A PRACTICAL TREATISE OR, SECOND THOUGHTS On the CONSEQUENCES of the Venereal Disease. In Three Parts, viz. I. On the Simple Gonorrhœa, Gleets, and other Weaknesses, whether from Venereal Embraces, Self-Pollution, improperly call'd Onanism, or Na- tural Imbecillity. II. On the Virulent Gonorrhœa, or Clap. III. On the Venereal Lues, or Grand Pox. Wherein are plainly shew'd, the exact Degrees of Difference; with their Signs, Symptoms, Prognosticks, and Cures, in all Cases; their Beginnings, Progress, and fatal Periods, when neglected, or unskilfully managed; and how their absolute Cure, without Vio- lence or Injury, is completed. With proper and effectual Remedies, in their se- veral Stages, prescribed and recommended therein. With some Remarks on that preposterous Way of Venery, with Machines, &c. and a plain Discovery of the Dangers (tho' little expected) which attend that vile Practice. And many other useful Discoveries relating to Infections in both Sexes, not before taken Notice of. To which is annex'd, A Vindication of the Practice of SALIVATING, &c. By JOSEPH CAM, M. D. The SECOND EDITION. LONDON: Printed for the AUTHOR; and sold by G. Strahan in Cornhill, W. Mears without Temple-Bar, C. King in West- minster-Hall, Edw. Midwinter on London-Bridge, and Mrs. Baker over-against Hatton-Garden, Holborn. (Price Two Shillings.)  PREFACE TO THE READER. IF entring into the Merits of a Cause, in a more ample manner, be any Sign of Personal Desert, I hope this Sketch I have penn'd, being Second Thoughts on the Venereal Disease, will plead for me. For my part, tho' I have a Title to enter deeper into Practice, yet I confine myself within the Limits of a Disease I have been well exer- cised in for above a Quarter of a Century. I hope, the Gentlemen of the Faculty, whose Parts and Practice are more extensive than I contend for, will judge favourably of my Endeavours; and it is to them only I sub- A mit To the Reader. mit my Labours: They are the proper Judges; and as they are Men of Honour, I appeal to them, if I have not spoke Truth in proper Terms; and if I have not advanced something suitable to the Time I have practised this Branch: Tho' I am not so vain as to call myself up as a Nonpareil, I con- sider the Case, and fit my Intentions aptly to it. How is it possible to fit one Remedy to all Circumstances? 'Tis fitting one Boot to every Man's Leg. Such who cry up their Secrets as universal for one Case, will con- vince the Persons, they have deceiv'd, of their Effrontery in a small time: For Ex- ample, a Lotion for a Gonorrhœa will not always answer, we are often forced to shift it for another more or less strong; and he who would confine himself to one Remedy for Shankers or Buboes, or indeed any other Symptom, would make fine Work of it in the End! And yet I see this promised every Day in our Publick Papers; but none see thro' the Cheat, save those, whose Province it is to be Masters in the Profession. What Pity is To the Reader. is it to see Men put their Hooks into the Harvest who know no Part of the Business? Dr. Anodyne has no Title to act as he does; for in the first place, he collects injudiciously, writes inconsistently, and acts most falsly; he speaks much, but says little; goes on a great pace, but is quite out of the Road; he deludes with Promises, and aims at nothing but Gain: And what I am infinitely surpri- zed at, he gives Certificates of Persons cured, whose ill State of Health I was con- sulted upon even at the time of his adver- tising; and moreover, I am also well assured of some others he advertises as cured, who afterwards went thro' some severe Courses, and at last ended their Days under this Ma- lady.* Can any thing come up to such Falshood? Can bold Ignorance reach higher? If this is true, as it most certainly is, of such whose Names are affixed to the Book, what shall we say of nameless Certificates? * If he wants better Information, let him en- quire at a certain Coffee-house near Silver-Street. A2 The To the Reader. The Expression may be pardon'd, since the Author of Eronania calls a Rhapsody of Anonymous Letters by the Name of Cer- tificates. Are Names inserted into Publick Papers to be conceal'd? Such Forgeries have never appear'd till now; they are absolutely new in their Kind. To spend more Time upon such a Miscreant, would make the World think him worth my while; whereas, God knows, I aim at nothing more than to decry an Imposture, a Collusion, a Fraud, which promises fair, and deceives the Unwary into their Graves. Since my penning this Book, I have met with Anodyne's Venereal Dispensatory, wherein we find a Collection of Recipe's, which the Royal College of Physicians have not been consulted in. A happy Genius, it seems, who needs no Imprimatur; and those which want it most, have no Reason to ask it. If his Arcana, vended near the Fountain Tavern, and other Places, are of equal Va- lue with the Receipts in his Dispensatory, they To the Reader. they may be safely apply'd or administer'd to any Horse-Flesh in Smithfield: But for my part, if any are so weak as to give Credit to them, it is not unlikely I may share in the unhappy Booty, which must follow such ig- norant Advice. I abhorr the Practice of relating luscious Stories, and treating the Disease in such a ludicrous manner, as some have formerly done in large Volumes and Appendixes, against whom a just Prosecution was commenced, for the Obscenity and Ribaldry therein contain'd; and how such came off, is best known to themselves; vide Gazette, &c. So that we see there are some who endeavour'd to fully my Reputation, and have justly suffer'd in their own thereby; and therefore I hope none can accuse me of having spoken or publish'd any Indecency in the following Treatise: I have industriously avoided such Ungentleman- like Language; the most Modest may bear it; I have offer'd no Affront to their Modesty, but have confined myself briefly and closely to To the Reader. the Title Page, and so close this Preface. Intentions distinguish Sins; and therefore, every Youth who practises Pollution, cannot be said to be guilty of Onan's Transgres- sion; nor is he guilty of his Crime. Great is the Sin, but yet it mounts not up to Onan's; the Physical Action is the same; but Onan's Non-Conformity to the Will of his Creator was yet more heinous. A A PRACTICAL TREATISE ON THE CONSEQUENCES OF THE Venereal Disease, &c. THE Parts of Generation have a just Title to a serious Consi- deration; and in a more par- ticular Manner, that Part in which the Fluid assign'd for Propagation is elaborated; namely, the Testes, which the Ancients, not improper- ly, term'd the Second Fountain of Heat. For as the Heart is usually call'd the first Origin of Heat; not only, because it is reputed the Seat of the Animal Fire; but also, because from thence, as from a Foun- tain, the Blood is convey'd into the Sy- stem of the Arteries as into Channels, by B the (2) the Means of which, Heat is communi- cated to all the Body; in the same Man- ner, the Testicles, which elaborate a most noble Matter for Generation, do not only alone contribute to Stamp our Maker's Image; but also do greatly advantage the Individual, by adding Strength to the whole Body, and changing the Tempera- ment of it. The Manner of which cannot escape such as have any Notion of the Cir- culation. Inasmuch as the Blood (whose Remainder, after Nutrition, or Distribu- tion, the Spermatick Veins reconvey to the Heart, imbued with Seminal Atoms or Genital Spirit charged with Active Particles) gradually brings on a Change of the whole Body. Wherefore, since such noble Virtues are hoarded up in that Matter elaborated by the Testicles, 'tis no Wonder that too great an Expence of this Fluid, or however so great a Change produced in Mankind, by the Damage done to those Parts from Venereal In- fections, should deserve My Care in a par- ticular Manner, whose whole Course of Life has been spent in studying how to be serviceable to such unfortunate People. I shall not spend my Time in Etymo- logies, since the Word Gonorrhœa is de- rived from γοη Seed, and ρεω to Flow; which, (3) which, tho, it may denote any Flux of Seed, yet is ordinarily taken to signify a preternatural Flux of it. The Ancients seem to have had no Knowledge of this virulent Running, now so common a- mongst us; and this Name, borrow'd from the Greeks, did not signify the virulent, but the simple Gonorrhœa; for the rooted Degree of the virulent Kind, we borrow a Name bordering upon the Greek, from Junius; namely, Siphylis, from οΦλος signifying a Deform'd Visage; because in this Disease the Nose often falls in. But all do not agree in the Description of this preternatural Flux; for some do not reckon every Evacuation a preterna- tural Gonorrhœa, but only such an one as owes its Rise to a Weakness of the Re- tention of the Seed; others look upon Nocturnal Pollution to merit that Name; but I here take a Gonorrhœa for a preter- natural and involuntary Effusion of Mat- ter from the Urethra or Vagina. Therefore, it may be described to be a preternatural and involuntary Effusion of Seed or Matter, without the least Sense of Pleasure, arising from the Weakness of the Seminal Parts. So that it appears that a Gonorrhœa is a Symptom depend- ing primarily on the Prejudice done to B2 the (4) the Parts; and secondarily, on the Weak- ness of Retention. As to the Flux of Mat- ter, that differs according to the Parts injured and Cause of the Disease. And for Method's Sake, I shall divide this short Discourse into Three Parts: The First shall treat of the Simple Gonorrhœa; the Second of a Virulent Gonorrhœa, and the Third of the Lues. As to a Simple Gonorrhœa, it is a pre- ternatural and involuntary Effusion of Seed; for every Flux of Seed is not a Gonorrhœa: In some, it is emptied every Week by luscious Dreams, with an Ere- ction of the Penis, or Clitoris, and Plea- sure; from the Flux of which, as they are in Health, and it happens from a gentle Irritation of active Particles residing in the Vesiculæ Seminales, it can neither be call'd preternatural nor involuntary; but if it returns often, as well by Day as by Night, or from any the least Sensual Thought, without Pleasure, and wastes the Spirits and enfeebles Persons, then it may properly be recounted as preterna- tural: Since the Quantity is prejudicial, and the Parts are too lax, this may pro- perly be term'd a Simple Gonorrhœa, as well as when it flows constantly; for these two differ only in Degrees. The (5) The Parts affected are term'd Seminal. The immediate Seat of it is in the Prostatæ, or Vesiculæ Seminales; for the Pores of the Prostatæ, as well as those of the Vesiculæ, are too much enlarged. Vesalius observed all those Passages more patent in a Person executed and dissected at Padoua, who had, before Death, been troubled with an involuntary Flux of Seed. Altho' these Parts be immediately affected, yet it is Groundless, that in a Gonorrhœa other Parts are not also prejudiced: Which thing, Dr. Wharton, in the 31st Chapter of his Adenograph. observes; Not one Part only, says he, but all the Seminal Parts are affect- ed in a Gonorrhœa. And it appears very plainly, that the Parts destin'd for Elabo- ration of the Semen primarily, are also in- jured in this preternatural Excretion; as are more especially the Testes, which may be proved to be affected here, because many labouring under a Gonorrhœa, are at the same time taken with a Swelling, and often an Inflammation of one or both Te- sticles. Examples of this kind I meet with daily; more especially in the Virulent Sort; for there, if the Matter be impru- dently check'd, the Vessels are surcharged with acrimonious Particles, which seldom fail of fretting them, and inviting thereby a (6) a plentiful Influx of Humours, which hav- ing no Passage, must effectually enlarge the Testes; of which more anon. In Wo- men, the Glands of the Vagina are the Seat of it; and what is said of the Prostatæ in Men, may in like manner be pronounced of these Glands in Women. The Causes of this Simple Gonorrhœa, are either immediate or remote: In it the Parts of Generation, and the Fluids are immediately affected; for either the Parts are too lax and open, and become there- by unfit to retain their Contents, or the Seed is too thin, being either too watry or too volatile; and then it either flows involuntarily through the widened Pas- sages, or galls the Ducts, and makes them contract strongly, and squeeze out their Contents. The Retention is weaken'd from a wa- try, crude, and undigested Seed, which not being enough concocted, it easily glides thro' the Seminal Ducts, even without creating any Sensation of Pleasure; and also without any preceding Cause, save a very small Irritation in the Genitals, such as is observed, whilst the Fæces issue from the Fundament; or, as Fernelius has it, whilst a Glister is injected; or as Platerus says, hence it often happens, that a purg- ing (7) ing Medicine being taken, some, from an Acrimony or Watrishness of the Seed, or Weakness of the Vessels, discharge Seed plentifully; which, however, happens most commonly to such as have the Seminals weaken'd. It is usual for such Persons, upon straining at Stool, to discharge this Fluid without any Sensation of Pleasure; and in our Country, it frequently suc- ceeds a Gonorrhœa late cured; for if proper Remedies are neglected, the Orifices of the Vesiculæ Seminales may for ever after lose their Force, either because they are become irreparably Flaccid; or because their Orifices, being eroded, can never be closed up. Too frequent Embraces, and the dete- stable Practice of Fribling, which is com- monly call'd the Crime of Onan, and is term'd from thence Onanism, do give Rise to this Simple Flux; for by inviting this Fluid thither, and provoking its Discharge so often, the Passages of Conveyance are widen'd greatly; and the Blood being im- poverish'd, affords but too thin Semen; so that 'tis odds but they fall into a Tabes Dorsalis, where they have Pains in their Heads, Necks, Joints, and Muscles, so that they can hardly bend themselves for- ward, where much and thin Seed flows forth (8) forth upon going to Stool or making Wa- ter, as also whilst asleep, with or without Dreaming; where the Body wastes, the Breath shortens, and the Head grows heavy; where, in fine, the Appetite fails, the Legs swell, and Blindness ensues. And as this Vice prevails with Youth, where Nature calls upon them so frequently, and they either want Opportunities to gratify their lustful Appetites, or are afraid to make use of them, lest they should suffer Damages in their Bodies thereby, or because they affect the Character of sober Youths. In all these Cases, this detestable Practice takes Place; and finding no Inconveniency at first to attend it, they follow it without Remorse or Measure, till they hurry on very dangerous Consequences, which the more readily happen to Youths less ad- vanced in Years; because their Growth, not being yet finish'd, is hindred thereby, and their Bones are deprived of that Firmness they ought to enjoy by Nature; so that they who have made too free with themselves before Maturity especially, grow old in their middle Age; their Blood being de- prived of its Balsam too early, the Fibres of the Flesh and Bones are flabby and flexile; the Muscles, which would resemble those of a Lion, if Nature were not disturb'd in her (9) her Course, have no Spring in them; they faintly obey the Spirits whenever they are put in Motion: And, in short, Men are emasculated by this odious Vice, which is one Share of the Temporal Punishment re- taining to the Sin. I now am acquainted with the Case of one, who is become im- potent in his Bloom, by having made too free with this Play; and I am afraid there will be great Reason for the Damsel his Spouse, to plead for a Discharge; unless, by proper Assistance, (which I am in hopes to give him in due time) he can be restored to his Vigour and Virility, which has been long, in vain, attempted by the Au- thor of Onania's Remedies, &c. And may not this also be reckon'd into the Number of Temporal Punishiments attending this Iniquity? But altho' every one is not quite so unfortunate, may not at least an Incapa- city, or Loss of their full Vigour, give Rise to the many unhappy Matches so often seen and heard of in this and other Countries? To speak Nature's Voice in modest Terms; the Ladies may very justly be reputed the more modest and vertuous Sex; their Incli- nations are neither so rapid, nor so frequent as ours; nor indeed are they so heated and chafed as those of Men: They meet with fewer Occasions, and consequently are not C liable (10) liable to so numerous Temptations: And moreover, they are more used to curb their Passions, since it is not their Province to at- tack; and to close up this Observation, they are subject to Diseases in their younger and elder Years, which do naturally choak Venery; so that in the main, very few hav- ing been attempted in their Modesty, con- sidering the Numbers, they approach the Marriage Bed in Vigour, and ought to be gratify'd in their Legal Debt; but meeting with jaded and shatter'd Constitutions, they too often become enraged at their hard Fate, and seriously resolve on a Revenge for deceiving them of their Expectations, and defrauding them of a Debt allow'd them by the Divine Law, and allotted to them by Nature. Hence so many Jealousies, Aver- sions, Debates, and Separations; and whence alas all this, but from a Crime which highly offends our Creator, and weakens, nay of- ten destroys, our Bodies? But Thousands never arrive to the Thoughts of Marriage; they are fading daily in Consumptions; we meet with no Disease more frequent than this in our Week- ly Bills; and if you examine strictly, you will observe that most of those who die of this Distemper, are Males cut off in their Bloom. Now, if I may be allow'd to make use (11) use of a little Politick Arithmetick, with- out any Inclination to judge rashly, I can see by my daily Practice, that more apply for Remedies to restore Nature debilitated by this Diabolical Invention, than to be cured of the Venereal Malady; and as it is true, that Consumptions will arise from either Case, it follows that as many die of this Disaster as of the latter. The Privacy it is done with, makes its Consequences less avoidable; for where no Advice can be ask'd, none can be given. In Fornication, our Mistresses and our Ob- jects are known and heard of; our Friends and Well-Wishers interfere, and do often prevent impending Ills; whereas, in this Vice, our Mistress lies hid in our Bosom; in our Inclinations; she is never heard of, nor seen; and our Attacks are never seen, or spoken of: Our Misery is completed before we are suspected; nay, and at last, the very Physicians are at a Loss for this Cause of their Disorders. 'Tis this Shame which ruins Thousands; they hate to confess their Fault, tho' the Remedies can't be compass'd without it: But that I may not detain my Readers too long on the Point, there are many Symptoms attend- ing Injuries done by this Practice, which are not common to any other of Impuri- C2 ty. (12) ty. As the Force begins at the Penis first, (for I confine myself only to Men in this Affair) so does the Disorder, which after- wards defaces the whole Body: To know the Damages done to it, we are first to consider the Structure of that Part, which however I shall not describe exactly, only we are to know that there are a Spungy Body, a Vein, Muscles, a Nerve, an Uri- nary Passage, Glands, and Seminal Blad- ders to be examined into; and as great Damages are often done to these several Parts, and sometimes to the Whole, we are to consider what they are in particular, with Brevity and Modesty. The Muscles are the Instruments of E- rection; and if, by this Custom, they are drawn into too great Lengths and relax'd, then the Part can't be inflated, nor be made rigid enough; nor can the Semen be ejaculated with Vigour: And thus Gene- ration will be impeded. If the Vein, which runs along the Back of the Penis, be too much relaxed, no sooner is Blood thrown into the Spungy Bodies, and the Muscle duly inflated, but it is return'd by this Channel; and, if the Prostate Glands or Seminal Bladders, by too frequent Friction, be often emptied, the Body is extenuated, because the Ducts grow lank and loose, and (13) and suffer a constant Effusion of their Con- tents. If the Spungy Bodies be render'd flabby, they can't resist the Blood's En- trance or Return; and they being lank, there will be no Stiffness in the Penis, which infallibly hinders the Power of Co- pulation. If the Nerves become relax'd, no Spirits can enter into the Parts to in- flate them; without which there is an ut- ter Incapacity, such as can be awaked by no Object, even the most Beautiful, un- less, by Chance, Convulsions supervene, which are Symptoms not to be wished for: If by Friction the Urinary Passage be in- flamed, no Semen can be ejected. These, and many other Symptoms, are Consequences of immoderate Venery. And the Organs of Generation may also frequently, as is known by daily Experi- ence, be injured by Ulcers in Claps, so that they can never retain the Semen after- wards as they ought. The remoter Causes of this Flux are the Blood offending in Quantity and Qua- lity; for too great Plenty of Juices gives out a greater Quantity of Semen; the Quantity enlarges the Passages beyond their due Elasticity; and therefore they grow Flaccid, and suffer their Contents to run out involuntarily: And the Blood be- ing (14) ing too watry, runs more readily into all the Secretory Ducts, and at once enters them and relaxes; so that an easy Passage is open'd for its Discharge. The very Air adds its Mite; for if it be warmer or dryer than it should be, it renders the Seed hotter and more pun- gent, from whence the Vesiculæ are fretted, and made to contract and expell the Seed; and then, unless it be nipp'd in its Bud, a Flux of it will ensue. But if it be cooler and moister than usual, the Moister relaxes the Parts; and being unbent, they give way for the thin Seed to come forth. Our Diet has great Influence on Human Bodies; for if it consists of spicy and warm Drugs, which add volatile and pungent Parts to the Blood, the Secretions will be of the same Nature; so that plentiful Feed- ing on Soups, Sauces, and Victuals high season'd, necessarily makes all our Juices thin and acrimonious; from whence we may readily conceive, how a heating Diet, whether of Meats or Drinks, raises a con- stant tremulous Motion in the Fibres; and more particularly, in all the Secretory Pas- sages: So that in the Stomach it will raise Vomitings; in the Intestines, Fluxes; in the Liver, Bilious Jaundices; in the Kid- neys, a Diabete; and in the Vesiculæ Se- minales (15) minales and Prostatæ, simple Gonorrhœa's, or Gleets. This calls to my Mind a set- tled Opinion that has obtain'd amongst the Vulgar; namely, that Oisters and Cockles are very Incentive Diet, and therefore are to be forborne by such as are infested with Gleets; whereas, if we maturely consider the Matter, there seems to be small or no Foundation for such a Sentiment: For they tasting Nitrous and Slimy, can have no Title to be reputed warm and heating of themselves; so that the Injury done to Gleets by such Diet, would be none, if the Pepper and Wine did not accompany. Excessive Watchings render our Hu- mours more acrimonious, and are always prejudicial to Persons afflicted with Gleets. Since, by Exercise, the Blood becomes hotter, thinner, and warmer, its Excess ought to be forborne. 