but of a middle nature , which have a little austerity , or acidness , or both joyned with them , such as are your Omphacium , juyce of Sorrel , Pomgranate , or Citron , by which the acrimony and putrefaction of choler may be retunded , and the heat kindled in the humours , be impeded from spreading any further . If besides the putrefaction there shall be any suspicion of venenosity , we must mixe with the former such things as by a similitude of substance doe represse it , whether inwardly or outwardly applied , which shall be described in our Tract of malignant and pestilent Feavers ; detergent and attenuating Medicines are to be fitted both for preparation of hot and cold Humours , because both Humours by their clamminess , or crasseness may obstruct , as is manifest in vitellinous choler ; if a detersive , and attenuatory faculty bee joyned with a cold quality , as in Succory , it is the more efficacious , and of more frequent use than that joyned with a hot quality , as in Worm-wood , Hyssope , Origanum , and that is to be used in hot Diseases , these in cold with mulse , and not with plaine water , especially when the heat is sluggish , and the means not easily inflamed ; but on the other side , with cooling Medicines we at once resist both the fervor of choler , and heat of the Feaver , and prepare the vitious humour which doth foment it before we purge , by a diverse quality ▪ as more at large in the Second part of our Enchiridion . There are some that stoutly maintaine the opinon of Avicen , That thin cholerick humours ought to be incrassated before they be purged ; which opinion seems to contradict Hippocrates and Galen , and may thus be reconciled . If sincere , or excrementitious choler be thin , it is not to bee incrassated before purging , but presently to be cast forth , for so it easily yeelds to the attraction of the Medicine , and thus the opinion of the Greeks is true ; but if the same choler be crasse and tenacious , as the vitellinous is , then it is to be attenuated and deterged , as Avicen would have it , otherwise it cannot be driven forth , but by force and damage to the Patient ; but if it be mixt with bloud , then wee are to expect concoction from the benefit of Nature , but the Fautorers of Avicen object against the opinion of the Greeks , That unlesse the thin humours be incrassated , they will be fixt in our members , penetrating into the most retired parts of our bodies ; to which objection some answer , If the choler be infixt it will grow thick , and cause obstructions , and then extenuating and detergent , and not incrassating Medicines are necessary , or by attenuating remedies Nature is helped to excerne the noxious humour by urine or sweat ; neither doth the strength of this Argument reach to preparation before purging ; shall that which is crasse then be attenuated , and that which is tenuous incrassated ? Galens opinion is , that That which may return to its natural state be altered , as by incrassating the thin ( viz. in Diseases of the Breast ) and attenuating the crasse , but not so in preparation , or alteration before purging ; and by this distinction the Greeks and Avicen may bee made friends . Others give other Reasons against Avicen thus , The first Natural action is Attraction , to which thin Humours are most obedient , and most readily follow the medicament ; the second is a kind of violent expulsion , by which also thin Humours are most easily driven forth , therefore they are not to be incrassated . There are three sorts of purging Medicines , some purge by Traction , such as Hippocrates , and the ancient Greeks used , as Euphorbium , Lathiris , Elaterium , Scammonium , Colocynthis , Helleborus , &c. which wee use not now , unless in great Diseases , or in small quantity mixt with other things , and corrected , and on rustick bodies , whom gentler Medicines will little or nothing move , and not in continual Feavers sprung from a hot cause . Others purge by smoothing , or suppling , as Manna Cal. Cassia Egypt , Sena , Polypody , Sirrup of Violets , &c. Others purge with astriction , as Rhubarb , all the Myrobalans , juyce and Sirrup of Roses , which we use when the parts are to be strengthened , and there is no obstruction which they may prejudice ; he that is to take a Purge in them morne , let him not take Sirrop of Poppies over night , or dissolve Treacle , or new Mithridate in it , because the cold quality they have from Opium doth hinder purging , according to the experience and authority of Galen in his twelfth Book , De Theria . to Piso . In the state of the Disease abstaine from purging , that Nature be not called from her work , but commit the whole business to her , because then all Symptomes are most violent , otherwise you add evil to evil , especially if a Crisis be near , Hippoc . Aphor. 29. Sect , 2. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , &c. at the height is is best to be quiet ; and in the next Aphoris . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , &c. at the state of Diseases all things are most vehement , and therefore abstaine from medicaments , or any way to move or irritate Nature , &c. Aphor. 20. Sect. 1. If the Crisis be perfect all is safe , and no more is to be done , but if there be any thing left , it is to be removed by Medicine for fear of a relapse , Aphor. 12. Sect. 2. that of Diseases which is left within after Judgement , does usually cause a return of the Disease ; upon a critical day if there appear no signes of coction , but of crudity , though there be an excretion even in the state of the Disease , it is not to be trusted to , neither ought we to fear those evil accidents which happen not according to reason , but the noxious humour is to be emptied that the Disease returne not , Aphoris . 27. Sect. 2. if any light thing happen besides reason in acute Diseases , we are not to trust to it , nor to be diffident if a greater business happen not according to reason , for such things are very uncertaine , and of no long continuance , the whole matter of a Disease then cannot be rooted out , unless concoct and after the state , when those preter-rational Symptomes are abated , and Nature is assisting to us ; on the contrary , if there appear signes of a vasal plenitude , or of crudity , we must abstaine from purging , and neither provoke sweat , nor urine , lest the vitious humours , so moved , be carried into the greater Veines , and exasperate the Feaver , and make it more contumacious ; by what remedies urine and sweat are to be moved , I have taught in my Enchiridion , in the first , second , and third Chapters of the Second part . These are the chief and general Canons to be observed in curing of Feavers , whether continual or intermitting ; other rules wee shall set downe in their proper place , now for their cure in special . CHAP. VIII . Of a Diary Feaver . THis Feaver Hippocrates calls {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is , flatuous , and the other Greeks {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , because it continues but a day , rather than from a Fish Aristotle makes mention of in his Fifth Book of Animals , about the end of the nineteenth Chapter , but the Latines call it a Diary , which sometimes is extended to more daies , when the spirits inflamed are crasse , which if not resolved it degenerates sometimes into a putrid Feaver , sometimes into a Hectick● or malignant Feaver , saith Galen . The causes of this Feaver are either external , or internal ; the external are taken from the Six Non-natural things , as from the Air too hot and dry in the Summer , or the heat of the Country , or the hot and dry temperament of the Patient , as the Picrocholous or cholerick natures , whose spirits are easily inflamed , from whence is an Ephemera ; sometimes by the cold air , or use of aluminous Bathes , the skin is condensed , so that the fuliginous exhalations which should be excerned through the skin are repressed , and so the spirits are easily inflamed ; sometimes it is from drinking of Wine , Drunkenness , long Sleepes , or continual Watchings , over-much labour , hard riding , idleness , or want of exercise , from the motions of body or mind , as from Anger , Fury , Hunger and thirst , Suppression of some hot humour , as of the Courses , or Hemorrhoids , from the contract of some Feaverish body , from an actual or potential cautery applied to a cholerick or plethorick body , from hot meats , acrid Medicaments , salt things , and the like . The internal causes are obstructions , whether caused from without , or within ; from an external cause , as from the thickeness of the skin , from within , as when a sharp distillation from the braine falls upon the heart through the Arterial veines , which inflames the vital spirit , whence is a Diary Feaver . Sometimes other viscera are obstructed , as the Messentery , Liver , Spleen , Reins , Bladder , Wombe , and when these are obstructed first of all , the Natural spirits not being ventilated grow hot , and by their power alter the spirits of the heart , and increasing their heat beyond the bounds of Nature cause a Feaver . Another internal cause is the inflammation or swelling of the Glandules , which makes a Diary , Hippocrates Aphoris . 55. Sect. 4. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , &c. that is , all Feavers from swellings are bad , except the Diary , and he saith the same , Epid. 2. Sect. 3. The Signes are taken from the efficient causes , whether they be originated from things external , or internal ; if it proceed from an external cause , you may know from the relation of the sick ; if from the internal causes , by the heat , pulse , and urine , Hippo. 6. Epid. Com. 1. text 29. and Galen in the first to Glanc . chap. 2. and 9. and 10th . Method of Curing , chap. 4. for if it be exquisite the heat is milde , and gentle to the touch , which ends with a madidness or sweat ; the pulse is swift and frequent , but equal and temperate ( in case it be not joyned with a putrid or Hectick Feaver ) except in that which proceeds from anger , sadness , hunger , crudity , thickness of the skin caused by cold , for then the diastole is greater , and swifter than the systole , the substance , colour , and sediment of the urine differ little from that which is Natural , Galen to Glan . And its fits are very easie , if it arise from the inflammation of some Bubo , or from the suppression of some humour , the urine shall be higher , and thicker , with a little sediment , and that crasse and crude ; it invades with rigour , and easily degenerates into an unputrid Synochus , if the Sick bee plethorical ; or into a Synechis , if he be Cacochymous , or into an Hectick , if it be neglected , or ill cured . Such are most subject to it , as are picrocholous and of a hot and dry temperament , and in the Summer time ; if it be exquisite , it is cured by the benefit of Nature alone , and for the most part its fit is twenty four hours , but sometimes lasts till the third day , when the vital spirits are most crasse , if it be prorogued longer it is not exquisite , but is either an unputrid Synochus , or joyned with a putrid Feaver , into which it easily degenerates . The rule for Cure is not taken from the matter , because there is none , but from the essence of the Feaver , which consists in the preter-natural heat , wch ought to be remedied by coolers , and moystners , for the faults of the spirits cannot be taken away by purging or bleeding , because here is neither cacochimy nor plenitude ; Hippocrates in the Fourth part of his Book of Dyet in acute Diseases , and Galen in his Book of Procatarctical Causes , cured Menander sick of a Diary caused by heat , with Paregorical , and Diaphoretical Medicines , as Baths , Frictions , and Oyntments . We use Baths when wee intend to relax the skin , call forth tenuous fullginous vapours , and change the habit of the body , but in the declination of the Feaver , with gentle friction , that we may cause sweats , and the fumid excrements may be discussed , and then especially when there is no crudity in the chief Vessels , nor inveterate obstruction of the viscera , nor hardness or weakness , lest that the crudity bee carried into all parts of the body ; if none of these things be , then the Sick may safely wash , otherwise not , least that the obstruction and weaknesse of the viscera bee increased , and the tumor , if there be any . It is good against the thickness and obstruction of the skin , from cold or astringent causes ; if a Diary have its rise from driness and heat , let the Bath be luke-warme , and not hot , having first emptied the belly if it were costive with a Suppository , or cooling and moystning Glister , least it degenerate into a Hectick , or Synochus . If from the thickness of the skin by reason of too great cold , or by use of aluminous Baths , Diaphoretical , and Paregorical Medicines must be boyled in the water , for those take away obstructions , and provoke sweats , being of a hot and tenuous substance , and cause the cooleness of the water to penetrate the deeper , but these being temperate or hot in the first degree , and of thin substance , as the Roots of Marsh Mallows , Fenugreek , Flowers of Camomel , Melilot , and Elder , by these means the closeness of the skin is to bee made open , least perspiration being hindred , the Humours bee inflamed together with the Spirits , and so a putrid Feaver ensue to the great damage of the diseased . The ancients used Bathing more for delight than health , which custome is now out of use . We in France use Baths of plaine water , or with a decoctron of Plants , not for pleasure , but for the cure of an Ephemera , because they moysten , contemperate the feaverish heat , and empty acrid vapours . To wipe off the sweat is good , with gentle frictions with warme Oyle , because it opens the pores of the skin , and calls forth the spirits from the center to the circumference , but too vehement doth stop them up . Oyntment and Frictions are not good for such Diaries as proceed from tumours inflamed , or from labour , because there is no need of evacuation ; Frictions are good in those from obstruction and repletion , but not in those from inanition , though Galen did use gentle frictions in all Ephemeraes before the Bath or Oyntment , that the discutient water or oyle might pierce the deeper ; and the same Galen in other procatarctical causes uses contrary remedies , as for labour he commands rest , for watchings sleep , for anger calmness , for sadness joy , and for venery chastness ; these have no need of Frictions , only anoynt them with Oyle of Violets , and smooth over the body in the remission , and before meats ▪ If it be from Drunkenness , command a Vomit , if from cold , use Diaphoreticks ; if from obstruction of the viscera , incisive and aperient Medicines ; if from a Catharre , purge next day ; if from an Ulcer or Bubo , wee must attend the cure of Ulcers and Tumours , and so of the rest . The Diet is to be ordered according to the variety of the cause , if hot weather be the cause of the Diary , and the Patient be young , and his viscera good without obstruction , plethory , or cacochymy , of soluble body , and cholerick constitution , at the declination of the Feaver , he may be cured with plentiful drinking of cold water , if otherwise the Cure is to be altered ; you must not nourish him in the augment or vigour of the Fit , but in the end , or out of it , Hippo. Aphor. the 11. