MIV. Then

the Gout, che harderis the Difeafe co be curéd. For fomtimes by Reafon of the moft fharp and vehement pain, the fick perfons do unieafonably defite repelling \
iit |) and ftupefying Medicaments ;: which drive back the Humor thac was flowing unto
/
Eu the Joynts unto the more noble parts: and from hence it happeneth,. chat the fick led perfons fall intoche affects of the Hearc by Reafon of its being ftreightneds into ‘ \\ah 2 i
be caft into great peril of their lives 3; and then che only hope they have of ef{cape lieth in this; to wir, that che aforefaid Humots (if it pollibly may bey be again
2
ps: Faintings, and3w unding fits, or ocher mifchievous Difeafes ; yea-and they may
{
Xx V. Now chereare four manner of waies to diffolve and cuire the Gour.. For
a, iste | firft of all (and more frequently) the macter is refolved, and indeed all of it, fo Taio t kind that there are not lefc fo much as any foorfteps thereof remayning 5 or ( as for the ving the Bi moft part )nathing buc the very figns and footfteps of it are left behind: And Second. GoKte vyton dy (but this is more rare) che matter is changed intoa fubftance very like unto Pus.
? fot atiue and genuine Pus it is not; but a certain Sanies, or thin Ichorous Ex- Goll cement, iweateth back and Eateth its way through ‘both. the Fleth arid che (CULO Skin, ; ; ae But now why the Gout cometh fo feldom unto a fuppuzation, is well worthy hy she
| ourconfideration, and enquity. Someare of this Opinion, chat ic is therefore be- Gout (6
no je canfe that the joyncs are removed fromthe Fountain of heat, and have not in them “rely fup-
fo much heat asisrequifice fora {uppuration. ‘But that chis is not thetrueé caufe, PRASCH & appeareth by this, chat fometimes there arifeth an inflamnration in the ends of the
aie | fingers; whichyec neverthelefs cometh untoa fuppuration.’ And therefore a more out so true cante feemeth to be this, to wit, the Nature of thiever y Humor it felf (as be-
tuts | \ ing Salts and wheyith) whichis ioc to be changed into Pus ; but ic is either jnward- y Ty diffipated; or if any of ic be left remaining, it groweth and hardneth inro knors and knobs. The Third way‘and manner is, when by Reafon cf the weaknefs of che place, the matter {ticking over longin the pare affected, is at leneth turned intoa
athe knot or kuob. And of fucha Gout as this ic isthac Galen writeth (in his 10.B. of the fail 0 Compofit. of Medicam. according to the place,and 2. Chapt. after that the Calli are once y HO produced, Cfaithhe) there is no further hope or expéttation, that the Foynt foould ever ps aud exactly return unto tis priftine Conftitution. And of this the Poet, Tollere Nodofam pastsyt HE CtL, CWC.
OL ut That Phy fick worketb rare effetts, itber’s none can doxubi,
ot JMlnd yet it knoves not bow to Cure the knotty Gout.
f The Fourth manner is, when che Humor is Cransferred; -and carried unt6fome__. auf other place, and Cas it fomtimes happeneth) unto the more noble Membérs, ro wit, ‘Jonget the Lungs, the Fieart, the Brain : and chis ofall other che changes is the wort, and we tht by reaion whereof the fick perfons die, unlefs the mactrer be drawn back again + whic waco the JOY TCs 5 and iomtimes the Humor 1S tranflated unte the More tenoble ceed S pats
Prognofticks. Ar:
Sat iy gal
{ 1 f
ga I Seca eR A A RE SR AN reer tenn mae nr ieya ee
o-
The Indications and Cure.
ee
22
Chap, Se parts, asthe varices, according to what. we faid before inthe 11. Proguoft: and fomtimes it is evacuated quite out of the Body; and as ‘Rhafertelsus, itis ofcen- times carried unto the Inteftines, and there ic excireth a flux of the Belly, and excoriateth the faid Inteftines 5 and this flux,continueth fomrimes all the life after, and the ftrength by degrees and by little and little failing, (by reafon of Feavers any pains) the fick perfons after long wafting and confuming by Marafms, at length they die.
Chap. ~ The Indications and Cure.
The indi: Qince that the perfect Cure of prerernatural affects doth chiefly confift in the cations & w# taking away of the Cauics, and char the Authors (as wetold youbefore) differ Cave of the atong Chemielvesas touching the Cautes. of the Gout, icistherefore no wonder, Gos that there is fo great a difcordamong them about the Cure, fome propounding one
way, andiomeanocher, forthe Curing of this Difeafe. Which difference and Vdariery of opinions; Cas we have fomrimes already told you) hath not been the lea ft Cbuc indeed che greatett) caufe why fo few of thofe troubled wich the Gout have hitherco. becn cured thereof; each Phyjitian here fetting himfelf to oppofe that as an entmy, which he hath often co himfelf fancied fo ro be, andinthe mean why fofew time alrogecher neglecting thac which isindeed thetrue enemy. Andchis evidenr- bave been ly appearech fi omrhe Conjilia or advilings of Phyfitians one with the other (which te ah have likewife been in the behalf of perfons of the greateft worth and quality) inthe * moft of which Copinions being asked, and refolvesfenrc from one tothe other) the whole refult of che bufinefs for the moft part came to this, that the Cure was chiefly to be directedto the head, asthe commanding Member 3 and unto the Joynts,’ as che recipient Member. And {fothe authority of Ferneliys alone (a Phyfitian other- wife of preat learning and experience) hath drawn .very, many into the fame\error with him, and kept chem from feacching.after the rruth and hath likewife caufed that many fick of this grief have rakenfuch Phyfick, and feveral forts of Medica- ments that were very unfit, and altogether improper for them. Wethefefore (leaving untoevery man.his Judgment, and Opinion) infifting upon thofe Funda- mentals which we have above propounded, will here briefly declare our Opinion as touching the way and Method of Curing the Difeafe we are now treating
of.
The care Now che Cure fo calledin yeneral confilteth intwo.things: the former whereof of the goutis. thatthe prefent Paroxyfm (whether Pain, Swelling, impediment of the motion,
and all ocherchings that are wont to be troublefom unto fuch as are afflicted with the Gout) betakenaway. Andthe other is, that a courfe be taken to prevent the rerurn of the Paroxy{m beihg once removed.
Andin che firft place indeed, for che manner of Curing theGout that is prefent,chere are three things efpecially, which (inthe Paroxy{m) che Patient detirethafpeedy _ removal of, viz. the Pain, Swelling, and the Impediment of his motion: And / now feeing thar all thefe three have their original from a preternatural Humor fal len into the joynt, thecotal removing of the Paroxyfm conftfteth in this, chat the influx of che Humor be withftood, andthattHe Humor already fallen in be caken | away. Forthat Humorbeing removed, there followeth botha ceffation of the Pain, anda vanifhing ofthe fwelling, and the mation of the part again returnech. But yet neverthelefs, in regardthacthe pain doth oftentimes fo extreamly excru- ciace and Torture the fick Perfon, thathe cannot well bear it Cuntilthe Humor the Caufe thereof be taken away) the pain istherefore fomtimes firft of all tobe mo- derated, yea even before the Canfe be wholly removed, And fo then the whole Cure of the Gout afidting the fick Perfon coniifteth in the taking away of the Caufe, and the micigation of the pain.
_... Aster the firftof thefe, feeing that the flux caketh irs beginning from the motion
and boyling as it wese of the blood and Humotsin the Veins, chat motion and boy-
ding of che Humors is firit of allte be ftopcs; and the Humors that wich violence rufhunto the part affected are not only to be rurned another way, but they are al=
foto be wholly evacuated, andemptied forth out of the Body; for unlefs this be
done,
I
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4 git
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Chat
|
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And motto afters Malady ny iy! thatlo
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and {oc Tet A fame fig five fide latter th inthe |
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Upon tt follow ken aw:
Bury
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Opening CVU Bloodis
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The Indications and Cure.
eee cc EE
Chap.5. done, the pain wilbe buc che moxe exafperated, And atcerwards the bumor chat bath flown in is co be difcuffed and {cartered. Andbecaufe that pain.is the thing chac chiefly grieveth the fick Rexfon, chis is tonacimesal{o co be mitigated even belore the Caute be caken away. ;
And therefore ifany Caule, eichecexternal (towir, the diftemper of che Ambient Air.) or ghe hicknefs of the body fhal have giventhe occafion,. itis torchwich to be removed, yea and a}fo co be corrected aicec a quire contrary manner. a nies
Venefetfions And fecondly, If Blood abound in the Body ( which may be alfo fo moved by the violent
motion of che humor chat ic may as ic were boy}, and by che pain be attracted unco the pate g;
affected, and {o concur as.@ Joynt Caufe of the Gout, and may poffibly likewileauemenc che Malady) and chat moreover a Feaver be chreatned as neer ac band, orel{eifit fhal accompa- ny i 5 then in this cafe C if che Paciencs ftrengch wil bear it) Bloodeletting is co be inftixured, chac fo che afflux unto the pare affected may be diminifhed,and chat that fomentech & adderh fewel unso the approaching Feaver may be withdrawn, and yee notwithftanding fo chat there be not tov greata quantity of che Blood evacuated. But if chere tha! be no dager ac al chreac- ned by the abounding of the Blood, or chat alfoa flegmatick bumor abounceth,' Venefection asincthis cafe rather hurcful chan any wases ufefui and preficable, in regaidchae chen by che evacuation of che Bicod the Spirits may be diffipaced.and the Native hear wafted ; whereupon che heat in che pacs affected may be fo weakned, that it may vot be able co overcome che humors in the part affected, and fo ealilyto fcatcer them, and hence it is thar the Patients are longer ere chey can recover thei ftrength and health: yea and fomtimes alfo chere are by this means hard knobs andkrots genecated inthe Joynts, Andifall oc moft pare of che Joyuts be affected, then the bafilique Vein (eitherinthe right or left Arm) is to be ope- ned. Buc if one only Joynt beaftedted, hen the oppofice Vein istobe opened. As for ex ample, if che Joynesin the right Arm be affected, the Vein in che left Arm isto be opened s andfo onthe contrary. Ifthe right Foot becroubled wich this grief, then the Vein of the right Arm isto be opened; ifthe lete Foor, then the Vein inthe Arm is cobe opened on the famefide. For chisis morecommeodious, chan to opén the Vein in the Foot of the oppo- fice fide: for by chac former V eneflection the fluent humors ace drawn back ; whereas Dy hia Jacter they are only derived unco fome other par. And the likeis to bedone if the paia be inthe Hip. Venefedction inthe Arm ( inthe Sciatica pain ) being premifed for derivation, a Vein may altecwards very fitly be opened in che Ham, or meer unto the interios Anckle of alfo the exrerior ) in che Vein there appearing, which (by reafonof the great benefit it bringeth unto che fick Perfon, if 1 be chen, and chac in due time opened ) they cal che If cbiadick or Sciatick Vein, which ( and chat very often) alone cureth this Affect. But yee for the moft parc it is opened in the pained Thighs alchough that Platerus writeth, chat upon the opening of a Veinalfo in.the found and unpained Thigh very great benefie hath followed thereupon, and chacall the pain hath chereby been {uddenly and unexpectedly cas ken away, ; Bucin regard of the urgency of che Malady, and chat the Flux cometh very {peedily, ther~ core evenforthwith ( ifchere be occafion ) Venefection isto beinftituted, andas much of the Blood as is need{ul ¢ if che ftcengti of che Pacienc wil bear ic) cobe taken forth at once opening ofthe Vein. But if che Patients ftrength wil nor bear nor allow of a more large evacuation of the Blood all ac once then at feveral times, and by intervals: fo much of the
Blood i ro be drawn forth as may anfwer unto the Bodies fulnefs thereof. Inftead of chis (upping- Venefection Cupping-glafies may alfo be applied, which are wont. to be affixed Cin the glajfes,ena | very firft beginning of che Pains ) unto the found oppofire pare with Scarificasion.) And fo Lecches.
Nkewife Leeches applied in che accuftomed places for the Hemorcboids bring fome kind of enefit unto the fick Perion by their drawing forth the Blood.
Purgatéone
Thefe Revulfions by the Evacuation of the Blood being chus made, purging ie chen-sext Pyrgation.
of all co be appoinred unto the Patient, touching which although there be {ome thac chink otherwife (as we fhal afcecwards further fhew you inthe 11. Queftion.) yet for che moft pare icis very fitly and fuccefsfully adminiftred. Bue ic ie inftantly tobe ordained (even in the very beginning of che puny, or if oration be, whea chey are fafpected as nigh leis} ae
€
Gite F 1
bi i, uy pid ii! i if Mi eh sa | r | Ae v : Wc meee
2 ie The Indications and Cure.
Mii belts =
A a nt
shapi5.
at hand ) before fuch time.as by the faid pains, as alfo by reftleffnefs and want of fleep ; or by che augmentation of the Feaver the firengch be roo much impaired 3 neither need we here to expect any Concodtion, or ufe any preparation before ; which moft of the Phyfitians of for~ mer Ages were wont todo, who firft of all made ufe of Lenicives, andchen Secondly, Pre- paratives ( or Digeftives as chey calthem ). for fomecettain daies; and Laftly, of Purpers chat draw the humors fromthe Joynts. » For even then when the humors have already be- fore been in their motion, and are become thin, and that Nature her felf endeavoreth the fe- paration of them, as burthenfome co her, fromthe good Blood, Cand that there is canfe to fear left thar, as wefaid before, ere ever anyfuch things as chefe can be done and finithed ehe humors may rufh uncoche Joynts, and that by pain and wane of reft the ftrength be roo much dejected, and that a Feaver following thereupon forbid a Purgacion) eventhen the Purgationis forthwith co be inftituced.: And the exhibicion of one only Purge doth for the moft part le(s bure and offend the ftomack than thofe {fo often repeated dipeftive Potions, which refolve and weaken the Stomack; fo that the Grudities being afcecwards augmented, there is caufed a greater afflux of humors unto che Joynts.
Altering Medicamentr.
Alterers. Yeeneverchelefs, if che humors be over-hot and fharp, they may be attempered by Broths altered by Cichory, Endive, Sowchiftle, Purflane, Sorrel, and Medicamente made out of thefe: neither are we to omit che adminiftring of the Conferve of Boles with che fhecies Diatytion fantalon, it being of fingular ufe in che alcering of the humors. As, :
Take Conferve of Rofes three ounces, Spec. Diatrion fant. one dram, Bed Coral one fcruple, and with tbe Syrup of Pomegranates make an Blettuary, Or, |
Take Margarites prepared one dram, ‘Red Coral prepared, and all the Sanders, of each one dram and balf, Bed Rofes one dram, the Bone taken out of tbe Siages bears one Scruple, and make a Pouder. Or elfe with Sugar diffolved in Rofe Water make little Rol
r
5 }
Deh, Py Ais
t now ag touching Purgation, we are to advife you in cheletwo things e{pecially. Firft, thac a fic tame be made choycs cf (as we gave notice before.) aud that the Putgation be noc
i. Horifalteady the whol humor be flown in unto the Joynss, ic is eafily called backs “And cherefore, chat che humor which is now ready to fiow into the Joynts may be armed unto che Belly and by it be evacuated prefently in the very beginning of che Pa= roxyim ( yeaan¢ allo fo foon as ever we do but fulpect it co bé nigh at hand ) the Purgarion iscobe ordained, andadminifired; for by chis means che humor chat is now Howing, and chat which was after to flow, is evacuated by convenient places, and hindred chae it ruth not tothe part affected; and the encreafe of the pain and {welling is hereby prevented; and fo that which hath already flown in unto the part affected is eafily diffolved. And experi- ence it felfceftifieeh chat thiskind of Cure bath profited very many. And fo ‘Petrus Bayrus writech of himfelf, that he himfelf being by four men carried co the Clofe Stool, after that he had four times eafed his Belly ( having before taken his own Caryocoftin. Electuary ) he was freed from alll his pains 3 and chat he could then go without belp from any ‘other.
And then Secondly, It is to beconfideced, by what Medicaments che Purgation is to be anfticured andbegun. Some chink that we ought co abftain from the ftronger fore of Medi- caments, and tomake ufe only of thofe that are more mild and gentle Cor of the Rronger ih the fmalleft quantity ) becaufe chata fttong purge may draw ftore of humors from the more agnoble and external parts unto the more noble ; and fo it may fomtimes happen chat fome of thefe fick Perfons may by a vehement and ftrong Purge fall into burning Feavers, as alfo
roo long deterred.
Feavers Malignant and Mortal. Which as we willingly grant, and think that the bu-—
mors that were boebefore are nor by vehement Purgers to be more inflamed; and thag the motion of Nature is not altogether co be difturbed: fo alfoon the other hand we con= ceive thar great care ought to be raken, thac che humors be not only ftirred and moved up and down inthe Veins, andnot wholly drawn forth, and fufficiently evacuated. . Which when
at happeneth, they afterwards rufh witha greater violence unto the part affected, as unto the which they are withal ateracted bythe pain, And therefore in the beginning of the Para-
_ x%yJm_or when icisnigh at hand, we ought to make choyce of Medicaments thacare fomwhat ~~ ftronger than ordinary ; and yet notwithftanding fuch as do no way offend the Scomack. For ( as we faid before ) if we make ufe of chofe chat are coo gentle and weak in their opéra- cion, the humors are chen only moved up and down in the Body, and nothing worth {pea- king of is evacuated 5 whereupon there as afterwarda grearer Conflux unto the parc affe ia
| as
|
‘| |
‘veth man Yea Poy ther tuch
Ne follo mont and ti
‘ity t0 at onc Bue Out along y COmerh
CVacyar,
Sioa Nasr ee i
PAE RAI ee A yo sages pS Ne hte hsaieacnmpvensetaiciiiepclany =!
‘ ” Chap. 5. The Indications and Cure. oe
ly But now, chat during the purgation chere may be no Conflux unto the part affedt- :
eto ed, and that the Humor being moved by the Purgation may noc rufh uaro the parc : ;
Offore affected, this we oughe carefully co prevent; and it is done by placing the part ik
Pie affected in a higher place inthe Bed, uncilthe Purgation fhall be fully finitheds or ae
ute (whichis che more duge and certain way) by impoling a defenfive Medicament (af- ea
dy by ter the adminiftring of the purge) upon the head ofthe part affected. As for ex. Ht
he fe. ample, ifthe pain be in the Hand, the defenfive is to be placedupon the Shoulder 5 i
Ale to and this may be made and provided of the Flowers of Rofes, Pomegranate flowers, Mae
bite Roots of Biffort, Lormentill, the greater Confound, tbeRinds of Pomegranates, Lole- +4 i q
Ibetgg Armenicr, mingled with tbe white of an Beg, and Roje water, or Vinegar. Andchar | ‘
heathe this Cacaplafm being dried, andfomade hard, miay not excite Pains, and thereby ie |
ke the further provoke the flux, a litrle of the Counteffes Unguent, or of the Oybof Rofes i fs
ction Ompbacine, isto beaddedthereto. Or elfe inftead of the Cataplaim, a fwathe
Htced that is long enough may be wetin poffer Cin which Oak-mofs, Red Rofes, orother ny Aftringents even now mentioned have been boyled ) and drawn over the upper Wee arc ; as for inftancé, (in the Gout of che Feet) upon the part abovethe Knees. And He” thofe Defenfives are co be continued fo long as the Purgacion lafteth, yea for the i whole day, as we fee occafion. ae
Broth Buc now we cannot in general define, with what kind of Medicaments this pur- ee
to gation is to be performed, in regard of che great variety there is inBodies. For al- | ee
bis though the Humor (the nigheft caufe of the Gout) be wheyifh, Salc,and Tarcarous 5 e
' yet neverthelefs this very Humor isin divers Bodies conftituted afcer a different sy
ais manner; and hurrieth along with it other Humorsalfo chat abound in the Body. i
“Ste Yea and in one and the fame Body the fame Medicaments are noc alwaies ft and '
Ce proper, becaufe that the ftate of the Body is notevermore one andthefame. And :
i) therefore rhe Phyfitian ought to be prefent with che Patient, when he prefcribech
teat | {uch like Remedies. |
he il ! Now for the Evacuating of Serous Humors, and Cholerick Icbores, uch as thefe 1
Fic | ~ following ought co be provided, wig. Syr. of Rofes lolutive, de Spina Cervina, (com-

ye and the compounds from any of thefe ; as allo Blettuar. Diacatbolic. Tripbera Per-
My) ficay de Succo Rofarum. And fo likewife in the ftronger kind of Medicamenrs, «
nimy ® thofe are of {pecial ufe that are made of Hermodattiles ; and among them the Cary-
nt Lae ocoftine Elettuary of ‘Bayrus; of which we fhal anon make further mention, when
AION we cometo fpeak of the Prefervation fromtheGour. Or,
ng id | Take The Choyceft Tur bith, and Hermodattiles, of each three drams, Diagridinm
uh et one dramand balf, Ginger and Maflich, of each a dram; Sugar fix drams3 make 2 .
a | Pouder bereofiz the Dofe whereof is one dram, or a dram and half, with flefb 5 ry broth. i
bay . Or, Elfe let the Patient make ufe of the Pills of Rhafes, which (as he writeth in
tha | his 9.B. to Manfor. Chap. 90.) will prefently make and enable thofe thac keep 1
wy) he | their Beds co Rife, ftir and walk up and down; and they areinthis manner tobe bie
i § $Compounded. |
ito be Take Aloes one dram, Scammony balf abalf peny weight, red Rofes a double quan-
f ett ity to tbe former, Hermodat. balf adram. Make pills thereof, and give chem all
ong at once, and yet noc without regard unco the ftrength of the Patient.
he Ore But now, although the ferous or wheyith Humor be the nigheft caufe of the |
som = Gout; yet notwichftanding becaufe thac this Humor doth alfo violently carry .
wil along wich it other vitions Humors in the Body (and efpecially when the pain b
ib: = cometh) the Phyfitian therefore ought to be prefenc withthe Patient, when heis to
thas the | prefcribe fuch various purging Medicaments for the prefent occafion of the fick :
We ws | Perfon. 7 i
dupa id
ch 1 ; Vomitories.
ymolle ia
Fao A Vomit is likewife very ufefulin fuch as are accuftomed thereunto; and feet Zsa.
govt that ic may Evacuate the Humor by a fhorter way, there is no fuch caufeto featthe f/m
om Ys ru fhing of che Humors unto the patt affected. :
rope And yet not withftanding we dare not here give fuch ftrong Vomitories that may
h i" / .evacuate the Humors ont of the very Veins; but it will be {ufficienc if fuch be ad-
fete ; miniftred
Ba
Pa
“8 \
f aA Sweaters. 1 " ih :
{Ay " { : | ii fa, of what Bi itil, kind they eid mrp be. "1 a AS ij! oe hy rf ; { § Dat Wi, Bop ckse
ee eer a er et ne ore aetna os aes er =
The Indications and Cure. eel Chap. 5..
miniftred that do evacuate the firft waies and the parts neer untothe Scomach.For if
there be Many vitious Huinors reiiding about the Scomach, Spleen, andthe hollow
Of the Liver, and in che places neer thereunto, ic may very eafily come to pafs, thac
thefe Humofts being ftirdup and down throughout the whole Body, they may boih penetrate unto the Veins, and ruihuncothe part affected. nd purges may be like- wife appointed unto the fick perfon after his vomiting 5 yea and if one purgacion willnot fervethe turn, it is again aSecondtimeto berepeated. Francifcus ludia Cin his 2 B. ofthe Gout, and the Third Chapt.) doth here wonderfully extola Vo- mitory chat he maketh of Butchers Broom, a fullicienc quantity of the poudeér there= of, given with the deftillad Water of unripe Oranges a littte warns which ‘(as he writeth) can wich fpecial benefic unco the fick perfon Evacuate both che Choler and she Flegm, not only upwards, buc downwards alfo.
