A TREATISE OF Consumptions: IN WHICH Their Nature, Causes and Symptoms are briefly Explained; AND A New and Extraordinary Method by Specific Medicines is Proposed for the Cure of Consumptions; even such as proceed from Ulcers of the Lungs. By Thomas Nevett, Chirurgeon. LONDON, Printed by John Astwood, and Sold by Thomas Parkhurst at the Bible and Three Crowns at the lower end of Cheapside, and Brabazon Aylmer at the Three Pigeons in Cornhill. 1697. TO THE READER. I Remember a Remarkable Passage in some Observations upon the Bermudas Berries, by a Dr. of Physic in the Country, addressed to the Honourable Esq boil, who professeth he had been for fifty years an exact Observer of the Methodus Medendi, yet saith the Dr. for my part I firmly believe, that (Universal Evacuations being premised) the greatest Cures wrought in the World, are by the use of Specifical Medicines. The higher the Attainments of any have been in understanding, the more freely have they acknowledged that the greatest part of those things they did know, was the least of those things they did not know; such men account it not shameful to renounce an Error, tho' never so ancient, when persuaded thereunto by Truth and plain Demonstration: There are other narrow Spirits (abundantly satisfied in their own knowledge) that believe the Art of Physic hath been taught by our Ancestors, in such an absolutely perfect manner, as that nothing remains to the Industry and Diligence of Posterity; it being too much their Humour to undervalue every Medicine that they themselves are not Masters of, because they prefer their private Interest to the public Good: But in the mean time where is that cordial Love to Mankind, which is one of the Badges of true Christianity? Nay, where is the Exercise of Reason? For how can a Man give his Opinion against a thing that he never heard of before, or at least never experienced? I an sure, this unjustifiable practice is the way to put a stop to all useful Knowledge and Improvements: It is therefore expected from the Ingenious and Candid Reader, that he should adhere to Truth's Cause, by whomsoever it is pleaded, weigh every Invention, not in the deceitful Balance of Custom, but in the just and even Scales of Reason, approve what is agreeable, and reject what is contrary to it. That I who am by Profession a Chirurgeon, should in such a polite and inquisitive Age, adventure my thoughts in public concerning a Physical Case, may be to some matter of admiration, and to others of severe censure; especially such as may think I have invaded their Province. As for the latter, I am persuaded nothing that I can say will remove their Prejudices, and for the former, I shall only tell them, that being alaramd by some of the Symptoms mentioned in the following Discourse, whereby I plainly perceived the constitution of my own Body inclining to a consumptive state, I strenuously applied my mind iq study the Nature of this Disease, and to find out, if possible, some noble Specific Medicines, which might indeed deserve that Name, and be able to oppose the growth of so fatal a Distemper, which hath insensibly flattered so many into the Chambers of Death. What I then laboured for, and searched after, I have since (by the Blessing of God) found, and with great advantage experimented on myself and many others, and now think fit to disclose for the good of all, not doubting but if a more Excellent Method and Medicine than hath hitherto been generally practised, or prescribed, be treasured up in the Hands of any Person whatsoever, he doth more faithfully perform the part of a just Steward, by a due Improvement, than a close concealment of it. And on the same Account, I judge it more my Duty to Jerve my Native Country, than mind the Clamours of Censorious Critics; not at all questioning but in a little time, the efficacy of these Medicines will at once bring Health to the Patient, and Reputation to their Author: And when the World shall be convinced of the Power of these Remedies, by their Effects, I shall think it seasonable to make them known, which many will now be apt to contemn and neglect, until their Opinions be altered by Experience, and their Prejudices removed by Demostration. From my House at the Chyrurgions-Arms in Fen Church-street, Octob. 24. 