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , &c. If you weigh the cause of the Disease , the strength of the sick , the age and sex , you must nourish him with meats of good juyce , altered with cooling Herbs , which nourish speedily , oppose the feaverish heat , but stick not in the pores of the skin , for the whole body ought to bee fluxil and transpirable , Hippoc. at the beginning of the sixth Book of his Epidem . Sect. 6. and for this the chief thing is the juyce , or cremor of Barley . If it proceed from anger , watchings , labour , immoderate venery , hunger , sadness , then we must nourish the sick with flesh brothes , &c. if from crudity , gluttony , or from suppression of some Natural excrement , constipation of the skin , ulcer , tumor , or great paine , then let the diet bee thinner ; and if with the Feaver there be a plethory , or cacochymy , that must be taken off by bleeding , this by purging , not for any urgency of the present Feaver , but for fear of a putrid ; in brief , in all Diaries , whatsoever is the cause , the nourishment must be Medicamental , and if the body be bound it must be thus loosened . Take of boyled Hony an ounce , Mouse turd , powder of Hiera , and salt gem , each two scruples , and make a Suppository ; or else make this Glister . Take of Mallows , Violet leaves , Borage Lettice , each one handfull , Prunes twelve , of the four greater cold Seeds each two drams , water-Lilly-flowers , and Roses , each a small handful , boyl them in water to a pint , streine it , and dissolve in it Cassia , with Suger , and the Simple Diaprunes each six drams , or as much of Galens Hiera and Diaphaenicum , if the Patient be a Sea-man , Porter , Carter , &c. and the Diary proceed from cold , with hony of Violets , Roses , or Mercury , and oyle of Water-Lillies , each an ounce and half , and give the Glister ; after this , if the sick be plethorick , or full of bloud and young , or the Haemorrhoids or Courses bee suppressed , draw six or eight ounces from the right axillary veine , as strength shall allow ; but if the Patient refuse a Glister , then in the declination of the Feaver give this following potion . Take of Melon-seeds pilled one dram , of Tamarinds two drams , Cassia nexly drawn one ounce and a half , infuse them in the common purging decoction all night over warme embers , streine it , and dissolve with it Sirup of Violets or Roses of nine infusions one ounce , and give this potion betime in the morne . Or instead of this you may give an ounce and a halfe of Manna of Calabria , dissolved in a little fresh broth . It the Diary flow from the thickness of the skin , or the use of Alume-baths , then this following Bath made of Paregorical , and Diaphoretical things will be good . Take of Mallows , Violets , Saponarie , Succory , wilde Endive and Lettice , each six handfuls ; new Roses if it be spring , or dried , if summer , four handfuls of Wormwood , and Centaury the greater , each two handfuls , Marsh-mallow roots sliced , or bruised a pound , of Fenugreek-seed , and Salt-nitre , each two ounces , boyle them in a hundred pints of water for a Bath , into which let the sick enter at the declination of his Feaver , and drying his body let him goe to bed , and there sweat an hour or two after . CHAP. IX . Of an unputrid Synochus . AN unputrid Synochus hath no small Analogy with an Ephemera , for both are without putrefaction , and have but one Fit until their end ; but they differ thus , an Ephemera is essentiated in a preternatural heat inflaming the vital spirits , and an unputrid Synochus in the bloud preternaturally calified in the heart without putrefaction ; is is differenced from a Hectick , because this it in the solid parts , from a putrid Feaver by its putrefaction . The heat of a Synochus if compared with that of an Ephemera is acrid , if with that of the putrid , gentle , because the bloud is of a temperate nature ; the conclusion then may be , that a Synochus is a continual Feaver , proceeding from redundancy of bloud , heated beyond measure by a preternatural heat , but without putrefaction hurting our actions . The causes are not unlike those of an Ephemera ▪ but more vehement ; the principal are the denseness of the skin , or filth obstructing the pores , and incarcerating fuliginous excrements , &c. which prohibiting the eventilation of the bloud , doe so inflame it , or the suppression of some evacuation , as of the Courses , Haemorrhoids , or from excesse and fury ; thus the vital spirits are first inflamed by reason of their tenuity , then the bloud , which inflammation the Greeks call a Phlogosis ; but under the name of bloud you are to understand the four Humours contained in the greater Veines , which as often as they are inflamed without putrefaction they cause this Synochus , full bodies that fare well , and live idely , are most subject to it , &c. This Feaver for the most part lasts till the seventh day begins with a coldness , and ends with sweat , with a red urine , the pulse strong and swift , there is no danger in it unless some errour bee committed , and then it degenerates into a putrid Synechis , whence follows death , unless prevented by large bleeding ; the whole body ; but especially the face is dyed with bloud , weariness possesses the limbes , the veines are turgid , the temples beat , the head akes , and often a deep sleep surprises , with difficulty of breathing ; the skin is soft , perfused with moysture , and a gentle heat . The cure is taken from the essence of the Feaver , and cause of the Disease ; the essence being hot and dry indicates contrary remedies , and the cause , its removal ; First then , let the diet be thin , cooling , and moystning Hippoc. Aphoris . 16. Sect. 1. {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} a moyst dyet is good for al feaverish bodies , especially for Children , and those accustomed to such dyet , as Cock broth , or of Lambe , or Veal , alterd with cooling Herbs , and Barley waters , &c. or some acid sirrups , as of Limons , Citrons , Pomegranats , &c. Galen reckons amongst the chief remedies of this Disease bleeding till we faint if the body be open , otherwise to premise this Glister . Take of the leaves of Violets , Burrage , Lettice , Purslaine , each a handful , Prunes sixteen , of the four greater cold Seeds each two drams , boyl them in water to ten ounces , the dissolue of simple Diaprunum and Sugar each six drams , Hony of Violets , and Oyle of Water-Lillies each an ounce and half , and make a Glister , it cools , moystens , purges , and prevents a putrid Feaver , then let bloud , for the Veines being emptied that attract much cold art ( to avoyd a vacuum ) into the roome of the bloud , by which the rest of the bloud is cooled , and reduced to its ancient state , the fire extinguished , and the putrefaction inhibited , because both the Natural and preternatural heat are seated in the bloud and spirits : then use this Apozeme . Take the Roots of Sorrel , Grasse , Butchers Broom , & Asparagus , each an ounce ( these rootes resist putrefaction , and by their tenuity of parts open obstructions without any manifest heat ) of both Succories , Lettice , Burrage , Purslane , or Liverwort , each a handful , Prunes sixteen , Endive seeds half an ounce , of the four greater cold Seeds each two drams , of Violet , and Water-Lilly-flowers each a small handful , boyl them in three pintes of Water to a pinte and half , streine it , and adde of the compound sirrup of Endive , or of Oxysaccharum simple four ounces , and Aromatize it with white n for four or five days . After the seventh day you may give this Purge ; Cinnamon a scruple , Rhubarb four scruples , Try pherae , Persicae three drams , Cassia newly drawn an ounce , infuse them one night in part of the Apozem over warme embers , then streine it , and adde of sirrup of Violets of nine infusions an ounce and half . CHAP. X. Of a continual putrid Feaver . A Synechis , or a continual putrid Feaver is two-fold , the one where the Humours are equally putrefied in the great Veines , the other when inequally ; from those equally putrefied arise three sorts of Feavers , as did in a Synochus unputrid , viz. the Homotonous , Epacmastical , and Paracmastical , and these have no manifest intermissions , as intdrmitting Feavers , nor remissions , and exacerbations , as those which proceed from the Humours unequally putrefied in the great Veines . When the Natural Humours doe unequally putrefie in the great Veines , it is either natural flegme ( which is nothing else but the cruder part of the bloud ) which as often as it putrefies it causeth a continual Feaver , which is every day at set hours intended and remitted , from whence it hath its name of a continual quotidian . If natural choller putrefie in the Veines near to the heart , it causeth a {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , or Burning-feaver ; if in places more distant , either upward or downward , a continual tertian is produced , which every third day is intended and remitted , but intermits not , because the putrid matter is contained within the great Veines , and not out of them . Lastly , if a melancholly humour putrefie there , every fourth day it hath its remissions and exacerbations . The external causes are like those of an unputrid Synochus , but stronger ; the internal are obstructions , either in the greater Veines , or in the skin , or in the small Veines of the Liver , or habit of the body , which hindring perspiration the Native heat is extinguisht , and hence putrefaction , the parent of this Feaver . The sig●es are taken from the mordent heat , urine , and pulse ; the urine is crasse , red , turbid , faetid , and without sediment , the pulse not only great , vehement , and quick , but unequal and inordinate . A Crisis does usually happen in all Diseases one of these six wayes , viz. by bleeding at the Nose , or by Vomiting , or by looseness , or by sweats , or by urine , or by parotides in malignant and pestilential Feavers ; if by chance Nature attempt a Crisis on the sixth day , although signes of coction appeared in the urine on the fourth , yet it is dubious , and fore-tells a relapse ; but if with signes of coction the Crisis be with fainting , or any other grievous Symptomes it portends death ; or if a looseness seize at the beginnig , and the Feaver continue in the same state with signes of crudity , it presages death , because Nature is overwhelmed with the plenty of matter ; on the other side , if the Feaver be abated by the looseness , the sick well enduring it , and breathing freely , hee shall escape ; if spots appear the fourth , day , either black or livid , death is at hand , for they denote some malignant quality , which had they been red only , and the Patient strong with signes of coction , there were good hopes ; this Feaver is most gentle in the morne . The Cure consists in evacuation , and alteration ; evacuation is to be made by bleeding , and that at the beginning for feare of suffocation or swounings , but if the Patient sweat , or have the Haemorrhoids , or a Haemorrage , or the Courses appearing , then the whole business is to be committed to Nature , but if they flow but sparingly , and the Feaver be not mitigated bleed notwithstanding ; the second part of the Cure consists in alteration of the Humours , by cooling and opening without any manifest heat , and restraining putrefaction , as with the fore-mentioned apozem ; besides , use this cordial powder . Take of red Corral , and the fragments of the five precious Stones finely powdered each a scruple , the bone of the heart of an Hart , or of an Oxe , ( for they are both of the same vertue ) half a dram , of Pearl a dram , sugar of Roses a sufficient quantity , and four leaves of Gold , let it be dissolved in broth or ptissan , or in the decoction of Sorrel roots . Take of the powder of Balm and Saffron each a scruple , Water-Lilly-flowers , red Roses , and Grana Tinctorum , each two scruples , powder of Diamargaritum frigidum four scruples , red Wine two ounces , Scabious , Bugloss , and Purslane-water each five ounces , apply it to the region of the heart , with a thick red cloth . Take of the Conserve of Burrage and Marigold flowers each an ounce , confection of Alchermes a dram , spread them on a searlet cloth , and apply it after the Epithem . Take of the Cerot of Saunders , and oyntment of Roses by measure each an ounce , oyl of Roses an ounce , then wash them often with Rose-water , adding half a scruple of Camphore , bath the part with a Linnen cloth , let it be cold in Summer , luke-warme in Winter , with three ounces of the white oyntment of Galen , and half a scruple of Camphore , anoynt the reines and loynes once an hour . CHAP. XI . Of a Burning-Feaver , and continual Tertian , THese Feavers differ not in matter nor cure , but in their name and seat ; both are caused by a cholerick bloud , putrefied