Sudprificks, or Sweaters.
The Body being fuliciencly purged, we areto endeavour that fweat may be pro- voked, either ofits ownaccord, or elfe by adminiftring of Medicaments: For (as Crato writeth truly, in his 24. Conf. ).if the fweat beat all deccined within, and hindered from coming forth, (efpecially if che Patienc hath been accuftomed there- unto) ic will wot be longere a fit of the Gout come: yea and without all doubr, the Paroxyfm will be much augmented and provoked, if inicthe {weat be dereined, and if che remainders of the wheyifh Humor in the Veins be noc difcuffed and Scattered; and onthecontrary, the Paroxy{m wil be the fhorter, if the Serum or Whey be by fweat difperfed. Bur fince thar in the firft invafionof the Gout’ there
is as ic were a certain kind of boyling of the Humors, and that for the moft pare ad Sweaters there ts likewife prefent a Feaver, in this regard hoc {weaters (fuch as are Treacle,
‘Misbridate, and the like) are here {carcely ficand convenient, becaule that by them the Humors may be the more inflamed. But yet Warts-born (eicher crude, or prepared without any burning) may be very'fitly exhibited, either alone, or with the Water of Carduus Benedittus. And fo likewife‘Diaphoretick Antimony is very ufeful. But ifche Confticucion of che Body, and the difpoficion of the Humors wil bear ir, che Decoction of Saffapbraf, or Sarfaparilla, or Chyna, may beadminift- red 3 which yer neverthelefs we ought to cemperwith Succory, Endive,Sowtbiftle,aid Dandelion or Lions Tooth. But yet al thofe chings that are ufeful in che Paroxy{ms, for che difcuffing of the Humors cicher fenfibly or infenfibly, chey have noc all of th.. cheir place here in the Cure. And fo likewife the Decodtion of the greater Dock, or Burr Cin regardthac ic cutceth, difcuffeth, moveth fweats and Urins ) is very ufeful; and forreftws relareth thac Vaffellins, a Penfioner ac Mecblin, when he was forced to keep his Bed by reafon of the pains of his Joynts Cinfomuch that he was not ableto move or ftir any one Member) he,dcank warm Beer inthe which chere had been boyled the Root ofthe greater Dock 5 which having drunk up, Cwhenhe could not be cured by any other remedies of the Phylitians ) he made a great deal of whice Water, Chis Urine being like Milk) and fo was freed fromalt his pains. Or,
Take Sarfaparilla, one ounce, Saffafias Wocd balf anounce, theRoot of the Clove’
Tres one ounces; Citrine Saunders two drams; Infufe allin three pints of Water, for ney four hours, andafcerward boylthefame; and give of this Decogtion one draught inthe morning, either alone, or elfe with Harts horn.
}
Topicks.
The Body being thus ina due manner evacuated, andthe Antecedent caufe (that would have augmented the Difeafe ) being once taken away, we then come to the very moderating of the pain, andthecaking away of the Conteining Caufe of the pain and fwelling, andfountotheTopicks, BucifTopicks fhall prefently be ad- miniftred, before chofe Univerfal and General Remedies fhall have been firft made
‘aid of, che Pacienc fhall receive fromthence far more burcthen benefit. For either
the maccer which Nature endeavoureth to chruft forthto the Joynts is driven back unto the more inward patcs (from whence very grievous Symptoms are excited:) ovelfe it is umpadted into che Joynts, and foche pain is exafperated: or elfe the parc
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The Indications and (ure. parc is effeminated and made weak,and loofenedsand fo the flux is increafed. Which being noc commonly caken notice of, and Tupicks being oftentimes moft unfeafon- ably and without any caution acal adminiftred,the fick perfons do for the moft pare receive more hurt then good fromthem 3 and from hence it wasthar the common and received opinion hadits firft original, to’ wit, that the beft courfe is, toadmi- nifter nothing ar alunco the pained Joynts. Andche truciPis, thar itis far betcer to apply nothing ac all Cbucto commit che whole bufinefs co Nature, )chen to make ufe of fuch Medicaments as are altogether unfit and improper.
Now the Topicksthat are applied, they refpect either the pain only, or elfe with all the Gaufe of the pain, to wit, the Humor thacnow and formerly hath flown in, exciting boch a pain andafwelling.
a ne Sa a
‘Mitioaters of Pain. The Pain in this Difeafe for the moft part is amoft grievous Symptom,
Bann, (as Lucian hatch it in che beginning almott of his ‘Tragopodagra) and therefore alio ic isthac chey moft of all detire che removal thereof. And indeed itis alco= gether neceffary that che Phytician fhould have regard thereunto, becaufe ctharif it be too pieat, it canfechareftlefinefs, dejecteth che ffrength, and by actraéting che Humors it augmenceththeMalady, and fo defervedly draweth our care unto it, for ics removal; (as Galen in the 12, of his Methbod,C.1.) and thereupon it fheweth, ‘and poincech us untoche aliwaging thereof by Anodynes. Now Anodynes or Mittgacers of pain have likewile this Good and benefit going along with them, to wit, thar by loofning the parts they makethat the Humor that before flowed only unto the in- teriour parts about the Joynts, comes now alfo co flow and be diffufed unto the Ambient and flefhy parts. And henceicis that the pains in-the Gout, before thé {welling of the part, ' are moft Vehement and intollerable ; and that fo foon as the part affected begins tofwel, chey are much Micigared.
But now chefe Anodynes of what kind they are, we have cold you el{where, Cin out Inftitutions) co wit, fuch as mollifie and loofen the part affected, and yet do not difcufs the very Cante ic felf. ‘And here they may be provided’ of Goats Milk
newly drawn out of their Dugs, as alfo white bread and Milk, together with. the’
Yelks of Eygs, anda littleSaftron ; as likewife ofthe Leaves of Marfh-Mallows, Mallowss Golewort, or Cabbage, laid upon the place affected as hot asthe Patient Can welemdure chem 5 as alfo of Mallow Seeds, Seeds of Marfh-Mallows, Quingces, Fleabantgg (and efpecially che Mucillages of chem) Caffia newly drawn out of the Pipe withirhe Decoction or Water of Nightfhade; which as Avicen tels us) isthe beft Kentetly thac can be; unto which ¢ifthere flowany hor Humors thereunto ) we may add fome of che Oylof Rofes, or Rofe water ; burifthe flow ing Humors be coid, then we ate co add thererothe Oy! of Camomil: and inftead of Caffia out of the Pipe, we may likewife make ufe of the Rob of the Elder Tree; of white bread and Wine; and indéed ifthe Humor be more hor, red Wines butif cold, or betwixt both, then white Wine'with the pouder of Camomile flowers and Oy] of Roles; of Cheefe new made of fheeps Milk,-and impofed upon the paitied parc, and often changed ; of frefh-made Ox or Cow dung inthe firft beginning of che Spring, asalfothe Water thac is diftilled out of it. Amoft ufeful Remedy alfo is the Mucillage of F leabane Seed extracted with the Water of Rofes or Night fhade; unto whichfomcimes alittle Vinegar may'be added; and this Medicament is by Serapion and others very much commended.
In the very ficit beginning ofthe Difeafe, Solenander taketh the chick ftalks of Hemlock, and fils chem wich Salt,and chen ftoppeth them with Clay or Pafte, and puts them ina moiff place that the Sale may diffolve; which liquor he keeps ina glafs, and wich Clothes applieth it unto thé pained pare.
And he oftentimes alfo made ufe of this Caraplafm :‘
Take Mallows, the whole Herb, Root and all, cutit into very {mal pieces-4~and boyl itin equal parts of Wine and Vinegar, ina new Earthen Veffel, until a third part be wafted away and.then mingle therepitl the thicker Bran of Rye, as much as will fuffice for the making of a Cataplafn, and apply thig bos unto she erieved part. 4
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Sead cs sg. : , A - and Mitigaters which is moft troublefom to thefick parties, and which they moft of all Curfe and of Paint
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The Indications and Cure. Chap. 8, ‘Forveftus relatech, chat he knew one chat added hereunto a izle Barly Hower, and
chat of the Water Lenrile, boyled in Milk with Camomile flowers; and fo reducing chem into che fom of a Cacaplafm, be purthem upon the parc affected with miraculous fuccefs, as one could gudg no other of iz. And here alfo very ufefulisthe Yelk of an Egg reduced unto che formofa Liniment with che Oyl of Violets 5 and{o is aliorhe Water of the Sperm ot feed of Frops, which pechaps have un them fome kind of Narcotick quality. Adrianus Spigeltus writes, chat among che Moravians chere isinufe avery notable Remedy, and no- ble experiment ( forthe {peedy curing ofthe Gour-pains ) towis, the Water of Meadow Sweet, diftilled with its Roots and Flowers 3 and this water is likewile in frequent ufe a- nrong che Silefians. Andit is alfo very convenient co foment the part affected with the De- codivon of Parzetary or Pellacory of che Wall.
And very many there be likewile chac make ufe of Oyls and Fats. But here we ate to give yourhis Caution (and good caufe there 1s alfo for it.) chat thefe Oyls and Fats are warily
réelully co bemadeufeof. For inregard thac che Gout hach often fome kind of alJi-
nce teltiiech. And i wasrelaced unto me by a certain boneft Neighbor of Pin 1¢ himfelfan che affwaging of the Gout pains in his own Body, found nothing to be berret (ban Cheele of Sheeps Milk new and frefh made, and jatd on, but often renewed. Fonne (ooncr did the Cheefe begin (being made hot by the heat of the part) tobecome far, and to drop forch buteer as it were, but C ashe faid ) bis pain was thereupon very much in= creafed. )
Take the Pith of wbeaten Bread bal a pound, and boylit in as much new Milkas wil ferve to make a Cataplafm : and then add ef ihe mucilage of Marfhmallow feeds tro oun- ces, the meal of Linfeeds and Fenugreek of each two drams, ‘Powder of Camomil flo- mers and Meltlote, of each one ounce, Saffron onedram, Oyl of Rofes and Camomil, of each half an ounce, and.mingle them weltogetber. Or, _
Take Milk nevoly come from tbe C ow one ounce and balf, Crumbs of white Bread five drams, Barly meal one ounce and balf, the common Hermodattyles fix drams, Saffron one dram, Oyl of Camomile as much as wil fuffice, and make bereof a Cataplafm. Or,
Take white Bread fix ounces, Milk as much as wil fuffice, and mingle them wel at the
fires and then add the Yelks of two Egos, Elettuary of Rofes two ounces , Saffron one (cruple, and mingle them. Or, "Lake the Meal of Barly, of Beans, of tbe bitter Vetch Orobus, of each one ounce,of Line feed fix drams, ibe Poveder of Camomile flowers three drams, of Melilote two drams, of Saffron onefcruple; boyltbemin afufficient quantity of the Water of Camomile flowers x ihen add the Yelks of tro Lees, Oyl of Camomile and Rofes of each one ounce, and mingle them. Or,
Take the fofi Crumbs of Wheaten Bread one ounce, Poreder of the Mullein flowers imo ounces, boylibemin Milk;, and then add of the flower of Cafjia one ounce, and min= £e het Or, §
Take of Linfeeds and Fenugreek (eeds equal parts of eacb: lertbe Muctlage be drawn
not being detained within, the pain may be augmented 5 aad this even
out of them with Poje-water 5 and iben add the yelks of two Eggs, anda little Vinegars /
and then {prinklein Bean Meal, and makeaCataplafm. Or,
Take Meal of Barly, of Linfeed, of Fenugreek, of Beans, Powder, of Camomile flo- mers, of each balf an ounce 5 Marfb-mallore Roots one ounce, Oyl of Rofes and Camo~ inile, of each one ounce and balf; Yelks of tbree Eggs, theRob of Wine one ounce, min- ghe them and make a Cataplafm. Or,
Take the flowers of Muleyn as much as you think fit 5 infuse them in a fufficient quan-
vith the diftilled water, and then after anoynted with the Oy or Liquor of ‘Mulleyn flo- soers tbat is in the Summer time colletted by the Sun-beams in a Gla{s clofe ftopped.
Take the yong and tender buds of the taxel Tree, prefstbe Oy) out of them after the ‘manner ag it 9 wont to be made of Linfeed. Ibe Body of it that remainetb after the orth of the Oyl, let it be burnt: and oxt of the Afbes let there be the Salt drawn bh pure fpring water, and ler this be mingled woub the aforefaid Oyl. Tbe Oyt phen it » mingled voitl the Salt, let it be clarified by pouring and paling + through a Box
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Narcotickr.
If Anodynes be not fufficienc for the aforefaid purpofe, then Narcoticks are co be made
ufeofs which in regard chat chey bring a certain kind of numnefs upon the parc, they do ticks.
not only forchwithaifwage che pain; but chey likewile ( by cheic heac whicii they obtain ) do alfa wichal refolve che humors, and fo wich benefic and fafety Cand without any danger at alas icis Chought ) chey may be made ufe of,as Platerys writeth in che 2.B.of his Prawice: and therfore he (as likewife many others have done_) much commendeth the Leaves of Hen=- bane, and Mandrake, and Poppy, if. while chey benew they be firft bruifed or boyled, and folaid uponthe pact: and chew Oyls are alfovery ufefuls and {ois che Juyce alfo chat is refled forth of chem. and ufed fora fomencation; as likewife the Rooe of Mandrake and enbane feed applied cogether with other thingsinthe form of a Garaplafm. Thenewand frefh Leaves likewife of Tobacco, bruifed and laid upon the pained part do aflwage the pains And the fame Platerus (as likewife ocher Authors) bave here recourfe unto Opium alto, and they mingle it cogecher wich other Anadynes 5 and unto two ounces of thefe chey add adram of Opium. And he writethalfo, chacat it be diffolved in the infufion of the Spiric of Wine alone, or che infufion of Saffron (four ounces of the yelloweft of ic) and one feruple of Campbyre wich a dram of Opium, and the part where the painis be wel wafhed or bathed with che faid L:quor,1c isa moft ¢fficacious and foveraign Remedy. And {fo hikewife che O= piate Ancidoses, as Treacle, Mithridace, Philonium, may be added while they are new, efpeci«
ally in cafe che quancity of che Opium may be augmented.
And yet notwichftanding we are not co continue long in che ufe of thefe Opiates, in re= gard chat they are enemies unto che native heac, and Nerves; .
And yet neverthelels the fame Platerus cels us (in the firft B. of his Practice, Chap, 52 of the hurting of che Touch) chat he could never find chat che Skin could be made ftupid and fenflefs af pain by any external Narcotick applied thereunto, albeit ( chat fo he might know fomwhat of a certainty ) he had applied a Mafs of Opium when he had ficft foftened ic, unto the part pained with che Gout.
Buc che truth indeed is, chat Narcoticks when they are adminiftred do very eafily affwage the pain 5 but chen withal ic being fo chat they hinder che motion of the humors unto the ex ternal parts, they may allavery eafily caufe fomz2 inconvenience, and make the pain longer; fince that che pain is wont torecurn again ina fhorecimeafter. As for example:
Take Barly “Meal four ounces, the Crumb of Wheaten Bread three ounces, Milk ap much as will suffice: boyl them to the confiftence of a Catapla{m; and then add of the Oy4 of Rojes one ounce, the Yelks of three Eggs, Opium one fcruple, and mingle them. Take the foft pith of white Bread as much as wil fuffice ; pour thereon of Cream of Tar- tar afufficient quantity, and then add Saffron one dram, Fraukincenfe half a dram; Povader of Barth-worms two drams, the Yelks of four Egos, Henbane and white Pop- py feed, of each three drams 5 let them boylin a double Veffel for balf an bour, and makea Cataplafm. Or,
Toke Leaves of Henbane three bandfuls, the Berries of Nigbtfbade one ounce; let thein be boyled til they be foft,and then bruifedtoa Mafb s then ftrew upon it one ounce and half of Barly Meal, and a litle Oyl of Rofes, and fo make aCataplafm. Or, %
Take Barly Meal, the joft Crumb of white Bread, of each balf a bandful; Leawes of Heubane, Mallows, Violets, of each onebandful,; Flowers of Camomile; Rindes of white Poppy, of each balf a handful, Oyl of Farth- worms, and Foppy, of each one ounce, and makea Gataplafm. It youthink fit youmay alioadd of Opium and Saffron, of each one dram. ,
Or, Take Rootsof Mandrake, and Leaves of Henbane of each as much as you think weil fuffice 5 boyl and bruife them all toa Mafh, and then add of Barly Meal, and Bean meal, with Oyl of Rofes, afufficient quantity of each, and make a Gataplafin. » Or,
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| | | 20 Lhe dndications and Cure. Chaps
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Pe Brag Ay meen
| Take Crud: Vitriol tro pound, Spirit of Wine three pints, the Water of the Elder
bi Tree one Quart. Mingle them all well together ina'Glafs Veffel well Luted, and Rie then puting co the Alembick, and the Receiver (in which there may be puc the Seeds Wiig of Henbane bruifed veo ounces, ihe flowers of Mullein, Elder, and Camomile, of each i two bandfuls; ) \ecthere be a deftillation, by degrees, until the Glafs be Fire hor.
| no purpofe, he becook himfelf unto the pouring of cold Water upon the parc, as if ii) I unto his laft thift, and that the pain.was forthwith afiwaged thereby. Andctheve- |) ee ry truth is, thar it cannot indeed be at all denied, that cold Water being poured ah forthupon the pained part doth not only drive back, but likewife produce a kind | iI of ftupidity and benumimednefs, andthereby affwage the pain: but itiscto be fea- Ho" red left that by this means the innate heat of the part be deftroyed, and fo a weak-
I neis brought upon the part, by reafon of which rhe Malady may afterward beren- at dred more grievous, aid moreover the Humor may be impacted intothe part, and ae there condented and thickned; or elfe-haply by this violent Repulfe the Humors i may be made torufh unto the more inward.parts.
l\ ) Repellers, or Medicamentsthat drive back.