'Tis beyond Dispute, that our Passions greatly contribute to lessen or augment Gleets; for in such a Case, Forbearance of Company, that may invite us to Love, is highly necessary in such Weaknesses; in- asmuch as the Seed is then secreted more plentifully: But how our Passions work upon our Fluids and Fibres, or these upon them, is not to be accounted for. How- ever, it can be as little denied as proved. Having (16) Having given an Eye to the Causes of this Evil, I shall briefly recite the various Differences of it. One therefore is call'd Simple; another Recent; a third Invete- rate; a fourth Virulent, inasmuch as it is a Relick of that Disease; a fifth is occasion'd by the bad Disposition of the Genitals; a sixth is by Consent of other Parts; a seventh is from a hot and acrimonious Seed; an eighth from too great Plenty of it; a ninth from a Serous Constitution, and so forth. The Signs of this Simple Gonorrhœa, or Gleet, is sufficiently known by the Rela- tion of the Sick; for if the Seed flows in- voluntarily, or at least, from a very slight Occasion, and if the Strength of the Pa- tient fails from thence, 'tis manifestly a preternatural Flux. Neither are the Signs of the Causes hard to be distinguish'd; for if the Venereal Taint be the Occasion of it, Embraces with infected Women have pre- ceded, the Symptoms are far more griev- ous than in a common Gleet: A most in- tense Pain has accompany'd the Discharge in the Beginning; as also the Matter at first was green, yellow, livid, stinking, and purulent. Moreover, if the Disorder has been violent, a Pain of the Head by Night, and other Symptoms accompanying the Venereal (17) Venereal Disease, of which more anon, have infested the Patient. If it proceeds from an acrimonious; pungent, and hot Seed, the Constitution of the Patient is very warm; and, more- over, the Heat of Urine, a Sign of Acri- mony, and such like, betray the Cause. If the Seed be watry, the Signs of this Constitution cannot escape a skilful Physi- cian, since the Thinness and Paleness of the Matter discharged, the little or no Pleasure felt under this Discharge, the general Con- stitution betraying an Abundance of Semen, the Colour of their Water, and the Nature of their Stools, plainly shew too great Plen- ty of Water in the Blood. But if too fre- quent Embraces, or Onan's Crime, as vulgar- ly call'd, be the Occasion of it, the Relation of the Patient, and an universal Weakness, Want of Appetite, Weakness of Sight, a De- cay of Flesh, and Understanding, and a long Train of Symptoms, which I forbear to name, will manifest its Cause. If it pro- ceeds from Causes lodg'd elsewhere, as from the Falling Sickness, it ceases as soon as the Convulsion is over, unless the frequent Con- vulsions have produced a lasting Weakness on the Seminals; then it becomes the Sub- ject of serious Consideration. Whether it be new or old, the Patient must inform us; D only (18) only its Age is easily guess'd at by the De- cay of Strength. Having dispatch'd with Brevity the Signs of this Disease, it is high time to begin to shew the Events of it; which may be di- vided into the Signs of Health, of its Length and Duration, or of the Manner of its Event or Issue. As to the Signs of Health, an immoderate Flux of Seed, from whatsoever Cause it be produced, is no slight Evil, since it is capa- ble of weakening in a wonderful Manner, and introducing very violent Symptoms, if not check'd in time. Such a Flux as proceeds from an Abundance of Seed, is not danger- ous, and easily admits of a Cure. As to its Duration, a fresh Gleet, and a Simple one, is much easier cured, than an In- veterate or a Virulent one; for if the Geni- tals are not much weaken'd or injured, Re- medies generally take place in proper time. But a Gleet proceeding from a low and im- poverish'd Blood is very hard of Cure; and, generally speaking, Inveterate Gleets are of this kind. As to the Event, an inveterate Gleet, whe- ther Simple or Virulent, is dangerous; and a Simple Gleet very often brings on Faint- ings, and even sometimes an Apoplexy. I knew a young Man, who for several Years labour'd (19) labour'd under a Gleet; and being in low Circumstances, and suspecting no Danger, neglected it: As soon as he was seiz'd with Faintings, he complain'd of his Gleet; va- rious Methods were used in vain; for his Strength was wasted, his Memory decay'd, his Eyes were blind, and his Faintings were so frequent, that nothing could support him. The Virulent Gonorrhœa, of which more anon, over and above the usual Symptoms attending a Gleet, brings on the confirm'd Pox, and all its dangerous Companions. An Example of which lately offer'd itself, where the Clap being neglected, brought on an E- pilepsy, which invaded every day, till the Disease, which was the original Cause, was taken off. It may be affirm'd, that a Gleet is a much more grievous Disease, and much harder to cure, than a Clap; for as it arises from the Weakness of the Parts of Generation, it is harder to make it yield to Astringents, than to cure the virulent Ulcer in the Urethra: This is confirm'd by daily Experience. I shall take the Liberty, before I proceed to the Cure, to give some distinctive Marks of each kind, that Patients may have some Notion of their own Case. Wherefore, in a Clap, a Strangury and Heat of Urine are D2 common (20) common Symptoms, whereas a Gleet has nei- ther; but a thin cold watry Seed is thrown forth without the least Sense of Pleasure: In a Gleet, the Matter flows without any Ere- ction; in a Clap, the Matter flows forth, and the Yard is painfully erected. In a Gleet, the Matter is watry, and stains the Shirt like Water or Urine; in a Clap, it stains it yellow and greenish. In a Gleet there is no Inclination to Venery: In a Clap they are often furiously inclined to it. In a Gleet the Patients waste insensibly, unless the Parts are soon repair'd: In a Clap, the Flux continues a long time without impairing them. A Gleet is produced ordinarily from a Weight, immoderate Exercise, Venery, or that most shameful Practice of Fribling; but a Clap from an impure Embrace. The Necessity there is to distinguish between the one and the other, by reason of the different Me- thods to be used in them, has made me more tedious than I willingly would have been. 'Tis now incumbent on me to proceed to the Cure of various Gleets; in which I shall plainly shew you, how we manage this Dis- order in the ordinary way, reserving to my- self the peculiar Remedies I have found most safe and most effectual, after so many Years Practice and Experience in these Diseases. This Reserve pleads its own Excuse; for altho' (21) altho' I shall give such plain, easy, and re- gular Methods to cure these Disorders, when they are not very difficult; yet there can be no Reason for me to discover the Arcana long Experience has taught me, by which I cure more readily and more effectually than others can do. We are then to remove the Causes, pre- serve the Strength, and mitigate the Symp- toms. If the Body be plethorick, or the Tempe- rament be hotter than usual, Bleeding is necessary; because if the Load be taken off, the Vessels will contract themselves in pro- portion, and then their lost Elasticity re- turns, and, by it, the Ducts will not easily suffer their Contents to glide out. Now ex- cessive Heat acts in part as a Plenitude, and so far Bleeding becomes necessary in warm Constitutions also: I say in Part, because a hot Blood producing pungent Seed, irritates the Seminal Vessels, which ends in Dis- charges; so far as these Parts exceed in Quan- tity, they require to be drawn off. As to the Quality of the Seed, you must vary the Remedies as the Causes differ; so that if it be too hot or acrimonious, Refrige- rants are useful; but if too watry, then such as heat it become necessary. Amongst the Refrigerants are esteem'd, Acetosa, Lactuca, Portulaca, (22) Portulaca, Sem. 4. frig. maj. & min. and such like; out of which, at the Physician's Plea- sure, and according to the Patient's Palate, various Prescriptions may be made. For Example, let the following be or- der'd: ꝶ Aq. Cichor. ʒv. Acetos. ʒjß. Syr. Corall. ʒj. Tinct. Rosar. ʒjß. M. f. Mistura, cochleatim exhibenda. This Mixture wonderfully mitigates the Heat, and hath both a Regard to the imme- diate Cause, namely, the acrimonious Seed, as well as to the remote one, to wit, the Bile, whose Heat and Pungency it checks effe- ctually. The same also may be accomplish'd by the following Emulsion, viz. ꝶ Sem. 4. Frig. maj. ana ʒj. Papav. Alb. ℈ij. Amygd. Dul. N°x. Cum Aq. Hord. q. s. M. f. Emulsio cum Sacch. edul- corand. & haurienda ad libitum. And it seems to conduce to this Disorder very much, since it answers many Indications at once; for as it consists of refrigerant and oleous Particles, it does not only check the Heat of the Bile, but its Acrimony also, and helps (23) helps the Strangury, if there be any. If the Bile abounds, it is to be discharged; if the Matter tends upwards, and if the Pa- tient be troubled with a Nausea, then we must administer an Emetick; but Manna, Syr. è Ros. Solutiv. Diaprunum Simplex, Ta- marinds, (nay, sometimes Scammony may be required) to discharge the Humours down- wards, which may be given in the Form of Pills, Bolus's, Powders, or Draughts, as best agrees with the Patient's Palate. The following Bolus is a very good one, viz. ꝶ Cons. Rosar. Pallid. ʒj. Rhabarb. Elect. ℈j. Resin. Jalap. gr. v. Sp. Lavend. gutt. vj. Cum Syr. è Spin. Cervin. q. s. M. f. Bolus pro unâ vice. But if Pills please the Patient better, then prescribe thus: ꝶ Mass. Pil. de Rhabarb. ℈ij. Scam. Sul- phurat. gr. iij. Crem. Tartar. gr. v. Cum Elix. Prop. q. s. M. f. Pil. N° 8. qua- rum sumat 4. h. S. & reliquas mane. Such as are better pleased with an Electu- ary, I recommend to them a Cholagogue E- lectuary of Rhubarb, Senna, and such Ingre- dients, which will carry off the abounding Bile; (24) Bile; which Discharge being made, the Re- mainder is readily corrected. But if the Disorder takes its Rise from watry and serous Humours in the Body, their Abundance is also to be discharged; to which end, Jalap. Mechoachan, Juice of Iris Nostr. and such like, which do not only purge and carry off, with Ease, the Serous, but also all other Humours. Out of these, various Forms, to wit, Powders, Bolus's, Pills, De- coctions, or Infusions, may be contrived. The following Bolus I have often made use of with Success: ꝶ Cons. Flor. Persicor. 3j. Pul. Jalap. ℈j. Scammon. Sulphurat. gr. iij. Sal. Ab- sinth. Elæosacch. Caryoph. ana gr. ij. Syr. de Spin. Cervin. q. s. M. f. Bolus pro unâ vice. The Serous Humours may also be conve- niently empty'd with Sudorificks or Diure- ticks. These following are reputed good Sudorificks; namely, Aqua, or Spir. Sambuci, Spiritus Juniperi, Rob. Sambuc. Rob. Juniperi, Decoct. Ligni Sancti; Sassafras, Essentia Lig- ni Sancti, Essentia Sassafras, Antimonium Dia- phoreticum, many of which are also Diuretick. But the most Specifick Diaphoreticks in this Case are Mithridate, fresh Venice Treacle, Dias- cordium (25) cordium Fracastorii, and such like, which do not only provoke Sweat; but do also, at the same time, contribute to put a Stop to the Flux: For they consist of warm Drugs, which are, Saffron, Cinnamon, Thlaspi, Seseli, Opobal- samum, Nutmegs, Stæchas, Costus, Galbanum, Turpentine, Castor, Pepper, Storax, and Mace; Nardus, Cardamom, Calamus Aromaticus, Va- lerian, Ginger, Gentian, Vipers, Myrrh, Di- ctamnus, Daucus, and such like; and also of Astringents, such are, Acacia, Terra Lemnia, Gum Arabick, Roses, Tormentil, Bistort, Bole Armeniac, Sem. Hypocistid. and the like: So that whilst the warmer Parts of the Medicine exhale the watry ones thro' the Pores, the more Earthy act their Parts by pursing up the Mouths of the Passages. The Diure- ticks are the five opening Roots, which are celebrated among Physicians for provoking Urine; Fennil, Parsley, and Chervil Water; the Syrup of the five Roots; and many Chy- mical Remedies; such as, Tinctura Salis Tar- tari, Expressio Milleped. is a good Diure- tick. When you have discharged the abound- ing Serum by various Passages, the Flux must then be remedied, by rendring the relax'd Parts more rigid. Hence, Astringent Medi- cines seem chiefly useful, and such as do strengthen the laxer Parts: Such are, Nut- E megs, (26) megs, Bole, Terra Sigillata, and such as by long Experience have been so approved, as to merit the Name of Specificks; and such some have reputed the following, to wit, Semen Agni Casti, Os sepiæ præparatum, Semen Plantaginis, Succinum, Corallia rubra, Polygo- num, Bursa Pastoris, C.C. ustum, Crocus Mar- tis astringens, Ebur, Lapis Hæmatitis, of which enough may be seen in Authors, out of which various Forms may be composed. The fol- lowing Powder has often succeeded: ꝶ Sem. Agni Casti, Os. sepiæ præparat. Pulv. nue. Mosehat. ana ℈j. C.C. ust. Corall. præp. Lap. Hæmatit. ana ℈ß. Croc. Mart. astring. gr. vj. M. f. Pulv. divid. in Chart. N° vj. This Powder constringes wonderfully, but is not to be administer'd too hastily with- out premising Generals; give a Scruple at once, or more, in a Spoonful of the follow- ing Julep, drinking three or four Spoonfuls upon it: ꝶ Aq. Germin. Querc. Plantag. ana ʒijß. Syr. de Symphyt. ʒj. M. f. mistura. And that the Virtue of the Medicine may more readily be convey'd to the discharging Orifices, (27) Orifices, Astringent and Corroborating Me- dicines may be injected into the Urethra by a Syringe, which, with singular Advantage, do correct the Laxity of the Parts. Such In- jections may be compounded of Polygonum, Plantago, Tormentilla, Agnus Castus, Rosa Rubra, and such like; too tedious to be enu- merated here. If the Heat of the Kidneys be trouble- some, we may apply outwardly the following Ointment: ꝶ Ung. Refriger. Galen. ʒß. Ol. violar. ʒij. Camph. ℈ß. Sacch. Saturn. gr. vj. M. f. Unguentum parti affectæ illinen- dum mane & sub vesperam. If the Venereal Disease has given Rise to it, which very frequently it does, we must carefully avoid the Use of Astringents too hastily; for altho' the Gleet looks like an ordinary one, produced from Excess of Ve- nery, yet in this the Blood is render'd Cor- rosive, and its too sudden Retention would soon make us sensible what Energy it has to exulcerate the Seminal Parts: Wherefore, as few suspect this Circumstance, they ordi- narily proceed as if there never had been any Malignity, or as if it had been only Lo- cal, and by Consequence never succeed well E2 in (28) in the Cure of this Gleet; however, I can averr with a great deal of Truth, I very sel- dom fail of a radical Cure: For by using proper Exiccants along with Astringents, and also such Remedies as are Specifick in this Venereal Taint, Success follows. It often happens, that the vicious Hu- mours are so mild, that Evacuation alone serves the Turn. Forestus, in his 26. Book, Obs. 16. gives an Instance of a young Man, who had a Virulent Gonorrhœa and an In- flation of the Testicles cured by him, with Purgatives only, without having Occasion to recurr to the Woods or Astringents; but such Cases are rare. If then the Virulency be mild, I recom- mend to your Use the following Purging Infusion: ꝶ Rad. 5. aperient. ana ʒj. Sarsapar. Ci- chor. ana ʒß. Fol. Chamæd. Tamar. ana mß Flor. 4. Cordial. ana p. j. Fol. Sen. Alex and. ʒj. Rad. Jalap. Mechoa- can. ana ʒj. Sem. Anis. Rad. Galang. ana ℈j. Incis. & præpar. f. ex Sindone Nodulus Vino vel Cerevisiæ infunden- dus; unde æger bis aut ter singulis Di- ebus haustum sumat. But (29) But if the Patients delight in Pills, the following are useful: ꝶ M. P. Coch. min. ℈j. Extract. Rud ℈ß. Resin. Jalap. gr. ij. Ol. Caryoph. q. s. F. Pil. N° 5. primo mane cum Regimine sumendæ. But if the Disease be more radicated, Mer- curius Dulcis is an excellent Remedy, which may be made up into a Bolus in the follow- ing Manner: ꝶ Cons. Flor. Anthos ʒß. Mer. Dul. ℈ß. Resin. Jalap. gr. iij. Cum Syr. Caryoph. q. s. M. f. Bolus, qui unâ vice sumatur. The Body being well emptied, we must have Regard to the Venereal Taint, which is looked upon as an acrimonious Venom, for correcting of which, Oleous Drugs are well fitted; among which may be recounted, Emulsions; and Terebinthinates are also of great Use, whether in Pills or Spirit. Dr. Bates, in his Dispensatory, has a Balsam which he calls Balsamum Saturni, which he takes from Dr. Michael, Professor of Leypsick; and it is thus made, ꝶ Spir. Terebinth. ℈ij. Camph. ℈ß. Sacch. Saturn. gr. vj. M. f. Bal- samum per Digestionem. Of this the Patients may (30) may take five or six Drops in Liquor, drop- ping it first on Sugar, twice or thrice a Day: It does not only correct the Acrimony, but it digests the Ulcer in the Urethra, by irri- tating the Parts to Excretion, and also sof- tening them by its Oil; so that they will readily discharge their Contents; and at the same time, or rather somewhat after, by its Styptick Particles, it purses up the Mouths of the Passages, so that it bids fair for all Intentions. Hence, Balsam of Sul- phur is here an excellent Remedy, and an- swers most Intentions. The Essence of Sas- safras has proved successful in Gonorrhœa's, when other things have fail'd; which is made in the following Manner: They take Sassafras Wood, an Ounce; and Spirit of Wild Thyme, a Pound; and digest them to- gether for twelve Hours in a Sand-Heat. Of this they give a Dram at a time, twice or thrice a Day, in any Vehicle; and this Tin- cture is ordinarily call'd, the Catarrhal Tin- cture. Inasmuch as it helps to dry Defluxi- ons, so in like Manner it dries Gleets; and more particularly Watry ones, because, be- ing of an oily Volatile Nature, it is stock'd with pungent Particles, which irritate the Pores and Kidneys, and provoke them to part with their thin Parts by Sweat and U- rine; so that the Fluids remaining in the Vessels (31) Vessels become thicker, and less fit to escape so readily; and moreover, Aromaticks are secondarily Astringents, inasmuch as by emp- tying the Blood of its Serous Parts, the Fi- bres recover their Elastick Force. But as I design to be more particular in this Case below, I shall omit any farther Descant on it here. In Gonorrhœa's, Regard must be had to the Strength of the Patient, since a large Effu- sion of Seed weakens prodigiously, and ex- hausts the Spirits; wherefore the Body is to be refresh'd with Restoratives, which can repair the Spirits, and cherish the Native Heat; which Aromaticks perform with a sin- gular Power; which being well known, I omit the naming them. I shall add some few Observables concerning the Diet of such as are afflicted with this Ailment. If you will please to reflect on what I have advanced concerning the Causes of this Disorder, you can be at no Loss to know what Diet is proper in the various Kinds of it; for the Diet varies with the Causes: Because if the Gleet proceeds from a hot and acrimonious Seed, such Meats surely are to be shunn'd; if from an Abundance of it, as in young Men it may, we must cause them to avoid such Diet as will produce it; and, in a more particular Manner, they must shun all (32) all flatulent Diets; because as they consist of Elastick and Fermentative Particles, they cause the Semen to turgesce and irritate great- ly to Expulsion; and from hence appears the Reason, why Hypochondriac People, who are much subject to Flatulencies in the Sto- mach, Blood, and Nerves, are often so Sala- cious. If the Fuel of this Disorder lodges in the Serum, so that a more Watry Seed is the Cause of it, then must they shun all cooling and watry Victuals and Drinks, and must use such as will incrassate and exiccate. If, in fine, it has been introduced from the Ve- nereal Disease, they ought to refrain from acrimonious Diet of any Species. Do we not daily Experience, that they whose Blood abounds with Saline Particles are very Sala- cious? Witness such as labour under an E- lephantiasis, where there is an inexhaustible Stock of very pungent, and almost corrosive Salt in the Mass of Humours. Now the Se- cretions are always of the same Nature with the Blood, from whence they are thrown off: Wherefore the Seed is also pungent, sharp, fretting, and irritative; and therefore it must follow, that a Gleet in such a Con- stitution must be hardly curable. The Diet of such as have contracted this Disorder by Onanism, ought to incrassate and con- stringe. The (33) The Symptoms attending Gleets are now to be consider'd; for whether the Cause ceases or is taken off, they also will disappear; yet, if they are urgent, they require a particular Regard. If then any violent Pain in making Water should accompany Gleets, which however is seldom the Case, unless it pro- ceeds from a Virulency, and that usually in the Beginning; yet, I say, if such a Symp- tom should infest the Patient, Emulsions made of the Cold and of white Poppy Seeds, in which ℈j. or ʒß. of Sal Prunellæ is dis- solv'd, given largely and often, do answer this Intention effectually for the most part; but of this more anon. If the Testicles should chance to swell, as sometimes they do in Simple Gleets, then Cataplasms made up of the Roots of Althæa, Line Seeds, Fænugreek, and such like, are to be apply'd Morning and Evening: The Rea- son of their Swelling in this Case is the same as in other Cases; namely, the Humours flow to the relax'd Parts, without Resistance, and distend them beyond their ordinary Limits. As for the Ulcer in the Urinary Passage, it must be consider'd in the next Part, as it chiefly belongs to it. Since I am closing up this Discourse, it will be of Use to such as would cure this Disorder, to observe, that a Gleet which has continued for some Years upon a Patient, F ought (34) ought not to be too suddenly check'd, because customary Discharges, tho' prejudicial, re- coil into the Blood, and produce all those Changes common in Plenitudes and vicious Qualities; witness, the Stoppage of old Issues and Ulcers; the watry Discharges from Childrens Ears, or the Sweats of Feet or Hands. As a Dissuasive from one main Cause of Gleets, I shall only observe to you, that GOD excludes those from the Kingdom of Heaven, who are guilty of such Softnesses as Onan was; that if you were sure to avoid certain Death by doing it, you should not attempt it: But so blind is Mankind, that it follows its Passions with Eagerness, at the Expence of Religion and Reason. Would they seriously consider that this Practice is Homicide, it might abate their odious Plea- sure; and that it is such, is evident from hence, that it impedes the Propagation of our Species, since that, which would have lawfully contributed to this End, is de- stroy'd. PART PART II. Of the Virulent Gonorrhœa. SINCE it is certain, that a Know- ledge of any Disease is an Intro- duction into the Road which leads to a proper Cure, and into an easy Invention of Remedies, we must first en- deavour to acquire that, before we come at these: And we shall readily accomplish our Ends, if we explain to you the Disease, the Symptoms that attend it, its Causes, Signs, and such like; which, that we may perform in a regular Manner, we will begin with its Etymology, and so proceed. But as in the first Chapter, I have been particular about its Name; I shall only ob- serve to you, that Galen by γονας understood τα γενητικα μορια, or the Genital Parts; and he seem'd to assert, that the Name denoted the Cause and its Effect at once; namely, that the Genitals were prejudiced, and that Matter therefore did flow from them. F2 And (36) And as this Disease is double, having al- ready dispatch'd the Simple, we now come to the Virulent Gonorrhœa, on which I shall be as brief as the Largeness of the Field will allow. I have just now given you the Nominal Definition of this Disorder, let me there- fore come a little nearer to the Purpose, and give you its Real one; which, however, give me leave to observe, is variously described according to the Humour of each Writer; but I shall wave all useless Disputes on this Affair, as foreign to the present Purpose, and give you a short, easy, and graphical Description of it, drawn from stern Obser- vation. By a Virulent Gonorrhœa is understood, an Involuntary Effusion of corrupt and conta- gious, purulent and fœtid Matter, in Men by the Penis, in Women by the Pudenda, which is often attended with Pain, and sometimes with Pleasure. I say, an Effusion of Matter; for as this Flux is Local at first, it proceeds from the ulcerated Glands in the Urethra, and not, as was formerly imagin'd, from the Testes; but if it be deeply rooted, from the Corpora Glan- dosa, as also from the Orifices of the Vesicu- læ Seminales. The Ancients, and even the Moderns of fifty Years standing, believed that the Swellings in the Testicles could pro- ceed (37) ceed from no other Cause than the