1696. T. Nevett. A TREATISE OF Consumptions. THe Design of this small Treatise is not to trouble the Reader with many Divisions, or Subdivisions of Consumptions, but briefly to inquire into the Nature and Causes of this Disease, as also to contribute my Mite, in order to oppose its Fury, by pointing at such Specific Medicines as are most likely to engage it with Success. A Consumption in general, is a wasting of all the solid parts of the Body, for want of a due Distribution or Assimilation of the Nutritious Juices. By some Learned Men this is observed to be the Endemicall Distemper of England; and indeed our Weekly Bills at once declare both the greatness of the Disease, and the weakness of the Medicines wherewith its Cure hath been hitherto attempted. Besides, that which seems to justify this Observation, is the pernicious custom of the Inhabitants of this Island, who immoderately and unseasonably indulge their Appetites with several sorts of Meats and Drinks, whereby the Tone of the Stomach is so vitiated, as that it cannot perfectly ferment and volatilize the Chyle, which is commonly the internal procatartick cause of most Distempers among us, and consequently of Consumptions from those Distempers, from whence comes a colliquation of the Chyle in Lienteries and Dysenteries, tormenting Colic and Iliack Pains, hypocondriac Melancholy, hysterick Fits, scorbutic Twitches, troublesome Catarrhs, sluggish Passage of the Chyle through the milky Veins, scrofulous tumors and Inflammations of the mesenterick Glands, spasmodick Contractions or Convulsions of the Nerves, preternatural Fermentation of the Blood and Spirits, Cachexies, Atrophys, Obstructions, Fevers Hectical, inflammatory and putrid, Exulcerations of the Lungs and Marasmus, with many other Diseases, whence come they Originally and for the most part, but from the Weakness, Ill Habit and Indisposition of the Stomach? Now the proper Action of the Stomach is Chylification; for though the Meat we take into our Mouths receives some alteration there in Mastication, by the fermenting Juice that flows from the salivatory Glands, together with the acrimonious Particles, and fermentaceous Spirits of Liquors which we drink, yet it is not turned into a thick white Juice, till it hath passed down through the Oesophagus, or Gullet, into the Stomach, where by the help of its Fibres it is closely embraced, and mixed with specific fermentaceous Juices, separated by its inner Coat, and impregnated by the Saliva, then by a convenient Heat there is made a mixture of all; for that the fermentaceous Particles entering into the Pores of the Meat, do pass through, agitate and eliquate its Particles, dissolving the whole Compages, in which the purer parts were intimately united with the Crass, and making them more fluid, so that they make another form of Mixture, and unite among themselves into the resemblance of a Milky Cream, after which together with the thicker Mass with which they are yet involved, by the Constriction of the Stomach they pass down to the Guts, where by the Mixture of the Bile and Pancreatic Juice they are by another manner of Fermentation quite separated from the thicker Mass, and so are received by the Lacteal Vessels, as the thicker is ejected by stool. After the purer part of the Chyle hath been thus strained through the narrow and obliqne Pores of the Milky Veins, by the continual and peristaltic motion of the Intestines, it is yet further attenuated and diluted with a very thin and clear Lympha from the Glands of the Mesentery to expedite its passage through those Numerous Meanders into the common Receptacle, from whence by the constant supply of such like Lympha from the small Glands of the Thorax, it is safely conveyed through the Ductus Chyliferus Thoracicus, subclavian Vein, and the Vena Cava into the Heart. The Chyle now mingled with the Blood, passeth with it through the Arteries of the whole Body, and returns again with the Blood by the Veins to the Heart, undergoing many Circulations before it can be Assimilated to the Blood; for every time the new infused Chyle passeth through the Heart with the Blood, the Particles of the one are more intimately mixed with those of the other, in its Ventricles, and the Vital Spirit, and other active Principles of the Blood work upon the Chyle, which being full of Salt, Sulphur and Spirit, as soon as its Compages is loosened by its Fermentation with the Blood, the Principles having obtained the Liberty of Motion, do readily associate themselves, and are Assimilated with such parts of the Blood as are of a like and suitable Nature. After the Chyle hath been thus Elaborated, it becomes fit as well to recruit the Mass of Blood, as to Nourish the whole Body, seeing it consists of divers Principles and Parts of a different Nature, therefore according to the various Use and Necessity of every Part, and also that it may conform and fashion itself to the different Pores and Passages, so it is severally appropriated, the most