Repelirs. . Buc now as for Topicks, (chat are directed unto the Caufe) and in the firft place, touching Repelling Medicaments we fay, chat although they are by fome commen- ded 5 yetabone they have here {carcelyiany place atall. or fecing char Nature her felf hath ordained.this Mocion, and/that fhe endeavoureth to drive forth the vi- tious Flumors from the more internal unco che external parts that are le{s noble, if this mocion be hindered, andthe Humors driven back again unto the internal and more noble and principal parts, this cannot be done wichouc the extream hazard
that will not ceafe, unlefs Nature again expel forth the vicious Humor unto fome other Joynt.
diffufed unto the external parts that are about che Joynt, if by the Repellers ic be driven back unto the internal parcs, the pain happeneth then tobe increafed ; and hence it is alfo, that very many cannot fo much as endure the cold Air from without
there isa Neceflicy of covering the affected Member, if they expect to have their pain Mitigated.. And furchermore ifthe matterhath already flown out of che pare into the Joynt, by the ufe of Medicaments that drive back and Cool it'is made more thick and impacted into the part,and fotheMalady rendred more difficult ro be cur- ed. But yet neverthelefs if by the fudden and overgreat afflux of the humors(efpeci= ally fuch as are more hor)the pain be much increafed even in the very farft beginning ofthe-fic, Cin fo much thacic feemethto cal forall the Care, and to require chat al the means thac are ufed may befor the removal thereof, andthat therefore we have aE a mind tomoderate it, and fomwhat to'drive it back) we may then indeed make oe it ufe of Repellers, but not of chem alone and by themfelves, but mingled wich Ano- iy dynes, V enefection and Purgation having gone before. Like as on che Contrary, we are
PT | ( After che diftillation, let the {pirit with the flegm be feparaced from the Seeds and Wut flowers; and fo ler itbe keptinaGlafs forufe. Or, eh a Take Leaves of Henbane one bandful, ‘Nightfbade, Sengreen, the Heads of Garden Bi ieity ‘Poppyes, of each balf abandful, MandrakeRoots one ounce, Flowers of Camomile { , PRLS ” on We, and “Mulleyn, of each one pugil, Seed of Fleabane one ounce and half, of Henbane one i, \ } dram: Let them be boyled in Milk for a Fomentation ; rhen lec che Remainders be i iif bruifedtoamath; andthenadd of the Meal of Lin-feed one ounce, Barley Meal and iM lt Oyl oy Rofes, of each two ounces; and makea Cataplaf{m. ) h Nal, And there are fome alfocthat refer hither the washing of the grieved part with hit cold Water 5 and indeed this they do by the authority of Hippocrates, who in his ish 5 Sett. 25. Apborifm, writethin this manner : ‘The Gout pains of the Foynts, asalfo pea Convulfions, and many more of thefe kind of pains are leffened and taken avzay by the hp ae large affufion of cold Water, and plentiful pouring of it upon the part that isin pain: wai for a Moderate flupif ying and benumming removeth the pain. And{o likewife Donat. ti! 1 | Antonius Ferrus (in his 2 Lrat of the Gout, Chap. 9.) writeth that he had often- eae times had experience of this Remedy 3 and that when all ocher Remedies wereto
of the life; and hereupon there will arife the worft and moft dangerous Symptoms, -
And moreover, when the painis a little mitigated, in regard that the matteris. |
(neither yet fomtimes the external Air althoughit be not fo very cold) but thac.
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Chap. 5- The Indications and Cure. ae:
arenot in the beginning co make ufe of chofe Medicaments that are over loofe- ning, fince that they heip forward the aflux of the Humors; but we ought in | the firft placeco make ule of thofe Medicamentcs that dofomwhat ftop and ftay the i) aflux of the Humors, Andtherefore we may then lawfully add Lettice, Sengreen, ip Purflaine, Violets, Plantane, Roses, Cand fuch’Gompounds as are made ont of them) | | as alfo what Vinegar we think fic. As, Ti Take Barly Meal three ounces; boyl itin Oxycrate 5 then add the Yelks of two, Boer, Mh
Why Saffron one fcruple, and mingle them. Or, ae 1, Take Mucillage of theSeed of Fleabane, extrated with Rofe Water, two ounces s al Mucillage of Marfh-Mallow Seeds one ounces “Barly “Meal as much. aa gill by fuffice, the yelk of one Egge, andfo make a Cataplafm. Or, ' ‘ f Take The water of theSpermof Frogs four ounces, Water of Nightfhade, of the ae | ;
flowers of Elder, andof Plantane, of each twoounces , Campbire half a fcruple >and mingle them well together. If you think fic, the Mucillage of the Seed of Pleabane, and of Quinces,: of eath one
ounce, may beadded. Or, bi ; Take Fuyce of Henbane, Sengreen, Lettice, of each veo ounces, Barly Meal one We ounce, the Yelk of one Egg, and Oyl of Rofes two ounces. . Mingle them well toge=
Take Red Rofes one bandful, the Meal of Fenugrech, Seed, Beans, and Barly, of each one ounce, Red Sanders onedram and balf, Camomile flowers onepugils when they are boyled and throughly bruijed, you are to add the Yelks of two Kees, Vinegar four 4 ounces, Oyl of Rofes aamuch as will fuffice: andmakeaCataplaim, Or. }
Take Water of Night-fbade, of Plantane, of tbe Sperm of Frogs, of each two oun- ces, Oy! of Rofesand Camomile, of each one. dunce, Coms Milk three ounces, the | “Meal of Beans,Marfhb-Mallows, and Barly, of each one ounce, or asmuch as will (uffice, ; Saffron one Scruple, the yelks of two Eggs, Smallagetwo fcruples 3 Make a Catapla{m,
Some there are thac fteep Harts-born burnt and prepared in the Water of ‘Mulleyn > flowers; orelfe they boylit inthe fame Water; andin the ftreyning they wet and foak Linen Clothes, and thefethey lay uponthe part thatis pained. Or, I
Take Mulleynner and frefh gatbered fix pound, Wine one Quart : Let them be Mace- i rated for three whole daies, andchen afterwards let chem bedeftilled. Or, |
Take The Flowers of Mulleyn, andfilla Glaf bottle ful of them, and then topping the mouth thereof very clofe, ferit inthe Sun: for fo they diffolve as it were into a liquor: voherein you areto wet a Linen Cloatb, and lay it upon the part affetted, for the affwoaging of the pain. | ;
If you judg it fitter to make ule of Oyls;. Then, ,
Take Frogs five of them in Number, Barth-worms wafbed in Wine three ounces 5 j ry bayl them in the Oyl of Rofes, and ftrain them. | |
We) ther. . Or, . " | i {
Difeuffing Medicaments
But now when the force and violence of the fuxion ts once paft and gone, and the difenfives, nart become {woln,. thenthofe things are withall tobe mingled which docal forch the Humor, and gently difcufs the fame andfotake away fome parc ofthe Caufes But now here Phy titians are wont (for the moft-part.of them) tobe very long and Tedious in reckoning up,and diftinguifhing the feveral Medicaments;which- of them are fic and proper in a\hot Caufe, and which of chem when the Caufe is cold; yea } and which of rhem.ave moft convenient forall kind of Humors., But although, we 4 deny. noc but thac we are in fome kind of manner ro have ref{pect unto the Condition | ofthe Humor that foweth in unto the Joyntss yet nevercthelefs our chief.and main () Care oughttobe, thatthe ferous and fharp wheyifh Humor (whichis the nigheft and moft principal Caufe of che pain, ) may be called forth ofthe more deep and
difcuffed; and yet that this may the more conveniently be fo done, wemay like- wife (as we faid but now ) have fome regard unto chole Humors chat the aforefaid ferous and fharp Humor forcibly draweth along wich it, and whichby Reafon of the pain ate cogether attracted tothe part thacis pained, and which ave very com- monly taken for the nigheft and moft immediate Caufe of the Gout, Yea and G2 > moreover
The Indications and Cure Chap. 5. moreover that very ferous Humor it felf (the prime and principal Caufe of this Evil) is infome more, and in others lefs hot. “And therefore ifthe flowing Humor be more hor; then the difcufling Medicaments ought to be fo ordered, that they may andeed gently difperfe the Humor but yer focthac they giveno occafion ar all for any hew affiux. And fucha like hotHumow, inregard-chat ir is wichall. moveable andthin, iseafily difcuffed; neither needeth it any ftronger Medicaments. . Buc if the Humor be lefs hor, or fomwhat cold, then we may very fafely adminifter Medicaments chat aremore hot. Neither will cheré be any Caufe co fear thar then a new flux may ealilv be excited 5 and therefore for che difperfing of fuch a like Hu- mor there are necefiarily required fuch Medicaments as are more hot then ordi- nary.
But now with what Medicaments that wheyifh, and (as itis fo called by tcheChy- mifts) Tartarous Humore is to be drawn forth and difcuffed, we are here Cand that for very good Reafon) diligently to make inquiry. For we have elfwhere told you (viz, in our Tract of Chymic. Confil. Diff. Chap. 15. ) that rhe Medicaments oughe in their own kind co be likeuntothe Caufe. Forchere isnot any thing chat fufferech from every thing; neither is there any thing that may be uniced unto eve- ry thing. Gum Arabick, and Tragacancth, andthe Gum of Cherry Trees are dif- folved by Water, becaufe of the neer alliance and agreement in their Natures; but Dut fo isnot Sulphur, and other things of aSulphurous Narure, and chofe things that are Oyly. Sulphuris diflolved by Oy], but nor by Aqua Fortis, although the faid Water isablecto diffolve filver, and orher Metals. The hands when they are all foul with Pitch or Turpentine are noc to be made clean.wirh Water, buc with Oy, or fome thing elfe chat is fat. In bur nings we ufe not toadminifter cold Wa- rer; buclinfeed Oy], Vernifh, and the like ( that may draw forth that fire and burning) aretobeapplied. And fo in the Eryfipelas (or otherwife called Rofa) we ought not toimpote thofe things that are fat, and Oyly, buc ley cempered with Oyl; audSope that is diffolved in Elder Water, andthe Like; which do noc atal fhuc che pores, bur yet neverthelefs hey draw forch and difcufs thac fubtile and hot Humor. Andche very fame isthe cafe in che Gout; and fincechatit hath its Ori- ginal, not froma Watery Humor, neither yet alfo from that which is Oyly or Sulphurous (asthe Chymifts {peak but froma Humor chat is fharp and Sale, for the drawing forth and diffipating of chis Humor, thofe things that containin chem a volatile and flicting Salt are rather tobe adminiftred, then thofe things that are fat and Oyly. “And experience hath already caught many, chat the Gout pains are increafed by fuchthingsasarefat. And henceit is that the Chymifts do fo much commend Cand not without caufe) Salt Armoniack, oftentimes {ublimated, diffol- ved in Wine, or fome other convenient liquor, and fo impofed upon the pained part. Others commend the Salt of Urine, in like manner diflolved in Wine, or fome other liquor. And whereas Adrian Spigelivs writeth that he faw whena Mans Urine (being kept cill it was Stale) was laid uponthe part affected(che pains as yet abiding, and concinuing evenin their heighth) andtharir was wonderfully benefi- ciallin giving eafe ; and how much rather then muft the Salc of Urine perform this ? Yea and there are fome that ufe likewife other Salts to evacuate the aforefaid Hu-
mor. AndImy felf know alfo one that was wont to adminifter the {pirit of Salg.
tempered with other liquors, And very fitly may it be tempered with the Water of
‘Meadov{weet’, for being then with a Feather Jaidupon the part inpain, it extraét_-
eth che Humor in fuch a manner, as that it may even feem to exhaleinthe likenefs of a Vapor. Wea fome there are that commend alfo thofe things that are wont to
be made ufe of for che caufing of rednefsin any part, and che raifing of blifters”
when there is occafion ; andthefe they mingle with Anodynes. Neither are thefe things the inventions of che latter Phyfitians, andthe Modern Chymifts 5 but chac plants abounding witha volacile and fharpSalc were heretofore in ufe likewife with the Ancients, forthe curing of the Gout, we are taught even by thar one planc which we call Lepidinm or Sciatica Creffes ; whofe Roots (as they write) being bruifed; ‘and mingled with old Greafe, are (with fingular benefic) applied unro thofe that are troubled with thefe pains of the Gout as ic appeareth out of Diofco- rides, and Damocrates (whofe verfes upon this fubject we may read in Galen his 10. B. of the Compofition of Medicaments according to the place) and Aetins, Fetrab.3. Sam. 4. Cb. 2. andothets. And astouching Muftard Seed, \Alexand. Tralleanus . writeth,
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Chaps.
Jed with dried Pigs (in extraordinary great pains atifing from a cold Humor) was freed from the faid painoftheGour. Somecommend the wild Radifh throughly bruifed; and T my felf have feen chat ithath done goodco many. If we fear its Acrimony, and that from thence fome hea¢ may be excited, we may chen firft boy) is alittle. The Liquor of Snails is likewile very much extolled by fome: as, Take Snails taken forth of their Shels,in number twenty five: the berries of Danerore or Dwarf-Elder, and Salt, of each as much as will fuffice. Thee being puc inco the Alembick in a clean Veffel with holes chrough the bortomchereof, Jer chere be a Veflel, puc under ic chat may receive the Liquor as it diftillech ; in che which you are to wer cloaths,
and apply chem unto the parc affected.
This Suffumigation is likewife much commended, ‘Si |
Take Lign. Aloes, yellow Amber, Frankincenfe, Gum Funiper, Henbane feed, Styrax Calamite, Gum Tacamabaca, of each.one dram; Powder them gtofsly, and caft che pou- det upon live coals of fire; and fo for balf an bour let che pare affected receive che {moak hereof. Quercetan (in che feventh Chapcer of his Pharmacop. reftit.) hath fouc Wacers, al pood againsft the Gout. The firft is chis ;
Take Water of the Sperm of Progs, of vobite Mullein, and Sallow, of eacha quart and balf a pint: the Urine of a ‘Boy that drinketh Wine, three pints : Treacle neve and frefh two drams and half: Vitriol, Salt diffolved, and Allum, of each four ounces: Let. them be diftilled (11ll they be dry) upon the Embers: then add Salt: of. Vitriol. one. ounce and balf : Campbire and Saffron, of each twodrams, and mingle them. Lec Linen. cloaths be throughly wee inchis Wacer, and applied umto che grieved pare, and be very often re= newed,
The Second Water is chis : fake Salt, Urine of a Child, of each as much as you think fit, and ibendiftil them The chicd is chi,
Take Leaves and Blowers of green Elder, of each one pound: let them be well bruifed and macerated in a {ufficient quantity of Wine (for three daies together) in Balneo, and Afterreard let them be diftilled,
The fourch Watrer as chis = .
Take Spirit of Wine rettified one quarts tha pureft Honey.one pound: Let-them be di- filled in Baineo, and let two Liguors be gathered jrom hence feverally and.apant, to. wit, One watery, andthe other Sulpbureous. ounce and half ; Venice Turpentine iwo ounces; Tartar calcined to a whiteneB balf-a pound , Salt one ounce; the fleounof Vitriol four ounces 3, Lye made of the’ tender fboots of the Vine tro pints: Lettbem be macerated for treenty four bours, and then diftiled +112 ibeybe dry, ‘Unto the feces that remain add the firft Water, and let them be diftilled. And
~ at length mingle together all the Liquors, and diffil them in a Balneum: mwbere they may
eVaporatt.
Andreas Libavius Cin the fick part of his Apocalypf. Hermet. Cap. 8..) preferceth bee fore all ochers chat Waterin which Brafsand Iron have been excinguifhed, and afterwards “Mercurius vite bath chereia been macerated,. Or,
Take venice Soap one ounce and half , Spirit of Wine, Water of Elder F lowers, of each topo ounces, and minglethem. Ox,
Take River Crevifbes eight in number Funiper grains one handful; Myrrk and Prankincenfe, of each one ounce; the beft Wine one pint, Jet them be difeilled... Or,
Tike Majttch, Prankincenfe, Myrrb, Ammoniacum, and Bdellium, of each two oun= ces; Vitriol one pound, ‘Honey a quart, Tartar an ounce and half s Spirit. of Wine the beft, four pints: let them be diftilled according to art.
Solenander (in his 24. Confil. Sett. 5.) wrwech, That he knew an old Man:ghas was much troubled wich the Gout, who made for himfelf a Medicine in this manner. When there was a {welling, and a teal pain, and the place ted, he cook Salt, Cinders, che Urine of a Child, and Vinegars inchefe (wel mingled cogether,and ftitced up and down) he through ly moiftcned a ware woollen cloth, and then {queezing it he applied ic now. and rhen.unco the pace chac was pained, And whenhe had now by chis means in gteac parc aflwaged the p2in, and the difealedeclining,. he boyled live Sulphur, and che pouder of whice Hellebore inthe Oylot Linfeed, and wich it he anointed the placesafkected. And che fame Sole- naader wiiceth alfo chat chis follawing was known to benefit many that made trial thereof. There growerh unco che Roots of rhe Ouk ( in the Autuma for che moft parr) a cercaim
kind
~~ The Indications and Cure. 33
weiceth, That heknew aceccain pecton who by the ufe only of the faid Muftard feed ming- ee
Add unto theremainders, of pebob Saffron one -
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: REC neN a Sag FEE NSS
eee a
The Indications and Cure. ‘: Chapsis.
this kind, chat have a power to cut, cleanfe, difcuis, meanly to dry, and ftrengthen:
pain. And of fuch Kind of Medicaments as thefe there are many more in preatabundance to be found. in Platerus his {econd Book of Practice, and el(where in others. And yet notwithftanding I chink ic not amifs, here co give you notice of this, that in the applying ot all mannerof Topicks’ we ate diligently to heed the figns of thofe that benefic,
and chofe that hure andoffend. For albeit the nigheft Caufe of the Gout be a wheyith, fale, and tartacous humor or cal ic by what name foever you pleafe ) yet neverchele(s ic is
not for nothing that the Chymifts give us notice ( as we fhal furchet fhew you below inthe
fixth Queftion) that there are in the Earth and Plants divers kinds of Salis or as Plate-
rus {peaketh, thar che humor che Caufe of che Gout is mingled with the Icborer of the ex~ crementitious humors, which render the fame more vehement and violent. And hence ir is, that noc only in divers and {fevera] Pecions, but likewifeinone and the fame Perfon, accor ding co his feveral ages, the nature of che pain is different, and not evermore one and the fame.
And then laftly, for the difcufling of che Reliques and Remainders there may be made fo- mentations of Mugwore, Organy, Wormwood, Betony,; Calaminc, Flowers of Arabian Stachas, Lavender; Camomile, Melilote, boyledin Wine and Water, which withal ftreng- then che part. © Buc here Crato doth rightly advife us’ Cin his Confil. 240.) that we wet the Fees as liccle as may be, but chat the vapor be only received by the Feer. And indeed fuch like fomentations are moft convenient. And yet notwithftanding if there be a few tore Plants boyled in the Water, ‘anda little falc added’ sor elfe if a’ Livivium, or Ley, be poured hereunto, there is no difcommodity to be expected from the humectation ; or if wedoat.all fearany butt, lef that the wacerith humidity fhould after the bath be left in che part affected, the following Trochifks may be caft upon the Coals of Fire, and the {moak ceceived by the part affected. }
Take GumfFuniper, and Prankincenfe, of eacbtwo drams, Ladanum and Penxoin, of each one-ounce s Cinnamom; Cloves, and Nutmeg, of each balf a dram 3 make them into @ Powder; and incorporate them with Gum Tragacanth ; and then make Trochisks there- of. i
Sse is likewife very much commended a ‘Bath of Juniper Wood, 4s alfo of the Decoéti- on of a whol’Fox, adding thereto Frogs and Eatth-worms, and the Herbs before re- cited.
Or elfelec the Feet be anoynted with fome convenient Liniment orUnguent. Galen (in his 2. B. of fimple Medic. Chap. 18. ) as likewife many-othet Authors, do much commed the Chafing and Rubbing of falted Oylinto the parc affected, For inall chofe (faith Ao tins tetrab,'3.ferm. 4. Cap. 21.) thatare chafed in this manner, the Natural innate heat is augmented, chac which is preternatural is difperfed, the Exctements are confumed, and the affected Members:are rendred more ftrong, fo chat they are no further obnoxious and fub- pect unto pains 5 efpecially, if from day to day all cheic whol life long they be diligeng in an ufe
mer Ti
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Ney The Indications and (ure.
remem ae a ae a yee
shap. 5. ia ent
ufe of chis Remedy every morning andevening. Touchiug which Philagrius. very conft-—
dently (and without doubt Hyperbotically ) isboldco pronounce (as Aetivs witerh in the place alleadged ) chac even ehis one Remedy alone ts fufficienc for chem. chat eixcher moft of all cranfgrefs in matter of Dyer, or fuch as are immoderacely cooled, ox fick wach over bard labor , or fuch as have been exceflive in the ufe of Venery, . or fuch laftly as have run into any’ other ercor and excefs. But now. becaule, chac the Oy] and Salc are not ealily mingled, che Salcistirft of all co be moiftened in. hor Wine, and afterward ina Mortar co be diligently mingled with the OyJ; and alwaies be- fore this Liniment be pus unto ufe, che Sale 1s chroughly co be mingled withthe Oy], Nej- ther is ic fufficient only coanoyne, bucche Joynes arealiocobe wel rubbed, chac fo che force and vircue of the Medicamenct may che betcer penetrate.
Take Caftor and Frankincenfe of each one dram and balf, Marrow of a Hart, the Fat of a Goofe, of each three drams : Oyl of Maftich and “Mints, of each two ounces and half : Bdellium and Galbanum diffolved in Vinegar, of each balf an ounce: the meal of Linfeed and Fenugreek, of eachtbree drams andhalf: Wax as muchas will fuffice, and make a Catapla{m.
The Remedy of Flavius Clemens (by che ufe of which, asic is reported, men that have been deftcoyed in their whol bady by the Gout Podagra and Chiragra, have been fo well recovered chacthey have walked without any hure or hinderance) is defcribed by Galen in his 7.B. of the Compofit.of Medicam. according to their kind, Chapt. 12. € where he hath alfo other Receipts of chis Nature) and fo likewale in bis 10. B, of the Compofit. of Medica~ ments according to the place, Cbap.2. Qr,
Take Gum of the Pine Tree one ounce, blackPitch two ounces, Wax one ounce and half : tbe fat of anold Cock two ounces, pouder of Hermodaftyls, and live Sulphur, of each three ounces: Let there be an Emplafter made tbereof, andrenewed the third day.
Thefe Remedies immediately following are prelcribed by Henricus Stapedius Cin Con- fil. Scholizii, Confil. 238.) .