Corrup- tion of the Seed; and Platerus upon this Head says, a Virulent Gonorrhœa proceeds from a noxious Quality, which the Seed in Coition receives by Contagion, from the Seed of another Person infected. However, I shall anon refute this and other erroneous Opinions very manifestly; for later Disco- veries having proved the Contrary, we owe our exacter Knowledge of this Matter to the Diligence of Anatomists. It is not Con- sequential, that the Disorders of the Testes depend on the Affections of the Urethra, or of these upon those; the Observation now mention'd shews it plainly; and one out of Riverius farther confirms it, since a Person, whose Testes equal'd those of a Horse, did not however void any Matter by the Ure- thra. Notwithstanding it is very true, that there is a near Affinity between these Parts, and an Affection of the Testicles will greatly affect the Efflux of Semen, as a Disorder in the Urethra will have a very great Effect upon them. No less a Person than Regner de Graaff, affirm'd, that the Left Testicle of one had grown to the Bigness of a Fist; such Spoils, says he, do they often bring off, who wage War in the Camp of Venus: And therefore has it been inferr'd by many, that the Testicles were the Seat of this Disease. We grant in the Simple, but can't allow this to (38) to be the Cause in the Virulent always. We might, with the same Justice, affirm the Scrotum to be the Seat of it, because we of- ten find it distended and corrupted in this Disease, as will appear by the following Observation. Some Years ago, a Person labour'd under a Virulent Gonorrhœa for a considerable time, till by Neglect, or, what is worse, a preposterous Method of Cure, the Scrotum was tumify'd to the Bigness of a large Fist, was greatly inflamed, and had begun to impostumate so much, that Emol- lients and Discutients had no Effect upon it, and that it was Pappy and Fluctuated; so that there was a plain Indication for Suppu- ratives; which being accordingly apply'd, the Tumour (fully ripe) was open'd, and from it issued Plenty of Matter; and then it appear'd, that the Testicles were free from any Injury; this Swelling follow'd the im- prudent Suppression of the Clap, as we of- ten see a Bubo to ensue upon the like Mea- sures. Now this only proves, that Diseases may be translated into Parts, which at first were not at all affected, and this is confirm'd by daily Observation. Having thus dispatch'd the Definition of a Clap, I shall go forwards to the Parts af- fected, which are the Humour and the Or- gans of Generation in Men and Women. It (39) It may seem surprizing to some nice Di- stinguishers, that I repute the Matter as a Part affected, since some affirm that the Sub- ject of Health and Diseases is the Parts of a Living Body; but I look upon these Niceties as Trisles: For have not all Ages unani- mously consented to divide a Human Body into the Parts Containing and Contained? and therefore, the offending Humours in this Sense may justly be esteem'd a Part: For the Humours are equally necessary with the Structure and Frame of the Parts; and in Organical Parts, the Diseases of Intemperies or Cacochymy, are never produced without presupposing the Humours contain'd in the Parts; and moreover, in curing Diseases, we generally or principally direct our In- tentions towards the correcting these Hu- mours or Spirits. Among the Parts affected, we reckon the Organs of Men and Women, not excluding younger Creatures, which, late Experience has taught us, may be touch'd with this Dis- ease; let us only call our Arraignments into Mind, where we often find it register'd how Children of both Sexes are infected by vile Practices; and no Question can be made of the Manner, since the warm Poison is ap- ply'd to the Parts, and is thus communicated to the Blood itself, the Pores of Infants are open, and their Fibres susceptible of any Taint; (40) Taint; their Stamina are tender, and resist no Effluvia. We therefore repute the Urethra, the Pro- statæ, the Vesiculæ Seminales, and Testicles, the Parts affected in a Clap. Persons who have been executed whilst they were afflicted with this Disorder, confirm this Opinion; for according to the Length of Time they have suffer'd it to reign upon them, the Parts have been daily more and more cor- rupted, and generally in the Order I have set them down; because the Steams issuing from the infected Women, first attack the Prepuce, Glans, the Passage in its lower, and so gradually mount up to the higher Parts; by which it appears, that these Steams are of a fix'd Nature, and that Friction is re- quired to communicate them: From whence it comes to pass, that young Persons are less subject to this Disease, considering the num- ber of Attempts, than the advanced. An open Instance of the Fixtness of Steams is recounted in Dr. Mead's Treatise of Poison, where he shews us that the Dog must be held very low down in the Grotto del Cane, if you design to have him suffocated; the Colour given to the Earth, amounts not above a certain Pitch; and the Steams con- verted into Liquor, return into the Earth, and circulate into subterraneous Passages: So fares it with Persons infected with the Gonorrhœa; (41) Gonorrhœa; the Effluvia enter their Pores, corrode the Parts, circulate into the Blood, and communicate Poison to the very Bones, which so much corrupts them, that they rot, and become thereby unfit to support the Body: An Instance of which we have in Do- natus, where he tells us that the Bone of the Arm of a Man was fractur'd by the Attempt of throwing half an Orange at his Compa- nion, which he there weakly attributes to Unction with Mercurials for Cure of the Venereal Disease he had labour'd under; whereas he ought rather to have accused the Distemper than the Remedy; since we daily experience a Caries to be the Consequence of a Lues. A like Story is told us by Cap- pivaccius, as is another by Hildanus, where the Os Humeri was fractur'd by drawing on a Glove. Altho' we rarely meet with such Instances at present, yet many dismal Sights are offer'd to us daily, which have taken their Rise from the Ignorance of pre- tending Men; who, for the sake of Gain, venture upon Methods very unwarrantable, and which the Practicers are wholly at a Loss about. Surely the Practice of Physick is easy to be attain'd to, or the Multitude is strange- ly imposed on! As it plainly appears, a virulent Gonorrhœa is an Ulcer, we shall briefly recite how and by what Means this Ulcer is generated; and G the (42) the easier to conceive this, it may be neces- sary to descend to explain the Nature of Cau- sticks. We see, that whenever a Caustick is apply'd and begins to take Effect, the Skin burns with Pain, and the Medicine pene- trates and corrodes it more or less deep, according to the Strength of the Caustick. A Blister is a Species of a Caustick, and seems to approach near to the Degree of the Cor- rosive Force lodged in the Effluvia of a Lues; with this difference, that it is quicker. That Causticks should act, Moisture and Heat are required; Moisture dissolves the Salts of the Caustick, and Heat puts them into Motion. For Salts to be put in Motion, it is necessa- ry there should be some external Agent; be- cause if they are not dissolved, and if they are not borne against the Obstacle they are to re- move, there would be no Action; that is, there would be no Corrosion of the Flesh. When Particles, framed with such a Figure as may penetrate and act, are put in Motion, they tear and divide Parts united; and when the Humours are extravased, they ferment into a Pus; and thus are Ulcers bred. The Salts of the Lues are of the like Nature, the Steams condense, and fix upon the Pas- sages employ'd in Copulation, and produce Ulcers there. However, it is certain, no Ul- cer is bred without an Abcess; so that the Steps taken by Nature are, first, a Pungency from (43) from the Steam raised by the Friction; and this appears from Chymical Experiments, where some Steams are known by Expe- rience to be dangerous: Nay, if we chance to play with Chymical Experiments, the Steams arising are plainly proved to be Pun- gent, Acrimonious, and Caustick, by rai- sing Coughs, Sneezings, and by corroding our Linnen; cause a more plentiful Influx of Humours into the Part so prick'd, and a Stoppage to their Passage: To this a Swel- ling and Throbbing ensue, from the great Quantity heap'd up in the Part, and which cannot pass on in the Course of Circula- tion; and as more arrives than can be con- vey'd, the Part must swell: The Throbbing is only a Struggle among the Humours, stopp'd in their Course; and to these two last is owing Pain, increased upon touching the Parts; so much, that the Patients cannot bear squeezing of the Urethra: The Glands at last burst under the Plenty of Humours, throughly putrified, and raise the Ulcers in the Part. How this Venom was at first produced, is easy to conceive, as also how it might be re-produced, if it should ever cease. Exces- sive Venery will produce a Weakness of the Spermatick Ducts, whether of the Vesiculæ Seminales or Parastatæ, and a Running G2 of (44) of Juice or Prostatick Seed, as a Conse- quence of this Relaxation: But then there is a wide Difference between a Clap and a Simple Running, as I have already made evident; for a Clap is an Ulcer, and a Run- ning is a Flux of uncorrupted Seed, which is variously constituted, according to the Parts from whence it comes, that of the Prostatæ being ropy, clear and thin, but that of the Vesiculæ being white and curd- ly. Whether this Difference may not be accidental, I shall not determine; for as the Gall of the Porus Biliarius differs in Con- sistence from that of the Gall Bladder, that being thinner than this, by reason of its wanting a Reservoir to lodge in, where it may have Leisure to rest and grow thicker; so it may fare with the Liquors of the Pro- states and Seed Bladders, that if the former do but stand still for any time, it might thicken into the Consistence of the true Seed; and if the latter were to run out as soon as received into its Place of Residence, it might be as thin as the Prostatick Seed: I say, it is not worth while to set about to discuss this Moot-Point; only as the Case stands at present, the Difference is easily adjusted in Practice, and is as I have now mention'd; which being allowed me as Truth, if ever an Ulcer is produced by such a Running, it gives full Warning of its Rise and (45) and Progress; but then it would be local only, nor would its Consequence be ever dreaded, as is the Case of a Clap; which, if not cured, creeps into the Blood, and by its Means corrupts even the Solids and Bones. Behold then the Vanity of such As- sertions, and the Mistake a Physician would be under, if he trusted to such an Opinion; because by such an Error he might be led into prejudicial Methods; he might cure an Ulcer of the Urethra, and leave a Pox behind. In the whole Course of my Thirty Years Practice on this Disease, and its va- rious Stages, I have never once met with any Ulcer in the Passage from a simple Running; so that what I have granted, or rather admitted, is even too large an Allow- ance. But it would be Loss of Time to descend to those Particulars in so small a Pamphlet; wherefore I shall content my- self to enumerate the Symptoms of the Disease. It is an Efflux of purulent and stinking Matter from the Urethra; it is an Ulcer of that Part; it is also an Ulcer of the Prepuce and Balanus. In Women there are Condylo- mata, Pustles, and Ulcers: In either Sex there are a Heat of Urine, Inflammations and Excoriations on the Penis, and in the Vagi- na; and sometimes a total Suppression of Urine from a Caruncle in the Passage of the Yard; (46) Yard; a Phimosis, Paraphimosis, a Bubo in the Groin, and at last a Lues. I can't but think Fracastorius unjust, in pinning this Disorder upon the French, in the following Verses: Qui casus rerum varii, quæ Semina, morbum Insuetum, nec longa ulli per Sæculavisum Attulerint: Nostra qui tempestate per omnem Europam, partimq; Asiæ Lybiæq; per Urbes Sæviit, in Latium verò per tristia Bella Gallorum irrupit: Nomenq; à Gente recepit. I say, since it is manifest the Spaniards themselves brought it from the Indies, it would be unfair to ascribe its Origin to ei- ther Nation; since it is plain that the original Cause was Commerce held with the Indians, no farther Search needs be made about its Rise; only for its immediate Cause, in our Times, it is reputed to be an acid Acrimo- ny, lodging in the Rugæ of the Vagina, or the Urethra of Men. To prove this Species of Acrimony, the following Reasons claim our Assent; the Mat- ter flowing is generally whitish and greenish, the Ulcers on the Prepuce are white; and in a Venereal Bubo, when it is broke, the Matter which flows out is white, drawing upon a green: Now all our Humours turn greenish by Acids, and Ulcers made with Causticks (47) Causticks are white; whereas those made by any Alcaline one, are black. Then a Lixivial Salt for the most part sticks in the same Place, and seldom ever ranges farther: On the other hand, an Acid always creeps farther; and so the Poison contracted in Coition creeps to the neigh- bouring Parts, and produces various Disor- ders. If this Gonorrhœa be neglected, all the Humours are infected, and then a Lues is produced. That this Acid is acrimonious, is proved from Medicines which assist and prejudice; and also from Medicines which temper Acidities, or break their Points, be- ing reputed good in Venereal Cases. But how the Particles of Acids are so dis- posed as to be acrimonious, is a Dissertation not to be discuss'd here; they who would be inform'd in this Matter, must consult Modern Philosophy. The primary Symptoms and their Causes being explain'd, we come now to the Prog- nostick Signs, since the Diagnosticks are well enough known from the Definition and Ex- planation of the Disease and its Symptoms; for if there be an involuntary and continual Efflux of purulent and fœtid Matter; if there be a Heat in making Water; if there be Ulcers in the Prepuce and Glans, and such like Symptoms meeting together in any Person, they constitute the Pathognomonick Signs (48) Signs of a Virulent Gonorrhœa complete; when, at the same instant, a Venereal In- fection has preceded; and a Flux of Matter out of the Urethra issues daily. As to the Prognosticks, as Aretæus justly observes, there is no Danger of Death, un- less it be accompany'd with other grievous Symptoms; and the less it has receded from a natural State, so much the less is it to be fear'd; for if the Strength suffice, the Acri- mony be less intense, the Heat of Urine be slight, and the Effusion be sparing and not troublesome, it is a good Sign; for as the Vehemence of the Symptoms denotes the Degree of Virulency, so it must follow, that there is little or no Fear of a Lues to succeed a moderate Gonorrhœa. I remember a Gen- tleman who bore a Gonorrhœa without any Danger ensuing for two Years; he infected none, nor did he neglect his Diversions; and probably would have sought no Remedy, if he had not design'd to change his State of Life; it lessen'd daily; but his Apprehensions of what might be the Consequence in the State of Marriage, made him apply, and he easily obtain'd a Cure. Another I knew, who ventur'd upon Styptick Pills at the be- ginning of a Clap; they had the desired Ef- fect of entirely suppressing the Running; and some Years have pass'd since, without any apparent ill Consequence. However, I must (49) must confess, these are Instances, no Man in his right Senses would take for Patterns; for where one succeeds, a thousand suffer for such Neglects. The Physician himself does not exactly know how to pronounce what Matter it is, which being continued or suppress'd, will not produce a Pox; and methinks, it is Fool-hardy in a Patient to venture his Carcass with such an Enemy within him for a Sojourner: So that I meet with few Examples of such Management, without a severe Punishment ensuing upon their Neglect; and therefore, would advise all without Exception, to distrust their Con- stitutions, and not to flatter themselves with the Gentleness of the Symptoms: 'Tis suf- ficient, you have a Gonorrhœa, to take care of yourself; 'tis not so troublesome to be cured, as to feel the Pangs, the Disease, lurking within you, will surely produce in a little Space of Time. I can't here pass by an Invention too commonly in use amongst the Salacious Lechers: I speak of the Ma- chinery, so common amongst these Men of Pleasure. In the first place, it turns Forni- cation into the reputed Crime of Onan; in the next place, if it be faulty, as often it is, you are in the same Danger as if you were without it; and lastly, it is too fre- quently the Occasion of Dry Poxes: So that the Patient having no Apprehension, is H strangely (50) strangely surprized to find he has Venereal Symptoms upon him, without having had any Clap or Running; and what was look'd on as a Misfortune, may rather be term'd a Blessing; because tho' a Gonorrhœa be troublesome, yet it gives us Warning in time: Whereas by the Use of these Ma- chines, we are lull'd asleep with the Hopes of Security, till we are awaked out of this Lethargy by Buboes, Scabs, Rotten Bones, and Nocturnal Pains. I can't attribute the Frequency of Dry Poxes now-a-days, to any other more probable Reason than this; if we abstract from the ignorant Practice of Injections before due time, or of astringent Injections at the Beginning and Progress of the Disease, as many do for Colour; for Practitioners are now well skill'd in the Cure of Claps, and few trust to Bunglers to cure them: So that where one is Pox'd with an ignorant Cure, twenty are thus sauced by this wary Invention, as it is falsly supposed to be. I can affirm justly, that Salivations are now more frequently used in the Cure of this Disease, than even Ca- tharticks themselves; and the Reason is, be- cause now more are Pox'd than Clapp'd. Let others assign a better Reason, and I shall acquiesce; till when, I shall not change my Sentiments. And as it is a Matter of great Consequence, I hope the Reader will par- don (51) don this useful Digression upon it. It is worth Remark also, that Men are, by this wicked Deceit, Clapp'd by Men, since it is not unusual for these vile Houses to have Setts of these Machines by them, which they give to their Customers tor Use; and these having been often used before by Persons sorely infected, the Venom is never careful- ly wash'd off, but sticks close to the Inside of them, and upon Friction it is warmed and put in Motion, and gives the unwary Combatant the very Disease he is endeavour- ing to avoid; so that in quo quis peccat, in eo & punitur. There is yet wanting a Ra- tionale of the Manner of being Pox'd by this artful Machine to complete this Digression; which I shall the more willingly do, because I don't find it has been as yet attempted by any other Person. I say therefore, that not- withstanding this vile Practice, Persons are daily Pox'd by them; because as the Penis is hard, and large enough to fill up the Va- cancy, by reason of its Erection and Size, it must follow that the nasty Virus contain'd in the Lacunæ of infected Women, will issue forth, there being no other Exit for it; and bespatter the Scrotum, Groin, and adjacent Parts; which being heated with Motion and Love-Rage, the Virus enters by the Pores, and gradually advances up into the Blood, without the Symptoms usually previous in H2 the (52) the common way of Commerce; and then the Shankers, which in the ordinary way were only local, are now plain Indexes of a confirm'd Pox; and Practitioners do now always advise Salivations whenever they see a Person seiz'd with a Shanker, because they most usually judge right when they inferr, such a Person has a Shanker; therefore he is Pox'd: This, I say, is true for the most part; for were Shankers local, they might be cured by Application alone; but gene- rally Externals alone, without due Regard to the Infection by Internals, do Pox the Patients: And hence it is a safe Prognostick, to pronounce Shanker'd Patients Pox'd. Now for Men to be Pox'd without any No- tice given them of their Condition, is a mi- serable Exchange; and beside impairing their Bodies, it costs them treble the Money and Loss of Time. So that it is very plain, our Inventions and Subtleties, carried on to prevent the Punishments of our Crimes, are not sufficient Guards against the Almighty's Pleasure, which seem to be to punish us gently and early, that we might repent suddenly; whereas this Invention is a Mine often too deep for us to sap. However gentle a Clap may be with respect to a confirm'd Pox, yet even that sometimes is not without Danger; for if the Strength of the Patient is suddenly wasted, the Acri- mony (53) mony and Quantity of Matter, which is much discolour'd, flowing forth, an extreme Dysury, a total Suppression of Urine from a Caruncle, a Venereal Bubo in the Groin, a Tumour of the Scrotum, and such like appear; if it yields not to proper Remedies, if it is malignant and threatens a Pox, such a Clap is by no means to be neglected, since it will be the Occasion of a long Train of Evils; and, as Aretæus says, the Fear of De- formities, and a total Wasting, ought to make us cautious and diligent. Before I proceed to the Cure, I shall add one or two Remarks more upon the Distin- ction between a Virulent and a Simple Go- norrhœa, which I forgot to mention in the first Part; namely, a Virulent Gonorrhœa is contracted in a short Space of Time, by one Act of Copulation; whereas a Gleet re- quires many Acts repeated, since it depends on a Flaccidity brought on gradually by fre- quent Acts of Coition or Fribling. A Vi- rulent Gonorrhœa seldom or never yields to Stypticks without Danger; whereas a Gleet, from repeated Acts, may be cured by Lo- cals only. I must also beg the Readers Patience, to add a Word or two concerning the Distin- ction to be made between a Gonorrhœa and the Whites; because Physicians are grosly imposed on by the Women in this Point, R. de (54) R. de Graaff, (de Mulier. Organ. &c. Cap. 9. de Flux. Menstruor. Pag. 141.) gives us the following Marks; they (the Gonorrhœa and Whites) are so nearly the same, that unless a Physician takes a great deal of Notice, he will easily be deceived by the Resemblance, altho' they proceed from different Parts, and be thrown forth by distinct Places; since the Whites are thrown out of the same Ducts by which the Menses flow, which we judge for this Reason, because we see such Chan- ges in the Menstrual Blood, that at first it issues forth like unto a Victim, as Hippocrates observes, then it becomes less florid; anon it appears pale and white, and is therefore call'd the Whites. But the Dissection of the Corpse of a certain Woman, infected with this Disease, made it plain, that a Virulent Gonorrhœa comes from the Corpus Glandosum, and breaks forth by the Lacunæ, and round about the Urinary Passage; for the Uterus and Vagina being free, we found only the Corpus Glan- dosum, or Prostrates, placed around the Uri- nary Passages, affected. But some will say, how shall the Physician know these things, if a Woman profess herself chaste, honest, and free from the Knowledge of a Man? He may however judge, if he give an Eye to the Matter that flows, and the Complaints of the Patient; for (55) for the Matter of the Whites is much more copious than that of the Gonorrhœa or Clap. If you consider their Complaints, Women troubled with the Whites, have Pains in their Backs; but these afflicted with a Clap, com- plain of grievous Pains and Anguish about the Pudenda: But if you are not content with these Signs, look into the Parts them- selves; for then in a Clap you will see the Urinary Passage, and all round that Part, where the Lacunæ terminate in Ducts, beset with a mucous, putrid, greenish Matter, and an Ulcer; most other Parts of the Vagina being usually clear; but in the Whites not so. And Baglivi declares, from others, a Per- son afflicted with the Clap or the Whites to be thus discover'd: If, says he, you ask them whether they have the Whites and Reds to- gether, and they answer in the Affirmative, you may boldly