in the great Veines , the Viscera being well ; that in the Veines nearer to the heart , as in the ascending trunk of the Vena cava , and in the arterial Veine , and coronal of the heart ; this likewise in the great Veines , but more distant from the arme-pits to the groine . A Burning-feaver is so called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} by way of eminency , because it is so great a fire in the heart . This Burning-feaver , as also a continual Tertian is two-fold , exquisite , and not exquisite ; the exquisite is from cholerick bloud putrefied as afore , the non-exquisite is , when besides choller , salt flegm , or ichors are putrefied with it , and this causus happens two wayes , the one when the Veines dried by the heat of Summer doe attract to themselves cholerick ichors which are acrid , as we being destitute of good food , make use of worse ; the other way is , when ichors and other humours are cast from some strong part upon a weaker , and not ventilated , doe putrefie ; thus likewise a continual tertian is two-fold , the exquisite from cholerick bloud , the non-exquisite from the admission of flegme , melancholly , or ichors . The external causes are the hot air , inspiration of putrid vapours , a cholerick distemper , drunkenness , sadness , by calling the heat from the circumference to the center , &c. The internal are either antecedent , as obstructions from crasse and viscid humours which hinder perspiration , by which means even good humors putrefie ; or a plenitude , either quoad vasa , which distends the Vessels , or ad vires , which cannot bee concocted and governed by nature . Or continent , as the putrid humour it self , which inquinates the pure bloud of the heart , not the whole mass at once , but that which is next it , and so by order of succession . The cause of a not exquisite continual tertian is the mixture of salt flegme , or ichors , putrefying in the Veines of the Midriffe , which proceed from the ascending Trunk of the Vena cava , or from the veines of the mouth of the stomach which flow from the Splenical trunk of the Porta , and make the stomachical coronary , or else it flowes from the hungry Gut , or the simous part of the Liver ; the signes of both legitimate , and illegitimate , are almost alike . The pathognomonical are taken from the burning heat which choller produces , and the unspeakable thirst , the acrimony of the humour continually molesting the heart and stomach , unless by chance a thin humor fall from the braine , and moysten the tongue . Signes assident or concurring are the driness , blacknness , and roughness of the tongue from the adustion of the humour paine of the stomach , Dreams , delirations , difficult breathing , the Lungs or Midriffe being inflamed , &c. sometimes it begins with a gentle rigour , sometimes with Vomiting , sometimes with sleepiness if it be exquisite , sometimes with horrour , if it bee spurious by reason of the mixture of choller and flegme , at the beginning the urine is crasse and turbid , the pul●e small and unequal . The signes of an exquisite tertian have great analogy with those of an exquisite causus , only they are more milde ; the not exquisite are distinguisht by rigour , not by reason of the Feaver , but the expulsive faculty of the greater Veines , which empty themselves into the less , and these into the habit and sensible parts ; this Feaver because its morbifical matter , is more distant from the heart , then that of a Causus , doth not with equal force and assiduity afflict it , but hath its exacerbations and remissions every other day . If the parts about the heart be distended without paine , they signifie an inflammation ; if with paine at the beginning , death . If the signes bee grievous , it kills the fourth or seventh day ; if good , security is promised the same dayes ; if a rigour happen on the critical day , the Patient being weak it is death , but if strong , the Disease shall end with sweat . CHAP. XII . Of the Cure of these Feavers . LEt it be temperate , or if too hot , be cooled with irrigations on the floore , and spreading coole Herbs , as Lettice , Vine leaves , Willow , Oke , Rushes , &c. with green flowers of Water-Lillies , Roses , Violets , let vinegar of Roses dilute with Rose-water , suckt up by a Spunge be often ●eld to the Nose ; let the Linnen contrary to the vulgar opinion bee often changed , lest its filth foment the Feaver . Let his drink be boyled water , with sirrup of Vinegar , or ptissan , or water and sugar , with a little juyce of Pomegranats , Citron , or Lemons ; if you fear a Delirium , use the Alexandrine Julep , or sirrup of Violets , and Water-Lillies . If the Feaver bee spurious , and the Patient aged and weak in a cold air , a little Wine dilute , with boyled water and sugar , with a toast may be allowed ; let his food be liquid , cooling , and moystning , as Chicken , Veale , or Lambe broth altered with Purslane , Lettice , Sorrel , Burrage , Bugloss , Violets , Marigolds , with the greater cold Seeds , and white Poppy-seed , or Barley-water , acid Fruites , as Barberies , Strawberies , Rasberies resist putrefaction ; if he be much enfeebled , Gellies , and Analepticks must bee used . Let bloud as soon as you can , but if hee bee bound in body give this Glister first . Take of Violet leaves , Mallows , Lettice , Gourds , Burrage , each a handful , Prunes sixteen , of the four great cold Seeds each two drams , red Poppy-flowers , or Water-Lilly , and Roses , each a small handful , boyle them in Whey or Water to a pint , streine it , and dissolve of Diaprune simple , and Cassia newly drawn ( if it be exquisite , if not of Diaphenicum , each six drams , honey of Violets , and oyl of Water-Lillies , each an ounce and half , or so much of oyle of Cammomel if it be not exquisite , and make a Glister . Take of Melon-seeds one scruple , Rhubarb grosse powdered , if you would purge choler by stoole , or fine powdered if by urine , four scruples , Cassia newly drawn six drams , let him take it with Sugar , and an hour and half after take fresh broth . As often as Cassia , or any other purging Medicine is infused , the Dose is to be doubled , and where you feare obstructions , never purge with those things that have an astriction , as Myrobalans , Roses , and the sirrups made of them ; but instead of them use Manna , Cassia , or sirrup of Violets of nine infusions ; next , alter the humour , with Juleps which inhibit putrefaction . As take of sirrup of Endive compound three ounces , Succory and Purs●ane water each half a pint , but if they be spurious take of Oxysaccarum compound , which hath the opening roots in it , and a little juyce of Pomgranates , after signes of coction , purge forth the humour thus . Take of Cinnamon a scruple , Rhubarb four scruples , Tamarinds two drams , Diaprune solutive six drams , infuse them all night on warm embers in a decoction of the opening rootes , strein it , & adde sirrup of Violets of nine intusions , or of Roses solutive , with Agarick ; if the Feaver be illegitimate , an ounce and half , and give the potion ▪ in a Spurious causus , take so much Diaphaenicum which purges flegme and choler ; but if the Patient have a paine in the stomach , and be nauseative , let him take a Vomit so he be not tabid , or narrow chested . CHAP. XIII . Of a continual Quotidian Feaver . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} and {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} the Juniors call it , because it hath no intermission , and to distinguish it from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , which is , an intermitting quotidian . This Feaver differs from an intermitting both in matter and seat where the flegme putrefies , because a continual one proceeds from Natural flegme contained in the great Veines , which is nothing else but crude bloud , which in time may be changed into good bloud , being of taste sweet , or insipid , arising from the cold and moyst part of the chyle , and as oft as this bloud is putrefied by a preter-natural heat in those Veines , the other humours incorrupt is caused a continual quotidian ; but an intermitting is caused from excrementitious flegme , putrefied by a preter-natural heat out of those great Veines , viz. in the veines of the habit of the body , in the Liver , Spleen , Messentery . The external causes may be taken from the aire , cloudy , cold and moyst , from a flegmatick nature , the winter season , drunkenness , ill diet , as entrals of Beasts , &c. The internal causes are a cold , distemper of the stomach , and of the meseraick veines , which send the chyle incoct to the Liver , old age , cold humours falling from the head to the stomach . This Feaver begins not with coldness , as an intermitting , because the matter is putrefied in the great Veines , but with vaunings and stretchings , for the most part it invades at night , the heat is less acrid and mordent than in a continual cholerick Feaver , because the humour is colder , the urine at first is white , crude , and crass , the pulse slow , and rare , being oppressed with a crass vapour raised from the flegme ; the sick are sleepy , their Hypochondria stretcht with wind , their stooles white , their sweat none , or very little , and clammy , this Feaver is usually lasting , being from a cold tough humour , often brings to a Cachexy , or Dropsie ; if the beginning be long , so will be the increment , and whole progress of the Disease ; for the Cure , let him use a good diet , shunning those things which ingender crasse juyces , then purge the first region of his body with these following remedies . Take of Barley , Mercury , Violets , and Mallows , each a handful , Fennel , and Carret-seeds , each three drams , the tops of Dill , and flowers of Cammomel each half a handful , boyl them in water to a pint , streine it , and dissolve of Galens Hiera , and Benedicta Laxativa , each six drams , honey of Rosemary , and oyle of Camomel , each an ounce and half , and so give it . If the Sick bee apt to Vomit , let him take this . Of the juyce of Radish roots , and honied water each two ounces , powder of Asarum a dram , let him drink it warme . Take of Succory , Barley , and all the capillary Plants , each half a handful , Raisins stoned eight , four Prunes , of the Cordial flowers a small handful , boyle them in water to two ounces , then infuse the Electuary of Diacarthamum half an ounce , Cassia newly drawn an ounce , Agarick Trochiscate a dram , streine it , and dissolve of sirrup of Roses solutive an ounce , give the potion . Take of Agarick Trochiscate a scruple , of imperial Pills a dram , with honey of Roses , make eight Pills to be given after midnight . The first region of the body being thus clensed , open the basilick veine of the right arme , and draw bloud according to the strength , age , season , region , and impurity of it , because this being a continual Feaver , bleeding is good for this as well as others . Then give this Julep , Oxymel simple , and sirrup of Maiden-hair , each an ounce and half , Fennel , and Endive water each half a pint , condite it with Cinamon . Take of Fennel , and Parsley roots clensed from the pith , Butchers Broom and Asparagus each an ounce , of Maudlin , Succory , Endive , the common capillary Plants each one handful , the less Sea Wormwood half a handful , Raisins stoned twenty , Figgs twelve , Endive seed half an ounce , Aniseeds two drams , Bugloss and French Lavender Flowers each a small handful , Rosemary half a handful , Water and Hony two quarts , boyl away half , then clarifie the colature with honey of Roses , and sirrup of the juyce of Endive each two ounces , and condite it with Cinamon . The matter being thus coct , give Pills of Agarick , and simple Hiera each two scruples , and Trochiskes of Alhandal two graines , if they want a quickner make them up with honey of Roses , and gild them ; give them after the first sleep ; next day give this Bolus three hours before dinner , old Mithridate two scruples , conserve of Rosemary flowers two drams with sugar . CHAP. XIIII . Of a continual Quartan . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is , a quartan Feaver so called , because every fourth day it is exasperated , and remitted if it be continual ; but if intermitting , recurs every fourth day ; these two differ both in matter and seat , the matter of a continual quartan is Natural melancholly putrefied in the great Veines , the other humours remaining good ; but the matter of an intermitting , is excrementitious melancholly , putrefied out of the great Veines in the Spleen , or mesentery . A continual quartan is two-fold , exquisite , or spurious ; exquisite , when Natural melancholly putrefies alone ; spurious , when other humours putrefie with it in the great vessels , and this is most frequent . The causes are either from a laborious life , a cold and dry temperament , a declining age , the autumn , or an unequal air , and meats producing melancholly , as Swines flesh , Hares , Salt Fish , Oysters &c. The chief signes are taken from the substance of the Feaver , or nature of its heat , from the actions hurt , which appears by the inequality , swiftness , slowness , or rarity of the pulse from the excrements and urine , this Feaver begins without horrour , because the peccant matter is contained within the great Veines , the urine is various , but for the most part crude , by reason of the coldness of the morbifical humour , little or no sweat , by reason of the paucity of the matter , little thirst , and the tongue inclining to black . A continual quartan , whether exquisite or spurious , is deadly in old men , especially if it follow an intermitting one , or a burning Feaver illcured , a spurious quartan if it take in the Summer is for the most part short , but if in the Autumn it is long ; for the Cure , first use meats of good juyce , rather liquid than solid , altered with Burrage , Bugloss . &c. Vse Currans , Pine Nuts , Figgs , Vinegar , though it be incifive is not good in this Feaver , because by its coldness and driness it conduplicates the humor , but were it in the Spleen it were commodious . At the beginning use gentle Purgers , because by the strength of strong Medicines the humour grows thicker , and the thinner part being dissipated , the terrene faeces remaine indissoluble , but in the declination use stronger ; if the body be bound give first this Glister . Take of Mallows , Violets , Orech , Burrage , Bugloss , each a handful , Flax and Fenugreek-seed each half an ounce , of the four great cold seeds , and Fennel-seed , each two drams ( for melancholly people are windy ) of the tops of Dill , Camomel , Melilot , Elder , each a small handful in the colature , dissolve of Catholicum and Diasena , each six drams , honey of Violets , and oyle of Lillies each an ounce and half , give the Glister . Take of Polipody of the Oke six drams , wilde Saffron seeds and Sena each three drams , Dodder of time two drams , Anni-seeds four scruples , Cloves two , boyle them in Whey to three ounces , then infuse of Diasena , or Diacarthamum six drams , streine it , and adde sirrup of Violets of nine infusions , or sirrup of Apples an ounce and half , and give it . The body being thus emptied , let bloud at the left basilick veine , with a large Orifice . If the sick be inclined to Vomit , then give him of the powder of the middle rine of a Walnut , or of Broom-seeds , or of the roots of Asarum four scruples , with the decoction of Reddish rootes make a vomit , or Nettle-seed poudered given in Mulse or Whey will doe the like ; some give three or four grains of Stibium prepared , which I allow not but in rustick bodies . Take of the sirrup of the juyce of Fumitory three ounces , Endive , and Burrage-water each half a pint . Take of the roots of Bugloss two ounces , sharp Dock-grass , Butchers Broome , Asparagus , and Liquorice , each an ounce , of the middle rine of Tamarisk , and Ash , or Elder , each half an ounce , of Fumitory , Hops , common Endive , Succory , Milt-waist , Balme , each a handful , Prunes fourteen , Cuscute and Purslane-seeds , and the four great cold Seeds each two drams , flowers of Tamarice , Broom , Burrage , Elder , each a handful , boyle them in order in a sufficient quantity of water , then adde the juyce of sweet Apples three ounces , a sufficient quantity of Sugar , Aromatize it with a dram and a half of the powder of Galens Laetificans , with part of this decoction , you may make a magistral sirrup by adding Purgers of melancholly , by which the Morbifical humour may bee purged epicrastically ; to strengthen the viscera use this . Take of the Electuary of Hyacinth , or confection of Alkermes half a dram , powder of Diatriasantali , and Galens Laetificans each a dram , white Suger dissolved , and boyled in Fumitory water four ounces , and make it into Lozenges of two drams weight , with the conserve of Succory flowers , and Milt waist each three drams , and give one , three hours before Dinner . If the Spleen require it , use this Oyntment . Take of Gum Elemi , and juyce of Tobacco each an ounce , Oyle of St. Johns-wort , or Elder , half an ounce , of Rosen and Gum Amoniake dissolved in Vinegar of Capers , and yellow Wax each two drams , on the fire adde powder of long and round Birthwort , and Cyclamen root each a dram , make an oyntment . CHAP. XV . Of an intermitting Tertian . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is taken by the Greeks in general for every intermitting putrid Feaver , which ends , and returnes again , but Hippocrates especially calls this Feaver of which we now treat , {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , because it recurs every third day , it differs from the continual , of which we have spoken , not essentially , but in matter , seat , because their matter putrefies not every where , but in the lesser veines which are in the stomach , liver , mesentery , guts , spleen , wombe , and habit of the body ; an intermitting Tertian is twofold , exquisite or spurious , the exquisite is from excrementitious choller , which being manifold , there are many differences in Tertians . The matter of an exquisite tertian offends either in quantity or quality ; the quantity is either great or small , if great , either it putrefies in one place , or in divers at once ; if but in one place , it causes an exquisite tertian , which exceeds not seven Fits ; but if the quantity be small , it shall end the fourth or fifth fit . If the matter offend in quality , as the choller is more or less hot , the whole constitution of the Disease and the fits shall bee longer or shorter , milder , or more tedious , for pale or excrementitious choller is sarre more milde then yellow , and this , then vitellinous , porracious , or aeruginous , but the ceruleous is the hottest of all . If choller putrefie in divers places together , and the same day , then is caused a double intermitting tertian , whose fits returne every third day , and are exacerbated , although they assault every day , and intermit , because that which is putrefied is every fit emptied either by sweat , vomit , or stool . The spurious one by the mixtion of flegm or melancholly , is longer than that from excrementitious choller only , and lasts according to the nature of the humour mixt , and by the Patients intemperance hath lasted from the Autumnal to the spring aequinox . The causes of the exquisite are all hot and dry , as a hot Summer , hot aliments , hunger , thirst , labour , strong wines , hot liver , and temper , &c. The causes of a spurious one are idleness , effeminacy , winter season , cold and moyst diet , obstructions , plenitude , &c. The heat of an exquisite Tertian is more acrid and mordent than that of the spurious , through its four times , it begins with rigour , and often with cholerick vomitings , and ends with an universal sweat ; when the rigour is off , the heat is like a light fire , burning with difficult breathing , the urine at first is somewhat red , of meane substance , and in the lower part seemes thin , in the upper opacus . The signes of a spurious one are horrour , from the mixture of choller and flegme , a heat more obscure than that of the exquisite Tertian , and more manifest than that of an exquisite quotidian , a pulse small and slow , which if it grow daily harder , the Feaver shall last many moneths , bitterness of mouth , paine in the vertebra's , with inflation of stomach , and loathings of meat sometimes trouble them . Before we let bloud let the first region of the body be emptied by a cooling Glister , or minorating purge afore described , lest the morbifical humour be wrapt into the greater veines , and so we cause a continual Feaver instead of an intermitting ; let bloud on the intermitting day with a small Orifice , to prepare the humour . Take of Oxysaccharum simple , and sirrup of the juyce of Endive , each an ounce and half , Succory , and Purslaine water each five ounces , then purge him thus . Take of Cinamon a scruple , Rhubarb four scruples , Tamarinds two drams , Diaprune solutive , or Electuary of Psyllium six drams , infuse them all night over warme embers in an opening decoction , then adde sirrup of Roses an ounce , give it on the intermitting day , or these pills . Take of Diagridium four graines , Rhubarb a scruple , of Pills Aureae a dram , make them up with sirrup of Succory , and give them after the first sleep Take conserve of Succory flowers , and of Violets , or Water-Lillies each two drams ▪ powder of Diatriasantalum scruple , with Sugar make a bole to give next morne to allay the fire in the bowels . CHAP. XVI . Of the Cure of a spurious intermitting Tertian . THis Feaver is more frequent than the exquisite , because men indulge too much to their Genius , and its Fits and whole constitution is longer , by reason of the mixture of tough , crasse flegme , or melancholly , the Fits are sometimes twenty , twenty four , or forty hours , and then it is called an extense tertian ; let the diet be incisive , and detersive , and somewhat refrigerating , the broths be altered with Endive , Burrage , Parsley , Wood-sorrel , Purssaine , and a fourth part of Hissop or Savoury , give Gellies which nourish much in small quantity , and because they are quickly excerned , repeat them often , and sometimes give this powder . Take of Galens Laetificans two drams , the Analeptick or Resumptive powder half an ounce , pure Sugar six ounces , leaves of Gold six , dissolve it in broth it wonderfully restores strength , if the Patient be nauseative . Take of Nettle-seeds a dram , sirrup of Tobacco , or simple Oxymel an ounce , give it warme in mulse after meat , because it troubling the aeconomy of the stomach , it better exonerates it self with the meat , if occasion be for a Suppository . Take of Honey boyled an ounce , salt Gemmes , and Mouse-turd each two scruples . Take of Cinamon a scruple , Agarick Trochiscate two scruples , Rhubarb four scruples , simple Oxymel and Diaphaenicum each six drams , infuse them all over warme embers in a fresh infusion of Damask Roses , streine it and give it . If strength and other things allow it , let bloud on the intermitting day . Bloud , saith Avicen , is a brideler of choller , both in respect of its quantity and quality , for there is more or it , and being temperately hot and moyst , it doth moderate the acrimony of choller , and experience tells us , that those that are sick of a continual tertian , and the phrenitical , are best towards morning , because bloud hath then the dominion , and worst towards night when flegme rules , and therefore in Asia those that were let bloud presently became phrenitical , or delirous , and not those which were not ; but that region is farre hotter and dryer than Europe , then give this Julep . Sirrup of Vinegar compound , and honey of Roses , each two ounces , Endive , Succory , and Agrimony water , each half a pinte . Take of the five opening Rootes clensed and bruised each an ounce , infuse them in a small quantity of simple Oxymel on the embers four hours , the herbs Succory , Endive , Liverwort , and the cappillary Plants each a handful , Penni-royal , Origanum , or calamint , each half a handful , Liquorice scraped and bruised two drams , Raisins stoned twenty , Prunes eight , Endive seed three drams , Melon , Anise , and Fennel-seed each a dram and half , the three Cordial flowers , and Chamomel , each a small handful , Time half a handful , boyle them all in order with the Oxymel and roots in two quarts of water till a third part be wasted , clarifie it , and aromatize it with Cinamon . Take of Cloves half a scruple , Agarick Trochiscate two scruples , Rhubarb and Tamarinds each four scruples , Diaphaenicum six drams , infuse them in part of the apozem and give it . Take of conserve of Succory flowers , Citron Pill candied each two drams , old Methridate half a dram , give it with Sugar three hours before meat . Take of Pills Imperial , a dram , of Agarick a scruple , Diagridium four graines , make them up with honey of Roses . To strengthen the Liver , take of the powder of Diatriasantalum two drams , conserve of Succory-flowers , and Citron pill condite each three drams , pure Sugar dissolved and boyled in Agrimony water , four ounces , make Lozenges of two drams weight , and give one every morne ; if melancholly be joyned adde those things afore mentioned for it , instead of Phlegmagoges . CHAP. XVII . Of an intermitting Quotidian . THis Feaver is caused from excrementitious flegme putrefied , and every day hath new fits with a refrigeration or chilness , the place of putrefaction is the smaller veines and habit of the body , and chiefly the stomach , which is alwaies almost affected in this Feaver ; sometimes it is in the mesentery , the simous part of the Liver , Spleen , or Wombe ; but if it putrefie out of the smaller veines , it doth not cause a Feaver , but some other Malady , as if it be putrid and stinking in the Braine , or in the Lungs after Cathars , and Astma's , or in the Wombe , from whence is a Womans Flux ; or in the Guts , from whence are Worms , or in the bladder or reines , where it is dried into stones of divers colours . By flegme is here meant any cold and moyst humour produced in us , which may be putrefied from a hot or cold cause , that putrefied from heat , or the mixture of a serous moysture becomes salt , from cold if remiss is caused acid flegme , if intense , the glassie or albugenious , from these severall sorts of flegme are ingendred various Feavers . A Quotidian Feaver is two-fold , the one from excrementitious flegme which is of sweet taste , or insipid for the most part produced in the stomach , which when it putrefies in the lesser veines makes an exquisite Quotidian ; the other is , when some other humour besides flegme putrefies with it , and it is called a bastard quotidian ; let the Phisician be careful he coufound not a bastard Tertian , or double intermitting Tertian , or a triple Quartan , which have their fits every day with an intermitting quotidian , for their cure is farre different , and distinction difficult . The causes of this Feaver are not unlike those of a continual quotidian ; gapings and wretchings precede this Feaver , with a coldness of the external parts , as of the Nose , Fingers , Ears , Hands , and Feet : with a paine in the stomach , seldome with rigour , but with a gentle horrour , the pulse inequal , inordinate , slow , and weak at first , afterwards more vehement and swift ; the urine first thin , white , and crude , afterwards thick and turbulent ; sometimes they vomit flegme , have acid belchings , swellings of the Hypochondria , pale faces , and little thirst ; it usually seazes after noon , towards the evening or night ; its fits are for the most part eighteen hours , and therefore it is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} that is , partaking of both day and night , its intermission is impure by reason of the quantity , crasseness , and clamminess of flegme which is left by the former fit , and is the cause of the following , because it is not breathed forth by sweat as in a tertian ; this pituitous humour is hardly enflamed and moved , but the matter being coct , the vehemency of the fits cease , as in all other wholesome sicknesses , its heat is not burning , but meanly acrid . The signes of a bastard quotidian are