TakeFuniper berries, and Marjb-mallow.s, of each two ounces : the Leaves of Laverel, Myrtil, Sage, Betony, Caffidony, or Prench Lavender, Organy, Calaminth, Marjoran, and ‘Rofemary, of each of thefe balf a handful: Linfeed and ‘Renugreek, of each tro ounces: Make a Decottion in the Lye of the tender fhoots of the Vine, adding thereto of common Salt one pound.
Afterward lec them be anointed with che following Oy]. |
Take Roots of Pellitory, Nutmeg, and Cloves. brutfed, of each two dramss Flowers of Sage, Hyffop, Rofemary, Arabian Lavender or Caffidony, and Spicknard, of each one dram and balf ; the Root of Birthwort, and Hermodattyls, of each one ounce: pour in bereunto of the Spivit of Wine one pint, or as much as voil fuffice 5 let them be macerated for one whol day; and afterwards add of the beft Turpentine one pound and half ; and fo di- flil themin a glafs Alembick, |
Alexander Trallzanus and others commend this; and they afiure us that by isnot only fuch as have had the Gouc from the flowing of a Hegmacick Humor, but chat likewife many chat have had che pains of the Gout from che flux of a Colerick humior,. have recovered their healthand ftrength again.
Take Time, Organy, Savory, and Calaminth, of each as much as you think fits and boyl them in the fharpeft Vinegar ; and with thebot Decottion oftenwafh and foment the parts affetted.
For the Knobs or Kuots.
If the matter be now grown into the wonted hard Knobs, icisindeed a moft difficule bufi-
nefs to diffolve chem; but if they be not already become old and inveterate,there may be yet Kuots in fome hopes lefe of curing them. Now for the difcufling of thefe knobs and knoss we are nor the Faynis
only co adminiffer Externa! and Topick Remedies, but likewife Incernal Remedies. The incernal Remedies ate chofe Antidotes above mentioned, amongft which the Antidote of Trallianus (made of Centaury_) is more efpecially ufeful.. And the fame Trallianus wricech likewile, That a cercain perfon troubled wiih the Gout, when the knots began firft co appear, by che drinking of the Decoétion of Groundpine or HerbIvy, he prevented the fur- thergenerating of them. Excernaland Topick Remedies (ufeful for che diffolving of che Kachs) are Ammoniacum diffolvedin Vinegar. Or,
Take the fimple Diachylon Bmplafter one ounces Ammoniacum,Galbanun,Bdellium, Sagapenum,
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. Sagapenum, of each one dram, Oy! of Orrace, and white Lilyes, of each balf an ounce, poveder of Orrace one dram, and makeanEmplafter. Or,
Take Briony Roots, Wilde Comcumber, and Orrace Boots, of each tro ounces, Roots of Mafh-Mallows, and white lilies, roasted under the bot Embers ,of each four im number 3 the Seed of ‘Nettle, ‘Muftard, and Water Creffes, of each one ounce. Let them all be wel mingled, and ftird about together with Goofe Fat, and che Oyl of foceet Almonds, as muchas willfuffiice, and make a Cataplaim.
Galen and others do much commend that which is made of old Cheefe: for the Skin being broken and divided of its ownaccord, without any Section, ic refrefh- eth and comforteth the Joynts that are fromday today Cwithouc any hurcat all ) freedfromtheScones. Vig
Take Old and tart Cheefe, three ounces, or as much as youthink fit, dip it ina fuf- ficient quantity of tbe broth of Salt fooines flefb, and then after you bave {ufficiently pounded itin aMortar, let it beimpofed upon the part affetted. Others boylibe Salt Feet of Sveine in water, until they be very foft and tender, and afterwards they mingle swith them of old Cheefe two paris, and Water Creffes one part, and fo they make an Emplafter, which they greatly conmend. Or,
Take Fuyce of Tobacco three ounces, Citrine Wax two ounces Rofin of the Pine Tree one ounce and balf, Turpentine one ounce, Oyl of Camomile as much as wil {uf- fice: and makeafofct Cerote. Or,
Take Honey, Bears Greafe, and fharp Vinegar, of each one-pound or pinte, ‘Moun- tain Snakes, and Snailes, oneor two ofthens boyhthemina Glazed Veffel over a foft fire, until the Vinegar be confumeds afterwards ftrein them, and add of Wax three ounces. Le cthemchen beal diffolved together, and kepe forufe; and with chis the place affected isto be anointed, by the fire fide.
The Dirt that is found in fome certain Baths (having in them a power co Mollifie and Refolve) are here likewife very ufeful 5 (fuch as are thofe of St. Peter, and Bar- tholomero, inthe province of Padva) with which the part affected is to be fomen- tedforan hour, and better, every Morning and Evening, and afterwards to be ‘wafhed with che Bath-Water.
Erafiftratus Sicyonius provided this excellent and effectual Remedy againft thefe knobsand knots. ~ : :
Take Oake Mifsletoe, one pound andbalf, Frankincenfe, Wax, Fat Torches, and Rofin of the Pine Tree, of each one pound. Thofe things that were diffolveable he melted, andftird chem-welabour, throughly mingling them withthe Fat Torchess from the which when all the Fac was flown forth, he took the Liquor from the fire, and ftrained it, and then beating the Frankincenfe into avery fine powder he pnt it there:nto; dayly ftirring ic about, untilhe had broughe it incoa Mafs that would noc foul, or fticktohis Hands. See more of chis in Trallianus his Eleventh B.
Chap. 6. Of the Sciatick Pain.
The Scia- : _ ai Gout; fochat theremay nothing feem needful tobe {poken as crouching it,
befides whathath beenalready faid. But feeing that, bothin regard of the part af- fected ic hach fomthing peculiar, and that in the Cure there is fomerhing that is pro- ee thereunto to be obferved; we fhall therefore fpeak a little furcher chere- Of.’
There areindeedfome, who by the Ifchiadick or Sciatica pain underftand fome other affect, differing from the Gour, (which is co be accounted among the Chroni- cal affects) and this happeneth alfountochofe that never were troubled with the Gout,eicher in che Feet,or in the hands, from excrements there heaped uptogether, ot flowing into that part, and this forche moft part a lictle now andthen, and by degrees. But it is not our purpofe here ro treac of chat affect; in regard chat ic pértaineth unto the impotency and inability in walking, by reafon of fomething amifsinthe Hip; Cand excendeth it felf furcher chen the Gout; of which only our purpofe ishereco Treat; ) and cherefore we fhall here handle the Sciatica pain,
; only
He pain of the Hips (commonly called the Sciatica) in indé¢ed a kinde of the:
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Chap. 6. Of the Sciatick Pain: only asic is Arthricick, thatis cto fay, afpecies or kind of the Gout, of which ye hhave been hitherto {peaking.
But now as touching the place affected, thereis here fome kind of Difagreement among the learned Phyfitians. Aetins (Tetrab. 3. Seri. 4 Chap...) outof 4p- chigenes writeth chus : They are properly( faith be)to be accounted I{chiadtck 0° Sciarick perfons, that bave a pain affittiing them about fome certain Foynt of the vertebre. But fomtimes there goeth before this Malady, Cand asit were, to ‘Ufher ifin ) a pain of the Mufcles lying neer, and e{pecially the Loyns 5 but fomtimes again the beginning of the affect is from the very Foynt it felf : bit now fomtimes it fo bappeneth that the pain of the Vertebra being almoft taken aveay, the grief fticket only about the Ham, and in-fome neer unto the Ankles, but in others tbe whole Leg is equally afflitted with pain 3 and ing- ny alfo have this pain fixed about their Groyns, and then indeed the orief and troubhe hé- ing derived unto the very bladder produceth a difficulty of making Water, and Wen moft efpecially it is that the whole Leg, fromthe Hips Ceven unto the very Heel) fuffereth Pain. |
Pernelius (in his Sixth B. of the Difeas. of the parts, and the Symptoms, Chap. 18.)
AMaith, thatthe Ifchias or Sciatick pain (being abfolutely the moft vebement of all tbe eft
hath not its feat in that Foynt by which the bead of the Thigh 7 inferred and faftened into the Hip, but deeper, at the utmoft of the Buttocks, by which the Nerves that proceed from the Loyns and the great bone, called Os Sacrum, or the boly bone, aré carried into the Tbiebs 5 thegreat and terrible pain # not inthe Hip alone, but it likevoi fe extended into the Thigh, and into the Calve.of the Leg, and unio the extream part of the Foor, to wit, whitberfoever that branch tbat w derived from ibe Hip affetted reacherh and extendetb it felf. Bucfome other, Cas Platerus) atcribure the Sciatick pain unto the Joyne, with che Thigh. : i, But here we are to underftand: that about the Hip (as alfo now and then inthe fhoulder) there happenethfomtimes a pain, which 1s indeed very often moft vehe- ment, and yer neverthelefs it isnot properly a pain of the Joynts, in regard chat ic isnotinany Joynt, becaufe it feizeth upon rhe Membrane of che Mufcles; neéither again doth it confift alwaics in one andthe fame’place, but for the moft parr de- {fcendeth downward unto the inferior parts, ’ And fuch almoft is thac’ Ifchiadick pain that Aeris hath defcribed ont of Archigenes. And I grant that this pain hach its oripinal fromthe Serous and fharp’ Humor chat floweth from the Head under the Skin, and {ticking about fome Membrane, or fome Nerve: but now, that this paid is nos properly the Gout, appeareth from hence; Firft, becaufe ic confitt- eth notalwaies-aboucthe Joynts, buc-alfoin che middle fpaces within the Joyrits. And fo I have here Cured a perfon of honor, chat fuffered ‘ftich a pain in che very Mufcles themfelves that are between the Knees andthe Hip. And the like pains
‘often happenin the Breaff, and there excite a certain baftard Pleurifie. And then
Secondly, becaufe that they very rarely recurn by intervals, and conftantly at fome certain times 5 but often after chey have afflicted a man once or twice, they recurn no more afterwards all the whole life long. Thirdly, becaufe thofe thar fuffer thefe pains are not afflifted wich che Gout in any other parts, which happenech in the true Gouts andthatc is properly fo called. For thofe that ‘are long troubled wich the Gouc are very feldomafflidted with the Gout in the Feet alone; buc chey after- wards fuffer pains likewife in their Hands, and their other Joynts.
And Laftly, likewife che true Gouc (for the moft parc, if not alwaies) hatha Tumor or fwelling Joyned with it,but now thefe pains have no fuch {welling Joyned with themi 3/not only when they dre ina'deep place, ‘buc alfo when they are ina place that is not deep; as it often happeneth in the fhoulder; and this cometh to pafs forcthisCanfe, to wit, thacthe Humor floweth not out of thofe Veins by which that part is nourifhed, asin the true Gout.
Buc we intend not hereco treat ofthat pain, but only of that which is properly the Archritick or Gout pain But now that I{chiadick or Sciatick pain hath this pro- peruncoic, tharic is diffufed more abroad then in the other Joynts, and often- times'unto che places that lienéxe : and chis halppeneth, firft of all, becaufe chac the Hip bone is large 5 from whence icis,that we diftinguifh'it by three names ; and when it is Knic unto the fides of the Or Sacrum, wethen cal it’ che Nevmbone ; when unto rhe hollow part of the faid bone, wethen call ic Ifchivms; and wheénitis Joy- ned with the forepatr, wechen call it Or Pubis. or che fhare bone. And then Se-
H - condly,
a i,
Of the Sciatick Pain. Chap..6.
condly, becaufe chat che Nerves that come from the Loyns and the Os Sacra to -
thac Articulation, are diftributed inco divers parts: and therefore the pain of the Hip doth fomtimes diffufe it {elf into all places, and reacheth even unto the Nerves chat are derived from che Hip. ee
But now this Malady is very difficulc to be cured, by Reafon of the deepnefs.and larenefs ofthe place, andthe abundance of the matter which the wide’ Place re- ceiveth. They who being infefted by a long continued pain of their Hips bave the Hip-bone fallen out of its place, and again returning into its place, thefe bave afilthi- nef and naftinef foliowing thereupon; (inthe fixth Seftion, and 59. Aphorif{m. ) ‘For if by the Humor flowing in the Ligaments berelaxed, the Hip falleth out of-its place; andthe Humor that is gotten into its Cavity is made dul andthick; yea and oftentimes ic groweth there intoa ftony hardnef{s,;whereupon becaute the V eins and Arteries are moved out of their peapas places, and are preffed down together, chence.it is chat an Atrophy followeth inthe Legs. And ifthis Ifchiadick painin- vade any one in thetime of youth, ic threateneth the fhortning of the life, becanfe chat by pain and hunger the fick perfon wafteth and withereth away ; and from hence likewife the I{chiadick Confumption hath taken its Name.
As concerning the Cure, for Revulfion, che Bafilick Vein in the fame fide is moft ficly opened ; bur the If{chiddick, ificbe for derivation. And indeed if the. pain extend it felf more externally, that Vein thac is in the outward ‘Ankle; or the Sapbena, which. is.at the inward Ankle, if the pain rend more, in wardly.
And Minpocrater likewife (6. Epid. Se. 5. Text21.’) writeth, that mben there are Kedmata prefent Oy which Galen and others underftand the fluxions into. che Hip) then the Veins bebind the Ears are to be {carifyed. But yet thefe chink nor chat this precept of Hippocratesistrue, ox.thac.it ought co be followed. Bue yec neverthelefs Scegghius defendeth Hippocrates ; ,and thinks thac he. did upen very good ground propound that,which withouc doubt he had obferved by experience. Fox feeing that che Caufe of the evil deftilleth intothe Hip by the hole of the Nook,
(or Fernelius his way), forthe taking away the very Fountain and fource of the
Malady, he rightly decermineth that the Remedy muft be adminiftred about the
Ears. . Butif ali this fhould be granted, yer neverthelefs thofe Redmata are not the
Ifchiadick pains properly fo,called which belong unto the Gout) but chofe of which we made mention before.
The ftronger, kind of Purgations have here their place; and here the Caryocoftina Plettuary is of fingular ufe, as alfocthe Arthritich Pills, Pill. Fatida, andthe Pills Of Hermodattyls. Crate indeed Cinhis 247. Confil..) writeth that the Ifchiadick or Siatick pains will not, admic of, nor bear purges; inregardthat che Humors have feated themfelves more imthofe places: -butchis isto beunderftood of an infullici- ent Purgation. .
And here V omitories feem tobe more commodious then Purgers by the Belly, in tegard that they evacuate the vicious Humors by a place more remote from the part.affected.
But: Repellers havehere.no placeat,al, becaufe that it may Juftly be feared, left by the ufe of thefe the blood, and other Humoss may.bedriven back coward. che patt affected, and may bethereheapedup. |
Having firft made ufe of General.and Univerfal Remedies, we comethen.to the ampofing of Medicaments .thac actraétiand refolve, and thefe ought to.be of che ftronger fort, chat chey may call forth into the Supetficies.che Humor chat is got-
ten into adeep place 5. which kind of Medicamentsare provided of Herbs chat dif. —
cuts, vig. Tbe Leaves of Elderu, Danewort or Wallwort, Lawrell, Fue, Betony, Camomil, Ground pine, Rofemary, Melilote, Muftard Seed, and Stavefacre; as alfo she flies Cantharides, Pitch, Sulphur, ‘Lurpentine, Amnoniacum, Galbanum, Bdel- hum, Opopanax, and Eupborbiun. :
Excellenc likewifeis chat Medicament that is made of Sciatica Creffes ( of which we made mention above,,) asalfo of Water Creffes, andthe Herb Piperites, or Pep- per-wort, asfome callic. As,
Take Sciatica Greffes, Dittander or Pepperwort, and-Water Creffes, of all, or one of them four bandfuls: boyltbemin Wine, and {prinkle upon them the Meal of Lupines, Beans, and the bister Vetch Orebus.of cack one ounce, the-poreder of dry Rue Wre9. she
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Chap. 7. Of theV Vay and Means to prevent the Gout.
‘Flowers of Camomile one dram, Coftus Reot a dram and half, Oslo f) Turpentine ae an ounce, Oyl of Earth-vorms as muchas will fuffice, and make a Cataplafins cy | ‘3 Take Muftard feed diffolved in the {bar peft Vinegar two ounces, foarp and fowr Leaver half anounce, Poreder of Fermodattyls tro drams, Honey ibree ounsess Turpentine four ounces, Oyl of Lawrel ands pike, of each to ounces, the meal of Fenugreek feed one ounce and balf ; Earth of the Ant. bill with the Ants Eggs, one pound; Leaves of Laws rel, Sage, Rue, and Rofemary, of each balf a bandful; Earth worms prepared half.a pound: let the Ants Earth and ‘Eggs, with the Earth-worms and Herbs, be boyled.in rpbite Wine, and then being firained let the reft of the Ingredients be min eled therewith. Or, : 3 Take Roots of our Ladies fea! (rebich berg cut and applied to the Hip ace much come mended for the removing of the L{cbiadick pain|) fix drams, the Emplafter Diachy lon fim- tex balf an ounce 3 Saffron diffolved in the Spirit of Winetwodrams, Turpentine one ounce, Oyl of Spike as much as is fuffictent 5 and make aCataplajm. Or, Take Citrine War, and Turpentine of the Fir Tree, of each three ounces 3 let them dif- folve together : roben they fbal he cold ad the Powder of ‘Nettle feed, and Hermodattyls, of each twodrams; Roots of round Arifiolochy or Birthmwort, Camomile F lowers, and Florentine F lower-de- luce, of each two drams and half ; Mirb tro drams, Saffron four fcruples: let them be moulded with the bands being fir{t anoynted with Hogs Greafe, and make an Emplajier. Or, | Take Wax, ‘Mifiletoe of the Oak, Turpentine, dry Orrace, Mirrb, and Galbanum and with the Oyl of Barth-worms make a Ceros. } Rigen Unto which if che pain give not place, but {til continue, thenapply Cupping-glaffes with much flame, or elfe Veficatoriese | en But if che Malady wil nor yec by thefe be caken away, then weare.according ta the coun (el of Hippocrates (in the fixtb Seét. of his Aphor. Apbor. Go. ) to burn che part affected 5 and Celfus likewife approvech of this advice, whileft ( in his 4.B..and Chap, 12, ),,he writeth in chig manner: Iris Claxhbe) thelaft fhift, and in ald difeafes al(o a moft efficacious Remedy, with glowing hot Irons toexulcerate the Skinin three or four places above the Hip. | _ This Remedy by heating the part diffolveth and. evacuatech the chick and yifcid humors 5 and if the Ulcers be. kept open (asthey ought to be ), the vicious. mascer flowerh forsh by them. As for she manner of burning, fee more in Paul. FEgineta his fixth Book, and Chap. 76.and Albucaf.Patt 16Ghap. 438 : : And Come chere ate ikewile chat make mention of she Gour of the Vercebrx of che Back, in {pecial: and we grans indeed chag now and chen fomefuch kind of Gout cbere. is; and this hach alfo che very fame Caufes and fo requireth che fame kind of Cure with the otheg Gouts. “But wearer herero look wel about us, 4nd ta bavea care that webenot deceived, in miftaking every pain of the Back for che Gout. For oftencimes it fo happeneth that from the fecous and wheyifh matter flowing down from the Head, and defcending along the Back, and efpecially according to the Conveyance of the Cucullar Mufcle (and fticking at the $pz- na Dorfi, in the end of the faid Ma(cle).a pain may be excited ; which yee neverthelefs is not the Gout, in regard chac it happeneth not in the parts percaining Co the Joyns 5 and 1¢ 1s of= tentimes likewile of a very fhorc. continuance, and afflidteth the fick Pecfons in their fleep, but when chey awake, and arile from thei fleep, it leavech chemand vanifhech, which never
happenech in che true, Gout.
» Chaps 7° Of the V Vay and Means toprevent the Gout.
Any there are thag mind only chis one thing, tawic, thacchey may be freed from the prefeng pains of che Gout s but. being freed chey cake no care acall, how they may
obtain that they be no more troubled with che fame pains; neither do they make. ule of chofe Medicaments by which chey might prevent this Bvi},. nocacallrefrain from the Errors of ther Dyec ;. and fochey fuffer che Malady again to atife, and fo.c9 conrinue and grow old with chem; and therefore it isno wonder, chat chere are fo few perfectly recovered of the Gaur. Bus a precausion, and prevention, is alcogether as ueceffary as che Cure an fpecial fa
called.
ee ee rr ean ey
H 2 Now,
ny
32
The way
to prewent the Gout.
i OR ira igi
ed
2
eee LER Ria an Ory cunts Un an ena
hy thruft forth inco the Joynts, after che yfual |
\ | Kj And ficl of all, as touching the Air, ler the excets o
| frequent but pentle frictions.
Li Byritk; and théconftant Dyécof the Patient, A wont to fupply the matrer of the Gour, unlefsthe fick Perion thal abftam: froth all (dod thac
its , ble wich an’ Appetite, ‘and that he néverfo fl himfelf with Meac and Drink, ch
SS rere aeons
Of the Way and i Means to prevent the Gout.