pronounce they are Clapp'd; and this confirms what I have mention'd from de Graaff; because the Menses and Whites come from the same Glands: But the Menses and Clap proceed from different Parts. Therefore it follows, that the Blood and a white Liquor cannot issue forth at one and the same time, from one and the same Part; but that the Reds and the Matter of a Clap may, because they come from different Parts: (56) Parts: So that when both run at once, 'tis plain they are Clapp'd. I know this has of late been call'd into Question, by some who are troubled with a Spirit of Contradiction; but since the Case is most usually such, as de Graaff and Bagli- vi have described it, I think we may readi- ly subscribe to their Sentiments; not that it is to be deny'd, that sometimes it happens we see very Virulent Gonorrhœa's extending themselves as high as the Os Tincæ; but these are rare. The design'd Shortness of this Treatise does not permitt me to enter into a longer Detail; wherefore, I shall drop Spe- culations, and proceed to the Practice or Cure of the Virulent Gonorrhœa. Many different Methods are pursued by Authors of sound Judgment, and all of them gain their Point; not that one Method is not better and shorter than another, and yet safe enough too. Some premise Alteratives to Purgatives; some blend Alteratives of all Kinds proper for the Disease, together into one Mass: Some, again, cure without Astrin- gents; others purge without giving any other Remedies. I am not at leisure to dis- cuss all these Points; I shall give you the most reasonable Methods of Practice in as short and easy Terms as the Disorder can allow of. I (57) I say then, that this Disease is cured in a regular Method by Purgatives and Alte- ratives, Internal and External. The Efflux of corrupt Matter in a Virulent Gonorrhœa, does not admitt of that Method of Cure, which curbs and retains the Flux; for in the Beginning we must by no means use Astrin- gents, or hinder the Efflux, lest that Virulent Matter being retained in the Body, should erode and exulcerate the Parts adjacent also; but we must rather take heed, that instead of what Nature evacuates, somewhat Ana- logous don't spring from Infection, or the Symptoms increase: For when the vicious Humours are discharged, if the Disease is gentle and mild, it frequently ceases of its own accord. Only this I think we may af- firm with Truth, that whoever applies early enough, can never fail of Cure, and even an eradicating one, if he meets with an honest and knowing Physician or Surgeon: Which Affair being duly consider'd, it is very a- mazing to meet with so much ill Success as I daily experience, of Patients that apply to me, in this Learned and knowing Me- tropolis: But when we consider the Increase of Pretenders to this Practice, and the ma- ny Invitations in our Papers for Patients to apply themselves to Men who have the Art of giving themselves and Medicines high Titles and Encomiums, without any just I Grounds (58) Grounds or Merit for such Pretences, my Wonder ceases: Or can I enough pity such credulous Persons, who are thereby often tempted to Toy-Shops, Booksellers Shops, and such Places, to buy their Specifick and Arcana, so artfully recommended by fictitious Names and specious Titles. It were to be wished that we could as easily discover Mens Intellects, as we can distinguish between Beauty and Deformity; I am afraid in that Case we should see many unhors'd and dis- mounted, and obliged to walk the Streets, in the Name of the Lord, who now glare in Equipages: Interest would have no Sway, where Life lay at Stake. So Forestus assures us, he cured a young Man of a Gonorrhœa, and a Swelling of his Testicles, by Purga- tives. For this end, the following Prescrip- tions are regular: ꝶ Tamarind. ʒß. Fol. Sennæ ʒij. Sem. anis. ℈j. Coq. in. s. q. Aq. Petrosel. ad ʒiij. in Colatura dissolve Mannæ & Syr. Rosar. Solut. ana ʒj. M. f. Po- tio cum Regimine sumenda. ꝶ Mannæ Calabrin. ʒij. Cass. recent. Ex- tract. ʒj. Aq. Northallens. lib. iij. M. Hauriat gradatim. ꝶ Pulp. (59) ꝶ Pulp. Cass. ʒj. Resin. Jalap. gr. vj. Te- rebinth. Venet. ʒij. M. f. Bolus. ꝶ Scam. Pulverisat. ℈j. Resin. Jalap. gr. x. Troch. Alhand. gr. xij. Mer. Dul. ℈j. Succ. Glycyrrh. ʒß. Ol. Cary- oph. gutt. v. M. f. Pil. N° 8. pro dua- bus vicibus. ꝶ Diagryd. gr. vij. Crem. Tart. ℈ß. M. f. Pulvis. If the Disorder be gentle, the following Nodule, consisting of Alteratives and Pur- gatives, is commendable: ꝶ Rad. Chin. Lign. Guaiac. ana ʒij. Rad. Jalap. Mechoacan. ana ʒj. Fol. Sen. ʒj. Sem. Cardam. Rad. Galang. ana ℈j. In- cis. & præpar. f. ex sindone Nodulus, qui vel in Vini, vel Cerevisiæ s. q. est suspendendus, ex quo æger bis vel ter singulis Diebus haustulum sumat. I must however observe to you, that there is somewhat peculiar in Mercurials to con- quer this Malady: Its Weight breaks the Points of the acid Virus, after it has first im- bibed it; for in the Course of the Circula- tion, the Salts, rubbing against the Sides of the Containing Parts, and being brittle, are I2 broke (60) broke off from their Points, which are stuck into this Globular Body, as Pins into a Ball; so that they, from being Conical, turn trun- cated, and can't pierce nor tear the Fibres, as they would otherwise do. Salts do Da- mage according to their Weight and Figure; and Pointed Salts do infinitely more Damage to our Vessels, than Octohedrals, or Angular Bodies; but the Salts of the Lues are Dag- gers, which at once prick and cut: And it is known by daily Experience, that Mercu- rials sheathe them, and then break them. Let ignorant Pretenders decry what they cannot use with Judgment, I do highly com- mend them for it; it is very improper Men should trust themselves with Creatures who avowedly shun the most effectual Methods: First, they don't know how to use this Spe- cifick: Secondly, if they did, they never appear to prevent, or wisely take off Con- sequences, even the safest of Remedies may be accompanied with; and therefore, they decry for their own Sakes only, not their Patients, what they cannot use. Into what Depths of Villany do Mortals run, when the best of Remedies is to be laid aside, be- cause their Privacy is not to be exposed, and because they can't appear to manage! And it fares ill with Persons who have purchased their ill-prepared and worse-applied Reme- dies; for what can be expected but Relicks, the (61) the Pretenders ought to be punish'd for leaving there. When Catharticks have been given to such a Quantity, as that the Colour of the Run- ning is changed into a white and laudable Matter; then it is necessary to proceed to Alteratives; and the Reason is this; in all Ulcers, of what Denomination soever, our first Intention is to deterge the Parts, and clear them of their great Acrimony residing in the Part affected. Now Catharticks abounding with smooth or Alcaline Particles, at once give a Shock to the Urethra, and correct specifically the Acid lodging there; so that one Part is discharged, and the other is changed for the better, the Colour fairly denoting it, as Practice confirms. This first Step being made, we study to clear the Parts of all they are too much loaden with, from whence they are turgid and inflamed around. We encourage this Discharge, till the white Matter becomes ropy and glutinous, and till the Part, upon feeling, and touching it somewhat rudely, is not accompanied with the Sense of Soreness; for if it should, it is a Sign all the Inflammation, or Virus from whence it proceeds, is not yet banish'd. The Medicines made use of for completing the Cure of a Gonorrhœa, are of a soft and volatile Nature; the Softness supples the Fibres, whilst the Volatile stimulates them to (62) to a Discharge: For which Intention, the following are of Service. ꝶ Terebinth. Venet. Coct. ʒß. Ocul. Can- cror. ʒj. Bals. Peruvi. vel de Copayb. q. s. M. f. Pil. N° 70. Pul. Glycyrrh. aspergend. Dos. mane & vesper. N° v. ꝶ Sp. Terebinth. ℈ij. Camph. ℈ß. M. f. Mixtura digerenda, de qua sumat gutt. x. in Vino vel quovis Vehiculo, prius super Saccharum instillando. ꝶ Balsam. Salphur. Succinat. ʒß. Dosis gutt. viij. in quovis Vehiculo. ꝶ Sp. Vini Terebinthinat. ʒj. Dos. gutt. xv. vel xx. in quovis Vehiculo. When you have used these Cleansers for some time, and there be no Remains of Vi- rulency in Consistence or Colour, or no Sore- ness in the Part, but there remains a small watry Gleet, we must then have recourse to Stypticks, if need be; wherefore use the following, or such like: ꝶ Terr. Lemn. ʒj. Sang. Dracon. ℈j. Alum. Rup. gr. x. Terebinth. ad Duritiem Coct. ʒjß. Syr. de Symphyto q. s. M. f. Pil. N° xii. è ʒj. quarum sumat iv. mane (63) mane & vesperi; superbibendo Aq. Bristol. Haustulum. ꝶ Rhabarb. Tost. ʒj. Terebinth. ʒij. M. f. Bolus sumendus semel in Septimana, & repetatur singulis (per aliquot vices) Septimanis. Or Helvetius's Mixture of Rock Allom, melted in a Silver Spoon, with Dra- gons Blood, into a Mass; to which some add Rhubarb or Common Rosin, and mix it into an Electuary. These, and many others, frequently to be met with in Authors, are commonly used with good Success; but in my own Practice, I often, at the latter End of the Cure, blend Balsamicks with proper Purga- tives, and seldom find (unless in weak, shat- ter'd, or broken Constitutions) any Occasion for Stypticks. Stypticks act in the following manner: We are to inspect into the Nature of a Run- ning first, in order to have a just Notion of curbing it: In Runnings, whether Virulent or Simple, the Humours ought to re-circu- late into the Vessels, and ought to drop no- thing into the Orifice, from whence at pre- sent there is so great a Discharge; But the contrary happens; for the Humours run which (64) which way they find the least Resistance, that is, thro' this Orifice, and weaken the Patients by the Expence of Spirits. Now it manifestly appears, that there is a greater Patency and Wideness at the Hole from whence this Discharge comes, than there is in the Vessel; and Stypticks are given, or rather applied, if possible, to the Part so widened, in order to lessen the Bore of the Vessel, and so to hinder the Discharge, which they do by sucking up the Humours; and as the Parts are deprived of the exces- sive Moisture, they purse up, each Part of the Circle coming closer, and rendring the Diameter less, the Flux at last ceases. There is only this Difference between giving Astringents, and applying them, that if they can be applied to the Part immediate- ly, they affect the diseased Member only; whereas when they are given inwardly, all the Vessels are alike straitned; and it is lawful enough to conclude, that if the Ori- fice you aim to heal be closed up, all the other Vessels of the Body will be straitned in Proportion; for which Stricture or Con- traction the Patient has no Occasion, and some other Disease may ensue such a Ma- nagement. This is one main Objection I have lodged against Astringents in the Cure of a Gonorrhœa; and if I am left to my own Choice, I would rather deferr the Use of (65) Of Astringents, or rather never use them at all, there being other effectual Methods for compassing this End. However, we are too often importuned out of our just Measures, to gratify our uneasy Patients, who would otherwise fall into other and perhaps worse Hands, and are constrained (for I must call this a Constraint) to fall into Measures we don't approve: But as we foresee the Con- sequences of such Proceedings, and know how to prevent them, we have the Advan- tage of others less knowing; for when we have completed the Cure by this Method, which I must call somewhat irregular, tho' commonly follow'd, the Patients become easy, and also ready to join in with you, in taking whatever you judge proper to era- dicate the Remains of the Disease; that is, in plain Truth, to undo what your Astrin- gents have done to the Vessels, which would lay a Foundation for future Diseases. Thus are we often circumstanced in Pursuit of and in Compliance to a vulgar Error, which we have not Courage to withstand, or Rhetorick enough to discourage. I speak this by way of Warning to Persons con- cern'd; and when they know my Senti- ments, let them take which side of the Que- stion best suits their Time and Safety; no Blame can lie upon me after this publick Admonition. K I (66) I am well aware, that some hasty Practi- tioners give Green Precipitate and Turpeth. Min. and revulse the Humours so powerful- ly, that in a very small Space of Time the Flux abates, but then this is a flattering Method, it cures by inviting the Humours inwards, and almost infallibly Poxes the Patient. There are an Infinity of irreconcilable Sentiments concerning Methods of Cure; but surely there are certain and nearly uner- ring Means how to judge which is the justest Scheme: If we take only a View of Nature, as she performs her Works and Functions ordinarily, we can be at no Loss to know how far she errs; and as nothing virulent ought to be return'd into our Vessels, that being an extraneous Body to Nature, it is not hard to perceive how much such a Proce- dure deviates from her: In excessive Vomit- ing, and such is raised by these strong Mercu- rials, all the Vessels of the lower Parts are unloaded and the Humours hurried upwards; so that whatever used to find a proper Pas- sage, is licked up into the Blood; and what may we not expect from such a preposterous Management? In short, it is translating the Burden into another Channel, and we are obliged afterwards to labour to extirpate it. Indeed it sometimes happens, that we are obliged to take this Method not out of Choice, (67) Choice, but we do it to avoid a greater In- convenience; for Example, the Venereal Poison settles upon the Testicles, which may be thus inflamed, and at last impostumated, and the Patient will then run the Risque of being unmann'd: In that Case it is more eligible to draw off these virulent Humours from these Parts, and eradicate them throughly afterwards, by proper Means, than to suffer so great a Detriment. This Part then is reputed a nobler Part than the Vessels; in this Part the Humour is settled, and in them it floats; from this Part it is not easy to be recalled, but from them we can by proper Means draw them off, and hinder any farther Prejudice ensuing from thence: So that the Disparity lies thus, namely, where the Humours are thrown off thro' any proper Passages, it is convenient to excite a greater Flux thro' them, rather than to recall them again into the Mass, where there may be Danger of corrupting the Whole: But where they are as danger- ously fix'd and riveted as they possibly can be, as in the Case of the Inflammation of the Testicles, then Preservation of the Spe- cies, and the Conservation of Life, do both concurr to oblige us to hazard a Retraction of the Humours from that Part; for which sort of Mistake, or rather hard Choice, we are forced to take a good deal of Pains to K2 retrieve (68) retrieve the Juices if injur'd, or to prevent their Corruption from the Retreat of the Humour. If the Penis be painfully stretched like a Chord; or if there be an Inflammation, or an Ulcer, that is considerable, we must change our Method a little: If the Inflam- mation be the Cause of this Chordee, we must take Blood away, and use Fomenta- tions of Emollients, and we must use Emul- sions. What Purgatives are administer'd, ought to be very smooth and gentle, such as Cassia, Manna, Cream of Tartar, and the like. Glysters are also of Use, and the Pa- tient must avoid all warmer Diet and Spices. If there be an Ulcer already generated, we must inject into the Urethra by a Syringe, Barley-Water warm'd, to deterge and wash off the acrimonious Salts; or Milk, in which the Trochisci albi Rhasis, with Opium, are dissolv'd warm, in order to lenify and appease the Pain, if need so require. A painful Erection, and a sort of tearing Pain at the Frœnum or Bridle, is call'd a Chordee; so that when the Salts trickling down the Urethra raise an Irritation, the Spirits flow plentifully into the Yard, and its Muscles implanted at the Root of it; as, this Bridle being shortned, hinders the na- tural Bent of it upwards; these contrary Tendencies raise præternatural Pains, which are (69) are extremely troublesome, and Culpam pœna premit Comes. In short, this Disorder is always Inflammatory, be the Original Cause what it pleases; so that the Tension and Pain do principally indicate Relaxation, by warm but emollient Fomentations, or smooth and oily Medicines internally. When the Stretching and Pain are over, then we may use the following Prescription to heal the Parts. ꝶ Tereb. Venet. ʒij. Camphor. ℈ß. Tere- binthinâ prius lotâ cum Aq. Plantagin. M. f. Mistura danda in Cochl. Syr. de Althæâ Fernelij. If notwithstanding all your Care and Ap- plications, the Flux should still continue, it is a great Sign of Malignity, and threatens a Pox; wherefore, for Precaution's Sake, the Patient ought daily to take, Night and Morning, a Dram of Diascordium, or Mi- thridate, according to the College Pharma- copœia, and drink above it half a Pound of Decoctum Guaiaci warm, and continue this Method for twenty Days; and to use the smaller Decoction of Guaiacum, call'd the Bochet, for ordinary Liquor, observing a drying Diet, and now and then administring a proper Purgative. What (70) What is meant by this Word Malignity, may be better understood, if we descend to some few Particulars, and which I am the more willing and ready to explain, be- cause some of my Patients have enquired about it, and others have made Objections against the Term, as being either obsolete, or void of Signification: But if a greater Quantity of Poison, and a greater Degree of Keenness of its Points, may not be digni- fied with the Title of Malignity, I give up the Term: If it may, then you are to know, I mean no more by it than a great deal of keen Poison lodged in our Vessels, and which is to be resisted with Discharges thro' the Pores and Intestines, and with a strict Perseverance in proper Methods; since stronger Remedies are indicated, and a full Pursuit must be enjoin'd. If Ulcers infest your Patient any where, first Detersives are convenient, and then Ci- catrizers: In every Venereal Bubo, we must attempt Suppuration upon any Terms; and the Tumour being suppurated, must be open'd, even tho' it should be but half ripe; or a Caustick apply'd, opens a Bubo effectu- ally, for it corrodes one Part, namely, that which is under it, and the other distant Par- ticles around, it puts in Motion; so that in twelve Hours, or less, Suppuration will ad- vance more than in a Week before: When it (71) it is open'd, we must cleanse and consoli- date. Hence, for an Abstersive, use the following Liniment. ꝶ Succin. Alb. Myrrh. Rabr. ana ℈ß Croc. Orient. gr. vj. Album. ovi N° j. Sacch. Crystall. ʒj. Aq. Euphrag. ʒijß. M. f. Linimentum. When you have so cleansed it, you must dress it up with Unguent. Basilicon, along with Red Precipitate, to carry off all Sloughs and hasten Digestion. When by Digestion the Parts are subsided to a natural Size, the Lips and Ulcer look finely Red, mix'd here and there with white Specks; and if it be fill'd up, then it is high time to cicatrize with the following, or such like. ꝶ Coral. Rub. præp. Thuris ana ʒß. Sief. albi Rhasis, Corn. Cerv. præp. ana ℈j. Plumb. ust. gr. xv. Mell. Rosat. q. s. M. f. Linimentum. ꝶ Plumb. ust. Sief. alb. Rhas. Sarcocoll. Sacch. Saturn. ana ℈ß. Aq. Rosar. ʒij. M. f. Mistura. I know it has been affirmed, that Buboes must by no means, or upon no counter In- dication, be stopped in their Career; but I beg (72) beg Leave to dissent from these Sentiments in some Instances: For Example, a Person labours under a Bubo, as one Symptom of the Disease, whilst a great many as dan- gerous Accidents, as can befall the Diseased, concurr at the same time and accompany it. In this Case, the Suppuration of the Bubo would give a good deal of Trouble to the Patient, but would not promise a Relief suitable or proportionable to it; for still he would have new Accidents to grapple with, and would be far from being a whit relieved: Wherefore in such Circumstances, the only Remedy would be a general one, which would strike at all the Accidents attending, and root out all the Symptoms at once. Such Remedies there are, and such should be apply'd, without considering the Bubo, whether it might be suppurated or not. Caruncles and Fungus's springing up in the Urinary Passage, arising from the injured Glands in the following manner, according to the Sentiments of Malpighi on Fungus's elsewhere; namely, the Ulcers bred by the Acrimony of the Virus, are richly sup- plied with Matter, some of which is viscous also: This viscous Part turns fibrous; so that the Parts growing beyond measure, fill up the Cavity of the Urethra; and growing sound by a false Union, leaving the Acri- mony blunted by the Viscosity, this Tumor is (73) is generated, call'd a Caruncle, as if we should say a little Fleshy Tumour. But upon a strict Enquiry, I find that Caruncles are really Cicatrix's left upon curing Ulcers of the Urethra; for having lately had an Opportu- nity of seeing a Person dissected, who was long infested with Caruncles, the Urethra, which ought to be smooth and equal, was much wrinkled and shrivel'd up in one Place particularly, which hinder'd the ready flow- ing of the Urine, and divided it into a dou- ble Stream, as any the least Inequality will do. So we observe in a Channel or Tube, which if ever so little unequal, the Liquor flowing thro' it will come out, divided into a double Stream; and as in outward un- seemly Cicatrix's we corrode them down to an Equality, or even below it, in order to make them smooth; so it is practised in Caruncles, that they are to be gently eroded, and then healed with strong Desiccants, which render the Channel smooth. If we don't compass our Ends, the Consequence is a continual Danger of a Sharpness of Water upon the least Irregularity in Li- quors; for upon such Emergencies, the Blood is loaded with eager Particles from thin Champaign, or other small French Wines, glutted into our Stomachs, and communi- cated to our Juices. Let no one call this Assertion into Question, since it is evident L that (74) that Gouty Persons experience, upon such Debauches, these small Wines give them Fitts infallibly: Their Forbearance of such Liquors on that Head gives us Assurance, we are not out in our Conjectures; and in like manner it happens to Men who have been ill cured, or who have been so unskilfully handled as to have a Caruncle left in the Urethra: They upon these Intemperances frequently do experience Pains, and very sharp ones too, upon making Water, so as to impose on the most sagacious Physicians, and even to make them believe there is a Stone, or some such Disaster, in the Blad- der; for which Opiates themselves in Gly- sters have been found useful. This Sentiment I find lately confirm'd by the Learned Dr. Freind, in his History of Physick, Vol. II. P. 390. The Part thus bred is too tough to yield to Discutients or Astringents; we even are obliged to have Recourse to Instruments at last; however, we first attempt gentle Ca- tharticks to break thro' its tough Coats, and thrust them into the Passage. Where- fore the following Plaisters will be of Use, fix'd upon a Wax-Candle's End. ꝶ Ung. Fusc. Felicis Wurtz. ʒij. Emp. Diapomph. ʒiij. M. f. Emplastrum. ꝶ Li- (75) ꝶ Lithar. Aur. Flor. Sulph. ana ʒiij. Tutiæ præp. ʒij. Minii ʒß. Ung. Ægyptiac. ʒj. Mell. Rosat. q. s. M. f. Unguentum illinendum Candelæ Cereæ, eamque in Urethram immitte, bis terve quovis Die renovando, usque dum mundifica- tio absoluta sit. Consolidation is not better perform'd than by an Amalgam of Mercury, according to Dr. Barbett's Opinion; wherefore, ꝶ Plumbi ʒij. liquefacto, adde Argenti vivi ʒij. Efftunde super Chartam; amal- gama hoc exiccatum & pulverisatum cum emplastro de Plumbo vel Diapom- pholigos misceri potest, eoque inuncta Candela Urethræ modo dicto insera- tur. I am well aware, that Blegny believes Ca- runcles may at first be discuss'd or exiccated; but few experience this Opinion true: But he gives one good Caution concerning the Medicine to be thrust into the