volatile and subtle part is separated in the Brain, and adapted to refresh the Animal Spirits, the Glutinous to nourish the Body, and the Sulphureous to revive the Native Heat: And in its passage with the Blood through all the parts of the body, all the mass of Chyle that is capable of being turned into Blood is sanguified, the serous and saline part precipitated by the Kidneys, and evacuated by Sweats or insensible Transpiration, the Bilious is deposited in the Liver, and the rest of its Excrements retire to the several Emunctories of the Body. Thus it comes to pass by the wonderful Sagacity of Nature, such extraordinary Provision is made, that the purer part of the Chyle by these ways and means is more purified; and when it is thus purified and sublimed, it is more capable of reinforcing the Blood and Spirits, as also of corroborating the Tone of every particular Part: Whereas when the Chyle is sour and dispirited, the blood necessarily becomes vapid, the Animal Spirits that reside in the System of the Nerves are infected with a Morbid Disposition, and all parts of the Body begin to flag and waste. For indeed there is no other way to recruit the daily Expense of Blood and Spirits, but by a continual Influx of laudable Chyle into the blood-vessels, which Chyle is made by the Fermentative Juice of the Stomach, and this Fermentative Juice supplied from the Mass of Blood, so that there plainly appears to be a fixed Correspondence betwixt the Blood and Chyle, and a necessary Dependence all the Humours in the Habit of the Body have on the Stomach; from whence it is reasonable to infer, That if the Chylifying Faculty of the stomach be depraved, the Blood and Humours must necessarily sympathise therewith, and in a manner proportionable to the Distemper of this part. The immediate Cause of a Consumption of the Lungs is store of sharp, malignant, waterish Humours, continually distilling upon the soft spongy Substance of the Lungs, stuffing, inflaming, impostumating, and exulcerating them, whereby their Action, which is Respiration, or a receiving in and driving forth Air is depraved, as will more clearly appear by the following Description of these Parts. It may not be impertinent to our Discourse if we should usher in the Description of the Lungs, with a short account of the Trachea, Aspera Arteria, or Windpipe. The Trachea or Aspera Arteria is a long Pipe, consisting of Cartilages and Membranes, which beginning at the Throat or lower part of the Jaws, and lying upon the Gullet, descends into the Lungs, through which it spreads into many Branching, and is commonly divided into two parts, the Larynx and Bronchus; the Larynx is the upper part of the Windpipe, the Bronchus is all the Trachea besides the Larynx, as well before as after it arrives at the Lungs. The Substance of the Lungs is soft, spongy and rare, curiously compacted of most thin and fine Membranes, continued with the Ramifications of the Trachea or Windpipe, which Membranes compose an infinite number of little, round and hollow Vesicles, or Bladders, so placed as that there is an open Passage from the Branches of the Aspera Arteria, out of one into another, and all terminate at the outer Membrane that investeth the whole Lungs: These little Bladders by help of their muscular Fibres contract themselves in Expiration, and are dilated in Inspiration, partly by the pressure of the Atmosphere, and partly by the Elastic power of the Air, insinuating itself into these Vesicles through the Windpipe and its several branches: Their Lobes are two, the right and left, parted by the Mediastinum, each of which is divided into many lesser Lobules, according to the Ramifications of the Aspera Arteria; they have all sorts of Vessels that are common to them with other parts, as Arteries, Veins, Nerves, Lymphducts, but peculiar to themselves they have their Bronchia, or the Branches of the Windpipe, for bringing in and carrying forth Air so necessary to Life, that we cannot Live without it: And when we consider their admirable Structure, (as well as the structure of every individual part of our Body) how ought we to Adore the infinite Wisdom of our Creator! Now when these small Vesicles or Bladders are with Extravasated Serum, or purulent Matter, the Natural Tone of the Lungs is so weakened, that we cannot enjoy the Benefit of free and full Respiration, hard, scirrhous tumors or Tubercles are bred, attended with a dry and troublesome Cough, Oppression of the Breast, difficult and short Breathing, preternatural Heats, Exulcerations, and other deplorable Symptoms, according to the Degrees of Obstruction, and different Nature of the