Jn what °~ Now this Confiftech in chree chings: The fictt is his, that chére be care taken that there éhings it Beno matter fuffered to gathectogecher which may fHowiysco the’ oynts.° Bite Yecarid, meniiteib that if any matcer be potcen together, ic be caken away beforeit ruth unto the Joynts. Aud
the thicd is this, chat che Joynts may not €afily receive the (ame, Now \if (as many do ) any one thal make ic his bufinefs only to ftrengthen the Joynts, andinthe mean’ tinte thai permit the heaping up of che vitious macter iA the Body 5 the Patience. fiat tence reap mere bute than good. For if here thal be’ a vicious Macter preiene inv the Body, andsehie pur and accuftomed manner, ‘being retained i. the le parts, "and be'the Cat Of mo ft Erie vans
noe saan Tere
Chap.°7.
i Body ic may flow unro other of themure nob ji Difeafes. And cherefore we are here ficft ofall cocommend unto the Patie
and Medicaments char correct the diftemper df the Bowels; the firft formed by this.
nt a good courfe of Dyér, lnc éHeion being bevt per The fecond thing required is accom phfhed by'Blaod-letting, Purpiogs, atid
other chingsthar cake away che ferous and Lartarous humors.” The chitd, by thofe Medica-
W ments that ftrengchen the Joynes. a ir The fa Add fick of all, As couching the Dyec, rhisis abfolurely neceffary, and maydomuch ig | Hh witmber of che prevention of che Goue 3 and indeed it is of fo great confequence, that wichoutieEhe New hy prevention Aicaments '( lec cheni be nevet fo excellence’) wil nothing avail. Andthat fo few ate tured a # the Dytt ofthe Gouc, this for the mott part happeneth by reafon of che too reat liberty and licence “i they cake in point of Dyete “And on the contrary, a due cotirfe of Dyeét hath beea Known Ay it felf alone oftentimes co vanquith this Malady : and Crato Cinhis 161. Confil..) weriterh ie truly 5 Drbink Cfaich he) thar there ts nothing more to be taken care of for thofe that‘are A troubled with tbe Gout, than a right and due courfe of Dyer. Fox what Medicatrenss
ak are there that can eitber draw forth the matter it Self, or firengtben the Heat 2
And to likewife Solenander '( Sett. 1. Confil. 20.) We objeraie C faith be) that many by their care and diligence bave made themfelves free from the pains of the Gouts fome by their being obftemious , others by their forbearance of Venereabembraces 5 a third fort, by reajon of theit continual ufing this or that proper “Medicament : ‘And others again, by theirfhan- wing of thes or that kind of Meat, as burtful in reference to this their Difedfe.
Now the courfe ot Dyerdoth chiefly confitt in the right ule of thefix things nor Natural. fevery Air ii $s qualicies be fhun’d 5 ( tor this may either retain, or difperfeabroad the vicious bumots iii’ the Body }. and efpe-
y cially che cold excefs that serainech and keepeth in che tranfpication, aiid chat notable exhae i Jing of che vapors 5 yea and ic forcech the wheyith humor from the outfide of the Body un- ek tothe Centre where it afterwards foon becometh over-hot (Cand bdyling as it were ) and i then beginnetk'to be ftird up and down. * And therefore Jec all chofe that aré troubled wich the Gout very carefilly fence chemf{elves againft the excétnal injuties ofthe Air, by wearing éffuch warm Garmentsas are fic for chem > and Jet them beware chattehe’ external Gold do’ not thicken the*Flabit of che Body, and {o'hinder the flowing forcl of the vapors.’ “And if ic | | fabio bappén thar the habit of the Body thal be condeénfed, ic‘is then’diain to be ratified by
‘But moréef pecially thereisan exact and accurate tegatd co be had unto the Meat°and
For it beinp fo thatthe Meat! and Drink is
is Hureful forhis grief, or commit any errors in thé ule thereof, he fhal but in vain hope for
Lt health and recovery. And therefore wheh:the fick Perfons fhal chemfelvescometo under
ftandand rake notice what meats are burcful for
eating of Carps evermore fel into the Gout)then let chem carefully and wholly abftain from The quan- CHEM Anditoalfo forthe quantity of chefood thitds taken, ittuft he nomorethan whac tity of the Sulficeth for che refcething of che Spirits, and che prefervation of che ftiength of the Body. Patients And he ought not upon any occafion cotakein more food than what may rightly be conco- Foods: &edin the Stomack, Liver, and Spleen: which is then done if he rake only that quantity of Méat and Drink chat (according to thé advice of Hippocrates ) he alwaies rile from thé Fas
them (as we cold above of one who by the
tat he leave re- atl Giaitiihg Hodefire at all, nor any furcher a ppetite cherecov -'For finéedhat in thefe Concocti- Wy ons that which is excrenmieatitious is: wont to bef eparated, if thofeé Concoctions tha! not be tighcly performed, many Excrements Cand thofe Tartarous)) ‘are mingled with the Blood ; which afcerwads- (as alcopether ufelefs.) ‘are by Nattite. ac her own time, thruft forchun- tothe Joynts, Or if ie fhould fo chance chat che fick Perion offend by taking coo much food
ii atoBe meaJ, he muft be fo much the more {paring in the meal following. And fo likewife . ic
hin); the B not @ bath a Wine ‘tha very. 10,8 the Ge there (tian of Ap Joya of fa ihe OULD Itkey lan much Bie Forit and} breed tare event] Ann h A Voss
SCOP,
Alia) ) Udtofy Othep Usftog Huy ~ AN sD
i redioN
hte
dtutal, ua d tbe exhgs y Ue ) and wich eating do tt
hy
and itk 18 tht pe fot nt y the from what Body oncar iy ‘Te ne colt nde ods hut food eyile
i
———————E
ween ee ee ae a ae ee et ei 5
gor ae E ole ways gas oy Chap.7. Of the Way and Means to prevent the Gout. ic will be to very good purpofe, ifonce ink the week he wholly forbear, or at leatt that he Eat adparefupper. And there ought likewife no new food co be rakenuns til che former be Concocted.. His fuppermuft alwaies be more {paring then his dinner: and variety likewife of Meats. at one and: the fame..Meal is to be avoided, as being alrogether as hurtful as the over great quantity and exe cels. |
Andtherefore let his bread be pure, and leavened; the-fleth that he Eatech lect
nt
4%
Tht quas
be.Wether Mutron; Kids fleth; Veal, andthe like, of a good Juyce and Aliment, 4 of bie
There is ikewife allowed young Beefe, efpécially infuchias are hotter then ordinas °*
ry : and Alexander Tralianus in bis 11.B. Chap.1. writech, that he knew fomewhsd
being croubled with an extream greac and harp fluxion, were chiefly holpen by
the eating of Beef. Some there arechat conceive there ought to be an abftainin Hens
from the flefh of Flens and Capons, and this therefore, becaufe thac it yieldech ©ecks, and
much nourifhmenc. Buc Meats. of Good and much Juyce were never yer known to
Orhers there arechat chink Cocks, Capons, and Hens, to berherefore hurtful for thofe that havé che Gour, ‘becaufe chac they themfelves are now and then troubled with che fame 5 which may indeed likewafe happen for ché Caufe that we fhall how fhew you. For Gn my Opinion) ic feemeéth moft agreeable unto wrath, cthae chis cometh to pafs,. becaufe char Cocks and Hens do likewife pickup and Bat Sand, and liccle Stones, and concedt them in their Maws. from which there may eafily be derived into cheir very blood fomthing that is Salt, Barthy, and Tartarous ,and thismay afterwards yield macier of the Gout unto him that eareth of their fléefh. Andthis Opinion Crato( in his 246 Confil. feemeth to favour,when he writes chat the Capon hath a peculiar humor, which Nature drivech forth unto the Joynts.’ Let him Eat fifth very {paringly 5 but from Carps, and moift fifh (as Beles and the like) lé him alcogether abftain: asal{o from thofe Meats that have in them a power to bind che Belly, -er that cool the Stomach. . And.fo lhkewife the ufe of much Cheéfe is notiafe. He aiuft abftain alfo from all kind of Pulfey that containin them much Earthy fuyce. ° And becaufe that (as Crato wrirech in: fiis 947. Gonfil. ) between Wine aad the. Cabbage there is found to be a certain kind! 6f Natural Antipathy; it is thought very fic, ‘thac fuclas.are troubled with che Gout (as unto Whom Wine is very hurtful) (do: often feed upon Cabbage and Barley Bread. And Pliny ip his 29: Beand 9. Chapter, writechithus: I finde (faich he) that many bave been fread from the Gout by eating the Cabbage, and drinking the broth thereof being boyled. And many there arethat upon very good ground condemn theufe of apples; and advife thePhy- {jtians (led hereuhto both by Reafon and Gbf{ervacion) that they forbid thé eating of Apples unto fuch of thew Patients as they finde fubjett unto the Difeafes of the Joynts. For Apples abound with moifture, ‘and this for the moft part partaking of fame actinmiony, andfuch as hath a power of penetrating (by reaf6i Of which it ischac-thofe{pors that are caufed by che Juyce of Apples can fo hardly be gotten oucof Linen) and therefore do very eafily move the Humors. likewile be avoided; andefpecially fried Meats, as fucti as do not Gnly afford ah illand vicious Nucrimenty ‘bute alfo corrupt other Méats5!as likewife Meats 6vet- much feaionedwith hor Spices. |
Buca morethen ordinary Care muft behadin the Ghoyce of che:Patietits drink, For itis altogether Requifite chat he wholly abftain from the Moravian, Auftrian, and Hunvarian Wines, and fuch as are hike unto thelé;-which do-meft cérrainh, breedthe Gour,>>But.as for others (whichiilifuch as até found do tot £6 eafily ge- rerace the'Gout)}chey may be drunk, bucicmuft be very fparingly, in regard thac even thefealfo conrain inchem fome kind of Tartarous matcer.
Among thefe Wines that are wholefome, Solenander in the 242Confil. of his 4. Seb. reckometh.up likewife:the Thicky\Red, Spanifh Wine) whith they! call Alicaht, orthe Wine they cal Tenet: and‘otchis Winehe alloweth amodératé ufe unto fuch as.are troubled wich the Gout, as being but little, ordefs hurtful for chém. Otherscommend and ailow of the Pueine Wine 5 as Likewife that they bring unto usfrom the Wale of Téina; by teafon chat they have notin them fo great a power of hurring the Joynts. eats :
And if che Patient perceive that evem titele Wines alfo are natoht and hurcful for his Difeafe, andthatthey offend him; let him then (ifhe cai) alcogerher saa
rom
Capons
: rm Nd oy 3 ayer & : hurtful in caftany one ito the Gout, ifchere were not an Error committed in the Quantity. ; i
be gout.
2
NS Ta TT ea ee ee Wate ae
Refé and di
Of toe VV ay and Means to prevent the Gout. Chap. 7. from the drinking of any Wine; in regard that ic may fo be, hat for fuch as are dubject unto the Gout, even thofe Wines may hurc and offend them, which others dtink without any hureacall, And Paulus AginetaCin his Third Book of the matter of Pbyfick, Chap. 78.) writeth inthis manner. I have known many (faith he) mbo by their altogether abjtaining only from wine, bave all of them {en fibly found belp.’ For fome mn the very beginning of their Difeafe are perfettly freed from their fits, and others of them afterwards, and in thefe ok the fits come but feldome 3 and gehen they come they areextregmly painful. If thereforetbereba pen ( from this abfiinence) nothing preju- dicial, eitber at prefent, or that nothing be feared for the future, let them abftain from Wine al their Life long, But as for thofe who by this their abtinence have beougbt a weak- nefi and cold difpofition upon tbemfelves, and are thereby rendered nnfit for their imploy- ments, when they bave for ivo years abftained from Wine, after this let them perpetual- by drink alittle thereof at atime, and let it firft be qualified with Water. But as for wofe that abfiain from Wine, they ought in ftead of their Wine to d rink the Decottion of Anifeeds, orfome fuch likeSeed, abjtaining (asmuch as may be) from Fruits, Apples, and the reft of thoje Cooling Fruits. Thus Agineta.
And in very truch, thatthe Cafe thus ftands, wehaveabove, (in che Second Chap.) proved by examples. And in our ownCountries, they that will may. far more eafily abftain from the drinking of Wine, then thofe in Greece, and elfewhere: in regard that.good beer may every where conveniently enough behad, which may dupply the place of Wine, and very welferve in ftead thereof. And although ic {eem very hard unto many (yea and hurtfulalfo unto fome) wholly to abftain from Wine, YecNeverthelefs (asit is rightly faid by Hippocrates, in his §0- Aphorifm) thereis,alfodomtimes a Change to be made unto chat which we have not been ac- cuftomed unto, -Buct if there be any that.will nor be perfwaded wholly to abftain from W ine; Cor ifindeed they cannot, without great prejudice unto cheir health, as it very often happeneth) lec them then drink Khenifh Wine, but nor fuch as is ftrong, or Crude 3. orelfe the Pucine Wine alfo, orthe like; and yer neither thefe in (oo great abundance, but with al poffible fparingnefs. And therefore we like very well of Solenanders advice, who (in his Seff. and 24. Confil.) perfwadeth us, in the ufe of Wine, to have regard unco ché Temperament, Confticution of the Body, Age, and Cuftom, iimee, that chere is great difference inBodies 3) fo that what is good and wholefom for one, the fame may.co another be altogether ufelefs and hurtful. -And.thereforein the ufe of Wines, we are e{pecially co obferve what benefic or damage the lick perion may receive fromict.. For if itbe found that che drinking of Wine hurteth thofe chac are chus affected, there muft then bea toral abitinence from ic; or if ic may not be wholly omiccted, it muft be moft {paringly drunk. And as for tchofe who in rhe ufe of Wine cannot moderate themfelves,/ nor obferve a mean and fet bounds untotheic Appetites, wethinkie fitterto forbid rhe ufe of Wine.unte fuch perfons, then to allowit them. But yer however al generally are wholly toabftain from Wine in che beginning of the Paroxy{m.. Neither mui wine at any time be drunk upon an Empty Stomack, buc chen only when folid food istaken. - It.is likewile very hurtfulto drink Wine betwixt Meals, in regatd’ thar i¢ doth then eafily penetrate,uncto the Liver and excite fluxions.
Let the Patient content himfelf wich fo much drink only as may: Suffice forthe
tity of be Latistying of his, Thirft, withouc caufing any fluctuation of the food he hath
Eaten. roTeDis As for his, Sleep and Reft,) lec them be moderate; and lec him not Sleep imme- ately after he bath Baten.and Drunk: and when he doth Sleep, lec it not be
above feyen or eight hours.at the moft ; yet feven hours Sleep hemay well be al- —
lowed. Vi Let the exercife of his.Body be moderate, and letit alwaies be before dinner, or fupper. Andai the Aphori{m of Hippocrates be true. in any Difeafe, itis true in this: viq...Tbe exercifée of beclib is thiss: not to be overf{atiated rwitir food, -andito be ativeand induftrious in pains taking, and in the works of out calling. And very gooditisfor thofe that.are able, before. dinner fomtimes to exéreife themfelvas even until they {weat, Bucthenafter.this motionand exercife of the-Body,. Leg. him neither Eat nor Drink, before fuch time as the heat contragted by the motion be wholly vanifhed. And if,there be at any time an Errcr committed, inthe ex- ects cithes of ref€ cr motion, better u is chat ic fhould bein motion, thenimidlenefs and
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Chap. 7- Of the way and Meansto prevent the Gout. rs
and Reft, -For by Idlenefs and flowcth the heat is much diminifhed; and the itrength of the Body made co languith, the Concoétions to be depraved, andthe Excrements not evacuated and driven forth of the Body. Whereuponicis that Galen Cinthe Sixth Se. Epborifm 28.) tels us that eafe and idlenefs is as much the Caufe of the Gout, as Epicurifm, and Satiecy. And wemay fee by experience that Men addicted co labor and exercife are feldom or never taken with the Gout. And inftead of the Morning exercife the Patient may likewifefomrimes ufe frictions or Rubbings, fofoon asheisupinthe morning. To ftand much, asalfoto walk overmuch, of coride long Journeys, is greatly hurrful for fuch asare troubled with che Gout. |
Andinthe like manner as Exercife and Reft, foalfo ought the Patients fleep and abftinence therefromto be moderate, andalwaiesinamean. And yet of thetwo extreams, betrer ic.isco want fleep, then toexceed therein; provided that the ftrength of the Body be hereby nothing impaired, nor Crudities bred. Neither may the Patient accuftom himfelf to fleep prefencly after meals.
As for fulnefsandempcinefs, Care muftbetaken, thatthe Belly be made EVEDY Replecion: day to difcharge its office; andchat the Humors may notbe heaped up in'the firft or falacf. waies, Eccoprotick or Cutting Medicaments are fomtimesto be made ufe of ; for thefe do gently caieandempty the Belly. Sweats in the morning are very ufeful and convenient for the prevention of the Gout, inregard chac they take out of the Body the ferqus or wheyifh Humors. And therefore the fick perfons are by all manner of means to accuftom themfelves unto thefe {weats; and to this end, they ought wel to cover.themfelves with Bed-clothes ac night when they goto Bed; that fointhe morning if they {weat nor, yet they may have a Moiftnets.all-over their Bo- dies, The Patient. oughe likewife to abitain from exceflive Venery, whichtoge- ther.with Bacchus Cor Wine)is the Parent. of the Gout, as begetting and breeding at: V entry. for (as Scaliger turns it out of the Greek) of Loyn-loofening Venus, and Loyn- loofening Bacchus, there is born and bred the Loyn-loofening Gout. For ‘by the overmuch ufe of Venery che whole Body.is debilitated, and thedpirits and Native heat diflipated; whereuponsalliche Concoctions are hurt, and many Excrements
| }
are treafured up. The immoderate.affections-of the mind, -Cand.efpecially Angér and Fear):are to Affects of
be fhunned; and che Patientisrather cogive himfelf-unco Mirth and Cheerful- the mind,
uiels.
And that kind of Diet which is obferved by Rich perfons, and people of rankiand quality, is the crue Caufe why thefe are more frequently caken with the Gout, ‘then Rirh ate
oor people,andduch as live inthe Country.For theRich aboundeth with ftore of al more
hind of Meat, and dainty difhes; and thereupon they ufually eat of many diffies ac croubled oneand thefame meal; and not onlyfo, but they alfoexceedin the quantity,» and with the take coo)much thereof, even morethen they.can Concoét; and hereupon:Crudicies aie, then are generated ; and efpecially they too much indulge themfelves in the nfe-of Wine. eke, And then again they want thofe Laborious exercifes by which theexcrementitious Humors inthe Body (and chiefly, the ferous)might beevacuated. And moreover, for the moft partthey abhorall manner of Medicaments; andchey wilmor at all make ufe ofthem, unlefsthey be ficced:for their Palates.
Andfoin general, chofethingsthacare by che Phyfitians (in other Cafes) com- manded.as touching agoodandotderly Diet, they arehere efpecially to be-obfer- ved by fuch as are troubled withthe Gout; concerning which Alexander Tralkanus largely createth, in his Eleventh B. and 1. Chap.and to alfo Andreas Gallus, ‘inbis Confil. Colletted by Scholtxins, Confil. 270. And Petrus Andreas Matthiolus, abid. Confil.220. and Antonius Ferrus, in his Trat of the Gout. 3
And yet notwithftanding befides a:good courte of Dyet, it is likewife ne- 4, .: eeffary ( left rhac the vitious Humors fhould be ‘heaped up ) that there be to perspey’ of nocable diftemper futfered co be in the Bowels. And therefore if there ‘be the bowels any diftemper of the Liver, or Spleen, or that the Sromack ‘being he cor- colder then ordinary cannor rightly Conco&, thofe diftempers are in a fic "ede and convenient manner to be Corrected, ‘as we have further fhewn you irits proper place.