Urethra; namely, he says Ointments are very impro- per to be thrust in, because they are apt to melt with the Heat of the Part, and bedaub all the Urethra; so that instead of corro- ding the Caruncle alone, we experience the L2 Mis- (76) Misfortune of making the Urethra one con- tinued Ulcer; and thus increase the Pa- tient's Misfortune, and bring on intolerable Scaldings, and, perhaps, worse Consequen- ces; wherefore I like his Method, and shall transcribe it. With respect to their Consistence, says he, I cannot be persuaded that Ointments, by reason of their Liquidity, can be convey'd to the Carnosities by a Wax-Candle, with- out being retain'd in other Parts of the U- rethra; and Plaisters are too hard and solid to be spread upon the Caruncle, and to stick upon it when they have once come at it: And lastly, the Powders and Injections may gnaw and corrode the sound Parts of the Urethra, as well as the Excrescence: Besides that their Parts are not so much united as to be convey'd either by the Wax-Candle or Syringe, exactly upon the Place affected, and far less to be kept upon it. For these Reasons, I have been obliged to contrive the following Composition; namely, one Dram of Calcin'd Alum, of Præcipitatum Rubrum, Orpiment, and Verdigrease, of each half a Dram, finely powder'd and mix'd in one Ounce of Red Desiccative, and so boil'd together, that it may not have the usual Li- quidity of Ointments, nor the Consistence of Plaisters. A (77) A Scalding of Urine, attended with vio- lent Pain, is a common Symptom in Claps; and as it depends on Acrimonious Particles in the Urine, gliding over Parts ulcerated, we must endeavour to blunt and even stu- pify the Particles and Parts. Hence Oleous Draughts and Opiates are commended; wherefore, we commonly give Emulsions, and in them Sal Prunellæ; but these are of- ten too weak and slow, and then we give ʒß Syr. Papav. in Emuls. Sem. 4. Frigid. major. vel minor. or ʒij Syr. de Mecon. in a Draught of Emulsions, often in a Day; and what is most surprizing, Spirit of Salt itself is a Spe- cifick in this Scalding, given to ten, fifteen, or twenty Drops in Barley-Water; for if it be given in any Emulsion, it precipitates the oily Parts. I say this is an odd Phæno- menon; for whereas I have hitherto settled the Venereal Virus to be an Acid, it may justly be objected to me, if the Poison is Acid, how comes it to pass, that an Acid will relieve Symptoms produced by an Acid? To this I answer, that Experience teaches us that some Acids are contrary to others; and that therefore the same Expe- rience informs us of the Particulars. Dr. Grew having observed this Appearance, had Refuge to a Subalcalizate Salt, lurking in the one unobserv'd but by Experience; and it (78) it is certain, from the Solution of Copper or Silver in Spirit of Nitre, or Aqua-fortis, and its Precipitation by Spirit of Salt, that these Spirits have some Dissimilitude of Prin- ciples accountable for by Experience only; for tho' all three taste Acid, yet we see the Spirit of Salt, or the other two, have some Alcaline Particles: And Sigogne seems to hint, that the Venereal Virus is of a Vitrio- line Nature; now all know, that Salines do precipitate, and therefore correct Vitrio- licks; and probably the Secret he boasts so much of, may be the Sal Enixum of Brine, which is purgative. In a Tumor of the Testicles, where the Humours are pent up and stagnate, the In- tention is to be directed to disperse them; but by this Method it is sometimes to be fear'd, we may do worse, than by letting them remain there; for as the original De- sign was Evacuation thro' the Urethra, and such as would have run off that way, are deposited here, Suppuration seems to be re- quired, that their Suppression in that Part may be recompens'd by their Discharge in this. However, Physicians look upon the Conservation of the Species to be above Par, with regard to the Taint of the Blood, and do therefore rather choose to hazard it in the Mass, than to have any Harm befall the Manhood. (79) Manhood. Hence it is, that besides Dis- cutients and Emollients made use of to put the Humours in Motion, and remove them out of the Ducts composing the Testicles, Emeticks are frequently administer'd, and Ointments, Plaisters, and Fomentations, are apply'd externally, for the Sake of revulsing and dispersing the impacted Humours, that no Damage might ensue to the Man. This Care is necessary not only to prevent Loss of Virility which might ensue; but also Ab- scesses and Sinuous Ulcers, commonly attend- ing Suppurations there; and by Conse- quence, the Destruction of the Individual. Hence Cataplasms, made up of Althæa Roots, Lillies, Line Seed, Fænugreek, Rose- Buds, and such like, boil'd in Milk, taking Care, left by the imprudent Use of such Applications, the Patient be thrown into a confirm'd Pox; which he certainly will, if there be no timely Provision made against this Enemy you have remanded into the Vessels. This cannot be more effectually done, than by Catharticks join'd to Mercu- rials; and, if Necessity requires it, whilst the Testicles are greatly pain'd and inflamed, Bleeding ought to be put in Practice, which may sometimes be required more than once. This Discharge hinders too plentiful an In- flux of Humours into the Testicles, and by (80) by Consequence a Suppuration, which, as I have remark'd to you, is as carefully to be shunn'd here, as it ought in all Internal Inflammations; for as no Guess can be given how far the Obstructions may reach, and there is so strict a Connexion between the Kidneys and the Testicles, 'tis odds if the Inflammation is imprudently managed, that the other may ensue. 'Tis to be remark'd, that a lying Posture is the best in time of the Cure. A Phimosis is a common Accident attend- ing Claps; where the Glans is cover'd by reason of the Swelling; and this Swelling is caus'd by the Grossness of the Juices sticking in the Capillaries, which are de- termin'd into this Road so plentifully by the imprudent Administration of Physick, or some other such Violence. There is no Difference in the Cure of a Phimosis, whe- ther from a Venereal Case, or from the catching of Cold, save that Venereal Tu- mors arise from the Mass, and the Acciden- tal from the Air; but both occasion a Vis- cidity in the Juices; and therefore, as to the Part affected, 'tis the same thing. Tumors are to be discuss'd, suppurated , or cut; we rather choose to discuss a Phimosis by Discutients and Emollients, such are Fo- mentations, or Cataplasms made up of Chamomile (81) Chamomile Flower, Mellilot, Elder, Linseeds, Mallows, and such like; to which Spirit of Wine ought to be added: If these should fail of their Effect, we come to the Ope- ration; for which I referr you to Books of Surgery. The Paraphimosis being the same sort of Tumor, but in which the Glans is uncover'd, so as not to be able to get the Prepuce over; the same Measures are to be taken; and these failing, Recourse must be had to the Operation also. Thus, kind Readers, have I dispatch'd a Virulent Gonorrhœa, and its common Atten- dants. Such Symptoms as advance higher, and shew a considerable Taint in the Blood, retain to the next Part, and shall be spoke to as largely as the Brevity intended will permitt me. For tho' what follows is a di- rect Sequel of this, yet the common Mea- sures allotted for the Cure of Gonorrhœa's and their Symptoms, as they do not accord with the Cure of the Lues or Confirm'd Pox; or at least not being sufficient to de- stroy so great a Load of impure Leaven in the Mass, which is in this Case sorely in- fected; it is very proper to treat them a- part; since a Spark and Flames don't re- quire the same Care and Diligence to be extinguish'd; for tho' they be of the same M and (82) and individual Nature, yet the Degrees dif- fer. So fares it with Persons under a Clap, and a Confirm'd Pox: The first is seated within Sight; but the latter does not only betray itself externally, but also implies Danger from Sources unseen. PART PART III. Of the Lues, or Confirm'd Pox. IF we have Regard only to the Name of this Disease and its common Symptoms, there is not a Disease more known than the Pox; but if we give a Look to its Nature, we may say none is less known. Many in- deed have wrote very useful things concern- ing its Nature, Signs, and Properties; but, in my Opinion, not all things, by which a safe and secure Practice in all Events may be relied on: Whose Sentiments, altho' I can't approve of, yet to avoid Prolixity, I shall forbear refuting. It will be sufficient to touch slightly upon two Opinions, which have been heretofore contrived to solve Phænomena, they fancied, could not be well otherwise solved. Some there were, who held that the Pox was in- troduced by a certain Heap of invisible Worms, which, however, they affirm'd they M2 could (84) could discover in the Parts affected, with Microscopes: Which thing, whether there be any Truth in, let the Authors of this whimsical Opinion prove, who call in their Eyes as Witnesses; but I fear lest such In- struments as they use, don't so represent the Matter itself, as it is in Nature, only as the Strength of Fancy dictates to them.—Be this as it may, for I don't think it worth while to enquire strictly into the Truth of this Assertion, no useful Conclusion arising from it for promoting Practice, which is my chief End, unless they perhaps would conclude from thence, that Mercury is the principal Antidote against this Disease, because it is a known and experienced Remedy against Worms; which, believe who will, I can't come into their Measures; neither does the Reason they bring, altho' it be specious, and Fact as to the Remedy, persuade or con- vince me: For altho' we should admitt Mer- cury to have a very great Force against Worms in Children; yet it may have none against these supposed ones, since they may be of a different Nature to those in them; as Audry has very learnedly of late disco- ver'd. The other was an Opinion which may yet prevail with Persons who have a mind to destroy the Notion of Salts in our Bodies: If our Juices can neither be reputed bitter, sour, (85) sour, salt, nor acrimonious, the Cause of this Disease must be esteem'd some occult Qua- lity; that is, we plainly must acknowledge we know not what is its Nature. Wherefore, before I explain my Senti- ments on the Cause of this most grievous Disease, I must warn my Readers of one Point; namely, that they would not think much to peruse cursorily this small and short Treatise, before they offer to pass Judg- ment; for if a Part should fail to gain their Assent, the Whole, unless they read it with a Prepossession, hardly will; or, however, unless such Pretenders should peruse it, as fancy their Judgment ought to pass for Ster- ling: But that I may not vainly entertain you, I say, that a Lues is an Acid Effluvium drawn into the Body by the Pores of the Parts destin'd for Generation. It is very strange how Men will stand out against full Evidence; there are Numbers of Instances to prove Salts in our Juices, and yet many there are who cry down any Da- mage ensuing from thence; or, however, without any Regard to these ravaging Bo- dies, they trust to a Receipt, to an Arcanum, to eradicate the Disorder, and call all Rea- soning in the Cure slippery. Where is the Difference between the Quack and Physi- cian, if the Case stands thus? The one and the other trust to Receipts alike, they both reason (86) reason alike; and I can't see, but their Ti- tles to Practice and Success are equal, only the Physician may know better; but if he contemns that Knowledge, is he not exactly upon a Level with the Quack? What proves it an Effluvium or Steam, is its pas- sing thro' the Pores of a Machine, now too much in use; and what need we wonder at this, when Liquors themselves, gross as they are, will pass thro' the Pores of our Skin and of a Bladder, if I am well in- form'd. Do we not see how the Steams of the Sympathetick Ink pass thro' a Book of a large Size? And surely these are full as subtile and as destructive; Steams are only those Bodies we see, reduced into very mi- nute and component Parts: The Air, as a Press, forces them up by its Weight, and they yield by their less Gravity, so that in mounting they pierce our Sensory of Smel- ling, and twinge us; and this is true in the Acid Spirits, as well as the Volatile. Which Sentiment, before I attempt to establish, lest Disputes may arise about Words, you are to observe two things; by an Efflu- vium, as is said, I understand a certain thin Matter, or certain slender aereal Corpuscles thrown out and attracted in the Time of Copulation: By an Acid, I mean hard, fria- ble, conical, and septical Salts, whose Cor- puscles being dissolv'd, associate themselves with (87) with the minutest Particles of any Liquors, and arrest their Motion, and corrode the so- lid Parts; and in short, the Lues is nothing but this Acid Effluvium communicated to the Parts, which creeps insensibly into the Blood. For the most part, an impure Em- brace is the immediate Occasion of this Ve- nomous Aura, by which the Parts are de- filed, in which it lurks for three or four Days, and sometimes for as many Months, without giving any Signs of Infection, till at length it changes and perverts the Sper- matick Parts by its acute and pungent Par- ticles: What Body, save an Acid Effluvium, could lie so long conceal'd in the Parts, without producing tremendous Effects? For were it of a very volatile Nature, the Warmth of the Body dissolving it, there would im- mediately ensue Symptoms very terrible. Whereas it appears to be an inactive Venom in the Beginning, but dreadful in its Con- sequences. If there be any Art in Poisons, those from Animals Juices perverted seem to be the Ingredients most adapted for them; a plain Instance of which appears in this Lues, where it shall lurk for a Year with- out producing its Effects: Another we have in the Hydrophobia, where ordinarily the Symptoms do not appear till six Weeks after the Bite, and many times not till a Year af- ter; altho' in the Bites of Vipers, and some others, (88) others, the Poison is quick, and sudden Re- lief is required, or the Patients sink under the Anguish immediately. In short, from whence, if not from this Acid Vapor, deep- ly communicated to the Body, do proceed those Scirrhous Tophi in the Joints, Nodes, and hard Tumors all over the Body? I say, from what other Cause arise a Numbness of the Parts, a Laziness and Weariness of the Body, a Sadness and Melancholy, if not from this Humour? For it congeals all our Fluids, and renders them sharp and pun- gent. As a farther Testimony of this Humour, let us consider the Sleepiness in the Day- time of such as are infected, and Restlesness at Night; for as the Patient by Day is sub- ject to rest from Weariness, arising from the thicken'd Juices; so by Night the Warmth of the Bed puts in Motion these fix'd Humours; and they being sharp and acu- leated, are hurried forward every where, and prick and gall the Membranes unmerci- fully, and introduce Pains, which we call Nocturnal, disturbing our Natural Slum- bers. If what is affirm'd by some grave Au- thors be true, to wit, that many have been infected by excessive Venery alone, by dissipating the Native Heat, and occasion- ing a chill'd Blood, from whence Symptoms of (89) of the Venereal Kind have commenced; then it will be a Confirmation that however the Blood is render'd fix'd and acid, it would become venereally affected: But I much suspect such Histories of Credulity; wherefore, shall only observe, that Persons thus affected seldom become Feverish; which shews the Nature of the Humour offending. Moreover, we perceive, that the Reme- dies point out to us the Cause; for Vene- real Persons are cured by warming and vo- latile Medicines; Guaiacum being the chief Antidote known in the West Indies, from whence we first receiv'd this Poison. Or, however, the Poison is to be obtunded and resisted, which are truly the Properties of the Guaiacum; for Guaiacum, if distill'd, affords an Acid Spirit and an Oil; and if re- distilled, gives also a Volatile Salt, that is, it gives out an oily Volatile Salt, both vir- tually and actually, by which it cures this virulent Disease. However, Guaiacum is hardly a sufficient Remedy in our Climate, where the Pores are not near so open as in the West-Indies; and therefore, Dr. Lister pays too great a Compliment to it, or ra- ther mistakes its Virtues, when he makes it a Remedy against the ill Consequences of Mercury and the Pox too; not but that it is an excellent Remedy; but it will not an- swer here, as every common Practitioner N can (90) can affirm; because our Pores being closer, and the Humours being more pent up than in a warmer Climate, these Humours don't so readily make their Escape thro' them, as thro' other Passages; the Stomach, the In- testines, and Salival Glands, being found by Experience to pass them more effectually here, than the Miliary Glands do: But in general, warm and obtunding Medicines have a good Effect in Poxes, if they are not forbid by some dangerous Circumstances; and if they are, we wander much from the genuine and eradicating Cure, and only in- sist upon the Palliative. And since I have mention'd this Place from whence we first received this Disease, the Reader, I hope, will pardon a small Digression upon the Manner of its Rise. Some Authors, I know, believe, it was in Being in David's Time, who complain'd of having a Pain in his Bones; and do farther say, that the Blotches of Egypt, the Scabs and incurable Itch were plain Signs of this Disease. Others again do believe, Sueto- nius meant this Disease in describing Caius Augustus's Disorder; as does Tacitus when he speaks of the Distemper of Tiberius; and that Hippocrates, in mentioning Rottenness of the Bones of the Nose and Palate, means this Disease. But it must be granted, that all these are ambiguous Assertions; and if this (91) this Disorder could have been propagated in the ordinary way, it must have been in very early Days known in this our Isle; since the Romans could not want Subjects enough in a conquer'd Country to propagate their Fe- male Conquests also: Whereas it is certain, it was never spoke of by the Physicians, whose Province it was to register it, till af- ter the Conquest of the West-Indies by the Spaniards. In that large Continent there- fore, and no where else, must we seek for its first Origine, and as little Satisfaction can be expected from a brutish People, so I am afraid the most accurate Account must be taken from Historians, who doubtless have receiv'd lame Accounts from these conquer'd Pagans. Oviedo has described, among other Animals, Quadruped Serpents, call'd Inguanas, which the Indians fed greedily upon; and the Spaniards finding them luscious Victuals, also eat plentifully of them: He says, their Flesh was more pleasant than that of Rabbits; and adds, that they hurt none, save those that were Pox'd; which Disease, altho' they had been long cured of it, this Diet did them immediate Damage, and even renew'd, and again excited this Distemper, altho' they had been many Years cured of it; which, says he, our Men experienced by innumerable Ex- amples: Thus far this Historian. Now, as a N2 certain (92) certain Diet may produce Diseases, so may it happen in this Case; and as Dr. Lister on this Head observes, those Serpents used to be beset with Condylomata, as Men and Women are with the Pox; so he thinks it natural to believe, this Serpent first pro- duced it by being the common Food of the Indians. He confirms all this by the Hydro- phobia; where it is observ'd, that the Bite of a mad Dog produces a peculiar sort of Madness; so he does not see why a peculiar Disease might not spring also from a pecu- liar Diet. Howeyer, as nothing can be affirm'd on this Head, I leave these Disputes to the Curious, who have leisure Time to search into such Trifles: My Task at present is foreign to this Enquiry, having confined myself to the Practice. It remains for me to explain the Manner, by which the Pox seizes us, and creeps upon us; which I shall endeavour to do in as concise and intelligible a Manner, as the de- sign'd Brevity of this Tract will allow. This Vapor either the Man receives from the Woman, or the Woman receives it from the Man; this being concreted either in the Penis or Pudendum, lurks there quietly, till by the Heat of Friction it is attenuated and inserted into the Body; and sooner or later betrays itself by a Gonorrhœa, Pustules, Tuber- (93) Tubercles, Shankers, and most contumacious Ulcers: But the grosser Parts of this Virus breed Tubercles; the sharper and more mi- nute produce Ulcers; as also Heats of Urine or Stranguries, by pricking and fretting the tender Membranes, and so perverting their Structure, and creating at last Ulcers there. From hence this Effluvium, unless it be timely thrust forth, insinuating itself deeper, gets into the Vessels, and with its pungent and acrimonious Particles, retards the Mo- tion of the Blood: Anon, being impacted in the Inguinal Glands, accompany'd with more or less Pain, according to the Nature of its Particles, produces a Bubo more or less inflammatory; and this Humour flying from the Glands of the Inguen, by an ill Omen deserts those Parts, and getting into the Mass of Blood, acts a tragical Scene there, defiling and corrupting all the Parts of the Body; and, as I observ'd above, con- gealing the Blood, and rendring its Motion slower than usual, it has leisure to fix upon various Parts, and there imprint its Foot- steps deeply; and, in particular, it affects the Bones of the Palate, and perverts their Texture, makes them carious, and causes their Noses to fall in. Hence, its Particles driven deeply in, there arise Ulcers there- abouts, and Caries in the spungy Bones; from whence the horrible Deformity, I spoke (94) spoke of, happens. The same Humour creates in the Bones, Membranes and Ten- dons, Nodes and Exostoses every where, which torture the Patient with insufferable Pains; and what else is it, that introduces these Nocturnal Pains which are so cruel, as to give neither Rest nor Respite? and which, if continual, are certain Signs of Caries in the Bones. In this manner it is, this acrimonious Vi- rus first spoils the Fabrick, then corrodes it, and at last utterly ruins it. And I shall add, that Nurses and Children may infect each other, as sad Experience has taught some; who by the Contact have suffer'd egregi- ously. This happen'd to a poor Nurse some time ago, from a Child whose Mo- ther had been a Sufferer under this Malady: The Nipples were first affected with Ulcera- tions, and soon after the whole Body was tainted with Blotches; and, in short, a Con- firm'd Pox ensu'd, of which she was cured by a strong Salivation. Altho' I have handled the chief Symp- toms of this Disease already; yet, because it is of great Moment, and concerns very many rightly to distinguish the first Onsets of this dreadful Enemy; lest, as it often happens, it so much more surely demolish us, it lurks unknown within us: Where- fore, I shall paint it in its native Colours, by (95) by shewing its destructive Signs, which will give every one a clear Light into their Con- dition: But I shall here only take Notice of a recent Lues, that People may betake themselves to a prudent Physician in due time; for as to an old Confirm'd Pox, every common Person may know it; but GOD knows it is often too late to apply to a Phy- sician when it comes to betray itself in so manifest and open a Manner. Whoever then has had to do with an im- pure Prostitute, if this Humour has seiz'd upon the Internal Parts of the Body, it will be known presently by a sudden Lassitude and Weariness all over the Person, which continues some Days after Copulation; moreover, a wandring and jerking Pain runs thro' the Interstices of the Joints, and which is often perceived in the very Bones; a Heaviness of the Head, a sudden Sadness without any evident Cause; as also a Drowsiness more than common, tho' at the same time an interrupted Rest, do all shew a Seizure; which Symptoms agree pretty exactly to Truth, and which we can derive from no other Cause, presupposing