confused , by reason of the excrementitious choller , or melancholly putrefying with it , but if choller bee mixt , you may know it from the Vomitings , stooles , urine , pulse , and a more acrid and mordent heat , for some choller will be cast up , the excrement will be yellow , and the water tinct with choller , the pulse inequal and more frequent than in the exquisite , the fits shorter , with thirst and bitterness of mouth ; if melancholly be mixt consider its signes , with the Spleen ill-affected . Let the dyet be hot and drying , incisive and detersive ; let the drink bee decoction of Sarsa Parilla roote , sirrup of Vinegar , or Hydromel ; moyst meat that is substantifically moyst is good for all Feavers , saith Hippocrates , as broths of euchymous flesh altered with Parsley , Fennel , Hyssop , Savory , Marjoram , Sage , Time , with a little Endive , Purslaine , or Burrage , if it be spurious , the meat is easily corrupted by a feaverish heat , as milke by the hot air ; let them sleep in the declination , and not in the beginning of the fit , if the sick bee nauseative give a vomit , and then what followeth . Take of Sope an ounce , powder of simple Hiera , Agarick , and Salt Gemmious each a dram , seeds of Coloquintida a scruple , beat them in a Morter with juyce of Mercury , make Suppositaries , and dry them up for your use . Take of Origanum , Penny-royal , Calamint and Mercury each a handful , seeds of Dill three drams , Agarick two drams , Chamomel and Dill flowers each half a handful , boyle them in water to a pinte , honey of Roses , oyle of Nuts , each an ounce and half , Benedicta Laxative , and Hiera , or Diaphaenicum each half an ounce , make a Glister . Take of Polipody of the Oke bruised half a dram , wilde Saffron seeds , and Sena each two drams , Calamint half a handful , Anniseed a dram , two Figgs , flowers of Time a small handful , boyle them in water to three ounces in the Colature , infuse of Diacarthamum six drams over warm embers , sirrup of Roses solutive , with Agarick an ounce , and give it ; if it be Spring time , and the body young , or any evacuation supprest , open the right axillary veine , then give this Julep . Oxymel compound four ounces , Sage , Betony , and Succory water ( if choller be mixt ) each five ounces . Take of Cocheae Pills , and of Agarick each half a dram , powder of Hiera a scruple , Agarick Trochiscate four graines , Trochiskes of Alhandal two graines , or if choller be mixt , of Diagridium two graines . Take of Diarrhodon and Galangal each a scruple , Trochiskes of Wormwood two drams , Citron pill condite with Honey an ounce , Conserve of Sage , and Rosemary flowers each two ounces , cover it with Gold , let him take half an ounce three hours before dinner . Take of oyle of Wormwood , and Mastick each an ounce , oyle of Nutmeg half an ounce , mixe at the time of use a few drops of red Wine , and anoynt the stomach . Take of the plaister of Mastick two ounces ▪ of Ladanum an ounce , powder VVormwood two drams , red Roses a dram , Mace two scruples , reduce them to a masse , and make a scutiforme plaister for the stomach , an Epiala being from glassie acid flegme requires the same Cure , only stronger remedies . CHAP. XVIII . Of a Quotidian Feaver from salt Flegme . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is , a salt or salsuginous Feaver , is of the nature of Quotidians , so called because it is caused by salt flegme , as a Winterburning Feaver is , according to Hippocrates , but according to Galens explication of that place , it is so called in relation to touch , and not unto taste , because like Salt it causes an itching mordency both in the body of the sick , and the hand of the Phisitian touching it , which is thus , when fuliginous and very adust excrements are cast forth through the habit of the body and skin , it is distinguisht from other Feavers by its horrour , thirst , and salt taste , by urine and pulse , and continuance of the fit , saith Hippocrates , by reason of its heat from putrefaction , or the mixture of some serous humour which is salt , rather than of choller which is bitter , and not salt , as Avicen thought . It is cured by the same remedies as an intermitting quotidian , tempering them with Succory , Hops , Fumitory , the four great cold seeds , &c. with incisive , attenuating , and detersive things , as sirrup De Bisantiis , and compound Oxysaccharum ; we are not to expect concoction for purging the morbifical humour , which is so crasse and tough that it will be a long time first ; purge therefore in the augment and state , but gently premising to every Purge its preparative , your Catarrhall Feaver is of the kinde of quotidians , and is cured almost with the same medicines . CHAP. XIX . Of an intermitting Quartan . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , or a Quartan Feaver , is so called , because it returnes every fourth day , it is two-fold , exquisite or spurious ; an exquisite intermitting , differs from a continual , both in matter and seat , because this is from a Natural melancholly putrefied in the greater Veines , and that from an excrementitious melancholly , cold and dry , putrefying , chiefly in the Spleen , then in the Liver , mesentery , and habit of the body ; a spurious one is as often as excrementitious , melancholly putrefies with choller , or flegme in the same place , and sometimes choller and flegme putrefie apart , and degenerate into a quartan . The chief signes are a rigour at the beginning and augment , and horrour , with a shaking of the whole body , as if the flesh and bones were broken ; the urine at first white , thin , crude , and various , afterwards crasse and black . This Feaver is the longest of all intermitting Feavers ; the Falling-sickness is cured by a quartan , if neglected it causes a schirrus of the Spleen and Dropsie ; if it degenerate into a double or triple quartan it is bad , but if into a continual it is lethal . The sum of the Cure consists in gentle Medicines , whether Glisters or Purges often repeated , and by degrees ascend to stronger , for he that acts otherwise from a simple or double quartan , makes a triple or continual one , whence is death ; this is confirmed by Galens story , who contrary to the opinion of the Phisitians of his time , in the midst of winter , cured Eudemus the Philosopher of a triple quartan by the use of Treacle , by which Medicine preposterously used be fell into it , for as long as signes of crudity appear , wee are not to use Diureticks , nor Sudorificks , lest by that meanes the corrupt humour be forced into narrower passages , from whence it is not easily removed , but grows more furious ; such excretions then are not to be used but in the declination . If the quartan be from choller adust , then to the following remedies adde things cooling , but if from flegme , then things incisive , attenuating , and detersive . If the Feaver be exquisite , the melancholly humour diffused through the whole body , vinegar and its sirrups are naught , but if it be contained in the spleen only , it is good . Take of Mallows , Violet leaves , Burrage , Fumitory , Hops , each a handful , Prunes twelve , Endive seeds half an ounce , of the four great cold Seeds each two drams , Violet and Elder flowers each a small handful , boyle them in water to a pinte , in the colature , dissolve of Cassia , with sugar and Diaprune simple , each six drams , hony of Violets , and oyle of Lillies each an ounce and half , give it . Take of the pulpe of Cassia six drams , powder of Sena a dram , of Aniseed , a scruple , of Cloves two grains , with sugar make a bole . Take of Polipody of the Oke bruised six drams , Fumitory , Hops , Burrage , each half a handful , Prunes four , figgs two , the seed of Dodder , of Vetches , Anise , and Purslane each half a dram , boyle them in water to four ounces , in the colature , boyle of Sena leaves two drams , Aniseed a dram , whole Cloves two , express it , and infuse of Catholicum , and Diacarthamum each three drams , againe express it , and dissolve sirrup of Fumitory , or Epithimum an ounce , give this potion four hours before in broth , upon the fit day rather than on the other , because the matter being terrene and sluggish , will hardly yeeld ; but on the fit day the humour being in motion , it is then most easily expelled , I speak by experience , contrary to the common opinion . Take of pills of Fumitory a dram , powder of Sena , and Agarick Trochiscate , each half a scruple , with sirrup of Fumitory , make pills . If Nature tend upwards give of Antimony prepared and powdered three graines , Conserve of Violets three ounces , with Sugar make a bole to bee taken on the fit day ; or infuse six graines of it in White-wine all night over warme embers , straine it , and give it before the horrour . Amatus Lucitanus boasts , hee hath cured many with a draft of Rose-water warmed , and given at the insult of the fit , and some with happy success give at the insult five or six graines of Pepper in a cup of generous Wine ; if the Patient be young with full veines , and it be spring time , let bloud of the axillary veine in the left arme . Take of the rootes of sharp Dock two ounces , Butchers Broome , Asparagus , Grass , and Liquorice each an ounce , the middle rine of Ash and Elder each half an ounce , Succory , Endive , Hops , Fumitory , Burrage , Agrimony , Burnet , Miltwaist , Mercury , each a handful , Prunes twelve , new Figgs eight , Endive , Purflane-seed , and the four great cold ones , each two drams , the three Cordial flowers each a small handful , boyle them in two quarts of water till a third part be consumed , clarifie it with sirrup of Pomgranates , and Endive compound , each two ounces , and aromatize it with yellow saunders . Take of Succory roots an ounce and half , Grass , Butchers Broom , Asparagus , each an ounce , infuse them in simple Oxymel all night over warme embers , and then boyle them in two quarts of water with Burrage , Endive , Hops , Fumitory , Origanum , Calamint , Agrimony , each a handful , Mercury and Maiden-hair , each half a handful , Liquorice scraped and bruised half an ounce , Raisins stoned twenty , Figgs eight , seeds of Purssane , Arise , Dodder of Vetches , and the four great cold ones , each two drams , flower of Tamarisk , Broome , and Violets , each a handful , being taken off the fire adde the Oxymel , wherein the rootes were infused , straine it , and clarifie it with Oxysaccharum , compound two ounces , and aromatize it with powder of Diatriasantalum . Take of Polipody of the Oke bruised six drams , Sena half an ounce , Dodder of Time two drams , Annis●ed a dram , true black Hellebore two scruples , whole Cloves two , boyl them in part of the former Apozem to three ounces , then infuse of Catholicum and confection Hamech each half an ounce , in the colature dissolve sirrup of Fumitory the greater , or of Apples an ounce , and give it . Take of Cloves three graines , Aniseed two scruples , Agarick Trochiscate a dram , Turbith bruised four scruples , Sena two drams , infuse them all in part of the Apozem , with an ounce of Oxymel simple , upon warme embers , to the expression , adde of Diacarthamum , and Catholicum , each three drams , sirrup of Fumitory the greater , an ounce . Take of old Treacle four scruples , Conserve of Bugloss flowers or rootes three drams , give it with Sugar . Take of Cloves three Graines , Cinnamon a scruple , Anniseed half a dram , Rhubarb , Tamarinds , and Sena each a dram and half , infuse them all night in Whey over warme embers , with the Electuary of the juyce of Roses half an ounce , streine it , and adde sirrup of Violets of nine infusions an ounce and half , give it . Take of the Conserve of Tamarisk , or Broom flowers two ounces , Conserve of the rootes of Smallage , Milt-waist , or Maiden-hair , each anounce , powder of the Trochisks of Capers , and of Dialacca , or Diacurcuma , each a dram , make an opiate , give half an ounce on the intermediate days , drinking a little White-wine after it . Take of Trochisks of Capers , and Wormwood , each half a dram , root of Jallop a dram , Crocomartis two drams , Conserve of the rootes or flowers of Bugloss six drams , Sugar dissolved in Milte-waist water and boyled , four ounces , make Lozenges two drams weight , take one every intermitting morne , and drink after it a little VVhite wine . Take of Gum Elemi an ounce , VVax half an ounce , Colophonia , Turpentine , and powder of long Birthwort , and Caper bark , each two drams , Flower-de-luce , Cammels Hey , Nard Indian , and Myrrhe each a dram , Styrax Calamite half a dram , White-wine as much as will serve to dissolve the gums , make a mass , of which spread a Plaister on Leather in the figure of a Neats tongue , and apply it to the Spleen , it softens and resolves its hardness , or the Chymical Oyle of Amoniacum , with some few drops of sharp Vinegar doth more powerfully resolve any hard tumor of the spleen . CHAP. XX . Of Feavers annexed to Quartans . THe Quintan , Sextan , Septan , and Nonan Feavers differ not from intermitting Quartans , either in matter or cure , but in the quantity of the humour , and disposition of the body , rather than from the rising , setting , and congression of some Starres , as the Astrologers would have it ; all these Feavers have their name from the motion they observe returning upon the fifth , sixth , seventh , or ninth day . The cause of these circuits depends not only on disordered diet , or the relicks of the morbifical matter not emptied , nor on the quantity , quality , or crasness and clamminess of the humour , nor on the influx of the Starrs , or disposition of the body , but rather from the starry Element , which Hippocrates calls something Divine , when a quartan is caused from very crasse and tough flegme , and a melancholly humour very crass , it may then bee extended beyond the fourth day , saith Paulus Aegi . and Rhasis speakes of those returned every tenth day , and once a moneth ; that the quantity and quality of both humours , and disposition of body doe contribute somewhat , none will deny , but the cause of the Circuits , Histories doe report to be referred to the element of Stars . Pliny