why the
Fok
a
or " Ofthe Way and Means to preevent the Gout. Chap p._|
At SCTE AE, cr i en ak ne } . Buta For unlef{s thofe Bowels be wel confticuced( alchough there be liccle or no,Error commit- i ted in point of Dyer) yet notwithftanding, good food (albeit ic be taken in a juft quantity ) ik is COnverted into a vitious humor, or fupplieth {uch a Blood thar is not pure, buc hach jike= wife vitious humors mingled therewithal}. Whereas on the contrary, Thofe chat have their Bowels wel conftisuted and ftrong ( which exaétly feparate from the ufeful Blood chac
which ts fauley in che Meat and Drink, and evacuate it forth by convenient waies ) may over- es come many Errorsof Dyet 5 as we fee many greedy gluttonous Perfons ftuffing chemfélves an with abundance of food, and guzzling in dayly great ftore of Wine (and this noc alwaies fo Hig | wholfom as it fhould be ) and yet notwithftanding all this they are not atall troubled, no have ’ nor fo much as fubject co the Gour. 3 ier ' But becaufe that it is altogether impoffible but that he which lives not unto himfelfal one, Me but hath his dependance for the moft part upon others, and isa Servant unto the publique, ait or.isfet overand imployed in other kind of affairs, and is fomcimes neceflitaced to live in an Burgi unhealthy Air, orcoride Journeys, ortofojourn with others 3 1 beingimpoffible (1 f, ay ) without that chey can keep chemfelves from all kind of Errors in poin: of Dyet, and chat thereupon meth Excrements fhould be -collected in che Body ; it oughe chereforeco be one main part of che Jini
Phy fitians care that he prevene ( in this refpect._-) rhe heaping up of thofe Excrementsin the yi he Body, left chac they afterwards excite che Paroxyfm which ts done if they be matutely ping
caken out of the Body. et Q
Venefettion. tua
thetro
Vene/i: And therefore in the firft place, alchough the Gout doth not immediately arife from the ty éiion, | Blood, asfuch; yet not withftanding in repard chac ic may in its own manner concur unto (age the generating of che Gour, whiles ic either maketh for and furthereth the extreama wenn boyling heac of the wheyifh humor, if it aboundech; oreélfe may be an impediment in the fection exhibition and adminiftcing of thofe Medicaments that are neceflary; the Blood ray walla cheretore be evacuated. .° But as for fuch as have Naturally a very weak and cold Body, fuch forth i as thef¢ receive more hue than help from this evacuation of the Blood, as Paulus Aigineta Butt tels usin his 3:6. Chap..78. and fo likewife for chofechat have alr eady of along tine been sangt troubled with a frequent fluxion; for by thofe often afflicting pains, and reftle oefs, the Drmiki Spirics are diffipated, and che ferength of che Body much'dejedted. But’ now’ this Evacua- due tion of the Blood is moft conventent inthe Springand Autumn. + But yet in fone itis requi- gation; fice that chis taking ot Blood from them be nor done only at ance, but by oftgn repeticions, Up gre ‘fomé now, fomecthen, For ifthe fick Perfon be one that ufeth a ful and free Dyet ( ear ny | ing and drinking ltberally ) ‘upon che very firft alceration of che Air there i/ wont to happen Nov amotion and boyling heacofthe humors. But becaufechatin che prefervacion we ace not infu wont co have any ceipect unto the part affected ir felf, but only our mind/and pucpofe is to ders, a evacuate the Blood when it aboundeth, icismoft fitly taken forth ( not only in the Podg- the Bell graor Gout in.the Foot ) but generally in’all Gouts whatfoever, by Openinga Vein in che vation| Acm. But ifthe Malady be in the Arm:alone (as it isin the Chiragra o: Gout ofthe much! Hands) chenthe Vein inthe Thigh is moft conveniently opened. WW hefou There are fome who for {uch as are troubled with che Gourin their Feet do prefcribe the thereby opening of the Veinsin cheir great Toes, andthat every month, and then'not all at once, but extrag by repeating it a fecond or third gime: and I my felf have known chole thac have received they m great benefit hexeby. | And:this practice of theirs is grounded upon Reafon. Kor Nature biofel as wont chiefly and principally co chruft forth che vicious humors unto the extream parts of inonth, the Body, and.tothe Veins, and efpecially chofe unto which fhe is/accuftomed to excire a The fluxion. And therefore feeing ic is probable, that’ in hole who are troubled with the atetol Gout Nature doth fend the Tartarous humors in ereater abundance unto the Veins in - ruth i chegreac Toes, shan unto any other parts; therefore they are moft conveniently evatuated thatin by opening a Vein there. Neither canthe ftrengch andvigor of the Body be very much im- ~ evany payred by chis evacuation, fo that icbe not inche excream, © Aud that which Cofteus Cin bith. his 3. B. upon Avicen, Sen.22, Tratt. 2. Chap. 2.) writech, chat he faw one who having haves had a burning made in his Thigh by che Phyfician, chere flowed’ forth very frequently greac Bur ftore of a humor altogether Black C upon the evacuation of which the Affect was wholly and of removed ) feemeth very much to faver this Opinion... And others for che fame end and derive
purpofe every month apply Cupping: glaffes unco che Soles of the Feet ; and chis mititt be Dwg before the new Moon, and wichous any Scarificationatall. AndIknowa certain Perfon Pil, of quality, who by the alone ule of chefe prevenrech che Gout. ha
Bue
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a ae
ent the Gout.
i Of the way and. Means to pre
a Peo ee RD Be Bt) PE Ban ioaee
ue rN : eee te z a ype ee | Mn But as crouching the Ba : felf of che ees ea ata ee lec th i a Pp Bk ‘upetficies of the Body, fenfibly,.and infenfibly 5 by che Urine, and by dilues, 474777 6 i) on at Belly, by the fup rficies cy, fenfibly, ache Mbt 6 ie Pach: ibe fergus | ” i likes ¢ and tarta- ih Me Purgatione vous bie Se j th FOF» | : a ot, gilt ie a eas § PAE Be Ve V Overs Purgation ( which indeed bringeth with it che greateft benefic of any other ) 1s to be bem Pargation, i Ue lpeg gun with Medicamencs thac evacuate the. ferous humor by che Belly. And ic hath been aa ‘ivy |- found by experience, mat {omecettain Perfons who have been troubled with chis Grief ny 4 4 have found greater benefit by often repeated Purgations, than they have by any other Me- a i harfoevers andchac Putges have oftentimes benefited much with our any other ee dicament whactio 3, a3 : ' ba | lane | Medicamenc whereas all other Medicaments without Purgation are altogether unavailable, aoe blag. or at leaft afford buc {mal benefic. Neither is chere any dangerat all co be feared from thefe | a Nag i % H + fe . be ie arts ‘ c f v4 "ita | Pargaccions, efpecially if chofe Purging Medicaments be not’ overftrong. Wherefore nor 5
[fay without caufe is 1 thac Solenander Cin his 4 Setk.and24. Confit.) fo confidently affire ia
upon | meth, chap there ismore of che Spirits refolved by Pains, che Strength more impaired, che “
‘tte 9} = Eumbs more weakned, and laftly, che faculcies of the whol Body more alcered by the influx 6°
10 the } of che humors inco che Joynts in one Paroxy{m only, ‘than by feven of chefe moderarce pur-
aurly ging Mec icaments 5 as it hach been found by the experience of thofe that have made ule of | chem. ee : : psaleka And indeed this evacuation is moft conveniently made in the Spring time, and the Aus" pyen rhe =). } cumn, a little before che Equinoctial ; ac which time the humors are wont to be moved of Purgstion ay | cheirownaccord, Yea andifany wilule that diligence thac ‘is requilite in the prevention ™#/t be |
ithe | ofthe Gout, he mutt Purge his Body chree. or four times in the yeer. Which Purgation*4”a
iF Ce i 1:
Unto ( cogecher wich Venefection, anda right courfe of Dyet +) maketh very much for the pre- nan venting the Gout; couching which Galen inhis 7. Chap. ofthe way of Curing by Vene- in fhe fection. I my felf have Cured very many (faith he ) who for three or four yeers ( by Inter- / |
may vals, and at fome certain feafons ) had been troubled mith pains of their Feet, by purging tod
r foch forth inthe beginning of the Spring the abounding bumior, and by diminifbing of the Blood. tee gin) | But this ought to be known and web understood by all, that they ave to be very moderate ai.
hen | Bbrorghoeet tbe whol courfe of theiy Dyet. oras for fuch as are intemperate, ‘given to .
‘ith | Drinking of Wine excefjevely, and fuch ltkevotfe as are additted to ‘their ‘Bellies, and in- iw) dulge therzAppetites, there is but lattle good or help to be expetted by them, either'from Pur- ne gation, or B lood-letting. For by the intemperancy of their lives. they get together, and beap iin . up great flore of vitious bumorse ‘Now as for tbefe we are not fo much as to afford them a- (ea ny thé keajt belping band, or affiftance, chus Galen. eee
happen. 4 Now ic is wel worch our Confideration, by what Medicaments thofe Purgations ateto be By what
ene | inftisuced, and carried on. There are fome indeed who here Commend their Aurelit Pow=hind of
ri (0 ders, and heir Mercurial Medicaments, which do both provoke to vomiting, as alfo Purge by oe « ‘ hie | the Belly. ,.But for my, own part I fhial noe perfwade any co makeufe of thefe for his prefete 00: a8 Se ‘oie | vation from che Gout : Let him do ic at hisown pert] who ever hath a mind to it. But
r ofthe much. lefs fhal I perfwade any one Cas I find that many have given counfel chus co do ) chae ;
he four timesina month ( alwaies afterthe Changes of the Moon) take Mercurius Vite,
te the thereby.to caute both V omitings and Stools. For fince that thofe abe Medicaments caufe | 2 re but extraordinary agitations and ftirrings of the humors, and do withall weaken the Bowels,
chey more hurcthan benefice thofe chat make ufe of'them: neither lec any one pecfwade himfelf, thac the faid Cure of prefervation ‘can’ poffibly be accomplithed in one inonthe | dire There are others again who conceive that only chote moft pentle’ and eafie Medicaments areto peated: bucthefeare {carcely ar all times ableto draw forth the peccant humor. The cruth is,as ic is moft fafe, fo at is likewife moft beneficial, tomake ufe of chofe Medicamtents chat indeed burt neither the Scomack nor che other Bowels 5" and yet norwichftanding chey evacuate the peccant humor as mtich as is needful. From whith neither Scammony, nor Tur- bith, noc Hermodaétyls are altogether to be excluded : buc Sene, -Agarich , and “Rbeubarb haveachief place among them. : cor one Buc befides thefe ordinary and yeerly evacuations, there are likewife every month ( yea, and ofcener ifneedcequire)) cercain gentle Medicaments to be made ufe of ; which fenfibly derive che matter unto the Bowels, and keep the belly loofe, “Yea, and if every week ewice, one hour before fupper, che fick petfon, cake either’a fcruple of fome gencle Pills, or fome other fuch like Medicaments, he fhal foon figd no fmal benefic thereby. And fucharethe Syrup of Rofes folutive, and Honey of Rafer folutiwe, Syrup of the Harts
mM rope.
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Of ‘the way and Means to prevent the Gout. Chap: 7.
nc ne
marrow (commonly called che Domeftick or Houfe Syrup) the feed of Cartbamus or wild Saffron, Danewort (or Devarf-Elder) Aloes, Agarick, Rheubarbs etpecially where the ColerickIcboresabound. Yet neverchelets, feeing that thefe alone (as we have already faid)) are noc fufficient, unlefs the party take likewife every yeer twice cr thrice rhofe Me- dicaments that are fomwhat ftronger, in the {pring therefore, and ac Autumn there isto be adminiftred a Purgation that 1s fomwhat ftronger than ordinary. , But now here co fer down the many forms of chofe Medicaments, I hold it not worth the while; in regard char {uch as are moft proper for every ones Conftitation are beft of al pre- ey feribed by che Phyfitian whois prefent, and may therefore moft rightly difcover the Patients | Conftitntion. And alchough thac Serous and Tarcarous, humor be rhe tigheft caule of this i Malady 5 yet notwithftanding fomtimes chefe, and fomrimes thofe vitious humors do mingle | and joyn themfelves wath the humor aforefaid, and they are therefore witha] to be evactia- ie ted. . And there are but very few purging Medicaments that do not withal likewife evacuace A i the faid whey ifh humor. ue The Ca-- They here greatly extol che Caryocoffine Elettuary, invented and commended by Petrus i, yyocoftene Bayrus inthe 18 ‘b.and 1, Coapts ot his Prattice ; although wrbout doube the Ancienis. | rey CAetius, and Paulus Aigmeta) gave the fictt occafion for the Compofition of this Blectuas Moree ve ry 5 and in them there are many things co'the like purpofe. Now the aforefaid Ele@tuary td ig made in shis manner ¢ | Take white Uermodattyls, (cheic uppet rind being taken off) and Diagrydium, of Co hiiw each ivwo diams :. Cojtus, Gummin, Cloves, Ginger, of each one dram, and makeva . Pouder. re Tht A Of which the Dofe is one dram, more orlefs, Oxelfebeing beaten very fmal and fearfed, ae Jet chem be mingled with the Syrup chat ts made of Honey and‘white Wine ( boyled uncil i they have actained che form ofa Syrup wel boyled ) and then make an Electuary: The Dofe hereof is from two dramsto halfanouncee And Bayrus writeth, that fofoom ds ever he perceived in himf{ Pe yeers,and by this means he kept himfelf ( for twenty fixyeeis) altogether unmolefted by Nid T chofe pains with which he had been formerly affaulced.. And indeed te wil not be amifs then | co make ule of fome Medicament char is proper, when we find there ts {o much_of the humors already collected, chat the Paroxy{m feemeth to be very nigh athard. And here we are ay likewife to commend unto, you Abafes his Pills, defcribed before in the Cure: and fo ‘dikes i) wife thefe : 5 H Take Groundpine or ‘Herb Ivy, balf an. ounce, Germander, Arabian Lavender, of each threedrams ; “Hermodattyls balf an ounce; St. Fobns wort one dram: Aloes Hes patick balf an ounce: witb Turpentine of Cyprus make Pills. Bur now as for thofe Medicaments chat are made ule of more frequently (every, orevery Whey whatber OkUEE Week, or-chree weelks, or a month cogether) chefe ought to be more mild arid moderace, Re ar no Her- And here Adrian Spigelies wrireth, chat he inthe prefetrvation of himfelf from the Gouc Bid modaéigls Rever made ule of Hermodactyls in any Purgation; fince that ic is not requifite thac we ae | becenve- draw forth che Humors out of chofe parts incothe which as yet nothing hath flown; bue ti | went ** he advifech us co content our felves with thofe things that evacuate the humors out Of che \ tiie greater veins; unlefs haply ic be in the old knotty Gout (which bath more frequene inva- i) the goug 7 10D8) or chat (as wefaid before) the Paroxy{m be now nigh at hand. Which as we grant wile | * ac to be true inchofe Purgacions chat are mote frequent)y Cand tn fhorter intervals) admini« SY fired: fo in thofe Purgations chat are to be cwice or chrice every yeer, we conceive chat Her- Ay ae modatty|ls may moft fitly be mingled therewithal ; and thefe al the more experienced Phy- At ae ficians,even unco our daies, have made nfe of ; as wichouc doubt having a! of them learned | | by experience, that Hermoda¢tyls had in them a peculiar power of evaeuating thofe humors breeding che Gout. And the Author of the licrle RB. touching the Podagra or the Gout in the Feet, (whofe name we find not, and yet we find his Book among the Writings of the principal Phyfitians.) weicech, that he himfelf knew by experience, That in the Gout Hh, (wharever the peccanchumor were) that Purgacion chat was made with Hermedactyls in ic Pi! was more ufeful and effe@ual in this cafethan any other. And hence ic is alfo chat Rbafes \ his Palls, andthe Caryocoltine Eleftuary of Bayrus have Hermodacty|s in their Compofi- tion, Buc now chat chofe Medicaments may be taken without any naufzoufnels or loathing in the Stomach, their forms are tobe changed ; and they may be taken fomtimes in che i form of a Pouder, fomtimes of Pills, (omcimes of Electuaties, and fomeimes in the form of Pagal) litcle Rolls, or Morfels, as chey cal chem. ) A Vomit;, AVomitelfo isbete very good, and bringeeh much benefér along wieh is, if Nature be able ealtly
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Chap. 7. Of the VVay and Means to prevent the Gout. 47 eafily to bear che fame; in regard thae-it doth beft of al exclude aiid evacuace Coler and a
Flegm fticking in the firft waies or paflages.
Antipodagrickh Medicaments.; Or, Medicaments againft tbe Gout.
The Body being purged, after chis Antipodagrick Antidotes are to’ beomade ufe of, that. atedicas fo the remainders of che Humors thac efcaped che purgations may by thofe be quice confi ments a med; and that she body may (by once caking of them) be difpofed unto che*morning Sf the {weats; or that che ferous humors may infenfibly be difcuffed, as we fhal anonthew you, “% when we come to {peak further of the power and virtue of chefe Medicaments. ‘Thofé kind of Medicaments were with the Ancients of very great ule; and by chemrbey are greatly com- mended : and there are very many of them extant in 4etins his Tetrab.3.Serm. 4. Chap. 47. Alexander Trallianus inbis 11.B. Chap. 62, And amoneft che laccer Phyfitiansaliotuch like Medicaments are every where co be found. |
And among thofe Medicaments, inthe firtt place we meet with Treacle 5 couching which che Author of che Book of Treacle, to Pio, in his 15. Chapter, weicech: But it moft ofall profiteth (faith he) mben any one fall frequently takeibereof whiles beis yet well and’in bealth 3 in regard that it confumeth the fuperfluous bumors of the whol body, and changeth likevoife the temperament thereof. Anda little afcer I advife (faith he) that every man in fuch like difeafes would ufe Treacle 5 becaufe thatit both driztb up the fuperfluous bu- mors, and permitteth not that any otber be bred; whereupon very many from the ufe of this alonein the beginning bave been altogether freed from the Gout.
Aetins in the place alleadged bath this defcription of the Antidote confifting of four things, The Ans by fome called a ‘Myftery, viz. tidote of
Take Gentian, Payberries, Mirrb, equal parts, and makea pouder. Give hereof. eves four things ry day halfa {poonful in hot Water. | a 7
Oribafius in che place alleadged hath another defcription hereof.
Take Germander one pound ; Gentian, round Ariftolocby or Birtbwort, of each two ounces, Rue feed one fextary : Let them be well bruifedand fearfed. Give dayly hereof one {poonful.
That which fs made of feven things, bath as followeth :
Take St. Fobns port one ounce; Centaury, and Groundpine, of each three ouncess The Ak: Gentian five ounces 5 round Ariftolochy one ounce; Agarick three ounces; Parfley one tidete of ounce; Attich Honey five pound. The Dofe one dramin chiee Cyachs of Water. feven
Buc Aetius chiefly commendeth the Antidote of Centaury ; andhe writech chat he knew things, many cured by che ute chereof; and thac ic was fo wholf{om for fuch as were ‘croubled with oe ." che Gout, chat che ufe thereof had enabled many chat had been affected herewith fifteen cancanry yeers, and {fo wel recovered them thatchey went journeys on foot; and chae it was grate- ful ca the ftomach, convenient for che belly, and provoking much urine. The mannee of making it is chus :
Take the tops of Centaury the lef, Roots of Centaury the greater, Germander, Gentian, round Ariftolochy, of each alike, as fuppofe onepound. Let one dram hereof be given ( for fourty daies) our of hot water 5 and in che other chree hundred cwenty five following daies of the yeer, Jet halfadram be adminiftred after che fame manner.
And the fame 4etins likewile very highly commendeth che Antidote of St. Fobns wort, The Ax: as that which curesh al mannet of Gouts, the Difeafe of che Hips, and al difeafes of she joynis sidete of in general, being drunk for che {pace of one whol yeer3 chac it warmeth and cherifheth che 3: fobns ftomach, maketh the fight harp and quick ; and chat is maketh che seft of the fenfes alfo ””* more cleer, and fitcer for the difcharge of their feveral Offices 5 chat if gently evacuaceth the Urine; and chac ic is excellent good in the falling-ficknefs, that it freech from the great and grievous pains of the head 3 and Jaftly, chac it mollifiech the Liver and the Spleen when chey arehardenedintoaScbirrus.
Now the manner of making it 1s chis :
Take Germander nine ounces , Centaury eight ounces, round Ariftolochy feven ounces 5” Gentian Root fix ounces: the tops of St. Fobus wort five ounces; Parfley four ounces Spignel three ounces ; Valerian two ounces; Agaricktwo ounces, ‘Honey well fcum- med three. pound. :
Alexander Trallianus greatly commendeth chis Antidote of che Philofopher‘Heraclitwe Heracli- asmuch approved of by many. Viz. | cus bis Take Spickuard treo ounces; Genttan, ris Ariftolocby, round Ariftolochy or Birthe Antidace
4 sort,
Treacle
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SioweondAdaL INRA SIR RENIN eo a eS
The An-
Of the Way and Means to prevent the Gout. Chap: 7.
wort, the beft Myrrb, Bayberries, Rbapontick, of each balf an ounce. The Dole is one
dram. The beft rime totake it is che beginning of che Spring, and the Autumn 3 and indeed in thofe places and petfons thac ace cold, the Spring time; but in others thac are more hor, the Autumn.
The fame Trallianus preferrech the Diacorallium Antidote before al other Antidotes
tidoteDia- Whatfoever 5 whichis thus made: :
carallinm:
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Take of Corals tveo drams ; “Mirrh four ounces; Cloves balf an ounces Wbapontick one ounce; Peony Root the like quantity; long and round Ari ftolochy, of each two-oun- ces 3 Spicknard four ounces, and make hereof a Pouder.
And of this he pivech in the morning one {cruple,cut of warm water-3 and after it he enjoy= neth abftinence from al kind of food for fix hours ( but yer che ertich 18,4 faorter cime of fa« fting may fuffice) 8 maketh che beginning hereof about the K zlends of January, and te con- tinueth adminiitring of it for a hundred daies ( by ceafon of rhe long concinued perleverance of the Indication, as Cappivaccius explaineth ic:) and then for thirty daies he intermitteth che adminiftiing of ic ( becauie of the {trength and powers of che body, that chey may be recollected, as che fame Cappivaccius tels us.) And then again he adminiftceth ic for a hun~ dred daiesmore ; and fo apain, as before, he incermics for thirty dates; Whenchetwohune dred and sixty daies ( wherein chere were two hundred potions adminiftred ) ace over and paft, be chen giveth ic again, but now not every day, but only every other day ; and fo ina bundred and three {core dates he adminiftrech fouri{core Potions, And afterwards again in two hundred and fixcy daies he adminiftcech eighty Potions, giving them every thud day wocil che three hundred {ixcy five Pocions fhal have been al caken. But he warnesh them thar cake chis Antidote, chat chey abftain from Anger, Venety, Aftringent and {weer Wine, al kind of bicter Pot-herbs, the heads of Fifh, Crabs, and Crevithes, Lobfters, Eels, Hares fleth, al kind of Pulfe, but more efpecially Beans. . Aud many more of {uch hke Autidores chere are cobe found in Paulus Hgineta, Actins, and Trallianus, inthe Places before als leadged.
Out of chefe afterwards (in the Ages not long before ours, and in our Agealfo) there arofe divers other fuch likeCompofitions. Thomas Eraftus celleth us chat he had two of thefe communicated unto him, and excolled wich high commendations ; One of them that was gim ven bim by an Italian Phyfician (who called ic che Pouder of Jupiter) and was imparted unto him by Dottor Conradus Gefner, is made in chis manner following :
Take Round Aviftolochy, fuch as ss right, the true bapontick, of each one ounce 5 ‘Macedonian Parfley feed balf an ounce; Germander tops, G entaury tbe lef, and St. Fobnes
svort, of each ten drams: make aPouder bereof.