included Humours. The External Procatartick Cause of a Consumption of the Lungs is cold Particles of Air, constipating the Pores of the Body, whereby the Serum which ought to expedite the Motion, and temperate the Heat of the Blood is separated from it, and thrown upon the Glands of the Larynx, and the spongy substance of the Lungs themselves: For as the Lympha furthers the Motion of the Chyle, so the Serum accelerates the Circulation of the Blood, being carried about with it through the smallest Capillary Vessels and remotest parts of the Body, lest it should be inflamed with a burning Heat, or stagnate by excessive thickness; during which circular motion they are both called by the same common Name, but when some Portion of Serum is separated from the mass of blood, and retreats to some one or more of the Emunctories, according to their various Dispositions, it derives a Name from those particular Parts on which it seizeth, as when it distils upon the Eyes, we call it Opthalmia, when upon the Nose Coryza, and when upon the Thorax it goes by the proper Name of a Catarrh. Now for as much as there is nothing makes a Separation of the blood more commonly than the want of usual Transpiration, so nothing more conduceth to the Preservation of Health, than that the Pores of the Body should continually let forth the hot Steams and Vapours that arise from the Ebullition of the blood; but when after taking Cold the Skin and Habit of the body are on a sudden stopped up, that the sulphureous and waterish Excrements of the blood cannot pass through the Pores, they are again resorbed into the Mass of Blood, from whence proceeds a Feverish Disposition; and unless they are carried off by Stool, or precipitated by the Kidneys, are sometimes translated to the Glandulous Parts of the Lungs, where by Degrees contracting more and more Heat and Sharpness they inflame and exulcerate these tender parts. Nevertheless though a Consumption of the Lungs is sometimes thus caused by taking Cold, yet this comes to pass but seldom, unless in such bodies whose mass of blood being rendered Cachectick, through frequent Influxes of dispirited Chyle, is predisposed to receive, and unable to free itself from this New Influx of Catarrhous rheum: For suppose two Persons in like manner deprived of the benefit of usual Transpiration, by some great Cold, which though troublesome in the beginning, because of a violent and continual Distillation of Extravasated Serum upon the Glandulous Coat of the Windpipe, and other adjacent Glands, yet in the one of these it survives not the accidental Feverish Disposition of the Blood, occasioned by the stoppage of the Pores: For as soon as the Ferment ceaseth, the separated humours, partly for want of a new Influx of Serum, and partly by the Natural Heat of these parts, are concocted into a thick sort of Phlegm, and coughed up; after the Expectoration of which separated Serum the Glandulous parts presently recover their Natural Tone, without any Remains of a Tumour, Cough, Shortness of Breath, or other Inconvenience; but in the other this Feverish Ferment, occasioned by taking Cold, is not transitory, but so Habitually fixed by means of some previous Indisposition, as to increase the Effervescence and colliquation of the Blood and Spirits; from whence all the Glands which are seated in the upper part of the Larynx, as also the Glandulous Coat of the Windpipe itself are overflown with a Deluge of hot distempered Humours, the substance of the Lungs distended with hard tumors, the Branches of the Windpipe compressed, and the Windpipe itself from these Swell irritated to Cough, by a continual tickling, which promotes a frequent spewing out of hot sharp Humours all along the Aspera Arteria, till at length these Tubercles growing very large, begin to inflame and suppurate; immediately upon the breaking or opening of those Apostemes, sometimes such a flood of corrupted Matter is poured out of their Bags or Cavitys, into the Branches of the Trachea, as completely suffocates and chokes the Patient; but at other times this Purulent Matter, mixed with streaks of Blood, and some thin Phlegm that is continually discharged from the Glandulous Coat of the Windpipe, is coughed up by degrees, and then this deplorable Case requires Specific Medicines, to cleanse and heal these Ulcers. Such kind of Consumptions whose Original is store of malignant acrimonious Humours, which are most apt to inflame and putrify, may be termed Acute, when compared to others that proceed from Humours more mild and benign. There may be likewise some difference made by omitting Bleeding, and committing some egregious