an impure Commerce, more fitly than from this. But altho' no virulent Gonorrhœa or Clap should ensue, so far is the Patient from being secure, that more Danger is to be fear'd, as I have all along hinted; for now the (96) the acrimonious Steam has so far congeal'd the Juices, that they can't throw off the Virus, and has therefore penetrated into the most private Recesses of the Body; that unless it be maturely thrown out, it will break forth so as to make them most horri- ble Spectacles; not without Blotches and rotten Bones all over them, an entire De- struction of some of the Parts; and at length, Loss of Life in a most miserable Manner. These Admonitions therefore concern very many, who believe themselves secure from Infection, for never having had a Clap, altho' they feel the fore-mention'd Symp- toms, which they too confidently ascribe to other Causes; namely, to a simple De- fluxion of a certain Humour into the Parts affected with Pain, or some other feigned Cause; and so hinder'd by a Clownish Shame or Avarice, calling in no Physician to their Assistance, the Evil is suffer'd to take deeper Root, and to grow up to their Destruction, which is not to be eradicated without great Expences to themselves, and Endeavours of the Physician. However, you may distinguish between a Pain arising from a Defluxion, and from a Venereal Cause, by the following Tokens; because, this torments the Parts between the Joints; secondly, because this at once seizes on the Head and Breast, but that only one (97) one of them at once; thirdly, because this rages most in the Night-time, and rests as it were a Days; but that is more violent a- Days, and more remiss a-Nights, and sel- dom or never infests them all Night. But if a Gonorrhœa or Clap, as mostly it does, ensue these and the former Symptoms, we must observe, that the Cure of this Go- norrhœa will not be sufficient; for as such Signs do plainly convince us, that the Blood is tainted, and that this Humour is also lodged within us, any Attempt to cure the Go- norrhœa alone will certainly fall short; and if we leave the Matter undischarged, we have cured the Clap to a fine purpose, since we have deceiv'd the Patient into a danger- ous Security. Wherefore, my Readers will readily conceive the Impostures put upon them by Pretenders in every Corner; these Cheats are gilded with Safety, Ease, Prompt- ness of Cure, with two or three Doses, and the like, whilst their Pockets are emptied, and their Bodies over-charged with Viru- lency; which, at last, with Repentance, as well as Charge, they are glad to have ex- pell'd. Among the arch Impostors, I esteem the Author of Eronania; he Preaches and Preys, joins Sermons to Quack Bills, casts up his Eyes to Heaven, and picks your Pocket; advises you to be a Saint, but hopes O you (98) you won't; sells Sermons, Tobacco, Sugar- Plums, Necklaces, Pills, Bolus's, Syringes, Injections, Specificks, Gout Stones, Tiff, Ca- nary Birds; and, I believe, Buckles, Knives, and Scissars; you may be completely Pox'd for the Price of One Guinea, which is cheap enough. Were it not a Charity I have for deluded People, it is my Interest to be silent on this Head, because I have several daily applying to me, who suffer under these horrid Delusions. I begin to hope, however, that a just Treatment of such Pretenders will at last begin to have a good Effect upon the Minds of deluded Patients; and what makes me believe it, is the Monthly Change, like the Moon, of their new Cheats, which we see or hear of daily broach'd, as if the World were found to grow sick of their silly and ignorant Productions: A glaring Instance of this Loathing of their Collusions, is, that we see them obliged to draw the Eyes of the People, by having given Accounts of terrible Eclipses of the Moon; as if a Cloud, spreading itself over the Sun, ought to strike Terror into the World: A Subject fit to frighten Children, is to be made the Terror of Mankind; but then a Catalogue of Cures, or Medicines to be had, &c. is the Bill of Fare aim'd at. There would be no Accounts (99) Accounts given of Eclipses, either of the Sun or Moon, if there were no Medicines to be sold, or a Catalogue where they are to be had. All this, I say, proves at how low an Ebb their Arcana begin to be; and upon Enquiry at the Places where they are to be sold, I find my Surmises to be true; the Venders beginning to complain of a great Decay of Trade. As I have lent my help- ing Hand to pull down these Frauds, I hope I may find others of Skill to encourage the Work. Indeed, if Claps were always Local, as these vile Creatures will suppose, slight Cures would serve the Turn; but God knows this Supposition is grosly false for the most part; and who is he, who is not secure, that would trust to so dangerous a Chance? If it be not Local, these astringing Injections dam up the Humour; and if it does not luckily shew itself in a Bubo, or some such Im- postume, you are infallibly Pox'd. And what Physician is he who will assure you 'tis Local? None in his right Senses surely; the Faculty are wiser and honester: There- fore nothing but Folly, Assurance, and Ava- rice, are the true Foundation of these Pub- lications; as volenti non fit injuria, seek your Remedy at Law, who bid you trust such Cheats? Your Sufferings are the Effects O2 of (100) of your own Credulity: But we may be tolerably satisfied in our Conjectures by the following Symptoms; namely, in a Local Disorder, the Part affected is the main Com- plaint; for they perform all other Functions of Life with Ease; they sleep, they eat, they are without Pain, they are well colour'd, they are plump, chearful, active and spright- ly: But on the contrary, if the Disease be Malignant, the Humours are corrupted; they grow heavy in their Limbs, grow drowsy and unactive, their Stomachs fall gradually off, their Nights become uneasy; upon Motion or Exercise, they breathe short, Pains infest their Joints and Membranes, their Colour fades, they grow thirsty in Pro- portion as their Blood grows corrupted and sanious; and, in short, they neither digest their Victuals, nor does their Blood circu- late, nor have they the Life and Spirits as usual. Some Physicians of Note suspect either somewhat of the Scurvy in all Diseases Northwards, or of the Pox; which I am not at leisure to discourse of here; since it is enough to explain in a few Words, how great an Affinity there is between these two Distempers, lest the Ignorance of the Dif- ference should lead any one into an Error: Altho' there may be no grand Advantage arising (101) arising from this Distinction, save that the Degree may differ; for I am not the only Man who believes the Cure of a Scurvy and a Pox differs but little. And first, as to what concerns the Cause of a Scurvy, I esteem a sour Phlegmatick Humour, which is gross and unactive at first, to be its Origine; and there is yet a greater Relation between the Scurvy and the Pox, if we consider that each produces Exulcerations, Atrophy's, Diarrhœa's, Wandring Gouts, Heaviness of the Head, a Stupor and Contraction of the Limbs, and such like; as also Tophi, Scir- rhus's, and the like; whether both Diseases may sometimes be conjoin'd, or whether the one may be converted into the other, as most believe; for we know it very usual for Persons, not throughly cured of the Pox, to become Scorbutical for the Re- mainder of their Days, and who are never set right, but when Regard is had to the original Cause: That is, the great Degree of Acrimony, which would have rotted the Bones, being evacuated and corrected only in Part, it never rears its Head so high as to disable them; but however still some- what of the old Leaven lurks, and occasions Pains, Stiffnesses, Spots, and in short a Scurvy; which is best cured by Antivene- reals. Upon (102) Upon another Account the Scurvy re- sembles a Pox, because it raises Pains raging chiefly in the Night-time; as also Ulcers, which are malignant and dry, and Tubercles, OEdematous Tumors, and sometimes Rot- tenness of Bones; so that it can hardly be distinguish'd from a Pox; but that it neither took its Rise from immediate nor impure Embraces. However, you will easily dis- cover the one from the other in the follow- ing manner; in Scorbuticks the Gums are eaten and wasted, and Blood starts from them; the Teeth grow loose and black, their Knees tremble with Weakness, their Breaths smell, their Legs are beset with black and blue Spots, which Persons pox'd are seldom troubled with, unless they be also Scorbutical. Having treated of the Pox as largely as the Compass I aim at will allow me, 'tis high time to give our Judgment on the Dan- ger of a Confirm'd one, as well as the less advanced. While the Distemper is barely Local, which however, as is said, is not easy to distinguish, it yields easily even to Externals; for as Bites of venomous Creatures, whether Ser- pents, Scorpions, or Dogs, if taken Care of at first, are cured by External Remedies; namely, Scarifications, Fomentations, Li- gatures, (103) gatures, and the like; so the first Degrees of Poxes are easily and safely remediable. But when the Distemper is advanced to the Degree we now treat of, we entertain very different Thoughts; 'tis a frightful Malady, and requires the Physician's Care, and the Patient's Application in good earnest. Hoarsenesses, which are lasting, are very sus- picious, because they arise from Secretions of acrimonious Humidities into the Lungs, which seldom fail of introducing fatal Con- sumptions. Leanness is a Sign of great Acrimony in the Humours, shaving off the Nutritious Juices, and conveying them by Urine too plentifully; so that the Ex- pence becomes greater than the Repairs. Ulcers denote Acrimony; Thrushes betray Caries of the Bones; Fistula's are hard to be cured in Common Cases, but more dif- ficult in Pocky ones. Intolerable and Conti- nual Head-Achs denote a Rottenness of the Bones; Internal Ulcers are incurable; Nodes and Exostoses are curable by Salivation on- ly; Night Pains are hard to be alleviated, but are cured by Salivation most effectual- ly: Rotten Bones are only cured by extir- pating them, whether by Cauteries potential or actual, or Instruments. One thing is worth Remark, concerning Carious Bones; namely, that Salivations will not cure them; (104) them; they prevent others, or the Re- mainder of any Bone falling into the same Condition; which they effect in the follow- ing manner; the Discharge of the Pocky, Virulent, Acrimonious, Corroding Hu- mour, makes the Blood, resting in the Veins, more Balsamick; so that it can't gnaw and pervert the Bones into Corruption; and therefore the Corruption or Rottenness of the Remainder is prevented; but what the Humour has already spoil'd, must be taken away. Having with Brevity and Perspicuity discoursed on the whole Compass of Pre- judices receiv'd by Venery, it now remains that I enter upon the Cure of the Grand Malady, the Pox, to which Claps and Bu- boes are introductory: And as by a Confirm'd Pox is understood a Collection of Symp- toms arising or recoiling from the Taint of the Blood, however receiv'd; it may from hence follow, that even a Clap itself is some- times a Symptom of this Distemper, as surely as the Pox is a Consequence of it. An Instance of this kind I lately met with in Practice: A Gentlewoman was in- jured by her Husband, and deliver'd up to the Pretenders to be cured of a Clap, which they did after their Manner: She complain'd of Disorders about her for for four or five Years; (105) Years; which deceived some noted Practi- tioners into a Belief, that she labour'd un- der Hystericks; but at the Expiration of that Time, a fresh Clap broke out with all its virulent Symptoms, and which would not yield to any Remedy, but the last, I mean a Salivation, which, as it advanced, the Symptoms gradually disappear'd, and the Gentlewoman now enjoys a perfect State of Health. We easily guess'd this Clap from the Pox, by reason of the Pains, Faintings, and ill State of Health she la- bour'd under. Be this how it may, our Method of Cure must be fitted to the Degree of Infection; and as that runs very high, it is necessary to have Recourse to Salivations, as the greatest Remedy we have to contrast with Poxes: And I think I may justly affirm, that some later Physicians, who exclaim a- gainst this Method as useless, dangerous, and prejudicial, have never had much Ex- perience to back their Assertions: But as I lately wrote a Pamphlet in its Vindica- tion, † I shall wave its farther Defence here, and referr my Readers to that Piece, † The Practice of Salivating Vindicated, in Answer to Dr. Willoughby's Translation of Monsieur Chicoyneau's Pamphlet against Mercurial Salivations, &c. P here- (106) hereunto annex'd, for their Satisfaction, if any Doubts remain upon them. I say then, that Poxes are cured by eva- cuating the depraved Juices, correcting the Reliques, and by easing the Symptoms. I would not be understood to advise the high- est Discharge for the lowest Degree of a Pox, unless for Politick Views, which in themselves are honestly intended: For Ex- ample, a Patient of a Salacious Constitu- tion applies for a Cure of a Low Degree of the Pox, accompanied with a Clap; he sins on, and with impure Creatures, and yet expects his Physician or Surgeon shall cure him at an easy Expence, and will even reproach his Friend, if he does not cure him cheap and quickly. As unreasonable a Sup- position as this seems to be, it is a severe Truth, and often met with in Practice: What then has the Physician to do, but to throw such a Patient into a gentle Saliva- tion: This cures him at once, and prevents the Deceit. I say then, that Discharges are of dif- ferent Kinds, according to the Degrees, and here the utmost Judgment and Experience are required; we must then either Vomit, Purge, Sweat, Provoke Urine, or Salivate. I shall set down briefly Recipe's of each kind, along with proper Cautions, during the Use (107) Use of these Remedies, that Patients may pass Judgment on what they must expect when they apply to proper Persons for Cure; for I hope none will attempt upon Reading to commence Physicians for them- selves; to understand a Method, and to put it in Practice, are very different Exer- cises. We understand, for Example, a Piece of Poetry when we read it; but when we attempt to turn Poets, we then find the Difference between understanding and ma- king a Poem. How many Gentlemen are there, who can pass exact Judgment on Paintings, who, however, can't Paint? Some Apothecaries there are, who are good Judges of the best and most experienced Methods, but who, however, know nothing of the Secret of administring Medicines in proper time, or of the Knowledge of the Causes; and wheresoever any Science is split into Thought and Action, Men of half Education are, and always will be, Bunglers, tho' they live up to the Age of Methusalem. If we find that Patients are troubled with Nocturnal Pains, the following Pills may be given at Bed-time. P2 ꝶ M. P. (108) ꝶ M. P. Coch. Min. ℈j. Mer. Dul. gr. xv. Laud. Lond. gr. ij. Ol. Caryoph. q. s. M. f. Pil. N° vj. The next Day after the Physick has done working, carry the Patient to a Bagnio, having administer'd, before they enter it, this or some such Diaphoretick. ꝶ Antimon. Diaphor. ℈j. Sal. Volat. C. C. gr. ij. Cons. Flor. Anthos. ℈j. Syr. Ca- ryoph. q. s. M. f. Bolus sumendus, cui superbibatur Decoct. seq. haustulus. ꝶ Lign. Guaiac. ʒß. Uvar. Passul. ʒij. Coq. Lent. Igne in Aq. Font. Colatur. ℔ij. Bibat. ʒvj. This Method ought to be follow'd till the Pains disappear; and also Plaisters, in which are Opiates and Mercury, ought to be apply'd: But if a Caries be the Occasion of these Pains, besides the Medicines now men- tion'd, the Part must be open'd, and the Bones exfoliated in a proper manner; and moreover, a Salivation should be attempted. Exfoliation is perform'd by Cauteries, Actual, or Potential, or the Fire, till the unsound Bone falls off; which when you perceive con- (109) consumed, and that the Bone under is en- tirely sound; namely, white, or reddish and white, then it is high time to dress the Bone dry; but the Lips around with Ung. Basilicon, or this along with Red Precipi- tate, if there be occasion to deterge the sor- did or callous Lips. Thus the Ulcer being cleansed and come to its stated Size, you must begin to cicatrize and heal it up with drying Waters or Ointments; such are, Aq. Calcis cum Sacch. Saturn. or Ung. Diapompho- ligos, or Desiccativum Rubrum. When the Ulcer is healed up, you must ever and anon give Physick, and give an Eye to it, lest it break forth again. If Pustules or Scabs should rear their Heads, it is our Business to see that the Humour be thrown our plentifully and dry'd away; which we may effect in the following man- ner: ꝶ Res. Jalap. gr. xij. Mer. Dul. ℈j. Cass. Rec. Extract. ʒj. M. f. Bol. sumend. primo mane cum Regimine & repetend. semel in Septimana. ꝶ Pul. è Chel. C. ℈j. Antim. Diaphor. ʒß. Sp. C. C. gut. vj. Cons. Flor. Anth. ℈j. Syr. Caryoph. M. f. Bolus sumendus quaque nocte & mane superbibendo De- coct. (110) coct. Guaiac. Fort. ʒvj. Sudorem ex- pectando in lecto per Dies 16. This Method is generally successful; but if it fails, a Salivation must be our last Re- fuge. If Ulcers every where should infest your Patients, give them the following Medi- cines: ꝶ Mer. Dul. gr. x. Cons. Rosar. Rub. ʒj. M. f. Bolus horâ somni sumendus per tres Noctes continuas; deinde, ꝶ M. P. Coch. Min. ℈j. Res. Jalap. gr. iij. Syr. è Spin. Cervin. q. s. M. f. Pil. N° iv. sumendæ primo mane (Die, viz. 4to.) cum Regimine. By repeating this Method for some time, the Ulcers will begin to heal; but Care must be taken to dress them with Aqua Pha- gædenica, which keeps them clean, and spe- cifically helps to cure them: And if this Method fails, we must at last have Recourse to Salivation, as the surest and most effectual Method of Cure. If Nodes seize the Bones, we must give Physick, such as I have already mention'd, and Diaphoreticks also plentifully, and we must (111) must apply to them this or the like Plaister, to consume them: However, if they don't yield, a Salivation is the last Refuge. ꝶ Emp. Diach. cum Gum. ʒij. Mer. Viv. 3ij. Ol. Succin. q. s. M. f. emp. super Alutam extendend. & applicand. This Sketch of Symptoms being sufficient to instruct us that a Salivation is our Asylum in a Confirm'd Pox; I shall end this Dis- course with giving you a short Description of raising one, and managing it. There are different Constitutions in Men, and Salivations are much more readily raised in some than in others; wherefore, as in an open Temperament, where the Blood is thin and rarified, a Physician has little to do; he administers the Mercury in proper Form and Seasons, and the Patients begin to Salivate soon: Whereas, in a clo- ser Constitution, the Blood is gross of it- self, and is render'd more so by the In- fection of the Juices; and in this Case, be- fore we begin to administer Mercurials, it is our Business to dilute the Blood for a Week before with Broths and Soups, and softening Food; to bathe them every Day in a warm Bath with Herbs, &c. to give them (112) them a gentle Emetick; as also a little Phy- sick, to clear the first Passages from the gross Humours adhering to them; after which, we begin to administer Mercurials to Salivate them. This premised, we give the following Bolus Morning and Evening: ꝶ Mer. Dul. gr. x. (xx. ʒß. ℈ij. pro re natâ) Laud. Lond. gr. j. Cons. Rosar. Rub. ʒß. Syr. Balsam. q. s. M. f. Bo- lus sumendus mane & sub vesperam per aliquot dies. Or we anoint the Patients Legs, Thighs, Arms, &c. with the following Ointment: ꝶ Ung. Dialth. ʒiij. Mer. Viv. ʒj. M. f. Ung. illinendum mane & vesperi per dies aliquot. We continue administring or rubbing, till we find the Patients Head aches, their Jaws grow sore and swell, and their Breath smells, and they begin to slaver; then we leave off, till we see how they spit; and if the Salivation does not go forward, we give a Rub more, till it runs a Pint, a Quart, three Pints, or two Quarts, in twenty four Hours. (113) Hours. The Patient is kept warm either in Bed or by the Fire-side, as his Strength will allow, and eats Broth, potch'd Eggs, Caudle, Panada, and such things as are Li- quid, all the time of the Salivation, which we suffer to run for fifteen, twenty, or thirty Days, according as the Patient's Strength holds out, or the Degree of the Distemper requires: If it flags before it should, we give now and then a Dose or a Rub or two to keep it up, till we judge the Humours are carry'd off; and however, we never think of carrying it off, till the pri- mary Symptoms are vanish'd; that is, till the Scabs, Pains, Ulcers, and such like, dis- appear. If it should rise higher, or conti- nue longer than is judg'd needful, we then give Physick, Glysters, and Flores Sulphuris, internally to check its Violence; for a Mean is the surest, since too little won't answer, and too much may destroy. And when we have made them spit long enough, we carry it off in the same man- ner as we abate its Height: After which, we give the Decoction of the Woods, both to dilute the Fluids, and correct the re- maining Acids, which may yet rest in the Blood and Capillaries; and then we dismiss our Patients, as I think it high time for me Q to (114) to dismiss this Discourse, and wish my Rea- ders all Happiness; for whose Benefit I have sketch'd out these few Sheets. From my House, at the Ball and Lamp in Bow Church- Yard in Cheapside. Joseph Cam. FINIS. THE PRACTICE OF SALIVATING Vindicated: In ANSWER to Dr. Willoughby's Translation of Mons. Chicoyneau's Pamphlet against MERCURIAL Salivations In which The Antivenereal Vertue of MERCURY is prov'd to depend on Salival Eva- cuations, &c. WITH The true Method of applying MERCURY, so as to obtain its full Force, and a thorough Cure, in all Venereal Cases. The whole supported from Experience and Authority, both Ancient and Modern. By J. C. M. D. London, printed for J. PEELE, at Lock's Head in Pater-noster-Row. 1724. Price 1 s.  