Inthe firft month give every day one dram hereof, out of warm Water 3 and afterwards halfa dram, for one whol yeer 5 every month you muft alfo order che Patient totakea purge ortwos: or elfe (for fuch as are flegmatick)) you may intermingle the Pouder of Agarick with the aforefaid Pouder, a litcleco purge che fick perfon.
The other Gompofition beftowed on me by Da. D. Cbriftopb. Wirfung, an Auguftan Phyfician, isthustobe made: ;
Take the true round Ariftolochy, Gentian, Rbapontickh, or Centaury the greater (but Uchink the crue Rhaponcick co be bgtcer) the tops of Germander, Groundpine or Herb Ivy, of each alike, and make a Pouder.. Let there be one dram bereot taken tor che one half of the yeer 5 and for the other half of che yeer half a dram.
Doctor FobannesMattheus ( out of anold Manufcript) produceth this Pouder, as he there findeth it prefcribed, Vig.
Take ‘Roapontick one ounce; Agarick two ounces; Valerian three ounces ; Macedo- ntan Parfley feed, and Spignel, of each four.ounces ; Gentian, and Ariftolocby, of each fe- ven ounces 5 Germander nine ounces, and make a Pouder,
Dongellinus his P ouder is as followecth :
Take Germander,Gr oundpine, both the Centauries (ot only the lefler) ‘Marjoram,Sage, ‘Betony, Gentian, and Birtbwort, of each one ounce: the beft Guajacum eight ounces or one pound: and make a Pouder.
And by chis one Remedy alone Donzellinus wriceth that che Gout may be perfe€tly eu- ted, provided chat a man live not like untoa Sardanapalus. |
Crato his Pouder is this.
Take Ariftolochy one ounce, Centaury the lef three drams 3 Gentian fix drams; Spig- nel, five drams; St. Fobns Wort, fix drams, Parjley of Macedonia balf an ounce, Agarick éwodrams, Roapontich, or (if ibat may notbebad ) Roenbarb one dram; and make
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aPouder, Ot which he givech in che morning cwo fcruples in the Water of Groundpine, or Becony Water Cwith theSyrup of eicher.of che two former). in FJanuary five daies, in
february as many, tn March two, in May three, in Fune one, in Fuly two, in. Auguft one, -
in September, Ottober, November, and December, cwo ; butie matters not much if it ke of= tenet taken 5 only as he faish ic wil be fomwhac better to take it in the manner afore=- faid. :
This following is Dector Manard his Pouder: Take Germander, Dittany of Crete, Groundpine or Herb Ivy, Roots of the greaté Centaury, andround Ariftolocby; of each two ounces: the invoard Rinds of Walnuts one pound: make a Pouder.. ‘The Dole'is one dram for forty daies,
This Pouder nex: following is aceribticed unto Eraftus.
Take Harts- born burnt, Beef bones burnt, the Kernels of the Citron, Dates, Favs of the Luce-fifh ov Pike, equal parts: burnt Corals aad burnt Ivory, of each balf parts. : make bereof a Pouder, Unto which Cor che cafts fake) you may add a liccle Cinnamon, Mace, and Cloves; and with Sugar make a Pouder,
Fobannes Anglicus greatly commendeth this Pouder, which he callech che Sarracenich Ty $492
Pouder:
racenich Take Herb Ivy or Groundpine one ounce: the bones of manor woman burnttwo drams: Pouder
Liquoris three drams.: make a Pounder,
And yee nevecthelefs the tick perion is not ftridtly and precifely ro be tyed unto any forms of Pouders 3 but of che fame fimple Medicamencs there may with Sugar or fome con- venient Syrup be made Electuaries or Pills ( which for che moft parc are very fitly madeup with Turpentine of Cyprus, fince that moft of thofe thae are. troubled with the Gous are likewife obnoxious and {ubjeét unto che Stone) or Extracts, or thofe Medixaments they cal Effences, or liquid Extraéts, or a Wine, or a Medicare Dink 5 chat fo ini chis manner al- fo the palac of the fick perfon may be pleafed,
Antonius Gallus (a Poyfitian fomtimes of Pary) greatly commendeth: this: Ele= ctuary:
Take Valerian one dram: Agarick two drams : Spignel three drams: Macedonian Parfley feed four drams: St. Fobns wort five drams: Gentian fix drams: Birtbwort fea wen drams : the leffer Centaury eight drams : Groundpine nine drams: Mans bones taken out of the Foynts, and moderately dried ten drams : with Oxymel Scillitick asmuch as will Suffice make an Glettuary + the Dose whereof is one dram for 2 whol yeer together.
ty
Take the Conferve of Germander three ounces : of Herb Ivy, and Betony Leaves, of each one ounce andhbalf: Seeds of Sts fobns wort, Roots of round Ariftolochy, of each lealf an ounce; Angelicaivo drams: the bones of a Man prepared, red Corals prepared, Ivory prepared, of each one dram: Cloves and Cinnamon, of each two drams: andwith the Syrup of Betony makean Elettuary.
And we may likewile add the Medicament¢ of Jacter Phyficians, viz. cheir Magifteria, ther Fecu'z,and ther Salis; as alfo Margarites, and Crabs Eyes. As,
Take ‘Roots of Spignel or Mafterwort, St. Folns wort, of each one ounce: the Fecule of Cuckovepint two drams: the Salt of Groundpine, of Germander, of Cherfoyl, and of ‘Majtemwort, of each onefcruple: Magiftery: of Corals, and Crabs Eyes, of each balf a dram : Margarites one {cruple: Sugar as much in weight as all of them: and make a Pouder,
For che caufing and provoking morning {weats there are alfo given Syrups of the Berries of Eldera prepared with Sugar two fpoontuls 5 and if you pleafe there may hkewife alittle Harcs~born be added. |
Crato commendeth this Diftillation, of which one {poonful isto be caken evety day in the week once, if not oftener.
Take Calm, Valerian, Funiper Berries , of each what you ibink fit; Let them be Sprinkled with good {weet Wine; then macerated in Balm Water, and afterwards deftil- led. .
And in cold Bodies there may alfo very conveniently be ufed chat Aqua vite which Gil-
bertus Horftius Hollandws, once a famous Phyfitian at Rome, made frequene ufe of ; and at 1s Chus prepared.
Take Rofemary flowers, the leffer Centaury , Camomile flowers, Groundpine , eee Sc. Johns wort, Germander, Afarabacca, of each one ounce; the Rinde of Drvoarf-Elder pi. a gua
Root one bgndful, Orace one ounce; Treacle balf an ounce, Cinnamom, Nutmeg, Ga- vite
lingal,
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99 Of the VV ay and Means to prevent the Gout. a of Chap...
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lingal, “Mace, and Ginger, of each cne dram‘ and balf ; Hermodattyls,’ and ~Alces
: : 0 Hepatick, of each one dram; Agarick balf an ounce 3 Coloquintida three drams 3 all | Bi the‘Myrobalans, of each two drams, “Roots of Polypody of the Oak. one ounce and balf 5 rake Leaves of Choyce Sene, one ounces Seeds of Anife,'Dauk, and Fenel; of each one ot li dram 3 infufe them in the fpirit of Wine,(that fo thefaid {pirit may lie a fingers breadrh the above them) for twodaies {pace; andthen let them be afterwards deftilled in Bal- yi neo‘Maria. Of this Water he gaveuntofuch as had the Gout, from one ounce to hou three ounces, in the morning. | |
The Dee But now inthe Judgment of very»many the Decodtion of Groundpine may ferve pie : ae ‘f in ftead of all che aforefaid Medicaments, and will do betcer than any one of thems shen a: and therefore it was likewife highly commendedunto the Emperor Charls the fitch Ry by the Phyfitians of Genoa: and Solenander in his fifth Seét.Confil. 1. tels us, that A and ic hach been found by experience, that very'many which had drunk of this Decogi- Dota on for the {pace of rhreefcore daies, have ‘been wholly freed fromthe Gout, and Ai reftored unto their healths; whereas before they had both the Joynts of their cha hands, and of their feer alfo. grievoufly afii@ed and tortured by this Difeafe. And i no wonder, for it attenuateth the thick Humors, and confumeththem; driveth sath forch the Excrementsby Urine, orelfeby {weat evidently; os elfe it infenfibly aa difeuffech chem by tranfpiration: and ic ftrengthenech alfo all the incernal bowels, and every kind of Nerve, yea and the whole‘habic of the Body. wh But becauie thac. Vefalivs writeth fo largely and fully touching this Decoftion of . Groundpine, and the advice givenby the Phyfitians of Genoa (as we may {ce in his i Epifbleto Foachimus Relandus, touching the China Root, about the end thereof) We ort think it. noc amis neicher our cime ill fpent;to give you his words at large,as we find ae the.n inthe faid Epiftle. Noman (faith he) can‘blame me for adminiftring at a fit sph and convenient time that Medicament which 1 find commended by the prime Genoa gen Phyfitians, as divine,and.ase if it were {ome Deity 5 and vobich(with the ereateft promiles Lay Ebat might be of the perpetual banifhment of the Articular Difeafe) was fome months i) fincefent unto Dottor Marfillus Colla, (Mafter of the Hor{e to the Emperour, and one i that for his many extraordinary parts, and endovoments of mind, w# voorthy of more He health thenwhat at prefent.be enjoyeth ; ) and now againalo fo brought unto Czxfar, that dn for the future memay moj certammly-conclide, and promifebim, that be (bal never more Ton bence forward betroubled withthe pain in bis Foynts, if be pleafe buito make ufe of this . UE of ‘Medtcamenis Now in very truth the whole defcription bereof w fufficient ly Empirical, Sela and containeth in tt nothing elfe bui that atthe firft, and in the very beginning of ibe Ma- the lady, apurgationis to beadminiftred’s and then aftervoards, the Leaves of Ground- “ pine ( fome callit Herb Ivy, or the little and lore Oak ) be cut in pieces wobileft they be yer For green, if they may then bebad, (but 1 for my own part would rather bave it dry 3 and eam #3 in all otber Herbs that bavein them a faculty of drying, Lprefer it before that: vobich J Ot al # creer and newly gathered) and tben boiled in vbite vine; and of this Decottion one \ | WX Cup given inthe morning, three bours before dinner : altbough in the mean time bow- | food everit be added, tbat the longer before dinner the Decottion afore{aid be taken and | J 2 drunk, fo much the mere benefit to be expetted from it. In reference to the courfe of | Which ‘Dyet, whofoever maketh ufe hereof muft abftain from all meats that are fbarp, four, and | thsi Salts and the drinking of that Wine is prefcribed for fixty daies, with thre addition, that | lucha the diftilled Liquor, er Water of the aforefaid Herb, willadd and confer much unto the here ferength of the {aid wine, (which feemeth unto me very ridiculous :) and that therefore | “ay for fuch aa are not pleafed with the Decottion, they areto bave the Water given them. As pete for any thing elfe, we find nothing in the whole fheet fent bither unto us, befides agreat ae and {welling Title, and alarge Catalogue underneath cf thofe perfonswho by the ufe | bade thereof lived free from tbe Difeafe of the Joyuts, for fome years, and of {uch as made nfe y SOE thereof when it was fent unto them 3 in vbich Catalogue we find Cardinal Dorias to be dig the firft, andforemoft.. Thus far Vefalins.. From whofe words it evidently appear- thelels eth, that he himfelf gave not his ful confenc unto the praife and commendation of | Wthe | this Decoction. And very credible it is, that ac didnot benefiral that drankic sand | be ui yet notwithitanding if we fhall well weigh the virtues thercof (as they are before | fore, propounded) ic wil from thence manifeftly appear, thar ic isindeedaveryexcellent | yy and precious Remedy inthe Gout. Bur chis Vefalins vightly tels us, and gives tis IY call notice of it, that che diftilled- Water cannot(in probability add any thing unto che Worth Decottion, in regard that che diftilled Waters (as many falfly think) havenorall the
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the faculties and virtues of the fimple for allche parts thereof are not elevated Lig cothe Alembick. 7
Buc now this Herb Ground-pine may be drawn into fe many feveral.waies. Some G.ound- take a pattie of Rbenifh Wine,the pureft Water one pint, Honey of Rofer, che fourth pine may or fixcth parc of agquart. Boyl ali uponthe Coals in an Earthen Véffel, and foun’? 4/4 them: then add of Ground-Pine four handfuls, Germand-r.two handfulss “Reare )* Bars or French Cowflips, one handfuls boy] them in adouble Veffel for three hours.
Others take of Groundpine gathered when it firft beginneth to flourifhy and well kept, onehandful; Wine tbree pints; boylibemin.a double Veffelfinebours, and then ftrain them.
But icwere farbetter; if rhe Herb aforefaid-were tund up with thenew Wine, andthere ler lie; chat foin this mannera Chamedryte Wine may be provided, wich- outany boylingarall.
And if any fear the Wine, he may in thelike manner prepate an Tydromel; ona Chamedryte beer likewife
Now the ufe of chis Wine is to be continued..( and fo likewife of the Hydromel, or the Beer) for threefcore daies, the Body being firft welll purged ;andevery day. during the time one draught isco be taken.an che morning. ae jet i
And the like may alfo be made of the Effénce of Grownd-pine Cas they-cal ie) and this muitbe madeule of for many daies.
But itisnoc here my meaning chat any fhould beikept and held:unto: certain Simple forms 3 but l would have chofe Medi¢aments co be mide up, and compounded, ac- Medica cording as occafion and the Con{itution of the fick perfon thall requires The chief eats. and principal Simples out of which chefe Medicanients are compounded (as ‘ap- peareth by the forms hitherto prefcribed) ares: Germander, *mott ufeful in ald the Affects of che Joynts, Cand therefore by fomeatis alfotalled the Arthretick or Gout Ivy) and Lobelins of one dram hereof wich*Turpencine maketh Pills, ‘and greatly commendech them in all Gouts whatfoever ¢andcthen in themexc place,Groundpine, of the Virtues “hereof we have before {poken; Sc. Fobns wort, Round. and long Arsfbolochy, theleffer Centaury; che true ‘Rbapontick, Gentian, Spignel} and the RootofMugwort, if in fread of the ParfleyRovts it be boyled with meat, (by the ule of which alone many have been freed from the pains of the joynts, as Abrabam Seylerus writeth in Scholtgiws his Confilia,' Gonfil. 335.) unto which may be added the Boner of a ‘Man, Coral, Crabs Byer, with che reft that have been already mens tioned, according to every onés conftitution.
For Aetius doth here rightly admonith us,4s touching Treacle,and the like hot Me. icaments, thac they donot only not benefit thofe that are ofa more hot Conttituviz on and temperament; buethat chey likewife oftencimes produce Refoliations that prove incureable. . But here indeed there are fome that determine this to be under: {tood only of fuch.as are hot inthe higheft degree; becaufe chat Galen allo Cin ‘his fifth Book of the preferaation of bealth,) expounding the words of Hippocrates, Cin which he forbiddeth.cthe drinking of Winéamro thofe that ate hoc, ) writeth, thdt this isnot intended of all abfolutely chat are hot, but chat Hippocrates {pake it of fuch-as were hot inthe higheft degree: but yet mof€ certain it is, that great heedis here co be taken unto the diverficy of Bodies atid temperaments 3 and that hot Mee dicaments are more conveniently al{d given in Autunm,then in the {pring time 3 ard therefore in Bodies that are more hot Succory is wont to be intermingled with the Medicament: and as touching Swccory, Adrian Spigeliys \ikewife writeth, that he hadbecn taught by experience, how that in a hor :Ganfe there was nothing more convenient then the Leaves of b/ild Succory, gathered in the month of May, ard acied inthe fhade, and chen given one dram chereof, for the Dofe.. And yet never- thelets the Foots of the faid Succory are likewife very nfeful, if they be pulled up in che firft beginning of the Spring; andthe fame may alfo as well as the Leaves be mingled together - with chofe other’ Medicaments that we mentioned be- fore. Stat 8 .
Bur now in.what manner thefe potiders and Artipodagrick Medicaments(common- ly called Antidotes) do benefit thofe that are troubled with che Gout, is well worth our confideration; andas touching this very thing Tbomse Braftus a
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ick ng oLthe Head, or diflipate humors bred therein. Buc the truth is, be move: h this Queftion ont icamenre (Of 2b Anticipaced Opinioniand Hypotbefis, whiles be prefuppofeth char the humors ‘Cthe do benef Caufe ofthe Sous ) do fal down out ofthe Head 3 which thacut is falfe, we fhal anon fhew fuch as you inthe feventh Queftion. Whofoever bebe that rightly underftandech the Caufe of che have the Gout may -eafily perceive what che Phyfitiansmain {cope-is here inthe adminiftring of the Gout. Aatidotes. For feeinp that thofe Tartarous humorsare.generated in the firft and {econd Concoétion, and then ate derived inco the Veins, andat length in their own cime thruft forth intothe Joynts inthe adminiftring ofthe Medicaments che {cope that the Phy fician here propoundech unco himfelf isithis, to wit, thachemay promote and help forward the Concoétions of the S:omack and Liver; and if chere be any excrements generated in the stomack ( as Eraftus alfo confeffeth thar there are ) andin the parts neer adjoyniug (co wit, the Meferaick Veins, the Spleen, andthe Liver ) chefe docleanfe them away, confume them and diffolve them inro exhalations, and evacuate them by Swears,and Urines: and Cas rolus Pifo writech moft truly, chat the pores-and breathing places of rhe Skin ( whether fen- fible, or elfeeven infenfible ) 1s fo greatly co be accoumed ot, thacin it alonechere feemech cobe placed the whol bufineis of preventing all kind of Arthritick fluxions. . And tHis is ex-~ cellently done by thofe Medicaments, ‘if they be continued. Ongena But now here it may (not without Gaufe,) bedemanded, whether or no the very fame dion of Day Got be-performed by the Decoétion of Guajacum Wood, Sarfaparilla, China, and the Gusjacum like 5 feeing chat even chofe aliodo exceedingly provoke Sweats; whereupon che ufe of and the thefe Decottions isby many preferibed in this Dileafe of che Gour, But yee leaviiig every like, do. man toenjoy hisown Opinion, for my own part I am altopecher unfatisfied in this poinc. perform For! (a8 Crato faith truly in his 25. Epift.) thofe Sudorifiques (efpecially fuch as are ee [ane made of Guajacum Wood) if they be frequently admimfired, do very much confume ‘and Antipode. Walt che Radical moifture, which 1s nor in the deaft done by any of the afore ciced Medica- rick Me- ments 3 Whichdoonly cleanfe che humorsjand difcufsthem by a moiftnefs and dewinefs:all dicaments the Body aver in the morning, or by a gentleand light Sweac, or elfe al{o difperfethem in- doe fenfibly. And befides, fuch Decoctionsas thefe when they are taken ina great quantity do very much dry the bowels, \ which of chemfelyes-are for the moft parcover dry in thofe chac area flicted with this Malady,) Add torthis, thacthofe) Anripodagrick, Medicaments before {poken of are moft of them bitter 5 andehereupon'they obtain a virtue and power of clean- fing away thofe tarcarous humors, and Cholerick Ichores that are collected about che Liver and Spleen; which virtue and faculty chefe Deoctions laft mentioned do want; fince they do-only extenuate, dry, {catcer the humors, and provoke Sweats. . And hence ic is, that Fo= bannes Crato (in his 253. Confil._) not without good Caufe cels us, chac co follow the Vulgar Opinion is no Jels.co be deceived, than by placing any hopes and expectacion in thofe porions of China, Sarfapatilla,and the hke Decoctions, Forif they ac any time feem to benefit, and yield any help,this they do by means of the exact and {trict Dyer that is then ob- ferved :. and the moft of chofe Perfons of quality that have fo often drunk chofe Deco¢tions have bzen greatly deceived by che perfwafions of others, and cherefore they may do wel to fée co it, chat chey may fumble nomore at the fame Scone. And therefore at all times if there be any vicigus Gonftitution in the Bowels,and a power generating that humor,we ought carefully co look coit,’ left chac -by che ufe of fuch hike Medicaments thas aforefaid power fhould be augmented 5 asitas moft certain, chat that difpofition unto the Scone that-is in the Reins may be greatly ancreafed by hor and dry Medicaments unfeafonably given co break the Scone.’ And ‘Monardus likewife ( inthe 16.B. of bis Epiftles}) wriceth chat Guaja- cum doth wonderfully dry 5 and cherefore muft needs.be very hurtful for fuch as are of a dry temperature.
whether
The Ghymuifts do here likewife commend their;Medicaments: and fome of them write, -
chat che Arcanum or Secrec of Tartar doth remove, and by the very Roots ‘cake away the Gout: Now ic is made in this manner. | Tha Ar~ Take Salt of Tartar depurated, or purified ; fromtbis draw away a diftilled Vinegar, eanum of - gogin and again ( alveaies receiving the new) until fuch time as it leave bebind it no more Bartel’ ge all of its foarpneB and Tartar. And then unto one part of this Salt add three parts of common Bole, and fo diftill from thence the Spirit by a Retort of Glafi wel Luted, and fit- ting thereunto a Veffel to receive, and let this bebig enough. ‘Unto one part of this Spirit pour in two parts of the Spirit of Wine, an eighth part of the Oyl of Sulpbur, and a fix- teenth part of the Qyl of red Vitriol.. » All of thefe being wel mingled togetber in ‘a Glafs Sealed after the Hermetich manner, let them for three months be continually circus lated, Fryac
and p fon | into gt other accu termi red in 1 aswet toflow torek mol they | alfa, them id whe welhal inthe J Ment, Tament thar are witht, loge Inbein raat But | Wor th; ethan, a Whol Thiso Ota
& (0 nym Ca een. emherh $Wexs
) Lame 1nd the ule of Ever y
mand
indica
nels ll
em in
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before clean te Liver ce they hat Fo> low the inthole
bem tO Hen ob ) wel t0 sine tf yout d power hat is 10 robreak Guay
ofa dry
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Vane y gounore fut of in {i ! i Spits ih 6 fe n 0G F y cite Fryat
=
ae
RSL Ua NE UR EME BOLI i
Chap. 7. f the way and Means to prevent the Geit. ee Ny
-
jut Caufe co fear, and wel co confider, whether or noit doth not eahi ly offend the. Bowelss ~!* i
feeing that there is in che Salt of quick Lime a notable and manifeftCauftick quaticy ; which i | appearech even by the porencial Cauceries thas are made out of the Ley that comech fromthe HH {aid unflaked Lime. HH
And fo indeed I lues do Jikewife dayly evacuate fome of the (erous humor, or a cerrain iy
EN * 5 ; SUR SOAS INC dane ee SRN aa NS Na Te an as hg
kind of Santes, and chin Excrement : bur Experience doth ceftifie, tbat this Remedy. is pot Ua iy \§ in the leaft co be compared with Sweats and infenfible tran{piracton : and it 1s wel newen Mt that many have had fome of chefe lifes made, and yec neverthele(s they hava been aMliged \ with the Gout, in regard chac they are not {ufficient to draw forth that whol humor that jg
in the Veilels; and much Jefs can they evacuace that which is from day co day collected a. ne
) , ; | 5 and efpecial. ly if chere be commitced any errors an the Courfe of Dyet; and chiefly if there be an PRS
But yet neverthelefs, if che Gout hath its Original from fome old and long continued Ul cer thatis confolidaced inthe Thighs, andthe {upprefled Evacuation of the Icbor that was wont co flow forth thereby, chen in this cafe ic wil not be amifs, but to very gaod purpofeto
%
TUnvaee see ae) x ig ‘ make ot Iffue inche Thigh. And fo likewifs »if upon fudden flopping and healing of an If= moll Pot ta e Arm chere happen any fics of che Goutco arife, the Iffue is chen again to be ope ‘ , |
What things they are tbat flrengthen the Foynts.