Errors in Diet, Exercise, Passions of the Mind, or any other of the Non-Naturals: However, all Consumptions of the Lungs ought to be reckoned in the number of Chronical Distempers, because they are contracted and augmented by degrees, and no other way to be remedied; yet this doth not prove them incurable in their own Nature, for Reason and Experience both teach the contrary: And indeed I must confess, it was from the marvellous Success of these Remedies that I first imbibed this Notion, viz. Ulcers of the Lungs are in themselves curable. Sometimes a Fever or other Acute Distemper may be jugulated, when either Nature or Art carries off the Morbific Matter by a sudden Crisis or plentiful Evacuation, but all hopes of dispatching a confirmed Consumption of the Lungs instantly are groundless seeing many inveterate Obstructions must be removed, abundance of tough glutinous Humous attenuated and evacuated, the whole Mass of Blood and Spirits rectified, the Habit of the Body meliorated, and the Tone of Several parts recovered, before we can eradicate this fixed Distemper. What will be the Issue and Result of this Consumptive Disease, may rationally be prognosticated from its several Stages or Degrees: For when the Mass of Blood by a continual Influx of sour dispirited Chyle is reduced to a sharp and Hectical state, and the Serum which is separated from this corrupted Blood only stuffs the Bladders and Glandules which are dispersed through the body of the Lungs, this Distemper may be said to be in its Infancy or beginning, (and if sovereign Remedies were then presented, they might obtain an easy Conquest) but the increase is attended with a greater Distension of the Glands and Bladders, as also an Inflammation of these Tubercles tending to suppuration: For when the Animal Spirits which are necessary to the Natural Fermentation of the Blood are vitiated with unwholesome Particles of a Foggy and thick Air, and the Humour which for a long time hath been contained in the Bags or Cavitys of the Lungs is overheated by some extraordinary Ebullition or Fermentation of the Blood, with a total suppression of Expectoration, the Cough becomes more violent, the Fever inflammatory, and all parts more tabid. In its further progress or state all Symptoms advance apace towards their Extremity, Suppuration now succeeds the Inflammation of these Tubercles, for that the Purulent Matter is either breeding or already made, the Inflammatory Hectic is changed into a putrid Intermitting Fever, attended with an Universal Colliquation of the Nutritious Juices and plentiful Separation of them from the Mass of Blood by all ways of Evacuation that Nature affords; whence the Patient's strength suddenly decays, and in a short time he is reduced to the highest state of a Marasmus, with an Hippocratick Face. Thus having demonstrated to the meanest Capacity the greatness of this prevailing Evil, with its efficient and material Causes, Reason itself presently suggests nothing less than great and noble Medicines can tame a Distemper so formidable. It is no less obvious to the Understanding of every one that professeth any thing of Physic, that the sooner the Cure is begun the better, the more moderate the Patient is in the use of the six Non-Naturals, the more likely to succeed; the Spring time is the best Season, Universals are to be premised, Extraordinary Symptoms and Circumstances peculiarly attended, and such like things must run through the whole Course of Practice. No doubt but the Chalibeate Mineral Waters when impregnated with the Volatile Salts and Spirits of a serene Air, pleasant Society, delightful Recreations, Morning and Evening Walks, regular Diet, Freedom from Business, vexatious Thoughts, and the rest may be serviceable: But if the Jesuit were sentenced to perpetual Exile, I think the Consumptive have no reason excessively to lament, for I can tell them who hath a Febrifuge Antihectical, without a Grain of the Jesuit, more excellent far than the Peruvian Bark, because it makes a safe, not a treacherous Peace, and can give a Reason of its working so stupendiously, though they that know not how a thing can be done, think it impossible to be done. For my part, I do not believe any Medicine can work a Cure in the way of a Charm, yet they that either know or use no other (at least for the most part) than ordinary Medicines, cannot conceive how such wonderful Effects can be wrought, unless by Enchantment. The common Method of Cure is by Phlebotomy, or Opening a Vein, to abate the Effervescence or Colliquation of the Blood, and prevent the Tumour and Inflammation of the Lungs, by Vomits to relieve