speaks of Antipater the Poet who lived very long , and every year on his Birth-day had a Feaver ; Galen saies , he hath seen Quintans but obscurely , but Avicen boasts hee hath seen many , but they are rarely contingent . Hippocrates presages thus of these Feavers , the Nocturnal is not dangerous , but long ; the Diurnal is shorter , and sometimes they bring to a Consumption ; the reason is , because the night is likened to Winter , at which time cold humours move , and because in the night season remedies cannot conveniently be administred ; a Quintan is the worst of all , for to the sound or tabid it is death , because it is vehement , proceeding from an atra-bilarious humour , and not from a melancholly juyce ; a Septan is long , but not lethal , and so a Nonan . The Cure differs not from that of an exquisite or spurious quartan . Take of the leaves of Sena three drams , the rootes of true black Hellebore one dram , of Anise-seed , Dodder of Time , Diagridium each half a dram , Mastick , and salt Gemmeous each a scruple , Cloves half a scruple , make a fine Powder , give a dram in a little White-wine on the fit day in the morn early once a week . CHAP. XXI . Of confused , compounded , and erratick Feavers . ALL these are of the kinde of essential Feavers , and differ not from the precedent , neither in matter nor putrefaction , for they are all putrid , but in the seat and motion of the morbifical humour . A confused Feaver is so called from the seat , when humours doe equally putrefie in the greater or lesser veines ; as if choller and flegme doe putrefie together in the greater veines , there shall be two continual Feavers , because these two humours mixt doe putrefie in the same place , beginning and ending together , and by reason of this mixtion they cannot be known distinctly , or apart , because their signes are confounded , from whence this Feaver hath its name ; likewise if both those humours putrefie in the lesser veines which are in the habit of the body , or in the Stomach , Liver , Mesentery , Spleen , or Cuts , together in the same place , there shall be two intermitting Feavers , which mixed doe constitute a confuse , and not a compound Feaver . On the contrary , A compound Feaver is as oft as the humours doe inequally putrefie , not in one place ( as the confused ) but in divers places together , whether in the greater or lesser veines ; and this Feaver hath its name from the predominant humour , as in a bastard Tertian where choller predominates ; likewise if there be more flegme or melancholly humour , it shall then be called a bastard quotidian , or quartan , which Feavers are com-Pound , and not confused , because their matter putrefies in divers places , and they begin and end at divers hours , because every one hath its several essence , seat , and motion ; also two quotidians , and a double tertian , and a double or triple quartan , are Compound Feavers , as often as their matter putrefies in divers places ; and thus a semi-tertian which is compounded of choller putrefied in the greater veines , from whence is a continual ; and flegme out of them , whence is an intermitting Feaver ; or of flegme putrefied in the greater Veines , and choller out of them , and is called a Hemitritaean ; thus also a Hectick Feaver with a putrid , doe make a Compound Feaver , because the efficient cause of a Hectick is in the solid parts , and of the putrid in the humours , but an Ephemera joyned with other Feavers makes no compound , otherwise there could bee no simple Feaver ; the symptomes also which accompany Feavers constitute no compound , one because they are not of the essence of Feavers , though they increase , foment , and prolong them . The Erratick Feaver is so called , because its fits observe no proportion , for their beginnings are inordinate , resembling no species of any certaine simple , or compound Feaver ; an Erratick Feaver then is of no certaine species , for it is neither quotidian , tertian , nor quartan , nor much less a continual , for being so called from the uncertaine insult of the fits , it is plaine it cannot bee continual , though it may bee joyned with a continual , as well as other intermitting Feavers ; an erratick then is from no certaine kind of humour as other intermittings are , but either from the humours confounded together , and unequally premixt , and putrefying in the habit of the body , or from one humour but changed from it self and passing into another , for how much the humours are changed in the body of the sick , so much are the circuits of the fits varied ; and bloud is most of all transmuted when it putrefies , part of it passing into yellow choller , part into black . The causes of these Feavers are many , one is the inequality of Summer and Autumne ; another when a humour begins to putrefie in a particular part , and another flowes to it from other parts , which was before bounded in them , or was redundant in the whole body ; a third is errour in diet , quantity , or quality of the humour , strength of the Patient , &c. they are long , and of evil judgement ; he that would distinguish them rightly must bee well versed in the knowledge of simple Feavers , both continual and intermitting . The signes of Compound Feavers differ not from those of the simple intermitting , as a double intermitting tertian begins as a simple with rigour , and sometimes with vomiting , and ends with sweat ; Compound Feavers are seldome of divers intermittings , but if it happen the first dayes , they are scarce discernable . Compound Quartans begin with horrour , as the simple intermittings , and they are the longest of all , they are thus distinguisht ; a double quartan growes furious two dayes , and is quiet the third , the fourth , and fifth ; again is furious , and so consequently a triple quartan every day begins with horrour , but every fourth day the Feaver is more grievous , as if it were a simple quartan . Every intermitting Feaver of divers kinde may be complicate with another of the same kinde , if it be in divers places , as if a quotidian bee mixt with a tertian , on one day there shall be two fits , but on the next only one , that of the quotidian ; and on the third day there shall be two , on the fourth but one , and so forwards , the one shall begin with coldness , the other with rigour . If a quotidian be mixt with a quartan , then the fourth day there shall bee two fits , one with coldness , the other with horrour , on the other dayes but one , that of the quotidian . If a tertian and quartan concur , the first insult shall be of the tertian with rigour , the second day there shall be no Feaver , the third day the tertian shall recur , on the fourth a fit of the quartan , on the fifth another of the tertian , on the sixth none , on the seventh there shall bee a double fit , one of the tertian , and another of the quartan , and so on . If a putrid Feaver be joyned with a Hectick it makes a compound , because the heat of this possesses the substance of the heart , that , the humours . The signes of both are taken from the pulse hard and unequal , from the urine , mordent heat , and manner of their motion , if it be bilious the invasion will be every third day , if a quartan , every fourth , if a quotidian , every day , either with rigour , horrour , or coldness ; and the exacerbations , and remissions of the putrid Feaver will be at its set hours . CHAP. XXII . Of a Semitertian Feaver . THis Feaver Hippocrates calls the horrid Feaver , from its horrour , or violent shaking , it is a Compound Feaver , and is two-fold , exquisite and not exquisite , that is made up of a continual quoridian , and an intermitting tertian , for it is more easie for a quotidian to be continual than a tertian , and its fits are longer than those of a tertian . Besides , the horrour is not every day , but every other day , when then the fits both of tertian and quotidian meet together , and are confounded , but on the middle dayes there is only a refrigeration proper to the quotidian , the reduplications are every third day , not such as a tertian , but dimidiately like them , because the type of the tertian is changed by the flegme of the quotidian . This Feaver is sometimes caused from a continual tertian , and intermitting quotidian , and not from two continuals , or two intermittings , as Archigenes and Celsus would have it ; whose opinions were they true , it would not be horrifical , as Hippocrates and Galen describe it , for horrour proceeds from rigour and cold mixt . The Non-exquisite is two-fold too , the one when choller predominates , the other when flegme ; if choller prevail , there is a rigour and no horrour , and it comes sooner to its state without many reduplications , the heat is more acrid , with vomitings , and dejections yellow , &c. but if flegme predominate , there is rather a chilness than horrour , and many reduplications , with flegmatick excretions , less heat ▪ &c. these Feavers are frequent in Aethiopia , Italy , and other hot Countries , the gentlest of them is twenty four hours , the middle sort thirty six , the strongest forty eight ; if it bee exquisite every third day it is horrifical , the pulse hard and unequal , and so the heat , the urine crass and turbulent ; sweats in these Feavers are bad , because they are symptomatical , and not from Nature conquering , &c. This Feaver is reckoned amongst the deadly , and sometimes lasts a whole month ; sometimes degenerates into a Hectick , sometimes to a Dropsie , by reason of the many obstructions ; sometimes it is shorter , when the matter is little , and contained in the common ducts . For the Cure , if need be , first give a Glister , then take of Cinamon half a dram , Agarick Trochiscate two scruples , Rhubard four scruples , honey of Roses and Diaphaenicum each an ounce , infuse them in a decoction of Succory , Hyssop , Liquorice , Raisins stoned , Figgs , Anni-seed , flowers of Time , Bugloss , and Elder , all night over the warme embers , streine it , and give it at the time of remission . Take of the simple sirrup of Vinegar four ounces , use it with the decoction of Barley , or with Ptis●an made of Barley , Raisins stoned , Figgs , and Liquorish , or with a decoction of Sorrel rootes , or Water and Sugar , if Vinegar displease , use sirrup of Pomgranates . In a spurious one if choller predominate , let your cholagoges exceed the Phlegmagoges , and so on the contrary ; if the stomach be offended , give gastrical Medicines , and so of other parts . Take of Sorrel , Grasse , Butchers Broome , and Asparagus roots , each one ounce , of both Succories , Fumitory , and the Capillary Plants each a handful , Liquorish six drams , Prunes twenty , Figgs twelve , Endive-seed three drams , Anise two drams , Elder and Burrage flowers each a small handful , Time half a handful , boyle them to a pinte , and adde honey of Roses and Oxysaccharum simple , each two ounces , clarifie it , and aromatize it with powder of Diarrodon Abbatis . In the declination provoke sweat and urine , the Disease being contumacious is exasperated by strong Purgers , and yeelds not to gentle , but by meane ones often repeated is overcome ; bleed if the Sick bee plethorick , young , and strength give leave , &c. Other Compound Feavers being caused from putrid matter are cured by the same method , and the same remedies as bastard intermittings are ; the confused Feavers if from putrid matter in the greater Veines , are cured as continual Feavers , if not as intermittings ; the Erratick as bastard intermittings , quotidian , tertian , or quartan . CHAP. XXIII . Of a Hectick Feaver . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is , a Hectick is taken for every Feaver that is hard to be removed , whether it be from flegme or melancholly , and is opposed to the Schetick Feaver which is easily removed , it hath its name from {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , which is a habit , because it is stable and permanent . For a Hectick Feaver is a preternatural heat kindled in the solid parts , which first occupies the substance of the heart , and then diffuses it self into the rest of the solid parts of the body , through the Veines and Arteries . This Feaver is continual , and hath but one fit from the beginning to the end , without any intermission or remission , unless it be joyned with a putrid Feaver ; every Hectick is Smple , or Compound , that is either universal or particular ; the universal is that which first seazes on the substance of the heart , then on the other parts and this is seldome ; a particular one is that which first invades the substance of some private part , and at last the heart ; and this is frequent , as of the Lungs in a Ptissick , of the Midriffe , Liver , &c. A Compound one is that which hath a putrid Feaver joyned with it ; a Simple Feaver is further divided into three degrees , the first is , when the body of the heart , and the other solid parts are newly inflamed , and this degree lasts as long as the substantifical and radical moysture doth conglutinate the terrene parts , and is sufficient to nourish and foment the fiery heat , as Oyle doth the flame of the Cotton in a Lamp , and this is hard to be known , but easie to be cured . The third and worst sort is called {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , because it hath adjoyned a hot and dry Consumption , and is then when the humour is wholly wasted , and all the solid parts are as it were burnt , and turned into ashes , as the Cotton of the Lamp is for want of the affusion of more Oyle , for thus the substantifical moysture being quite spent , the native heat is extinguished , and cannot bee restaurated by Euchymous aliments , and this degree as it cannot be hid , so it cannot bee cured . The second degree is of a middle nature between them , and how much the nigher or further to the first or last , is by so much the easier or harder to cure , they all differ only gradually . The causes external are from the Six Non-natural things as the hot Air , long Hunger , Watchings , suppression of Excrements , &c. the internal are from a bilious temperament , a continual Feaver ill cured , as a causus and continual tertian , and not from a quotidian or intermitting tertian , from a Prisick lientery , or such Diseases in which the nourishment being incoct , or ill concoct , doth not humectate the solid parts , which being destitute of their aliment , and conceiving a more acrid and feaverish heat , grow hot and dried . The first degree may be known by the preter-natural heat , if at first touch of the Artery it be acrid and mordent ; if after drink or meat a heat presently flushes in the face from the sublation of vapours , this heat is at first so gentle that the Sick deny themselves to be feaverish , for things done by degrees cause no paine , saith Hippocrates ; as Plants at their first sprouting are easily pulled up , but are hardly known unless by the skilful Herbarist , so this degree is easily cured , but hardly discovered , unless by the learned Phisician . The signes of the second kinde are not only from the mordent heat of the pulse being felt , but in the soles of the feet , and palmes of the hand ; besides , the pulse is harder and dryer than in the former , because the feaverish heat works not only on the rorid substance of the heart , but on its primogenious humidity , whence nourishment failing , the Sick necessarily falls away , the urine is higher coloured by reason of the intense heat , depopulating not only the heart , but habit of the whole body , but less high than if a putrid were joyned with it ; this degree hath a great latitude , and so is accordingly known , or cured . Signes of the last degree are a weak pulse , small , and frequent , and hard from driness , the urine hath some fatty substance swimming in it like to Cobwebs , which denotes a quolliquation of the similar parts , the eyes are hollow , their humours being wasted , the temples fallen , the substantifical humour of the muscles being consumed , the forehead dryed , the nayls crookt , the eye-lids scarce moveable , the Hypochondria distended , the skin hard and dry , cleaving to the bones , the fleshy substance being wasted . A Hectick seldome possesses Children , often young cholerick bodies , and old men that are of a hot and dry temper , and those that are long necked , and narrow breasted , &c. those that have a Hippocratical face are past cure , and such as have a looseness . The cure of the first degree differs little from that of a Diary , for it proceeds from the same manifest causes , but more vehement , which are inherent in the habit of the body , and therefore requires stronger remedies ; let the diet bee euchymous , liquid , cold , and moyst , and incrassating to hinder dissipation , as Broths altered with Lettice , Purslane , Marigolds , Violets , Burrage , Wood-sorrel , Spinage , &c. let the drink be ptissan , or water boyled with sitrup of Maiden-hair , or the Alexandrine Julep with a little Vinegar , if it proceed from an Ephemera ; old age may be allowed a little small Wine at meals . Take of the leaves of Mallows , Violets , Burrage , Lettice , each a handful , Prunes twelve , the four great cold Seeds each three drams , Water-Lilly-flowers and Violets each a small handful , boyle them in water , and in a pint of the colature dissolve of simple Diaprunes , and Cassia with sugar each six drams , honey of Violets , and oyle of Water-Lillies each an ounce and half , make a Glister , if you would have it nourishing too , then boyle them in the broth of a Weathers head , or in Capon broth , with the yolks of eggs . If the stomach be foul , take of Manna of Calabria an ounce and half , sirrup of Roses solutive , with Rhubarb if choller abound , or with Agarick if flegme , and give it in a little Chicken-broth , or ptissan , stronger remedies must not be used . To correct the acrid heat , and driness . Take of sirrup of Vinegar simple , or Oxysaccarum , or of the juyce of Endive , or Poppy , if the Patient rest not , three ounces , Bugloss and Wood sorrel water each six ounces , make a Julep . Baths are good which by their warmth open the passages , and draw the bloud to the habit of the body , if you give a cup of Asses milk with sugar of Roses to them whiles they are in it ; then to prevent sweating anoynt the back bone , and the emunctories , and extreame parts with this Liniment . Take of oyle of Violets , or Water-Lillies , or sweet Almonds , and oyle of Roses , or Myrtells , each three ounces , mixe them for your use . If you mixe in broth a little of this condite , and give it before meat , you will profit much , viz. Conserve of Violets , and Water-Lillies , and the bark of the rootes of Bugloss , condite each an ounce , of the resumptive Powder newly prepared three drams , or instead of it Melon and Cowcumber-feeds each a dram and half , powder of Diatriasantalum , and Diamargaritum Frigidum , each half a dram , sugar of Roses sufficient , make a condite and cover it with gold . The second degree is also cured by euchymous diet and alteration , with liquids , because they are sooner and easier distributed into the habit of the body , and doe more plentifully nourish , saith Hippocr . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , &c. if the Hectick proceed from the ptissick , or continual Feaver , you must recurre to their proper Chapters , likewise i● from the inflammation of some viscus , or the guts , &c. Take of the resumptive oyntment two ounces , oyle of sweet Almonds one ounce , powder of Florentine , Flower-de-luce four scruples , Saffron a scruple , anoynt the breast and back warme ; if there be a looseness anoynt the belly with Unguentum Comitissae : all this while let him take every morne at four of the clock half a pint of Asses milk warme from the Teat , with two spoonfuls of sugar of Roses powdered , wash his mouth and sleep upon it , if he stept not afore . This milk because it is more serous , deter●ive , and coole , is best in a Ptissick , but if you would nourish , Womans milk is best ; if consolidate an ulcer , then Cowes or Sheeps milk because it is more cheesie and butyrous . The third degree being incurable by the consent of all , I shall speak but little of it , let their Chamber be large that they may breath the cool air , let their meat be very nourishing and often taken in small quantity , especially Womens milk , let the drink be ptissan , or small Wine , cause rest , with Diacodium , or a Pill of Cynogloss , or Laudanum , use cooling moystning , and nourishing Glisters , and Juleps , to moderate , if not extinguish the fire in the solid parts . Take of the confection of Hyacinth , or Alkermes four scruples , Pearl two scruples , fragments of the Five precious Stones , and red Corral finely poudered each a scruple , powder of Diapenidium without the species the weight of them all , of the finest Sugar an ounce , fix leaves of Gold , make a powder , and dissolve a spoonful in every small quantity of ptissan , or what else you give , it wonderfully restores the lost strength . A Compound Hectick is hard to know , unless to the Learned , who can distinguish the forme and type of every Feaver ; this is cured by bleeding , if there be a plenitude , or the Courses , or Hemorrhoids bee supprest , or by gentle Purgers if there be a Cacochymie no wayes respecting the Consumption , but the Plethora , or Cacochymy , saith Hippocrates and Galen . CHAP. XXIV . Of Malignant and pestilent ▪ Feavers . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is , of malignant Feavers , some are essential , others symptomatical ; the essential have a great analogy with putred Feavers , from which they differ not in matter , but only by a malignant quality venenate and contagious , either produced in us , or induced into us ; they differ also from Hecticks , not by macilency , which in these is caused by degrees in them speedily , which variously waste the substance of the body , as the Leipyria , Syncope , &c. of which in their place . The Symptomatical Feavers are those which follow the inflammations of the Viscera , and Burning-feavers , from which they also differ by their malignant quality , as the essential also doe . A Leipyria is two-fold , the one essential , the other symptomatical ; the essential is caused from glassie flegme cold in the third degree , collected in the bowels , though with some mixture of choller , yet notwithstanding that it may putrefie , the heat is called from the external parts , to the internal , in which is kindled no small fire , hence it is that the inwards burne , and the outward parts are cold , from whence if a thirst follow , it is deadly the fourth day , or sooner , saith Hippocrates . This is cured as a continual quartan , and if symptomatical as a causus , or continual tertian , with this caution , that to all remedies both internal and external , we mixe something cordial , which may retund the venenate and malignant quality without any manifest heat . A Syncopal Feaver hath its name from the Symptome , because the diseased are troubled with faintings and swounings ; by reason of the exact sense and hurt of the mouth of the Stomach . The efficient cause is either crasse flegme putrefied in the stomach , with some maligne or venenate quality , which carried upwards to the mouth of the stomach doth 〈◊〉 and wound it , from whence is paine and faintings , and sometimes a Syncope , that is , a sudden loss of strength , with sweats more or less ; sometimes it is from aeruginous choller which is wholly pernicious , whose vapour carried to the mouth of the stomach doth wound it , from whence are faintings , Convulsions , and death , unless it bee vomited up , as Galen mentions in a young man ; this Feaver is very rare , and observes the type of a quotidian , which is worst towards the evening . If it come from prassinous or aeruginous choller , the signes are taken from a hot and dry season of the year , from a young , mac●lent , and bilious body , or from a continual burning feaver , or tertian , with a malignant quality , which usually kills before the fourth fit ; that from aeruginous choller is worse , the pulse is swift , from the abundance of heat , inequal from the multitude of the obnoxious humour oppressing Nature , hard from the driness of the Humour and Vessels , small from the weakness ; the parts about the heart and whole body seemes puft up , and tumid , the colour is vitiated , in some white , in others livid or black , the belchings are acid if from flegme , bitter from porraceous choller , the eyes prominent , the tongue acid and black , they are best when quiet and unmoved . The humour is to be carried away by gentle Clisters , and purged epicrastically , alwaies adding Cardiacal Medicines against the malignant and venenate quality , and if the Patient be nauseative give a vomit . Take a sufficient quantity of broth , and boyle in it Mercury , Balme , and Burrage , each a handful , the tops of Dill , with Cammomel , and Me●●lot-flowers each a smalhandful , course Bran two Pugills , Figgs twelve , Aniseed two drams , streine it , and dissolve of Hiera an ounce , honey of Mercury , and oyle of Cammomel , each anounce and half , the yolks of two Eggs , and give the Glister . Take of Mallows , Violets , Barrage , Purslane , Balme , each a handful ▪ Prunes sixteen , of the four greater cold Seeds each two drams , Water-Lilley-flowers a handful , dissolve in the colature Diaprunum simple , and Cassia with Sugar each six drams , honey of Roses , and oyle of Roses , each an ounce and half , give it at the time of remission . Take of Manna of Calabria , and sirrup of Roses solutive , with Agarick , each an ounce and half , drink it in a little fresh Chicken broth , boyle in the broth three drams of Citron pill . Take of Cinnamon a scruple , Rhubarb four scruples , Tamarinds two drams , Cassia newly drawn an ounce and half , infuse them all night over warme embers in Chicken-broth , in the decoction of Succory , Purslane , Citron-seeds , Bugloss , and Water-Lilly flowers , straine it , and adde sirrup of Violets of nine infusions , or of Succory , with a double quantity of Rhubarb , or of Roses solutive an ounce and half , give the potion . Take of Agarick Trochiscate for flegme , Rhubarb for choller , half a dram , imperial Pills a dram , with honey of Roles , or sirrup of Violets , make them up . Take of the sirrup of Citron pill Conserved , and of sower Pomgranates each two ounces , Balme , and Bugloss water each six ounces . Take of Bugloss roots two ounces , dried Citron pill one ounce , it flagme abound , but of Sorrel , and Grass roots , if aeruginous , or prassinous choller , each one ounce , Succory , Endive , Purslane , Lettice , Burrage , Scabious , Devils-bit each a handful , Balme , and French Lavender for flegme , each half a handful , Raisins stoned twenty , Liquorish six drams , Prunes for choller eight , white Poppy , and the four greater cold Seeds or Cardu●s Benedictus , and Aniseed , each two drams for flegme , the Cordial flowers a Pugil , boyl them in water to a pint , add sirrup of Pomgranates three ounces ( which is good for them both ) make an Apozem , and aromatize it with a dram and half of Saxafras ; if you would make a magistrall sirrup in one part of the decoction without sirrup , infuse of Cloves a scruple , Agarick ▪ Trochiscate an ounce for flegme , or Cinnamon a dram , and Rhubard an ounce and half , for choller , straine it , and boyle it gently to a sirrup with Manna , and sirrup of Roses , each half a pound , the dose is two ounces in a decoction of Burrage , or broth twice a week . CHAP. XXV . Of the Cardiacal Feaver . THis Feaver hath its name from the heart , and is of the same kinde with malignant and colliquating Feavers , and not much unlike to the Syncopall ; there is a great heat with it , and the face lookes red , great strivings of the heart , little and frequent breathing , insomuch that they are compeld to sit upright , like the Orthopnoical , and are pained on the region of the heart ; the Disease inclining , they have a thin sweat , a cold breath , and then follow syncopes , and death . The cure is the same with that of a Burning-feaver , both for cooling and moystning diet , and for bleeding , premising the Glister there described , if the body be bound ; in alterating the humours adde a fourth , or sixth part of hot Alexipharmaca , by reason of the malignant and pernicious quality that is impressed , and then empty the humours with Manna , Cassia , &c , allay the thirst with Julep of Violets , or Poppies . Amongst malignant Feavers are reckoned also those that doe variously impair the substance of the body , whether by degrees or speedily , as the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , &c. the {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is a kind of Feaver , in which by reason of the excessive heat , the sick seem to be suffocated , and may be called an crysipelatose one , and is cured as a continual tertian . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is , the moyst Feaver is so called , because presently after the first day the sick begin to sweat , and by sweating their strength is so wasted , that they finde little or no benefit by it , in the year 1528. this Feaver spread it self from England into France , and in short space killed the stoutest men by sweating , all remedies against it being invalid the French named it Suette and numbred it amongst the Pestilential , by reason of its maligne and venenate quality , the Greeks call it {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is called by Hippocrates , the restless implacid Feaver ; in this the sick are alwaies tossing , changing their posture of lying , loath all things , are distended in the Hypochondria , thirst , watch , or are delirous in their sleep . The internal cause is a crass , acrid , and bilious humour , imbibed in the coates of the stomach , sometimes it is from internal pains , the pulse suddenly failes , and the use of all remedies is prevented ; let the diet be incisive , refrigerating , and moystning , and if occasion be , give this Glister . Take of Violet leaves , Gourds , Purslane , and Nettles , each a handful , the four great cold Seeds , and Nettle-seed , each two drams , Camomel and Violet flowers , each a pugil , boyle them in water to a pint , and in the colature dissolve Diaphaenicum , honey of Roses , and Oxymel simple each an ounce , oyle of Water-Lillies an ounce and half . To allay the thirst , use the juyce of Pomgranates , or Citrons , or the sirrups made of them , &c. Take of Cinamon a scruple , Rhubarb four scruples , Cassia newly drawn an ounce and half , infuse them in the infusion of Damask Roses , or in the decoction of Succory , Marigolds , Burrage , Prunes , with Nettle-seed , and the Cordial flowers , streine it , and give it ; procure sleep with sirrup of Poppy , and a little Diamargaritum frigidum . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} is called by the Latines the Colliquating Feaver , by whose vehement heat not only the fat , but the flesh and substance of the solid parts are melted away , & this is of the kind of malignant Feavers ; it is caused two wayes , the one when the colliquationis by degrees , as in Hecticks , and the Marasmus ; the other , when both fat and solid parts are suddainly dissolved , and this is a most grievous and dangerous disease , it differs from a Marasmus because in this , that portion of flesh which is colliquated is always like a vapour , breathed forth by insensible transpiration , but in the colliquating Feaver it flowes to the belly in the species of a bilious stinking crass humour , the external causes are , watchings , sadness , malignant Medicines , &c. and this is not lethal . The internal cause is a fervid heat with a malignant quality which doth not always dissolve the body by insensible transpiration , but sometimes by manifest excretions . The signes are rusous , crass , stinking dejections , sometimes fat and viscid , with a spume or froth which indicates heat , the nose grows sharp , and the eyes hollow , which latter signes if they appear at first , we are not to meddle ; Hippocrates proposes two remedies , the one the cremor of Barley , the other cold Water , with acid sirrup made up with Sugar , and not with Honey ; give Glisters if occasion be , or eccoproticks , for the first region of the body , with opening and cooling decoctions , if there be obstructions , and condites , and cardiacal powders , as are described in the Chapter of a continual tertian . CHAP. XXVI . Of the Feaver from Crudity . {non-Roman} {non-Roman} {non-Roman} {non-Roman} {non-Roman} , that is , a Feaver from Crudity , though the word Crude be applied to various things , yet in this place it is taken for a raw cold humour , contained in the first passages , or in the whole body ; this Feaver differs from an Epiala , not in matter , nor in the place of putrefaction , but in malignity , and therefore is not voyd of danger , especially if it be joyned with an inflammation of stomach or liver , for sometimes it is without them . If the crude humour putrefie in the first passages there will be a nauseousness , sower belchings , with idleness , or unseasonable exercise , as Venery presently after meat , &c. if it bee in the whole body the urine will be thin , and watery , the contents divulsed , the colour pallid , plumbeous or livid , the whole bulk somewhat swelled , the pulse unequal , obscure , with a dulness of the senses ; make a Glister with Hiera Catholicum , honey of Roses , oyle of Camomel , decoction of Mallows , Mercury Origanum , Dill , &c. Take of Catholicum an ounce , infuse it all night in the infusion of Damask Roses , streine it , and adde sirrup of Succory , with Rhubarb duplicated , an ounce and half , give it in the morn ; if strength and age permit , and a high tinct urine require it , let bloud in the axillary veine in small quantity , with a narrow Orifice . All attenuating things used must not be very hot , lest the Feaver be increased . Take of sirrup of Vineger , and juyce of Endive , each two ounces , Succory & Wormwood-water each six ounces . Take of Grass-roots , Butchers Broom , and Asparagus , each an ounce , of Succory , Agrimony , Endive , the Capillary Plants , & Sea-wormwoode ach a handful Origanum , and Balm each half a handful , seeds of Carduus Benedictus , Citron , and Anise , each two drams , flowers of Bugloss and Time , each a pugil , boyle them in water to a pint , with Oxymel simple three ounces , make an Apozem , and aromatize it with Cinamon . Take of Cinamon a scruple , Rhubarb four scruples , Catholicum half an ounce , Cassia newly extracted an ounce , infuse them in part of the Apozem , and to the expression , adde sirrup of Roses , with Agarick an ounce and half , give the potion , and give no stronger ; take of the Conserve of Citron pill three drams , old Mithridate , or Treacle , or Aurea Alexandrina , a dram with Sugar , give the Bolus next day three hours before meat . Books printed , and are to be be sold by John Hancock , at the first shop in Popes-head-Alley next to Cornhil . A Book of Short-writing , the most easie , exact , lineal , and speedy method , fitted to the meanest capacity ; composed by Mr. Theophilus Metcalse , professor of the said Art . Also a School-master , explaining the Rules of the said Book . Another Book of new Short-hand , by Thomas Crosse . A Coppy-book of the newest and most useful hands . Four Books lately published by Mr. Thomas Brooks . Preacher of the Gospel at Margarets New Fish-street . 1 Precious Remedies against Satans Devices ; or , Salve for Beleevers and unbeleevers Sores , being a companion for those that are in Christ , or out of Christ , that sleight or neglect Ordinances , under a pretence of living above them , that are growing in Spirituals , or decaying , that are tempted , or deserted , afflicted , or opposed , that have assurance , or want it , on 2 Cor. 2. 11. 2 Heaven on Earth ; or , A serious Discourse , touching a well-grounded Assurance of mens everlasting happiness , and blessedness ; discovering the nature of Assurance , the possibility of attaining it , the Causes , Springs , and Degrees of it , with the resolution of several weighty Questions , on Rom. 8. 32 , 33 , 34. 3 The unsearchable Riches of Christ ; or , Meat for strong men , and Milk for Babes , held forth in two and twenty Sermons , from Ephes. 3. 8. preached on his Lecture Nights at Fish-street-hill . 4 His Apples of Gold , for Young-men , and Women ; and , A Crown of Glory for Old Men and Women ; or the happiness of being good betimes , and the Honour of being an old Disciple , clearly and fully discovered , and closely and faithfully applied : The Godly Mans Ark , or City of refuge in the day of his Distress . Discovered in divers Sermons , the first of which was preached at the Funeral of Mistris Elizabeth Moore . Whereunto is annexed Mistris Moores Evidences for Heaven , composed and collected by her in the time of her health , for her comfort in the time of sickness . By Ed. Calamy . B. D. and Paster of the Church at Aldermanbury . The Covenant of Gods Free Grace unfolded , and comfortably applied to a disquieted or dejected soul , 2 Sam. 23. 5. By that late Reverend Divine , Mr. John Cotton of New England . The Ruine of the Authors and Fomenters of Civil War ; as it was delivered in a Sermon before the Parliament at their monthly Fast , by Mr. Samuel Gibson , sometime Minister at Margarets Westminster , and one of the Assembly of Divines . The New Creature , with a description of the several marks and characters thereof , by Richard Bartlet . FINIS . Notes, typically marginal, from the original text Notes for div A26839e-1170 Of the Name . The definition of a Feaver . The division of heat . The division of ascititious heat . From the essence . From the subject . From the manner of the motion . From the efficient cause . From the matter . The containing . The conta●n●d . The impetuous . From the Symptoms The simple Feaver . An unputred Synochus . The Homotonos . The Epacmastic● . The Paracmastical . The putred Synochus . The Synechis . Intermitting Feavers . A Hectick Compound Feavers . The Confuse . The Erratick . From the Humour . From the quality . Object . against this opinion . From the quality . From the habit of the body . From the strength . From the complication . The cause of putrefaction . What the catas●a●●● it . From whence are the signes of these tim●s . From whence is the Idaea of the Disease . 2 From the fits . 3 From the figure . 4 From the strength . 5 From the season . 6 From the pulse . 7 From the rigour . 8 From the houre . 9 From the Symptomes . 10 From the duration of the fits . 11 From the evacuation . 12 From the urine . Signes when the matter is out of the veines . How to distinguish the four times of Feavers . The fo●● times of a Phlegmon . Signes of the times of an Ophthalmy The four times of an Ulcer . What time is . What a period is . What is the type . The time of intermitting Feavers from moveable matter . The division of the fit . The first time . The second time . The third . The fourth The fifth . The Sixth . The times of these putrid are but four . The signes of the times of these Feavers . The augment . The state . The declination . From whence the times of a Diary . Feavers without putrefaction of the Humours . The times of mortal Feavers . The times of a Hectick . Of Bleeding . Purging ▪ Of the name . Of the external causes . Of the internal causes . Of the Singes . Who are subject to it . The Cure The profit of Baths . What a Synochus is . The Signes The Cure . A Cholagoge . Feavers from Humours equally putrefied . The Causes . The Signes How many wayes a Crisis may be . The Cure . The cordial powder . An Epithem for the heart . A Plaister ▪ A Liniment for the Liver . Feavers from humours unequally putrefied . The division of these Feavers . The external Causes . Causes internal . The causes of a not exquisite continual Tertian . Signs Pathognomonical of a causus . Signes assident . Signes of exquisite Tertian . Prognosticks The Aire . His Drink . Bleed . A cooling Glister . A Bole. A Rule to be observed . A Julep . A Purge for Choler Of the Name . How a continual and intermitting differ . External causes . The Signs . A Glister . A Vomite A Purge for the Flegme . Bleed . A Julep . An Apozem . Pills ▪ Of the Name . The Causes . The Signs . Prognosticks . The Cure . A Rule for purging . A Glister . A purge for Melancholly . A Vomit ▪ An altering Julep . An Apozem . Lozenges . The Oyntment for the Spleen Whence a double Tertian . The Causes . The Signs A Caution . A Julep . A Purge for choller . Pills ▪ A Bolus . A Cordial powder . A Vomit . A Suppositary . A Purge A Julep . An Apozem . A Purge . A bolus . Lozenges for the Liver . The division of this Feaver . The Signs Signes of a bastard Quotidian The Cure . A Suppositary . A Glister . A purging Potion . A Julep . Pills . A Condite A Liniment . A Plaister . Of the Name . The Cure . The Sign● Prognosticks . The Cure . A Glister A Bole so melancholly . A Purge for melancholly ▪ Pills . Vomit . An Apozem for choller adust . An Apozem for salt flegm . A Purge for 〈◊〉 flegme . A purge for flegme and melancholly . A Bole A Purge for choller adust . An Opiate Lozenges . A Plaister for the Spleen . The Causes . Presages . A powder for an intermitting quartan . Of a confused Feaver . A Compound Feaver . Of the Erratick Feaver . The Causes . The signes of a Semitertian . Signes of a non exquisite Semiter●ian . Pr●●nosti●●s . A Purge . A Sirrup against thirst . An opening Apozem . Of the Name . The Definition . The Division . The Causes . Signes of the first degree . Signes of the second degree . Signes of the third degree . The Cure . A Glister . A Potion . Baths . A Liniment . A Condite The Cure of the second degree . An oyntment for the brest . The choyce of Milks . The third degree . A short cure of a Compound Hectick . The division and difference of malignant Feavers . Of a Leipyria Feaver . The Cure . A Syncopal Feaver . The Cause The signes from prassinous choller . The Cure . A Glister for flegme . A Glister for ae●uginous choller . A minorating Purge for flegme . A purge for choller . Pills . A Julep for flegme . An Apozem . The signes The cure . Typhodis Feaver . The moyst Feaver . The restless Feaver . The signe● . The Cause . A Glister . A Potion . The Colliquating Feaver . The cause . The signes Of the Name . The Signs . A minorating purge . A Rule . A Julep . An Apozem . A Purge .