The third bead of preventing the Gout confifteth in che ftrengthening of the Joynts Bees od
moft Phy fisians cellus ) chac fochey may nor €ooreadily and ealily receive the ace ie ihe ee inguntothem. But Carolus Pifo (as we likewife told you above } chinks chat here in this rene ching much pains may be caken co liccle or no pupofe, it being noc within.our power ( would sion is the igs we never fo fain) fince thac as he conceivech, thac weakne{s doth nor confit in any, diftem=vengthe- pi per, or hojlownefs, and loofnefs, but in the Naturalconformation, and cermination of the 27% % ie Vellels into the ex:ream Joynts, .. And although that even by this means allo we nay hinder en : and prevent chat humor from flowing into the Joynts: -yec he determineth thacthe fick Pere it biog fon is fo far from receiving any benefit from hence, that he may alfo by chis means be brought 47> or into great peril and hazard of his life, che matcer being cranflaced unto che Lungs, orfome 7? other noble Bowel... But in very good earneft, ic is not aching co he {sighted and nothing accounted of,, chat che humors chiefly flow into the Joynts,. in repard chat the Veffels ae terminated into them :. and if che mater chat was wont ro flaw into the Joyncs, be cransfer= red into rhe more noble Membets, che fick Perfon may chen be caft into great Gangers; and as we told you above(among the Progaofticks)it isa very il fign,if che matter that was wont y 3 to flow unto the Joynts fublilt and abide ftilinghe Body. And.cherefore we are not wholl | co ret and confide inthis Remedy, ot manner of preventing the Gours; without uling che a moft ofourendeavor that chole vicious humors may not ke generated in the Body 3 or if they bealready bred there, that they may be frequently evacuated. And yet Howeverches i ee alfo a certain Truth, chat if the Joynts be weak and ili difpofed, che fick Perfons are thea : che more frequently troubled wich the fics, and nor fo eafily freed from them. Buc now an what ¢his weaknefs of che Joynts efpecially confiftech, we have fhewn you ‘above ; ae we fhal likewife fhew you further in che eighth Queftion. And therfore if there be any thin inthe Joynts, eacher lefe there after the Paroxyfm, or collected fcom fome vitious Nutri ment, 161s to be confumed sand fo che Joynt hathits own Conftitucion and Natural tempe= rament reftored; and thus acisfaid to be ftrengthened. And cherefore the Medicumenns chat are here ufeful muft be Aftringenc, and moderately beating anddrying.’ And yet not- withftanding fuch Medicamencs as thefe are not to beadminiftred, uncil al che pain and {wel- ling be wholly vanifhed, and chat the hard knobs likewife difappear. For whileft thefe are an being, Aftcingencs do more hurt chan good, in regard that chey drive the humor into the part affected, and there harden 1. 3
But now for che firengcbening of the Joynts,and the confuming of rhe Reliques of the hu= mors that acean them, che ufe of Grape Kernels is by many commended, as chat which affor- The bene deth much benefit ; couching which fince chat Antonius Donatus ab altomari hath written fr oils a whol Book, the Reader may confule the fame ( ifhe pleafe ) for his further fatisfaction, Grape This only we fhal defice him tocake notice of, thac chey are moft convenienely ufed in che Kernels, in Vintage time, while chey are new, and chey muift be fuch as are caken out of Grapes chac are He ban
Pye eRing oO , K througbe pp, Fonte:
ga Of the way and Means to pricoen the Gots Chap. 7.
chroughly ripe : of che which feeing that in many places there is No great flore, otfiez Medica- i ments may be made ufe of inftead ofthem. Yecrnocwichftanding there are fome that like- Y wife ufe thefe Grape-ftones dried and they boy} chem in red’ Wine and Wacer; and while =f ond’ they are boyling, they add co them Sage, Betony, Germander, Permtole, and other fuch hike ” Herbs; asalfo Earch-worms. : ef Baths Bachs do likewife corroborate the Joynts. For although they be by fome rejected; in ; firengeh- regard that by their actual humidity and beat chey atcract the humots untoche feet 5 yerne- ie ning the yerchelefs chis inconvenience may eafily be prevented, if Planes that heat anddry,and ftreng- | te Fos. chen che feet,be boyled inthe Water 3 fuch as are Betony, Sage, Germander, Rofes; Cranes- Bu bil, Heach, Oak Leaves, the Wood and berries of Juniper, and che Fruit of the Mountdin or ‘Ban wild Pine- tree. Bb forth Andemacus his wafhing of the Feet ( which as he writeth, bath profited many chae have Jesh made trial chereof }) isin this manner : : offen Take Lye made of the Ajbes of the Beech, which is to be {trated three or forty times 5 bet ae shen.add thereto as mucb Wine, and .Allum two ounces; and heat them at the fere. i fy
Take ‘Mugvwort. Wormwood, Organy, and Camomile flowers, of each troo bandfuls = | he Alum, and Salt, of each onebandful: Lye of the afbes of Beech, as much as poil fuffice s Wi and boyl them togetber for a bath. ! "
Aad fo likewne for che ftrengchening of the Joynts, very good and ufeful isa Bath of Jus bs niper Wood, if che branches thereof be boyled in Chalybeac Wacer, until che Water be dyed iid
ter) are very u
; | ' wee abound, che Bache are then to be made ufe of with preat Caution, in regard thac they fhuc | ite
L benelie;
Hoty Uatdyy
and colored chereby, and hach even gotten ché color of the Lye. And yet neverchele(s there aes
may alf{o be added {ome ounces of Sale or Allum. Palo
Afcer the Bath che Joynts are ro be anointed with the Oy! thae is prefiedforthcurofthe | data
Grape Kernels, ot the Oy! of Myrtle, or Rofes, or fome other fuch Oy! 5 couching which aaa
more anon. : f coar ic
) i Hot barbs But hor Baths are by many moft efpecially commended, although they be difallowed of | but ‘hat firenerben by others 5 of which we thal {peak further in che cwelfth Quéftion. And fo likewife che | ks Wei My the F overs Bachs that proceed from Sulphur, Salc, Nicre, Vitrio), Cand partly alfo Baths of Alum Wa- © | Pad feful if they be made ufe of inadue and right manner. For if the Allum = |”
ayy che pores of the Body, and render it unfit to fwear, a ching altogechet neceffary in fuch as are Thy croubled with che Gout; andif chere remain any thing in che pare affected which may exe
{ hii : hale, and be difperfed by infenfible tranfpiration, they chruft this forch unto the Nervous illo paar and Membranous parts, and fo renew the pain; che fame thac happened coPabricivs inhie | dausal t | sg. Century, Obfervat. 83. Among the reft, che Hirfchergenfian, and Laudeccenfian hoe haa: oe Baths in Silefia, the Caroline in Bobemia, the Badenfian in Aufiria, the Martiate (now UB, ey called the Wisbadenfian baths) che baths noc far from Menig, and thofe likewifeacEmfen | bul a upon the River Lanus, as alfo thofe of Aquifgran are al of chem very ufeful for thofe chat | the bloo havethe Gout. Bucthe Dire or Clay of tome certain Baths ischiefly tobe madeufeof for | ae Loon che wafting away of che matter chat fticketh in chefe parcs, and ftrengcheneth the faid | ety parts. HVitioy Where fuch baths are wanting, Fomentations and artificial baths may be made. The | Way anc Lotions or wathings of Allum Water ate very much commended ; but yec it is far becter that excice there be Sale and Sulphur added unto che Allum, chat fo if there be yec any ofthe matcer | Thea feft bebind, it may berefolved. Or, | Hed | Take Flomers of Arabian Orrace, of Sage, Thyme, Cranesbil, of each one handful s | tab Ip boyltbem in common Water, or (1 which is better) in Water voberein Iron bath been oft- | eta be times quenched: and to the ftraiming add Sulpbur and ‘Nitre, of each two ounces, Al- | Ande Turn one ounce. Let them be boyléd again , and the parts fomented with the Dacottion. © | a } 4h onde
Or,
Take Leaves of Germander, and Betony, of each one handful: Flowers of voild Rofes, and foal Arabian\Orrace, Bears Ears or French C owflips, the common Doves foot, of eath tre anid fha bandfuls 3 vobite Vitriol one ounce: boyl them for a Fomertatton or a‘Batb. heted,
Unynents — Buc the moft ordinary and ufual Remedy (thar ismede ufe of by many) is che Unguenct aid Em- we tientioned alfo before, where we fpake of cheCure 5 which is made of Salt cosrefied or a plefter$ driedto apouder (others ate rather for the Sale of Funiper) and a fufficiene quanticy of Pann common Oy], or Oy] of Rofes, mingled into the form of an Unguenc, wich which the Joynrs hh are ro be wel rubbed. a | | y' Solenander maketh fe of this Liniment after che Lotions,
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by thee
haae fi myexe fl
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Chap. 8. ae Ee Phyfitians Confolation in the Gout.
two drams., Bole Armenicktbree drams ; Dragons blood, and Hypociftis, Frankincenfe, and ‘Maftich, of each two drams andhalf. ; det every one of thefe be fir{t beaten into afine
Pouder by themfelves: and then letthem be mingled togetber with the Oyls in a Mortar into:
the form of a Liniment. evidairintt 7 The Emplafter Diacbalciteos, or, as fome cal it, che Emplafter Diapalma, laid on, is here likewife very ufeful.. And chis Emplafter is fic and proper in al che 4joynts, whatfoever the humor be that flowech untochem. And Solenander in his 4, Set. Confil. 25. wricech, Thag he knew divers, who before were wont very frequently to be croubled with fits of che Gout, that by the continual ufe of this Emplafter, and by taking Purges now and then,were for the {pace of five whol yeers freed from thofe pains. And this Emplafter ic neither defi~ Jech the pare whereon itis laid, neither doth it caufe any itch, orraile puthes; nor isi¢at ad offenfive, either in ics {mel or any other quality. Now it is fitted co che form of the Mem- ber. . Inthe Fees fhoes are made of chin Leather ( butcthe Fox skin is more approved of ) which within are co becovered over withthe Emplafter Diachalcitis, and fo they are fic- tedcothefeet. The fame Leather fpread over wich this Emplafter may be applied unto the Knees, Hand-waifts, and other parce. And Linnen. Socks. likewife .wafhed -in Wine with. Water, chen dryed, and drawn upon, the Feet, are very ufeful: and con> venient. Thomas Erafius commendeth the Sand ftone (che Latin Phyficians cal it Lapis Sabulz) if ic be mingled with che Oy] of Myrtle, and Gencian Roots reducedintoa Pouder, and laid oninche form ofa Gataplafm. Buc yecthe fame Erafius advifeth us not co ufe it until ic thal manifeftly appear chat there is no Excrement remaining inthe Joynts, thac may be har= dened intoa Topbus. And therefore he perfwadech us firft of al (before weufe it); co lay on once or cwice che Cerore of Briony, defcribed by Aetinus (tetrab. 3. Serms4, chapt. 43.) chat fochere may be the lefsdanger 5 and chis Aetivs very much commendeth. sales Buc now as touching al mannet of Topicks for che ftrengchening of the feec, chis is tovbe obferved, chat for luch as wil keep nO orderly nor regular courfe of Dyec, neither ufeconves nient purgations, and other evacuations, thefe Lopicks if they be adminiftced, ic wil be with- out any benefit acal, yea, oftentimes co che great detriment and burc: but.unto fuch as live cemperately, and ule tic and proper Evacuations, they are adminiftred with fingulac beneli¢-and fuccefs..
Aetivs (inthe place alleadged, Chap. 24.) forthe preventing of che Gout, commendeth Cutting alfo che cutting forch of the Veins thac are trom the fuperior parts carried down into the feer, ext of tha done afterthe fame manner, as the Varices or ccooked Veins in the Thighs are fomeimes” ***.
wont his ‘B. of Chirurgical Operations) the extraction and excifion of che Varices is not only harfh and difficult but chat forthe moft parc allo ic fucceedeth unhappily, by reafon. of theblood.flowing out. ‘ And moreover, {rom chis cutting forch of the Veins the lower parts are {oon broughc inco a wafting and withecing condition. And befides al chis, although hele Veins be cuc forth; yecthere is but very little benefit co be expected from thence. For if vicious Humors be heaped upin che Body, and be accuftomed co flow unto che feec, cheir way and paflage being fhut up, they are carried unto fome noble parc, and there they may excice fome other affect Par more dangerovs,
There may likewife, for the ftrengchening of che Joynts, internal Medicaments be admini- fired , co wit, thole which are appropriate unto them, as Germauder, Ground-pine, or Herb Ivy, Betony, Primrofe, Sage, Rofemary, and others of chiskind, as we mentioned chem before. Bids é
And ¢hisis the way and means to prevent the Gout; as Rbafer feems in few words. to comprife ic, whilft be chus writech : If the perfon troubled with the Gout fhall obferve agood and orderly cour{e of Dyet, and govern bimfelf as be ought inthe fix things not Natural, and fhall fomtimes ufe Mithbridate, or fomtbing elfe that may confume all the {uperflxities, and fhall likemife make ufe of Stipticks about the place of the Foynts, this perfon {hall be re= lieved.
Chap. 8. The Phyfitians Confolation in the Gout.
‘WN segard chat fuch asare fickand difeafed delice and expect from the Phylitian, not “mfering | ; a do ie the pateent
Confolation, but advice, and the beft of his afliftance; it may feemto be befides the K 2 Office
Take Oy! Ompbacine two ounces 5. Oylof Maftich one ounce ; Salt dried to a pouder
in the gous
ig ieee Ramdel
‘ URIS ANIMAS RE paehy Ie MCS AION DE ae NTP ISS
A
be
= 56
oo Fe ee eee
cs The Phy fitians Confolation in the Gout. Chap: 8. Office and bufmefs of che Phyfician to write any thing toliching Confolation ia the Gout: andindeed I fhould noe at al have publithed any thing of this Nature, had I not fotind the fame done by thar famous and moft eminent Man Fobannes Crato, my fellow Ciuzen, and Phyfician unto three Emperors, in his Confil. collected by Scholigits. Him therefore I now fhal follow, and {peak fomehing as couching che fubjett afotefaid) © For af- cencimes indeed Medicaments and helps ot al forcs are adminiftred utico-the fick perfon, and yet neverthelefs the Phyfitian doth not fo obtain what hedeficeth. And fomeimes likewife che fick party (either in refpect of che condition of his lifey and imploymetir, of elf allo ih regard of fome other parts of his body) cannot fo exattly as he ought. obferve what is en~ goyned him by the Phyfictan ; and therefore albeit che fick perfon caftior then conceive any hopes of a perfect Cure, yer notwithftanding he may bave fomthing to comfort himtelf witha. ‘9
I, Picft of al cherefore, The Gour preferveth from many orher Difeafes and Maladies, and it isa {ure fign of the ftrength of Nacure 5 which driveth forth thé vitious humors in the body, out of che high way, and common road (as 1 may tetm ic) or Cif you wil) the principal paffages, unto the excream and more ignoble parts of che body; and ontheconttaty (as we fikewife acquainted you before in the Prognofticks) if Nature be weak, and fink under the burden, as being no longer able to expel forth thefe humors, then Feavers and orher dange- rous Difeafes are wont cofollow. And hence ic is chat Phyfitians (and fome of them of great nore.) are of Opinion that the Gout many cimes maketh for the lengthetitrig of the life; and chat if it bell cured it haftenech on death. For Nature (as we faid erewhile) driveth che vitious humors unto the Joynts. But if (che body being not fufficiently pur ped, ot when there is noexact courte of Dyet obferved, or by réafon of the long contintiance of che difeafe, or elfe by reafon of age) the ftrength be week, and the Phyfitian flial then bufie himfelt only in ftrengchening of the Joynts, ic may eafily happen that che matcez which Nature was wont co thruft forch unto the Joynes, if ic be ftil recained in the body may be turned unco the principal pares, and fo may excite dangerous Dileafes, yea, and haften on death.
1]. A manall the while he is troubled with che Gout is in no danger of hislife (as in o- cher difeafeshe might be, to wit, burning Feavers, and others, {pitting of blood, the Pleu- rifie, Impoftumation of the Lunps, Dropfie, Epilepfie, Apoplexy, and many other) bur af- cer a fhorc time che Man returneth unto his wonted imployments, and is oftentimes fo well recovered, that there 1s noc the leaft appearance of his being fick.
11. Iflikewife there be any ching in the World that may per{wade Man untocemperance and fobriety the Gout chiefly doth chis. For whenas the pain in che Gout # moft raging and ancollerable, and that the Gout cannot by any thing be-becter prevented or mitigated, than by a frugal Dyet (and in this we find al Phyficians co apreé, and we have alfo a ceftimony of ic from Experience it felf_) which caufech chat not only no matter may be fupplied for che ericreafe of che ill humors; bue it likewife beft of al correcteth che diftempers ot the Bowels : dnd it is che parc of a prudent man rather to obey Reafon cham his Affections, and not to for- get that of che Post. ;
Pleafure witb pain Is lof’, not gain, and he oughe toconfider likewife chat chac pleaftire which he takech in a more free and libe- ra} Dyet, isnot worth, neither wil it compenfate thofe fo greac pains and wrackings thac muft-be endared in the fies ofthe Gout. And alchough it feem indeed {omwhat grievous to fhan al feaftings, and company-keeping, yeé.chismuft be thought of, That none of chofe boon Companions can afterwards afford any che leaft help in this Difeafe 5 buc chat (as Ln cian hath itn his Tragopodagra, about the end thereof_) they wai rather laugh ai, and deridé a mianifi bis paitvandimiery. Yea, moreover, whilft that for fear of the Gout athan accuftomech himfelf unto a good and orderly Dyet; he doch not only prevent the nities Of che Gout, but he avoideth hikeWife many other Difeafes chat: proceed from che trors inehée Dyet 5. anda Man hersby oftentimes attaineth uncoold Age. Buc as for fuch as either wil not {ubmit themfelves unto che Rules of Dyer, or elfe by reafon of their cond tion of life and imployment cannot obferve che fame, Jet not thefe accuie eicherthe Phy {f=
tian, orthe Phyfick, buclecthem blame chemfelves; fincechac (as Galen writech moft cru-
ly in hie Tract of Curing by leccing blood, Chap. 7.) ‘To prefcribe Medicaments ({aith he} unto that party which neither can, nor will obferve an orderly and due courfe of Dyet, altogetber in vain, and to no purpofe. But now ifa man obletve a good Dye, although he be'not wholly freed from chis Lafeafe, he yet may chen comforc himfelf ina good eyriltiene ap
! this,
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Chipi8. The Phyftians Confolinvon ia whi Oink.
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that Crato, in the place alleadged, writeth, that feciie diligent obfervation ard prudent moderation in point of Diet hath been found co Bealwaies helpful, aid that it never hurtech or deceiveth any, ‘to newlee ir therefore iiay well be chougtic not only an Argument of the gteareft folly and piadhefay bat likewife OF their beg~ lectibg and being caveluls of thentfelves, WHieh Piéty fotbiddeth. And When wa have the Teftimony of oux own confcience, chat nothing hath- been done by out own faule chat might bring or increafe the pain; it is thena very great Confolation, when we can per{wade gur felves that weare altogether blamelefs; and fo can cheer- fully endeavour in a right manner to bear what is neceffaty and could nor be avoy- ded, andnot torepine and murmure againft God. 3