the Stomach oppressed with store of ill Humours, and remove divers Obstructions of several Bowels and small Vessels, by Stomach-Purges gently to carry down the peccant Humours; and lastly by Diuretics and Diaphoreticks with some mixture of an Opiate, plentifully to carry off the Colliquated Serum by Urine, or the Pores of the Skin, without raising a fresh Catarrh by a new Commotion of the Blood. After a due Administration of these universal Evacuations, (which in their respective seasons are highly necessary) the frequent Use of Pectoral Apozems and Pulmonary Linctusses is next enjoined, to retund the Acrimony of the Humours that Ouze out by the Windpipe, by their mucilaginous and incrassating quality, and so mitigate the troublesome Cough. How far serviceable to this end and purpose the neatest Forms of such Dispensations that I ever yet saw may be, I'll not dispute, only this I must take leave to say, because to me (as also to the unprejudiced I humbly conceive) it seems evident, that such fulsome Ingredients of which they are compounded, are more apt to spoil a weak than recover a lost Stomach, and consequently not the fittest Medicines Consumptive Persons may have recourse unto: For how many by woeful Experience have found the constant and frequent use of such Antistomachicks lead them from one Degree of this Malady to another, till their decaying Appetite hath been quite overthrown, (and consequently their Hectic Heat inflamed) their bodies so emaciated, as to render them uncapable of necessary Evacuations, and they themselves at last given over to a Milk Diet, Ass' Milk, some Chalibeate Mineral Waters, or such like Liquids, to which the poor distressed Stomach Echoes aloud, Miserable Comforters all! If therefore I can, as I have Reason to believe, with Medicines less offensive in Quantity, and more useful in Quality, restore the lost Appetite, and do the same, if not greater Service towards the Concocting and Expectorating that load of separated Serum with which the Pipes of the Lungs are stuffed, (which will easily be perceived by the Patient in a few Weeks, with due Care and Management) I think I have gained a great Point, for as much as the Recovery of the Stomach may reasonably be looked upon as an Earnest of the Cure. The Medicines I do here recommend to my Countrymen as Specificks in the Cure of Consumptions of the Lungs, arising from the Causes, have a peculiar Faculty of warming, comforting and strengthening weak Stomaches, attenuating and gently carrying off that load of Tartareous Matter which is lodged in their rugous' Coat, depraving both Appetite and Digestion. In their Passage through the whole circumference of the Guts, they likewise dissolve that crusted Slime and Filth which hinders the Pressure of the Chyle into the Milky Vessels by the motion of their Spiral Fibres: Thus having removed these Fundamental Obstructions, they hasten together with the Chylous Mixture, which by this time is somewhat Invigorated towards the Relief of the Sanguineous Mass, presently upon their Conjunction the Blood revives, and by degrees becomes brisk and vigorous, able to cope with, and give some check to the preternatural Hectic Heat, stop the Influx of Rheum into the Glandulous Substance of the Lungs, concoct that which is already collected, and release the Animal Spirits, entangled with a vicious disposition of the Nervous Juice. Having gained these Advantages, things begin to look with another manner of Aspect, the Habit of the Body grows firmer, the Mind chearfuller, the Countenance fresh and brisk, the Emaciated Parts gather Flesh and Strength, the Lungs and Glands of the Larynx recover their natural Tone, and the whole Constitution improves towards a State of Health. Moreover, These Antiphthisicks are really impregnated with such Volatile Spirits and Salts, that like unto Lightning they penetrate the remotest Corners of the Body, exterminating the very Seeds and Roots of this grievous Disease, powerfully and effectually, yet pleasantly and securely, if plentifully taken in the manner of a Diet: For thus in time they cheer up the drooping Animal Spirits, fortify the System of the Nerves, and so influence the whole Sanguineous Mass, as that the Blood itself becomes the most precious of all Natural Balsams, marvellously cleansing the putrid Ulcers of the Lungs, and finally reducing them to a perfect Cicatrix. Wherefore let none be deceived by the flattering Nature of this Distemper in the beginning, nor give themselves over for lost in the highest state, because these reviving Cordials are calculated for the weakest Constitutions, seeing at the same time they