A PREFACE TO THE READER. HAving seen a Plausible Advertisement of Mon- sieur Chicoyneau's Pamphlet, decrying a Salivation in the Ve- The PREFACE. Venereal Disease, as a tortu- ring, prejudicial, useless, and dangerous Method of Cure; the Boldness of the Assertion, and Promises of gaining the Point by an easier way, tempted me, as doubtless it has Others, to pur- chase it; which when I had, and perused it, I was very sen- sible of the Imposition of the Au- thor and Translator. For my own part, I sincerely declare it always raises an Indignation in me, to find Men aim at intro- ducing Dangerous and Dubious Me- The PREFACE. Methods, in which Mens Lives are so nearly concern'd, with so much Confidence; and as such who profess Physick must know the Weakness of the Method pro- pos'd, so it is reasonable the World should be appriz'd of it likewise, that they may not be wretchedly deceiv'd by such Pre- tensions. It is not barely Rea- son only, but Experience also, which I oppose to the Author; I believe it yet more convincing to let this Gentleman know, that I will undertake to Cure by Sali- vation The PREFACE. vation those he dismisses as In- curable by Friction without it. And this is what I judge pro- per to precede the following Dis- course by way of Preface. The [1] The Practice of Salivating Vin- dicated, &c. SIR, HAving read your Translation of Chicoyneau's Pamphlet, it surpriz'd me to find so Great a Man as this French-man shou'd be, advancing an Imperfect (and I may say reviving an Ancient) Practice, and both of you pressing so very hard for its being recall'd. That it was an Obsolete Practice, is very plain from Ballon, reciting a Story of a young Man cured by Unction, without procuring a Salivation, of Ulcers otherwise incurable: It does not appear however that this Author prefer'd it to a Salivation, tho' he look'd upon it as a Succedaneum to that B grand [2] grand Cure; You therefore, Sir, are under a great Mistake, to give up Chi- coyneau as the Introducer of this Pra- ctice; and it is either a Mistake or Vanity in your Author to arrogate it to himself; or, shall I say, he has not revolv'd the Writings of the Ancients, or at least hopes his Readers have not: Be this as it will, before I begin to open my private Thoughts on this matter, I must take the Liberty of animadverting upon your Grand Air you give your self in the Preface to the Book. Sir, tho' I ha'n't the Ho- nour to be a Member of the Learned Corporation of Physicians in Town, I believe, without any Flattery to the Members of it, or any Diminution to Foreign Universities, there is not a Collection of more Learned, or more Able Men upon the Globe, than in that College, whose Members you treat with such Contempt: And when I place Foreigners in the Comparison, it may very justly be reputed as an Ho- nour [3] nour done them; for Testimony of which I appeal to themselves. There- fore what Credit can a Translator of a Pamphlet gain by reflecting on that Body, the meanest of which is an Over-match for him? If ever you have been in France, you have profited little by conversing with the Inhabitants; they are a polite, civil, easie, good-natur'd People: You, Sir, fall upon Mankind as Lions here- tofore in Amphitheatres: Why are Men of Parts to be banter'd as Old Women? Because you cou'd wish they were so! Why are some of that Body reviled, as not entering into fruitless and (for ought I know wicked) Mea- sures? Because you would have the World look upon your ipse dixit as a Sanction! The Herd may run in for the sake of Novelty, but perhaps no- thing conclusive can be affirm'd as yet. I can't but acknowledge I have suffer'd my self to be hurried too far out of my Road; but, Sir, you have given B2 me [4] me Handle enough for a small Re- buke. Besides an Unmannerly Reflection upon some of the Bright Men, you have at once made over to the Surgeons a Title of Superior Knowledge from the Physicians. Who entitul'd you to this Power of Disposal? Are the Phy- sicians then no Judges in the Know- ledge of the Operations of Medicines? Have they never experienc'd how to Salivate? Can they not tell how far the Strength of a Patient will bear him out in a Salivation, as well as a Surgeon? Are they all ignorant of the Oeconomy? Surely, Sir, it is not an Ebb-Tide with the Faculty: Per- haps this Conclusion is the bare Effect of your own Incapacity only; and it appears so much more to be the Case, since you calmly resign your own Title, and conclude too largely, as if your own Case were every one's: But what sort of Logick is this, I pray? No other than the following, viz. "I "know [5] "know nothing of a Salivation, there- "fore no Physician does. I beg of you, Sir, what Concessions you grant of this kind, you will, the next Tran- slation you go about, give the World to understand that they are spoke with reference to your self. For my own part, I easily give in to grant the Sur- geons a Competency of Knowledge in the Animal Oeconomy, but then I must not say they are in any Point superior to the Physician: Consider the Difference of Education; the ma- ny Opportunities the Physicians have which the Surgeons are unacquainted with; the early Application to that Business, gives the Physicians a Turn very rarely met with in the Persons educated in so low a Life as an Ap- prenticeship: The Art of Reasoning in the latter is purely natural; in the Physician, the natural is improv'd by the artificial: So that if we suppose two Persons by Nature equally judi- cious, the artificial join'd to the natu- ral [6] ral will far exceed a Genius barely natural. Tho' some Ages have produc'd Pro- digies, what would those Men have been, had their Parts been model'd by Art, but ANGELS! Sir, mistake me not, I believe no Surgeons in the World outdo the present Sett; but I also believe no Physicians in the whole World equal ours. The former may be granted to have all the Natural Endowments their Profession requires of them; but, Must we deny the Gen- tlemen of the Faculty their due Privi- leges? Are they not vers'd in the Arts of Languages, Perswasion, Rea- soning, natural Phœnomena, Anato- my, Chymistry, Materia Medica, Pra- ctice, and all the bright Accomplish- ments Men can be instructed in? What then shall we say, but that it is resigning their Right, to give a Point of Knowledge up to their younger Brethren? They can't do this in Justice to themselves; and I know the Mo- [7] Modesty of the Surgeons too much, to think they would ever aim at any thing of this kind. What other Conclusion then can I draw, but that the Translator of Chi- coyneau's Pamphlet is rudely presum- ptious? Perhaps I have dwelt too long upon the Innuendo's of this Gentleman, but then the Reader must consider, I have only made a gentle Return for the Mal-treatment of Great Men: And now for the Work. I shall frankly confess how far such a Practice may be encourag'd; I can't discommend the prudent Use of Mer- cury given internally, without design- ing to raise a Salivation; it has often produc'd Effects I could hardly have hoped for; Instances of this sort need not be far fetch'd, they are experienc'd every Day through this grand Metro- polis; I hope my Reader will give credit to the Assertion, because it may not [8] not be convenient to recite Examples: I have taken off Venereal Pains, Eru- ptions, Phymoses, and Gonorrhœa's by administring a very small quantity of Mercurius dulcis Morning and Evening in a Bolus, or a Pill along with a draught of the Decoction of Guaiacum warm'd, suffering the Patient to go abroad, and having a regard to its Effects; as also by giving a Dose of a Purgative once or twice a Week, and continuing this Course for six or eight Weeks. It is a constant and approv'd Method, when Salivations decline, and that Nodes lift up their Heads, as they often do, to anoint with Mercurials, and give gentle Catharticks, before they will disappear; so that there is no need of recommending a Practice that has been used for so long a tract of Time: But that this Practice shou'd be cry'd up as better than a Salivation for Vene- real Taints, is neither an intelligible nor an approv'd Practice. First [9] First, I think the whole Body of Physick agree, it is not convenient that Metal shou'd lodge in our Veins; for which, I conceive, many Reasons may be assign'd; among the princi- pal, the difference of Gravity between our Fluids and Mercury is a Reason not to be deny'd; for as it is thirteen times heavier than the Blood, it will be apt, upon any small occasion, to subside into some minute Corner; and Who knows the Consequence of such a Procedure? The Learned Dr. Mead gives us a plain Instance of this sort in his Book of Poisons: "I have seen "(says he) two Ounces of it given "every Day for one and twenty Days "together, without any Inconvenience "at all; but found once some quanti- "ty of it in the Perinæum of a Sub- "ject I took from the Gallows for a "Dissection, whose rotten Bones quick- "ly discover'd what Disease it was, "had requir'd the Use of it, and that "I suppose chiefly by Unction, without C "any [10] "any Marks of Corrosion where it "lodg'd. But this is not all, it must be allow'd me, that no Extravasation happens without rending the Vessels; as therefore the Blood can't long suspend it, so neither can the Vessels bear its weight; they are flexile, and yield by force to any greater Pondus than their Coats can resist. The very Bones themselves are broken by its weight, as Authors do testifie: Where- fore I think it a Lawful, because an Experienc'd Conclusion, that Mercury shou'd not lodge long in the Blood: To confirm this Sentiment, it must be observ'd, that Mercury given in any quantity will impregnate the Blood so, that its Particles will be nearly placed to each other, and this is the main Reason why it runs together in clusters; and tho' singly it might not break a Vessel, yet then no Vessel, nor even a Bone, can stand the shock it gives. How [11] How inconsiderate then, and how dangerous a Practice is that which ad- vises Unction, and makes no provision against the so demonstrable Inconve- niences ensuing from the Use of the Remedy; which in this sense may properly be esteem'd a Remedy which wants a Remedy, or, in plain terms, a Disease which always wants to be Reliev'd! And in fact, that Surgeon or Physi- cian who makes no Provision against Mercury given without procuring a Salivation, is justly deem'd in our Cli- mate to be either Negligent, or, to say more truly, Ignorant: However, no- thing is more common than this Com- plaint, because nothing is more fre- quent than to meet with Patients who have been ill handled by Pretenders to Physick; they deal in Mercury un- mercifully; they give it with a plen- tiful hand; they make no difference in Constitutions; it is given, it is re- tain'd, it breaks, tears, and rends all; C2 the [12] the Taker knows not why he shou'd grow worse, and the Giver does not know to mend his hand; so that the Constitution and Pocket sink toge- ther. I speak upon Experience, and I meet with Cases of this nature daily, therefore I defie either Chicoyneau or his Translator to bring any Expe- rience to confront me; I say Mercury must not lodge within, as soon as it has perform'd its Office, it must be thrown out again; it is an indigesta- ble Body, it is not more natural to our Blood than the Poison it corrects, and yet it is a necessary Alterative, or, I think I may say, a Specifick Al- terant, and so may be term'd a ne- cessary Evil. I know that some Phy- sicians believe its main Vertue con- sists in its Evacuating Quality, so Dr. Springel, Aph. 14. on the Pox, says, 'Mercury and the several Indian Roots, 'Woods, &c. do not cure the Pox by 'Specifick Vertue, but by evacuating, 'ex- [13] 'exsiccating the Glands of the Body in 'which chiefly the Venereal Venom is 'contain'd; and Aph. 15, the Pox being 'a Venom which chiefly occupies the 'Glands, hence that Medicine which 'works most upon the Glands, is best; 'therefore Mercury making a Salivation, 'and by emptying the Glands of their 'Lympha, together with the Venereal 'Matter, of which the Lympha is a 'Vehicle, is most beneficial; and Aph. '16, a Confirm'd Pox cannot be cur'd 'by any thing, but by a Salivation, and 'even not by that sometimes. This Effect Mercury has, when right- ly administer'd by way of Salivation, and is the only Cure, as the ingenious Author before-mention'd has justly observ'd, for the Pox when all other Means have fail'd; as also in stubborn Rheumatisms, some Gouts, and even in the Stone it self; for a kind Sali- vation opens all Obstructions of the small Vessels, cleanses their Insides from the foulness that cleaves to them, puri- [14] purifies the Blood, and breaks its Sa- line Impurities, and carries off the very Seeds of most Chronick Distempers, and restores the whole Fabrick from a declining State, to a brisk, lively, and healthy Disposition; and this it does by discharging the peccant Hu- mours by the Glands along with the Mercury it self. How then can Fricti- on do this, when its whole Weight is suppos'd to produce its Effects by being retain'd in the Blood? You need only plunge an Areometer into the Saliva of a Person before a Flux, or when he is Fluxing, to know the difference of Gravity in it before, and after the Blood is impregnated with Mercury; or if you please, let this be done at the beginning and decline of a Salivation; it will appear to the Curious how heavy this Fluid is when the Mercury is harbour'd with- in us, in Comparison to its Weight when in the decline of a Salivation. From whence it seems a Demonstrati- on, [15] on, that if it has not already settled somewhere, it will endanger a Rupture of the Capillary Vessels, and put the Body under a very ill State, if it lodges within us for any time; so that Con- sequences which may not appear for Years after, are to be dreaded from this uncommon Load: As I often meet with this Case in the Course of my Practice, I never wonder at the Events, when I am told how much Mercury they have taken, and how small Pro- vision has been made for expelling it. From hence it is that Pains are often observ'd near some Bones, either be- cause the Mercury lodges there, or be- cause it is converted into a Corrosive Substance from the mixture with some sharp and dissolving Salts it meets with in the Course of the Circulation, and fixes upon an Extreme Part. From hence happen Apoplexies, which arise from no other Cause than the Weight of the Mercury having broke the tender Vessels of the Brain, and causing [16] causing a full Stop to the Blood in that Part, as appears upon Dissections. From hence come Palsies, which only differ from Apoplexies in degrees, and are as surely deriv'd from the Weight of the Mercury, or its being turn'd obstructive: Hence Asthma's of the worst kind, from the Lungs obstructed in their Chanels, from the Blood be- ing become a Coagulum, from the Salt's joining in with the Mercury, and coagulating it as does Sublimate. Hence Deliriums, from the Mercury's Weight driving the Blood and Spirits furiously on, and causing an irregular Influx and Distribution. Hence Deaf- ness, from the Nerves being broke a- sunder or obstructed; and hence Death from the same Causes subsisting in an Intense Degree. The other Symptoms left unmention'd, are Swellings in the Throat and Face, Suffocations, &c. a- rise from a Plenitude rais'd by the Mercury. Now as Mercury acts by its Weight, and by its acquir'd Properties, whe- [l7] whether by turning Astringent, or (what is worse) by turning Corrosive, the Danger arising upon the Use of it, must be pretty certain; and in fact, few take it from indiscreet Hands without a sensible Prejudice, which is either sudden or slow, according to the Disposition of the Person in whom it lodges: Thus far is certain, and I remember some (perfectly sound and free from all Suspicion of the Venereal Disease) who, upon taking a Mercu- rial Purge, which had not its proper Effect by reason of Cold caught upon taking, got a Pain upon a Bone, which never left the Part till that Spot was turn'd Carious, and was recover'd by opening. I wish this were the only Instance I could mention on this score, but we meet with deplorable Cases daily, which spring from the same Fountain. So that to endeavour to fix a dan- gerous Practice, as a Standard to the World, is aiming at the Destruction D of [18] of the Unwary. I think I need not fear either the Physicians or the Sur- geons giving in to this Practice, they are better appriz'd of the Effects of Mercury, than I need to inform them; but as the World is curious, they will be peeping into the Disputes amongst us; and as People are apt to follow the shortest and easiest Methods, when they are recommended as the safest, I write this for no other end than to undeceive them, that they may not pay too dear for following Novelties. If we should run into this Method, the Hospitals would be fill'd with Blind and Lame, and such Objects as would perhaps puzzle the Physicians and Surgeons attending them, how to be- gin to relieve them. The best Rea- son which can be given for such a Practice, would be, that it would rid our Parishes of their Burthens, by lessening the Poors Tax; but alas, what a Scene of Destruction should we be Spectators of! So [19] So that, Sir, if our English Tra- vellers have no other Views in repair- ing to Montpellier, than to be rubbed with Six-penny-worth of Quicksilver, and take up with Confinement; two or three hundred Pounds given for these Favours is such bon Marchée as we generally have from the French; and then their Practice (as well as their Goods) ought to be reckon'd Contraband. But I fear you mistake the Grounds of our Travelling thi- ther, and you must give me Leave to undeceive you on this Point; I am sorry to find you so little acquainted with Physick, as to give the World no better Reason for our Journeys to that distant Climate. You must know then that Montpel- lier stands in a fine Soil, high, dry, and wholsome; the Air is serene and warm, so that Persons repair thither more for the Air than Physick: For as in Consumptions that are advan- cing, catching Cold frequently is one D2 main [20] main Reason why their Lungs take large steps towards an Ulcer, so chan- ging the Climate in the Winter season for a warmer, prevents these Colds, almost unavoidable with us. So that, good Sir, you are much out of your Conjectures, when you advise us to travel for what we succeed much bet- ter in than the French do. It is a good Jest to trumpet the French Physicians for our Patterns; their Fees are no better than those we give to our Farriers, and the Pains they take for them gives them no Lei- sure to improve after they leave the Schools: So that Empiricism in good earnest is for the most part the Cha- racteristick of a French Physician, and il n'y a rien de meilleur sous l'Echappe du ciel,—is the Encomium they give all their Remedies: And such as have of late taken shelter under their Wings, have done it out of politick Views only: For Mankind, says a certain Author, are like Asses, they are [21] are best taken hold of by their Ears: Flattery becoming mutual, may with weak Folks be taken for good Rea- soning. If I take the Affair in a just Light, the Cure ought to be proportion'd to the degree of the Disease: And sure- ly Reason and Experience bear me witness in this point, what Pains, what Integrity is there not requir'd in a Physician, to find how ill Patients are, that we may exactly hit the Mark: To level below it, is Delay; to aim above it, is Danger; to aim right, requires Judgment, which di- rected by Honesty, makes up the com- pleat Character of a Physician: And as it is impossible for every Degree of this Disease to yield even to a Sa- livation it self, so the smaller Degrees will yield to yet a less dangerous Method than Friction. Moreover, in former days a Salivation was a terrible Operation, and it is my Sur- prize it ever gain'd ground, as they per- [22] perform'd it; for, Who wou'd now consent to lie Weeks together with his Tongue so swell'd, as not to be able, without the utmost difficulty, to swallow a spoonful of Liquor to sup- port Life; to be in a high Fever; to be eagerly thirsty, and yet not able to gratifie their Desires; to have their Heads swell'd to a prodigious size, and full of Pain; and, in short, to be disabled every way, and under the utmost hazard of Life? But as in those days the Knowledge of this Ef- fect of Mercury was in its Infancy, and there was not then found out an easier Method, and as Death was preferable to their odious Condition, People were contented to enter upon any Measures, tho' never so dubious, for their Recovery or Death; where- as now-a-days we are appriz'd of all the necessary Cautions to prevent Dan- ger. And methinks, if Persons may be allow'd, in a warm Season, under a gentle Spit, to go abroad upon their neces- [23] necessary Occasions, as sometimes they may, it may be concluded we have brought Salivations to such a Perfecti- on, that perhaps Future Ages will not be able to make any Amendment to them; and since two Gentle Sali- vations will effectually answer the Ends of a Stronger, as two Purging Bouts do those of a stronger Dose, so halving it, makes the Cure much easier, and less terrible to the Disea- sed. The Spitting therefore being ren- der'd by Experience thus easie, and so safe, that the Blame must lie in the Physician or Surgeon if any Ill befals the Patients, I exclude Idiosyncrasies; Why is a Disswasive wrote against Salivations? No, says the Writer, it is not only pernicious, but ineffectual; the Disease often remains Uncured af- ter a Salivation: I have prov'd the little Danger there is in this Opera- tion, it remains to be prov'd why it is Ineffectual sometimes. Methinks [24] Methinks it wou'd be a wrong Deduction to reject Blistering in Fe- vers or Apoplexies, because notwith- standing this Application many Per- sons die: And because some Poxes are Incurable, it can never be a fair Conclusion against a Salivation, be- cause those die after it, who not be- ing cured by it, can never be set at rights by any other Method. Indeed it often happens that we dare not carry the Salivation any higher, or continue it longer, by reason of Weakness, when the Disease requires its Continuance; and to supply this Defect, giving Mercurials internally, or using them externally with proper Caution, is an approv'd Practice, and must stand in the Account for as much in value as it may; but then it ought to be consider'd, that this is look'd upon barely as a Sup- ply to a better and more effectual Method [25] Method, which is found Inconvenient by reason of Weakness only: Weak Persons may be properly said to la- bour under the strongest Diseases, their Strength don't admit of com- pleat Cures, and we must cure them as we can, and not as we wou'd; but nothing more can be concluded from this Management, than that Friction and the internal Use of Mer- cury is a part of the Effects of that Drug; and if a part is greater than the whole, Euclid and all Common Sense is baffled. To convince the World that Friction is only a part of these Effects, we must consider, that however Mercury enters, it breaks and divides the Points of the corroding Salts lodg'd in the Blood; and the more the Blood is loaded with it, the more these Points will be broken by it: If then our Juices are plentifully impregnated with Mercurial Particles, they make E to [26] to themselves a passage through the Glands, and are carried off by them along with whatever is offensive to the Blood. Now, a Salivation is the full Effect of Mercury, which it does not arrive at, till it hath first broken and blunted all the empoison'd Juices. Who is he then that denies Friction and Salivation to differ in Degrees on- ly? and, Who is he that will allow Friction, which is plainly a part, to be more effectual than Salivation, which is plainly the whole? Again; if Mercurials be dangerous in any Disease, they must be more so in Friction than in a Salivation, be- cause, in the latter Case, their stay in the Blood is prevented by the Evacua- tion, whereas in the former its Reten- tion is labour'd at; so that Friction occasions a greater Hazard, and Sali- vation cures a greater Evil. From [27] From these Instances it appears, that Salivations do all, and more than Fri- ctions can do, but that Frictions do more Harm, and less Good. Chicoyneau then may properly be said to have prov'd Friction useful, and that we knew before from Ballon and others, but has by no means con- vinc'd the World that Salivations are useless, because (as I have already said) Friction is only part of a Sali- vation, as your Motto is only part of an Aphorism, for λυον δε (πυαλον) χρηδμον,— that is, you take part of Hippocrates's Aphorism, which says, Spitting which does not ease the Pain is bad,—he follows, but that which does is Useful; therefore Salivation is useful. I make this Aphorism, you see Sir, serve my turn, as you have fitted it to yours. But, without a Jest, Hippocrates knew as little of a Salivation as you do; so that it serves neither of us, and any E2 Old [28] Old Woman cou'd have told us, that what does good, is good, and vicè versâ. Your Argument may be well ap- ply'd to the abuse of Salivations, and here you have no Adversary as I know of: GOD knows it is too sure that weak People are deceiv'd by the Ignorant, and here the Blind lead the Blind; but to make the Pro- fessors accountable for the Blunders of these Miscreants, is begging the Que- stion; and in that view you have affronted Mr. Cheselden in your De- dication, as much as the Lithotomus Castratus has done in his Satyr upon him, and as few must approve of the latter as the former. For my part, I believe some that practise Salivations are as apt to run too high in favour of them, as Chicoy- neau does in favour of Frictions; a Medicine can't be useful for some Disease, [29] Dlsease, but it is presently extoll'd for all; but this neither agrees with Practice nor good Sense, this has dis- graced many a good Method. So it fared with the Cold Bath; it was used in ail Cases, but the Success not an- swering, it was debased again, and left now to the Discretion of the Knowing. Let us therefore not grow so fond of any Method as to bleed all, vomit all, or salivate all, because we have conceiv'd a good Opinion of