offend the Diseased Matter with the one hand; they support Nature from sinking under any Evacuations with the other. It is therefore my Advice to the Consumptive, or consumptively inclined, and their Interest (by way of Prevention) to acquaint themselves in time with these Sovereign Antidotes. Better Counsel I cannot give to the best of my Friends, if they are desirous to save themselves a great deal of Pain and Misery, as well as Charges, and render their Lives comfortable to themselves and serviceable to others. The Warmness of these Medicines, which is the only Objection that ever I met with in the use of them, is so far from being a real Discouragement, as that upon serious and judicious Considerations it becomes a Notable Argument to enforce the taking of them, for otherwise they would be too weak to engage the Original Cause of Hectic, burning and Putrid Fevers; whereas by this active Principle of Heat, they work so effectually upon the whole mass of Chyle, as to separate the sharp and dispirited from the Nutritious Particles thereof, thoroughly insinuate themselves into all the Avenues of the Adversary, cut and divide the tough viscous Humours that distemper the Veins, Arteries and Nerves, destroy the Acidity of the Nervous Juice, recover the Natural Temper of the Animal Spirits, sweeten the mass of Blood, by separating the Impurities thereof by the Cutaneous Glands, gently forcing a Transpiration of the Feverish Particles of the whole, and so banish that Preternatural Heat which is Proof to all common Remedies. And that Diseases which carry in their outward appearance a show of preternatural Heat are thus to be treated with warm Medicines, is indeed observable to every discerning Eye: For the most malignant Fevers are attacked and conquered by the briskest and warmest Alexipharmacks and the most violent Erysipelas, or St. Anthony's Fire, is discussed and breathed out by strong and Spirituous Fomentations, but are both of them exasperated by refrigerating or cooling Medicines, and their preternatural Heat more and more increased, till the one at length terminates in the cold sweats of Death, and the other in a complete Mortification. To multiply Instances of this kind is remote from my intended brevity, therefore take this remarkable one for all: The Wife of Mr. Fowls, who belongs to the Mint in the Tower of London, in the beginning of November, 1695. sent for me to open a Vein; after a lamentable Complaint that she was nothing the better, but the worse for all the Physic she had taken: I took leave, wishing her to Exercise Patience, and continue in the use of those things the Dr. had prescribed; though I also told her, if she found no Benefit, I would do her all the Service I could, if she sent for me: About the middle of January following she did send for me again, and told me Dr. H. her Physician, and Mr. W. Apothecary, had given her over, therefore desired some Assistance, according to my Promise: I found her in a very low Condition, under a Hectic Fever, troublesome Cough, tedious Asthma, Colliquative Looseness, with a Complication of Convulsive and Epileptic Fits, (of which she had sometimes to the Number of Eighteen or Twenty in a day) Total Deprivation of Appetite, having for some Months together received no other sustenance from Food, than what a Glass of Sack with a Toast afforded, whereby all the Parts of her Body were wasted and consumed to the highest degree of a Marasmus that ever I saw, resembling a walking Ghost, or a perfect Skeleton, invested with nothing but Skin. For my part I was not very forward to do any thing, fearing a few days would put a period to her Life; neither indeed was the Season any ways inviting: However, the good Opinion she was pleased to entertain of my Endeavours, encouraged me more than I could her, and with the Blessing of God on both Method and Medicines, without any assistance from the Bark or Mineral Waters, she was quite freed from her Hecticd Heat, her Fits abated almost every day, her Stomach returned, her Bones wire clothed with Flesh, and her Strength so far recruited, as that she was able to walk several Miles together without a Supporter, though she could not exchange the unwholesome, foggy, Tower Air, (at this time more than ordinarily polluted with store of nasty black Particles, from the smoke of Coals) for the fresh clear Country Breezes, till the latter end of Summer. Before and since this prosperous Event I have given these Remedies to others, and taken them myself several hundreds of times, and have always found then Operations in offensive, for the most part successful, and sometimes wonderful. FINIS.