these Operations; the Consequence may prove fatal both to Patients and Doctors, as we have seen in our Time. I place my self in a middle Way, and am only for approving of Salivations where I know them use- ful. For example: To what purpose would it be for me to advise a Pa- tient, rotten every where, to be sa- livated? Mercury can never restore Carious Bones, they must exfoliate; and where Patients have no Bone sound, [30] sound, (and particularly where the Junctures are Carious) nothing can be done by a Salivation: To advise it, and put it in practice in this Case, is bringing a Disgrace upon the Me- thod; but surely Friction would not answer here! it wou'd be too tedi- ous to attempt a Book of Cautions in a Pamphlet so short as I intend this to be: Only, in general, let us be wary, and keep within Bounds; let not Encomiums pass for Virtues; let us say how far any Method may ex- tend, but let us stretch it no farther than Truth bears us out in the As- sertion. I hope I have satisfied you, Sir, about the Safety of Salivations, about the True and Genuine Effects of them, and the Degrees of Infection, with its Remedies in general, for nothing further can be expected in these few Sheets: I shall now descend to An- swer Monsieur Chicoyneau's Objections against [31] against Salivations, and to give him some few farther Objections against Friction, and shall conclude with Cures perform'd by Salivations, which wou'd not yield to the Use of Mercury as an Alterant. Your Author frames to himself an Imaginary Objection, and then begs the Question; Who asserts the Quan- tity of Saliva evacuated, and its nau- seous Smell, to retain only to the tain- ted, but Chicoyneau? We ought not to flux for other Diseases, if this were the Occasion of the Smell: But there are many Diseases for which Patients may be flux'd with great advantage, and the Smell is occasion'd by reason of the volatile Acids and Sulphurs in the Blood, thrown out in such great quantities; the corroding Quality be- trays the first, and the Smell the lat- ter. How Mercury, and no other Drug, salivates, I must confess, is mysterious; but as Evacuations are the [32] the Effects of Irritation, and the Quan- tity a Consequence of the Fulness: 'Tis enough, in this Sketch, to fix the Salivating Quality upon these Foundations; and tho' the Smell be no Argument for the Virulency, it is however a sufficient one for the eva- cuating of Humours, of what kind soever; and as the Virulency is what we design to expel, we have our aim by a Salivation: Whoever prescribes a Purgative to a Sound Person, will experience that it will work as well as if the Patient were of an ill Habit of Body; but then the Humours (or rather the Juices) evacuated not be- ing morbid, you bring the Person to be a Patient; whereas giving Physick properly, when you perceive the Pa- tient to have his Blood loaded with a stock of Humours, whose stay in the Blood is dangerous, you do then evacuate those Humours with advan- tage. Wherefore Monsieur Chicoyneau has no Adversary in what he advances on [33] on this Head, but such as he frames to himself. Secondly, He objects, That such as have been flux'd do often break out again, and therefore this Evacuation is of no use. So it often fares with Friction, therefore Friction is useless also. It is hardly possible to deter- mine the Quantity of Virulency in Bodies, at least to a Mathematical niceness; and if a stronger Cure leaves any Poison behind it, surely a weaker must also fail: For as Fricti- on without Salivation, and Friction with it, are but Degrees of the same Method, it must follow that what will break the Points of the Poison, and also carry it off, must bid fairer for a Cure than one of these Effects can alone. The Third Objection is concluded with a precarious Query, and tho' it deserves no Answer, yet because I F wou'd [34] wou'd not be thought to shuffle it off, lest others may believe there is some Shew of Reason in it; I say then, the reason why Symptoms abate before a Salivation rises, is, because the Poison is blunted by the Mercury. There is no Doubt but the Mercury wou'd have the desir'd Effect without Fluxing, if we cou'd only find a way to hoop the Vessels, for that you know, Sir, wou'd strengthen them, and there wou'd be no Danger then of their holding a sufficient quantity of Mer- cury without bursting; which Inven- tion I leave to Mons. Chicoyneau, or your self, to have a Patent for, when Communicated. The Fourth Objection is nearly the same with the second, and may be granted, because Salivations are not Charms; they may fail sometimes, but if that Method won't succeed, there is none left behind, but what will fail also: However, it must be ob- [35] observ'd, that small Remains are not sufficient Grounds for another Saliva- tion, it is enough we use the Mercury for them as an Alterant; as when we have carry'd off a load of Humours by Purgatives, it is our Business to tack about and destroy the Remain- der by Alteratives. Here I suppose Purgatives to be two-edged, as ge- nerally they ought to be; for what- ever purging Medicine is administer'd, ought to irritate, and to be also a- dapted to the Genius of the Humour as an Alterant: When the evacuating Property can be no further allow'd of, its Alterative is all we can make use of; so it fares with Mercury. As to the Fifth Objection, I answer, we administer Mercurials internally, and rub them in externally, guard- ing against a Salivation, because the Strength of the Patients will bear no further Evacuation; happy if they could! for then the Cure would be F2 more [36] more sure: In lieu therefore of a large Salivation, we take Refuge in a bare Chance, that is, in Alterants: And this is consonant to good Sense, because, should we evacuate beyond their Strength, we make them pur- chase a False Cure at the Ex- pence of their Lives. Let us draw Comparisons from other Diseases, where larger Evacuations are ne- cessary for the Eradication of a Dis- order, than can be born by the Sick: For Example, if a weak Person labours under a Pleurisy, which is strongly fixed upon the Pleura and adjacent Parts, and which endangers a Gan- grene; the Disease would require large Evacuation, but the Strength won't bear them; what is the main Remedy then is impeded by the want of Spirits; we are therefore forced to take Refuge in Deobstruents only. But, to come nearer to our purpose, suppose then a Patient sick of a Fever, and being much exhausted by [37] by the Continuance of it, at length a Crisis succeeds by Stools; every Stool eases and abates the Fever, but lessens the Strength; so that what with the preceding Fever, and what with Evacuations, the Patient dies, if they go forward; and yet can't re- cover without their Continuance: What is to be done, but to take our Chance in a less sure way, that is, in Alterants and Evacuants less dan- gerous? You see, Sir, the most Effe- ctual Method is often postponed; not because it wou'd fail, but because it becomes less safe respectively. And thus I am led to your Sixth Objection; to wit, its being dislik'd and not practis'd in weak Persons, to which I answer, that a strong Lues is never cur'd in weak Persons, and a weak one requires no Salivation; so that Diseases yielding to a Friction, will more surely give way to Saliva- tion, as every Day's Practice confirms, but [38] but not vicè versâ: And moreover, less Danger attends Salivations than Fri- ctions, as I am oblig'd too often to repeat, by reason I follow a Repetitor, who insinuates strongly, but proves weakly every where. Your Seventh Objection is utterly deny'd: All Experience, all Reason, all Truth, is against you here; for 'tis well known, that a grown Pox is never eradicated, till the Patients are soundly Salivated; all Methods below this degree are daily found useless: Then because Frictions, or Administrations of Mercury, are only less degrees of Salivation, for what highly breaks the Points of the Poi- son salivates; and lastly, it appears that Chicoyneau wou'd only aim at more Business, by gratifying Patients at their own Expence. The whole Compass of Honour is not couch'd in Mons. Chicoyneau and Dr. Willough- by's Treatise, I hope; and methinks the [39] the Compliment might have been allow'd to the Gentlemen of the Faculty; for (as we have been told) Physick is not a Trade, but a Pro- fession; and it is to be suppos'd, some of that Body are Honest besides these Authors, and I believe some of them are Learned also; and as I never did see or hear of any of the number, who are not for Salivating in a deep and rooted Lues, so their Authority and Reason ought to be approv'd, and not rejected upon such slender Argu- ments as are here given us. The Eighth Objection is a Conclu- sion drawn from the preceding, in which he congratulates himself and Patients, for so Useful and Easy a Discovery, and for the Hopes of ba- nishing so dangerous an Operation as a Salivation is: He might with the same good Sense have rejoic'd, that a Method was now on foot, that wou'd give little trouble, and do no good; [40] good; for as I have all along demon- strated, that strong Diseases require strong Remedies, if the Strength of the Patients would bear them, so are we as sure that this Method will not answer in thousands of Cases, as we daily experience the Necessity and Success of Salivations. How vain then and forward is this Writer and his Translator, to hope to decry the only Effectual Remedy given us as a Blessing to heal our Infirmities brought upon us for our Crimes, without which we shou'd be Spectators of Miserable Objects, of walking Hospitals, which would give us insuperable Fears and Terrour! How far we may deserve such Pu- nishments, is not my Province to enter upon; I am bound by vertue of my Powers to give Health, if I can, which Compassion as well as Profit wou'd invite me to do, but if we cut off our main Secret, by which [41] which we do such Wonders, we have no other Method left behind to supply its place; we shou'd be reduc'd to the same narrow Bounds as when the Disease and its Cure were unknown. What Comfort does every Common Offender now-a-days enjoy, to what even a Grand Mo- narch heretofore did in a like Case! Had Salivations been as well known then as now, there wou'd have been no Occasion to have deserted a Chri- stian for a Jew: And to desert an Experienc'd Method for an Obsolete one, is going backward into the for- saken Paths of Darkness, and chang- ing the Age of Light into that of Obscurity. I am, you see, Sir, far from being against your Practice in some petty Cases, but far from making my Pa- tients lose their Health, their Time, and their Money. G More- [42] Moreover, how weak is the Pra- ctice of Friction, which calls on a Salivation for its assistance to near half the Patients: For, out of the Forty Patients mention'd in Chicoyneau Eighteen were either salivated, or had some other Evacuation which serv'd instead of a Salivation: From whence it may easily be gather'd, that if a small quantity of Mercury will do Service, a greater, proportion'd to the Strengths of the Patients, must have a better Effect; and the Instan- ces that will be mention'd below will give a clear Proof of this Assertion. However then the Poison may be blunted by Mercury, its stay in the Blood is noxious, for Salts do attract each other, and may be generated a- fresh in the Blood from our very Diet. Is it not every Day's Experi- ence that informs us, how two wea- ker Salts combin'd turn Caustick? whereas singly they might be swal- low'd [43] low'd without Prejudice. It must then be the utmost Imprudence to trust these Ravagers to remain in our Vessels, lest they shou'd acquire new Properties by their being har- bour'd, and also by our Food, and so revive with sharper Points than they had at first: This Levain may lie dormant for Years, and yet at last joyn in with Sulphurs, or Acids, or Alcalies, and frame Salts or Mixtures capable of rotting every Bone. This Instance is not precarious, but foun- ded upon sad Experience and fatal Mistakes in the wrong application of Mercury: Nay, the very Remedy is not to be trusted within us; for, as it is given internally to blunt the fiery Acids of the Pox, it ought to be observ'd, that all Acids below Aqua Regia will joyn in with it, in a less or greater degree: And as this Morbifick Acid is look'd upon to be a strong one, (for such it must be that will corrode our Bones) can G2 Mer- [44] Mercury be trusted with such a Com- panion? However we point this Drug, it cuts, tears, and rends; and Who is safe under such Combina- tions? I speak of such a Method as suffers the Mercury to take up its abode in the Blood-Vessels, be- cause whilst we salivate a Person, great Care is to be taken during the continuance of the Method, to dilute heartily, and so to administer proper Alteratives, as to be under no danger of any Inconveniencies from a Saliva- tion. And here we ought to stop, and take a short view of the Ignorance of some of the Pretenders to Sali- vation. Of such Consequence is it to chuse a Skilful Person to salivate, that a Disease may be render'd invincible, or Life may be lost, for want of such a Choice: How many Consumptions do [45] do we weekly find in our Bills of Mortality, which are but another Name for the Pox, for a Consum- ption is the last Stage of this Disease? Most of these are Persons who have fail'd of a Cure under Pretenders hands, many of whom have been salivated, but so slovenly, so carelesly, and so ignorantly, that they can't but suffer. As for my own part, I have pra- ctis'd this Method for near Thirty Years, with good Success, and give it as my Opinion to be the only one by which a Confirm'd Lues can be perfectly eradicated, and may be de- pended on with a great deal of Safe- ty under good hands, unless Patients themselves will be obstinate, and re- gard not their own Welfare; and the Reader may guess how few love Suicide this way. Since [46] Since Safety then, and a little Trouble, are preferable to Hazard, tho' without Trouble, who wou'd run Risques to purchase Relapses worse than the former Disease? Either they give too much of the Drug, too little of Diluters, or neglect the proper Al- teratives at the time: They either ex- pose their Patients to Extreams in Cold, or Heat: They often allow them improper Diet: They too frequently neglect to premise some necessary Pre- parations, which indeed are dreamt of by few; to use proper Cautions during the Flux; or to postpone apt and convenient, as well as necessary, Administrations upon the Flux's cea- sing. Let us not therefore say Saliva- tions are so easie as to be manageable by every Hand; no, altho' they are frequently practis'd in this great Me- tropolis, I fear this Assertion wou'd hardly prove true; and yet if a Skil- ful [47] ful Person undertakes it, there is no more Danger in it than there is in taking a Vomit. So much difference is there in Men, as there is between Memory and Judgment; some re- member every Rule of their Art, and yet know not when to put them in practice; others cannot recall those Rules, but yet by vertue of their Judg- ment, can point out the Time of Ad- ministration; either of these are but half-bred, the mixture of both is very rarely met with; however, this is the Person to be trusted with our Lives, whoever he is: Some Soils never grow good Physicians, and others sel- dom produce bad ones; some are too boggy for Judgment, others too warm for Memory. I ought to remind you, Sir, of an Instance of ill Success; you have gi- ven a plain Handle for to blame your new Practice, and which I think is a Demonstration that ought at least to [48] to convince you: Not One, you say, died of the Course, but One died soon after it; and, by what I have alrea- dy said, this One is chargeable upon the Method, for the Symptoms return'd, that is, the Disease was imperfectly cured, because the Method was not answerable to the Cause. Let us on- ly take a passing View of the Sym- ptoms, and my Assertion will appear the truer: The Patient complain'd of dashing Pains along the Ureters, which encreas'd upon making Water; he voided glutinous and purulent Matter along with his Urine, which shew'd him to have a considerable Ulcer somewhere in the Uri- nary Passage: Detergents and Balsamicks had no Effect upon it; and as this Disor- der appear'd to proceed from a long- neglected Bubo and virulent Gonorrhœa, Mercurial Frictions were try'd,— he died in three or four Months. Now, Sir, as I have put you in mind of this Instance, give me leave to [49] to remind you of what I said before about the Retention of the Mercury within us, lay your Hand upon your Heart, and assure me, the keeping the Mercury so long undischarg'd was not the Occasion of this Person's Death. As it is no groundless Suspi- cion, it ought to be well clear'd up, e're you perswade Mortals to enter upon dubious Measures; this Ac- knowledgment is an honest Mistake: If None had died of Unction, the World might have been so credulous as to have paid Regard to the Me- thod, tho' obsolete; and tho' it had been a new one, as is that of Inocu- lation, so it had been safe, it wou'd have been embrac'd: But, alas! the New and Obsolete chance to be equal- ly safe, that is equally dangerous and insufficient; and Persons anointed, die of the Great, and grafted, of the Small; so that you are unluckily out in your Conjectures of Both, and for any thing that appears to the contrary, you may H be [50] be reckon'd as one of those Old Women you seem to decry in your Preface. Wherefore I take my leave of you, and shall recount to you some Histo- ries of Persons cured of the Lues by Salivation, after the lower Methods had been Ineffectually try'd. The First was a young Gentleman, who had indulg'd himself in all the Modish Pleasures of Life; Bacchus and Venus seem'd to have their Altars erected in his Heart, and he so ma- nag'd his Taste, as not to gratifie one Sense at the expence of another; for he so divided his Devotions between the God and Goddess, as neither cou'd complain of Disregard; but, alas! not being invulnerable, he was severely stung, and had gone thro' all the wea- ker Methods, by which his Blood was well sauced with Mercury to no pur- pose, so that he was not to be longer dallied with: He was therefore put under a Salivation proportion'd to his Strength [51] Strength and his Disease; he dischar- ged Blood and fleshy Concretions, and never relaps'd, but was perfectly restor'd to his former Condition of Health. The Second was a young Man afflict- ed with racking Nocturnal Pains, and all the bad Symptoms that cou'd at- tend one throughly Pox'd: He was dallied with by no mean Persons, in hopes to have cured him by Mercu- rials thrown in gradually, but in vain. We had recourse to a Salivation, as to an Asylum, and altho' it was not car- ried high, he spit vast quantities of Blood for three Days, which I endea- vour'd to stop in vain; at last this Flux of Blood ceas'd of its own accord, the Salivation proceeded gently, and he recover'd his Health perfectly. The Third was a Captain in the Ar- my, who had been treated by the late Dr. Wall's Method, and some other, in which Mercury was not left out: He became Pox'd severely, and his Stran- gury was the most violent I ever knew. H2 I [52] I advis'd him to go thro' a Salivation, as the most effectual Method to cure him, which he obey'd, and he was so perfectly recover'd, that he used to tell his Friends he was become a new Man. The Fourth was a lusty young Fel- low, who had been trying Mercury, in all shapes, every where; nay, Moorfields did not escape him, because he was unwilling to be laid down: In short, he began with a small Gonorrhœa, but before I had the honour of seeing him, he was heartily Pox'd. I did not scru- ple to advise him to a Salivation, as the last and only Remedy he had left for his Cure: He follow'd my Advice in part, for he said, his Time wou'd not allow him to undergo a strong Spit. I was willing to do the Fellow some good, rather than suffer him to perish under his Misfortune, but told him, the first Opportunity he had, he shou'd em- brace it for a thorough Cure. I saliva- ted him gently, and he got rid of his racking Symptoms, and had a Reprieve for [53] for some Months, when all his former bad Symptoms begun to revive, as I had before told him they would; at last he found Leisure, and had Cou- rage to go thro' a severe Spit, and was perfectly restor'd. The Fifth was a Gentleman who had lost his Uvula by trifling with Mercurials improperly administer'd, that is, by taking Mercury as an Al- terative, when it was necessary he shou'd have been flux'd; I told him, it was high time for him to look a- bout him, and that if he was not flux'd he wou'd have as little Nose (in a small time) as he then had Uvula; there needed no more Per- suasion, he consented to a severe Sa- livation, for such a one was necessary in this Case, in which he lost a good deal of black Blood, he recover'd to a Miracle, without any further loss of Parts, or Exfoliations of Bones. The Sixth had a Shanker, which was ill treated, and by this ill Ma- nagement [54] nagement he became severely Pox'd; for he was trifled with by Mercu- rials as Alteratives, by which the Lues got into the Blood; in this Condition I advis'd him to a Salivation, which was attempted, but unsuccessfully; some time after it was again at- tempted, and tho' he spit very well (as he did in the first) he was not cur'd; at some distance of time he was salivated a third time, and then he was perfectly restor'd. The Seventh was a Person who (among other bad Symptoms) grew absolutely Deaf from the Violence of the Distemper: This Person also had been treated with Mercurial Al- teratives in vain; he was perfectly restor'd by a Salivation, which was copious and long. The Eighth was a Gentleman who (among other bad Symptoms) became Gouty and much disabled; he was cur'd of all his Symptoms, and the Gout also, for any thing I can see, as [55] as yet, to the contrary; for it is now some Years since he was flux'd, and he is nimble, eats well, sleeps well, looks well, walks well, and ails nothing. If Examples avail as Proofs, I hope these may suffice to convince the World of the Inefficacy of Alterative Mer- curials for Stubborn Poxes; and for small Remains after Salivations, it wou'd be Cruel to salivate again, wherefore then they may be admi- ster'd safely and with Profit; and in this Case I have said already, that Dr. Chicoyneau has no Adversary to struggle with: I believe all the Facul- ty will come into his Measures on this score with Ease, because it is daily fol- low'd upon little Remains, both in pri- vate and publick Practice, and for the same Reason that Sydenham heretofore advis'd a Scruple of Mercurius Dulcis to be given as an Alterative, for some time after a Salivation was finish'd, in order to correct the small Remains of the Poison, and before Chicoyneau appear'd, Friction [56] Friction was us'd in the same Case, and for the same Supposition. Could we say to the Lues, so far shalt thou go, and no further, we might rub without Fluxing, and yet cure the Diseased; but there is no Bounds set to the Venom, it grows daily more extensive and more sharp; it sends part of us to the Grave, whilst we have the Pleasure to outlive its Virulency by the Assistance of a well-manag'd Salivation only. Wherefore I shall conclude my Remarks upon the Inefficacy of Friction, and the Necessity and Safety of a Salivation, after having requested my Readers to compare the Pamphlets together, and consider that Friction and Salivation differ only as a Part and its Whole: That Effects are proportion'd to their Causes; that the Sum Total of Ef- fects are only Univocal with their Causes; that Friction without Salivation is halving a Cause; that Salivation is the highest Pitch Mercury can arrive at; that blunting the Poison, and carrying it out of the Body, is preferable to blunting the Poison, and suffer- ing the Mercury to take up its Abode in us; that Mercury is no desirable Guest, because it is not natural to the Blood: And in fine I shall conclude, that a Salivation welL-manag'd is the only Specifick yet discover'd for a Confirm'd Pox. FINIS.